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BLUE WATER PRIMARY CARE
NPI 1013896638
Family Medicine in Fort Gratiot, MI

Active since August 28, 2025
3953 24TH AVE, FORT GRATIOT, MI 48059(734) 299-0712 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blue Water Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE WATER PRIMARY CARE (NPI 1013896638) is a healthcare organization registered as a family medicine in Fort Gratiot, Michigan and active in the NPI registry since August 2025. The organization lists Ibrahim Dabaja, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1013896638
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUE WATER PRIMARY CARE
Location Address3953 24TH AVEFort Gratiot, MI 48059-4193
Mailing Address3953 24th AveFort Gratiot, MI 48059-4193 · (810) 363-9337
Phone(734) 299-0712
Organization SubpartNo
Authorized OfficialIbrahim DabajaChief Operating Officer · (810) 363-9337
Enumeration DateAugust 28, 2025
Last NPPES UpdateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
✔ NPI 1013896638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3953 24TH AVE, Fort Gratiot, MI 48059
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET CRAW
Physician Assistant
3953 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 363-9337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Water Primary Care's NPI number?

The NPI number for Blue Water Primary Care is 1013896638. It was assigned to this organization in the NPPES registry on August 28, 2025.

Where is Blue Water Primary Care located?

Blue Water Primary Care is located at 3953 24th Ave, Fort Gratiot, MI 48059. The listed phone number is (734) 299-0712.

What is Blue Water Primary Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Blue Water Primary Care accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Blue Water Primary Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blue Water Primary Care was last updated on January 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.