Organization
DELPHI DIALYSIS CORPORATION
Active
Parent organization
DELTA RENAL GROUP, P.C.
Other names
DELPHI DIALYSIS CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
DELTA RENAL GROUP, P.C.
Authorized official
DR. BONIFACE A TUBIE MD (PRESIDENT/CEO)
(248) 395-2206
Entity
Organization
Contact information
Practice address
20755 GREENFIELD RD STE 203, SOUTHFIELD, MI 48075-5405
(248) 395-2206
(248) 395-0456
Mailing address
20755 GREENFIELD RD STE 203, SOUTHFIELD, MI 48075-5405
(248) 395-2206
(248) 395-0456
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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