| NPI | 1912001314 |
|---|---|
| Other Name | DELTA RENAL GROUP, P.C. |
| Entity Type | Organization |
| Authorized Contact | BONIFACE ATAKEKOR TUBIE Physician/ CEO 248-395-2206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301072901) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 43010729901) |
| 246ZN0300X Specialist/Technologist, Other, Nephrology (Licence: MI 4301072901) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-08-22 |