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Contact Information

BONIFACE A. TUBIE, M.D.
20755 GREENFIELD RD
SUITE #203
SOUTHFIELD, MI48075-5403
 Phone: 248-395-2206
 Fax: 248-395-0456
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Nephrology

246ZN0300X
Indicates primary specialty

NPI Profile & details for BONIFACE A TUBIE MD · (Female)

NPI # 1912001314
Status Active
Credentials
Entity Individual
Enumeration date 09/08/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301072901
  • MI License # 43010729901
  • MI Medicaid 4341231
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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