MICHIGAN KIDNEY CARE PC – NPI #1205022142
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

MICHIGAN KIDNEY CARE PC is a provider located in BERKLEY, MI. NPPES has assigned the NPI number 1205022142 to MICHIGAN KIDNEY CARE PC on September 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 18 years ago on May 14, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHIGAN KIDNEY CARE PC below.

NPI Profile for
MICHIGAN KIDNEY CARE PC

NPI Number
1205022142
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MICHIGAN KIDNEY CARE PC
Primary location
1695 12 MILE RD
STE 250
BERKLEY, MI 48072-2182
Phone: (248) 414-3874 Fax: (248) 646-7854
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OLAF KRONEMAN
OWNER
Phone: (248) 290-2940
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.