Provider Demographics
NPI:1033189915
Name:DELIUS, RALPH ERNEST (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:ERNEST
Last Name:DELIUS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7125 ORCHARD LAKE RD
Mailing Address - Street 2:STE 120
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3627
Mailing Address - Country:US
Mailing Address - Phone:248-855-5355
Mailing Address - Fax:248-855-5455
Practice Address - Street 1:3901 BEAUBIEN BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-745-5538
Practice Address - Fax:313-993-0531
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2019-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301406533208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
0208291491OtherBCBS OF MICHIGAN
MI430214410Medicaid
E80127Medicare UPIN
M52440004Medicare ID - Type Unspecified