Individual
PHILIP O KILANOWSKI-DOROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5111
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1865
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01092929A
IN
207P00000X
Emergency Medicine Physician
Primary
4301079546
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
01092929A
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301079546
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081782
—
OH
05
—
4733868
—
MI
05
—
4733877
—
MI
05
—
4733886
—
MI
01
—
P00259481
RAILROAD MEDICARE
—
01
—
PK079546
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/23/2005
Last updated
11/26/2025
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