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Individual

MARIA JILIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3300
Mailing address
1137 W WEBSTER RD, ROYAL OAK, MI 48073-3396
(313) 999-5479

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
4704269405
MI
363L00000X
Nurse Practitioner
4704269405
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704269405
MI
363LF0000X
Family Nurse Practitioner
4704269405
MI

Other

Enumeration date
12/20/2016
Last updated
05/27/2022
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