Individual
MARCUS K KILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1821 UNIVERSITY AVE W, SUITE N385, SAINT PAUL, MN 55104-2801
(651) 644-8515
(651) 644-3451
Mailing address
1821 UNIVERSITY AVE W, SUITE N385, SAINT PAUL, MN 55104-2801
(651) 644-8515
(651) 644-3451
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2610-057
WI
Other
Enumeration date
09/28/2006
Last updated
09/02/2008
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