Individual
DR. SANDRA KILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
760 W FRANKLIN ST, JACKSON, MI 49201-2048
(517) 780-9260
(517) 780-9263
Mailing address
760 W FRANKLIN ST, JACKSON, MI 49201-2048
(517) 780-9260
(517) 780-9263
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
4301055455
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104447698
—
MI
01
—
110696
PREFERRED CHOICES
MI
01
—
12-20018
PHP OF SOUTH MICHIGAN
MI
01
—
1420
HEALTH PLAN OF MICHIGAN
MI
01
—
35-0-38-0136-1
BLUE CROSS BLUE SHIELD
MI
01
—
5108230
AETNA
MI
01
—
8414280-002
CIGNA
MI
Enumeration date
05/24/2006
Last updated
11/07/2013
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