Individual
STEPHEN JAMES KILIJANCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(702) 541-5316
Mailing address
16585 FRANKLIN RD, NORTHVILLE, MI 48168-9579
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704261200
MI
Other
Enumeration date
08/22/2017
Last updated
12/06/2018
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