Mark Julin Kiel, M.D., PH.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

4301096757 Issued in MI

Practice address

1301 Catherine St
4211 Med Sci I
Ann Arbor, MI 48109-2026

Phone

(734) 764-3270

Fax

(734) 936-7361

NPI assigned

Jun 17, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1467773002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CATHERINE ST",
            "address_2": "4211 MED SCI I",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092026",
            "telephone_number": "734-764-3270",
            "fax_number": "734-936-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CATHERINE ST",
            "address_2": "4211 MED SCI I",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092026",
            "telephone_number": "734-764-3270",
            "fax_number": "734-936-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEL",
        "first_name": "MARK",
        "middle_name": "JULIN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301096757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Kidder, MD
• Katherine Kidle, LMSW
• Jason Wilbur Kidwell, LLMSW
• Mackenzie Kiedrowski
• Keri Lynn Kiefer, LISW
• Stephanie Kielb, MD
• Heather Jean Kierczak
• Katrina Kieser
• Kietha Biggers, PLLC
• Holly Nicole Kifer

• Student in an Organized Health Care Education/Training Program in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.