Dr. Jeremy Ryan Ciullo
Surgery of the Hand
11012 E 13 Mile Rd Ste 112
Warren
, Michigan 48093
Dr. Jeremy Ryan Ciullo
Surgery of the Hand
11012 E 13 Mile Rd Ste 112
Warren
, Michigan 48093
(586) 751-0950
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About
Features
Specialties
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Dr. Jeremy Ryan Ciullo
- 11012 E 13 Mile Rd Ste 112
- Warren, MI
- Zip : 48093-2546
- Fax : (586) 751-0950
- Phone : (586) 751-3380
Second Address
- Dr. Jeremy Ryan Ciullo
- 11012 E 13 Mile Rd Ste 112
- Warren, MI
- Zip : 48093
- Fax : (586) 573-2562
- Phone : (586) 573-5880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0105X | Surgery of the Hand | 4301094831 | MI |
National Provider Identifier
| NPI | 1265660062 |
|---|---|
| Provider Name | Dr. Jeremy Ryan Ciullo |
| First Address | Warren, MI 48093-2546 |
| Second Address | Warren, MI 48093 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2009 |
| Last Update Date | 25/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.