Gregory J Cerilli
Surgeon Trauma Surgeon Surgical Critical Care
5301 E. Huron River Dr.
Ypsilanti
, Michigan 48197
Gregory J Cerilli
Surgeon Trauma Surgeon Surgical Critical Care
5301 E. Huron River Dr.
Ypsilanti
, Michigan 48197
(419) 479-6173
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Gregory J Cerilli
- Po Box 0446 24 Frank Lloyd Wright Dr. Lobby J
- Ann Arbor, MI
- Zip : 48106
- Fax : (419) 479-6173
- Phone : (419) 291-5150
Second Address
- Gregory J Cerilli
- 5301 E. Huron River Dr.
- Ypsilanti, MI
- Zip : 48197
- Fax : (734) 712-2844
- Phone : (734) 712-7017
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 35069105 | OH |
| N | 208600000X | Surgeon | 35069105 | OH |
| Y | 2086S0102X | Surgical Critical Care | 4301104239 | MI |
| N | 2086S0127X | Trauma Surgeon | 4301104239 | MI |
National Provider Identifier
| NPI | 1194720284 |
|---|---|
| Provider Name | Gregory J Cerilli |
| First Address | Ann Arbor, MI 48106 |
| Second Address | Ypsilanti, MI 48197 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 23/08/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000522576 | ANTHEM (01) | |
| 04572 | PARAMOUNT (01) | |
| 1194720284 | (05) | MI |
| 2482942 | (05) | OH |
| 7077263 | AETNA (01) | |
| H32863 | (02) | |
| P00462488 | RRMC (01) |
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.