# DR. JEREMY RYAN CIULLO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265660062
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | 4301094921 | MI | Yes |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | 430104921 | MI | Yes |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | 4301094831 | MI | — |

## Other

- **Enumeration date:** 06/30/2009
- **Last updated:** 02/09/2026