Individual
DR. JEREMY RYAN CIULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11012 E 13 MILE RD STE 112, WARREN, MI 48093
(586) 573-5880
(586) 573-2562
Mailing address
11012 E 13 MILE RD STE 112, WARREN, MI 48093-2546
(586) 751-3380
(586) 751-0950
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
4301094921
MI
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
430104921
MI
2086S0105X
Surgery of the Hand (Surgery) Physician
4301094831
MI
Other
Enumeration date
06/30/2009
Last updated
02/09/2026
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