Individual
JOHN MARINO CILLUFFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 SIXTH ST STE 308, TRAVERSE CITY, MI 49684-2361
(231) 935-5720
(231) 935-5719
Mailing address
1221 SIXTH ST STE 308, TRAVERSE CITY, MI 49684-2361
(231) 935-5720
(231) 935-5719
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301044523
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1402410051
BCBS OF MICHIGAN
MI
05
—
1777018-10
—
MI
Enumeration date
08/23/2006
Last updated
12/19/2024
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