Organization
JOHN M CILLUFFO MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M CILLUFFO M.D. (PRESIDENT)
(231) 348-2811
Entity
Organization
Contact information
Practice address
2202 MITCHELL PARK DRIVE, PETOSKEY, MI 49770-2070
(231) 348-2811
Mailing address
PO BOX 2070, PETOSKEY, MI 49770-2070
(231) 348-2811
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
12/18/2009
Last updated
12/18/2009
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