Dr. Jeremy Ryan Ciullo, MD
Surgery, Surgery of the Hand in Warren, MI. Individual provider (NPI-1).
NPI number1265660062
StatusActive
Last updated in NPPESFeb 9, 2026
Details
- NPI
- 1265660062
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeremy Ryan Ciullo
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2009
- Certification date
- Feb 9, 2026
- Last updated
- Feb 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0105X | Surgery, Surgery of the Hand | 430104921 | MI | Yes |
Practice location
11012 E 13 Mile Rd Ste 112Warren, MI 48093
Phone 586-573-5880 · Fax 586-573-2562
Mailing address
11012 E 13 Mile Rd Ste 112Warren, MI 48093-2546
Phone 586-751-3380 · Fax 586-751-0950
Other practice locations
4160 John R St
Harper Professional Building Suite 615
Detroit, MI 48201-2020
Harper Professional Building Suite 615
Detroit, MI 48201-2020
Phone 313-745-4195 · Fax 313-993-8669
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