Cerilli, Gregory J

Cerilli, Gregory J is an individual health care provider with primary practice located at 5301 E. Huron River Dr. , Ypsilanti MI 48197. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Cerilli, Gregory J can be contacted via phone (734) 712-7017.

Contact Information

Primary practice address
5301 E. Huron River Dr. Ypsilanti MI 48197
Phone: (734) 712-7017
Fax: (734) 712-2844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35069105 Ohio
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 4301104239 Michigan
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 4301104239 Michigan

Profile Details

NPI number 1194720284
LBN Legal business name Cerilli, Gregory J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194720284 NPPES
Other 7077263 AETNA
Other 04572 AETNA
MEDICAID 1194720284 AETNA
Other P00462488 AETNA
Other 000000522576 AETNA
MEDICAID 2482942 AETNA

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