# RICHARD F AMBROSE JR DPM PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104106020
- **Authorized official:** DR. RICHARD AMBROSE JR. D.P.M. (PRESIDENT)
- **Authorized official phone:** (734) 425-4000

## Contact information

- **Practice address:** 415 MILL RD, ADRIAN, MI 49221-1764
- **Practice address phone:** (517) 263-0427
- **Mailing address:** 16170 FRANKLIN RD, NORTHVILLE, MI 48168-9515
- **Mailing address phone:** (734) 425-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5901001007 | MI | Yes |

## Other

- **Enumeration date:** 08/23/2011
- **Last updated:** 08/23/2011