# WAYNE L AMBROZE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972561405
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | 033019 | GA | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 10/19/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00432011B | — | GA |
| 01 | — | 1129 | KAISER | — |
| 01 | — | 1406030 | UNITED HEALTHCAREE | — |
| 01 | — | 216188012 | CIGNA HMO | — |
| 01 | — | 4120130 | AETNA NON HMO | — |
| 01 | — | 519446 | AETNA HMO | — |
| 01 | — | 52022684 | BCBS | — |