Individual
SAPAN NITIN AMBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301093819
MI
Other
Enumeration date
06/26/2009
Last updated
04/23/2019
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