Individual
PROF. AMBROISE WONKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
773 N. BROADWAY, MRB 439, BALTIMORE, MD 21205
(443) 287-0245
Mailing address
10186 MAXINE ST, ELLICOTT CITY, MD 21042-6317
(410) 259-4441
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
D0048440
MD
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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