Organization
RICHARD F AMBROSE JR DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD AMBROSE JR. D.P.M. (PRESIDENT)
(734) 425-4000
Entity
Organization
Contact information
Practice address
415 MILL RD, ADRIAN, MI 49221-1764
(517) 263-0427
Mailing address
16170 FRANKLIN RD, NORTHVILLE, MI 48168-9515
(734) 425-4000
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001007
MI
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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