Individual
ANGELA E AMBROSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1035 E WILCOX AVE, WHITE CLOUD, MI 49349-8794
(231) 689-5943
(231) 689-1590
Mailing address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-5045
(231) 745-5031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301406924
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851478
UNITED HEALTH CARE
MI
01
—
2427880
CIGNA
MI
01
—
4112710
AETNA PROVIDER NUMBER
MI
01
—
4301406924
PHYSICIAN LICENSE
MI
01
—
700H21076
BCBSM
MI
01
—
CC3713
RR MEDICARE
MI
Enumeration date
05/18/2006
Last updated
09/06/2016
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