Individual
AMAR VIJAY AMBARDEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53070
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00846092
RR-MEDICARE
WI
Enumeration date
04/13/2007
Last updated
11/19/2021
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