Individual
THOMAS M AMBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9555 76TH ST STE 4105, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8080
(262) 577-8081
Mailing address
9555 76TH ST STE 4105, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8080
(262) 577-8081
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32251
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160043979
MEDICARE RAILROAD
WI
05
—
32062400
—
WI
Enumeration date
05/26/2006
Last updated
12/03/2018
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