Individual
DR. MICHAEL T AMBROZIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3801 WILDER RD, BAY CITY, MI 48706-2301
(989) 667-4663
(989) 667-1964
Mailing address
111 S 3RD ST, WEST BRANCH, MI 48661-1331
(989) 667-4663
(989) 667-1964
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001787
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3346538
—
MI
Enumeration date
04/26/2006
Last updated
08/10/2011
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