Individual
MICHAEL KWESI AMPONSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13460 N. 94TH DRIVE, SUITE J-1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Mailing address
13460 N. 94TH DRIVE, SUITE J-1, PEORIA, AZ 85381-4246
(623) 876-8816
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
62556
AZ
207RI0011X
Interventional Cardiology Physician
Primary
62556
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97588
—
AZ
Enumeration date
03/30/2012
Last updated
01/17/2023
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