Individual
ERIC C AMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2035 HOGBACK RD, SUITE 101, ANN ARBOR, MI 48105-9732
(734) 677-0696
(734) 677-0699
Mailing address
PO BOX 130236, ANN ARBOR, MI 48113-0236
(734) 677-0696
(734) 677-0699
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301003725
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680H145160
BLUE CROSS OF MICHIGAN
MI
Enumeration date
12/02/2006
Last updated
06/11/2008
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