Individual
DR. MICHAEL AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19000 ST JOES PKWY STE 160, LIVONIA, MI 48152-1478
(734) 884-5200
(734) 884-5201
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301096193
MI
Other
Enumeration date
06/18/2010
Last updated
04/12/2022
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