Individual
JOSEPH A D'AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6345
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301084947
MI
208000000X
Pediatrics Physician
4301084947
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103911301
BCBS
—
05
—
4685250
—
MI
Enumeration date
03/16/2006
Last updated
05/24/2012
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