Individual
BRIAN AMBROSIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5640 W BROADWAY AVE STE B, CRYSTAL, MN 55428-3567
(715) 889-1831
Mailing address
1659 N SPRING ST, SUITE 106, BEAVER DAM, WI 53916-1280
(920) 219-4394
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
WI
Other
Enumeration date
04/22/2014
Last updated
05/09/2022
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