Individual
MR. MICHAEL THOMAS AMMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1055 E LA CANADA, STE 135, GREEN VALLEY, AZ 85614
(520) 625-3230
(520) 625-9162
Mailing address
5055 E BROADWAY BLVD, STE A100, TUCSON, AZ 85711
(520) 382-1205
(520) 795-0225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2536
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485767
—
AZ
Enumeration date
12/22/2006
Last updated
07/21/2022
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