Individual
MR. JEFFREY TERRENCE AMBORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3901 STEWART AVE, WAUSAU, WI 54401-3948
(715) 907-0900
(715) 803-6977
Mailing address
3901 STEWART AVE, WAUSAU, WI 54401-3948
(715) 907-0900
(715) 803-6977
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1283-023
WI
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
1283-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42996200
—
WI
Enumeration date
08/21/2005
Last updated
02/18/2026
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