Ambrosi, Gavin Mark
Ambrosi, Gavin Mark is an individual health care provider with primary practice located at 9601 Townline Rd , Minocqua WI 54548-9099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ambrosi, Gavin Mark can be contacted via phone (715) 358-1000.Contact Information
Primary practice address
9601 Townline Rd
Minocqua WI 54548-9099
Phone: (715) 358-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301105071 | Michigan |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 70554-20 | Wisconsin |
Profile Details
| NPI number | 1700299203 |
|---|---|
| LBN Legal business name | Ambrosi, Gavin Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2014 |
| Last updated | Jun 19th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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