Ambroziak, Michael T

Ambroziak, Michael T is an individual health care provider with primary practice located at 3801 Wilder Rd , Bay City MI 48706-2301. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Ambroziak, Michael T can be contacted via phone (989) 667-4663.

Contact Information

Primary practice address
3801 Wilder Rd Bay City MI 48706-2301
Phone: (989) 667-4663
Fax: (989) 667-1964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901001787 Michigan

Profile Details

NPI number 1336105329
LBN Legal business name Ambroziak, Michael T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Aug 10th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336105329 NPPES
Michigan MEDICAID 3346538

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