Michael Ambrose, MD

NPI #1538398680 in Mount Vernon, Illinois

Provider Information

NPI Number: 1538398680
Entity Type: Individual
Name: Michael Ambrose, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 10, 2009
Last Updated: Mar 25, 2021

Practice Location

Address: 605 N 12TH ST
City: Mount Vernon
State: Illinois
ZIP Code: 62864
Phone: (618) 241-2212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Hospitalist	208M00000X
Internal Medicine	207R00000X	Primary

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