MICHAEL AMBROSE M.D. – NPI #1669793154
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MICHAEL AMBROSE is a physician located in LIVONIA, MI. NPPES has assigned the NPI number 1669793154 to MICHAEL AMBROSE on June 18, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 4 years ago on Apr 12, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL AMBROSE below.

NPI Profile for
MICHAEL AMBROSE

NPI Number
1669793154
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL AMBROSE
Credentials
M.D.
Primary location
19000 ST JOES PKWY STE 160
LIVONIA, MI 48152-1478
Phone: (734) 884-5200 Fax: (734) 884-5201
1 Other location(s):
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone: (734) 712-3456
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000
ANN ARBOR, MI 48105-9484
Phone: (734) 747-6766 Fax: (734) 222-3100
Sole Proprietor
Yes
Updated
Certification Date
Apr 12, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MI 4301096193

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.