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NPI Code Detail

MEDICARE: MILO JEFFREY AMBORD PA-C

MEDICARE: MILO JEFFREY AMBORD PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant8726-23WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285525659
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILO JEFFREY AMBORD PA-C
Provider Business Mailing Address
First Line : 945 N 12TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-1305
Country : US
Telephone Number : 414-219-2000
Fax Number : 414-219-6650
Provider Business Practice Location Address
First Line : 945 N 12TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-1305
Country : US
Telephone Number : 414-219-2000
Fax Number : 414-219-6650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2025
Last Update Date : 02/24/2026

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Directions to “ MILO JEFFREY AMBORD PA-C” Practice Location

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