MEDICARE: DR. RICHARD FRANCIS AMBROSE JR. DPM

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
1	213E00000X	Podiatrist	0001007	MI

General Provider Information

NPI Number	:	1861444796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD FRANCIS AMBROSE JR. DPM

Provider Business Mailing Address
First Line	:	16170 FRANKLIN RD
Second Line	:
City	:	NORTHVILLE
State	:	MI
Zip	:	48168-9515
Country	:	US
Telephone Number	:	517-263-0427
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 MILL RD
Second Line	:
City	:	ADRIAN
State	:	MI
Zip	:	49221-1764
Country	:	US
Telephone Number	:	734-425-4000
Fax Number	:	517-263-0427

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	03/29/2026

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