Individual
DAVID J FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 N BROADWAY STE B, DE PERE, WI 54115-2516
(855) 545-6794
(262) 928-4699
Mailing address
435 N BROADWAY STE B, DE PERE, WI 54115-2516
(855) 545-6794
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35342
WI
208D00000X
General Practice Physician
Primary
35342-20
WI
Other
Enumeration date
05/04/2006
Last updated
10/13/2020
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