Individual
DANIEL FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10150 W NATIONAL AVE, WEST ALLIS, WI 53227-2145
(414) 321-7520
(414) 321-9383
Mailing address
10150 W NATIONAL AVE, WEST ALLIS, WI 53227-2145
(414) 321-7520
(414) 321-9383
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
47850
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34672300
—
WI
Enumeration date
03/15/2006
Last updated
11/21/2012
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