Individual
DR. MODESTO M. FERRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16184 W WOODLAND HILLS DR, HAYWARD, WI 54843-6474
(715) 634-8933
Mailing address
16184 W WOODLAND HILLS DR, HAYWARD, WI 54843-6474
(715) 634-8933
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17863
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31121300
—
WI
Enumeration date
06/19/2006
Last updated
07/26/2007
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