Individual
MICHAEL FERDKOFF
Active
Individual
MICHAEL FERDKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RSA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
238000059
IL
246ZS0410X
Surgical Technologist
238.000059
IL
363AS0400X
Surgical Physician Assistant
Primary
238.000059
IL
Other
Enumeration date
05/07/2008
Last updated
10/04/2018
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