Individual
DR. ROBERT B FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.C
Contact information
Practice address
4256 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48323-1645
(248) 682-1720
(248) 682-9289
Mailing address
758 WOODCHESTER, WEST BLOOMFIELD, MI 48304
(248) 408-2170
(248) 723-5874
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301058431
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124607
GREAT LAKES HEALTH PLAN
MI
05
—
3310704
—
MI
Enumeration date
11/13/2006
Last updated
07/08/2007
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