Individual
BENJAMIN BRADLEY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4220 BURTON ST SE, GRAND RAPIDS, MI 49546-6121
(616) 204-4241
Mailing address
4220 BURTON ST SE, GRAND RAPIDS, MI 49546-6121
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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