Individual
DR. JAMES R FERWERDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7802 5TH AVE, KENOSHA, WI 53143-6102
(262) 658-2919
Mailing address
7802 5TH AVE, KENOSHA, WI 53143-6102
(262) 658-2919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13051-20
WI
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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