Individual
SUSAN E H FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL17512
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD152948
OR
207RP1001X
Pulmonary Disease Physician
Primary
56150-20
WI
207RP1001X
Pulmonary Disease Physician
MD152948
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215104179
—
WI
Enumeration date
05/09/2008
Last updated
11/12/2020
Update your record
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