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Individual

MICHAEL FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4317 W MEMORIAL RD, OKLAHOMA CITY, OK 73134-1720
(405) 272-9641
(405) 235-0738
Mailing address
608 NW 9TH ST STE 6210, OKLAHOMA CITY, OK 73102-1069
(405) 272-9641
(405) 235-0738

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13147
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100100980A
OK
Enumeration date
03/02/2006
Last updated
09/10/2025
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