Individual
DR. DOUGLAS MIMS FERRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2418 CROSSROADS DR, SUITE 2900, MADISON, WI 53718-7995
(608) 442-3300
(608) 442-3303
Mailing address
2418 CROSSROADS DRIVE, SUITE 2900, MADISON, WI 53718
(608) 442-3300
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5797-015
WI
Other
Enumeration date
07/28/2006
Last updated
06/14/2017
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