Individual
CHRISTINA PELTON FERGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
940 S SAINT AUGUSTINE ST, PULASKI, WI 54162-9453
(920) 822-5444
Mailing address
940 S SAINT AUGUSTINE ST, PULASKI, WI 54162-9453
(920) 822-5444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49140
WI
Other
Enumeration date
03/08/2007
Last updated
08/25/2011
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