Individual
EMILY KATE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 CAREW ST STE 300, FORT WAYNE, IN 46805-4764
(260) 425-6650
Mailing address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-7765
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11024289A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2025
Last updated
07/17/2025
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