Individual
MICHAEL JAMES FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 E CHESTNUT ST # 4B, LOUISVILLE, KY 40202-1713
(502) 588-3600
(502) 588-9536
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
01068371A
IN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
TP296
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000924981
BCBS MEMORIAL CHILDRENS HOSPITAL
IN
05
—
201107420
—
IN
05
—
7100724850
—
KY
Enumeration date
05/29/2008
Last updated
08/12/2024
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