Individual
KRIS FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
(414) 325-3770
Mailing address
4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11188
ND
207L00000X
Anesthesiology Physician
4301086410
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301086410
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
63432
WI
Other
Enumeration date
05/21/2007
Last updated
02/06/2015
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