Individual
THOMAS E FERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
420 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4714
(715) 422-7750
(715) 422-7752
Mailing address
420 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4714
(715) 422-7750
(715) 422-7752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38919
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30085200
—
WI
Enumeration date
07/11/2006
Last updated
07/08/2007
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