Individual
AMBER JANE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2109
WI
Other
Enumeration date
11/10/2008
Last updated
03/19/2019
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