Organization
SELECT MEDICAL GROUP OF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDRICK J FERGUSON M.D. (MANAGER)
(248) 307-7781
Entity
Organization
Contact information
Practice address
23350 GREENFIELD RD STE 200, OAK PARK, MI 48237-2496
(248) 307-7781
(248) 302-7782
Mailing address
23350 GREENFIELD RD STE 200, OAK PARK, MI 48237-2496
(248) 307-7781
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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