Individual
EMELIE JOY FERGASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-1668
(517) 337-1779
Mailing address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-0316
(517) 337-1779
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005171
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901005171
STATE LICENSE
MI
Enumeration date
06/24/2016
Last updated
10/27/2023
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