Individual
DR. PETER FERGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1727 SHAWANO AVE, STE 201, GREEN BAY, WI 54303-3273
(920) 272-1050
(920) 272-1051
Mailing address
1727 SHAWANO AVE, STE 201, GREEN BAY, WI 54303-3273
(920) 272-1050
(920) 272-1051
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
19406
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110149556
RAILROAD MEDICARE
WI
05
—
30979800
—
WI
Enumeration date
01/06/2006
Last updated
03/06/2015
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