Individual
DR. DEANGELO HEASTON FERGUSON
Inactive
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2902 SW ASBURY DR, TOPEKA, KS 66614-4466
(785) 354-9591
(785) 327-4142
Mailing address
2902 SW ASBURY DR, TOPEKA, KS 66614-4466
(785) 354-9591
(785) 327-4142
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
04-050630
KS
208200000X
Plastic Surgery Physician
4351048917
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
05/01/2026
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