Individual
MICHAEL ELLIOTT FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
505 E NORTH FOOTHILLS DR, SPOKANE, WA 99207-2101
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00108685
WA
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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