Individual
GREYCI ADALBERYS FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5119 S VANKAL ST, MATTAWAN, MI 49071-8418
(906) 430-7210
Mailing address
5119 S VANKAL ST, MATTAWAN, MI 49071-8418
(906) 430-7210
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
Enumeration date
04/15/2026
Last updated
04/15/2026
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