Individual
DAMITA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14441 NORTHFIELD BLVD, OAK PARK, MI 48237-1522
(248) 460-9218
(248) 461-1227
Mailing address
14441 NORTHFIELD BLVD, OAK PARK, MI 48237-1522
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704260933
MI
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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