Individual
LINDSAY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
2093 HEALTH DR SW STE 302, WYOMING, MI 49519-9691
(616) 252-5775
(616) 252-5785
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-4932
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085006068
IL
363A00000X
Physician Assistant
Primary
5601008616
MI
Other
Enumeration date
10/28/2016
Last updated
11/06/2019
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