Individual
BRANDON MATTHEW FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 ROYAL BIRKDALE, SPRINGBORO, OH 45066-9597
(614) 477-0839
(614) 477-0839
Mailing address
80 ROYAL BIRKDALE, SPRINGBORO, OH 45066-9597
(614) 477-0839
(614) 477-0839
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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