Individual
SCOTT MICHAEL FERGUSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC,ATC
Contact information
Practice address
200 N MAIN ST, BURLINGTON, WI 53105-1577
(262) 767-1511
Mailing address
200 N MAIN ST, BURLINGTON, WI 53105-1577
(262) 767-1511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3362
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38896700
—
WI
Enumeration date
05/18/2006
Last updated
09/06/2023
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