Organization
OTIS B. FERGUSON III MD PC
Active
Organization
OTIS B. FERGUSON III MD PC
Active
Other names
Consultants in Opthamology PC
Organization subpart
No
Provider details
NPI number
Authorized official
OTIS FERGUSON MD (ADMINISTRATOR)
(313) 824-8941
Entity
Organization
Contact information
Practice address
7633 EAST JEFFERSON, SUITE 120, DETROIT, MI 48214
(313) 824-8941
(313) 824-1115
Mailing address
7633 EAST JEFFERSON, SUITE 120, DETROIT, MI 48214
(313) 824-8941
(313) 824-1115
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
066409
MI
Other
Enumeration date
10/04/2006
Last updated
03/11/2008
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