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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