Individual
DR. MICHAEL S FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1540 MAPLE RD, EMERGENCY ROOM, WILLIAMSVILLE, NY 14221-3647
(716) 691-8838
(716) 564-1134
Mailing address
305 CAYUGA RD, SUITE 190, CHEEKTOWAGA, NY 14225-1980
(716) 691-8838
(716) 564-1134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
202619
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025230001
UNIVERA
NY
01
—
000524743001
BLUE CROSS BLUE SHIELD
NY
05
—
01661343
—
NY
01
—
040426035626
FIDELIS
NY
01
—
3910581
INDEPENDENT HEALTH
NY
01
—
930040114
RAILROAD MEDICARE
NY
Enumeration date
06/14/2006
Last updated
08/26/2009
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