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PATRICIA ANN FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
30400 TELEGRAPH RD, SUITE 350, BINGHAM FARMS, MI 48025-4537
(248) 353-9460
(248) 353-8084
Mailing address
30400 TELEGRAPH ROAD, SUITE 350, BINGHAM FARMS, MI 48025-5814
(248) 353-9460
(248) 353-8084

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301057411
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0F37693007
MEDICARE PLUS BLUE
MI
01
160F376930
BCBS OF MI FEDERAL EMPLOY
MI
01
382279274
ALL COMMERCIALS
MI
05
4620480
MI
01
C6330
MCARE
MI
01
F29822
HEALTH ALLIANCE PLAN
MI
Enumeration date
06/16/2005
Last updated
09/22/2009
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