Individual
GERALDINE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
(877) 299-1655
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703122166
MI
Other
Enumeration date
06/19/2019
Last updated
12/08/2023
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