Individual
RAVEN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23806 MIDDLEBELT RD, FARMINGTON HILLS, MI 48336-2928
(313) 333-6064
Mailing address
23806 MIDDLEBELT RD, FARMINGTON HILLS, MI 48336-2928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704345391
MI
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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