Individual
MICHAEL JAMES FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-3647
Mailing address
125 KELLERTON CT, WINNABOW, NC 28479-5198
(774) 282-0626
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102209451
VA
Other
Enumeration date
04/24/2024
Last updated
10/03/2025
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