Individual
DR. MARGO KIMBERLEE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2939 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-2728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301061334
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4495238-10
—
MI
05
—
4873170
—
MI
Enumeration date
12/07/2005
Last updated
04/16/2013
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