Individual
DR. GARY STEPHEN FERENCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
804 SERVICE ROAD, ROOM A225, EAST LANSING, MI 48824-7040
(517) 353-4941
(517) 432-3145
Mailing address
804 SERVICE ROAD, ROOM B338 DEPT OF MEDICINE, EAST LANSING, MI 48824
(517) 432-9124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301049491
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1863850
—
MI
05
—
1891703666
—
MI
Enumeration date
08/04/2006
Last updated
05/01/2012
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