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Individual

MR. GERALD EDWARD FERG III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1530 NEEDMORE RD STE 200, DAYTON, OH 45414-3957
(937) 278-5854
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95007811
CA
363LF0000X
Family Nurse Practitioner
Primary
APRNCNP026609
OH
363LF0000X
Family Nurse Practitioner
ARNP9336982
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0421532
OH
Enumeration date
10/12/2017
Last updated
03/22/2022
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