Individual
THOMAS JOHN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CENTER RECP G, ANN ARBOR, MI 48109-5338
(734) 936-7010
(734) 936-9294
Mailing address
3621 SOUTH STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704257622
MI
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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