Individual
MRS. KRISTIN GAIL FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 N HOLMEN DR STE 502, HOLMEN, WI 54636-7301
(608) 399-3091
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7975-33
WI
Other
Enumeration date
09/13/2017
Last updated
10/30/2017
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