Individual
CHRISTOPHER K FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
72 VILLAGE WAY STE 2B, HUDSON, OH 44236-5127
(330) 656-5215
Mailing address
7659 ROEPER RD, PARMA, OH 44134-6177
(330) 401-7809
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
APRN.CRNA.11259
OH
367500000X
Certified Registered Nurse Anesthetist
RN317731
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3031829
—
OH
01
—
P01103219
MEDICARE RAILROAD
OH
Enumeration date
12/04/2009
Last updated
09/26/2019
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