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Individual

MR. MARK ANDREW FERGUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APNP

Contact information

Practice address
555 REDBIRD CIR STE 300, DE PERE, WI 54115-7980
(920) 338-6870
(920) 338-6829
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 746-0510

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
138144
WI
363LF0000X
Family Nurse Practitioner
Primary
3840-33
WI

Other

Enumeration date
09/14/2009
Last updated
03/20/2024
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