Individual
MR. MICHAEL HANS FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5169 S COTTONWOOD ST STE 600, MURRAY, UT 84107-6771
(801) 507-3600
(801) 507-3625
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2152121206
UT
Other
Enumeration date
07/13/2006
Last updated
05/15/2024
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