Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID J FERGUSON, MD
ActiveDAVID J FERGUSON, MD is a General Practice healthcare provider located in DE PERE, Wisconsin. NPI 1104874122 is currently active in the NPPES registry. Verify at CMS.
General Practice · DE PERE, WI
Registration Details
- NPI Number
- 1104874122
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.255661228583 yrs)
- Last Updated
- Oct 13, 2020
- Licenses
-
35342 (WI)35342-20 (WI)
Practice Information
- Address
-
435 N BROADWAY STE BDE PERE, WI, 541152516Browse WI providers · Browse ZIP 54115
- Phone
- 8555456794
- Fax
- 2629284699
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.