Individual provider · Type 1 NPI
David J. Ferguson, MD
General Practice Physician · De Pere, WI
NPI number
1104874122
Active
Practice location
435 N Broadway Ste B
De Pere, WI 54115-2516
Fax (262) 928-4699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35342 (WI) |
| General Practice Physician Primary | 208D00000X | 35342-20 (WI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1104874122
David J. Ferguson, MD's National Provider Identifier is 1104874122, issued on May 4, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in De Pere, WI. The record was last updated on Oct 13, 2020.