NPI 1023759180

Tishanna N Ferguson, MD

Practitioner Obstetrics & Gynecology Physician Grand Rapids, MI

Practice location

Address: 330 Barclay Ave NE STE 304, Grand Rapids, MI 49503-2527
Phone: (616) 391-6243

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 4351049565 (MI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1023759180
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2022
Record last updated: 23 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.