NPI 1104874122

David J Ferguson, MD

Practitioner General Practice Physician De Pere, WI

Practice location

Address: 435 N Broadway STE B, De Pere, WI 54115-2516
Phone: (855) 545-6794
Fax: (262) 928-4699

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 35342-20 (WI)

Other General Practice providers in Wisconsin →

Anatomic Pathology & Clinical Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 35342 (WI)

Other Pathology providers in Wisconsin →

Registry record

NPI: 1104874122
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2006
Record last updated: 13 Oct 2020

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.