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NPI Code Detail

MEDICARE: MICHELE FERGUSON MD

MEDICARE: MICHELE FERGUSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician30741CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689781098
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE FERGUSON MD
Provider Business Mailing Address
First Line : 2594 TRAILRIDGE DR E
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-3186
Country : US
Telephone Number : 303-449-7740
Fax Number :
Provider Business Practice Location Address
First Line : 2594 TRAILRIDGE DR E
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-3186
Country : US
Telephone Number : 303-449-7740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 07/08/2007

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Directions to “ MICHELE FERGUSON MD” Practice Location

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