MEDICARE: DR. DAVID A FERBER 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
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	34921	WI

Other Identifiers

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

General Provider Information

NPI Number	:	1891772711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID A FERBER MD

Provider Business Mailing Address
First Line	:	14275 MIDWAY RD
Second Line	:	SUITE 400
City	:	ADDISON
State	:	TX
Zip	:	75001-3614
Country	:	US
Telephone Number	:	214-932-8029
Fax Number	:	610-271-4245

Provider Business Practice Location Address
First Line	:	5000 W. CHAMBERS STREET
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-1650
Country	:	US
Telephone Number	:	414-447-2271
Fax Number	:	414-447-2965

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	05/01/2015

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Directions to “ DR. DAVID A FERBER MD” Practice Location

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