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Contact Information

OTIS B. FERGUSON III MD PC
7633 EAST JEFFERSON
SUITE 120
DETROIT, MI48214
 Phone: 313-824-8941
 Fax: 313-824-1115
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for OTIS B FERGUSON III MD PC · (Female)

NPI Number 1780779678
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2006
Last updated 03/11/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 066409
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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