Fergus, Mark Andrew

Fergus, Mark Andrew is an individual health care provider with primary practice located at 555 Redbird Cir Ste 300 , De Pere WI 54115-7980. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Fergus, Mark Andrew can be contacted via phone (920) 338-6870.

Contact Information

Primary practice address
555 Redbird Cir Ste 300 De Pere WI 54115-7980
Fax: (920) 338-6829
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 138144 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3840-33 Wisconsin

Profile Details

NPI number 1972836633
LBN Legal business name Fergus, Mark Andrew
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2009
Last updated Mar 20th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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