Dr EDRICK JORDAN FERGUSON MD is a male medical professional, specializing in Interventional Radiology. He graduated in 1997 from American Medical Missionary College.
8560 N SILVERY LN
SUITE 202
DEARBORN HEIGHTS
MI
481274515
Tel:
| Npi | 1659365872 |
| Pac Id | 6800787011 |
| Professional Enrollment Id | I20190703001113 |
| Last Name | FERGUSON |
| First Name | EDRICK |
| Middle Name | JORDAN |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | AMERICAN MEDICAL MISSIONARY COLLEGE |
| Graduation Year | 1997 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialty 1 | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialty 2 | |
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| All Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 8560 N SILVERY LN |
| Line 2 Street Address | SUITE 202 |
| Marker Of Address Line 2 Suppression | |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 481274515 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 230089 |
| Hospital Affiliation Lbn 1 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
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| Professional Accepts Medicare Assignment | Y |
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