| Davenport Ferguson Physician Group Pllc | |
|
15565 Northland Dr Suite 204 Southfield MI 48075-5310 | |
| (248) 423-4477 | |
| (248) 423-4488 |
| Full Name | Davenport Ferguson Physician Group Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 15565 Northland Dr, Southfield, Michigan |
| Authorized Official Name and Position | Margo Kimberlee Ferguson (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2489684470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davenport Ferguson Physician Group Pllc 15565 Northland Dr Suite 204 Southfield MI 48075-5310 Ph: (248) 423-4477 | Davenport Ferguson Physician Group Pllc 15565 Northland Dr Suite 204 Southfield MI 48075-5310 Ph: (248) 423-4477 |
| NPI Number | 1568446409 |
|---|---|
| Provider Enumeration Date | 12/05/2005 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568446409 | NPI | - | NPPES |
| 4495238-10 | Medicaid | MI | |
| 080F300760 | Other | MI | BCN |
| 080F300760 | Other | MI | BC GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301061334 (Michigan) | Primary |
Med-share, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26222 Telegraph Rd, Suite 100, Southfield, MI 48033 Phone: 248-827-7200 Fax: 248-827-2641 | |
Caring Doctors At Home Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29600 Northwestern Highway, Suite 106, Southfield, MI 48034 Phone: 313-258-4855 | |
Maecenas Health Systems Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26677 W 12 Mile Rd, Southfield, MI 48034 Phone: 248-358-6995 | |
Ark Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-924-1429 Fax: 248-419-2431 | |
Laina Feinstein Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29829 Telegraph Rd, Suite 107, Southfield, MI 48034 Phone: 248-304-0786 Fax: 248-354-8559 | |
Magnum Managment Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17600 W 8 Mile Rd, Suite # 5, Southfield, MI 48075 Phone: 248-424-9749 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26185 Greenfield Rd, Southfield, MI 48076 Phone: 248-569-2040 Fax: 248-569-2048 |