Provider Demographics
NPI:1265049506
Name:FERGUSON, MARGARET FRANCES KAISER (PA-C)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:FRANCES KAISER
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:FRANCES
Other - Last Name:KAISER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6595 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61108-2542
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6595 E STATE ST
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61108-2542
Practice Address - Country:US
Practice Address - Phone:815-226-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant