Provider Demographics
NPI:1205812328
Name:TENDLER, ALISON R (MD)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:R
Last Name:TENDLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2101 W 69TH ST UNIT 204
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5624
Mailing Address - Country:US
Mailing Address - Phone:605-306-2020
Mailing Address - Fax:605-306-6320
Practice Address - Street 1:2101 W 69TH ST UNIT 204
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5624
Practice Address - Country:US
Practice Address - Phone:605-306-2020
Practice Address - Fax:605-306-6320
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD5912207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDS107114Medicare PIN
SDS107114Medicare PIN