Individual
TANNER J FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 W 22ND ST, SIOUX FALLS, SD 57105-1554
(605) 357-1410
Mailing address
3101 W 57TH ST, SIOUX FALLS, SD 57108-3162
(605) 361-3937
(605) 371-7199
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13575
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2018
Last updated
08/28/2023
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