Individual
MR. DANIEL L VENARSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1513 LAKELAND DR., SUITE 101, JACKSON, MS 39216
(601) 354-4836
(601) 354-2619
Mailing address
1513 LAKELAND DR.,, SUITE 101, JACKSON, MS 39216
(601) 354-4836
(601) 354-2619
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
16963
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125626
—
MS
Enumeration date
12/19/2005
Last updated
01/28/2010
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