Individual
JORDAN VENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 345-8618
Mailing address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 345-8618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704348012
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704348012
MI
Other
Enumeration date
10/04/2022
Last updated
08/25/2025
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