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Individual

ANNA VENNEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 PORTLAND ST STE 110, COLUMBIA, MO 65201-7390
(573) 886-4600
(573) 886-4695
Mailing address
300 PORTLAND ST STE 110, COLUMBIA, MO 65201-7390
(573) 886-4600
(573) 886-4695

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
2019032554
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
390200000X
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200074786
MO
01
P01219053
RAIL ROAD MEDICARE
WA
Enumeration date
09/04/2008
Last updated
03/12/2025
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