Organization
JASPER SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD VENNEKOTTER MD (PRESIDENT)
(812) 482-4494
Entity
Organization
Contact information
Practice address
721 W 13TH ST, JASPER, IN 47546-1855
(812) 482-4494
(812) 482-4499
Mailing address
721 W 13TH ST, JASPER, IN 47546-1855
(812) 482-4494
(812) 482-4499
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IN
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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