Individual
MICHAEL J VENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-2630
(605) 882-0447
Mailing address
PO BOX 170, WATERTOWN, SD 57201-0170
(605) 882-2630
(605) 882-0447
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3987
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004080
BCBS
SD
05
—
014505000
—
MN
05
—
6400722
—
SD
01
—
8D999VE
BCBS
MN
Enumeration date
07/26/2006
Last updated
12/19/2012
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