Individual
MR. STEPHEN FREDERICK VENNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
105 4TH ST. SW, SUITE # 16, ALBUQUERQUE, NM 87102
(505) 307-5818
Mailing address
PO BOX 66496, ALBUQUERQUE, NM 87193-6496
(505) 307-5818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6083
NM
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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