Individual
DR. ANNE THERESE VENDERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6388 W JEFFERSON BLVD STE B, FORT WAYNE, IN 46804-3075
(260) 432-9355
Mailing address
8315 REDSTONE DR, FORT WAYNE, IN 46835-4258
(260) 609-8315
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003002A
IN
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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