Individual
JUSTIN S VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-6499
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-6499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704257058
MI
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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