Individual
AMY L BANKS-VENEGONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 WEALTHY ST SE, STE 180, GRAND RAPIDS, MI 49506-2969
(616) 774-8501
(616) 774-8595
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301094682
MI
Other
Enumeration date
06/23/2009
Last updated
03/10/2021
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