Individual
JACOB VENESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2114 25TH ST STE A, COLUMBUS, IN 47201-3239
(812) 372-1581
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01093217A
IN
207V00000X
Obstetrics & Gynecology Physician
M14294
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTPID005141
—
ID
Enumeration date
05/29/2014
Last updated
09/09/2024
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