Individual
ANTHONY T VENNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(916) 781-1000
Mailing address
2100 POWELL STREET, SUITE 900, EMERYVILLE, CA 94608-1803
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17912
CA
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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