Individual
ASHLEY MARIE VENESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
100 STATE AVE, FARIBAULT, MN 55021-6337
(507) 334-3921
(507) 384-4470
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3596
MN
152W00000X
Optometrist
TUV008406
NY
Other
Enumeration date
07/22/2016
Last updated
12/22/2023
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