Individual
DR. RASHAWN WINFRED VENERABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1801 W MAUMEE ST STE 100, ADRIAN, MI 49221-1291
(517) 265-6131
(517) 265-7326
Mailing address
850 W NORTH ST STE 104, JACKSON, MI 49202-3196
(877) 852-8463
(517) 817-0144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
RV015354
MI
207W00000X
Ophthalmology Physician
Primary
5101015354
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4910917
—
MI
Enumeration date
10/31/2006
Last updated
02/14/2019
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