Individual
DR. MICHAEL GLEN VENRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6116 E WARREN AVE, DENVER, CO 80222-5703
(303) 512-0888
(303) 512-2288
Mailing address
103 CONTINENTAL PL, STE 400, BRENTWOOD, TN 37027-1073
(615) 916-3200
(615) 658-8389
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
27268
CO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
27268
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01272681
—
CO
05
—
641797
—
AZ
05
—
Z3579
—
NM
05
—
Z4635
—
UT
Enumeration date
03/14/2006
Last updated
03/18/2014
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