Individual
DR. MANUEL A. VENTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
651 KERRYTON PL. CIRCLE, BALWIN, MD 63021
(636) 207-5950
Mailing address
651 KERRYTON PL. CIRCLE, BALWIN, MD 63021
(636) 207-5950
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
33347
MO
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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