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Individual

TRAVIS RICHARD VENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 331-5890
(605) 336-3974
Mailing address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 331-5890
(605) 336-3974

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
689
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0558742
IA
05
46030609213
NE
05
6800490
SD
05
8964009-00
MN
Enumeration date
03/25/2006
Last updated
11/25/2019
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