Individual
GAIL VENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 SIXTH ST STE 200, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
(231) 935-5799
Mailing address
2891 MOMENTUM PLACE, CHICAGO, IL 60689-5328
(231) 935-6080
(231) 935-6081
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704136132
MI
Other
Enumeration date
08/31/2006
Last updated
12/30/2020
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