Individual
DR. FREDERICK CHRISTIAAN VENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 S HOSPITAL DR, MURPHYSBORO, IL 62966-3333
(618) 684-3156
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036159636
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GL624978
954-248-8586
—
Enumeration date
06/14/2019
Last updated
08/22/2022
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