MICHAEL DE VENECIA, PA-C
Physician Assistant
Active
Individual
NPI: 1457046351
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | - |
| Physician Assistant | 363A00000X | Yes | 085009622 (IL) |
Frequently Asked Questions
NPI 1457046351 is the National Provider Identifier for MICHAEL DE VENECIA, PA-C, a Physician Assistant provider located in Rantoul, IL. This NPI was enumerated on April 6, 2023.
MICHAEL DE VENECIA, PA-C practices at 841 BROADMEADOW RD, Rantoul, IL 61866.
Quick Facts
- NPI
- 1457046351
- Type
- Individual
- Enumerated
- Apr 6, 2023
- Last Updated
- Apr 6, 2023
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