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NPI Code Detail

MEDICARE: RYLEE M VENN DO

MEDICARE: RYLEE M VENN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine Physician81384-21WI

General Provider Information

NPI Number : 1801532171
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYLEE M VENN DO
Provider Business Mailing Address
First Line : 725 HAMLINE ST
Second Line :
City : GRAND FORKS
State : ND
Zip : 58203-2819
Country : US
Telephone Number : 701-780-6800
Fax Number : 701-780-6817
Provider Business Practice Location Address
First Line : 725 HAMLINE ST
Second Line :
City : GRAND FORKS
State : ND
Zip : 58203-2819
Country : US
Telephone Number : 701-708-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2022
Last Update Date : 06/09/2026

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Directions to “ RYLEE M VENN DO” Practice Location

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