Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 4301034433 | MI |
NPI | 1003899600 |
---|---|
Provider Name | Dr. Donald E Snowdon |
First Address | Marquette, MI 49855-0220 |
Second Address | Marquette, MI 49855-2711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 12/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3348274 | (05) | MI |
4301034433 | MICHIGAN LICENSE NUMBER (01) | MI |
E25766 | (02) | MI |