Dr. Mark A Snider
Family Doctor
905 N Macomb St Ste 4
Monroe
, Michigan 48162-3075
Dr. Mark A Snider
Family Doctor
905 N Macomb St Ste 4
Monroe
, Michigan 48162-3075
(734) 243-6644
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Mark A Snider
- 905 N Macomb St Ste 4
- Monroe, MI
- Zip : 48162-3075
- Fax : (734) 243-6644
- Phone : (734) 242-6161
Second Address
- Dr. Mark A Snider
- 905 N Macomb St Ste 4
- Monroe, MI
- Zip : 48162-3075
- Fax : (734) 243-6644
- Phone : (734) 242-6161
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 4301060460 | MI |
National Provider Identifier
| NPI | 1003815465 |
|---|---|
| Provider Name | Dr. Mark A Snider |
| First Address | Monroe, MI 48162-3075 |
| Second Address | Monroe, MI 48162-3075 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2005 |
| Last Update Date | 08/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2868224 | (05) | MI |
| F38781 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.