Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 4301079409 | MI |
NPI | 1013930718 |
---|---|
Provider Name | Eric D Snyder |
First Address | Holland, MI 49423-7722 |
Second Address | Holland, MI 49423-7722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H61022 | (02) |