Michelle L Snyder, Do Llc | |
328 N 2nd St Suite 102 Vincennes IN 47591-1351 | |
(812) 910-0544 | |
Not Available |
Full Name | Michelle L Snyder, Do Llc |
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Speciality | Family Medicine |
Location | 328 N 2nd St, Vincennes, Indiana |
Authorized Official Name and Position | Michelle Snyder (OWNER) |
Authorized Official Contact | 8129100544 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michelle L Snyder, Do Llc Po Box 948 Vincennes IN 47591-0948 Ph: (812) 910-0544 | Michelle L Snyder, Do Llc 328 N 2nd St Suite 102 Vincennes IN 47591-1351 Ph: (812) 910-0544 |
NPI Number | 1427421734 |
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Provider Enumeration Date | 11/09/2015 |
Last Update Date | 11/09/2015 |
Medicare PECOS PAC ID | 6800197245 |
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Medicare Enrollment ID | O20151209001061 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427421734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02001984A (Indiana) | Primary |
Provider Name | Wendy L Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619286325 PECOS PAC ID: 0547457939 Enrollment ID: I20101210000747 |
Provider Name | Michelle Snyder |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043216161 PECOS PAC ID: 8527045145 Enrollment ID: I20110913000456 |
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