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Individual
ANDREW DAVID SNIDER
Active
Individual
ANDREW DAVID SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
52078
MN
207Q00000X
Family Medicine Physician
Primary
56716
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-37342
MEDICA
—
01
—
1659548584
BCBS
MN
01
—
1659548584
GROUP HEALTH
WI
05
—
1659548584
—
MN
01
—
P00767166
MEDICARE RAILROAD
—
Enumeration date
05/09/2008
Last updated
01/30/2013
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