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Individual

ADAM SNOAP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 NAVARRE PL, STE 4460, SOUTH BEND, IN 46601-1168
(574) 235-1010
(574) 232-2064
Mailing address
3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 46530-1380
(574) 647-1840

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
510031001749
MI
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
01090526A
IN
390200000X
Student in an Organized Health Care Education/Training Program
510031001749
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300079595
IN
Enumeration date
04/07/2017
Last updated
08/18/2023
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