Individual
DR. WAYNE EARLE SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 4TH ST NE, WATERTOWN, SD 57201-1204
(605) 882-4175
(605) 882-2962
Mailing address
1225 4TH ST NE, WATERTOWN, SD 57201-1204
(605) 882-4175
(605) 882-2962
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1496
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1496
STATE LICENSE
SD
05
—
6300380
—
SD
Enumeration date
12/18/2006
Last updated
07/08/2007
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