Individual
MARK SNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 529-6600
Mailing address
50284 287TH AVE, ELGIN, MN 55932-5253
(641) 680-1186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14593
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
10/31/2023
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