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Individual

JOHN M SNIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6611
(608) 756-6164
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6611
(608) 756-6164

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
41618-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235180167
BCBSWI
WI
05
1235180167
WI
05
32608300
WI
01
7181
DEAN HEALTH INSURANCE
WI
01
SNIDEJOH
MERCYCARE INSURANCE
WI
Enumeration date
05/15/2006
Last updated
01/27/2015
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