Individual
MARK SIMON SNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 SMITH AVE N STE 100, SAINT PAUL, MN 55102-2518
(651) 241-5000
(651) 241-7678
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
51445
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3338573
—
TN
01
—
4125086
BC/BS TN
TN
Enumeration date
05/25/2006
Last updated
11/09/2020
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