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Individual

DR. THOMAS DALE SNOEYINK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3164 PORT SHELDON ST, HUDSONVILLE, MI 49426-9317
(616) 669-1890
(616) 669-8457
Mailing address
3164 PORT SHELDON ST, HUDSONVILLE, MI 49426-9317
(616) 669-1890
(616) 669-8457

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002873
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0373700001
PTAN
MI
Enumeration date
01/01/2007
Last updated
12/11/2015
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