Individual
MARY B. SNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7400 W RAWSON AVE, SUITE 213, FRANKLIN, WI 53132-8278
(414) 525-1506
Mailing address
PO BOX 689711, MILWAUKEE, WI 53268-9711
(414) 456-3100
(414) 456-3113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27902
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31365600
—
WI
Enumeration date
09/09/2005
Last updated
11/21/2008
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