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Individual

DR. RICKEY L SNIPES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3903 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9149
(269) 408-1100
(269) 408-1329
Mailing address
3903 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9149
(269) 408-1100
(269) 408-1329

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301063039
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4214284
MI
01
4301063039
STATE LICENSE
MI
Enumeration date
08/31/2005
Last updated
07/08/2007
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