Individual
AMY HAUTAU SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601002387
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2455201360
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
09/20/2006
Last updated
05/20/2008
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