Individual
JONATHAN A SNELLGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-5251
(920) 682-2006
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-2591
(920) 320-5102
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1428
WI
213E00000X
Podiatrist
PO 3012
FL
Other
Enumeration date
07/27/2005
Last updated
07/10/2014
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