Individual
KEVIN T SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1434 FLUSHING RD, FLUSHING, MI 48433-2229
(810) 659-3196
(810) 659-5603
Mailing address
1434 FLUSHING RD, FLUSHING, MI 48433-2229
(810) 659-3196
(810) 659-5603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009275
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080182055
MEDICARE RAILROAD PIN
MI
05
—
3121126
—
MI
01
—
700B54953
BLUE CROSS
MI
Enumeration date
07/19/2006
Last updated
11/19/2014
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