Individual
MR. MARK G SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
700 PILGRIM PKWY, SUITE 203, ELM GROVE, WI 53122-2063
(262) 796-2850
(262) 796-2851
Mailing address
1513 SAINT CHARLES ST, WAUWATOSA, WI 53213-2756
(414) 476-1767
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9980
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40402600
—
WI
Enumeration date
02/03/2006
Last updated
03/17/2018
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