Individual
ANDREW DAVID SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1625 MAPLE LN, ESSENTIA HEALTH ASHLAND CLINIC, ASHLAND, WI 54806-3768
(715) 685-7500
Mailing address
1625 MAPLE LN, ESSENTIA HEALTH ASHLAND CLINIC, ASHLAND, WI 54806-3768
(715) 685-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
52078
MN
207Q00000X
Family Medicine Physician
Primary
56716
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-37342
MEDICA
—
01
—
1659548584
BCBS
MN
01
—
1659548584
GROUP HEALTH
WI
05
—
1659548584
—
MN
01
—
P00767166
MEDICARE RAILROAD
—
Enumeration date
05/09/2008
Last updated
01/30/2013
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