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Individual

DR. EDWARD JACKSON SNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
426 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-5609
(616) 391-2778
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 391-8242
(616) 391-8317

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301042393
MI

Other

Enumeration date
11/15/2005
Last updated
02/22/2021
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