Individual
DR. JONATHAN LEE SNYDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19215
ND
207P00000X
Emergency Medicine Physician
5315022836
MI
207P00000X
Emergency Medicine Physician
OS10864
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002737100
—
FL
Enumeration date
06/06/2007
Last updated
05/06/2024
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