Individual
ADAM SNODDERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2131 ALABAMA AVE, FORT WAYNE, IN 46805-4405
(260) 414-6750
Mailing address
2131 ALABAMA AVE, FORT WAYNE, IN 46805-4405
(260) 414-6750
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
28248088A
IN
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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