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Individual

DR. MARIJO SNYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
601 JOHN ST, SUITE M318, KALAMAZOO, MI 49007-5341
(269) 345-6197
(269) 345-9734
Mailing address
601 JOHN ST, SUITE M318, KALAMAZOO, MI 49007-5341
(269) 345-6197
(269) 345-9734

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MS0479817
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1603903151
BLUE CROSS BLUE SHIELD
MI
05
2913230
MI
01
730887
PHP
Enumeration date
09/13/2005
Last updated
01/07/2008
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