Individual
BETHANNE SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5300 HARROUN RD, SUITE 216, SYLVANIA, OH 43560-2182
(419) 885-4544
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 885-4544
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35050368
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0627889
—
OH
Enumeration date
07/05/2005
Last updated
05/25/2011
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