MEDICARE: DR. JOSEPH CHRISTOPHER SNIEZEK M.D. FACS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	MD 60456742	WA

General Provider Information

NPI Number	:	1518943646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH CHRISTOPHER SNIEZEK M.D. FACS

Provider Business Mailing Address
First Line	:	1221 MADISON ST
Second Line	:	SUITE 1523
City	:	SEATTLE
State	:	WA
Zip	:	98104-3588
Country	:	US
Telephone Number	:	206-292-6464
Fax Number	:	206-292-6498

Provider Business Practice Location Address
First Line	:	1221 MADISON ST
Second Line	:	SUITE 1523
City	:	SEATTLE
State	:	WA
Zip	:	98104-3588
Country	:	US
Telephone Number	:	206-292-6464
Fax Number	:	206-292-6498

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	04/06/2021

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