Healthcare Provider Details

I. General information

NPI: 1750734471
Provider Name (Legal Business Name): BRITTANY SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2016
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43900 GARFIELD RD STE 121
CLINTON TOWNSHIP MI
48038-1137
US

IV. Provider business mailing address

43900 GARFIELD RD
CLINTON TOWNSHIP MI
48038-1128
US

V. Phone/Fax

Practice location:
  • Phone: 586-232-9299
  • Fax: 586-286-2702
Mailing address:
  • Phone: 586-232-9299
  • Fax: 586-286-2702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number5315265428
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: