Healthcare Provider Details

I. General information

NPI: 1518966241
Provider Name (Legal Business Name): FRANK MICHAEL SNYDER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 02/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 S STATE ST
ABERDEEN SD
57401-4527
US

IV. Provider business mailing address

379646 S SHORE DR
ABERDEEN SD
57401-8371
US

V. Phone/Fax

Practice location:
  • Phone: 605-622-5621
  • Fax:
Mailing address:
  • Phone: 605-225-8585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRO18631
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: