Healthcare Provider Details

I. General information

NPI: 1952392789
Provider Name (Legal Business Name): MICHAEL H. SNEDDEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2005
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 PARK HILL DR
FREDERICKSBURG VA
22401-3377
US

IV. Provider business mailing address

501 PARK HILL DR
FREDERICKSBURG VA
22401-3377
US

V. Phone/Fax

Practice location:
  • Phone: 540-372-6737
  • Fax: 540-372-3510
Mailing address:
  • Phone: 540-372-6737
  • Fax: 540-372-3510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101232854
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: