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NPI Code Detail

MEDICARE: DR. ALEX SNEIDERS M.D.

MEDICARE: DR. ALEX SNEIDERS M.D.
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
1174400000XSpecialistMD00033295WA
2174400000XSpecialist31957MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629071675
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEX SNEIDERS M.D.
Provider Business Mailing Address
First Line : 924 1ST ST NE
Second Line :
City : FARIBAULT
State : MN
Zip : 55021-5441
Country : US
Telephone Number : 507-333-3000
Fax Number : 507-333-3211
Provider Business Practice Location Address
First Line : 300 STATE AVE
Second Line :
City : FARIBAULT
State : MN
Zip : 55021-6319
Country : US
Telephone Number : 507-333-3200
Fax Number : 507-333-3211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 01/07/2021

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