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NPI Code Detail

MEDICARE: SAMANTHA SNYDER

MEDICARE: SAMANTHA SNYDER
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1700613361
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA SNYDER
Provider Business Mailing Address
First Line : 416 CONNABLE AVE
Second Line :
City : PETOSKEY
State : MI
Zip : 49770-2212
Country : US
Telephone Number : 800-248-6777
Fax Number :
Provider Business Practice Location Address
First Line : 416 CONNABLE AVE
Second Line :
City : PETOSKEY
State : MI
Zip : 49770-2212
Country : US
Telephone Number : 800-248-6777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2024
Last Update Date : 01/24/2026

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Directions to “ SAMANTHA SNYDER ” Practice Location

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