Mark T. Snyder M.D. PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4301069243 Issued in MI

Legal business name

MARK T. SNYDER M.D. PC

Practice address

8967 Lewis Ave
Temperance, MI 48182-1656

Phone

(734) 224-7900

Fax

(734) 224-7912

NPI assigned

Aug 22, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark T Snyder, MD

Title

Owner/Position

Phone

(734) 224-7900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Wesley Mikels, MSSA MSW FROM CWRU

  • Clinical Social Worker
  • Monroe, MI
  • NPI 1417144932
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1164702189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8967 LEWIS AVE",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481821656",
            "telephone_number": "734-224-7900",
            "fax_number": "734-224-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8967 LEWIS AVE",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481821656",
            "telephone_number": "734-224-7900",
            "fax_number": "734-224-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK T. SNYDER M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/POSITION",
        "authorized_official_telephone_number": "734-224-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301069243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifestyle Chiropractic PC
• Laura L Long, RD
• Ruben J Loo, PT
• Ahsen Aftab Malik
• Marsha Elaine Manon, MED, LPCC-S, LICDC
• Ronald R Marston, DDS
• Lauretta Ann Meadows
• Fadi Merhi, DDS
• Christina M Miller, LPN
• Miracle Salon & Spa Dba Natural Wellness

• Clinic/Center in Temperance, MI
• Providers in Temperance, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.