Provider Demographics
NPI:1033104237
Name:SNEDECOR, MICHAEL RAY (MD, MPH)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:RAY
Last Name:SNEDECOR
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8422 WENDELL DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22308-2156
Mailing Address - Country:US
Mailing Address - Phone:703-927-7193
Mailing Address - Fax:703-228-9037
Practice Address - Street 1:8422 WENDELL DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22308-2156
Practice Address - Country:US
Practice Address - Phone:703-927-7193
Practice Address - Fax:703-228-9037
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-14
Last Update Date:2009-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH47112083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine