Provider Demographics
NPI:1346477973
Name:SNEIDER, ANGELA NICOLE (DO)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:NICOLE
Last Name:SNEIDER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MRS
Other - First Name:ANGELA
Other - Middle Name:NICOLE
Other - Last Name:SNEIDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:7963 HOFFMAN DR
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-4403
Mailing Address - Country:US
Mailing Address - Phone:517-242-2567
Mailing Address - Fax:
Practice Address - Street 1:1 WILLIAM CARLS DR
Practice Address - Street 2:
Practice Address - City:COMMERCE TWP
Practice Address - State:MI
Practice Address - Zip Code:48382-2201
Practice Address - Country:US
Practice Address - Phone:248-937-5085
Practice Address - Fax:248-937-5088
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI51010181422085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology