Provider Demographics
NPI:1750818118
Name:SNYDER, DAYNA E (DO)
Entity Type:Individual
Prefix:
First Name:DAYNA
Middle Name:E
Last Name:SNYDER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20225 E 9 MILE RD STE 100A
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-1700
Mailing Address - Country:US
Mailing Address - Phone:586-779-8700
Mailing Address - Fax:586-498-1425
Practice Address - Street 1:20225 E 9 MILE RD STE 100A
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-1700
Practice Address - Country:US
Practice Address - Phone:586-779-8700
Practice Address - Fax:586-498-1425
Is Sole Proprietor?:No
Enumeration Date:2017-05-16
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101023228207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine