Individual
MR. STEVEN MICHAEL SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16587 ENTERPRISE DR, THREE RIVERS, MI 49093-7902
(269) 279-6700
(269) 273-9612
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5601006443
MI
363A00000X
Physician Assistant
5601006443
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073856365
—
IN
Enumeration date
04/04/2013
Last updated
05/15/2023
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