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Individual

DR. BRYAN S SQUIRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3595
(734) 712-5344
Mailing address
PO BOX 77269, DETROIT, MI 48277-0269
(512) 583-2000
(512) 583-2001

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301112058
MI
2085R0001X
Radiation Oncology Physician
Primary
4301506483
MI

Other

Enumeration date
06/21/2017
Last updated
04/27/2026
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