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Individual

MICHAEL J SQUIERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1417160391
AMERICAS PPO
01
253250
MIDLANDS CHOICE
01
78127
HEALTHPARTNERS
01
974311050198
PREF ONE
01
P00418998
RAILROAD MEDICARE
Enumeration date
05/08/2007
Last updated
10/25/2013
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