Individual
MARK A. SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 29200 SCHOOLCRAFT, LIVONIA, MI 48150
(734) 523-1050
(734) 523-2464
Mailing address
HENRY FORD HEALTH SYSTEM, 29200 SCHOOLCRAFT, LIVONIA, MI 48150
(734) 523-1050
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901000917
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
5901000917
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
462104813
—
MI
01
—
480H280180
BLUE CROSS-BLUE CROSS
—
01
—
MS000917
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
08/14/2006
Last updated
03/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us