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Mark A. Squire, DPM
Podiatrist in Livonia, Michigan
NPI 1477566172

Mark A. Squire is a Podiatrist based in Livonia, MI. Mark A. Squire practices in Livonia, MI and has the professional credentials of DPM. The NPI Number for Mark A. Squire is 1477566172 and holds a License No. 5901000917 (Michigan).

The current practice location address for Mark A. Squire is Henry Ford Health System, Livonia, MI and can be reached out via phone at 734-523-1050 and via fax at 734-523-2464.

Location: Henry Ford Health System, Livonia, MI, 48150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477566172
Provider Name
Mark A. Squire
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
Henry Ford Health System, Livonia, MI, 48150
Phone Number
734-523-1050
Fax Number
734-523-2464
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480H280180 01 BLUE CROSS-BLUE CROSS
MS000917 01 COMMERCIAL-COMMERCIAL NUMBER
MS000917 01 CHAMPUS-CHAMPUS
462104813 05 MI
institution
Provider Business Practice Location Address Details
Address
Henry Ford Health System
City
Livonia
State
Michigan
Zip
48150
Phone Number
734-523-1050
Fax Number
734-523-2464
person
Provider Business Mailing Address Details
Address
Henry Ford Health System
City
Livonia
State
Michigan
Zip
48150
Phone Number
734-523-1050
Fax Number
734-523-2464
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
5901000917 (Michigan)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
5901000917 (Michigan)
Definition
Definition to come...
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