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Jeffrey A Squires, MD
Specialist in Fridley, Minnesota
NPI 1639115074

Jeffrey A Squires is a Specialist based in Fridley, MN. Jeffrey A Squires practices in Fridley, MN and has the professional credentials of MD. The NPI Number for Jeffrey A Squires is 1639115074 and holds a License No. 31480 (Minnesota).

The current practice location address for Jeffrey A Squires is 7205 University Ave Ne, Fridley, MN and can be reached out via phone at 763-571-4000 and via fax at 763-571-7202.

Location: 7205 University Ave Ne, Fridley, MN, 55432-3134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639115074
Provider Name
Jeffrey A Squires
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7205 University Ave Ne, Fridley, MN, 55432-3134
Phone Number
763-571-4000
Fax Number
763-571-7202
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
423898200 05 MN
institution
Provider Business Practice Location Address Details
Address
7205 University Ave Ne
City
Fridley
State
Minnesota
Zip
55432-3134
Phone Number
763-571-4000
Fax Number
763-571-7202
person
Provider Business Mailing Address Details
Address
7205 University Ave Ne
City
Fridley
State
Minnesota
Zip
55432-3134
Phone Number
763-571-4000
Fax Number
763-571-7202
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
31480 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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