Search › Michigan › 207XS0117X
Jason Squires, DO
NPI 1164615688 · on the registry since 2007
Practice
- Address
- 1900 Wealthy St Se Ste 300
Grand Rapids, MI 49506 - Phone
- (616) 267-7293
- Organisation at this address
- Chemist Shoppe Ltd.
John R Vydareny Md Pc
Spectrum Health Hospital
Michigan Medical Patient Care
Grand Valley Gynecologists, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 139
Registry record
- Primary taxonomy
- 207XS0117X
207XS0117X
- Also registered as
- 207X00000X
- Licence states on file
- NY, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan