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Contact Information

MARK A SQUIRE, DPM
HENRY FORD HEALTH SYSTEM
29200 SCHOOLCRAFT
LIVONIA, MI48150
 Phone: 734-523-1050
 Fax: 734-523-2464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARK A SQUIRE · (Male)

NPI # 1477566172
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/14/2006
Last updated 03/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5901000917
  • MI Medicaid 462104813
  • Other 480H280180 BLUE CROSS-BLUE CROSS
  • Other MS000917 CHAMPUS-CHAMPUS
  • Other MS000917 COMMERCIAL-COMMERCIAL NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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