Individual provider · Type 1 NPI

Jason A. Squires, DO

Orthopaedic Surgery of the Spine Physician · Grand Rapids, MI

NPI number 1164615688 Active

Practice location

1900 Wealthy St SE Ste 300
Grand Rapids, MI 49506-2969

Mailing address

100 Michigan St NE, MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X247792 (NY)
Orthopaedic Surgery of the Spine Physician Primary 207XS0117X5101015566 (MI)

Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

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About NPI 1164615688

Jason A. Squires, DO's National Provider Identifier is 1164615688, issued on Aug 20, 2007. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Grand Rapids, MI. The record was last updated on May 23, 2023.