Individual provider · Type 1 NPI
Michaela Antje Squire, DO
Neurology Physician · Salt Lake City, UT
NPI number
1376164061
Active
Practice location
81 N Mario Capecchi Dr Rm 4B096
Salt Lake City, UT 84113-1125
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice locations
- 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 · (801) 662-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 14212907-1204 (UT) |
| Epilepsy Physician | 2084E0001X | 14212907-1204 (UT) |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 14212907-1204 (UT) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Another provider at this address
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About NPI 1376164061
Michaela Antje Squire, DO's National Provider Identifier is 1376164061, issued on May 4, 2020. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 7, 2026.