IndividualActive
Jason Squires, DO
NPI 1164615688 · Orthopaedic Surgery of the Spine Physician · Grand Rapids, MI
Provider details
- NPI number
- 1164615688
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 247792 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1900 Wealthy St Se Ste 300
Grand Rapids, MI 49506-2969
Phone: (616) 267-7293
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2023-05-23
- Certified
- 2023-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.