Michaela Antje Squire, DO
NPI #1376164061 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1376164061
- Entity Type
- Individual
- Name
- Michaela Antje Squire, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychiatry & Neurology - Epilepsy
- Credential
- DO
- Enumeration Date
- May 4, 2020
- Last Updated
- Mar 24, 2025
Practice Location
- Address
- 81 N MARIO CAPECCHI DR RM 4B096
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84113-1125
- Phone
- (801) 581-2121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Epilepsy — Epilepsy |
| Student in an Organized Health Care Education/Training Program |
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