MEDICARE: DR. RYAN DOUGLAS SQUIER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	35.098564	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295051894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN DOUGLAS SQUIER M.D.

Provider Business Mailing Address
First Line	:	3525 OLENTANGY RD
Second Line	:	SUITE 5320
City	:	COLUMBUS
State	:	OH
Zip	:	43214
Country	:	US
Telephone Number	:	614-566-1997
Fax Number	:

Provider Business Practice Location Address
First Line	:	4325 OLENTANGY RD
Second Line	:	SUITE 5320
City	:	COLUMBUS
State	:	OH
Zip	:	43214
Country	:	US
Telephone Number	:	614-566-1997
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2010
Last Update Date	:	12/19/2019

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Directions to “ DR. RYAN DOUGLAS SQUIER M.D.” Practice Location

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