Most Relevant Information
Provider Data
| NPI Number: | 1003200262 |
| Provider Name: | MELISSA DREW SQUIRES M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/26/2015 |
| Last Updated: | 07/27/2021 |
Provider Practice Location
3333 BURNET AVE ML 6003
CINCINNATI
OH
452293026
Practice Location Phone/Fax
| Phone: | 5136366100 |
| Fax: | 5136366118 |
Provider Mailing Location
3333 BURNET AVE
ML 5021
CINCINNATI
OH
452293026
Provider Mailing Phone/Fax
| Phone: | 5136364225 |
| Fax: |