Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michaela Antje Squire, DO

Individual provider Epilepsy Physician · NPI 1376164061

Michaela Antje Squire, DO is an Epilepsy Physician in Salt Lake City, Utah. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina and Utah.

Licensed in
NC, UT
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

81 N Mario Capecchi Dr Rm 4B096
Salt Lake City, UT 84113-1125
Phone: (801) 581-2121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1512 E Franklin St Ste 100, Chapel Hill, NC 27514-2816 — (984) 974-6669

Specialties & licences

Epilepsy Physician (primary) Taxonomy 2084E0001X · Licence 14212907-1204 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 261938 (NC)

Record details

NPI number1376164061
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 4, 2020
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address81 N Mario Capecchi Dr Rm 4b096, Salt Lake City, UT 84113-1125

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