John Wesley Mesko
Adult Reconstructive Orthopaedic Surgeon
2815 S Pennsylvania Ave Suite 204
Lansing
, Michigan 48910-3496
John Wesley Mesko
Adult Reconstructive Orthopaedic Surgeon
2815 S Pennsylvania Ave Suite 204
Lansing
, Michigan 48910-3496
(517) 267-1877
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- John Wesley Mesko
- 2815 S Pennsylvania Ave Suite 204
- Lansing, MI
- Zip : 48910-3496
- Fax : (517) 267-1877
- Phone : (517) 267-0200
Second Address
- John Wesley Mesko
- 2815 S Pennsylvania Ave Suite 204
- Lansing, MI
- Zip : 48910-3496
- Fax : (517) 267-1877
- Phone : (517) 267-0200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | JM056304 | MI |
National Provider Identifier
| NPI | 1043200306 |
|---|---|
| Provider Name | John Wesley Mesko |
| First Address | Lansing, MI 48910-3496 |
| Second Address | Lansing, MI 48910-3496 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2005 |
| Last Update Date | 03/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200000006522 | PHP (01) | MI |
| 2003313211 | BLUES (01) | MI |
| 4642835 | AETNA (01) | |
| 4954152 | (05) | MI |
| B55043 | (02) | MI |
| BM0703048 | DEA (01) | |
| JM056304 | LICENSE (01) | |
| P00366506 | RAILROAD MEDICARE (01) | MI |
| P54271 | BCN (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.