Individual
JOHN WESLEY MESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2815 S PENNSYLVANIA AVE, SUITE 204, LANSING, MI 48910-3496
(517) 267-0200
(517) 267-1877
Mailing address
2815 S PENNSYLVANIA AVE, SUITE 204, LANSING, MI 48910-3496
(517) 267-0200
(517) 267-1877
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
JM056304
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000006522
PHP
MI
01
—
2003313211
BLUES
MI
01
—
4642835
AETNA
—
05
—
4954152
—
MI
01
—
JM056304
LICENSE
—
01
—
P00366506
RAILROAD MEDICARE
MI
01
—
P54271
BCN
—
Enumeration date
10/26/2005
Last updated
03/07/2023
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