Individual
ZACHARY JOE MARANAR LESHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 E DOUGLAS RD, STE 208, MISHAWAKA, IN 46545-1464
(574) 335-6700
(574) 335-0726
Mailing address
707 CEDAR ST STE 405, SOUTH BEND, IN 46617-2059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301092796
MI
207R00000X
Internal Medicine Physician
ML20008451
WA
207RC0000X
Cardiovascular Disease Physician
01072811A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01072811A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000824567
BCBS
IN
05
—
201180140
—
IN
Enumeration date
08/13/2006
Last updated
07/10/2023
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