Individual
JOHN FRANCIS MAESAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15730 COUNTY ROAD 28, GOSHEN, IN 46528-9670
(574) 534-5515
(574) 533-2413
Mailing address
15730 COUNTY ROAD 28, GOSHEN, IN 46528-9670
(574) 534-5515
(574) 533-2413
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301052209
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300A710390
BCBS GROUP#
MI
Enumeration date
08/29/2006
Last updated
01/06/2010
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