Individual
DANIEL MATTHEW MALSHESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2900 HANNAH BLVD, SUITE 212, EAST LANSING, MI 48823-5384
(517) 319-1831
(517) 664-2930
Mailing address
2900 HANNAH BLVD, SUITE 212, EAST LANSING, MI 48823-5384
(517) 319-1831
(517) 664-2930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004695
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N61290016
MEDICARE PLUS BLUE/MEDICARE ADVANTAGE
MI
01
—
1059905
MCLAREN HEALTH PLAN-MEDICAID
MI
01
—
2053303550
BLUE CROSS BLUE SHIELD
MI
01
—
7556753
AETNA
MI
01
—
MA802693
BCBS
CO
Enumeration date
06/10/2006
Last updated
03/07/2023
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