Zachary Joe Maranar Leshen, M.D.
Internal Medicine, Interventional Cardiology in Mishawaka, IN. Individual provider (NPI-1).
NPI number1285646729
StatusActive
Last updated in NPPESJul 10, 2023
Details
- NPI
- 1285646729
- Entity type
- Individual (NPI-1)
- Name
- Zachary Joe Maranar Leshen
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2006
- Certification date
- Jul 10, 2023
- Last updated
- Jul 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | 01072811A | IN | Yes |
| 207R00000X | Internal Medicine | ML20008451 | WA | |
| 207R00000X | Internal Medicine | 4301092796 | MI | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 01072811A | IN |
Practice location
611 E Douglas RdSte 208
Mishawaka, IN 46545-1464
Phone 574-335-6700 · Fax 574-335-0726
Mailing address
707 Cedar St Ste 405South Bend, IN 46617-2059
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