Provider Demographics
NPI:1528231834
Name:MESKO, NATHAN WESLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:WESLEY
Last Name:MESKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE. CRILE BUILDING, A-41
Mailing Address - Street 2:DEPARTMENT OF ORTHOPAEDIC SURGERY
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195
Mailing Address - Country:US
Mailing Address - Phone:216-444-4603
Mailing Address - Fax:216-445-6255
Practice Address - Street 1:9500 EUCLID AVE. CRILE BUILDING, A-41
Practice Address - Street 2:DEPARTMENT OF ORTHOPAEDIC SURGERY
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195
Practice Address - Country:US
Practice Address - Phone:216-444-4603
Practice Address - Fax:216-445-6255
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.120431207XX0801X, 207X00000X
MI4301102136207X00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program