Provider Demographics
NPI:1659812840
Name:MACIEISKI, FRANCISCKA (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCKA
Middle Name:
Last Name:MACIEISKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1584 COUNTY ROAD 322
Mailing Address - Street 2:
Mailing Address - City:DE BERRY
Mailing Address - State:TX
Mailing Address - Zip Code:75639-2682
Mailing Address - Country:US
Mailing Address - Phone:504-232-2935
Mailing Address - Fax:
Practice Address - Street 1:309 JACKSON ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-7407
Practice Address - Country:US
Practice Address - Phone:318-966-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-20
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA324481207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology