Individual
MICHAEL M MARUSHACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
902 N HOWE ST, SOUTHPORT, NC 28461
(910) 457-4789
(910) 457-5824
Mailing address
1168 E CUTLAR XING, LELAND, NC 28451-6484
(910) 457-4789
(910) 457-5824
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9900597
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891225E
—
NC
Enumeration date
07/19/2006
Last updated
02/14/2020
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