Individual
MARTIN G STERUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12361 W BOLA DR, SUITE100, SURPRISE, AZ 85378-9021
(623) 584-5626
(623) 584-8998
Mailing address
12361 W BOLA DR, SUITE100, SURPRISE, AZ 85378-9021
(623) 584-5626
(623) 584-8998
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11425
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649265315
AHCCCS
AZ
01
—
200009435
RAILROAD MEDICARE
AZ
05
—
230805
—
AZ
01
—
2Z3173
HEALTH NET
AZ
01
—
4399835
AETNA
AZ
01
—
732348
UNITED HEALTHCARE
AZ
Enumeration date
09/19/2005
Last updated
11/02/2011
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