Provider Demographics
NPI:1164163218
Name:STEGA, MARTA SOPHIE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTA
Middle Name:SOPHIE
Last Name:STEGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:22250 PROVIDENCE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4825
Mailing Address - Country:US
Mailing Address - Phone:248-849-5862
Mailing Address - Fax:248-849-8117
Practice Address - Street 1:22250 PROVIDENCE DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4825
Practice Address - Country:US
Practice Address - Phone:248-849-5862
Practice Address - Fax:248-849-8117
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4351049362208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery