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Individual

DR. STEVEN ALAN GILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
23060
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
35.133627
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
52096
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2052096
CONTROLLED SUBSTANCES REGISTRATION
SC
01
23060
MEDICAL LICENSE
WI
05
30346300
WI
01
35.133627
MEDICAL LICENSE
OH
01
52096
MEDICAL LICENSE
SC
Enumeration date
11/15/2006
Last updated
03/07/2023
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