Individual
DR. STEVEN ALAN GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3316 RIDGELINE DR, WAUKESHA, WI 53188
(262) 352-9973
(978) 291-1768
Mailing address
3316 RIDGELINE DR, WAUKESHA, WI 53188-1282
(262) 352-9973
(978) 291-1768
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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