Individual
STEVEN THOMAS WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5629 STADIUM DR STE A, KALAMAZOO, MI 49009-1952
(269) 372-1000
Mailing address
601 JOHN ST # 42, KALAMAZOO, MI 49007-5341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301116553
MI
208000000X
Pediatrics Physician
93-00374
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7987350
—
NC
Enumeration date
11/08/2005
Last updated
10/13/2025
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