Dr. Steven Alan Giles
Family Doctor - Sports Medicine
3316 Ridgeline Dr
Waukesha
, Wisconsin 53188
Dr. Steven Alan Giles
Family Doctor - Sports Medicine
3316 Ridgeline Dr
Waukesha
, Wisconsin 53188
(978) 291-1768
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Steven Alan Giles
- 3316 Ridgeline Dr
- Waukesha, WI
- Zip : 53188-1282
- Fax : (978) 291-1768
- Phone : (262) 352-9973
Second Address
- Dr. Steven Alan Giles
- 3316 Ridgeline Dr
- Waukesha, WI
- Zip : 53188
- Fax : (978) 291-1768
- Phone : (262) 352-9973
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 23060 | WI |
| N | 207QS0010X | Family Doctor - Sports Medicine | 35.133627 | OH |
| N | 207QS0010X | Family Doctor - Sports Medicine | 52096 | SC |
National Provider Identifier
| NPI | 1306919907 |
|---|---|
| Provider Name | Dr. Steven Alan Giles |
| First Address | Waukesha, WI 53188-1282 |
| Second Address | Waukesha, WI 53188 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2006 |
| Last Update Date | 07/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2052096 | CONTROLLED SUBSTANCES REGISTRATION (01) | SC |
| 23060 | MEDICAL LICENSE (01) | WI |
| 30346300 | (05) | WI |
| 35.133627 | MEDICAL LICENSE (01) | OH |
| 52096 | MEDICAL LICENSE (01) | SC |
| AG9387475 | FEDERAL DEA NUMBER (01) | |
| B53072 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.