Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 036-113850 | IL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | M3647 | TX |
NPI | 1093839300 |
---|---|
Provider Name | Dr. Steven Milos |
First Address | Milwaukee, WI 53278-8866 |
Second Address | Rockford, IL 61104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 19/02/2021 |