MEDICARE: RICHARD A STELIGA MD SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	18634	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144214388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD A STELIGA MD SC

Provider Business Mailing Address
First Line	:	3070 N 51ST ST
Second Line	:	STE 405
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-1661
Country	:	US
Telephone Number	:	414-871-8888
Fax Number	:	414-871-9035

Provider Business Practice Location Address
First Line	:	3070 N 51ST ST
Second Line	:	STE 405
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-1661
Country	:	US
Telephone Number	:	414-871-8888
Fax Number	:	414-871-9035

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RICHARD ALLEN STELIGA
Credential	:	MD
Telephone Number	:	414-871-8888

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	03/28/2012

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