Shelly Brodjeski Nelson in Milwaukee - Adult Medicine
Shelly Brodjeski Nelson - NPI 1720174980
Shelly Brodjeski Nelson is a Adult Medicine in Milwaukee, Wisconsin. Shelly Brodjeski Nelson practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Shelly Brodjeski Nelson is 1720174980. The last update date is 2022-05-20.
Shelly Brodjeski Nelson's current location address is 1555 S Layton Blvd, Milwaukee, Wisconsin. You can contact this provider via phone number 4143856600 and fax number 4143856612. The mailing address for Shelly Brodjeski Nelson is 1555 S Layton Blvd, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly Brodjeski Nelson |
|---|---|
| Address | 1555 S Layton Blvd, Milwaukee, Wisconsin |
| Phone Number | 4143856600 |
| Fax Number | 4143856612 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720174980 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2022-05-20 |
Provider Mailing Address Detail
| Address | 1555 S Layton Blvd |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 53215 |
| Phone Number | 4143856600 |
| Fax Number | 4143856612 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 31522 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2005672 | WI | -- |
Post Comment/ Review Below
What is the Shelly Brodjeski Nelson's 1720174980?
The Shelly Brodjeski Nelson's NPI (National Provider Identifier) Number is 1720174980. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shelly Brodjeski Nelson is physically located?
The Shelly Brodjeski Nelson is situated at the following address: 1555 S Layton Blvd, Milwaukee, WI 53215.
What is Shelly Brodjeski Nelson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shelly Brodjeski Nelson is Adult Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0505X.
When was the Shelly Brodjeski Nelson's 1720174980 issued?
The Shelly Brodjeski Nelson's 1720174980 was issued on 2006-10-05.
When was the information pertaining to Shelly Brodjeski Nelson most recently updated or revised?
The details related to Shelly Brodjeski Nelson, including its address, specialty, and other relevant information, were last updated or revised on 2022-05-20.
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