person
Dr. Brian Jay Jellison, MD
Diagnostic Radiology Physician in Milwaukee, Wisconsin
NPI 1225016835

Brian Jay Jellison is a Diagnostic Radiology Physician based in Milwaukee, WI and is specialized in Diagnostic Radiology. Brian Jay Jellison practices in Milwaukee, WI and has the professional credentials of MD. The NPI Number for Brian Jay Jellison is 1225016835 and holds a License No. 223452 (Wisconsin).

The current practice location address for Brian Jay Jellison is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-805-2060 and via fax at 414-259-9290. You can also correspond with Brian Jay Jellison through the mailing address at 9200 W WISCONSIN AVE, MILWAUKEE, WI - 53226-3522 (mailing address contact number: 414-805-2060).

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
person
Provider Profile Details
NPI Number
1225016835
Provider Name
Brian Jay Jellison
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Phone Number
414-805-2060
Fax Number
414-259-9290
Provider Enumeration Date
01/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000393004 01 IN ANTHEM-352047427
1225016835 05 WI
2101688 05 MA
P00331579 01 IN RR MEDICARE-351158723
073863 01 IN SIHO-351158723
000000492351 01 IN ANTHEM 203778927
468500 01 MA TUFTS HEALTH PLAN
J28632 01 MA BCBS OF MA
000000393001 01 IN ANTHEM-351158723
073867 01 IN SIHO-352047427
200828930 05 IN
92753337 05 NM
Q0433404 01 IN SHOCMO351158723-352047427
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-2060
Fax Number
414-259-9290
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-2060
Fax Number
414-259-9290
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
223452 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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