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Dr. Brian Tillis, MD
Obstetrics & Gynecology Physician in Pleasant Prairie, Wisconsin
NPI 1396107405

Brian Tillis is a Obstetrics & Gynecology Physician based in Pleasant Prairie, WI. Brian Tillis practices in Pleasant Prairie, WI and has the professional credentials of MD. The NPI Number for Brian Tillis is 1396107405 and holds a License No. 69543-20 (Wisconsin).

The current practice location address for Brian Tillis is 9555 76Th St Ste 4105, Pleasant Prairie, WI and can be reached out via phone at 262-577-8080 and via fax at 262-577-8081.

Location: 9555 76Th St Ste 4105, Pleasant Prairie, WI, 53158-1984
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396107405
Provider Name
Brian Tillis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9555 76Th St Ste 4105, Pleasant Prairie, WI, 53158-1984
Phone Number
262-577-8080
Fax Number
262-577-8081
Provider Enumeration Date
03/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
69543-20 01 WI WI LICENSE
institution
Provider Business Practice Location Address Details
Address
9555 76Th St Ste 4105
City
Pleasant Prairie
State
Wisconsin
Zip
53158-1984
Phone Number
262-577-8080
Fax Number
262-577-8081
person
Provider Business Mailing Address Details
Address
9555 76Th St Ste 4105
City
Pleasant Prairie
State
Wisconsin
Zip
53158-1984
Phone Number
262-577-8080
Fax Number
262-577-8081
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
69543-20 (Wisconsin)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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