Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN TILLIS, MD
ActiveDR. BRIAN TILLIS, MD is a Obstetrics & Gynecology healthcare provider located in PLEASANT PRAIRIE, Wisconsin. NPI 1396107405 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · PLEASANT PRAIRIE, WI
Registration Details
- NPI Number
- 1396107405
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2016 (10.199396133235 yrs)
- Last Updated
- Jul 16, 2020
- License
-
69543-20 (WI)
Practice Information
- Address
-
9555 76TH ST STE 4105PLEASANT PRAIRIE, WI, 531581984Browse WI providers · Browse ZIP 53158
- Phone
- 2625778080
- Fax
- 2625778081
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Other Obstetrics & Gynecology Providers in PLEASANT PRAIRIE, WI
| Name | Credential | NPI |
|---|---|---|
| THOMAS M AMBRO | MD | 1316993678 |
| MICHAEL A SCHELLPFEFFER | MD | 1164457479 |
| DR. CAROLINE ELEONORA BEDNARSKI | MD | 1407218894 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.