DR. Brian Tillis, MD
NPI #1396107405 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1396107405
- Entity Type
- Individual
- Name
- DR. Brian Tillis, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Obstetrics & Gynecology
- Credential
- MD
- Enumeration Date
- Mar 28, 2016
- Last Updated
- Jul 16, 2020
Practice Location
- Address
- 9555 76TH ST STE 4105
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158-1984
- Phone
- (262) 577-8080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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