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Contact Information

SHELLY B NELSON, MD
1555 S LAYTON BLVD
MILWAUKEE, WI53215
 Phone: 414-385-6600
 Fax: 414-385-6612
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SHELLY B NELSON · (Female)

NPI # 1720174980
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2006
Last updated 05/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 31522
  • WI Medicaid 2005672
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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