Individual
DR. SHELLI Z TILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
411 W 6TH ST, RENO, NV 89503-4415
(775) 770-3209
(775) 770-3172
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11084
NV
207L00000X
Anesthesiology Physician
Primary
13597
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503953
—
NV
Enumeration date
06/02/2006
Last updated
07/28/2025
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