Individual
MATHEW ANDREW TILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
2741 W LAYTON AVE STE 201, MILWAUKEE, WI 53221-2600
(414) 672-8050
Mailing address
2018 N 114TH ST, WAUWATOSA, WI 53226-2214
(414) 839-5795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
172644-030
WI
363L00000X
Nurse Practitioner
Primary
10069
WI
Other
Enumeration date
06/30/2010
Last updated
07/01/2020
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