Individual
DR. SHELLY BRODJESKI NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1555 S LAYTON BLVD, MILWAUKEE, WI 53215
(414) 385-6600
(414) 385-6612
Mailing address
1435 45TH AVE, KENOSHA, WI 53144-1175
(262) 552-9115
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
31522
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005672
—
WI
Enumeration date
10/05/2006
Last updated
05/20/2022
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