Search › Wisconsin › 224L00000X
Tyler Nellis, CPED4584
NPI 1457172595 · on the registry since 2024 · sole proprietor
Practice
- Address
- 9810 County Road D
Brussels, WI 54204 - Phone
- (920) 445-5515
Registry record
- Primary taxonomy
- 224L00000X
224L00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin