Individual
SIARHEI VYSOTSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143
(715) 735-4200
(715) 735-8019
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2338
(414) 385-8987
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
63350-20
WI
Other
Enumeration date
04/02/2013
Last updated
06/25/2019
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