Individual
VLADYSLAV DIEIEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-166688
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
74936
WI
208M00000X
Hospitalist Physician
74936
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100167479
—
WI
Enumeration date
07/18/2016
Last updated
10/13/2025
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