Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dmitry M Vlasoff, MD

Individual provider Clinical Pathology/Laboratory Medicine Physician · NPI 1841278561

Dmitry M Vlasoff, MD is a Pathology in West Allis, Wisconsin. Graduated from Ohio State University College of Medicine in 2003, 23 years ago. Practices with Great Lakes Pathologists SC, a 55-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
23
Trained at
Ohio State University College of Medicine
Licensed in
MN, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone: (414) 328-7950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 50189-20 (WI)
Clinical Pathology/Laboratory Medicine Physician Taxonomy 207ZP0105X · Licence 46891 (MN)

Record details

NPI number1841278561
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 3, 2006
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021
Mailing address8901 W Lincoln Ave, West Allis, WI 53227-2409

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Great Lakes Pathologists Sc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

Other providers in West Allis