Dr. Dmitriy Stalivonenko, MD
Dr. Dmitriy Stalivonenko, MD is an Anesthesiology in Kenosha, Wisconsin. Qualified in 1988, 38 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 38
- Licensed in
- WI
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
10400 75th StKenosha, WI 53142-7884
Phone: (414) 358-5443
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3801 Spring St, Racine, WI 53405-1667 — (262) 687-4011
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence 40879-020 (WI) |
|---|
Record details
| NPI number | 1710966395 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | January 12, 2006 |
| Last updated in NPPES | November 6, 2023 |
| Certification date | November 6, 2023 |
| Mailing address | Po Box 735044, Chicago, IL 60673-5044 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1988 (38 years in practice) |
| Group practice | Aurora Medical Group, Inc. — 3741 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Kenosha
-
Dr. Michael J Scumaci, MD
10400 75th St, Kenosha, WI 53142-7884 · (414) 358-5443
-
Dr. Devinder K Sidhu, MD
10105 74th St Ste 102, Kenosha, WI 53142-7519 · (262) 694-2720
-
Dr. Paul G Spottswood, MD
6308 8th Ave, Kenosha, WI 53143-5031 · (262) 656-2011
-
Dr. Timothy S Staacke, MD
10400 75th St, Kenosha, WI 53142-7884 · (262) 697-7000
-
Ismael R Staromana, MD
3734 7th Ave Dominican Bldg #15, Kenosha, WI 53140-5525 · (262) 658-3706
-
Dr. Kirk S Vigil, MD
10400 75th St, Kenosha, WI 53142-7884 · (262) 948-5600