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Contact Information

DEREJE T SIYUM, MD
945 N 12TH ST
MILWAUKEE, WI53233-1305
 Phone: 414-219-7427
 Fax: 414-219-6078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Bariatric Medicine

207RB0002X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
 

Preventive Medicine

2083C0008X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for DEREJE T SIYUM · (Male)

NPI Number 1164981007
Status Active
Credentials MD
Entity Individual
Enumeration date 03/19/2019
Last updated 05/17/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • WI License # 74852
  • WI License # 74852-20
  • WI Medicaid 100202312
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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