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Individual

SARA R. AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
999 N 92ND ST STE 320, MILWAUKEE, WI 53226-4875
(414) 266-6550
(414) 266-6579
Mailing address
999 N 92ND ST STE 320, MILWAUKEE, WI 53226-4875
(414) 266-6550
(414) 266-6579

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3623-23
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124400791
WI
Enumeration date
06/19/2015
Last updated
11/29/2018
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