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Individual

SALLY J VAHOVICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2970 S CHASE AVE, MILWAUKEE, WI 53207-6407
(414) 934-6400
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2508-23
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100005819
WI
Enumeration date
09/21/2009
Last updated
12/17/2025
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