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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104337450

Michael J Vadovsky, PA is a Student in an Organized Health Care Education/Training Program in Ellsworth AFB, South Dakota. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Ellsworth AFB, SD

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 101 Bodin Cir, Fairfield, CA 94535-1809 — (208) 590-9773

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104337450
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 13, 2017
Last updated in NPPESFebruary 5, 2019

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