Shane Michael Mikolajewski, PA-C

NPI #1962170399 in Davis Monthan Afb, Arizona

Provider Information

NPI Number: 1962170399
Entity Type: Individual
Name: Shane Michael Mikolajewski, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 31, 2021
Last Updated: Nov 12, 2024

Practice Location

Address: 4175 S ALAMO AVE
City: Davis Monthan Afb
State: Arizona
ZIP Code: 85707-4402
Phone: (520) 228-2703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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