Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE MICHAEL MIKOLAJEWSKI, PA-C
ActiveSHANE MICHAEL MIKOLAJEWSKI, PA-C is a Physician Assistant healthcare provider located in DAVIS MONTHAN AFB, Arizona. NPI 1962170399 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DAVIS MONTHAN AFB, AZ
Registration Details
- NPI Number
- 1962170399
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2021 (4.939892642903 yrs)
- Last Updated
- Nov 12, 2024
Practice Information
- Address
-
4175 S ALAMO AVEDAVIS MONTHAN AFB, AZ, 857074402Browse AZ providers · Browse ZIP 85707
- Phone
- 5202282703
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.