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

Shane Michael Mikolajewski, PA-C

Individual provider Physician Assistant · NPI 1962170399

Shane Michael Mikolajewski, PA-C is a Physician Assistant in Davis Monthan AFB, Arizona. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4175 S Alamo Ave
Davis Monthan AFB, AZ 85707-4402
Phone: (520) 228-2703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962170399
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024
Mailing address4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402

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