| Shane Michael Mikolajewski, PA-C | |
|
7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | |
| (623) 856-2833 | |
| Not Available |
| Full Name | Shane Michael Mikolajewski |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 7219 N Litchfield Rd, Luke Afb, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962170399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Michael Mikolajewski, PA-C 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 Ph: (623) 856-2833 | Shane Michael Mikolajewski, PA-C 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 Ph: (623) 856-2833 |
Mrs. Jessica Harris Rackley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7219 N Litchfield Rd, Luke Afb, AZ 85309 Phone: 623-856-9752 | |
Steven R Chase, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7219 N Litchfield Rd Bldg 1130, Luke Afb, AZ 85309 Phone: 623-856-4027 | |
James Cecil Schuhs, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7219 North Litchfield Road, 56 Mdg Mdos/sgops, Luke Afb, AZ 85309 Phone: 623-856-7324 | |
Lance R Andreasen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7219 N Litchfield Rd, Luke Afb, AZ 85309 Phone: 623-856-2273 | |
Dean Saunders, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7219 N Litchfield Rd, Luke Afb, AZ 85309 Phone: 623-856-2273 | |
Mr. Mark Anthony Tenn, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7219 N Litchfield Rd, Luke Afb, AZ 85309 Phone: 623-856-9830 Fax: 623-856-4157 |