Individual provider · Type 1 NPI

Rachel Marilyn Mikolajczyk, PA-C

Surgical Physician Assistant · Salt Lake City, UT

NPI number 1255950010 Active

Practice location

324 E 10th Ave Ste 100
Salt Lake City, UT 84103-2870

Call (801) 408-8700 Map

Mailing address

PO Box 980416
Park City, UT 84098-0411

Other practice locations

  • 55 Fruit St, Boston, MA 02114-2696 · (617) 724-4133
  • 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 · (978) 687-2321

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1255950010

Rachel Marilyn Mikolajczyk, PA-C's National Provider Identifier is 1255950010, issued on Apr 13, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 23, 2025.