Individual provider · Type 1 NPI

Shaun Mickelsen, PA-C

Medical Physician Assistant · Layton, UT

NPI number 1871945618 Active

Practice location

2121 N 1700 W
Layton, UT 84041-8803

Call (801) 773-4840 Map

Mailing address

PO Box 337
Layton, UT 84041-0337

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X363AM0700X (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1871945618

Shaun Mickelsen, PA-C's National Provider Identifier is 1871945618, issued on Jul 5, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Layton, UT. The record was last updated on Oct 6, 2016.