person
Mr. Shaun Mickelsen, PA-C
Medical Physician Assistant in Layton, Utah
NPI 1871945618

Shaun Mickelsen is a Medical Physician Assistant based in Layton, UT and is specialized in Medical. Shaun Mickelsen practices in Layton, UT and has the professional credentials of PA-C. The NPI Number for Shaun Mickelsen is 1871945618 and holds a License No. 363AM0700X (Utah).

The current practice location address for Shaun Mickelsen is 2121 N 1700 W, Layton, UT and can be reached out via phone at 801-773-4840.

Location: 2121 N 1700 W, Layton, UT, 84041-0337
person
Provider Profile Details
NPI Number
1871945618
Provider Name
Shaun Mickelsen
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2121 N 1700 W, Layton, UT, 84041-0337
Phone Number
801-773-4840
Fax Number
Provider Enumeration Date
07/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2121 N 1700 W
City
State
Zip
84041-8803
Phone Number
801-773-4840
Fax Number
person
Provider Business Mailing Address Details
Address
2121 N 1700 W
City
State
Zip
84041-8803
Phone Number
801-773-4840
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
363AM0700X (Utah)
Definition
Definition to come...
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