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Mr. Mitchell Steven Johnson
Student in an Organized Health Care Education/Training Program in Williams Bay, Wisconsin
NPI 1164980611

Mitchell Steven Johnson is a Student in an Organized Health Care Education/Training Program based in Rockford, WI. Mitchell Steven Johnson practices in Williams Bay, WI. The NPI Number for Mitchell Steven Johnson is 1164980611 and holds a License No. (Wisconsin).

The current practice location address for Mitchell Steven Johnson is 350 Constance Blvd, Williams Bay, WI and can be reached out via phone at 262-245-5531.

Location: 350 Constance Blvd, Williams Bay, WI, 61107-2063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164980611
Provider Name
Mitchell Steven Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
350 Constance Blvd, Williams Bay, WI, 61107-2063
Phone Number
262-245-5531
Fax Number
Provider Enumeration Date
03/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
350 Constance Blvd
City
Williams Bay
State
Wisconsin
Zip
53191-9547
Phone Number
262-245-5531
Fax Number
person
Provider Business Mailing Address Details
Address
350 Constance Blvd
City
Williams Bay
State
Wisconsin
Zip
53191-9547
Phone Number
262-245-5531
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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