Micah Gelani Johnson
Micah Gelani Johnson is a Student in an Organized Health Care Education/Training Program in Oshkosh, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2025
Practice location Address checks out
800 Algoma BlvdOshkosh, WI 54901-3551
Phone: (920) 424-1234
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 264928-30 (WI) |
|---|
Record details
| NPI number | 1144194739 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 6, 2025 |
| Last updated in NPPES | October 6, 2025 |
| Certification date | October 5, 2025 |
| Mailing address | 6408 Bridge Rd Apt 242, Monona, WI 53713-1832 |
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