Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mitchell Steven Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164980611

Mr. Mitchell Steven Johnson is a Student in an Organized Health Care Education/Training Program in Williams Bay, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

350 Constance Blvd
Williams Bay, WI 53191-9547
Phone: (262) 245-5531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164980611
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 4, 2019
Last updated in NPPESMarch 4, 2019
Mailing address1303 Scottswood Rd, Rockford, IL 61107-2063

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