# SOUTH WEST MICHIGAN UROLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144475831
- **Authorized official:** OLIVER L JOHNSTON MD (OWNER)
- **Authorized official phone:** (269) 686-5863

## Contact information

- **Practice address:** 551 LINN ST, SUITE \# 20, ALLEGAN, MI 49010-1595
- **Practice address phone:** (268) 686-5863
- **Mailing address:** 551 LINN ST, SUITE \# 20, ALLEGAN, MI 49010-1595
- **Mailing address phone:** (268) 686-5863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 2075205 | MI | Yes |

## Other

- **Enumeration date:** 11/21/2008
- **Last updated:** 12/18/2008