Organization
SOUTH WEST MICHIGAN UROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVER L JOHNSTON MD (OWNER)
(269) 686-5863
Entity
Organization
Contact information
Practice address
551 LINN ST, SUITE # 20, ALLEGAN, MI 49010-1595
(268) 686-5863
Mailing address
551 LINN ST, SUITE # 20, ALLEGAN, MI 49010-1595
(268) 686-5863
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2075205
MI
Other
Enumeration date
11/21/2008
Last updated
12/18/2008
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