Individual
OLIVER LAWERNCE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
551 LINN ST, SUITE 20, ALLEGAN, MI 49010-1595
(269) 686-5888
(269) 686-5865
Mailing address
551 LINN ST, SUITE #20, ALLEGAN, MI 49010-1595
(268) 686-5888
(269) 686-5865
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301036842
MI
Other
Enumeration date
10/06/2008
Last updated
12/18/2008
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