South West Michigan Urology Pllc

NPI #1144475831 in Allegan, Michigan

Provider Information

NPI Number: 1144475831
Entity Type: Organization
Organization Name: South West Michigan Urology Pllc
Primary Specialty: Urology
Enumeration Date: Nov 21, 2008
Last Updated: Dec 18, 2008

Practice Location

Address: 551 LINN ST
Address 2: SUITE # 20
City: Allegan
State: Michigan
ZIP Code: 49010-1595
Phone: (268) 686-5863

Authorized Official

Name: OLIVER L JOHNSTON, MD
Title: OWNER
Phone: (269) 686-5863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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