Individual
JOHN MARTIN MAGENAU IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301089502
MI
207RH0000X
Hematology (Internal Medicine) Physician
Primary
4301089502
MI
207RX0202X
Medical Oncology Physician
4301089502
MI
Other
Enumeration date
07/13/2007
Last updated
11/23/2020
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