Individual
MICHAEL BENJAMIN MAGALNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12000 ELM CREEK BLVD N STE 250, MAPLE GROVE, MN 55369-7164
(952) 401-8300
(952) 401-8242
Mailing address
17705 HUTCHINS DR STE 250, MINNETONKA, MN 55345-4103
(952) 401-8300
(952) 401-8242
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
005758
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351093
—
OH
05
—
717082
—
AZ
Enumeration date
09/30/2009
Last updated
09/15/2023
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