Individual
MARCUS J MAGNUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 N RITTER AVE STE 220, INDIANAPOLIS, IN 46219-3046
(317) 715-5600
(317) 715-5618
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 849-8350
(317) 576-6311
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
02004577A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201303980
—
IN
Enumeration date
04/20/2010
Last updated
03/23/2021
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