Individual
JOHN C MAGNUSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
N63W23524 SILVER SPRING DR, SUSSEX, WI 53089-3833
(262) 246-6486
(262) 246-6791
Mailing address
N63W23524 SILVER SPRING DR, P O BOX 145, SUSSEX, WI 53089-3833
(262) 246-6486
(262) 246-6791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2354015
WI
Other
Enumeration date
11/01/2006
Last updated
07/21/2022
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