Individual
EMILY MAGNUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Mailing address
2433 RAYMOND AVE SE, GRAND RAPIDS, MI 49507-3923
(616) 915-1331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704293323
MI
Other
Enumeration date
02/04/2019
Last updated
12/31/2024
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