Individual
DR. DEREK RYAN MAGNUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
3541 LYNDALE AVE S, MINNEAPOLIS, MN 55408-4159
(612) 824-1829
Mailing address
3541 LYNDALE AVE S, MINNEAPOLIS, MN 55408-4159
(612) 824-1829
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6110
MN
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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