Individual
MAGNUS O. MEYER III
Active
Individual
MAGNUS O. MEYER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
R4G32
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538258702
—
MO
05
—
186003003
—
AR
01
—
431560263
TRICARE
MO
01
—
P00912918
RR MCR
MO
Enumeration date
10/12/2006
Last updated
05/01/2013
Update your record
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