Individual
DAVID K MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7874
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5203
(440) 684-5979
(440) 684-5952
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
35-074721
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2070271
—
OH
Enumeration date
07/19/2006
Last updated
07/08/2007
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