Individual
DR. JOSE C MAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 SOUTH DR, MT PLEASANT, MI 48858-3234
(989) 772-6700
Mailing address
5723 LONDONBERRIE CT, MIDLAND, MI 48640-6968
(989) 837-8358
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301073241
MI
207Q00000X
Family Medicine Physician
Primary
430107241
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F71000
BCBSM
MI
05
—
1770520926
—
MI
05
—
4409919
—
MI
01
—
JM073241
BLUE SHIELD
MI
Enumeration date
05/31/2006
Last updated
11/09/2018
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