Individual
TODD MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1528 NORTHWAY DR, SAINT CLOUD, MN 56303-1255
(320) 252-0233
(320) 257-1126
Mailing address
1528 NORTHWAY DR, SAINT CLOUD, MN 56303-1255
(320) 252-0233
(320) 257-1126
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
36614
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011065500
—
MN
Enumeration date
03/29/2006
Last updated
12/28/2021
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