Individual
JUNE C MAGNUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 419-4405
Mailing address
884 MILLBROOK DR, NEENAH, WI 54956-1288
(920) 419-4405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F11190449
WI
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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