Individual
DR. DAVID KENNETH MAGNUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417
(937) 212-4801
(937) 886-1978
Mailing address
25 TYLER CT, SPRINGBORO, OH 45066-8301
(937) 212-4801
(937) 866-1798
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35-07-6525-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2242700
—
OH
Enumeration date
08/12/2005
Last updated
07/10/2018
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