Search › Indiana › 122300000X
Thomas Magnuson, D.D.S
NPI 1265693634 · on the registry since 2008 · sole proprietor
Practice
- Address
- 4550 S Ironwood Dr
South Bend, IN 46614 - Phone
- (574) 299-0484
- Fax
- (574) 299-0447
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana