Doctor Name: | DR. CHERYL LEE MAGNUSON |
NPI Number: | 1093069759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DVM |
License Number: | 5304 |
Business Practice Address: | 2152 Hidden Woods Blvd Beavercreek, OH - 454313393 |
Business Phone Number: | 8139561499 |
Business Fax Number: | |
Mailing Address: | 2152 Hidden Woods Blvd, BEAVERCREEK |
State: | OH |
Postal Code: | 454313393 |
Phone Number: | 8139561499 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2012 |
NPI Last Update Date: | 11/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 5304 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |