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NPI Code Detail

MEDICARE: DR. ROBERT EDWARD MAGNUS M.D.

MEDICARE: DR. ROBERT EDWARD MAGNUS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianMD-28680IA
2207X00000XOrthopaedic Surgery Physician28680IA

General Provider Information

NPI Number : 1407835341
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT EDWARD MAGNUS M.D.
Provider Business Mailing Address
First Line : 1410 N 4TH ST
Second Line :
City : CLINTON
State : IA
Zip : 52732-2940
Country : US
Telephone Number : 563-244-5900
Fax Number : 563-244-2801
Provider Business Practice Location Address
First Line : 1410 N 4TH ST
Second Line :
City : CLINTON
State : IA
Zip : 52732-2940
Country : US
Telephone Number : 563-244-5900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 07/21/2022

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