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1437619517
TYLAN WAYNE MAGNUSSON
BIRMINGHAM, AL
NPI
1437619517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AL 41817)
Enumeration Date
2019-03-23
Last Update Date
2023-08-21
Business Address
TYLAN WAYNE MAGNUSSON MD
NP 2540 1720 2ND AVENUE SOUTH
BIRMINGHAM, AL 35294-3300
Phone number: 205-933-8101
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Mailing Address
TYLAN WAYNE MAGNUSSON MD
625 19TH ST SOUTH
BIRMINGHAM, AL 35249-1900
Phone number: 205-934-2490
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