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Individual
RUSSELL W BECKER
Active
Individual
RUSSELL W BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
OS12827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16508
M-CARE
MI
Enumeration date
01/25/2006
Last updated
09/22/2020
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