Individual
JORDAN WADE BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
203 W 31ST ST, MINNEAPOLIS, MN 55408-3012
(701) 446-7545
Mailing address
203 W 31ST ST, MINNEAPOLIS, MN 55408-3012
(701) 446-7545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2476179
MN
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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