Individual
MICHAEL J BECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4021 S 96TH ST, GREENFIELD, WI 53228-2168
(414) 949-1453
Mailing address
4021 S 96TH ST, GREENFIELD, WI 53228-2168
(414) 949-1453
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000041218
WI
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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