Individual
MARSHALL A BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, TRAUMA AND CRITICAL CARE SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Mailing address
9200 W WISCONSIN AVE, TRAUMA AND CRITICAL CARE SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
44937
WI
2086S0102X
Surgical Critical Care Physician
44937
WI
2086S0127X
Trauma Surgery Physician
Primary
44937
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063520963
—
WI
Enumeration date
08/29/2006
Last updated
01/28/2013
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