Individual
WILLIAM DALE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
103 E WASHINGTON ST, CRANDON, WI 54520-1392
(715) 478-2401
(715) 478-3663
Mailing address
103 E WASHINGTON ST, CRANDON, WI 54520-1392
(715) 478-2401
(715) 478-3663
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1494-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38553700
—
WI
Enumeration date
09/24/2006
Last updated
07/09/2007
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