Individual
MARTIN T BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1011 N WISCONSIN ST, PORT WASHINGTON, WI 53074-1207
(262) 284-3436
Mailing address
669 W PIERRE LN, PORT WASHINGTON, WI 53074-1531
(262) 284-6127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8401-40
WI
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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