Individual
MR. ROMAN BECICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
650 OCEAN AVE UNIT 738, REVERE, MA 02151-1391
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
71732
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2015
Last updated
08/09/2022
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