Organization
MELISSA BECKER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA BECKER M.D. (MEDICAL DOCTOR)
(419) 522-0948
Entity
Organization
Contact information
Practice address
661 PARK AVE E, MANSFIELD, OH 44905-2880
(419) 522-0948
(419) 526-7347
Mailing address
661 PARK AVE E, MANSFIELD, OH 44905-2880
(419) 522-0948
(419) 526-7347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35079962B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2283461
—
OH
Enumeration date
06/28/2006
Last updated
08/22/2020
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