Individual
MR. MARK S BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 WHITNEY COURT, STE 200, MID MN FAMILY PRACTICE, SAINT CLOUD, MN 56303-1867
(320) 240-3157
(320) 240-3164
Mailing address
1520 WHITNEY COURT, STE 200, MID MN FAMILY PRACTICE, SAINT CLOUD, MN 56303-1867
(320) 240-3157
(320) 240-3164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MN27801
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
981268700
—
MN
Enumeration date
03/03/2006
Last updated
04/02/2010
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