Individual
DR. JOHN W BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11080 HALL RD, STE A, STERLING HEIGHTS, MI 48314
(586) 254-7200
(586) 254-7201
Mailing address
11080 HALL RD, STE A, STERLING HEIGHTS, MI 48314
(586) 254-7200
(586) 254-7201
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301051835
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040E061920
BLUE SHIELD MICHIGAN
MI
05
—
104103196
—
MI
05
—
4103196
—
MI
Enumeration date
10/31/2005
Last updated
09/19/2009
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