Individual
MELISSA M BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
715 RICHLAND MALL, SUITE A, ONTARIO, OH 44906-3802
(419) 522-0948
Mailing address
715 RICHLAND MALL, SUITE A, ONTARIO, OH 44906-3802
(419) 522-0948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35079962
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2283461
—
OH
Enumeration date
10/31/2005
Last updated
12/28/2020
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