Individual
DR. JAMES MICHAEL BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1505 PARK AVE., COLUMBUS, WI 53925
(920) 623-2340
(920) 623-2765
Mailing address
PO BOX 163, COLUMBUS, WI 53925
(920) 623-2340
(920) 623-2765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5000598
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33541700
—
WI
Enumeration date
09/21/2006
Last updated
07/08/2007
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