Individual
JACOB BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(262) 210-3633
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(262) 210-3633
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
81002
WI
207Q00000X
Family Medicine Physician
81002
WI
208M00000X
Hospitalist Physician
81002
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2019
Last updated
02/14/2024
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