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Individual

RYAN THOMAS BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125065160
IL
2085N0700X
Neuroradiology Physician
60943180
WA
2085N0700X
Neuroradiology Physician
65980
WI
2085R0202X
Diagnostic Radiology Physician
5471-851
WI
2085R0202X
Diagnostic Radiology Physician
60943180
WA
2085R0202X
Diagnostic Radiology Physician
Primary
65980-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295154524
WI
Enumeration date
04/15/2014
Last updated
07/08/2020
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