Individual
DR. ROGER W BECKLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6427 GI WAY DIN TRL, MANITOWISH WATERS, WI 54545-9227
(715) 686-2907
Mailing address
6427 GI WAY DIN TRL, MANITOWISH WATERS, WI 54545-9227
(715) 686-2907
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301026701
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301026701
MICHIGAN BOARD OF MEDICINE PHYSICIAN LICENSE
MI
Enumeration date
06/17/2008
Last updated
01/27/2010
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