Individual
DAVID BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1721 MOON LAKE BLVD, ST.E 150, HOFFMAN ESTATES, IL 60169-1069
(847) 519-3651
(847) 519-3652
Mailing address
411 COLLEGE AVE SE, GRAND RAPIDS, MI 49503-5301
(860) 608-5848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704269668
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704269668
MI
Other
Enumeration date
06/15/2006
Last updated
12/11/2024
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