Individual
JORDAN D BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5067 55TH ST NW, ROCHESTER, MN 55901-3809
(507) 292-7070
Mailing address
5067 55TH ST NW, ROCHESTER, MN 55901-3809
(507) 292-7070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11623
MN
Other
Enumeration date
06/23/2014
Last updated
04/23/2024
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