Individual
ROBERT BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2575 E EVERGREEN DR, APPLETON, WI 54913-8910
(920) 969-5353
(414) 337-7201
Mailing address
2575 E EVERGREEN DR, APPLETON, WI 54913-8910
(920) 969-5353
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
77484-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/14/2019
Last updated
06/20/2025
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