Individual
MR. BRANDON RAYMOND BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-4500
Mailing address
333 N GREEN BAY RD, NEENAH, WI 54956-1954
(920) 729-6088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2790-023
WI
363AM0700X
Medical Physician Assistant
2790-23
WI
Other
Enumeration date
06/27/2011
Last updated
07/17/2019
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