Individual
DR. SIDNEY B BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28625 NORTHWESTERN HWY, STE 1507, SOUTHFIELD, MI 48034-1828
(248) 254-7866
(248) 504-5566
Mailing address
28625 NORTHWESTERN HWY, STE 1507, SOUTHFIELD, MI 48034-1828
(248) 254-7866
(248) 504-5566
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301028918
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040E061920
BLUE SHIELD MICHIGAN
MI
05
—
101203527
—
MI
05
—
1203527
—
MI
Enumeration date
10/26/2005
Last updated
05/22/2017
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