Individual
DR. RUSSELL BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1900 WEALTHY ST SE STE 100, GRAND RAPIDS, MI 49506-2969
(616) 267-7333
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301507220
MI
Other
Enumeration date
03/18/2015
Last updated
09/30/2024
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