Individual
WENDI LYNN BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-2500
(641) 236-2539
Mailing address
210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-2500
(641) 236-2539
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002018
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002018
IA LICENSE
IA
Enumeration date
07/23/2009
Last updated
07/23/2009
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