Individual
MR. ERIC THOMAS BECKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 RADIO DR, WOODBURY, MN 55125-5805
(651) 702-0750
(651) 645-6166
Mailing address
215 RADIO DR STE 202, WOODBURY, MN 55125-5822
(651) 702-0750
(651) 645-6166
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
45323
MN
207Y00000X
Otolaryngology Physician
48254-20
WI
208600000X
Surgery Physician
45323
MN
208600000X
Surgery Physician
48254-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040000327
MEDICARE
MN
05
—
855575300
—
MN
Enumeration date
06/22/2006
Last updated
11/20/2025
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