Individual
DR. WILLIAM R. BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2411 3RD ST S, WISCONSIN RAPIDS, WI 54494-5853
(715) 424-3937
(715) 423-3330
Mailing address
2411 3RD ST S, WISCONSIN RAPIDS, WI 54494-5853
(715) 424-3937
(715) 423-3330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1785-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38518900
—
WI
Enumeration date
01/02/2007
Last updated
07/08/2007
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