Individual
SHANE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 DEERFIELD DR, JANESVILLE, WI 53546-4448
(608) 754-3030
Mailing address
2303 W GLENMOOR LN, JANESVILLE, WI 53545-9634
(608) 438-3032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13485-40
WI
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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