Individual
ALYSSA BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1360 PABST FARMS CIR STE B, OCONOMOWOC, WI 53066-4854
(888) 938-3838
(888) 919-1083
Mailing address
10001 W INNOVATION DR STE 200, WAUWATOSA, WI 53226-4851
(414) 771-6780
(414) 238-2424
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5174
WI
Other
Enumeration date
02/12/2020
Last updated
11/07/2022
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