Individual
DR. ANDREA S BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
200 S. CEDAR ST., SUTTONS BAY, MI 49682
(231) 271-4544
Mailing address
PO BOX 460, SUTTONS BAY, MI 49682-0460
(231) 271-4544
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003589
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900D566820
BCBS PIN
MI
Enumeration date
06/16/2005
Last updated
07/24/2018
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