Individual
MARY CATHERINE BECKER-ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5075 N WOODBURN ST, WHITEFISH BAY, WI 53217-5759
(262) 955-3320
Mailing address
5075 N WOODBURN ST, WHITEFISH BAY, WI 53217-5759
(262) 955-3320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
70566
WI
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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