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Individual

AMY S BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1375 W GREEN ST, HASTINGS, MI 49058-1718
(269) 818-0070
(269) 818-0044
Mailing address
1375 W GREEN ST, HASTINGS, MI 49058-1718
(269) 818-0070
(269) 818-0044

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301073209
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3498324
MI
01
3500800162
BCBS
MI
01
4301073209
STATE LICENSE
MI
Enumeration date
04/13/2006
Last updated
08/11/2015
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