Individual
MELISSA ANN BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-5400
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-5400
(262) 928-6140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3894-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780132944
—
WI
Enumeration date
09/16/2016
Last updated
09/13/2023
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