Individual
MICHAEL D BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1233 N MAYFAIR RD, SUITE 201, WAUWATOSA, WI 53226-3255
(414) 774-6300
Mailing address
4555 W SCHROEDER DR, SUITE 170, MILWAUKEE, WI 53223-1475
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60556181
WA
207RC0000X
Cardiovascular Disease Physician
23554-020
WI
207RC0000X
Cardiovascular Disease Physician
Primary
MD60556181
WA
207UN0901X
Nuclear Cardiology Physician
23554-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042975
—
WA
05
—
30487600
—
WI
Enumeration date
07/04/2006
Last updated
07/25/2019
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