Individual
DENNIS JOHN BECK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3581
(920) 433-3500
Mailing address
9 VICTORIA DR, NEWBURGH, IN 47630-1500
(270) 724-4443
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01049271A
IN
207X00000X
Orthopaedic Surgery Physician
036.162271
IL
207X00000X
Orthopaedic Surgery Physician
Primary
2218-320
WI
207X00000X
Orthopaedic Surgery Physician
33915
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000290212
ANTHEM BCBS
IN
01
—
0231480001
MEDICARE DME
IN
05
—
200408640
—
IN
Enumeration date
05/27/2005
Last updated
02/20/2024
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