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Individual

DR. ANGELA K.S. BECKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9200 W WISCONSIN AVE, DIVISION OF GERIATRICS, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6644
Mailing address
9200 W WISCONSIN AVE, DIVISION OF GERIATRICS, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6644

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125059160
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
63827
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831485333
WI
Enumeration date
06/22/2011
Last updated
06/16/2015
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