Individual
DIANE S BEECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20611 WATERTOWN RD STE E, WAUKESHA, WI 53186-1871
(262) 901-4450
(262) 395-4256
Mailing address
906 WOODS DR, HARTLAND, WI 53029-2900
(262) 369-8866
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
735-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
BCBS
WI
05
—
42950200
—
WI
Enumeration date
12/23/2005
Last updated
10/08/2024
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