Individual
MS. BECKY L. MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF OTOLARYNGOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8325
(414) 805-7890
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF OTOLARYNGOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8325
(414) 805-7890
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
49446
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851493597
—
WI
Enumeration date
09/02/2006
Last updated
08/08/2012
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