Individual
BRUCE H BECKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5655 N 89TH ST, MILWAUKEE, WI 53225-2841
(414) 317-7649
Mailing address
5655 N 89TH ST, MILWAUKEE, WI 53225-2841
(414) 317-7649
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
WI
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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