Individual
THOMAS E. BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
940 POLO CLUB RD, INDEPENDENCE, MN 55359-9233
(612) 598-8628
Mailing address
940 POLO CLUB RD, INDEPENDENCE, MN 55359-9233
(612) 598-8628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41806
MN
Other
Enumeration date
04/08/2006
Last updated
12/31/2018
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