Individual
JENNIFER BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
990 W ANN ARBOR TRL, SUITE 210, PLYMOUTH, MI 48170-6204
(734) 455-4600
(734) 455-5637
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301063055
MI
208000000X
Pediatrics Physician
MD00046320
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8451692
—
WA
Enumeration date
06/05/2006
Last updated
12/30/2016
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