Individual
RICHARD BECKERMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 MARMONT ST, NILES, MI 49120-1657
(269) 683-6461
Mailing address
123 MARMONT ST, NILES, MI 49120-1657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1586434
MI
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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