Individual
DR. CARL BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HOSPITAL BASED @ FROEDTERT HOSP., 9200 WEST WISCONSIN AVENUE, MILWAUKEE, WI 53226
(414) 805-3666
Mailing address
9200 W WISCONSIN AVE, HOSPITAL BASED @ FROEDTERT HOSP., MILWAUKEE, WI 53226-3522
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
30884
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31561200
—
WI
Enumeration date
05/12/2006
Last updated
07/08/2007
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