Mark S Becker, MD
Family Medicine in Saint Cloud, MN. Individual provider (NPI-1).
NPI number1124095609
StatusActive
Last updated in NPPESApr 2, 2010
Details
- NPI
- 1124095609
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark S Becker
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2006
- Last updated
- Apr 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MN27801 | MN | Yes |
Practice location
1520 Whitney CourtSte 200, Mid Mn Family Practice
Saint Cloud, MN 56303-1867
Phone 320-240-3157 · Fax 320-240-3164
Mailing address
1520 Whitney CourtSte 200, Mid Mn Family Practice
Saint Cloud, MN 56303-1867
Phone 320-240-3157 · Fax 320-240-3164
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