John Daniel Beck, PA-C, MPAS
Physician Assistant, Surgical in Madison, WI. Individual provider (NPI-1).
NPI number1447730809
StatusActive
Last updated in NPPESJan 13, 2021
Details
- NPI
- 1447730809
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Daniel Beck
- Credential
- PA-C, MPAS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2018
- Certification date
- Jan 13, 2021
- Last updated
- Jan 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 4464 | WI | Yes |
Practice location
600 Highland AveMadison, WI 53792-0001
Phone 920-263-1530 · Fax 608-265-8887
Mailing address
7974 Uw Health CtMiddleton, WI 53562-5531
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