Dr. Russell Becker, MD PhD
Urology in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1487048237
StatusActive
Last updated in NPPESSep 30, 2024
Details
- NPI
- 1487048237
- Entity type
- Individual (NPI-1)
- Name
- Dr. Russell Becker
- Credential
- MD PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2015
- Certification date
- Sep 30, 2024
- Last updated
- Sep 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 4301507220 | MI | Yes |
Practice location
1900 Wealthy St Se Ste 100Grand Rapids, MI 49506-2969
Phone 616-267-7333
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
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