William Dale Becker O.D.

NPI 1073613691 - Optometrist - 152W00000X

NPI Details
NPI 1073613691
Gender Male
Enumeration Date 09/24/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
103 E WASHINGTON ST
CRANDON WI, 54520-1392, US
Phone (715) 478-2401
Fax (715) 478-3663
Business Location
103 E WASHINGTON ST
CRANDON WI, 54520-1392, US
Phone (715) 478-2401
Fax (715) 478-3663
Toxanomy
Taxonomy Code 152W00000X
License State Wisconsin
License Number 1494-035
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According to our database, William Dale Becker O.D. NPI is 1073613691, taxonomy code is 152W00000X and license number is 1494-035, license state is located at Wisconsin. William Dale Becker O.D. physically located at 103 E Washington St, Crandon WI, 54520-1392. NPI Number William Dale Becker O.D. has the Individual type.

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1073613691 NPI number is provided on an as is basis without warranty of any kind. 1073613691 is maintained by the National Plan & Provider Enumeration System. The contents of William Dale Becker O.D. are for informational purposes only.