Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 44937 | WI |
N | 208600000X | Surgeon | 44937 | WI |
N | 2086S0102X | Surgical Critical Care | 44937 | WI |
Y | 2086S0127X | Trauma Surgeon | 44937 | WI |
NPI | 1063520963 |
---|---|
Provider Name | Marshall A Beckman |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 28/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1063520963 | (05) | WI |