Provider Demographics
NPI:1295885457
Name:BECKMAN, ROBERT JOHN (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOHN
Last Name:BECKMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:509 OSBORN BLVD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SAULT SAINTE MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783-2069
Mailing Address - Country:US
Mailing Address - Phone:906-253-2605
Mailing Address - Fax:906-253-2773
Practice Address - Street 1:509 OSBORN BLVD
Practice Address - Street 2:SUITE 320
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-2069
Practice Address - Country:US
Practice Address - Phone:906-253-2605
Practice Address - Fax:906-253-2773
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2023-06-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101013162208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics