Provider Demographics
NPI:1811084858
Name:BECKER, ERIC J (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:J
Last Name:BECKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4611 N CAMPUS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-9533
Mailing Address - Country:US
Mailing Address - Phone:989-839-3500
Mailing Address - Fax:989-839-3344
Practice Address - Street 1:4611 N CAMPUS RIDGE DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-9533
Practice Address - Country:US
Practice Address - Phone:989-839-3500
Practice Address - Fax:989-839-3344
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2016-09-23
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Provider Licenses
StateLicense IDTaxonomies
MI4301086021207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301086021OtherSTATE LICENSE