MEDICARE: DR. JOSHUA SKY BECKER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	51857	MN

General Provider Information

NPI Number	:	1891956025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA SKY BECKER M.D.

Provider Business Mailing Address
First Line	:	2925 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1321
Country	:	US
Telephone Number	:	612-262-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8100 W 78TH ST
Second Line	:	SUITE 100
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55439-2516
Country	:	US
Telephone Number	:	952-914-8100
Fax Number	:	952-914-8101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2008
Last Update Date	:	03/11/2021

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