MEDICARE: DR. JULIA ANN BECKMAN 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	2080A0000X	Pediatric Adolescent Medicine Physician	42394	MN

General Provider Information

NPI Number	:	1952473662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIA ANN BECKMAN M.D.

Provider Business Mailing Address
First Line	:	2816 SUNSET LN NE
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55906-7621
Country	:	US
Telephone Number	:	507-252-0389
Fax Number	:

Provider Business Practice Location Address
First Line	:	1547 LIVINGSTON AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55118-3411
Country	:	US
Telephone Number	:	651-451-8050
Fax Number	:

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

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/08/2007

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