Healthcare Provider Details

I. General information

NPI: 1427037613
Provider Name (Legal Business Name): HOWARD J. BECK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 MUNSON AVE
TRAVERSE CITY MI
49686-3580
US

IV. Provider business mailing address

550 MUNSON AVE
TRAVERSE CITY MI
49686-3580
US

V. Phone/Fax

Practice location:
  • Phone: 231-935-8540
  • Fax: 231-935-8544
Mailing address:
  • Phone: 231-935-8540
  • Fax: 231-935-8544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number4310177212
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number43017077212
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: