Individual
PAUL W CRONEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1373 E STATE ROAD 62, MADISON, IN 47250-7328
(812) 801-0840
(812) 801-0024
Mailing address
PO BOX 3395, EVANSVILLE, IN 47732-3395
(812) 801-0840
(812) 801-0025
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01031070
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042210
ANTHEM BCBS
IN
01
—
020041436
MEDICARE RAILROAD
—
05
—
100148760A
—
IN
01
—
1073896
PASSPORT KY MEDICAID
KY
01
—
2435129000
PASSPORT ADVANTAGE
KY
01
—
410005P
SIHO
IN
01
—
4370884
AETNA
—
05
—
64754906
—
KY
Enumeration date
07/06/2006
Last updated
02/20/2019
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