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Individual

SUSAN MARIE CRONER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-BC

Contact information

Practice address
2150 GETTLER ST STE 400, DYER, IN 46311-2385
(219) 865-0893
(219) 865-3599
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-8194

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001197A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200515670
IN
01
P00212275
RAILROAD MEDICARE
Enumeration date
08/31/2006
Last updated
03/22/2021
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