Individual
DR. MARY CRONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF RHEUMATOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6655
(414) 805-6676
Mailing address
7080N PORT WASHINGTON RD, GLENDALE, WI 53217-3879
(414) 351-4009
(414) 351-7060
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
23007
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000113J
HUMANA
—
05
—
1417901711
—
WI
Enumeration date
05/20/2006
Last updated
07/13/2015
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