Individual
DOUGLAS J CRONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
705 S UNIVERSITY AVE, STE 510, BEAVER DAM, WI 53916-3081
(920) 887-3102
(920) 885-8788
Mailing address
705 S UNIVERSITY AVE, STE 510, BEAVER DAM, WI 53916-3081
(920) 887-3102
(920) 885-8788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
81-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001738
PHYSICIANS PLUS
WI
01
—
2055
DEAN HEALTH INSURANCE
WI
05
—
42905400
—
WI
Enumeration date
05/12/2006
Last updated
07/07/2009
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