Individual
DANIEL ROBERT CRONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 N ALPHA ST, GRAND ISLAND, NE 68803-4320
(308) 384-7200
(308) 384-7378
Mailing address
PO BOX 5226, GRAND ISLAND, NE 68802-5226
(308) 384-7200
(308) 384-7378
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
12658
NE
2086S0129X
Vascular Surgery Physician
Primary
12658
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020041733
RAILROAD MEDICARE
NE
01
—
31889
BLUE CROSS BLUE SHIELD NEBRASKA
—
05
—
508060434
—
NE
Enumeration date
07/07/2006
Last updated
06/08/2010
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