Individual
DR. JOHN G CRONKRITE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
211 MARKET AVE, PORT EDWARDS, WI 54469-1347
(715) 887-2000
Mailing address
221 ALEXANDER AVE, PORT EDWARDS, WI 54469-1327
(715) 887-4308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001688-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33376000
—
WI
Enumeration date
09/08/2005
Last updated
07/08/2007
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