Individual
DR. JOHN I CRONKHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N CURRY PIKE, BLOOMINGTON, IN 47404-2593
(812) 339-9980
(812) 349-4007
Mailing address
100 N CURRY PIKE, BLOOMINGTON, IN 47404-2593
(812) 339-9980
(812) 349-4007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029905A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01029905A
STATE LICENSE #
IN
Enumeration date
03/12/2007
Last updated
07/08/2007
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