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Individual

DR. CRANSTON JAY CEDERLIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
421 S MAPLE ST, GARNETT, KS 66032-1334
(785) 448-3131
(785) 448-5725
Mailing address
PO BOX 14095, SHAWNEE MISSION, KS 66285-4095
(913) 888-6310
(913) 888-4710

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-15034
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09194024
BCBS OF KANSAS CITY
MO
05
100333710B
KS
01
160053740
RAILROAD MEDICARE
KS
01
614623
FIRSTGUARD HEALTH PLAN
KS
Enumeration date
11/15/2005
Last updated
10/31/2011
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