Provider Demographics
NPI:1427052448
Name:KRONER, JOHN T (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:T
Last Name:KRONER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:575 W RIVER WOODS PKWY
Mailing Address - Street 2:STE 100
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-1058
Mailing Address - Country:US
Mailing Address - Phone:414-332-6262
Mailing Address - Fax:414-332-0422
Practice Address - Street 1:575 W RIVER WOODS PKWY
Practice Address - Street 2:STE 100
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53212-1058
Practice Address - Country:US
Practice Address - Phone:414-332-6262
Practice Address - Fax:414-332-0422
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2007-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI25328207X00000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
200010931OtherRAILROAD MEDICARE
WI30810600Medicaid
000146155Medicare PIN
B54342Medicare UPIN
000402724Medicare PIN