Doctor Name: | JOSEPH KROON |
NPI Number: | 1063658755 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301022245 |
Business Practice Address: | 656 Wellington Cres Mount Clemens, MI - 480432949 |
Business Phone Number: | 5864693834 |
Business Fax Number: | |
Mailing Address: | 656 Wellington Cres, MOUNT CLEMENS |
State: | MI |
Postal Code: | 480432949 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/30/2008 |
NPI Last Update Date: | 12/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 4301022245 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |