Cronk, Julie S

Cronk, Julie S is an individual health care provider with primary practice located at 3555 Willow Lake Blvd Suite 240, Saint Paul MN 55110-5131. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Cronk, Julie S can be contacted via phone (651) 770-0110.

Contact Information

Primary practice address
3555 Willow Lake Blvd Suite 240 Saint Paul MN 55110-5131
Phone: (651) 770-0110
Fax: (651) 770-0134
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 42849 Minnesota
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 42849 Minnesota

Profile Details

NPI number 1467406843
LBN Legal business name Cronk, Julie S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Sep 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467406843 NPPES
Minnesota MEDICAID 077077900

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