Provider Demographics
NPI:1619950714
Name:RENE' C. KRONLAND MD, INC
Entity Type:Organization
Organization Name:RENE' C. KRONLAND MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:RENE
Authorized Official - Middle Name:C
Authorized Official - Last Name:KRONLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-271-0604
Mailing Address - Street 1:1061 E MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-5724
Mailing Address - Country:US
Mailing Address - Phone:530-271-0604
Mailing Address - Fax:530-271-0622
Practice Address - Street 1:1061 E MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5724
Practice Address - Country:US
Practice Address - Phone:530-271-0604
Practice Address - Fax:530-271-0622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-22
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG085096173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG085096OtherSTATE LICENCE NUMBER
CAG085096OtherSTATE LICENCE NUMBER