Provider Demographics
NPI:1669547857
Name:KROONEN, LEO T (MD)
Entity type:Individual
Prefix:DR
First Name:LEO
Middle Name:T
Last Name:KROONEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:34800 BOB WILSON DR
Mailing Address - Street 2:NMCSD
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-1098
Mailing Address - Country:US
Mailing Address - Phone:619-532-8429
Mailing Address - Fax:619-532-8460
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:NMCSD
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1098
Practice Address - Country:US
Practice Address - Phone:619-532-8429
Practice Address - Fax:619-532-8460
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2021-12-07
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Provider Licenses
StateLicense IDTaxonomies
CAA82114207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery