Cranberg, James A

Cranberg, James A is an individual health care provider with primary practice located at 2500 N Mayfair Rd Suite 220, Wauwatosa WI 53226-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Cranberg, James A can be contacted via phone (414) 475-9101.

Contact Information

Primary practice address
2500 N Mayfair Rd Suite 220 Wauwatosa WI 53226-1409
Fax: (414) 475-9203
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X Wisconsin

Profile Details

NPI number 1073665626
LBN Legal business name Cranberg, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1073665626 NPPES
Wisconsin MEDICAID 31517400

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