MEDICARE: BONNIE J CRAMER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	6523	KS

General Provider Information

NPI Number	:	1194772707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BONNIE J CRAMER MD

Provider Business Mailing Address
First Line	:	325 MAINE STREET
Second Line	:	MSO LIBRARY
City	:	LAWRENCE
State	:	KS
Zip	:	66044
Country	:	US
Telephone Number	:	785-505-2988
Fax Number	:	785-505-5228

Provider Business Practice Location Address
First Line	:	406 AMES ST
Second Line	:
City	:	BALDWIN CITY
State	:	KS
Zip	:	66006-3099
Country	:	US
Telephone Number	:	785-505-5404
Fax Number	:	785-505-5270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	10/27/2023

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