Healthcare Provider Details

I. General information

NPI: 1194772707
Provider Name (Legal Business Name): BONNIE J CRAMER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BONNIE J SPERFSLAGE MD

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 10/27/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 AMES ST
BALDWIN CITY KS
66006-3099
US

IV. Provider business mailing address

325 MAINE STREET MSO LIBRARY
LAWRENCE KS
66044
US

V. Phone/Fax

Practice location:
  • Phone: 785-505-5404
  • Fax: 785-505-5270
Mailing address:
  • Phone: 785-505-2988
  • Fax: 785-505-5228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number6523
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: