Organization
JOAN T. HARNEY GNADT, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN T GNADT MD (PRESIDENT)
(262) 243-6000
Entity
Organization
Contact information
Practice address
13133 N PORT WASHINGTON RD, SUITE 11, MEQUON, WI 53097
(262) 243-6000
(262) 243-6007
Mailing address
13133 N PORT WASHINGTON RD, SUITE 11, MEQUON, WI 53097
(262) 243-6000
(262) 243-6007
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
28835
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28835
WI LICENCE
WI
Enumeration date
10/23/2007
Last updated
12/09/2010
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