Organization
CARDIOGRAPHICS PHYSICIANS ST. MARY'S MILWAUKEE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN GNADT M.D. (PRESIDENT)
(414) 291-1000
Entity
Organization
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1000
Mailing address
11716 W GREENFIELD AVE, WEST ALLIS, WI 53214-2156
(414) 778-3860
(414) 778-3886
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32808400
—
WI
Enumeration date
08/11/2006
Last updated
08/22/2020
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