Individual
ITAMAR YAAKOV GNATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
70439-20
WI
207Q00000X
Family Medicine Physician
26680
NV
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
26680
NV
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
70439
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10005229
—
WI
Enumeration date
03/27/2017
Last updated
10/03/2025
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