Great Lakes Heart and Vascular, LLC

NPI #1487973269 in Marinette, Wisconsin

Provider Information

NPI Number
1487973269
Entity Type
Organization
Organization Name
Great Lakes Heart and Vascular, LLC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
May 19, 2010
Last Updated
May 19, 2010

Practice Location

Address
3100 SHORE DR
ZIP Code
54143-4242
Phone
(715) 735-8067

Authorized Official

Name
EDGAR J MASSABNI, MD
Title
PRESIDENT
Phone
(715) 735-8067

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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