GREAT LAKES HEART AND VASCULAR, LLC

MARINETTE, WI
NPI1487973269
Entity TypeOrganization
Authorized ContactEDGAR J MASSABNI
President
715-735-8067
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
Enumeration Date2010-05-19
Last Update Date2010-05-19
Business Address
GREAT LAKES HEART AND VASCULAR, LLC
3100 SHORE DR
MARINETTE, WI 54143-4242
Phone number: 715-735-8067
Mailing Address
GREAT LAKES HEART AND VASCULAR, LLC
3205 LIBERTY BELL RD
GREEN BAY, WI 54313-6992
Phone number: