Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Heart and Vascular, LLC

Organization Cardiovascular Disease Physician · NPI 1487973269

Great Lakes Heart and Vascular, LLC is a Cardiovascular Disease Physician in Marinette, Wisconsin. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3100 Shore Dr
Marinette, WI 54143-4242
Phone: (715) 735-8067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1487973269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edgar Massabni — President · (715) 735-8067
NPI enumeratedMay 19, 2010
Last updated in NPPESMay 19, 2010
Mailing address3205 Liberty Bell Rd, Green Bay, WI 54313-6992

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