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

Green Bay Heartcare SC

Organization Cardiovascular Disease Physician · NPI 1306816574

Green Bay Heartcare SC is a Cardiovascular Disease Physician in Green Bay, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1727 Shawano Ave Ste 201
Green Bay, WI 54303-3268
Phone: (920) 496-8877
Fax: (920) 496-3061
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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 number1306816574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Fergus — President · (920) 496-8877
NPI enumeratedJanuary 23, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1727 Shawano Ave, Suite 201, Green Bay, WI 54303-3268

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