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

Heart and Vascular of Wisconsin, SC

Organization Cardiovascular Disease Physician · NPI 1053884478

Heart and Vascular of Wisconsin, SC is a Cardiovascular Disease Physician in Appleton, Wisconsin. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

5045 W Grande Market Dr
Appleton, WI 54913-8517
Phone: (920) 886-9380
Fax: (920) 886-9381
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1053884478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Sobal — Ceo · (904) 574-6211
Other names Heart And Vascular Institute Of Wisconsin
NPI enumeratedJanuary 8, 2019
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022
Mailing addressPo Box 610, Green Bay, WI 54305-0610

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