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

Great Lakes Heart and Vascular, LLC

Organization Cardiovascular Disease Physician · NPI 1487973269

Great Lakes Heart and Vascular, LLC provides Cardiovascular Disease Physician services 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 Not confirmed with CMS for 16 years — call before visiting
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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