HEART AND VASCULAR OF WISCONSIN SC NPI 1053884478

NPI Information

HEART AND VASCULAR OF WISCONSIN, SC is a cardiovascular disease internal medicine in Appleton, WI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. HEART AND VASCULAR OF WISCONSIN, SC NPI is 1053884478. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Heart And Vascular Institute Of Wisconsin.

The provider's business location address is:

5045 W GRANDE MARKET DR
APPLETON, WI
ZIP 54913-517
Phone: (920) 886-9380
Fax: (920) 886-9381

The provider's authorized official is Larry Sobal .
The authorized official title is Ceo and has the following contact phone number (904) 574-6211.

The CLIA number assigned to this NPI record is 52D2163824 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/8/2019 and was last updated on 10/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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