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Organization

GREEN BAY CARDIOTHORACIC & VASCULAR, LLC

Active
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Organization

GREEN BAY CARDIOTHORACIC & VASCULAR, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY JO HOLEWINSKI (OFFICE MANAGER)
(920) 433-9621
Entity
Organization

Contact information

Practice address
1711 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3639
(920) 433-9621
(920) 433-0565
Mailing address
720 S VANBUREN STREET, SUITE 303, GREEN BAY, WI 54301
(920) 433-9621
(920) 433-0565

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—

Other

Enumeration date
01/14/2009
Last updated
01/16/2009
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