Organization
GREEN BAY CARDIOTHORACIC & VASCULAR LLC
Active
Organization
GREEN BAY CARDIOTHORACIC & VASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J GERNDT MD (OWNER)
(920) 433-9621
Entity
Organization
Contact information
Practice address
720 S VAN BUREN ST, SUITE 303, GREEN BAY, WI 54301-3538
(920) 433-9621
(920) 433-0565
Mailing address
720 SO VAN BUREN ST, SUITE 303, GREEN BAY, WI 54301
(920) 433-9621
(920) 433-0565
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32897600
—
WI
01
—
CG7604
RAILROAD MEDICARE
WI
Enumeration date
02/12/2007
Last updated
12/14/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up