| Mobile Therapeutics Llc | |
|
7821 Altmeyer Dr De Pere WI 54115-7784 | |
| (920) 470-0333 | |
| Not Available |
| Full Name | Mobile Therapeutics Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7821 Altmeyer Dr, De Pere, Wisconsin |
| Authorized Official Name and Position | Eric James Goddeyne (CHIEF OF ORTHOPAEDICS) |
| Authorized Official Contact | 9204700333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Therapeutics Llc 7821 Altmeyer Dr De Pere WI 54115-7784 Ph: (920) 470-0333 | Mobile Therapeutics Llc 7821 Altmeyer Dr De Pere WI 54115-7784 Ph: (920) 470-0333 |
| NPI Number | 1659101814 |
|---|---|
| Provider Enumeration Date | 08/02/2024 |
| Last Update Date | 01/08/2025 |
| Medicare PECOS PAC ID | 3476093170 |
|---|---|
| Medicare Enrollment ID | O20240909003395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659101814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ellie Elizabeth Mercado-schoessow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780137737 PECOS PAC ID: 6800182601 Enrollment ID: I20160902001110 |
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