Mobile Therapeutics Llc | |
7821 Altmeyer Dr De Pere WI 54115-7784 | |
(920) 470-0333 | |
Not Available |
Full Name | Mobile Therapeutics Llc |
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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 |
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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 |
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Provider Enumeration Date | 08/02/2024 |
Last Update Date | 01/08/2025 |
Medicare PECOS PAC ID | 3476093170 |
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Medicare Enrollment ID | O20240909003395 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659101814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ellie Elizabeth Mercado-schoessow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780137737 PECOS PAC ID: 6800182601 Enrollment ID: I20160902001110 |
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