# MOBILE THERAPEUTICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659101814
- **Authorized official:** ERIC JAMES GODDEYNE PA-C (CHIEF OF ORTHOPAEDICS)
- **Authorized official phone:** (920) 470-0333

## Contact information

- **Practice address:** 7821 ALTMEYER DR, DE PERE, WI 54115-7784
- **Practice address phone:** (920) 470-0333
- **Mailing address:** 7821 ALTMEYER DR, DE PERE, WI 54115-7784
- **Mailing address phone:** (920) 470-0333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2024
- **Last updated:** 01/08/2025