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Eric James Goddeyne, PA-C
Physician Assistant in Green Bay, Wisconsin
NPI 1386052777

Eric James Goddeyne is a Physician Assistant based in Green Bay, WI. Eric James Goddeyne practices in Green Bay, WI and has the professional credentials of PA-C. The NPI Number for Eric James Goddeyne is 1386052777 and holds a License No. 3204-23 (Wisconsin).

The current practice location address for Eric James Goddeyne is 1110 Kepler Dr, Green Bay, WI and can be reached out via phone at 920-288-5555 and via fax at 920-288-5550.

Location: 1110 Kepler Dr, Green Bay, WI, 54324-0900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386052777
Provider Name
Eric James Goddeyne
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1110 Kepler Dr, Green Bay, WI, 54324-0900
Phone Number
920-288-5555
Fax Number
920-288-5550
Provider Enumeration Date
07/29/2014
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
1110 Kepler Dr
City
Green Bay
State
Wisconsin
Zip
54311-8306
Phone Number
920-288-5555
Fax Number
920-288-5550
person
Provider Business Mailing Address Details
Address
1110 Kepler Dr
City
Green Bay
State
Wisconsin
Zip
54311-8306
Phone Number
920-288-5555
Fax Number
920-288-5550
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
3402 (Wisconsin)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
3204-23 (Wisconsin)
Definition
Definition to come...
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