All Medicaid billing entities listing BACHENBERG, TIMOTHY (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $26K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CUSTOM CLINIC, P.A. | FAIRMONT, MN | Family Medicine Physician | $26K |