All Medicaid billing entities listing THEISEN, SCOTT (CLINIC DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $760.81 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | JO G THEISEN DC, PA | BROOKLYN PARK, MN | Chiropractor | $760.81 |