All Medicaid billing entities listing WIEDERHOLT, NATHAN (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| South Dakota | 1 | $73K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PREMIER FAMILY EYE CARE, PC | CUSTER, SD | Optometrist | $73K |