All Medicaid billing entities listing WILDERSON, THAD (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 2 | $57K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | THAD WILDERSON & ASSOCIATES PA | SAINT PAUL, MN | Case Management Agency | $57K |
| 2 | THAD WILDERSON & ASSOCIATES PA | SAINT PAUL, MN | Clinical Child & Adolescent Psychologist | $0.00 |