NPI: 1104435460 · DETROIT, MI 48224 · Multi-Specialty Clinic/Center · NPI assigned 07/23/2020
| Authorized Official | BROWN, KYMALETHA (COORDINATOR) |
| NPI Enumeration Date | 07/23/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 30 | $2K |
| 2022 | 56 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99402 | 86 | 80 | $6K |