NPI: 1114303187 · TRAVERSE CITY, MI 49685 · Other Specialist/Technologist · NPI assigned 07/31/2015
| Authorized Official | DONAGHY, JUSTIN (OWNER) |
| NPI Enumeration Date | 07/31/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 14 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 95800 | 14 | 14 | $1K |