NPI: 1154992832 · TROY, MI 48085 · Clinic/Center · NPI assigned 07/05/2021
| Authorized Official | FENKELL, BLAKE (OWNER) |
| NPI Enumeration Date | 07/05/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 15 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 15 | 15 | $1K |