NPI: 1174178701 · ELKHART, IN 46517 · Geriatric Medicine (Family Medicine) Physician · NPI assigned 08/09/2019
| Authorized Official | RIESBECK, DAVID (ACCOUNTANT) |
| NPI Enumeration Date | 08/09/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 197 | $401.61 |
| 2021 | 219 | $546.33 |
| 2022 | 118 | $208.43 |
| 2023 | 88 | $18.39 |