NPI: 1215003082 · GREEN BAY, WI 54303 · Pain Medicine (Anesthesiology) Physician · NPI assigned 11/25/2006
| Authorized Official | HERON, CHARLES (PRESIDENT) |
| NPI Enumeration Date | 11/25/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 89 | $7K |
| 2020 | 39 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 01936 | 128 | 105 | $10K |