NPI: 1255008587 · HARBOR BEACH, MI 48441 · General Practice Physician · NPI assigned 08/25/2021
| Authorized Official | TAN, JAIME (OWNER) |
| NPI Enumeration Date | 08/25/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $566.54 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99308 | 13 | 13 | $566.54 |