NPI: 1306973698 · SAINT PAUL, MN 55103 · Case Management Agency · NPI assigned 02/27/2007
| Authorized Official | WILDERSON, THAD (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 02/27/2007 |
Other providers sharing the same authorized official: WILDERSON, THAD
| Provider | City | State | Total Paid |
|---|---|---|---|
| THAD WILDERSON & ASSOCIATES PA | SAINT PAUL | MN | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 81 | $57K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| T2023 | Targeted case management; per month | 81 | 79 | $57K |