NPI: 1346238920 · EAST LANSING, MI 48823 · Plastic Surgery Physician · NPI assigned 10/08/2005
| Authorized Official | SUPANWANID, PREECHA (PRESIDENT) |
| NPI Enumeration Date | 10/08/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $906.30 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15 | 15 | $906.30 |