NPI: 1376148593 · MISHAWAKA, IN 46545 · Certified Registered Nurse Anesthetist · NPI assigned 12/04/2020
| Authorized Official | MACKEN-MARBLE, KELLY (CEO) |
| NPI Enumeration Date | 12/04/2020 |
Other providers sharing the same authorized official: MACKEN-MARBLE, KELLY
| Provider | City | State | Total Paid |
|---|---|---|---|
| LADD MEMORIAL HOSPITAL | OSCEOLA | WI | $1.21M |
| LADD MEMORIAL HOSPITAL | OSCEOLA | WI | $464K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 198 | $2K |
| 2022 | 61 | $1K |