NPI: 1386375194 · MISHAWAKA, IN 46545 · Vascular & Interventional Radiology Physician · NPI assigned 06/22/2022
| Authorized Official | COATES, BONNIE (MANAGER) |
| NPI Enumeration Date | 06/22/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 30 | $2K |
| 2024 | 15 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 93970 | 45 | 28 | $4K |