NPI: 1487734109 · FORT WAYNE, IN 46804 · Specialist · NPI assigned 10/17/2006
| Authorized Official | WITTWER, LYN (OFFICE MANAGER) |
| NPI Enumeration Date | 10/17/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 45 | $173.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 95115 | 45 | 24 | $173.70 |