NPI: 1508641291 · MILWAUKEE, WI 53202 · General Practice Physician · NPI assigned 08/30/2023
| Authorized Official | PAULL, JONATHAN (MANAGER) |
| NPI Enumeration Date | 08/30/2023 |
Other providers sharing the same authorized official: PAULL, JONATHAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| DIALYZE DIRECT TN, LLC | MEMPHIS | TN | $227K |
| DIALYZE DIRECT MD, LLC | GLEN BURNIE | MD | $12K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 26 | $914.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 99457 | 26 | 26 | $914.00 |