NPI: 1528457645 · PRIOR LAKE, MN 55372 · Chiropractor · NPI assigned 01/13/2015
| Authorized Official | HERMSEN, SAMANTHA (CHIEF MANAGER) |
| NPI Enumeration Date | 01/13/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 16 | $304.88 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 98940 | 16 | 12 | $304.88 |