NPI: 1629117072 · ROYAL OAK, MI 48073 · Urology Physician · NPI assigned 02/05/2007
| Authorized Official | MOYLAN, DONALD (PARTNER) |
| NPI Enumeration Date | 02/05/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $172.30 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 74018 | 12 | 12 | $172.30 |