NPI: 1649418211 · NOVI, MI 48377 · Family Medicine Physician · NPI assigned 02/04/2009
| Authorized Official | KETSLAKH, MICHAEL (CEO) |
| NPI Enumeration Date | 02/04/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 93970 | 12 | 12 | $1K |