NPI: 1710378989 · GRAND RAPIDS, MI 49546 · Surgery Physician · NPI assigned 02/10/2015
| Authorized Official | APP, COLLEEN (OWNER) |
| NPI Enumeration Date | 02/10/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $708.43 |
| 2022 | 12 | $751.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 24 | 24 | $1K |