NPI: 1831603596 · EAST CHINA, MI 48054 · Internal Medicine Physician · NPI assigned 11/16/2017
| Authorized Official | JUSTUSSON, LYNN (VP) |
| NPI Enumeration Date | 11/16/2017 |
Other providers sharing the same authorized official: JUSTUSSON, LYNN
| Provider | City | State | Total Paid |
|---|---|---|---|
| BOUNCE BACK PHYSICAL THERAPY | INDIANAPOLIS | IN | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 37 | $1K |
| 2019 | 39 | $2K |