NPI: 1841964277 · WOODBURY, MN 55125 · Medical Specialty Clinic/Center · NPI assigned 08/09/2021
| Authorized Official | ALFONSO, ABEL (CEO) |
| NPI Enumeration Date | 08/09/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 46 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 46 | 38 | $3K |