NPI: 1851563233 · GRANDVILLE, MI 49418 · Podiatrist · NPI assigned 03/26/2008
| Authorized Official | FAASSE, MARTIN (PRESIDENT) |
| NPI Enumeration Date | 03/26/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $235.79 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 12 | 12 | $235.79 |