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Organization
WORKERS' COMPENSATION MEDICAL CONSULTING, LC
Active
Organization
WORKERS' COMPENSATION MEDICAL CONSULTING, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN HOLLMAN MD, MS, CIME (PRESIDENT)
(636) 730-3177
Entity
Organization
Contact information
Practice address
2638 HIGHWAY 109, SUITE 101, WILDWOOD, MO 63040-1161
(636) 730-3177
Mailing address
16282 AUDUBON VILLAGE DR, WILDWOOD, MO 63040-1710
(314) 302-0623
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
R9N85
MO
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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