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Organization
PRO MEDICAL REVIEWS, LLC
Active
Organization
PRO MEDICAL REVIEWS, LLC
Active
Other names
Pro Medical Reviews
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDWARD MIMLITZ MD (OWNER)
(314) 394-1660
Entity
Organization
Contact information
Practice address
1062 OLD DES PERES RD, SAINT LOUIS, MO 63131-1865
(314) 394-1660
(314) 394-1663
Mailing address
1062 OLD DES PERES RD, SAINT LOUIS, MO 63131-1865
(314) 394-1660
(314) 394-1663
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
NULL
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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