# PRO MEDICAL REVIEWS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pro Medical Reviews
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477321198
- **Authorized official:** DR. MICHAEL EDWARD MIMLITZ MD (OWNER)
- **Authorized official phone:** (314) 394-1660

## Contact information

- **Practice address:** 1062 OLD DES PERES RD, SAINT LOUIS, MO 63131-1865
- **Practice address phone:** (314) 394-1660
- **Practice address fax:** (314) 394-1663
- **Mailing address:** 1062 OLD DES PERES RD, SAINT LOUIS, MO 63131-1865
- **Mailing address phone:** (314) 394-1660
- **Mailing address fax:** (314) 394-1663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2023
- **Last updated:** 12/12/2023