Individual
MS. LINDA S MILHOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10981 HIGHWAY 63, LICKING, MO 65542-9869
(417) 399-4707
Mailing address
PO BOX 109, HOUSTON, MO 65483-0109
(417) 399-4707
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2001029380
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174596548
—
MO
05
—
205687908
—
MO
01
—
P00171332
RAILROAD MEDICARE
MO
Enumeration date
02/08/2006
Last updated
05/18/2021
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