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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