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
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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