Individual
DR. HENRY DENNIS MOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
3655 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8715
(314) 577-8720
Mailing address
3635 VISTA AVE.,, 5 FDT, SAINT LOUIS, MO 63110
(314) 577-8715
(314) 577-8720
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036-121197
IL
207T00000X
Neurological Surgery Physician
Primary
R7G01
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121197
—
IL
05
—
1881706463
—
MO
05
—
30515300
—
WI
Enumeration date
08/31/2006
Last updated
04/17/2014
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