Individual
MR. JOHN H WILMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 S NEW BALLAS RD, DEPT OF EMERGENCY MEDICINE, SAINT LOUIS, MO 63141-8221
(314) 251-6816
Mailing address
615 S NEW BALLAS RD, DEPT OF EMERGENCY MEDICINE, SAINT LOUIS, MO 63141-8221
(314) 251-6816
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2003003353
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952406142
—
MO
Enumeration date
09/13/2006
Last updated
07/25/2014
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