Organization
M. EDWARD MIMLITZ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E. MIMLITZ M.D. (PRESIDENT)
(314) 432-8505
Entity
Organization
Contact information
Practice address
621 S. NEW BALLAS RD., SUITE 419-A, ST. LOUIS, MO 63141-8259
(314) 432-8505
(314) 432-6853
Mailing address
621 S. NEW BALLAS RD., SUITE 419-A, ST. LOUIS, MO 63141-8259
(314) 432-8505
(314) 432-6853
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
101836
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700441
UNITED HEALTH CARE
MO
05
—
208179317
—
MO
Enumeration date
06/17/2014
Last updated
07/02/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us