M. Edward Mimlitz PC

NPI #1952715005 in St. Louis, Missouri

Provider Information

NPI Number: 1952715005
Entity Type: Organization
Organization Name: M. Edward Mimlitz PC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jun 17, 2014
Last Updated: Jul 2, 2014

Practice Location

Address: 621 S. NEW BALLAS RD.
Address 2: SUITE 419-A
City: St. Louis
State: Missouri
ZIP Code: 63141-8259
Phone: (314) 432-8505

Authorized Official

Name: MR. MICHAEL E. MIMLITZ, M.D.
Title: PRESIDENT
Phone: (314) 432-8505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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