WORKERS' COMPENSATION MEDICAL CONSULTING, LC
Ambulatory Health at Highway 109, Wildwood, MO

License number
Missouri R9N85
Category
Ambulatory Health
Type
Occupational Medicine
Owner
Name: MARY ANN HOLLMAN MD, MS, CIME
Title: PRESIDENT
Phone: (636) 730-3177
Address
Address
2638 Highway 109 SUITE 101, Wildwood, MO 63040
National Provider ID: 1235395724
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Workers' Compensation Medical Consulting, LC

16282 Audubon Vlg Dr, Grover, MO 63040

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Oct 13, 2005
State ID:
LC0691123
Business type:
Limited Liability Company
Expiration:
Perpetual
Medical Doctor, Member, Occupational Industrial Specialist, Presidents:
Mary A. Hollman (President),Maryann Hallman Medical Doctor, Member, Occupational Industrial Specialist, President, inactive
Agent:
Mary Ann Hollman,16282 Audubon Vlg Dr, Grover, MO 63040 (Physical)

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