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Contact Information

HENRY D MOLLMAN, MD PHD
3655 VISTA AVE
SAINT LOUIS, MO63110-2539
 Phone: 314-577-8715
 Fax: 314-577-8720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 14 Physician/Neurosurgery
Indicates primary specialty

NPI Profile & details for HENRY D MOLLMAN · (Male)

NPI Number 1881706463
Credentials MD PHD
Entity Individual
Enumeration date 08/31/2006
Last updated 04/17/2014 - About 2 years ago
Sole proprietor 1 No
Identifiers
IL License # 036-121197
MO License # R7G01
IL Medicaid 036121197
MO Medicaid 1881706463
WI Medicaid 30515300
WI Medicare (Unspecified) 000639285
IL Medicare PIN R02983
MO Medicare PIN W19000096
Medicare UPIN A13600
MO Medicare UPIN 152360162
Hospital affiliation(s)
  • ST LOUIS UNIVERSITY HOSPITAL - (Acute Care)
    3635 VISTA AVE
    SAINT LOUIS, MO 63110
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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