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MS. LINDA S MILHOLEN MD
>> Surgery >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1174596548
Individual Registrant:MS. LINDA S MILHOLEN MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
10981 HIGHWAY 63 LICKING, MO 65542-9869 US
Tel: 417-399-4707 Fax: --
Tel: 417-399-4707 Fax: --
Contact information for business:
PO BOX 109 HOUSTON, MO 65483-0109 US
Tel: 417-399-4707 Fax: --
Tel: 417-399-4707 Fax: --
Registration Information:
NPI: 1174596548
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208600000X | Allopathic & Osteopathic Physicians Surgery | MO | 2001029380 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 205687908 | MO | 05 | |
| 1174596548 | MO | 05 | |
| RAILROAD MEDICARE | P00171332 | MO | 01 |
