Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYSEN J PETRE, D.O.
ActiveTYSEN J PETRE, D.O. is a Family Medicine healthcare provider located in KIRKSVILLE, Missouri. NPI 1871642470 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · KIRKSVILLE, MO
Registration Details
- NPI Number
- 1871642470
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2007 (19.582655737598 yrs)
- Last Updated
- Sep 16, 2025
- License
-
2006004444 (MO)
Practice Information
- Address
-
1611 S BALTIMORE STKIRKSVILLE, MO, 635014518Browse MO providers · Browse ZIP 63501
- Phone
- 6606657575
- Fax
- 6606657576
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in KIRKSVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| DR. REX OWEN LEE | D.O. | 1922000272 |
| KAREN A SYLVARA | DO | 1003812090 |
| JEFFREY A SUZEWITS | D.O. | 1497744569 |
| DR. JAMES L BOWERS | DO | 1063493799 |
| MELANIE S. GRGURICH | D.O. | 1316922214 |
| GEMMA A CIESEMIER | DO | 1093790966 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.