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Individual
JAMES E PETRE
Active
Individual
JAMES E PETRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036091692
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020356
HEALTH ALLIANCE
—
05
—
036091692
—
IL
05
—
0589291
—
IA
01
—
20084
IOWA HEALTH SOLUTIONS
—
01
—
4796890020
DMERC
—
01
—
90722
WELLMARK BC/BS
—
Enumeration date
06/22/2005
Last updated
09/23/2022
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