Individual
JAMES E PETRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
306 46TH AVE, EAST MOLINE, IL 61244-4281
(309) 796-2329
(309) 796-1146
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(563) 355-3419
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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