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Individual

PATRICK TERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
(660) 785-1000
(419) 502-2821
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 237-5000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2020035162
MO
207Q00000X
Family Medicine Physician
Primary
76086
WI

Other

Enumeration date
04/21/2017
Last updated
10/19/2021
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