Individual
DR. TRISTAN ROSS PEREGRINO FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1013 N MAIN ST, SIKESTON, MO 63801-5043
(573) 472-7535
(573) 472-7787
Mailing address
1013 N MAIN ST, SIKESTON, MO 63801-5043
(573) 472-7535
(573) 472-7787
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
05-43441
KS
207V00000X
Obstetrics & Gynecology Physician
5101022338
MI
Other
Enumeration date
06/18/2016
Last updated
12/02/2025
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