Organization
MELICIEN TETTAMBEL, D.O., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELICIEN TETTAMBEL D.O. (PHYSICIAN)
(660) 627-5175
Entity
Organization
Contact information
Practice address
1108 E PATTERSON ST, SUITE 3, KIRKSVILLE, MO 63501-4002
(660) 627-5175
(660) 627-5180
Mailing address
1108 E PATTERSON ST, SUITE 3, KIRKSVILLE, MO 63501-4002
(660) 627-5175
(660) 627-5180
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
R9714
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
R9714
MO
Other
Enumeration date
04/02/2007
Last updated
09/11/2025
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