Individual
MICHAEL B TENTORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3330
(573) 629-3334
Mailing address
6500 HOSPITAL DR, PO BOX 1239, HANNIBAL, MO 63401-6890
(573) 406-5888
(573) 248-5264
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
101770
MO
207Q00000X
Family Medicine Physician
Primary
101770
MO
2083X0100X
Occupational Medicine Physician
DO101770
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932227907
—
MO
Enumeration date
03/27/2007
Last updated
02/17/2022
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