Twelvemile Creek is a stream in Madison County in the U.S. state of Missouri.
The stream headwaters arise on the east flank of Matthews Mountain at 37°29′23″N 90°20′07″W / 37.48972°N 90.33528°W / 37.48972; -90.33528 and it flows southeast and then south to parallel US Route 67 past the communities of Zion and Twelvemile.
[1][2] Part of the course of Twelvemile Creek adjacent to the community of Twelvemile lies 12 miles (19 km) south of Fredericktown, hence the name.
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