Odam Medical Group

NPI #1578934683 in Crystal, Minnesota

Provider Information

NPI Number
1578934683
Entity Type
Organization
Organization Name
Odam Medical Group
Primary Specialty
Clinic/Center
Enumeration Date
Oct 14, 2015
Last Updated
Dec 22, 2022

Practice Location

Address
6014 LAKELAND AVE N
ZIP Code
55428-2984
Phone
(612) 871-2312

Authorized Official

Name
DR. ROBERT LARBI-ODAM, M.D.
Title
CEO/MEDICAL DIRECTOR
Phone
(952) 992-9305

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care
Clinic/Center

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