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Odam Medical Group
Primary Care Clinic/Center in Crystal, Minnesota
NPI 1578934683

Odam Medical Group is a Primary Care Clinic/Center based in Crystal, MN and is specialized in Primary Care. Odam Medical Group practices in Crystal, MN. The NPI Number for Odam Medical Group is 1578934683 and holds a License No. (Minnesota).

The current practice location address for Odam Medical Group is 6014 Lakeland Ave N, Crystal, MN and can be reached out via phone at 612-871-2312 and via fax at 612-871-2163.

Location: 6014 Lakeland Ave N, Crystal, MN, 55428-2984
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578934683
Provider Name
Odam Medical Group
Credential
Provider Entity Type
Organization
Address
6014 Lakeland Ave N, Crystal, MN, 55428-2984
Phone Number
612-871-2312
Fax Number
612-871-2163
Provider Enumeration Date
10/14/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6014 Lakeland Ave N
City
Crystal
State
Minnesota
Zip
55428-2984
Phone Number
612-871-2312
Fax Number
612-871-2163
person
Provider Business Mailing Address Details
Address
6014 Lakeland Ave N
City
Crystal
State
Minnesota
Zip
55428-2984
Phone Number
612-871-2312
Fax Number
612-871-2163
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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