Odland, David J.

Odland, David J. is an individual health care provider with primary practice located at 1527 Broadway St , Alexandria MN 56308-2537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Odland, David J. can be contacted via phone (320) 762-0399.

Contact Information

Primary practice address
1527 Broadway St Alexandria MN 56308-2537
Phone: (320) 762-0399
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 27571 Minnesota

Profile Details

NPI number 1497728836
LBN Legal business name Odland, David J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jun 3rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497728836 NPPES
Minnesota MEDICAID 745372800
Minnesota Other P00415252
Minnesota Other HP33756
Minnesota Other 447K4OD
Minnesota Other 080016069

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