Odom, Brian
Odom, Brian is an individual health care provider with primary practice located at 850 W Baraga Ave , Marquette MI 49855-4550. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Odom, Brian can be contacted via phone (906) 449-3000.Contact Information
Primary practice address
850 W Baraga Ave
Marquette MI 49855-4550
Phone: (906) 449-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301113025 | Michigan |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 4301506770 | Michigan |
Profile Details
| NPI number | 1730619354 |
|---|---|
| LBN Legal business name | Odom, Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 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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