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Contact Information

JOHN ODOM, MD
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN55344-3356
 Phone: 952-224-1919
 Fax: 612-999-1943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JOHN ODOM · (Male)

NPI # 1215953732
Status Active
Credentials MD
Entity Individual
Enumeration date 07/15/2006
Last updated 04/29/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • MN License # 44235
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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