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NPI Profile for MICHAEL C ODLE in UNION CITY, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1295722114 |
|
| Status | Active | |
| Credentials | F.N.P. | |
| Entity | Individual | |
| Enumeration date | 10/05/2005 | |
| Last updated | 11/01/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHAEL C ODLE
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MICHAEL C ODLE, F.N.P.