National Provider Identifier Database

ODAM MEDICAL GROUP
Primary Care


Contact Information

ODAM MEDICAL GROUP
700 PENN ST
FOLEY, MN56329-8700
Phone: 320-774-3800
Fax: 320-774-3360
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X
Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for ODAM MEDICAL GROUP

NPI Number 1538059779
Legal business name
LBN
ODAM MEDICAL GROUP
Authorized official ROBERT LARBI-ODAM - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/08/2025
Last updated 07/08/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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