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Organization
ODAM MEDICAL GROUP
Active
Organization
ODAM MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LARBI-ODAM MD (CEO)
(612) 871-2312
Entity
Organization
Contact information
Practice address
700 PENN ST, FOLEY, MN 56329-8700
(320) 774-3800
(320) 774-3360
Mailing address
700 PENN ST, FOLEY, MN 56329-8700
(320) 774-3800
(612) 871-2163
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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