Organization
NEURO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY ODLAND PHD, LP, ABPP (OWNER/CEO)
(320) 491-8233
Entity
Organization
Contact information
Practice address
15600 36TH AVE N STE 140, PLYMOUTH, MN 55446-3372
(763) 308-5772
(612) 392-7974
Mailing address
15600 36TH AVE N STE 140, PLYMOUTH, MN 55446-3372
(320) 491-8233
(612) 392-7974
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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