Individual
DR. SAMUEL ODAME ANIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
(701) 234-2345
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301087288
MI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
11958
ND
2080P0207X
Pediatric Hematology & Oncology Physician
54658
MN
390200000X
Student in an Organized Health Care Education/Training Program
4301087288
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16941
—
ND
Enumeration date
06/08/2007
Last updated
08/30/2022
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