Individual
MS. CAROL A ODEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MPA
Contact information
Practice address
900 WOODWARD AVE, PONTIAC, MI 48341-2976
(248) 858-3397
Mailing address
5423 BOYNE HIGHLAND TRL, CLARKSTON, MI 48348-3701
(248) 394-1057
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704088484
MI
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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