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Individual

DR. MICHAEL L ODINET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
611 SAINT LANDRY ST, LAFAYETTE, LA 70506-4627
(337) 289-2000
Mailing address
PO BOX 34935, DEPT 199, SEATTLE, WA 98124-1935
(800) 950-1027

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
025999
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04866
BCBS
LA
05
1055956
LA
Enumeration date
07/13/2006
Last updated
12/05/2007
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