Organization
ZENITH MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LARBI-ODAM M.D. (OWNER)
(763) 503-1122
Entity
Organization
Contact information
Practice address
6800 78TH AVE N, SUITE 110, BROOKLYN PARK, MN 55445-2758
(763) 503-1122
(763) 503-1127
Mailing address
6800 78TH AVE N, SUITE 110, BROOKLYN PARK, MN 55445-2758
(763) 503-1122
(763) 503-1127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46773
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457311409
INDIVIDUAL NPI #
MN
Enumeration date
03/22/2007
Last updated
08/22/2020
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