Individual
DAVID J. ODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1527 BROADWAY ST, ALEXANDRIA, MN 56308-2537
(320) 762-0399
Mailing address
607 PROSPECT CIR, MARSHALL, MN 56258-2074
(507) 532-7553
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27571
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080016069
MET
MN
01
—
447K4OD
BC/BS
MN
05
—
745372800
—
MN
01
—
HP33756
HEALTHPARTNERS
MN
01
—
P00415252
RR MEDICARE
MN
Enumeration date
02/08/2006
Last updated
06/03/2008
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