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Individual

STEVEN MICHAEL OMODT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, MSN

Contact information

Practice address
810 PALACE AVE, SAINT PAUL, MN 55102-3435
(651) 888-7647
(651) 305-5743
Mailing address
810 PALACE AVE, SAINT PAUL, MN 55102-3435
(952) 465-5467
(651) 305-5743

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
1006111
MN

Other

Enumeration date
04/16/2025
Last updated
04/16/2025
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