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Individual

RICK M ODLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 PARK AVE, P7, MINNEAPOLIS, MN 55415-1623
(612) 873-2424
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
29242
MI

Other

Enumeration date
07/26/2006
Last updated
07/29/2007
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