Individual
DR. PATRICK WAYNE ODENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
Mailing address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58144
MN
208M00000X
Hospitalist Physician
Primary
58144
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2013
Last updated
09/17/2016
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