Individual
MITCHELL ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6717
(414) 805-6428
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6717
(414) 805-6428
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301119164
MI
207P00000X
Emergency Medicine Physician
Primary
73663
WI
Other
Enumeration date
06/17/2015
Last updated
02/18/2025
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