| Odom Health and Wellness | |
|
500 S Cherry St Waconia MN 55387-4515 | |
| (952) 856-4722 | |
| Not Available |
| Full Name | Odom Health and Wellness |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 500 S Cherry St, Waconia, Minnesota |
| Authorized Official Name and Position | John H.L. Odom (PRESIDENT) |
| Authorized Official Contact | 9522241919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odom Health and Wellness 10500 Wayzata Blvd Minnetonka MN 55305-1511 Ph: (952) 224-1919 | Odom Health and Wellness 500 S Cherry St Waconia MN 55387-4515 Ph: (952) 856-4722 |
| NPI Number | 1740625870 |
|---|---|
| Provider Enumeration Date | 05/02/2013 |
| Last Update Date | 05/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740625870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | () | Primary |
| 225100000X | Physical Therapist | () | Secondary |
| 225X00000X | Occupational Therapist | () | Secondary |
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