Mr Michael Allen Odom, LPN | |
5900 N Lotz Rd, Canton, MI 48187-4331 | |
(734) 394-4547 | |
(734) 394-4650 |
Full Name | Mr Michael Allen Odom |
---|---|
Gender | Male |
Speciality | Licensed Vocational Nurse |
Location | 5900 N Lotz Rd, Canton, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760194344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | 4703095116 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Allen Odom, LPN 5900 N Lotz Rd, Canton, MI 48187-4331 Ph: (313) 673-7494 | Mr Michael Allen Odom, LPN 5900 N Lotz Rd, Canton, MI 48187-4331 Ph: (734) 394-4547 |
Brandy Ann Chappell, LPN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 43825 Michigan Ave, Canton, MI 48188 Phone: 734-713-0088 | |
Susan Rhoton, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 6223 N Canton, Suite 201, Canton, MI 48187 Phone: 734-844-6533 |