| NPI Details | |
|---|---|
| NPI | 1780919654 |
| Gender | Female |
| Enumeration Date | 10/12/2009 |
| Last Updated | 11/04/2015 |
| Entity Type | Individual |
| Active | Over 8 years ago |
| Practice Location | |
|---|---|
| 202 S PARK ST MADISON WI, 53715-1507, US |
|
| Phone | (608) 417-6000 |
| Fax | |
| Business Location | |
|---|---|
| 202 S PARK ST MADISON WI, 53715-1507, US |
|
| Phone | (608) 417-6000 |
| Fax | (715) 835-0263 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 208M00000X |
| License State | Wisconsin |
| License Number | 53671-020 |
| Remove 1780919654 NPI Number | |
According to our database, Kristin R O'dell MD NPI is 1780919654, taxonomy code is 208M00000X and license number is 53671-020, license state is located at Wisconsin. Kristin R O'dell MD physically located at 202 S Park St, Madison WI, 53715-1507. NPI Number Kristin R O'dell MD has the Individual type.
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1780919654 NPI number is provided on an as is basis without warranty of any kind. 1780919654 is maintained by the National Plan & Provider Enumeration System. The contents of Kristin R O'dell MD are for informational purposes only.
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