NPI 1760194344

Michael Allen Odom, LPN

Practitioner Licensed Vocational Nurse Canton, MI

Practice location

Address: 5900 N Lotz Rd, Canton, MI 48187-4331
Phone: (734) 394-4547
Fax: (734) 394-4650

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 4703095116 (MI)

Other Licensed Vocational Nurse providers in Michigan →

Registry record

NPI: 1760194344
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Dec 2022
Record last updated: 15 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.