Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Odam Medical Group

Organization Clinic/Center · NPI 1578934683

Odam Medical Group is a Clinic/Center in Crystal, Minnesota. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6014 Lakeland Ave N
Crystal, MN 55428-2984
Phone: (612) 871-2312
Fax: (612) 871-2163
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1578934683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Larbi-Odam — Ceo/Medical Director · (952) 992-9305
NPI enumeratedOctober 14, 2015
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022
Mailing address6014 Lakeland Ave N, Crystal, MN 55428-2984

Other providers in Crystal