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

Odam Medical Group

Organization Primary Care Clinic/Center · NPI 1902392525

Odam Medical Group is a Primary Care Clinic/Center in Saint Cloud, Minnesota. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

1521 Northway Dr Ste 116
Saint Cloud, MN 56303-1274
Phone: (320) 774-3800
Fax: (320) 774-3360
Show map & directions

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

Additional practice locations (1)

  • 435 Main St W Ste B, Rice, MN 56367-9516 — (320) 774-3800

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1902392525
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Larbi-Odam — Ceo · (612) 871-2312
Other names Odam Medical Group - St. Cloud; Odam Medical Group - St. Cloud
NPI enumeratedJuly 6, 2018
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025
Mailing address1521 Northway Dr Ste 116, Saint Cloud, MN 56303-1274

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