Mr Michael Allen Odom, LPN - Licensed Vocational Nurse in Canton, MI

Mr Michael Allen Odom, LPN is a Licensed Vocational Nurse based in Canton, Michigan. Mr Michael Allen Odom is licensed to practice in Michigan (license number 4703095116) and his current practice location is 5900 N Lotz Rd, Canton, Michigan. He can be reached at his office (for appointments etc.) via phone at (734) 394-4547.

NPI number for Mr Michael Allen Odom is 1760194344 and his current mailing address is 5900 N Lotz Rd, Canton, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760194344.

Contact Information

Mr Michael Allen Odom, LPN
5900 N Lotz Rd,
Canton, MI 48187-4331
(734) 394-4547
(734) 394-4650



Provider's Profile

Full NameMr Michael Allen Odom
GenderMale
SpecialityLicensed Vocational Nurse
Location5900 N Lotz Rd, Canton, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760194344
  • Provider Enumeration Date: 12/15/2022
  • Last Update Date: 12/15/2022

Medical Identifiers

Medical identifiers for Mr Michael Allen Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760194344NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse 4703095116 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Michael Allen Odom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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› Verified 4 days ago


Licensed Vocational Nurse Nurses in Canton, MI

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    

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