Rudolph, Michael

Rudolph, Michael is an sole proprietor health care provider with primary practice located at 550 Osborne Rd Ne , Fridley MN 55432-2718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rudolph, Michael can be contacted via phone (763) 236-3518.

Contact Information

Primary practice address
550 Osborne Rd Ne Fridley MN 55432-2718
Fax: (763) 236-3524
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57068 Minnesota

Profile Details

NPI number 1619296563
LBN Legal business name Rudolph, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2010
Last updated Nov 10th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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