NPI 1124258223

Glen H Rudolph, MD

Practitioner Orthopaedic Surgery Physician Duluth, MN

Practice location

Address: 1000 E 1st St STE 404, Duluth, MN 55805-2297
Phone: (218) 722-5513
Fax: (218) 722-6515

Registered specialties (2)

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 50713 (MN)

Other Orthopaedic Surgery providers in Minnesota →

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 55776 (WI)

Registry record

NPI: 1124258223
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2009
Record last updated: 12 Mar 2019

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.