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

Glen H Rudolph, MD

Individual provider Orthopaedic Surgery Physician · NPI 1124258223

Glen H Rudolph, MD is an Orthopedic Surgery in Duluth, Minnesota. Graduated from University of Minnesota Medical School in 2006, 20 years ago. Practices with Orthopedic Associates of Duluth PA, a 40-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
20
Trained at
University of Minnesota Medical School
Licensed in
MN, WI
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 E 1st St Ste 404
Duluth, MN 55805-2297
Phone: (218) 722-5513
Fax: (218) 722-6515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 50713 (MN)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 55776 (WI)

Record details

NPI number1124258223
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 23, 2009
Last updated in NPPESMarch 12, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2006 (20 years in practice)
Group practice Orthopedic Associates Of Duluth Pa — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Duluth