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

Michael Kenneth Hudalla, MD

Individual provider Family Medicine Physician · NPI 1891785424

Michael Kenneth Hudalla, MD is a Family Practice in Staples, Minnesota. Graduated from University of Minnesota Medical School in 1997, 29 years ago. Practices with Lakewood Health System, a 107-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
29
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2005
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

49725 County 83
Staples, MN 56479-5280
Phone: (218) 894-1515
Fax: (218) 894-1316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 44193 (MN)

Record details

NPI number1891785424
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 25, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1997 (29 years in practice)
Group practice Lakewood Health System — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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