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

Michael Rudolph, MD

Individual provider Internal Medicine Physician · NPI 1619296563

Michael Rudolph, MD is an Internal Medicine in Fridley, Minnesota. Qualified in 2010, 16 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2010
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

550 Osborne Rd NE
Fridley, MN 55432-2718
Phone: (763) 236-3518
Fax: (763) 236-3524
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 57068 (MN)

Record details

NPI number1619296563
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 18, 2010
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing address550 Osborne Rd Ne, Fridley, MN 55432-2718

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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