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

Samuel Ranche Dudley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548793425

Samuel Ranche Dudley is an Otolaryngology in Midland, Michigan. Qualified in 2017, 9 years ago. Practices with Mymichigan Medical Group, a 178-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4310 Campus Ridge Dr
Midland, MI 48640-6104
Phone: (989) 839-6201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 4301506820 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548793425
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2017
Last updated in NPPESJune 17, 2022
Certification dateJune 17, 2022
Mailing address4000 Wellness Dr, Midland, MI 48670-2000

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mymichigan Medical Group — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Midland