DR. MARK ALEXANDER RUDOLF MD PHD NPI 1528705852

NPI Information

  • NPI: 1528705852
  • Provider Name: DR. MARK ALEXANDER RUDOLF, MD, PHD
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 2800 PLYMOUTH RD # 35-1411
    ANN ARBOR, MI
    ZIP 48109
  • Phone: (734) 764-3270

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NPI Details

DR. Mark Alexander Rudolf, MD, PHD is a student in an organized health care education training program in Ann Arbor, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Mark Alexander Rudolf, MD, PHD NPI is 1528705852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2800 PLYMOUTH RD # 35-1411
ANN ARBOR, MI
ZIP 48109-800
Phone: (734) 764-3270

The enumeration date for this NPI number is 5/18/2022 and was last updated on 5/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training Program4351049243MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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