Samuel Ranche Dudley
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
Practice location Address checks out
Midland, MINo coordinates on file. Search this address in Google Maps
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 4301506820 (MI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1548793425 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 6, 2017 |
| Last updated in NPPES | June 17, 2022 |
| Certification date | June 17, 2022 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Mymichigan Medical Group — 178 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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