Individual
TAYLOR JAMES RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8290 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1847
(763) 786-9543
Mailing address
8290 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1847
(763) 786-9543
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
66829
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
66829
MN
Other
Enumeration date
04/21/2014
Last updated
10/27/2023
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