IndividualActive
Taylor Ridley, MD
NPI 1477973246 · Sports Medicine (Orthopaedic Surgery) Physician · Fridley, MN
Provider details
- NPI number
- 1477973246
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 66829 (MN)
Mailing address
8290 University Ave Ne
Fridley, MN 55432-1847
Registry dates
- Enumerated
- 2014-04-21
- Last updated
- 2023-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.