MEDICARE: DR. DANINE ANNE RYDLAND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	14040	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578553178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANINE ANNE RYDLAND M.D.

Provider Business Mailing Address
First Line	:	1952 ROCK CLIFF DR
Second Line	:
City	:	MARTINSBURG
State	:	WV
Zip	:	25401-2894
Country	:	US
Telephone Number	:	304-596-2310
Fax Number	:	304-596-2312

Provider Business Practice Location Address
First Line	:	1952 ROCK CLIFF DR
Second Line	:
City	:	MARTINSBURG
State	:	WV
Zip	:	25401-2894
Country	:	US
Telephone Number	:	304-596-2310
Fax Number	:	304-596-2312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	04/05/2026

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