Healthcare Provider Details

I. General information

NPI: 1356001234
Provider Name (Legal Business Name): RYLEE A DYDA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RYLEE WRIGHT PA-C

II. Dates (important events)

Enumeration Date: 12/20/2021
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E MEDICAL CENTER DR
ANN ARBOR MI
48109-5000
US

IV. Provider business mailing address

3621 S STATE ST
ANN ARBOR MI
48108-1633
US

V. Phone/Fax

Practice location:
  • Phone: 734-936-4000
  • Fax:
Mailing address:
  • Phone: 734-647-5299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601012397
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.007989RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: