Individual provider · Type 1 NPI

Riley Duryea

Physician Assistant · St. Clair Shores, MI

NPI number 1366396772 Active

Practice location

25311 Little Mack Ave Ste B
St. Clair Shores, MI 48081-3301

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601013777 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366396772

Riley Duryea's National Provider Identifier is 1366396772, issued on Feb 23, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Feb 23, 2026.