NPI 1033894910

Tyler Wundrach, PAC

Practitioner Physician Assistant Clinton Twp, MI

Practice location

Address: 15855 19 Mile Rd, Clinton Twp, MI 48038-3504
Phone: (586) 263-2320
Fax: (586) 203-1050
Mailing address: 1 Ford Pl STE 3a, Detroit, MI 48202-3450

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601011785 (MI)

Other Physician Assistant providers in Michigan →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 5601011785 (MI)

Trauma Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0127X Licence 5601011785 (MI)

Other Surgery providers in Michigan →

Registry record

NPI: 1033894910
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2023
Record last updated: 15 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.