Individual provider · Type 1 NPI

Tyler Wundrach, PA-C

Physician Assistant · Clinton Township, MI

NPI number 1033894910 Active

Practice location

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Fax (586) 203-1050

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 1 Hurley Plz # 7B, Flint, MI 48503-5902 · (810) 262-9355

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601011785 (MI)
Surgical Physician Assistant 363AS0400X5601011785 (MI)
Trauma Surgery Physician 2086S0127X5601011785 (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…

512 other providers at this address

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About NPI 1033894910

Tyler Wundrach, PA-C's National Provider Identifier is 1033894910, issued on Jun 19, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Clinton Township, MI. The record was last updated on Jul 15, 2026.