Individual provider · Type 1 NPI

Mark David Wiles, PA

Physician Assistant · Wyoming, MI

NPI number 1104250455 Active

Practice location

2122 Health Dr SW Ste 133
Wyoming, MI 49519-9698

Fax (616) 252-5956

Mailing address

5900 Byron Center Ave SW, Medical Administration
Wyoming, MI 49519-9606

Other practice locations

  • 100 Michigan St NE, Grand Rapids, MI 49503-2560 · (616) 391-3431
  • 100 Michigan St NE, Grand Rapids, MI 49503-2560 · (616) 391-3431

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1104250455

Mark David Wiles, PA's National Provider Identifier is 1104250455, issued on Aug 22, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wyoming, MI. The record was last updated on Mar 17, 2018.