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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYSON GAYLE WYANT, PA-C

Active

TYSON GAYLE WYANT, PA-C is a Physician Assistant healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1417505629 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CLINTON TOWNSHIP, MI

Registration Details

NPI Number
1417505629
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2019 (6.9791515252462 yrs)
Last Updated
Jul 1, 2021
License
5601010514 (MI)

Practice Information

Address
15855 19 MILE RD
CLINTON TOWNSHIP, MI, 480383504
Browse MI providers · Browse ZIP 48038
Phone
5862632300
Fax
3138761305
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CLINTON TOWNSHIP, MI

Name Credential NPI
KELLY A SCHWEIGER P.A.-C 1104828177
JAMES ALISTER KNAUER PAC 1861445488
ANGELA K IANITELLI PA-C 1457418154
MRS. HELEN VICTORIA HRANCHOOK-EHARDT P.A. - C 1386828887
MAJA MALONEY PA-C 1346487709
SHERI L WHITE PA 1780811240
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.