Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT WALTER TYCHOLIZ, PA
ActiveSCOTT WALTER TYCHOLIZ, PA is a Physician Assistant healthcare provider located in CLARKSTON, Michigan. NPI 1609200021 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CLARKSTON, MI
Registration Details
- NPI Number
- 1609200021
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2013 (12.993649808655 yrs)
- Last Updated
- Aug 22, 2013
- License
-
5601006684 (MI)
Practice Information
- Address
-
5701 BOW POINTE DRSUITE 120CLARKSTON, MI, 483463198Browse MI providers · Browse ZIP 48346
- Phone
- 2486252273
- Fax
- 2486256336
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CLARKSTON, MI
| Name | Credential | NPI |
|---|---|---|
| EUGENE DENIS SULLIVAN | PA-C | 1245208883 |
| JAMES A HARRILL | PA | 1063510089 |
| SAMANTHA LYNN MYERS | P.A.C. | 1477622108 |
| MRS. STEPHANIE ANN COLEMAN | PA-C | 1134274699 |
| TARA LEIGH TAYLOR | P.A.-C | 1154512374 |
| MRS. KATIE LYN RUTKOWSKI | P.A.-C | 1689956633 |
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.