Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TYLER STEPHEN CLUTTER, PA-C
Active Sole ProprietorMedical Physician Assistant · MISHAWAKA, IN
Registration Details
- NPI Number
- 1679285993
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2022 (3.3393212663397 yrs)
- Last Updated
- Apr 8, 2025
- License
-
10003930A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5215 HOLY CROSS PKWYMISHAWAKA, IN, 465451469Browse IN providers · Browse ZIP 46545
- Phone
- 5745233160
- Fax
- 5745233221
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in MISHAWAKA, IN
| Name | Credential | NPI |
|---|---|---|
| EMILY ELSTON | PA-C | 1306438023 |
| EMILY GRACE GOUKER | PA-C | 1447922638 |
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.