Individual
TYLER WUNDRACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 HURLEY PLZ # 7B, FLINT, MI 48503-5902
(810) 262-9355
(810) 262-6341
Mailing address
48423 MONTELEPRE DR, SHELBY TOWNSHIP, MI 48315-4153
(586) 553-2102
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
5601011785
MI
363AS0400X
Surgical Physician Assistant
Primary
5601011785
MI
Other
Enumeration date
06/19/2023
Last updated
03/29/2024
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