Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wolverine Dermatology, PC

Organization Dermatology Physician · NPI 1679085161

Wolverine Dermatology, PC provides Dermatology Physician services in Wyoming, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1673 Gezon Pkwy SW
Wyoming, MI 49519-9519
Phone: (616) 243-3376
Fax: (616) 243-3377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301084275 (MI)

Record details

NPI number1679085161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Freeland — Owner · (210) 632-0341
NPI enumeratedOctober 25, 2017
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023
Mailing address1673 Gezon Pkwy Sw, Wyoming, MI 49519-9519

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