Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wolverine Dermatology, PC

Organization Dermatology Physician · NPI 1679085161

Wolverine Dermatology, PC is a Dermatology Physician 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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