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

Individual provider Physician Assistant · NPI 1104250455

Mark David Wiles, PA is a Physician Assistant in Wyoming, Michigan. Qualified in 2013, 13 years ago. Practices with Metropolitan Hospital, a 422-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
13
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2122 Health Dr SW Ste 133
Wyoming, MI 49519-9698
Phone: (616) 252-5950
Fax: (616) 252-5956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 Michigan St Ne, Grand Rapids, MI 49503-2560 — (616) 391-3431
  • 100 Michigan St Ne, Grand Rapids, MI 49503-2560 — (616) 391-3431

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104250455
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 22, 2013
Last updated in NPPESMarch 17, 2018
Mailing address5900 Byron Center Ave Sw, Medical Administration, Wyoming, MI 49519-9606

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Metropolitan Hospital — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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