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

Scott Walter Tycholiz, PA

Individual provider Physician Assistant · NPI 1609200021

Scott Walter Tycholiz, PA is a Physician Assistant in Clarkston, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
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.

See every abbreviation used in this directory →

Practice location Address checks out

5701 Bow Pointe Dr Ste 120
Clarkston, MI 48346-3198
Phone: (248) 625-2273
Fax: (248) 625-6336
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006684 (MI)

Record details

NPI number1609200021
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 22, 2013
Last updated in NPPESAugust 22, 2013
Mailing address5701 Bow Pointe Dr, Suite 120, Clarkston, MI 48346-3198

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