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

Tyler Anne Wolfe

Individual provider Physician Assistant · NPI 1497472443

Tyler Anne Wolfe is a Physician Assistant in Clarkston, Michigan. Qualified in 2023, 3 years ago. Practices with Legacy Dermatology Group PC, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2022

Practice location Address checks out

445 Shrewsbury Dr
Clarkston, MI 48348-3671
Phone: (248) 705-6541
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1497472443
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 20, 2022
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022
Mailing address445 Shrewsbury Dr, Clarkston, MI 48348-3671

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Legacy Dermatology Group Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clarkston