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

Tyler Wiggins, PA-C

Individual provider Physician Assistant · NPI 1922690304

Tyler Wiggins, PA-C is a Physician Assistant in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4777 E Outer Dr Ste 1147
Detroit, MI 48234-3241
Phone: (810) 602-8898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010433 (MI)

Record details

NPI number1922690304
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 8, 2021
Last updated in NPPESFebruary 8, 2021
Certification dateFebruary 8, 2021
Mailing address284 Almont Ave, Almont, MI 48003-8601

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