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

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