Wolverine Dermatology, PC
NPI 1679085161ActiveOrganization· Dermatology· Wyoming, MI
Dermatology in Wyoming, Michigan, registered in NPPES in October 2017. The authorized official on file is Ryan Dale Freeland, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679085161 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2017 |
| Last updated in NPPES | Feb 28, 2023 |
| Certified by provider | Feb 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 4301084275 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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