Wolverine Dermatology, PC
NPI 1679085161 · Dermatology Physician · Wyoming, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wolverine Dermatology, PC is a Dermatology Physician organization in Wyoming, MI (NPI 1679085161).
Provider details
- NPI number
- 1679085161
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan Freeland, Owner(210) 632-0341
- License
- 4301084275 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-10-25
- Last updated
- 2023-02-28
- Certified
- 2023-02-28
Frequently asked questions
- What is Wolverine Dermatology, PC's NPI number?
- Wolverine Dermatology, PC's National Provider Identifier (NPI) is 1679085161, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wolverine Dermatology, PC?
- Wolverine Dermatology, PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Wolverine Dermatology, PC located?
- Wolverine Dermatology, PC's practice location on file with NPPES is 1673 Gezon Pkwy Sw, Wyoming, MI 49519-9519.
- What is Wolverine Dermatology, PC's phone number?
- The practice phone number listed in the NPPES registry for Wolverine Dermatology, PC is (616) 243-3376.
- Does Wolverine Dermatology, PC accept Medicare?
- Wolverine Dermatology, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wolverine Dermatology, PC?
- The authorized official listed on Wolverine Dermatology, PC's NPPES record is Ryan Freeland, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wolverine Dermatology, PC's NPI active?
- Yes — Wolverine Dermatology, PC's NPI (1679085161) is active in the NPPES registry as of the last update on 2023-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.