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Tyler Clutter, PA-C

NPI 1679285993 · on the registry since 2022 · sole proprietor

Practice

Address
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone
(574) 523-3160
Fax
(574) 523-3221
Organisation at this address
Cep America Llc
Cep America - Anesthesia Pc
Galen Inpatient Physicians Pc
Valley Emergency Physicians Inc
St. Joseph Valley Anesthesia P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
85

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363AM0700X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana