Hello MichaelT9,
Thank you for reaching out Microsoft Community. Can you open PowerShell as Admin then enter the command below:
Get-AppXPackage | Foreach {Add-AppxPackage -DisableDevelopmentMode -Register "$($_.InstallLocation)\AppXManifest.xml"}
Once done restart the device and open it again. You may also try the Surface App then go to Pen Settings to calibrate. If no Surface App installed yet you can go to Store App and look for Surface App then install it.
Hope that works. Please keep us posted.
Regards,
KarenJune_F