Jennilyn Wetzel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

JW054330 Issued in MI

Practice address

30695 Little Mack
Suite 200
Roseville, MI 48066

Phone

(586) 294-9600

Fax

(586) 294-7570

NPI assigned

Sep 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1104920792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28289 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935436",
            "telephone_number": "248-585-8218",
            "fax_number": "248-585-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30695 LITTLE MACK",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "48066",
            "telephone_number": "586-294-9600",
            "fax_number": "586-294-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "JENNILYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "JW054330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3123069",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wdwrosevillepllc
• We DO for Family LLC
• We Help Home Care LLC
• David S. Wendel, D.C.
• Bryan C West, D.P.M.
• Nathan Lloyd White, LMSW
• Taylor Elizabeth White
• Kaitlyn Whittlesey
• Keeaira McCal Wilkins
• William D Hanna MD PC

• Family Medicine Physician in Roseville, MI
• Providers in Roseville, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.