Carol Marie Wierenga, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301074081 Issued in MI

Practice address

4328 Page Ave
Michigan Center, MI 49254-1077

Phone

(517) 764-3609

Fax

(517) 764-3659

NPI assigned

Dec 16, 2005

Last updated

Feb 27, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wojciech a. Gadowski, MD, SC

  • Family Medicine Physician
  • Menasha, WI
  • NPI 1366551293
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1780660381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 PAGE AVE",
            "city": "MICHIGAN CENTER",
            "state": "MI",
            "postal_code": "492541077",
            "telephone_number": "517-764-3609",
            "fax_number": "517-764-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 PAGE AVE",
            "city": "MICHIGAN CENTER",
            "state": "MI",
            "postal_code": "492541077",
            "telephone_number": "517-764-3609",
            "fax_number": "517-764-3659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Fuller Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481052303",
            "country_code": "US",
            "telephone_number": "734-769-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIERENGA",
        "first_name": "CAROL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301074081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin R Timm, DDS
• W. a. Foote Memorial Hospital, Inc (Henry Ford Allegiance Health)
• W.a. Foote Memorial Hospital, Inc (Henry Ford Allegiance Health)
• Addie Weaver, PH.D.
• Dawn E Wesenberg, PA
• Heather Lee Woolworth, RN
• Keith Zastrow, RN

• Family Medicine Physician in Michigan Center, MI
• Providers in Michigan Center, 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 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.