JENNILYN WETZEL MD
NPI 1104920792
Family Medicine in Roseville, MI

Q: What is Jennilyn Wetzel's NPI number?

The NPI number for Jennilyn Wetzel is 1104920792. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Q: What is Jennilyn Wetzel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennilyn Wetzel was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 12, 2006

30695 LITTLE MACK, SUITE 200, ROSEVILLE, MI 48066(586) 294-9600(586) 294-7570 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jennilyn Wetzel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNILYN WETZEL MD (NPI 1104920792) is an individual family medicine provider in Roseville, Michigan, licensed in Michigan (JW054330) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1104920792

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJENNILYN WETZELCredential: MD

Location Address30695 LITTLE MACK, SUITE 200Roseville, MI 48066

Mailing Address28289 Hoover RdWarren, MI 48093-5436 · (248) 585-8218 · Fax (248) 585-8266

Phone(586) 294-9600

Fax(586) 294-7570

Sole ProprietorNo

Enumeration DateSeptember 12, 2006

Last NPPES UpdateFebruary 11, 2019

✔ NPI 1104920792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · JW054330

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

30695 LITTLE MACK, Roseville, MI 48066

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Other Identifiers 1

Medicaid3123069MI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN EDWARD WOOD MD

Family Medicine

30695 LITTLE MACK, SUITE 200
ROSEVILLE, MI 48066

Macomb County (586) 294-9600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennilyn Wetzel's NPI number?

The NPI number for Jennilyn Wetzel is 1104920792. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Jennilyn Wetzel located?

Jennilyn Wetzel practices at 30695 Little Mack Suite 200, Roseville, MI 48066. The listed phone number is (586) 294-9600.

What is Jennilyn Wetzel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jennilyn Wetzel was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.