Jennilyn Wetzel in Roseville - Family Medicine

Jennilyn Wetzel - NPI 1104920792

Jennilyn Wetzel is a Family Medicine in Roseville, Michigan. Jennilyn Wetzel practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jennilyn Wetzel is 1104920792. The last update date is 2019-02-11.

Jennilyn Wetzel's current location address is 30695 Little Mack, Roseville, Michigan. You can contact this provider via phone number 5862949600 and fax number 5862947570. The mailing address for Jennilyn Wetzel is 30695 Little Mack, Roseville, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennilyn Wetzel
Address 30695 Little Mack, Roseville, Michigan
Phone Number 5862949600
Fax Number 5862947570
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1104920792
Provider Enumeration Date 2006-09-12
Last Updated Date 2019-02-11

Provider Mailing Address Detail

Address 30695 Little Mack
City Roseville
State Michigan (MI)
Post Code 48066
Phone Number 5862949600
Fax Number 5862947570

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 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 i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3123069 MI --

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FAQs about Jennilyn Wetzel

What is the unique 10-digit identification code assigned to Jennilyn Wetzel by the Centers for Medicare & Medicaid Services?

The Jennilyn Wetzel has been issued the NPI (National Provider Identifier) 1104920792, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jennilyn Wetzel is physically located?

The Jennilyn Wetzel is physically situated at the following address: 30695 Little Mack, Roseville, MI, 48066.

What is Jennilyn Wetzel's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jennilyn Wetzel is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Jennilyn Wetzel receive the assignment of its 1104920792 from the Centers for Medicare & Medicaid Services?

The Jennilyn Wetzel was issued its 1104920792 by the Centers for Medicare & Medicaid Services on 2006-09-12.

As of what date were the Jennilyn Wetzel's details last updated?

The information pertaining to the Jennilyn Wetzel, including its address, specialty, and other details, was most recently updated on 2019-02-11.

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