Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellen Amanda Janetzke, MD

Individual provider Specialist · NPI 1235120742

Ellen Amanda Janetzke, MD is a Plastic and Reconstructive Surgery in Bloomfield Hills, Michigan. Graduated from Wayne State University School of Medicine in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
32
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

60 W Big Beaver Rd Ste 100
Bloomfield Hills, MI 48304-3913
Phone: (248) 258-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 4301066875 (MI)

Record details

NPI number1235120742
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 3, 2005
Last updated in NPPESMay 20, 2021
Certification dateMay 4, 2021
Mailing address60 W Big Beaver Rd, Ste 100, Bloomfield Hills, MI 48304-3913

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesHAND SURGERY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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