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

Jennifer R. Micke-Kopetsky, MD

Individual provider Family Medicine Physician · NPI 1871527341

Jennifer R. Micke-Kopetsky, MD is a Family Medicine Physician in Mequon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6425 W Mequon Rd
Mequon, WI 53092-1855
Phone: (262) 242-0051
Fax: (262) 242-8927
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 28560 (WI)

Record details

NPI number1871527341
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

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