| Jack O Derks, MD | |
|
601 Michigan Ave Ste 104, Holland, MI 49423-4951 | |
| (616) 392-2361 | |
| (616) 392-2364 |
| Full Name | Jack O Derks |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 601 Michigan Ave Ste 104, Holland, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134144413 | NPI | - | NPPES |
| 080G047000 | Other | BLUE CROSS BLUE SHIELD | |
| 101138661 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301028907 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack O Derks, MD 601 Michigan Ave Ste 104, Holland, MI 49423-4951 Ph: (616) 392-2361 | Jack O Derks, MD 601 Michigan Ave Ste 104, Holland, MI 49423-4951 Ph: (616) 392-2361 |
Shaena Freeman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1061 Washington Ave, Holland, MI 49423 Phone: 616-393-8100 Fax: 877-451-0226 | |
Jessica White, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-546-4950 Fax: 616-546-4955 | |
Mark Norval Folkening, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 111 Lakeview Ave, Holland, MI 49424 Phone: 616-502-7144 Fax: 616-786-0185 | |
William Barry Bonzelaar, M.D.032354 Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 904 S Washington Ave, Suite 210, Holland, MI 49423 Phone: 616-392-8035 Fax: 616-392-7404 | |
Jon W Kroeze, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 N 120th Ave, Holland, MI 49424 Phone: 616-396-6516 Fax: 616-396-2513 | |
Dan F Kreuzer, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 383 Garden Ave, Holland, MI 49424 Phone: 616-494-8271 Fax: 616-494-8273 | |
Christopher Lee Wedeven, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Van Ommen Dr, Holland, MI 49424 Phone: 616-399-4946 |