| Holland Family Medicine Pc | |
|
601 Michigan Ave Ste 104 Holland MI 49423-4951 | |
| (616) 392-2361 | |
| (616) 392-2364 |
| Full Name | Holland Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 601 Michigan Ave Ste 104, Holland, Michigan |
| Authorized Official Name and Position | Jack Derks (FAMILY PRACTICE) |
| Authorized Official Contact | 6163922361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holland Family Medicine Pc 601 Michigan Ave Ste 104 Holland MI 49423-4951 Ph: (616) 392-2361 | Holland Family Medicine Pc 601 Michigan Ave Ste 104 Holland MI 49423-4951 Ph: (616) 392-2361 |
| NPI Number | 1629002852 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 03/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629002852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301028907 (Michigan) | Primary |
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