Individual
DR. MARY JOY GOOTJES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
664 MICHIGAN AVE, HOLLAND, MI 49423-4944
(616) 392-5973
(616) 392-1646
Mailing address
664 MICHIGAN AVE, HOLLAND, MI 49423-4944
(616) 392-5973
(616) 392-1646
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MG070496
MI
207VX0000X
Obstetrics Physician
MG070496
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1604111372
BCBS
—
01
—
25331
PRIORITY HEALTH
MI
Enumeration date
06/08/2005
Last updated
02/02/2021
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