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Organization

HOLLAND FAMILY MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACK DERKS MD (FAMILY PRACTICE)
(616) 392-2361
Entity
Organization

Contact information

Practice address
601 MICHIGAN AVE STE 104, HOLLAND, MI 49423-4951
(616) 392-2361
(616) 392-2364
Mailing address
601 MICHIGAN AVE STE 104, HOLLAND, MI 49423-4951
(616) 392-2361
(616) 392-2364

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301028907
MI

Other

Enumeration date
07/11/2006
Last updated
03/05/2015
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