Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Holland Family Medicine PC

Organization Family Medicine Physician · NPI 1629002852

Holland Family Medicine PC provides Family Medicine Physician services in Holland, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 Michigan Ave Ste 104
Holland, MI 49423-4951 Not confirmed with CMS for 11 years — call before visiting
Phone: (616) 392-2361
Fax: (616) 392-2364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301028907 (MI)

Record details

NPI number1629002852
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Derks — Family Practice · (616) 392-2361
NPI enumeratedJuly 11, 2006
Last updated in NPPESMarch 5, 2015
Mailing address601 Michigan Ave Ste 104, Holland, MI 49423-4951

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