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

South Washington Family Medicine PC

Organization Family Medicine Physician · NPI 1396819413

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

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

904 Washington Ave Ste 210
Holland, MI 49423-7724 Not confirmed with CMS for 18 years — call before visiting
Phone: (616) 392-8035
Fax: (616) 392-7404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1396819413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawn Buikema — Business Office Manager · (616) 392-8035
NPI enumeratedNovember 20, 2006
Last updated in NPPESAugust 27, 2008
Mailing address904 Washington Ave, Suite 210, Holland, MI 49423-7724

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