Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK O DERKS, MD
Active Sole ProprietorJACK O DERKS, MD is a Family Medicine healthcare provider located in HOLLAND, Michigan. NPI 1134144413 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · HOLLAND, MI
Registration Details
- NPI Number
- 1134144413
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2006 (20.086090115295 yrs)
- Last Updated
- Dec 11, 2007
- License
-
4301028907 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
601 MICHIGAN AVE STE 104HOLLAND, MI, 494234951Browse MI providers · Browse ZIP 49423
- Phone
- 6163922361
- Fax
- 6163922364
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in HOLLAND, MI
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID BRUCE BOSSCHER | D.O. | 1417950270 |
| DR. CHAD ALEN FABER | DO | 1932103702 |
| KABET J STERK | MD | 1508854977 |
| DR. ROBERT J BRUXVOORT | M.D. | 1316927775 |
| PETER JEFFREY VANCE | M.D. | 1740243856 |
| WILLIAM BARRY BONZELAAR | M.D.032354 | 1053374165 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.