JACK O DERKS

HOLLAND, MI
NPI1134144413
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301028907)
Enumeration Date2006-07-13
Last Update Date2007-12-11
Business Address
-- JACK O DERKS MD
601 MICHIGAN AVE STE 104
HOLLAND, MI 49423-4951
Phone number: 616-392-2361
Mailing Address
-- JACK O DERKS MD
601 MICHIGAN AVE STE 104
HOLLAND, MI 49423-4951
Phone number: 616-392-2361
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