Jack O Derks is a Family Medicine Physician based in Holland, MI. Jack O Derks practices in Holland, MI and has the professional credentials of MD. The NPI Number for Jack O Derks is 1134144413 and holds a License No. 4301028907 (Michigan).
The current practice location address for Jack O Derks is 601 Michigan Ave Ste 104, Holland, MI and can be reached out via phone at 616-392-2361 and via fax at 616-392-2364. You can also correspond with Jack O Derks through the mailing address at 601 MICHIGAN AVE STE 104, HOLLAND, MI - 49423-4951 (mailing address contact number: 616-392-2361).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080G047000 | 01 | BLUE CROSS BLUE SHIELD | |
| 101138661 | 05 | MI |
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