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Contact Information

JON W KROEZE, MD
382 N 120TH AVE
HOLLAND, MI49424
 Phone: 616-396-6516
 Fax: 616-396-2513
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JON W KROEZE · (Male)

NPI Number 1053405548
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 12/14/2009 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301058271
  • MI Medicaid 3046460
  • MI Other 0410183 BCBS
  • MI Other O80083063 RAILROAD MEDICARE
Hospital affiliation(s)
  • HOLLAND COMMUNITY HOSPITAL - (Acute Care)
    602 MICHIGAN AVE
    HOLLAND, MI 49423
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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