Dr. Mary Joy Gootjes
Gynecologist Obstetrician
664 Michigan Ave
Holland
, Michigan 49423-4944
Dr. Mary Joy Gootjes
Gynecologist Obstetrician
664 Michigan Ave
Holland
, Michigan 49423-4944
(616) 392-1646
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About
Features
Specialties
- Gynecologist
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. Mary Joy Gootjes
- 664 Michigan Ave
- Holland, MI
- Zip : 49423-4944
- Fax : (616) 392-1646
- Phone : (616) 392-5973
Second Address
- Dr. Mary Joy Gootjes
- 664 Michigan Ave
- Holland, MI
- Zip : 49423-4944
- Fax : (616) 392-1646
- Phone : (616) 392-5973
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | MG070496 | MI |
| N | 207VX0000X | Obstetrician | MG070496 | MI |
National Provider Identifier
| NPI | 1427052455 |
|---|---|
| Provider Name | Dr. Mary Joy Gootjes |
| First Address | Holland, MI 49423-4944 |
| Second Address | Holland, MI 49423-4944 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2005 |
| Last Update Date | 02/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1604111372 | BCBS (01) | |
| 25331 | PRIORITY HEALTH (01) | MI |
| H43703 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.