Dr Peter J Wiebenga, MD is a
General Practice physician based in Holland, Michigan. Dr Peter J Wiebenga is licensed to practice in Michigan (license number 4301032024) and his current practice location is 175 S Waverly Rd, Holland, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 392-5222.
NPI number for Dr Peter J Wiebenga is 1225003825 and his current mailing address is 175 S Waverly Rd, Holland, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225003825.
Physician's Profile
Full Name | Dr Peter J Wiebenga |
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Gender | Male |
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Speciality | General Practice |
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Location | 175 S Waverly Rd, Holland, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225003825
- Provider Enumeration Date: 02/17/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Peter J Wiebenga such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225003825 | NPI | - | NPPES |
P32249 | Other | MI | PJW BCN |
4301032024 | Other | MI | PJW STATE |
PW032024 | Other | MI | PJW BCBSMI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 4301032024 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peter J Wiebenga is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Peter J Wiebenga, MD 175 S Waverly Rd, Holland, MI 49423-7907 Ph: (616) 392-5222 | Dr Peter J Wiebenga, MD 175 S Waverly Rd, Holland, MI 49423-7907 Ph: (616) 392-5222 |
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