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RUSSELL LEE DYKSTRA M.D.
NPI 1225091333
Family Medicine in Holland, MI

Active since April 10, 2006
904 S WASHINGTON AVE, SUITE 210, HOLLAND, MI 49423(616) 392-8035(616) 392-7404 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Russell Lee Dykstra M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL LEE DYKSTRA M.D. (NPI 1225091333) is an individual family medicine provider in Holland, Michigan, licensed in Michigan (RD407281) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1225091333
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRUSSELL LEE DYKSTRACredential: M.D.
Location Address904 S WASHINGTON AVE, SUITE 210Holland, MI 49423-7724
Mailing Address904 S Washington Ave, Suite 210Holland, MI 49423-7724 · (616) 392-8035 · Fax (616) 392-7404
Phone(616) 392-8035
Fax(616) 392-7404
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225091333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · RD407281
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
904 S WASHINGTON AVE, Holland, MI 49423
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Other Identifiers 3

Medicare UPINB49427MI
Medicaid3325734 10MI
Medicare ID-Type Unspecified0700251MI

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM BARRY BONZELAAR M.D.032354
Family Medicine
904 S WASHINGTON AVE, SUITE 210
HOLLAND, MI 49423
Allegan County (616) 392-8035
KAREN LYNN FOULDS M.D.
Family Medicine
904 S WASHINGTON AVE, SUITE 210
HOLLAND, MI 49423
Allegan County (616) 392-8035
HOLLAND FOOT AND ANKLE CENTER PC
Podiatrist
904 S WASHINGTON AVE
HOLLAND, MI 49423
Allegan County (616) 392-7472
FRANCOIS HARTON DPM
Podiatrist
904 S WASHINGTON AVE
HOLLAND, MI 49423
Allegan County (616) 392-7472
WESTSHORE ENDODONTICS, P.C.
Dentist (Endodontics)
904 S WASHINGTON AVE, SUITE 110
HOLLAND, MI 49423
Allegan County (616) 392-6385
RICHARD M SEILER DPM
Podiatrist
904 S WASHINGTON AVE
HOLLAND, MI 49423
Allegan County (616) 392-7472
JEFFREY ALLEN MULDOON D.P.M.
Podiatrist (Foot & Ankle Surgery)
904 S WASHINGTON AVE
HOLLAND, MI 49423
Allegan County (616) 392-7472
DOUGLAS L MAGUIRE DPM
Podiatrist
904 S WASHINGTON AVE
HOLLAND, MI 49423
Allegan County (616) 392-7472

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Dykstra's NPI number?

The NPI number for Russell Dykstra is 1225091333. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Russell Dykstra located?

Russell Dykstra practices at 904 S Washington Ave Suite 210, Holland, MI 49423. The listed phone number is (616) 392-8035.

What is Russell Dykstra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Russell Dykstra was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.