Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Jon Blystra

Individual provider Family Medicine Physician · NPI 1508328014

David Jon Blystra is a Family Practice in Holland, Michigan. Graduated from Michigan State University College of Human Medicine in 2019, 7 years ago. Practices with Holland Community Hospital, a 175-clinician group and accepts Medicare assignment. Licensed in Arizona and Michigan.

Years since qualifying
7
Trained at
Michigan State University College of Human Medicine
Licensed in
AZ, MI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

904 Washington Ave Ste 210
Holland, MI 49423-7724
Phone: (616) 392-8035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301506520 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 9999999 (AZ)

Record details

NPI number1508328014
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address904 Washington Ave Ste 210, Holland, MI 49423-7724

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2019 (7 years in practice)
Group practice Holland Community Hospital — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Holland