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

Jill Miedema, MD

Individual provider Family Medicine Physician · NPI 1083737969

Jill Miedema, MD is a Family Practice in Holland, Michigan. Graduated from Michigan State University College of Human Medicine in 2005, 21 years ago. Practices with Lakewood Family Medicine PLC, a 19-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
21
Trained at
Michigan State University College of Human Medicine
Licensed in
MN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

382 120th Ave
Holland, MI 49424-2169
Phone: (616) 396-6516
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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 51202 (MN)

Record details

NPI number1083737969
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2007
Last updated in NPPESJuly 30, 2012
Mailing address17581 Duneside Dr, Grand Haven, MI 49417-8883

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 2005 (21 years in practice)
Group practice Lakewood Family Medicine Plc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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