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

Jon W Kroeze, MD

Individual provider Family Medicine Physician · NPI 1053405548

Jon W Kroeze, MD is a Family Practice in Holland, Michigan. Graduated from Wayne State University School of Medicine in 1991, 35 years ago. Practices with Lakewood Family Medicine PLC, a 19-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
35
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
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 N 120th Ave
Holland, MI 49424
Phone: (616) 396-6516
Fax: (616) 396-2513
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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 4301058271 (MI)

Record details

NPI number1053405548
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESDecember 14, 2009
Mailing address382 N 120th Ave, Holland, MI 49424

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Lakewood Family Medicine Plc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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