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Active NPI 1225003825 Individual Practitioner Male Practitioner

Dr. Peter J Wiebenga , MD

General Practice • Holland, MI

Professional Overview & Biography Verified Profile Summary

Dr. Peter Wiebenga, MD is a registered healthcare professional specializing in General Practice in Holland, MI. Practice services are available at 175 S WAVERLY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

175 S Waverly Rd

Holland, MI 494237907

Telephone 6163925222
Fax 6163923635
Associated Practice Facility / Clinic
🏢 Holland Medicenter Facility NPI 1639144231

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Holland, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Holland, MI (445 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MI 4301032024

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pjw Bcn
P32249 (MI)
Commercial Insurance / Payer ID Pjw State
4301032024 (MI)
Commercial Insurance / Payer ID Pjw Bcbsmi
PW032024 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Joel Wetzel , PA

Physician Assistant - Medical

NPI 1396710992

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 175 S WAVERLY RD, HOLLAND, MI 494237907 (Tel: 6163925222)

📍
Updated Business Mailing Address July 09, 2007

Registered at 175 S WAVERLY RD, HOLLAND, MI 494237907 (Tel: 6163925222)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as PETER WIEBENGA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

General Practice (License #4301032024 in MI)

🟢
Initial NPI Registration & Enumeration February 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225003825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2006
Last Update: July 13, 2026
Sole Proprietor: No
Update or Correct Profile

Mailing Address

175 S Waverly Rd

Holland, MI 494237907

Phone: 6163925222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.