Healthcare Provider Details

I. General information

NPI: 1093943771
Provider Name (Legal Business Name): COURTNEY ERICKSON-ADAMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2009
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 HOOVER BLVD STE 100
HOLLAND MI
49423-3790
US

IV. Provider business mailing address

259 HOOVER BLVD STE 100
HOLLAND MI
49423-3790
US

V. Phone/Fax

Practice location:
  • Phone: 616-319-2331
  • Fax: 616-699-4241
Mailing address:
  • Phone: 616-319-2331
  • Fax: 616-699-4241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301100233
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number4301100233
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: