Provider Demographics
NPI:1245897834
Name:LAMPE, MICHAEL ADRIAN (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ADRIAN
Last Name:LAMPE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:577 MICHIGAN AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-4911
Mailing Address - Country:US
Mailing Address - Phone:616-394-0673
Mailing Address - Fax:
Practice Address - Street 1:577 MICHIGAN AVE STE 202
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-4911
Practice Address - Country:US
Practice Address - Phone:616-394-0673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-20
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101027883208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery