Provider Demographics
NPI:1255569653
Name:HAMPTON, AARON EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:EDWARD
Last Name:HAMPTON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:245 STATE ST SE
Mailing Address - Street 2:STE 228
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503
Mailing Address - Country:US
Mailing Address - Phone:616-685-8050
Mailing Address - Fax:616-685-1850
Practice Address - Street 1:200 JEFFERSON SE
Practice Address - Street 2:STE 626
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503
Practice Address - Country:US
Practice Address - Phone:616-685-5039
Practice Address - Fax:616-685-8910
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2021-12-17
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Provider Licenses
StateLicense IDTaxonomies
MI4301094640207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP32930452Medicare PIN