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Individual

DR. AARON J DEFRANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
8501 MEADOW CRK, ROCKFORD, MI 49341-7524
(616) 267-7884
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101016395
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0D16321044
MEDICARE PTAN
MI
Enumeration date
05/03/2007
Last updated
03/02/2021
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