Healthcare Provider Details

I. General information

NPI: 1245689850
Provider Name (Legal Business Name): AARON DANIEL HELLER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2016
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 S STATE ST STE 215
ANN ARBOR MI
48104-7103
US

IV. Provider business mailing address

2800 S STATE ST STE 215
ANN ARBOR MI
48104-7103
US

V. Phone/Fax

Practice location:
  • Phone: 734-547-3990
  • Fax: 734-547-3980
Mailing address:
  • Phone: 734-547-3990
  • Fax: 734-547-3980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101022204
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: