Individual
ANITA MARIA VANDERSTELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7686 GEORGETOWN CTR DR, JENISON, MI 49428-8101
(616) 252-8600
(616) 252-8660
Mailing address
5900 BYRON CENTER AVE SW, ATTN: MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101014733
MI
Other
Enumeration date
03/08/2006
Last updated
11/30/2020
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