| Anita Maria Vanderstelt, DO | |
|
7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 | |
| (616) 252-8600 | |
| (616) 252-8660 |
| Full Name | Anita Maria Vanderstelt |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 7686 Georgetown Ctr Dr, Jenison, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629046503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5101014733 (Michigan) | Primary |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Anita Maria Vanderstelt, DO 5900 Byron Center Ave Sw, Attn: Medical Administration, Wyoming, MI 49519-9606 Ph: () - | Anita Maria Vanderstelt, DO 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 Ph: (616) 252-8600 |
Dr. Cameron James Mckenney, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1865 Georgetown Center Dr, Jenison, MI 49428 Phone: 616-391-8810 | |
Darian Alisa Tompkins, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1890 Elizabeth Ln, Jenison, MI 49428 Phone: 810-643-6155 | |
Nicole Van Allen Horne, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1865 Georgetown Center Dr Ste A, Jenison, MI 49428 Phone: 616-457-3510 |