Provider Demographics
NPI:1154381648
Name:VANDEN BELT, ANNE KIRSTEN (MD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:KIRSTEN
Last Name:VANDEN BELT
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3423 W DELHI RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-9411
Mailing Address - Country:US
Mailing Address - Phone:734-649-4973
Mailing Address - Fax:734-712-5525
Practice Address - Street 1:5301 E HURON RIVER DR
Practice Address - Street 2:ST. JOSEPH MERCY HOSPITAL DEPARTMENT OF PEDIATRICS
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1051
Practice Address - Country:US
Practice Address - Phone:734-712-5880
Practice Address - Fax:734-712-5525
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301067351208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI700H161150OtherBLUE SHIELD PROVIDER NO.
MI7219AOtherCAPE PIN
MIG37725Medicare UPIN