Healthcare Provider Details

I. General information

NPI: 1396392031
Provider Name (Legal Business Name): CATHERINE ANN BELSKI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2019
Last Update Date: 08/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N 4TH AVE
ANN ARBOR MI
48104-5503
US

IV. Provider business mailing address

2905 CARLTON DR
ANN ARBOR MI
48108-1211
US

V. Phone/Fax

Practice location:
  • Phone: 734-222-3750
  • Fax: 734-222-6531
Mailing address:
  • Phone: 734-619-9589
  • Fax: 734-222-6531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704138218
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: