Provider Demographics
NPI:1629607569
Name:STAPLES, ANNABELLE MARIE (DO)
Entity type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:MARIE
Last Name:STAPLES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1234 NAPIER AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-2112
Mailing Address - Country:US
Mailing Address - Phone:269-429-0900
Mailing Address - Fax:269-408-0996
Practice Address - Street 1:1234 NAPIER AVE
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-2112
Practice Address - Country:US
Practice Address - Phone:269-429-0900
Practice Address - Fax:269-408-0996
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2025-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101028518208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery