NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1093943615 |   |   |   | PROVIDENCE HOSPITAL | 11692 BEAVERLAND | DETROIT | MI | 482391357 |
1184936817 | BOUTROS | MARK |   |   | 22250 PROVIDENCE DR | SOUTHFIELD | MI | 480754825 |
1952534307 | JONES | DARREN | REED |   | 22250 PROVIDENCE DRIVE | SOUTHFIELD | MI | 480756213 |
1710191143 | YACOUB | NINOS |   |   | 15075 LINCOLN ST | OAK PARK | MI | 482373335 |