| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1467527648 | LAKESIDE HEALTHCARE SPECIALISTS PLLC | 3950 HOLLYWOOD RD | SAINT JOSEPH | MI | 490859159 | |||
| 1851387302 | GOSLING | JOHN | R | 3950 HOLLYWOOD RD | SAINT JOSEPH | MI | 490859159 | |
| 1922418425 | SERVILLAS | ESTHER | R | 3950 HOLLYWOOD RD STE 270 | SAINT JOSEPH | MI | 490859158 |