NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1003135500 | DOMINELLO | MICHAEL | MATTHEW |   | 1560 E MAPLE RD | TROY | MI | 480831138 |
1639198120 | KIM | HAROLD | EUNWOO |   | 1560 E MAPLE RD | TROY | MI | 480831138 |
1710147756 | PAXIMADIS | PETER |   |   | 4100 JOHN R ST | DETROIT | MI | 482012013 |