| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1831508522 | GATEWAY DETROIT | 11457 SHOEMAKER ST | DETROIT | MI | 482133418 | |||
| 1821407537 | CARR | FREDERICK | 11457 SHOEMAKER ST | DETROIT | MI | 482133418 | ||
| 1932509130 | REECE | TIFFANY | 11457 SHOEMAKER ST | DETROIT | MI | 482133418 | ||
| 1205400785 | YANOSY | MICHAEL | ROBERT | 6309 MACK AVE | DETROIT | MI | 482072302 |