| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1851866396 | CHILDERS | CHRISTOPHER | 4160 JOHN R ST STE 930 | DETROIT | MI | 482012017 | ||
| 1053975680 | FARES | AREEJ | MUSA | 4160 JOHN R ST STE 925 | DETROIT | MI | 482012017 | |
| 1851904684 | WISEHEART | MELISSA | 4160 JOHN R ST STE 925 | DETROIT | MI | 482012017 | ||
| 1417415498 | XAVIER | SHEEJA | 4160 JOHN R ST STE 925 | DETROIT | MI | 482012017 |