| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1609178482 | ALLEN | RICHARD | L | 255 W MICHIGAN AVE | JACKSON | MI | 492012218 | |
| 1720389141 | BROUSSARD | COURTNEY | J | 255 W MICHIGAN AVE | JACKSON | MI | 492012218 | |
| 1265752505 | MADDEN | BRENDT | S. | 255 W MICHIGAN AVE | JACKSON | MI | 492012218 | |
| 1346543873 | PEPPER | CLINTON | STUART | 255 W MICHIGAN AVE | JACKSON | MI | 492012218 |