ProviderBusinessMailingAddressFaxNumber = '6163362475'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1043627953 | BARRETTE | STEPHANIE | ANN | | 790 FULLER AVE NE | GRAND RAPIDS | MI | 49503 |
| 1396138566 | BEVELACQUA | MARLEAH | | | 47 CORAL DR NE | ROCKFORD | MI | 493418514 |
| 1831582576 | DOWLING | DENNIS | | | 790 FULLER AVE NE | GRAND RAPIDS | MI | 495031918 |
| 1508253105 | GUYTON | LAURA | | | 790 FULLER AVE NE | GRAND RAPIDS | MI | 495031918 |
| 1649663196 | JACKSON-WHITFIELD | DIANA | | | 790 FULLER AVE NE | GRAND RAPIDS | MI | 495031918 |
| 1619360500 | KRUM | KEVIN | E | | 2981 E STERNBERG RD | FRUITPORT | MI | 494158625 |
| 1861885329 | LUNG | KRISTINA | | | 790 FULLER AVE NE | GRAND RAPIDS | MI | 495031918 |
| 1720532781 | TUCKER | PAMELA | | | 2600 WOODMEADOW DR SE | GRAND RAPIDS | MI | 495468039 |
| 1326434093 | WATKINS | ANGELA | | | 790 FULLER AVE NE | GRAND RAPIDS | MI | 495031918 |
| 1790178960 | WEEKLEY | DARRYL | S | | 790 FULLER AVE NE | GRAND RAPIDS | MI | 495031918 |
| 1275926933 | ZAKRAJSEK | JULI | ANN | | 790 FULLER AVE NE | GRAND RAPIDS | MI | 495031918 |
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