NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1245636711 | BUIKEMA | JESSICA | LEE |   | 2120 43RD ST SE | GRAND RAPIDS | MI | 495083772 |
1114065950 | DEVRIES | SCOTT | G |   | 2120 43RD ST SE | GRAND RAPIDS | MI | 495083772 |
1275903163 | HERRICK | JENNIFER |   |   | 350 LAFAYETTE AVE SE | GRAND RAPIDS | MI | 495034656 |
1477599207 | KANE | KEVIN | R. |   | 350 LAFAYETTE AVE SE | GRAND RAPIDS | MI | 495034656 |