| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1659315349 | BERNEKING | MICHAEL | W | 436 44TH ST SE STE A | GRAND RAPIDS | MI | 495484371 | |
| 1033666755 | BURTON | AMBER | 436 44TH ST SE STE A | KENTWOOD | MI | 495484371 | ||
| 1326186735 | MEDEMA | HEATHER | 436 44TH ST SE | GRAND RAPIDS | MI | 495484371 |