| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1417001512 | BUSTAMANTE | JOSEPH | M | 1031 E SAGINAW ST | LANSING | MI | 489065519 | |
| 1326192311 | PAGET | JON | D | 1031 E SAGINAW ST | LANSING | MI | 489065519 | |
| 1447304498 | THOMPSON | MARK | STANLEY | 1031 E SAGINAW ST | LANSING | MI | 489065519 |