| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1942316252 | FAULSTICH | GARY | G | 20811 KELLY RD | EASTPOINTE | MI | 480213139 | |
| 1467852582 | NIELSEN | RACHEL | ALANA | 22708 HARPER AVE | SAINT CLAIR SHORES | MI | 480801823 | |
| 1649885500 | SCAVONE | STEVEN | WILLIAM | 22708 HARPER AVE | SAINT CLAIR SHORES | MI | 480801881 |