| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1982009577 | DEMSKI | CORIE | L | 790 FULLER AVE NE | GRAND RAPIDS | MI | 495031918 | |
| 1548667579 | MACK | RACHAEL | 790 FULLER AVE NE | GRAND RAPIDS | MI | 495031918 | ||
| 1184937039 | SPYKERMAN | KRISTIN | LEIGH | 790 FULLER AVE NE | GRAND RAPIDS | MI | 495031918 |