| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1063766491 | HECKSEL | KEVIN | MICHAEL | 4761 LAKE MICHIGAN DR NW STE A | GRAND RAPIDS | MI | 495346300 | |
| 1013166339 | WHITLOCK | AMANDA | M | 4761 LAKE MICHIGAN DR NW STE A | GRAND RAPIDS | MI | 495346300 |