| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1356470215 | GLADISH | NATHAN | DONALD | 114 ORCHARD LAKE RD | PONTIAC | MI | 483412244 | |
| 1780992271 | MCCARTHY | KELLY | SUZANNE | 114 ORCHARD LAKE RD | PONTIAC | MI | 483412244 | |
| 1336398445 | MICKLAS | COLLEEN | MARY | 114 ORCHARD LAKE RD | PONTIAC | MI | 483412244 | |
| 1376672162 | STEFANI | DIANA | MARIE | 114 ORCHARD LAKE RD | PONTIAC | MI | 483412244 |