| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1538521331 | BOYD | DUSTON | WAYNE | 559 W GRAND BLVD | DETROIT | MI | 482162200 | |
| 1841436375 | MCGARRITY | MICHELLE | MAREE | 559 W GRAND BLVD | DETROIT | MI | 482162200 | |
| 1184853632 | PALM | KAI | KINYELL | 559 W GRAND BLVD | DETROIT | MI | 482162200 |