NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1750735197 |   |   |   | MI HEALING SPACE | 601 ABBOT RD | EAST LANSING | MI | 488233366 |
1851712798 |   |   |   | JOHN ROBERT SHAW | 601 ABBOT RD STE 103 | EAST LANSING | MI | 488233366 |