| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1972710291 | BLANCHARD | KELLI | 330 EASTERN AVE SE | GRAND RAPIDS | MI | 495034737 | ||
| 1295986933 | BOOTZIN | JEFFREY | ALAN | 330 EASTERN AVE SE | GRAND RAPIDS | MI | 49503 | |
| 1619184926 | BUTENAS | CARL | 330 EASTERN AVE SE | GRAND RAPIDS | MI | 495034737 | ||
| 1578770517 | LEWIS | NIKKETTA | 330 EASTERN AVE SE | GRAND RAPIDS | MI | 495034737 |