NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1750399309 |   |   |   | PINE REST CHRISTIAN MENTAL HEALTH SERVICES | 300 68TH ST SE | GRAND RAPIDS | MI | 495486927 |
1154350643 | KOLEAN | JOANNE | LOUISE |   | 300 68TH ST SE | GRAND RAPIDS | MI | 495486927 |
1720092059 | ROWELL | WILLIAM | J |   | 300 68TH ST SE | GRAND RAPIDS | MI | 495486927 |
1134386931 | VANDENTOORN | AMY | LOUISE |   | 300 68TH ST SE | GRAND RAPIDS | MI | 495486927 |
1376590489 | VASQUEZ | VIRGILIO | F |   | 300 68TH ST SE | GRAND RAPIDS | MI | 495486927 |
1144330820 | ZAMBIASI | MICHAEL | GEORGE |   | 300 68TH ST SE | GRAND RAPIDS | MI | 495486927 |
1871686022 | ZUKER | VICKI | LUKANIC |   | 300 68TH ST SE | GRAND RAPIDS | MI | 495486927 |