NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1780814715 | BIRKMEIER | JUDITH | CLARE |   | 6016 LOVERS LN | PORTAGE | MI | 490023050 |
1881205045 | FREESTONE | SAMUEL |   |   | 607 DEWEY AVE NW STE 300 | GRAND RAPIDS | MI | 495045283 |
1649401035 | GENTHE | AMY | CATHRYN |   | 6016 LOVERS LN | PORTAGE | MI | 490023050 |
1265154876 | GILLIG | CONNOR |   |   | 625 KENMOOR AVE SE STE 100 | GRAND RAPIDS | MI | 495462395 |
1720019599 | MILLER | SCOTT | T |   | 13331 PARK WEST BLVD | VICKSBURG | MI | 490978494 |
1457712671 | OTT | JEFFREY | PAUL |   | 6016 LOVERS LN STE 3 | PORTAGE | MI | 490023050 |
1013434323 | ROSS | CASSIE |   |   | 6016 LOVERS LN STE 3 | PORTAGE | MI | 490023050 |
1811245921 | SMALL | RACHEL | A |   | 607 DEWEY AVE NW | GRAND RAPIDS | MI | 495047335 |
1396342796 | SMYK | MATTHEW |   |   | 607 DEWEY AVE NW STE 300 | GRAND RAPIDS | MI | 495045283 |
1396469649 | VASSEUR | MALORIE | LYNN |   | 625 KENMOOR AVE SE STE 100 | GRAND RAPIDS | MI | 495462395 |
1598312720 | WERME | RYAN |   |   | 6016 LOVERS LN STE 3 | PORTAGE | MI | 490023050 |
1700188802 | WOYTAL | CHRISTINA | JO |   | 6016 LOVERS LN | PORTAGE | MI | 490023050 |