| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1467527648 | | | | LAKESIDE HEALTHCARE SPECIALISTS PLLC | 3950 HOLLYWOOD RD | SAINT JOSEPH | MI | 490859159 |
| 1851387302 | GOSLING | JOHN | R | | 3950 HOLLYWOOD RD | SAINT JOSEPH | MI | 490859159 |
| 1982049524 | HINCKLEY | ALEXANDER | TENNYSON | | 3950 HOLLYWOOD RD STE 270 | SAINT JOSEPH | MI | 490859158 |
| 1174011316 | RUCANO | DEANNA | MARGARET | | 2500 NILES AVE. | ST. JOSEPH | MI | 49085 |
| 1922418425 | SERVILLAS | ESTHER | R | | 3950 HOLLYWOOD RD STE 270 | SAINT JOSEPH | MI | 490859158 |
| 1932303955 | SURAL | NEETHI | | | 3950 HOLLYWOOD RD | SAINT JOSEPH | MI | 490859159 |