NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1396969754 |   |   |   | HULST JEPSEN PHYSICAL THERAPY INC | 2120 43RD ST SE | GRAND RAPIDS | MI | 495083772 |
1710101118 | BECKETT | DAVID | C |   | 5797 JAMAIL DR NE | BELMONT | MI | 493068867 |
1417357039 | BENGRY | DAVID |   |   | 4761 LAKE MICHIGAN DR NW | GRAND RAPIDS | MI | 495346300 |
1457624942 | CHURCHILL | KEVIN | FREDERICK |   | PO BOX 30516 | LANSING | MI | 48909 |
1205901121 | KORNOWSKI | JENNIFER |   |   | 2120 43RD ST SE | GRAND RAPIDS | MI | 495083772 |
1639786528 | PEREZ | PERLA |   |   | 4761 LAKE MICHIGAN DR NW STE A | GRAND RAPIDS | MI | 495346300 |
1447649413 | RYAN | NANCY |   |   | 2120 43RD ST SE | GRAND RAPIDS | MI | 495083772 |
1013166339 | WHITLOCK | AMANDA | M |   | 4761 LAKE MICHIGAN DR NW STE A | GRAND RAPIDS | MI | 495346300 |