NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1679053235 | CASE | BROOKE |   |   | 4761 LAKE MICHIGAN DR NW | GRAND RAPIDS | MI | 495346300 |
1275817330 | PATTERSON | DANIEL | RYAN |   | SUITE 4761 LAKE MICHIGAN DR NW | GRAND RAPIDS | MI | 495346300 |