NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1548487093 |   |   |   | HULST JEPSEN PHYSICAL THERAPY INC | 2120 43RD ST SE | GRAND RAPIDS | MI | 495083772 |
1073765285 | CAREY | MARK | ALAN |   | 2120 43RD ST SE | GRAND RAPIDS | MI | 495083772 |
1083867873 | CONRAN | LAURA | ANN-ENNIS |   | 2120 43RD ST SE | GRAND RAPIDS | MI | 49508 |
1639625601 | ELDERS | NICOLE | L |   | 2120 43RD ST SE | GRAND RAPIDS | MI | 495083772 |
1659835825 | MALLORY | MATTHEW | DAVID |   | PO BOX 30516 | LANSING | MI | 48909 |
1487171872 | MASTBERGEN | BENJAMIN | MARK |   | 4761 LAKE MICHIGAN DR NW STE A | GRAND RAPIDS | MI | 495346300 |
1497405567 | RAEHTZ | ZACHARY |   |   | PO BOX 30516 | LANSING | MI | 48909 |
1891298972 | STEPANEK | MEGHAN |   |   | 4761 LAKE MICHIGAN DR NW | GRAND RAPIDS | MI | 495346300 |
1851015903 | THOMSON | ALEC |   |   | PO BOX 30516 | LANSING | MI | 48909 |
1306086335 | WHEELER | MARISSA | DANIELLE |   | 2120 43RD ST SE | GRAND RAPIDS | MI | 495083772 |