| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1992791453 | DEMOTS | WILLIAM | J | 777 KIMOLE LN | ADRIAN | MI | 492211478 | |
| 1104812676 | KEENER | DON | E | 777 KIMOLE LN | ADRIAN | MI | 492211478 | |
| 1386630838 | LENTZ | PAUL | J | 777 KIMOLE LN | ADRIAN | MI | 492211478 | |
| 1003802570 | RHAMES | JODY | C | 777 KIMOLE LN | ADRIAN | MI | 492211478 |