| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053694976 | DIPMAN | JASON | 3333 EVERGREEN DR NE | GRAND RAPIDS | MI | 495259493 | ||
| 1245687698 | GRAY | HOLLY | 3333 EVERGREEN DR NE | GRAND RAPIDS | MI | 495259493 | ||
| 1821458670 | KOBUS | LINDSAY | 3333 EVERGREEN DR NE | GRAND RAPIDS | MI | 495259493 | ||
| 1871908921 | KOETJE | LEAH | 3333 EVERGREEN DR NE | GRAND RAPIDS | MI | 495259493 | ||
| 1679916514 | PANTOJA | ANTHONY | JOHN | 3333 EVERGREEN DR NE | GRAND RAPIDS | MI | 495259493 |