NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1508804154 | BRUINSMA | BENJAMIN | J |   | 235 WEALTHY ST SE | GRAND RAPIDS | MI | 495035247 |
1518908920 | SNOW | MARY | MARGARET |   | 235 WEALTHY ST SE | GRAND RAPIDS | MI | 495035247 |
1700829686 | VANDENBERG | WILLIAM | CHRISTIAN |   | 235 WEALTHY ST SE | GRAND RAPIDS | MI | 495035229 |