NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1689197352 | KLENK | SALLY |   |   | 100 MICHIGAN ST NE # MC845 | GRAND RAPIDS | MI | 495032560 |
1770086951 | THOMPSON | KELLI | JO |   | 100 MICHIGAN ST NE # MC845 | GRAND RAPIDS | MI | 495032560 |