| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1134364714 | CODY | KELLY | A | 240 N TILLOTSON AVE | MUNCIE | IN | 473043988 | |
| 1184965808 | EWING | MARCUS | L. | 240 N TILLOTSON AVE | MUNCIE | IN | 473043988 | |
| 1013201292 | WILSON | DALLAS | RANDALL | 240 N TILLOTSON AVE | MUNCIE | IN | 473043988 |