MHP Directory

Provider Directory
McLaren Health Plan Medicaid Provider Directory

Member Information
Welcome to McLaren Health Plan! This directory lists all participating hospitals, doctors, and ancillary health
care providers. Each family member must select a Primary Care Provider (PCP) for each family member.
Primary Care Providers are defined as Family or General Practitioners, Pediatricians, Internists, Nurse
Practitioners, and Physician Assistants. Your PCP will help to coordinate all your health care needs. This
directory lists whether the PCP is taking new patients, their office practice hours, and if the doctor speaks a
language other than English.
Primary Care Providers (PCPs)
Each family member should choose a doctor. McLaren Health Plan can help you choose a PCP by calling
Customer Service at (888) 327-0671.
Specialty Care Providers
When your PCP needs to send you to a specialty care provider, they can select one from this directory and notify
McLaren Health Plan that they are referring you. You do not need to wait for approval for most services.
If you have any questions, please call McLaren Health Plan at (888) 327-0671
Provider Information
Please use this directory as a reference when you need to refer your patients for care.
McLaren Health Plan can assist you and your office staff in caring for your McLaren Health Plan patients. Please
call our toll free number at (888) 327-0671 to reach:
Customer Service Eligibility, PCP verification, and provider inquiry

Utilization and Case Management Authorizations; referrals and community support services
Network Development Contracting, office orientations, and education
Claims Information
McLaren Health Plan accepts both paper and electronically billed (EDI) claims. If billing paper claims, follow
the CMS requirements for using the CMS 1500 and UB-92 claim forms and mail to:
McLaren Health Plan
P.O. Box 1511
Flint, MI 48501-1511
For EDI Claims, McLaren Health Plan utilizes ENS/OptumInsight clearing houses. If you do not currently
utilize ENS/OptumInsight for electronic submission of claims, contact them at:
ENS/OptumInsight
(866) 367-9778
www.enshealth.com
McLaren Health Plans transaction or payer ID numbers are McLaren Medicaid:
3833C
38338
McLaren Health Advantage: 3833A
McLaren Advantage (Medicare): 3833R
McLaren Commercial HMO:
(888) 327-0671
McLarenHealthPlan.org
TABLE OF CONTENTS
PRIMARY CARE PROVIDERS
ALCONA..............................................................................................................................................................................................
..............................................................................................................7
ALLEGAN............................................................................................................................................................................................
..............................................................................................................7
..............................................................................................................7
ALPENA..............................................................................................................................................................................................
..............................................................................................................8
ANTRIM...............................................................................................................................................................................................
..............................................................................................................9
ARENAC..............................................................................................................................................................................................
BARRY................................................................................................................................................................................................
............................................................................................................10
............................................................................................................10
BAY.....................................................................................................................................................................................................
............................................................................................................11
BENZIE...............................................................................................................................................................................................
BERRIEN.............................................................................................................................................................................................
............................................................................................................12
............................................................................................................13
BRANCH.............................................................................................................................................................................................
............................................................................................................14
CALHOUN...........................................................................................................................................................................................
............................................................................................................15
CASS...................................................................................................................................................................................................
CHARLEVOIX.....................................................................................................................................................................................
............................................................................................................15
............................................................................................................16
CHEBOYGAN......................................................................................................................................................................................
............................................................................................................17
CHIPPEWA.........................................................................................................................................................................................
CLARE................................................................................................................................................................................................
............................................................................................................17
............................................................................................................17
CLINTON.............................................................................................................................................................................................
............................................................................................................18
CRAWFORD........................................................................................................................................................................................
............................................................................................................18
EATON................................................................................................................................................................................................
EMMET................................................................................................................................................................................................
............................................................................................................20
............................................................................................................21
GENESEE...........................................................................................................................................................................................
............................................................................................................26
GLADWIN............................................................................................................................................................................................
GRAND TRAVERSE............................................................................................................................................................................
............................................................................................................26
............................................................................................................29
GRATIOT.............................................................................................................................................................................................
............................................................................................................29
HILLSDALE.........................................................................................................................................................................................
............................................................................................................30
HURON...............................................................................................................................................................................................
INGHAM..............................................................................................................................................................................................
............................................................................................................31
............................................................................................................41
IONIA...................................................................................................................................................................................................
............................................................................................................41
IOSCO.................................................................................................................................................................................................
ISABELLA............................................................................................................................................................................................
............................................................................................................42
............................................................................................................43
JACKSON............................................................................................................................................................................................
............................................................................................................44
KALAMAZOO......................................................................................................................................................................................
............................................................................................................50
KALKASKA..........................................................................................................................................................................................
KENT...................................................................................................................................................................................................
............................................................................................................51
............................................................................................................52
LAKE...................................................................................................................................................................................................
............................................................................................................53
LAPEER..............................................................................................................................................................................................
LEELANAU..........................................................................................................................................................................................
............................................................................................................53
............................................................................................................54
LENAWEE...........................................................................................................................................................................................
............................................................................................................54
LIVINGSTON.......................................................................................................................................................................................
............................................................................................................55
MACKINAC..........................................................................................................................................................................................
MACOMB............................................................................................................................................................................................
............................................................................................................55
............................................................................................................62
MANISTEE..........................................................................................................................................................................................
............................................................................................................63
MASON...............................................................................................................................................................................................
............................................................................................................63
MECOSTA...........................................................................................................................................................................................
MIDLAND............................................................................................................................................................................................
............................................................................................................64
............................................................................................................64
MISSAUKEE........................................................................................................................................................................................
............................................................................................................64
MONROE............................................................................................................................................................................................
............................................................................................................65
MONTCALM........................................................................................................................................................................................
............................................................................................................66
MONTMORENCY................................................................................................................................................................................
............................................................................................................67
MUSKEGON........................................................................................................................................................................................
NEWAYGO..........................................................................................................................................................................................
............................................................................................................68
McLaren Health Plan Medicaid

February 19, 2015
TABLE OF CONTENTS
PRIMARY CARE PROVIDERS (CONTINUED)
OAKLAND...........................................................................................................................................................................................
............................................................................................................69
OCEANA.............................................................................................................................................................................................
............................................................................................................79
............................................................................................................80
OGEMAW............................................................................................................................................................................................
............................................................................................................80
OSCEOLA...........................................................................................................................................................................................
............................................................................................................81
OSCODA.............................................................................................................................................................................................
OTSEGO.............................................................................................................................................................................................
............................................................................................................81
............................................................................................................82
OTTAWA.............................................................................................................................................................................................
............................................................................................................83
PRESQUE ISLE..................................................................................................................................................................................
ROSCOMMON....................................................................................................................................................................................
............................................................................................................84
............................................................................................................85
SAGINAW............................................................................................................................................................................................
............................................................................................................89
SAINT CLAIR......................................................................................................................................................................................
............................................................................................................91
SAINT JOSEPH...................................................................................................................................................................................
SANILAC.............................................................................................................................................................................................
............................................................................................................93
............................................................................................................93
SHIAWASSEE.....................................................................................................................................................................................
............................................................................................................94
TUSCOLA............................................................................................................................................................................................
VAN BUREN........................................................................................................................................................................................
............................................................................................................95
............................................................................................................97
WASHTENAW.....................................................................................................................................................................................
..........................................................................................................106
WAYNE...............................................................................................................................................................................................
..........................................................................................................117
WEXFORD..........................................................................................................................................................................................
BI-LINGUAL PRIMARY CARE PHYSICIANS

ARABIC...............................................................................................................................................................................................
..........................................................................................................118
..........................................................................................................118
ENGLISH.............................................................................................................................................................................................
FRENCH..............................................................................................................................................................................................
..........................................................................................................118
..........................................................................................................118
GUJARATI...........................................................................................................................................................................................
..........................................................................................................118
HINDI...................................................................................................................................................................................................
KANNADA...........................................................................................................................................................................................
..........................................................................................................118
..........................................................................................................118
KOREAN.............................................................................................................................................................................................
..........................................................................................................119
MALAYALAM.......................................................................................................................................................................................
..........................................................................................................119
POLISH...............................................................................................................................................................................................
SERBIAN.............................................................................................................................................................................................
..........................................................................................................119
..........................................................................................................119
SINDHI................................................................................................................................................................................................
..........................................................................................................119
SPANISH.............................................................................................................................................................................................
SWAHILI..............................................................................................................................................................................................
..........................................................................................................119
..........................................................................................................119
TAGALOG...........................................................................................................................................................................................
..........................................................................................................119
TAMIL..................................................................................................................................................................................................
..........................................................................................................119
TELUGU..............................................................................................................................................................................................
TURKISH.............................................................................................................................................................................................
..........................................................................................................120
..........................................................................................................120
URDU..................................................................................................................................................................................................
CHILDRENS SPECIAL HEALTH

ALCONA..............................................................................................................................................................................................
..........................................................................................................121
..........................................................................................................121
ALLEGAN............................................................................................................................................................................................
..........................................................................................................121
ALPENA..............................................................................................................................................................................................
..........................................................................................................121
BAY.....................................................................................................................................................................................................
BERRIEN.............................................................................................................................................................................................
..........................................................................................................122
..........................................................................................................122
EMMET................................................................................................................................................................................................
..........................................................................................................122
GENESEE...........................................................................................................................................................................................
..........................................................................................................123
GLADWIN............................................................................................................................................................................................
..........................................................................................................123
GRAND TRAVERSE............................................................................................................................................................................
..........................................................................................................123
HILLSDALE.........................................................................................................................................................................................

February 19, 2015
TABLE OF CONTENTS
CHILDRENS SPECIAL HEALTH (CONTINUED)
HURON...............................................................................................................................................................................................
..........................................................................................................123
INGHAM..............................................................................................................................................................................................
..........................................................................................................124
..........................................................................................................124
IOSCO.................................................................................................................................................................................................
..........................................................................................................124
ISABELLA............................................................................................................................................................................................
..........................................................................................................124
KENT...................................................................................................................................................................................................
LAKE...................................................................................................................................................................................................
..........................................................................................................124
..........................................................................................................124
LAPEER..............................................................................................................................................................................................
..........................................................................................................124
LIVINGSTON.......................................................................................................................................................................................
MACOMB............................................................................................................................................................................................
..........................................................................................................125
..........................................................................................................125
MONTCALM........................................................................................................................................................................................
..........................................................................................................125
MONTMORENCY................................................................................................................................................................................
..........................................................................................................126
MUSKEGON........................................................................................................................................................................................
OAKLAND...........................................................................................................................................................................................
..........................................................................................................126
..........................................................................................................127
OSCEOLA...........................................................................................................................................................................................
..........................................................................................................127
OTTAWA.............................................................................................................................................................................................
PRESQUE ISLE..................................................................................................................................................................................
..........................................................................................................127
..........................................................................................................127
SAGINAW............................................................................................................................................................................................
..........................................................................................................128
SAINT CLAIR......................................................................................................................................................................................
..........................................................................................................128
SHIAWASSEE.....................................................................................................................................................................................
VAN BUREN........................................................................................................................................................................................
..........................................................................................................128
..........................................................................................................128
WAYNE...............................................................................................................................................................................................
SPECIALTY CARE PROVIDERS

ALCONA..............................................................................................................................................................................................
..........................................................................................................130
..........................................................................................................130
ALLEGAN............................................................................................................................................................................................
..........................................................................................................133
ALPENA..............................................................................................................................................................................................
ANTRIM...............................................................................................................................................................................................
..........................................................................................................136
..........................................................................................................136
ARENAC..............................................................................................................................................................................................
..........................................................................................................138
BARRY................................................................................................................................................................................................
..........................................................................................................139
BAY.....................................................................................................................................................................................................
BENZIE...............................................................................................................................................................................................
..........................................................................................................144
..........................................................................................................145
BERRIEN.............................................................................................................................................................................................
..........................................................................................................152
BRANCH.............................................................................................................................................................................................
CALHOUN...........................................................................................................................................................................................
..........................................................................................................154
..........................................................................................................161
CASS...................................................................................................................................................................................................
..........................................................................................................162
CHARLEVOIX.....................................................................................................................................................................................
..........................................................................................................164
CHEBOYGAN......................................................................................................................................................................................
CHIPPEWA.........................................................................................................................................................................................
..........................................................................................................165
..........................................................................................................166
CLARE................................................................................................................................................................................................
..........................................................................................................167
CLINTON.............................................................................................................................................................................................
CRAWFORD........................................................................................................................................................................................
..........................................................................................................169
..........................................................................................................171
DELTA.................................................................................................................................................................................................
..........................................................................................................172
DICKINSON.........................................................................................................................................................................................
..........................................................................................................172
EATON................................................................................................................................................................................................
..........................................................................................................176
EMMET................................................................................................................................................................................................
GENESEE...........................................................................................................................................................................................
..........................................................................................................181
..........................................................................................................205
GLADWIN............................................................................................................................................................................................
..........................................................................................................206
GRAND TRAVERSE............................................................................................................................................................................
..........................................................................................................212
GRATIOT.............................................................................................................................................................................................
..........................................................................................................215
HILLSDALE.........................................................................................................................................................................................
..........................................................................................................216
HOUGHTON........................................................................................................................................................................................

February 19, 2015
TABLE OF CONTENTS
SPECIALTY CARE PROVIDERS (CONTINUED)
HURON...............................................................................................................................................................................................
..........................................................................................................217
INGHAM..............................................................................................................................................................................................
..........................................................................................................219
..........................................................................................................244
IONIA...................................................................................................................................................................................................
..........................................................................................................247
IOSCO.................................................................................................................................................................................................
..........................................................................................................249
ISABELLA............................................................................................................................................................................................
JACKSON............................................................................................................................................................................................
..........................................................................................................253
..........................................................................................................257
KALAMAZOO......................................................................................................................................................................................
..........................................................................................................275
KALKASKA..........................................................................................................................................................................................
KENT...................................................................................................................................................................................................
..........................................................................................................276
..........................................................................................................296
LAKE...................................................................................................................................................................................................
..........................................................................................................296
LAPEER..............................................................................................................................................................................................
..........................................................................................................301
LEELANAU..........................................................................................................................................................................................
LENAWEE...........................................................................................................................................................................................
..........................................................................................................302
..........................................................................................................303
LIVINGSTON.......................................................................................................................................................................................
..........................................................................................................311
LUCE...................................................................................................................................................................................................
MACKINAC..........................................................................................................................................................................................
..........................................................................................................311
..........................................................................................................312
MACOMB............................................................................................................................................................................................
..........................................................................................................344
MANISTEE..........................................................................................................................................................................................
..........................................................................................................345
MARQUETTE......................................................................................................................................................................................
MASON...............................................................................................................................................................................................
..........................................................................................................346
..........................................................................................................347
MECOSTA...........................................................................................................................................................................................
..........................................................................................................350
MENOMINEE.......................................................................................................................................................................................
MIDLAND............................................................................................................................................................................................
..........................................................................................................350
..........................................................................................................354
MISSAUKEE........................................................................................................................................................................................
..........................................................................................................354
MONROE............................................................................................................................................................................................
..........................................................................................................357
MONTCALM........................................................................................................................................................................................
MONTMORENCY................................................................................................................................................................................
..........................................................................................................360
..........................................................................................................361
MUSKEGON........................................................................................................................................................................................
..........................................................................................................364
NEWAYGO..........................................................................................................................................................................................
OAKLAND...........................................................................................................................................................................................
..........................................................................................................366
..........................................................................................................441
OCEANA.............................................................................................................................................................................................
..........................................................................................................442
OGEMAW............................................................................................................................................................................................
..........................................................................................................445
OSCEOLA...........................................................................................................................................................................................
OSCODA.............................................................................................................................................................................................
..........................................................................................................446
..........................................................................................................446
OTSEGO.............................................................................................................................................................................................
..........................................................................................................448
OTTAWA.............................................................................................................................................................................................
PRESQUE ISLE..................................................................................................................................................................................
..........................................................................................................452
..........................................................................................................452
ROSCOMMON....................................................................................................................................................................................
..........................................................................................................454
SAGINAW............................................................................................................................................................................................
..........................................................................................................466
SAINT CLAIR......................................................................................................................................................................................
SAINT JOSEPH...................................................................................................................................................................................
..........................................................................................................472
..........................................................................................................475
SANILAC.............................................................................................................................................................................................
..........................................................................................................477
SHIAWASSEE.....................................................................................................................................................................................
..........................................................................................................481
TUSCOLA............................................................................................................................................................................................
VAN BUREN........................................................................................................................................................................................
..........................................................................................................483
..........................................................................................................486
WASHTENAW.....................................................................................................................................................................................
..........................................................................................................563
WAYNE...............................................................................................................................................................................................
..........................................................................................................623
WEXFORD..........................................................................................................................................................................................
HOSPITALS
ALLEGAN............................................................................................................................................................................................
..........................................................................................................625

February 19, 2015
TABLE OF CONTENTS
HOSPITALS (CONTINUED)
ALPENA..............................................................................................................................................................................................
..........................................................................................................625
ARENAC..............................................................................................................................................................................................
..........................................................................................................625
..........................................................................................................625
BAY.....................................................................................................................................................................................................
..........................................................................................................625
BENZIE...............................................................................................................................................................................................
..........................................................................................................625
BERRIEN.............................................................................................................................................................................................
BRANCH.............................................................................................................................................................................................
..........................................................................................................625
..........................................................................................................625
CALHOUN...........................................................................................................................................................................................
..........................................................................................................625
CASS...................................................................................................................................................................................................
CHARLEVOIX.....................................................................................................................................................................................
..........................................................................................................625
..........................................................................................................625
CHEBOYGAN......................................................................................................................................................................................
..........................................................................................................625
CLARE................................................................................................................................................................................................
..........................................................................................................625
CLINTON.............................................................................................................................................................................................
CRAWFORD........................................................................................................................................................................................
..........................................................................................................626
..........................................................................................................626
EATON................................................................................................................................................................................................
..........................................................................................................626
EMMET................................................................................................................................................................................................
GENESEE...........................................................................................................................................................................................
..........................................................................................................626
..........................................................................................................626
GLADWIN............................................................................................................................................................................................
..........................................................................................................626
GRAND TRAVERSE............................................................................................................................................................................
..........................................................................................................626
GRATIOT.............................................................................................................................................................................................
HILLSDALE.........................................................................................................................................................................................
..........................................................................................................626
..........................................................................................................626
HURON...............................................................................................................................................................................................
..........................................................................................................626
INGHAM..............................................................................................................................................................................................
IONIA...................................................................................................................................................................................................
..........................................................................................................626
..........................................................................................................626
IOSCO.................................................................................................................................................................................................
..........................................................................................................627
ISABELLA............................................................................................................................................................................................
..........................................................................................................627
KALAMAZOO......................................................................................................................................................................................
KALKASKA..........................................................................................................................................................................................
..........................................................................................................627
..........................................................................................................627
KENT...................................................................................................................................................................................................
..........................................................................................................627
LAPEER..............................................................................................................................................................................................
LENAWEE...........................................................................................................................................................................................
..........................................................................................................627
..........................................................................................................627
LIVINGSTON.......................................................................................................................................................................................
..........................................................................................................627
MACKINAC..........................................................................................................................................................................................
..........................................................................................................627
MACOMB............................................................................................................................................................................................
MANISTEE..........................................................................................................................................................................................
..........................................................................................................627
..........................................................................................................627
MASON...............................................................................................................................................................................................
..........................................................................................................627
MECOSTA...........................................................................................................................................................................................
MIDLAND............................................................................................................................................................................................
..........................................................................................................627
..........................................................................................................628
MONROE............................................................................................................................................................................................
..........................................................................................................628
MONTCALM........................................................................................................................................................................................
..........................................................................................................628
MUSKEGON........................................................................................................................................................................................
NEWAYGO..........................................................................................................................................................................................
..........................................................................................................628
..........................................................................................................628
OAKLAND...........................................................................................................................................................................................
..........................................................................................................628
OCEANA.............................................................................................................................................................................................
..........................................................................................................628
OGEMAW............................................................................................................................................................................................
OSCEOLA...........................................................................................................................................................................................
..........................................................................................................628
..........................................................................................................628
OTSEGO.............................................................................................................................................................................................
..........................................................................................................629
OTTAWA.............................................................................................................................................................................................
..........................................................................................................629
SAGINAW............................................................................................................................................................................................
..........................................................................................................629
SAINT CLAIR......................................................................................................................................................................................
..........................................................................................................629
SAINT JOSEPH...................................................................................................................................................................................
SANILAC.............................................................................................................................................................................................
..........................................................................................................629

February 19, 2015
TABLE OF CONTENTS
HOSPITALS (CONTINUED)
SHIAWASSEE.....................................................................................................................................................................................
..........................................................................................................629
TUSCOLA............................................................................................................................................................................................
..........................................................................................................629
..........................................................................................................629
VAN BUREN........................................................................................................................................................................................
..........................................................................................................629
WASHTENAW.....................................................................................................................................................................................
..........................................................................................................629
WAYNE...............................................................................................................................................................................................
WEXFORD..........................................................................................................................................................................................
..........................................................................................................630
AMBULATORY SURGERY
GENESEE...........................................................................................................................................................................................
..........................................................................................................631
GRAND TRAVERSE............................................................................................................................................................................
..........................................................................................................631
..........................................................................................................631
MACOMB............................................................................................................................................................................................
..........................................................................................................631
MIDLAND............................................................................................................................................................................................
MONROE............................................................................................................................................................................................
..........................................................................................................631
..........................................................................................................631
MUSKEGON........................................................................................................................................................................................
..........................................................................................................631
OAKLAND...........................................................................................................................................................................................
..........................................................................................................631
ROSCOMMON....................................................................................................................................................................................
SAGINAW............................................................................................................................................................................................
..........................................................................................................631
..........................................................................................................631
WAYNE...............................................................................................................................................................................................
CHIROPRACTORS
* PLEASE CALL 888-327-0671 TO VERIFY YOUR CHIROPRACTIC BENEFITS
ALCONA..............................................................................................................................................................................................
..........................................................................................................632
..........................................................................................................632
ALLEGAN............................................................................................................................................................................................
..........................................................................................................632
ALPENA..............................................................................................................................................................................................
ANTRIM...............................................................................................................................................................................................
..........................................................................................................632
..........................................................................................................632
ARENAC..............................................................................................................................................................................................
..........................................................................................................632
BARRY................................................................................................................................................................................................
BAY.....................................................................................................................................................................................................
..........................................................................................................632
..........................................................................................................632
BENZIE...............................................................................................................................................................................................
..........................................................................................................632
BERRIEN.............................................................................................................................................................................................
..........................................................................................................633
BRANCH.............................................................................................................................................................................................
CALHOUN...........................................................................................................................................................................................
..........................................................................................................633
..........................................................................................................633
CASS...................................................................................................................................................................................................
..........................................................................................................633
CHARLEVOIX.....................................................................................................................................................................................
CHEBOYGAN......................................................................................................................................................................................
..........................................................................................................633
..........................................................................................................634
CLARE................................................................................................................................................................................................
..........................................................................................................634
CLINTON.............................................................................................................................................................................................
..........................................................................................................634
CRAWFORD........................................................................................................................................................................................
EATON................................................................................................................................................................................................
..........................................................................................................634
..........................................................................................................635
EMMET................................................................................................................................................................................................
..........................................................................................................635
GENESEE...........................................................................................................................................................................................
GLADWIN............................................................................................................................................................................................
..........................................................................................................637
..........................................................................................................637
GRAND TRAVERSE............................................................................................................................................................................
..........................................................................................................637
GRATIOT.............................................................................................................................................................................................
..........................................................................................................637
HILLSDALE.........................................................................................................................................................................................
..........................................................................................................637
HURON...............................................................................................................................................................................................
INGHAM..............................................................................................................................................................................................
..........................................................................................................638
..........................................................................................................639
IONIA...................................................................................................................................................................................................
..........................................................................................................639
IOSCO.................................................................................................................................................................................................
..........................................................................................................639
ISABELLA............................................................................................................................................................................................
..........................................................................................................639
JACKSON............................................................................................................................................................................................
..........................................................................................................640
KALAMAZOO......................................................................................................................................................................................

February 19, 2015
TABLE OF CONTENTS
CHIROPRACTORS (CONTINUED)
KALKASKA..........................................................................................................................................................................................
..........................................................................................................640
KENT...................................................................................................................................................................................................
..........................................................................................................640
..........................................................................................................640
LAPEER..............................................................................................................................................................................................
..........................................................................................................641
LEELANAU..........................................................................................................................................................................................
..........................................................................................................641
LENAWEE...........................................................................................................................................................................................
LIVINGSTON.......................................................................................................................................................................................
..........................................................................................................641
..........................................................................................................641
MACOMB............................................................................................................................................................................................
..........................................................................................................644
MARQUETTE......................................................................................................................................................................................
MASON...............................................................................................................................................................................................
..........................................................................................................644
..........................................................................................................644
MIDLAND............................................................................................................................................................................................
..........................................................................................................644
MONROE............................................................................................................................................................................................
..........................................................................................................644
MONTCALM........................................................................................................................................................................................
MONTMORENCY................................................................................................................................................................................
..........................................................................................................645
..........................................................................................................645
MUSKEGON........................................................................................................................................................................................
..........................................................................................................645
NEWAYGO..........................................................................................................................................................................................
OAKLAND...........................................................................................................................................................................................
..........................................................................................................645
..........................................................................................................647
OCEANA.............................................................................................................................................................................................
..........................................................................................................647
OGEMAW............................................................................................................................................................................................
..........................................................................................................647
OSCEOLA...........................................................................................................................................................................................
OSCODA.............................................................................................................................................................................................
..........................................................................................................647
..........................................................................................................647
OTSEGO.............................................................................................................................................................................................
..........................................................................................................648
OTTAWA.............................................................................................................................................................................................
PRESQUE ISLE..................................................................................................................................................................................
..........................................................................................................648
..........................................................................................................648
ROSCOMMON....................................................................................................................................................................................
..........................................................................................................648
SAGINAW............................................................................................................................................................................................
..........................................................................................................648
SAINT CLAIR......................................................................................................................................................................................
SAINT JOSEPH...................................................................................................................................................................................
..........................................................................................................649
..........................................................................................................649
SANILAC.............................................................................................................................................................................................
..........................................................................................................649
SHIAWASSEE.....................................................................................................................................................................................
TUSCOLA............................................................................................................................................................................................
..........................................................................................................650
..........................................................................................................650
VAN BUREN........................................................................................................................................................................................
..........................................................................................................650
WASHTENAW.....................................................................................................................................................................................
..........................................................................................................650
WAYNE...............................................................................................................................................................................................
WEXFORD..........................................................................................................................................................................................
..........................................................................................................651
PHYSICAL AND OCCUPATIONAL THERAPY

ALCONA..............................................................................................................................................................................................
..........................................................................................................652
ALLEGAN............................................................................................................................................................................................
..........................................................................................................652
..........................................................................................................652
ALPENA..............................................................................................................................................................................................
..........................................................................................................652
ANTRIM...............................................................................................................................................................................................
ARENAC..............................................................................................................................................................................................
..........................................................................................................652
..........................................................................................................652
BAY.....................................................................................................................................................................................................
..........................................................................................................653
BERRIEN.............................................................................................................................................................................................
..........................................................................................................653
BRANCH.............................................................................................................................................................................................
..........................................................................................................653
CALHOUN...........................................................................................................................................................................................
CHARLEVOIX.....................................................................................................................................................................................
..........................................................................................................653
..........................................................................................................653
CHEBOYGAN......................................................................................................................................................................................
..........................................................................................................653
CLARE................................................................................................................................................................................................
..........................................................................................................653
CLINTON.............................................................................................................................................................................................
..........................................................................................................653
CRAWFORD........................................................................................................................................................................................
..........................................................................................................653
EATON................................................................................................................................................................................................

February 19, 2015
TABLE OF CONTENTS
PHYSICAL AND OCCUPATIONAL THERAPY (CONTINUED)
EMMET................................................................................................................................................................................................
..........................................................................................................654
GENESEE...........................................................................................................................................................................................
..........................................................................................................654
..........................................................................................................655
GLADWIN............................................................................................................................................................................................
..........................................................................................................655
GRAND TRAVERSE............................................................................................................................................................................
..........................................................................................................656
GRATIOT.............................................................................................................................................................................................
HILLSDALE.........................................................................................................................................................................................
..........................................................................................................656
..........................................................................................................656
HURON...............................................................................................................................................................................................
..........................................................................................................656
INGHAM..............................................................................................................................................................................................
IONIA...................................................................................................................................................................................................
..........................................................................................................657
..........................................................................................................657
IOSCO.................................................................................................................................................................................................
..........................................................................................................657
ISABELLA............................................................................................................................................................................................
..........................................................................................................657
JACKSON............................................................................................................................................................................................
KALAMAZOO......................................................................................................................................................................................
..........................................................................................................657
..........................................................................................................658
KENT...................................................................................................................................................................................................
..........................................................................................................658
LAKE...................................................................................................................................................................................................
LAPEER..............................................................................................................................................................................................
..........................................................................................................658
..........................................................................................................659
LEELANAU..........................................................................................................................................................................................
..........................................................................................................659
LENAWEE...........................................................................................................................................................................................
..........................................................................................................659
LIVINGSTON.......................................................................................................................................................................................
MACOMB............................................................................................................................................................................................
..........................................................................................................659
..........................................................................................................661
MANISTEE..........................................................................................................................................................................................
..........................................................................................................661
MASON...............................................................................................................................................................................................
MECOSTA...........................................................................................................................................................................................
..........................................................................................................661
..........................................................................................................661
MIDLAND............................................................................................................................................................................................
..........................................................................................................661
MONROE............................................................................................................................................................................................
..........................................................................................................661
MONTCALM........................................................................................................................................................................................
MONTMORENCY................................................................................................................................................................................
..........................................................................................................661
..........................................................................................................661
MUSKEGON........................................................................................................................................................................................
..........................................................................................................662
NEWAYGO..........................................................................................................................................................................................
OAKLAND...........................................................................................................................................................................................
..........................................................................................................662
..........................................................................................................665
OGEMAW............................................................................................................................................................................................
..........................................................................................................665
OSCEOLA...........................................................................................................................................................................................
..........................................................................................................665
OSCODA.............................................................................................................................................................................................
OTSEGO.............................................................................................................................................................................................
..........................................................................................................665
..........................................................................................................665
OTTAWA.............................................................................................................................................................................................
..........................................................................................................665
PRESQUE ISLE..................................................................................................................................................................................
ROSCOMMON....................................................................................................................................................................................
..........................................................................................................666
..........................................................................................................666
SAGINAW............................................................................................................................................................................................
..........................................................................................................666
SAINT CLAIR......................................................................................................................................................................................
..........................................................................................................666
SAINT JOSEPH...................................................................................................................................................................................
SANILAC.............................................................................................................................................................................................
..........................................................................................................666
..........................................................................................................667
SHIAWASSEE.....................................................................................................................................................................................
..........................................................................................................667
TUSCOLA............................................................................................................................................................................................
..........................................................................................................667
VAN BUREN........................................................................................................................................................................................
WASHTENAW.....................................................................................................................................................................................
..........................................................................................................667
..........................................................................................................667
WAYNE...............................................................................................................................................................................................
..........................................................................................................669
WEXFORD..........................................................................................................................................................................................
MENTAL HEALTH
ALCONA..............................................................................................................................................................................................
..........................................................................................................670
..........................................................................................................670
ALLEGAN............................................................................................................................................................................................

February 19, 2015
TABLE OF CONTENTS
MENTAL HEALTH (CONTINUED)
ALPENA..............................................................................................................................................................................................
..........................................................................................................670
ANTRIM...............................................................................................................................................................................................
..........................................................................................................670
..........................................................................................................717
ARENAC..............................................................................................................................................................................................
..........................................................................................................684
BARRY................................................................................................................................................................................................
..........................................................................................................670
BAY.....................................................................................................................................................................................................
BENZIE...............................................................................................................................................................................................
..........................................................................................................670
..........................................................................................................670
BERRIEN.............................................................................................................................................................................................
..........................................................................................................670
BRANCH.............................................................................................................................................................................................
CALHOUN...........................................................................................................................................................................................
..........................................................................................................670
..........................................................................................................686
CASS...................................................................................................................................................................................................
..........................................................................................................671
CHARLEVOIX.....................................................................................................................................................................................
..........................................................................................................671
CHEBOYGAN......................................................................................................................................................................................
CHIPPEWA.........................................................................................................................................................................................
..........................................................................................................768
..........................................................................................................740
CLARE................................................................................................................................................................................................
..........................................................................................................671
CLINTON.............................................................................................................................................................................................
CRAWFORD........................................................................................................................................................................................
..........................................................................................................671
..........................................................................................................671
EATON................................................................................................................................................................................................
..........................................................................................................671
EMMET................................................................................................................................................................................................
..........................................................................................................671
GENESEE...........................................................................................................................................................................................
GLADWIN............................................................................................................................................................................................
..........................................................................................................689
..........................................................................................................672
GRAND TRAVERSE............................................................................................................................................................................
..........................................................................................................672
GRATIOT.............................................................................................................................................................................................
HILLSDALE.........................................................................................................................................................................................
..........................................................................................................672
..........................................................................................................681
HURON...............................................................................................................................................................................................
..........................................................................................................672
INGHAM..............................................................................................................................................................................................
..........................................................................................................673
IONIA...................................................................................................................................................................................................
IOSCO.................................................................................................................................................................................................
..........................................................................................................673
..........................................................................................................673
ISABELLA............................................................................................................................................................................................
..........................................................................................................673
JACKSON............................................................................................................................................................................................
KALAMAZOO......................................................................................................................................................................................
..........................................................................................................673
..........................................................................................................673
KALKASKA..........................................................................................................................................................................................
..........................................................................................................673
KENT...................................................................................................................................................................................................
..........................................................................................................674
LAKE...................................................................................................................................................................................................
LAPEER..............................................................................................................................................................................................
..........................................................................................................674
..........................................................................................................674
LEELANAU..........................................................................................................................................................................................
..........................................................................................................674
LENAWEE...........................................................................................................................................................................................
LIVINGSTON.......................................................................................................................................................................................
..........................................................................................................674
..........................................................................................................674
MACOMB............................................................................................................................................................................................
..........................................................................................................675
MANISTEE..........................................................................................................................................................................................
..........................................................................................................675
MASON...............................................................................................................................................................................................
MECOSTA...........................................................................................................................................................................................
..........................................................................................................675
..........................................................................................................675
MIDLAND............................................................................................................................................................................................
..........................................................................................................703
MISSAUKEE........................................................................................................................................................................................
..........................................................................................................676
MONROE............................................................................................................................................................................................
MONTCALM........................................................................................................................................................................................
..........................................................................................................676
..........................................................................................................676
MONTMORENCY................................................................................................................................................................................
..........................................................................................................676
MUSKEGON........................................................................................................................................................................................
..........................................................................................................676
NEWAYGO..........................................................................................................................................................................................
..........................................................................................................676
OAKLAND...........................................................................................................................................................................................
..........................................................................................................805
OCEANA.............................................................................................................................................................................................
OGEMAW............................................................................................................................................................................................
..........................................................................................................677

February 19, 2015
TABLE OF CONTENTS
MENTAL HEALTH (CONTINUED)
OSCEOLA...........................................................................................................................................................................................
..........................................................................................................805
OSCODA.............................................................................................................................................................................................
..........................................................................................................677
..........................................................................................................678
OTSEGO.............................................................................................................................................................................................
..........................................................................................................678
OTTAWA.............................................................................................................................................................................................
..........................................................................................................678
PRESQUE ISLE..................................................................................................................................................................................
ROSCOMMON....................................................................................................................................................................................
..........................................................................................................678
..........................................................................................................678
SAGINAW............................................................................................................................................................................................
..........................................................................................................678
SAINT CLAIR......................................................................................................................................................................................
SAINT JOSEPH...................................................................................................................................................................................
..........................................................................................................679
..........................................................................................................679
SANILAC.............................................................................................................................................................................................
..........................................................................................................679
SHIAWASSEE.....................................................................................................................................................................................
..........................................................................................................679
TUSCOLA............................................................................................................................................................................................
VAN BUREN........................................................................................................................................................................................
..........................................................................................................679
..........................................................................................................679
WASHTENAW.....................................................................................................................................................................................
..........................................................................................................679
WAYNE...............................................................................................................................................................................................
WEXFORD..........................................................................................................................................................................................
..........................................................................................................716
LABORATORY SITES
ALLEGAN............................................................................................................................................................................................
..........................................................................................................818
ALPENA..............................................................................................................................................................................................
..........................................................................................................818
..........................................................................................................818
ANTRIM...............................................................................................................................................................................................
..........................................................................................................818
ARENAC..............................................................................................................................................................................................
..........................................................................................................818
BARRY................................................................................................................................................................................................
BAY.....................................................................................................................................................................................................
..........................................................................................................818
..........................................................................................................818
BENZIE...............................................................................................................................................................................................
..........................................................................................................818
BERRIEN.............................................................................................................................................................................................
CALHOUN...........................................................................................................................................................................................
..........................................................................................................818
..........................................................................................................819
CASS...................................................................................................................................................................................................
..........................................................................................................819
CHEBOYGAN......................................................................................................................................................................................
..........................................................................................................819
CLARE................................................................................................................................................................................................
CLINTON.............................................................................................................................................................................................
..........................................................................................................819
..........................................................................................................819
CRAWFORD........................................................................................................................................................................................
..........................................................................................................819
EATON................................................................................................................................................................................................
EMMET................................................................................................................................................................................................
..........................................................................................................819
..........................................................................................................819
GENESEE...........................................................................................................................................................................................
..........................................................................................................820
GLADWIN............................................................................................................................................................................................
..........................................................................................................820
GRAND TRAVERSE............................................................................................................................................................................
GRATIOT.............................................................................................................................................................................................
..........................................................................................................820
..........................................................................................................820
HILLSDALE.........................................................................................................................................................................................
..........................................................................................................820
HURON...............................................................................................................................................................................................
INGHAM..............................................................................................................................................................................................
..........................................................................................................821
..........................................................................................................821
IONIA...................................................................................................................................................................................................
..........................................................................................................821
IOSCO.................................................................................................................................................................................................
..........................................................................................................821
ISABELLA............................................................................................................................................................................................
..........................................................................................................822
JACKSON............................................................................................................................................................................................
KALAMAZOO......................................................................................................................................................................................
..........................................................................................................822
..........................................................................................................822
KALKASKA..........................................................................................................................................................................................
..........................................................................................................822
KENT...................................................................................................................................................................................................
..........................................................................................................822
LAPEER..............................................................................................................................................................................................
..........................................................................................................823
LEELANAU..........................................................................................................................................................................................
..........................................................................................................823
LIVINGSTON.......................................................................................................................................................................................

February 19, 2015
TABLE OF CONTENTS
LABORATORY SITES (CONTINUED)
MACKINAC..........................................................................................................................................................................................
..........................................................................................................823
MACOMB............................................................................................................................................................................................
..........................................................................................................823
..........................................................................................................823
MANISTEE..........................................................................................................................................................................................
..........................................................................................................823
MASON...............................................................................................................................................................................................
..........................................................................................................823
MECOSTA...........................................................................................................................................................................................
MIDLAND............................................................................................................................................................................................
..........................................................................................................824
..........................................................................................................824
MONROE............................................................................................................................................................................................
..........................................................................................................824
MONTCALM........................................................................................................................................................................................
MUSKEGON........................................................................................................................................................................................
..........................................................................................................824
..........................................................................................................824
OAKLAND...........................................................................................................................................................................................
..........................................................................................................825
OGEMAW............................................................................................................................................................................................
..........................................................................................................825
OSCODA.............................................................................................................................................................................................
OTSEGO.............................................................................................................................................................................................
..........................................................................................................825
..........................................................................................................825
OTTAWA.............................................................................................................................................................................................
..........................................................................................................825
PRESQUE ISLE..................................................................................................................................................................................
ROSCOMMON....................................................................................................................................................................................
..........................................................................................................826
..........................................................................................................826
SAGINAW............................................................................................................................................................................................
..........................................................................................................826
SAINT CLAIR......................................................................................................................................................................................
..........................................................................................................826
SAINT JOSEPH...................................................................................................................................................................................
SANILAC.............................................................................................................................................................................................
..........................................................................................................826
..........................................................................................................826
SHIAWASSEE.....................................................................................................................................................................................
..........................................................................................................826
ST. CLAIR...........................................................................................................................................................................................
ST. JOSEPH........................................................................................................................................................................................
..........................................................................................................826
..........................................................................................................826
TUSCOLA............................................................................................................................................................................................
..........................................................................................................827
VAN BUREN........................................................................................................................................................................................
..........................................................................................................827
WASHTENAW.....................................................................................................................................................................................
WAYNE...............................................................................................................................................................................................
..........................................................................................................827
..........................................................................................................828
WEXFORD..........................................................................................................................................................................................
RADIOLOGY SITES
ALLEGAN............................................................................................................................................................................................
..........................................................................................................829
..........................................................................................................829
ALPENA..............................................................................................................................................................................................
..........................................................................................................829
BARRY................................................................................................................................................................................................
BAY.....................................................................................................................................................................................................
..........................................................................................................829
..........................................................................................................829
BENZIE...............................................................................................................................................................................................
..........................................................................................................829
BERRIEN.............................................................................................................................................................................................
..........................................................................................................829
CALHOUN...........................................................................................................................................................................................
CASS...................................................................................................................................................................................................
..........................................................................................................829
..........................................................................................................829
CHARLEVOIX.....................................................................................................................................................................................
..........................................................................................................829
CHEBOYGAN......................................................................................................................................................................................
CLARE................................................................................................................................................................................................
..........................................................................................................829
..........................................................................................................830
CLINTON.............................................................................................................................................................................................
..........................................................................................................830
CRAWFORD........................................................................................................................................................................................
..........................................................................................................830
EATON................................................................................................................................................................................................
..........................................................................................................830
EMMET................................................................................................................................................................................................
GENESEE...........................................................................................................................................................................................
..........................................................................................................830
..........................................................................................................830
GRAND TRAVERSE............................................................................................................................................................................
..........................................................................................................831
GRATIOT.............................................................................................................................................................................................
..........................................................................................................831
HILLSDALE.........................................................................................................................................................................................
..........................................................................................................831
HURON...............................................................................................................................................................................................
..........................................................................................................831
INGHAM..............................................................................................................................................................................................

February 19, 2015
TABLE OF CONTENTS
RADIOLOGY SITES (CONTINUED)
IONIA...................................................................................................................................................................................................
..........................................................................................................831
IOSCO.................................................................................................................................................................................................
..........................................................................................................831
..........................................................................................................831
ISABELLA............................................................................................................................................................................................
..........................................................................................................831
KALAMAZOO......................................................................................................................................................................................
..........................................................................................................832
KALKASKA..........................................................................................................................................................................................
KENT...................................................................................................................................................................................................
..........................................................................................................832
..........................................................................................................832
LAPEER..............................................................................................................................................................................................
..........................................................................................................832
LIVINGSTON.......................................................................................................................................................................................
MACKINAC..........................................................................................................................................................................................
..........................................................................................................832
..........................................................................................................832
MACOMB............................................................................................................................................................................................
..........................................................................................................833
MANISTEE..........................................................................................................................................................................................
..........................................................................................................833
MASON...............................................................................................................................................................................................
MECOSTA...........................................................................................................................................................................................
..........................................................................................................833
..........................................................................................................833
MIDLAND............................................................................................................................................................................................
..........................................................................................................833
MONROE............................................................................................................................................................................................
MONTCALM........................................................................................................................................................................................
..........................................................................................................833
..........................................................................................................834
MUSKEGON........................................................................................................................................................................................
..........................................................................................................834
OAKLAND...........................................................................................................................................................................................
..........................................................................................................835
OGEMAW............................................................................................................................................................................................
OTSEGO.............................................................................................................................................................................................
..........................................................................................................836
..........................................................................................................836
OTTAWA.............................................................................................................................................................................................
..........................................................................................................836
PRESQUE ISLE..................................................................................................................................................................................
SAGINAW............................................................................................................................................................................................
..........................................................................................................836
..........................................................................................................836
SAINT CLAIR......................................................................................................................................................................................
..........................................................................................................836
SAINT JOSEPH...................................................................................................................................................................................
..........................................................................................................836
SANILAC.............................................................................................................................................................................................
SHIAWASSEE.....................................................................................................................................................................................
..........................................................................................................837
..........................................................................................................837
ST. CLAIR...........................................................................................................................................................................................
..........................................................................................................837
ST. JOSEPH........................................................................................................................................................................................
TUSCOLA............................................................................................................................................................................................
..........................................................................................................837
..........................................................................................................837
VAN BUREN........................................................................................................................................................................................
..........................................................................................................837
WASHTENAW.....................................................................................................................................................................................
..........................................................................................................837
WAYNE...............................................................................................................................................................................................
URGENT CARE CENTERS

ARENAC..............................................................................................................................................................................................
..........................................................................................................839
..........................................................................................................839
BAY.....................................................................................................................................................................................................
CALHOUN...........................................................................................................................................................................................
..........................................................................................................839
..........................................................................................................839
CHARLEVOIX.....................................................................................................................................................................................
..........................................................................................................839
CHEBOYGAN......................................................................................................................................................................................
CLINTON.............................................................................................................................................................................................
..........................................................................................................839
..........................................................................................................839
EATON................................................................................................................................................................................................
..........................................................................................................839
EMMET................................................................................................................................................................................................
..........................................................................................................839
GENESEE...........................................................................................................................................................................................
..........................................................................................................839
GRAND TRAVERSE............................................................................................................................................................................
GRATIOT.............................................................................................................................................................................................
..........................................................................................................840
..........................................................................................................840
HURON...............................................................................................................................................................................................
..........................................................................................................840
INGHAM..............................................................................................................................................................................................
..........................................................................................................840
IONIA...................................................................................................................................................................................................
..........................................................................................................840
ISABELLA............................................................................................................................................................................................
..........................................................................................................840
JACKSON............................................................................................................................................................................................

February 19, 2015
TABLE OF CONTENTS
URGENT CARE CENTERS (CONTINUED)
KALAMAZOO......................................................................................................................................................................................
..........................................................................................................840
LAPEER..............................................................................................................................................................................................
..........................................................................................................840
..........................................................................................................840
LIVINGSTON.......................................................................................................................................................................................
..........................................................................................................840
MACOMB............................................................................................................................................................................................
..........................................................................................................841
MIDLAND............................................................................................................................................................................................
MONROE............................................................................................................................................................................................
..........................................................................................................841
..........................................................................................................841
OAKLAND...........................................................................................................................................................................................
..........................................................................................................841
OTSEGO.............................................................................................................................................................................................
SAGINAW............................................................................................................................................................................................
..........................................................................................................841
..........................................................................................................842
SAINT CLAIR......................................................................................................................................................................................
..........................................................................................................842
SHIAWASSEE.....................................................................................................................................................................................
..........................................................................................................842
TUSCOLA............................................................................................................................................................................................
VAN BUREN........................................................................................................................................................................................
..........................................................................................................842
..........................................................................................................842
WAYNE...............................................................................................................................................................................................
PHARMACIES - TOP 10 MAJOR CHAINS

PHARMACIES - TOP 10 MAJOR CHAINS..........................................................................................................................................
..........................................................................................................843
PHARMACY
ALCONA..............................................................................................................................................................................................
..........................................................................................................844
..........................................................................................................844
ALGER................................................................................................................................................................................................
..........................................................................................................844
ALLEGAN............................................................................................................................................................................................
..........................................................................................................844
ALPENA..............................................................................................................................................................................................
ANTRIM...............................................................................................................................................................................................
..........................................................................................................844
..........................................................................................................844
ARENAC..............................................................................................................................................................................................
..........................................................................................................845
BARAGA..............................................................................................................................................................................................
BARRY................................................................................................................................................................................................
..........................................................................................................845
..........................................................................................................845
BAY.....................................................................................................................................................................................................
..........................................................................................................845
BENZIE...............................................................................................................................................................................................
..........................................................................................................845
BERRIEN.............................................................................................................................................................................................
BRANCH.............................................................................................................................................................................................
..........................................................................................................846
..........................................................................................................846
CALHOUN...........................................................................................................................................................................................
..........................................................................................................847
CASS...................................................................................................................................................................................................
CHARLEVOIX.....................................................................................................................................................................................
..........................................................................................................847
..........................................................................................................847
CHEBOYGAN......................................................................................................................................................................................
..........................................................................................................847
CHIPPEWA.........................................................................................................................................................................................
..........................................................................................................847
CLARE................................................................................................................................................................................................
CLINTON.............................................................................................................................................................................................
..........................................................................................................847
..........................................................................................................847
CRAWFORD........................................................................................................................................................................................
..........................................................................................................848
DELTA.................................................................................................................................................................................................
DICKINSON.........................................................................................................................................................................................
..........................................................................................................848
..........................................................................................................848
EATON................................................................................................................................................................................................
..........................................................................................................848
EMMET................................................................................................................................................................................................
..........................................................................................................849
GENESEE...........................................................................................................................................................................................
..........................................................................................................850
GLADWIN............................................................................................................................................................................................
GOGEBIC............................................................................................................................................................................................
..........................................................................................................850
..........................................................................................................850
GRAND TRAVERSE............................................................................................................................................................................
..........................................................................................................851
GRATIOT.............................................................................................................................................................................................
..........................................................................................................851
HILLSDALE.........................................................................................................................................................................................
..........................................................................................................851
HOUGHTON........................................................................................................................................................................................
..........................................................................................................851
HURON...............................................................................................................................................................................................

February 19, 2015
TABLE OF CONTENTS
PHARMACY (CONTINUED)
INGHAM..............................................................................................................................................................................................
..........................................................................................................852
IONIA...................................................................................................................................................................................................
..........................................................................................................853
..........................................................................................................853
IOSCO.................................................................................................................................................................................................
..........................................................................................................853
IRON...................................................................................................................................................................................................
..........................................................................................................853
ISABELLA............................................................................................................................................................................................
JACKSON............................................................................................................................................................................................
..........................................................................................................853
..........................................................................................................854
KALAMAZOO......................................................................................................................................................................................
..........................................................................................................855
KALKASKA..........................................................................................................................................................................................
KENT...................................................................................................................................................................................................
..........................................................................................................855
..........................................................................................................856
LAKE...................................................................................................................................................................................................
..........................................................................................................856
LAPEER..............................................................................................................................................................................................
..........................................................................................................857
LEELANAU..........................................................................................................................................................................................
LENAWEE...........................................................................................................................................................................................
..........................................................................................................857
..........................................................................................................857
LIVINGSTON.......................................................................................................................................................................................
..........................................................................................................858
LUCE...................................................................................................................................................................................................
MACKINAC..........................................................................................................................................................................................
..........................................................................................................858
..........................................................................................................858
MACOMB............................................................................................................................................................................................
..........................................................................................................861
MANISTEE..........................................................................................................................................................................................
..........................................................................................................861
MARQUETTE......................................................................................................................................................................................
MASON...............................................................................................................................................................................................
..........................................................................................................862
..........................................................................................................862
MECOSTA...........................................................................................................................................................................................
..........................................................................................................862
MENOMINEE.......................................................................................................................................................................................
MIDLAND............................................................................................................................................................................................
..........................................................................................................862
..........................................................................................................862
MISSAUKEE........................................................................................................................................................................................
..........................................................................................................862
MONROE............................................................................................................................................................................................
..........................................................................................................863
MONTCALM........................................................................................................................................................................................
MONTMORENCY................................................................................................................................................................................
..........................................................................................................863
..........................................................................................................863
MUSKEGON........................................................................................................................................................................................
..........................................................................................................864
NEWAYGO..........................................................................................................................................................................................
OAKLAND...........................................................................................................................................................................................
..........................................................................................................864
..........................................................................................................869
OCEANA.............................................................................................................................................................................................
..........................................................................................................869
OGEMAW............................................................................................................................................................................................
..........................................................................................................869
ONTONAGON.....................................................................................................................................................................................
OSCEOLA...........................................................................................................................................................................................
..........................................................................................................869
..........................................................................................................869
OSCODA.............................................................................................................................................................................................
..........................................................................................................869
OTSEGO.............................................................................................................................................................................................
OTTAWA.............................................................................................................................................................................................
..........................................................................................................870
..........................................................................................................870
PRESQUE ISLE..................................................................................................................................................................................
..........................................................................................................870
ROSCOMMON....................................................................................................................................................................................
..........................................................................................................870
SAGINAW............................................................................................................................................................................................
SAINT CLAIR......................................................................................................................................................................................
..........................................................................................................871
..........................................................................................................872
SAINT JOSEPH...................................................................................................................................................................................
..........................................................................................................872
SANILAC.............................................................................................................................................................................................
..........................................................................................................872
SCHOOLCRAFT..................................................................................................................................................................................
SHIAWASSEE.....................................................................................................................................................................................
..........................................................................................................872
..........................................................................................................872
TUSCOLA............................................................................................................................................................................................
..........................................................................................................873
VAN BUREN........................................................................................................................................................................................
..........................................................................................................873
WASHTENAW.....................................................................................................................................................................................
..........................................................................................................874
WAYNE...............................................................................................................................................................................................
..........................................................................................................880
WEXFORD..........................................................................................................................................................................................

February 19, 2015
TABLE OF CONTENTS
FQHC SITES
ARENAC..............................................................................................................................................................................................
..........................................................................................................882
BAY.....................................................................................................................................................................................................
..........................................................................................................882
..........................................................................................................882
GENESEE...........................................................................................................................................................................................
..........................................................................................................882
INGHAM..............................................................................................................................................................................................
..........................................................................................................882
IONIA...................................................................................................................................................................................................
LAPEER..............................................................................................................................................................................................
..........................................................................................................882
..........................................................................................................882
MACOMB............................................................................................................................................................................................
..........................................................................................................882
OAKLAND...........................................................................................................................................................................................
OCEANA.............................................................................................................................................................................................
..........................................................................................................882
..........................................................................................................882
OGEMAW............................................................................................................................................................................................
..........................................................................................................882
ROSCOMMON....................................................................................................................................................................................
..........................................................................................................883
SAGINAW............................................................................................................................................................................................
TUSCOLA............................................................................................................................................................................................
..........................................................................................................883
MATERNAL INFANT HEALTH PROGRAM

ALCONA..............................................................................................................................................................................................
..........................................................................................................884
ALLEGAN............................................................................................................................................................................................
..........................................................................................................884
..........................................................................................................884
ALPENA..............................................................................................................................................................................................
..........................................................................................................884
ANTRIM...............................................................................................................................................................................................
ARENAC..............................................................................................................................................................................................
..........................................................................................................884
..........................................................................................................884
BARRY................................................................................................................................................................................................
..........................................................................................................884
BAY.....................................................................................................................................................................................................
..........................................................................................................884
BERRIEN.............................................................................................................................................................................................
BRANCH.............................................................................................................................................................................................
..........................................................................................................884
..........................................................................................................884
CALHOUN...........................................................................................................................................................................................
..........................................................................................................884
CASS...................................................................................................................................................................................................
CHARLEVOIX.....................................................................................................................................................................................
..........................................................................................................885
..........................................................................................................885
CHEBOYGAN......................................................................................................................................................................................
..........................................................................................................885
CLARE................................................................................................................................................................................................
..........................................................................................................885
CLINTON.............................................................................................................................................................................................
CRAWFORD .......................................................................................................................................................................................
..........................................................................................................885
..........................................................................................................885
EATON ..............................................................................................................................................................................................
..........................................................................................................885
EMMETT.............................................................................................................................................................................................
GENESEE...........................................................................................................................................................................................
..........................................................................................................885
..........................................................................................................886
GLADWIN............................................................................................................................................................................................
..........................................................................................................886
GRAND TRAVERSE............................................................................................................................................................................
..........................................................................................................886
GRATIOT.............................................................................................................................................................................................
GREATER GRAND RAPIDS...............................................................................................................................................................
..........................................................................................................886
..........................................................................................................886
HURON...............................................................................................................................................................................................
..........................................................................................................886
INGHAM..............................................................................................................................................................................................
IONIA...................................................................................................................................................................................................
..........................................................................................................886
..........................................................................................................886
IOSCO.................................................................................................................................................................................................
..........................................................................................................886
ISABELLA............................................................................................................................................................................................
..........................................................................................................886
KALAMAZOO......................................................................................................................................................................................
..........................................................................................................886
KALKASKA..........................................................................................................................................................................................
KENT...................................................................................................................................................................................................
..........................................................................................................887
..........................................................................................................887
LAKE ..................................................................................................................................................................................................
..........................................................................................................887
LAPEER..............................................................................................................................................................................................
..........................................................................................................887
LEELANAU..........................................................................................................................................................................................
..........................................................................................................887
LIVINGSTON.......................................................................................................................................................................................
..........................................................................................................887
MACOMB............................................................................................................................................................................................

February 19, 2015
TABLE OF CONTENTS
MATERNAL INFANT HEALTH PROGRAM (CONTINUED)
MANISTEE..........................................................................................................................................................................................
..........................................................................................................888
MASON...............................................................................................................................................................................................
..........................................................................................................888
..........................................................................................................888
MECOSTA...........................................................................................................................................................................................
..........................................................................................................888
MIDLAND............................................................................................................................................................................................
..........................................................................................................888
MISSAUKEE........................................................................................................................................................................................
MONROE............................................................................................................................................................................................
..........................................................................................................888
..........................................................................................................889
MONTCALM........................................................................................................................................................................................
..........................................................................................................889
MONTMORENCY................................................................................................................................................................................
MUSKEGON........................................................................................................................................................................................
..........................................................................................................889
..........................................................................................................889
NEWAYGO..........................................................................................................................................................................................
..........................................................................................................889
OAKLAND...........................................................................................................................................................................................
..........................................................................................................890
OCEANA.............................................................................................................................................................................................
OGEMAW............................................................................................................................................................................................
..........................................................................................................890
..........................................................................................................890
OSCEOLA...........................................................................................................................................................................................
..........................................................................................................890
OSCODA.............................................................................................................................................................................................
OTSEGO.............................................................................................................................................................................................
..........................................................................................................890
..........................................................................................................890
OTTAWA.............................................................................................................................................................................................
..........................................................................................................891
PRESQUE ISLE..................................................................................................................................................................................
..........................................................................................................891
ROSCOMMON....................................................................................................................................................................................
SAGINAW............................................................................................................................................................................................
..........................................................................................................891
..........................................................................................................891
SANILAC.............................................................................................................................................................................................
..........................................................................................................891
SHIAWASSEE.....................................................................................................................................................................................
ST CLAIR............................................................................................................................................................................................
..........................................................................................................891
..........................................................................................................891
ST. JOSEPH........................................................................................................................................................................................
..........................................................................................................891
TUSCOLA............................................................................................................................................................................................
..........................................................................................................891
VAN BUREN........................................................................................................................................................................................
WASHTENAW.....................................................................................................................................................................................
..........................................................................................................891
..........................................................................................................892
WAYNE...............................................................................................................................................................................................
..........................................................................................................893
WEXFORD..........................................................................................................................................................................................
INDEX - PROVIDERS BY SPECIALTY

INDEX - PROVIDERS BY SPECIALTY................................................................................................................................................
..........................................................................................................894
INDEX - PROVIDERS BY NAME

INDEX - PROVIDERS BY NAME.........................................................................................................................................................
.........................................................................................................1251
HOSPITAL KEY
HOSPITAL KEY...................................................................................................................................................................................
........................................................................................................1339

February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
N/A
Site Hours
Availability Gender
ALCONA COUNTY
FAMILY - GENERAL PRACTICE
1107672
CHECK, CAREY L DO
177 N BARLOW RD LINCOLN
48742
(989) 736-8157
M-F 9:00-5:00
1027173
DUNCKEL, KATHLEEN J MD
48742
(989) 736-8157
M-F 9:00-5:00
1074879
MAESTRO, CALVIN J JR MD
177 N BARLOW LINCOLN
48742
(989) 736-8157
M-F 9:00-5:00
1022752
MARSHALL, THOMAS J MD
48742
(989) 736-3020
M-F 9:00-5:00
1101298
RAO, RAJ MD
48742
(989) 736-8157
M-F 9:00-5:00
1010914
RICHARDS, JAMES P MD
205 N STATE STE A HARRISVILLE
48740
(989) 724-5655
M-F 9:00-5:00
48742
(989) 736-8157
M-F 9:00-5:00
48742
(989) 736-8157
M-F 9:00-5:00
INTERNAL MEDICINE
1075296
SALACATA, ABRAHAM S MD
NURSE PRACTITIONER
1094988
EBY, ANDREA K NP
PHYSICIAN ASSISTANT
1074881
BEATTY-PAGE, SUSAN PAC
48742
(989) 736-8157
M-F 9:00-5:00
1126073
BENSON, JACLYN PAC
48742
(989) 736-8157
M-F 9:00-5:00
1077338
KIRKPATRICK, TOREY B PA
205 N STATE RD STE A HARRISVILLE
48740
(989) 724-5655
M-F 9:00-5:00
1074882
KRUTTLIN, KIANN PAC
205 N STATE ST STE A HARRISVILLE
48740
(989) 724-5655
M-F 9:00-5:00
N/A
ALLEGAN COUNTY
M-F 9:00-5:00
M-F 9:00-5:00
BPH
M-F 9:00-5:00
N/A
M-F 9:00-5:00
BPH
M-F 9:00-5:00
(269) 552-0100
M-F 9:00-5:00
49080
(269) 552-0100
M-F 9:00-5:00
345 NAOMI ST PLAINWELL
49080
(269) 552-0100
M-F 9:00-5:00
1017031
DUNCAN, MARGRET A MD
336 S RIVER AVE HOLLAND
49423
(616) 394-3788
1025391
HALLEY, DAVID MD
49080
(269) 552-0100
BPH
1074862
HARMON, DANA E NP
49080
(269) 552-0100
1120602
HASHEMI, NEHDIA MD
49080
(269) 552-0100
1032145
SAAD, TOM T MD
49080
(269) 552-0100
1105425
SANDBORN, CARRIE S DO
49080
1018167
SHAIKH, ABDUL S MD
1070779
SHARAPOVA, DARCIE J MD
BPH
INTERNAL MEDICINE
1081804
BRADY, DESMONDA L MD
5498 109TH AVE PULLMAN
49450
(855) 869-6900
M-F 9:00-5:00
1080714
NADER, WALID MD
500 LINN ST ALLEGAN
49010
(269) 673-5700
M-F 9:00-5:00
1080596
NOUNA, NABIL MD
305 THOMAS ST ALLEGAN
49010
(269) 673-2179
M-F 9:00-5:00
1107126
PUZYCKI, DAVID A MD
49450
(269) 236-6330
M-F 9:00-5:00
49080
(269) 552-0100
BPH
M-F 9:00-5:00
N/A
PEDIATRICS
1070766
AKLAND, THOMAS R DO
PHYSICIAN ASSISTANT
M-F 9:00-5:00
M-F 9:00-5:00
BRONMETH
M-F 9:00-5:00
(269) 552-0100
N/A
M-F 9:00-5:00
49707
(989) 356-0504
N/A
M-F 9:00-5:00
49707
(989) 356-4049
M-F 9:00-5:00
1106286
HARNESS, MICHELLE L PA
49080
(269) 552-0100
1039121
HIBMA, ERIC PA
49080
(269) 552-0100
1101188
KISSINGER, ISOLDE PAC
49450
(269) 236-6330
1107789
RATHBURN, AMANDA S PA
49080
393 LONG RAPIDS RD ALPENA
1185 US 23 N ALPENA
ALPENA COUNTY
ADOLESCENT & INTERNAL MEDICINE
1106188
NICHOLSON, JONATHON K MD

1058198
BASHEERA, HASAN MD
Currently Accepting Conversions

Currently Accepting New Patients
Not Currently Accepting New Patients
Not Specified
See INDEX - Hospital Key for Hospital Description

The following listings are subject to change.
Visit www.mclarenhealthplan.org or call 888-327-0671 to verify.
Primary Care Providers

Page 7
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
ALPENA COUNTY (CONTINUED)

FAMILY - GENERAL PRACTICE (CONTINUED)
1093253
BEATTY, JASON L DO
1185 US HWY 23 ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1045787
BRISCOE, JENNIFER L MD
49707
(989) 354-2142
M-F 9:00-5:00
1014037
DECKER, JAMES D MD
49707
(989) 354-2142
M-F 9:00-5:00
1044899
FITZGERALD, JACQUELINE DO
11745 US 23 N OSSINEKE
49766
(989) 471-2156
M-F 9:00-5:00
1090346
GLENN-BEATTY, JESSICA R MD
11745 US HIGHWAY 23 STE 3 OSSINEKE
49766
(989) 471-2156
M-F 9:00-5:00
1026642
LA FAVE, MICHELLE M MD
49707
(989) 354-2142
M-F 9:00-5:00
1062588
LAWSON, RONG MD
49707
(989) 354-2142
M-F 9:00-5:00
1058203
PANKNIN, DANA MD
1185 US 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1058211
ROOT, JOANNE M DO
1185 US 23 N ALPENA
49707
(989) 356-4049
1058204
SPAETH, DONALD G DO
11745 US 23 OSSINEKE
49766
(989) 471-2156
1074946
SPAETH, DONALD G DO
1185 US 23 N ALPENA
49707
(989) 356-4049
1039275
WERTH, CHRISTY L DO
49707
(989) 354-2142
105 ARBOR LANE ALPENA
49707
(989) 356-3485
ALPENA
N/A
N/A
ALPENA
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
INTERNAL MEDICINE
1109864
FRANK, ALLAN MD
NURSE PRACTITIONER
1118525
FROELICH, SHARI NP
1185 US HIGHWAY 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1037973
KELLER, RHONDA S NP
101 OXBOW DR ALPENA
49707
(989) 358-8100
M-F 9:00-5:00
1079031
LECHEL, KASANDRA A NP
101 OXBOW DR ALPENA
49707
(989) 358-8100
M-F 9:00-5:00
1039150
PEASLEY, CECILIA NP
49707
(989) 354-2142
ALPENA
M-F 9:00-5:00
1119484
RITCHIE, KIMBERLY R FNP
101 OXBOW DR ALPENA
49707
(989) 358-8100
ALPENA
M-F 9:00-5:00
1123647
SWEET, PHILIP NP
1501 W CHISHOLM ST ALPENA
49707
(989) 356-7242
M-F 9:00-5:00
1118674
WILLIAMS, COREEN NP
1691 M-32 WEST STE 300 ALPENA
49707
(989) 354-0860
M-F 9:00-5:00
PEDIATRICS
1085934
CONBOY, LEAH J DO
49707
(989) 356-0504
M-F 9:00-5:00
1100777
HAHN, TINA M MD
49707
(989) 356-0504
N/A
M-F 9:00-5:00
ALPENA
PHYSICIAN ASSISTANT
1104873
DZIESINSKI, MONICA PAC
49707
(989) 354-2142
M-F 9:00-5:00
1058201
O'BRIEN, BERNARD J PAC
49766
(989) 471-2156
M-F 9:00-5:00
1074947
1185 US 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1126805
OWEN, SANDRA J PA
1185 US HWY 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1108459
STENZ, CARI A PA
49707
(989) 354-2142
M-F 9:00-5:00
1058205
STEVENS, MATTHEW PAC
1185 US 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1058206
STEVENS, SARAH B PAC
1185 US 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1080480
STEVENS, SARAH B PA-C
49766
(989) 471-2156
M-F 9:00-5:00
1039281
SZYMANSKI, RODNEY PA
49707
(989) 354-2142
M-F 9:00-5:00
1058207
WHITSCELL, BRANDON PAC
49766
(989) 471-2156
M-F 9:00-5:00
1074945
1185 US 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1058208
WISNIEWSKI, JEFFREY PAC
1185 US 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1074873
WISNIEWSKI, NICOLE PAC
1185 US 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
N/A
ALPENA
ANTRIM COUNTY
1069296
BROWN, ALBERT C MD
419 W STATE ST MANCELONA
49659
(231) 587-9181
M-F 9:00-5:00
1081889
CAREY, MITCHELL J MD
307 E CAYUGA ST BELLAIRE
49615
(231) 533-8649
M-F 9:00-5:00
1089477
FREEMAN, JAMES R DO
49615
(231) 533-8649
M-F 9:00-5:00
1065014
HABERER, JEANNE M DO
7960 W OLD STATE RD CENTRAL LAKE
49622
(231) 544-3700
M-F 9:00-5:00

Not Specified


Page 8
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
ANTRIM COUNTY (CONTINUED)

1094125
KUENKER, ANN K DO
124 AMES ST ELK RAPIDS
49629
(231) 264-8282
M-F 9:00-5:00
1094124
LAWRENCE, JAMES O MD
49629
(231) 264-8282
M-F 9:00-5:00
1082788
LEINO, JENNIFER A MD
419 W STATE ST MANCELONA
49659
(231) 587-9181
M-F 9:00-5:00
1119227
STREET, MAUREEN MD
49629
(231) 264-8282
M-F 9:00-5:00
1119596
WITT, GLORIA M MD
49615
(231) 533-8649
M-F 9:00-5:00
49615
(231) 533-8649
N/A
M-F 9:00-5:00
49615
(231) 533-8649
N/A
M-F 9:00-5:00
INTERNAL MEDICINE
1123556
HEBERT, TERRELL MD
NURSE PRACTITIONER
1073204
STEINMACHER, BARBARA FNP
PHYSICIAN ASSISTANT
1124614
DUCHARME, KATHERINE PA
49629
(231) 264-8282
M-F 9:00-5:00
1119323
DYSTE, SAMUEL PA
49615
(231) 533-8649
M-F 9:00-5:00
1097449
HEALTH DEPARTMENT OF NORTHWEST M 205 GROVE ST MANCELONA
49659
(231) 587-5052
M-F 9:00-5:00
1097446
HEALTH DEPARTMENT OF NORTHWEST M 209 PORTAGE DR BELLAIRE
49615
(231) 533-8670
M-F 9:00-5:00
PRIMARY CARE CENTER
ARENAC COUNTY
1105617
BOLOCZKO, SYLVIA MD
3210 HURON RD AU GRES
48703
(989) 876-7104
M-F 9:00-5:00
1127329
BRITT-DEWYER, REBECCA A DO
401 E HURON RD AU GRES
48703
(989) 532-4100
M-F 9:00-5:00
1015509
CASTEN, CESAR P MD
805 W CEDAR ST STANDISH
48658
(989) 846-4888
SMCHST
M-F 9:00-5:00
1064848
JAMWAL, MANDHIR MD
5170 RIFLE RIVER TR ALGER
48610
(989) 873-5323
WBRMC
M-F 9:00-5:00
1120863
LYNCH, BRODI K MD
48658
(989) 846-4888
SMCHST
M-F 9:00-5:00
1105614
RAYKOVA, VANIA MD
48703
(989) 876-7104
M-F 9:00-5:00
1118571
WALSH-MCPHERSON, DANIELLE DO
725 E STATE ST STERLING
48659
(989) 654-2491
BRMC
M-F 9:00-5:00
INTERNAL MEDICINE
1045623
ABUHARAZ, MOHAMED H MD
4489 M 61 STANDISH
48658
(989) 846-2600
BRMC
M-F 9:00-5:00
1058679
AHMED, TAZEEN MD
48658
(989) 846-3545
CMC
M-F 9:00-5:00
1067990
SIDDIQUI, RASHEED MD
48658
(989) 846-4521
M-F 9:00-5:00
NURSE PRACTITIONER
1081930
BORCHARDT, CAROL S NP
48659
(989) 654-2491
N/A
M-F 9:00-5:00
1098536
HANOVER, KERRY ANN NP
48658
(989) 846-3545
N/A
M-F 9:00-5:00
1079279
LANCE, KRISTIN NP
805 W CEDAR AVE STANDISH
48658
(989) 846-3545
N/A
M-F 9:00-5:00
1079682
SCHIEBNER, MATTHEW NP
48658
(989) 846-3545
CMC
M-F 9:00-5:00
1053651
SCHMITT, JENNY K FNP
5170 RIFLE RIVER TR ALGER
48610
(989) 873-5323
WBRMC
M-F 9:00-5:00
1081931
SOMERFIELD, SARAH M CNP
48659
(989) 654-2491
M-F 9:00-5:00
1095123
VILLANO, TERESA A NP
48658
(989) 846-3545
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
N/A
PHYSICIAN ASSISTANT
1105616
FISKE, DWIGHT PA
48703
(989) 876-7104
1067673
FREI, MARJORIE J PA
48659
(989) 654-2491
1127901
HORTON, JENNIFER PA
48658
(989) 846-4888
1107795
KREUCHER, CARRIE PAC
48659
(989) 654-2491
M-F 9:00-5:00
1105613
MESHEW, RICHARD PAC
48703
(989) 876-7104
M-F 9:00-5:00
1105615
PESTRUE, JOEL PA
48703
(989) 876-7104
M-F 9:00-5:00

Not Specified

N/A
N/A

Page 9
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
HGBMH
Site Hours
Availability Gender
BARRY COUNTY
1101936
KOHL, ANNE NP
330 W WOODLAWN AVE HASTINGS
49058
(517) 543-2430
M-F 9:00-5:00
1116215
TROOST, PAUL DO
49058
(269) 945-4220
M-F 9:00-5:00
1094166
WALK, PAUL A MD
11320 S M-43 DELTON
49046
(269) 623-2334
M-F 9:00-5:00
49058
(269) 945-4220
M-F 9:00-5:00
INTERNAL MEDICINE
1120346
WOODLIFF, DAVID MD
BAY COUNTY
1018832
BERNARDINO, EVENTURE D MD
3884 MONITOR RD BAY CITY
48706
(989) 671-2000
BRMC
M-F 9:00-5:00
1012461
CONNAGHAN, ANN S MD
4040 N EUCLID AVE STE B BAY CITY
48706
(989) 671-9153
BRMC
M-F 9:00-5:00
1018828
COUGHLIN, BRENDA M MD
48706
(989) 671-2000
BRMC
M-F 9:00-5:00
1018856
ELSHOLZ, CHRISTINE A MD
48706
(989) 671-2000
BRMC
M-F 9:00-5:00
1004146
HAFFORD, ROBERT K MD
700 BORTON AVE ESSEXVILLE
48732
(989) 894-2926
BRMC
M-F 9:00-5:00
1098256
HURT, HOWARD DO
2110 16TH ST STE 5 BAY CITY
48708
(989) 892-1549
M-F 9:00-5:00
1098255
HURT, HOWARD DO
204 THIRD ST PINCONNING
48650
(989) 879-3771
M-F 9:00-5:00
1004147
HURT, HOWARD E DO
3720 KATALIN CT BAY CITY
48706
(989) 686-2800
BRMC
M-F 9:00-5:00
1032382
KOEHLER, RONALD L DO
4175 EUCLID AVE STE 3 BAY CITY
48706
(989) 667-0491
N/A
M-F 9:00-5:00
1009401
LAWRENCE, MARIA L DO
1458 W CENTER RD STE 1 ESSEXVILLE
48732
(989) 895-4625
BRMC
M-F 9:00-5:00
1109782
NAGARAJAN, ARCHANA MD
48706
(989) 671-2000
CMC
M-F 9:00-5:00
1031097
REETHS, THOMAS E DO
1458 W CENTER RD ESSEXVILLE
48732
(989) 895-4625
BRMC
M-F 9:00-5:00
1091038
SABOURI, LILY DO
700 BORTON AVE ESSEXVILLE
48732
(989) 894-2926
BRMC
M-F 9:00-5:00
1028962
SCHARNOTT, MICHELLE L DO
48732
(989) 895-4625
BRMC
M-F 9:00-5:00
1019738
STAINES, MARILYN J DO
48732
(989) 895-4625
BRMC
M-F 9:00-5:00
1109765
STRUBLE, RUSSELL J MD
615 S EUCLID AVE BAY CITY
48706
(989) 686-2535
BRMC
M-F 9:00-5:00
1004095
TAMEZ, GARY L DO
48706
(989) 671-2000
BRMC
M-F 9:00-5:00
1012455
WAGNER, JACK W MD
204 THIRD ST PINCONNING
48650
(989) 879-3771
BRMC
M-F 9:00-5:00
1046261
WAGNER, JACK W MD
48708
(989) 892-1549
BRMC
M-F 9:00-5:00
1015890
WAGNER, JACK W MD
2520 N EUCLID AVE BAY CITY
48706
(989) 684-8183
BRMC
M-F 9:00-5:00
GERIATRICS
1006119
DANDAMUDI, SHYAM S MD
714 S TRUMBULL RD BAY CITY
48708
(989) 893-5541
BRMC
M-F 9:00-5:00
1006118
REDDY, VALLURU C MD
48708
(989) 893-5541
BRMC
M-F 9:00-5:00
INTERNAL MEDICINE
1004154
AHMED, NAEEM MD
48706
(989) 686-2800
BRMC
M-F 9:00-5:00
1080146
AKBAR, SELINA MD
3720 KATALIN CT STE 201 BAY CITY
48706
(989) 893-9705
BRMC
M-F 9:00-5:00
1004155
AREKAPUDI, LAKSHMI N MD
48706
(989) 686-2800
BRMC
M-F 9:00-5:00
1100997
ARIKATI, CHYTHANYA MD
48706
(989) 686-2800
BRMC
M-F 9:00-5:00
1006120
CHERUKURI, UMA MD
48708
(989) 893-5541
BRMC
M-F 9:00-5:00
1067661
DANDAMUDI, RAJESH MD
714 S TRUMBULL BAY CITY
48708
(989) 893-5541
BRMC
M-F 9:00-5:00
1006119
DANDAMUDI, SHYAM S MD
48708
(989) 893-5541
BRMC
M-F 9:00-5:00
1080145
GINTHER, MARK E MD
48706
(989) 893-9705
BRMC
M-F 9:00-5:00
1109786
GOWDA HANUMAIAH, LAKSHMI MD
48706
(989) 671-2000
CMC
M-F 9:00-5:00
1080144
GUIGELAAR, JAMES A MD
48706
(989) 893-9705
BRMC
M-F 9:00-5:00
1109790
JAGIRDAR, MAYURI MD
48706
(989) 671-2000
SMCHSA
M-F 9:00-5:00
1010849
KAMARAJU, PRAVEEN K MD
48706
(989) 686-2800
BRMC
M-F 9:00-5:00
1089200
KOCHAR, HARMOHAN S MD
1001 MULHOLLAND ST BAY CITY
48708
(989) 391-9223
BRMC
M-F 9:00-5:00
1114402
LIE, ARIADNE MD
48706
(989) 671-2000
N/A
M-F 9:00-5:00

Not Specified


Page 10
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
BAY COUNTY (CONTINUED)

INTERNAL MEDICINE (CONTINUED)
1057085
MARAGIRI, REVANASIDDAPPA N MD
1001 MULHOLLAND ST BAY CITY
48708
(989) 391-9223
BRMC
M-F 9:00-5:00
1015747
RAZA, SAYYID S MD
2108 16TH ST BAY CITY
48708
(989) 891-0955
BRMC
M-F 9:00-5:00
1006118
REDDY, VALLURU C MD
48708
(989) 893-5541
BRMC
M-F 9:00-5:00
NURSE PRACTITIONER
1026131
BARBEAU, SHAUNA L NP
48706
(989) 671-2000
N/A
M-F 9:00-5:00
1098622
BRIDGES, DAKIMA NP
48706
(989) 671-2000
N/A
M-F 9:00-5:00
1109794
BYLER, AMANDA NP
48706
(989) 671-2000
N/A
M-F 9:00-5:00
1090967
GRAHAM, AMANDA NP
48706
(989) 671-2000
M-F 9:00-5:00
1098535
HANOVER, KERRY ANN NP
48708
(989) 891-9000
N/A
M-F 9:00-5:00
1079459
JAROS, KARIN NP-C
48706
(989) 671-2000
N/A
M-F 9:00-5:00
1080512
JORDAN, KRISTINA FNP-BC
48706
(989) 671-2000
N/A
M-F 9:00-5:00
1018894
KISH, BARBARA A FNP
48706
(989) 671-2000
N/A
M-F 9:00-5:00
1018925
MARSHALL, ROCHELLE H FNP
48706
(989) 671-2000
N/A
M-F 9:00-5:00
1071572
PRIOR, HEATHER NP
48706
(989) 671-2000
M-F 9:00-5:00
1121502
PUTT, MARY A NP
312 E MIDLAND RD AUBURN
48611
(989) 416-5200
N/A
M-F 9:00-5:00
1103995
SAXON, LAUREN F NP
48708
(989) 892-1549
N/A
M-F 9:00-5:00
1103649
SAXON, LAUREN F NP
204 W 3RD ST PINCONNING
48650
(989) 879-3771
N/A
M-F 9:00-5:00
1093090
SCHIEBNER, MATTHEW NP
48708
(989) 891-9000
CMC
M-F 9:00-5:00
PEDIATRICS
1015528
BALINSKA, INEZ L MD
48732
(989) 895-4840
BRMC
M-F 9:00-5:00
1015529
BALINSKI, DARIUSZ A MD
48732
(989) 895-4840
BRMC
M-F 9:00-5:00
1006232
DEVANAGONDI, BHASKAR MD
48708
(989) 892-2517
BRMC
M-F 9:00-5:00
1004145
SHIN, INKUN MD
200 S WENONA STE 292 BAY CITY
48706
(989) 892-3531
BRMC
M-F 9:00-5:00
1005652
SUNDARA, BILUGALI MD
48708
(989) 892-2517
BRMC
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1080147
CRONKRIGHT, MARY PA
48706
(989) 893-9705
M-F 9:00-5:00
1125881
HUMERICKHOUSE, TRICIA PA
48708
(989) 891-9000
M-F 9:00-5:00
1010145
JOHNSON, JENNIFER M PA
48706
(989) 671-2000
M-F 9:00-5:00
1018636
KNIGHT, JAMES PA
2520 N EUCLID BAY CITY
48706
(989) 684-8183
M-F 9:00-5:00
1012014
MARTIN, JOHN A PA
48706
(989) 671-2000
M-F 9:00-5:00
1012083
MAZE, BRENT MICHAEL PA
48706
(989) 671-2000
M-F 9:00-5:00
1037058
REYNOLDS, ROBYN PA
48706
(989) 753-6000
M-F 9:00-5:00
48706
(989) 671-2000
M-F 9:00-5:00
N/A
N/A
N/A
PRIMARY CARE NURSE PRACTITIONER

1018846
EPPLETT, CAROLYN FNP
BENZIE COUNTY
1017414
BARBER, MARK A DO
6227 FRANKFORT HWY BENZONIA
49616
(231) 882-9661
M-F 9:00-5:00
1039396
COLES, DOUGLAS J MD
917 MAIN ST FRANKFORT
49635
(231) 352-7103
M-F 9:00-5:00
1124481
FLYNN, JACOB MD
826 FOREST AVE FRANKFORT
49635
(231) 352-5285
M-F 9:00-5:00
1124479
FLYNN, JACOB MD
49616
(231) 882-9661
M-F 9:00-5:00
1038825
GRIFFITHS, GLENN MD
49616
(231) 882-9661
M-F 9:00-5:00
1039261
MAHONEY, GERARD DO
49635
(231) 352-5285
M-F 9:00-5:00
1039112
RYCKMAN, GEORGE B DO
49616
(231) 882-9661
M-F 9:00-5:00

Not Specified

N/A

Page 11
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
BENZIE COUNTY (CONTINUED)

INTERNAL MEDICINE
1016795
NIELSEN, RICHARD C MD
49616
(231) 882-9661
M-F 9:00-5:00
1015885
TURNER, GEOFFREY MD
49616
(231) 882-9661
M-F 9:00-5:00
NURSE PRACTITIONER
1116324
BORGESON-GRAY, BROOKE A NP
10524 MAIN ST HONOR
49640
(231) 325-2277
M-F 9:00-5:00
1121732
COMER, CELINA NP
49635
(231) 352-5285
M-F 9:00-5:00
1100325
COMER, CELINA NP
49616
(231) 882-9661
M-F 9:00-5:00
1093406
HARRIS, KIMBERLY P FNP
6227 FRANFORT HWY BENZONIA
49616
(231) 882-9661
M-F 9:00-5:00
1116323
HEIT, ELLEN F NP
10524 MAIN ST HONOR
49640
(231) 325-2277
M-F 9:00-5:00
1121981
RINGLEY, PAMELA NP
49616
(231) 882-9661
M-F 9:00-5:00
49616
(231) 882-9661
M-F 9:00-5:00
49635
(231) 352-5285
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
LAKEST
M-F 9:00-5:00
M-F 9:00-5:00
LCHW
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M
M
N/A
PEDIATRICS
1039272
O'MARA, DOUGLAS B MD
PHYSICIAN ASSISTANT
1065301
ROSS, AMANDA J PAC
BERRIEN COUNTY
1109183
CABALTICA, REX MD
2002 S 11TH ST NILES
49120
(269) 687-0200
1081795
COLLINS, DAVID E MD
6270 W MAIN ST EAU CLAIRE
49111
(269) 461-6927
LAKEST
1109284
FERRARI, BRAD MD
49120
(269) 687-0200
1080683
GENSOLIN, GLENDA M MD
24 N SAINT JOSEPH AVE STE C2 NILES
49120
(269) 683-0330
1109308
JONES, DANIEL MD
49120
(269) 687-0200
1081632
KELLY, MICHAEL E DO
420 MEDICAL PARK DR WATERVLIET
49098
(269) 463-3600
1081965
LLANTO, ALFONSO G MD
3973 N M 140 WATERVLIET
49098
(269) 463-5711
1081796
MACCART, JOHN G MD
800 M 139 BENTON HARBOR
49022
(269) 927-5400
1109378
METZGER, DANIEL MD
49120
(269) 687-0200
1036588
RAMBO, JOSEPH J MD
4299 LAKE ST BRIDGMAN
49106
(269) 465-6221
M-F 9:00-5:00
1081633
RODA, SAMUEL D MD
6701 PAW PAW AVE COLOMA
49038
(269) 468-6430
M-F 9:00-5:00
1107146
STEEN, JONATHAN DO
49120
(269) 687-0200
M-F 9:00-5:00
1109344
TWIDDY, SHANNON MD
49120
(269) 687-0200
M-F 9:00-5:00
1081802
WOLF, MARY M MD
49022
(269) 927-5400
M-F 9:00-5:00
LAKEST
LAKEST
LAKEST
INTERNAL MEDICINE
1081805
FINK, LISA M MD
49022
(269) 927-5400
M-F 9:00-5:00
1032514
JHA, SACHCHIDANAND MD
49022
(269) 927-5400
M-F 9:00-5:00
1084000
O'BRIEN, MARK MD
49022
(269) 927-5400
M-F 9:00-5:00
1107125
PUZYCKI, DAVID A MD
49111
(269) 461-6927
M-F 9:00-5:00
1082843
TYNES, DON J MD
687 E EMPIRE AVE STE 101 BENTON HARBOR
49022
(269) 926-8535
M-F 9:00-5:00
LAKEST
NURSE PRACTITIONER
1081638
DELEON, RAQUEL V NP
6633 RED ARROW HWY COLOMA
49038
(269) 468-7684
M-F 9:00-5:00
1083997
JASKIEWICZ, MICHAEL NP
49111
(269) 461-6927
M-F 9:00-5:00
1095029
LAWRICK, GINA PA
49022
(269) 927-5400
M-F 9:00-5:00
1082844
SMALL, CYNTHIA C NP
687 E EMPIRE AVE STE 101 BENTON HARBOR
49022
(269) 926-8535
M-F 9:00-5:00
1123137
SPENCER, MICHAEL NP
800 M139 BENTON HARBOR
49022
(855) 869-6900
LAKEST
M-F 9:00-5:00
PEDIATRICS
1109380
HARVEY, CHRISTOPHER MD
49120
(269) 687-0200
LAKEST
M-F 9:00-5:00
1109382
LELLO, LOIS MD
49120
(269) 687-0200
LAKEST
M-F 9:00-5:00

Not Specified


Page 12
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
BERRIEN COUNTY (CONTINUED)

PEDIATRICS (CONTINUED)
1109411
LOFGREN, CHARLOTTE MD
49120
(269) 687-0200
LAKEST
M-F 9:00-5:00
1109369
MILLER, LEANNE MD
49120
(269) 687-0200
LAKEST
M-F 9:00-5:00
1084000
O'BRIEN, MARK MD
49022
(269) 927-5400
M-F 9:00-5:00
1081793
REDDY, RADHIKA G MD
49022
(269) 927-5400
M-F 9:00-5:00
1072189
RODRIGUEZ-IRIZARRY, JAIME MD
49038
(269) 468-6430
M-F 9:00-5:00
1109302
VITANGCOL, AILEEN MD
49120
(269) 687-0200
M-F 9:00-5:00
LAKEST
PHYSICIAN ASSISTANT
1120485
GROOM, GLENN PA
800 M-139 BENTON HARBOR
49022
(855) 869-6900
M-F 9:00-5:00
1081062
KITTREDGE, JOHN L PA-C
24 N SAINT JOSEPH AVE # 6 NILES
49120
(888) 734-2246
M-F 9:00-5:00
1081640
PORTENGA, TREVER PA
49038
(269) 468-6430
M-F 9:00-5:00
1116367
REUSSER, DAVID PA
49111
(269) 461-6927
M-F 9:00-5:00
BRANCH COUNTY
M-F 9:00-5:00
M-F 9:00-5:00
(517) 639-3934
M-F 9:00-5:00
(517) 639-3934
M-F 9:00-5:00
1125826
MILLER, TIMOTHY J DO
624 W M-60 UNION CITY
49094
(517) 147-7989
1105745
MILLER, TIMOTHY J DO
370 E CHICAGO ST STE 200 COLDWATER
49036
(517) 279-5378
1125924
VOGEL, HARLE L DO
185 E CHICAGO ST QUINCY
49082
49082
CHCBC
INTERNAL MEDICINE
1126492
CASEY, AMBER DO
NURSE PRACTITIONER
1125964
COLLINS, SARAH NP
18 COLFAX ST QUINCY
49082
(517) 279-5297
CHCBC
M-F 9:00-5:00
1107334
COLLINS, SARAH NP
358 E CHICAGO ST STE G COLDWATER
49036
(517) 279-5400
CHCBC
M-F 9:00-5:00
1125966
COLLINS, SARAH NP
450 E GRANT ST BRONSON
49028
(517) 279-5296
CHCBC
M-F 9:00-5:00
1125965
COLLINS, SARAH NP
275 N FREMONT COLDWATER
49036
(517) 279-5295
CHCBC
M-F 9:00-5:00
1123614
GOODING, DANIELLE NP
49036
(517) 437-3879
M-F 9:00-5:00
1126753
SANTURE, JENNIFER S NP
49036
(517) 279-5378
M-F 9:00-5:00
1123889
SOVA, LAURA NP
49036
(269) 343-1264
M-F 9:00-5:00
PEDIATRICS
M-F 9:00-5:00
M-F 9:00-5:00
(517) 276-5295
M-F 9:00-5:00
49028
(517) 279-5296
M-F 9:00-5:00
18 COLFAX ST QUINCY
49082
(517) 279-5297
CHCBC
M-F 9:00-5:00
DY, EDELWINA MD
358 E CHICAGO ST STE C COLDWATER
49036
(517) 279-5252
CHCBC
M-F 9:00-5:00
1125798
DY, EDELWINA MD
49028
(517) 279-5296
M-F 9:00-5:00
1125797
DY, EDELWINA MD
49036
(517) 279-5295
M-F 9:00-5:00
1125027
PRADHAN, KAMAL MD
18 COLFAX ST QUINCY
49082
(517) 279-5297
M-F 9:00-5:00
1093051
PRADHAN, KAMAL MD
49036
(517) 279-5252
CHCBC
M-F 9:00-5:00
1125028
PRADHAN, KAMAL MD
49028
(517) 279-5296
CHCBC
M-F 9:00-5:00
1125026
PRADHAN, KAMAL MD
275 N FREMONT ST COLDWATER
49036
(517) 279-5296
CHCBC
M-F 9:00-5:00
1126689
VEERAPPAN, ARIVOLI MD
18 COLFAX ST QUINCY
49082
(517) 279-5297
M-F 9:00-5:00
1077861
49036
(517) 279-5295
M-F 9:00-5:00
1126691
49028
(517) 279-5296
M-F 9:00-5:00
1126690
275 N FREMONT ST COLDWATER
49036
(517) 279-5295
M-F 9:00-5:00
1125901
ARIVOLI, MEHALAI MD
18 COLFAX ST QUINCY
49082
(517) 279-5297
1089374
ARIVOLI, MEHALAI MD
49036
(517) 279-5252
1125902
ARIVOLI, MEHALAI MD
49036
1125904
ARIVOLI, MEHALAI MD
1125796
DY, EDELWINA MD
1059805

Not Specified

CHCBC
CHCBC
CHCBC

Page 13
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
BRANCH COUNTY (CONTINUED)

PHYSICIAN ASSISTANT
1126067
DEGRAFF, NICOLE S PA
624 W M-60 UNION CITY
49094
(517) 741-7989
M-F 9:00-5:00
1127861
ECKELBERGER, SHERI J PA
624 W M60 UNION CITY
49094
(517) 741-7989
M-F 9:00-5:00
1125029
MIGRIN, VICKI A PA
49082
(517) 639-3934
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
CHCBC
CALHOUN COUNTY
1123223
ADAMSON, ANGELA DO
3035 CAPITAL AVE SW BATTLE CREEK
49015
(269) 979-2240
1027572
CHANG, PETER S MD
181 W EMMETT ST BATTLE CREEK
49037
(269) 965-8866
1041651
CHEERALA, MYDHILI MD
1125 E MICHIGAN AVE STE 5 BATTLE CREEK
49014
(269) 965-8866
1116612
COLBERG, DOUGLAS MD
49037
(269) 965-8866
1041649
FRYE, MARK MD
1125 E MICHIGAN AVE STE 5 BATTLE CREEK
49014
(269) 969-6014
1126697
HARRISON, GENA MD
2845 CAPITAL AVE SW STE 302 BATTLE CREEK
49015
(269) 979-6333
N/A
M-F 9:00-5:00
1118627
JOHNSON-MORGAN, JUDEAN DO
49037
(269) 965-8866
N/A
M-F 9:00-5:00
1123736
KELLY, NATALIE MD
49015
(269) 979-2240
M-F 9:00-5:00
1118561
RATNAYAKE, CHANDIMA R MD
49037
(269) 965-8866
M-F 9:00-5:00
1082445
SIMMONS, CURTIS L MD
49015
(269) 441-6082
M-F 9:00-5:00
1091816
WANG, XUE MD
126 COLLEGE ST STE A BATTLE CREEK
49037
(269) 969-6000
BMC
M-F 9:00-5:00
1123918
YUNUS, RUMANA MD
49015
(269) 979-2240
N/A
M-F 9:00-5:00
N/A
N/A
N/A
INTERNAL MEDICINE
1118453
ALLEN, JOHN DO
49037
(269) 965-8866
N/A
M-F 9:00-5:00
1091562
BOGAN, WILLIAM R MD
713 CAPITAL AVE SW STE 1 BATTLE CREEK
49015
(269) 962-9515
BMC
M-F 9:00-5:00
1122588
BOGAN, WILLIAM R MD
49015
(269) 979-2240
M-F 9:00-5:00
1027578
COLQUHOUN, DIANE F MD
49037
(269) 965-8866
1027322
LOMBARDI, KENNETH A MD
391 S SHORE DR STE 215 BATTLE CREEK
49014
(269) 964-6262
1027884
MAR, AYE A MD
49037
(269) 965-8866
1118585
PINEDA, JOWELLA MD
49037
1082414
THAKUR, SHEKHAR C MD
231 NORTH AVE BATTLE CREEK
M-F 9:00-5:00
M-F 9:00-5:00
N/A
M-F 9:00-5:00
(269) 965-8866
N/A
M-F 9:00-5:00
49017
(269) 565-1111
N/A
M-F 9:00-5:00
N/A
N/A
NURSE PRACTITIONER
1123794
HIVALE, DAVID NP
11177 MICHIGAN AVE E BATTLE CREEK
49014
(269) 660-5782
M-F 9:00-5:00
1123738
MCCLEARY, JENNIFER NP
49014
(269) 660-5782
M-F 9:00-5:00
1123660
MCLELLAN, KATHERINE NP
3035 CPITAL AVE SW BATTLE CREEK
49015
(269) 979-2240
M-F 9:00-5:00
1123751
MORATTI, KATHRYN NP
49015
(269) 226-5050
M-F 9:00-5:00
1123887
SOVA, LAURA NP
215 E MANSION WRIGHT MEDICAL BLDG
49068
(269) 343-1264
M-F 9:00-5:00
1123888
SOVA, LAURA NP
49015
(269) 343-1264
M-F 9:00-5:00
PEDIATRICS
1096381
GARCIA, KAREN DO
49037
(269) 965-8866
N/A
M-F 9:00-5:00
1091188
GROSSMAN, SAMUEL L MD
49037
(269) 965-8866
N/A
M-F 9:00-5:00
1118466
METTLER, ELIZABETH A MD
181 W EMMETT ST 1079085 BATTLE CREEK
49037
(269) 965-8866
N/A
M-F 9:00-5:00
1095211
REID, LESLEY MD
49037
(269) 965-8866
N/A
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1096792
JUODAWLKIS, AMY PA
842 E COLUMBIA AVE STE 2 BATTLE CREEK
49014
(269) 969-6003
M-F 9:00-5:00
1123220
PREDUM, LEAH D PA
49015
(269) 979-2240
M-F 9:00-5:00
1122633
SCHULTZE, RANDALL E PA
49014
(269) 660-5782
M-F 9:00-5:00

Not Specified


Page 14
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
M-F 9:00-5:00
BLMH
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
CASS COUNTY
1124006
GOVIER, JACKALYN DO
110 E MAIN ST MARCELLUS
49067
(269) 646-0443
1119028
KUJACZNSKI, STEVEN R DO
109 SCHOOL ST CASSOPOLIS
49031
(269) 445-3874
1082296
MILLER, STEPHEN C DO
49031
(269) 445-3874
1106141
POPOOLA, MODUPE A MD
520 MAIN ST DOWAGIAC
49047
(269) 783-3052
1019333
SEE, NEIL R MD
49031
(269) 445-3874
1070883
SMIY, ALAN N MD
49047
(269) 783-3052
BMC
M-F 9:00-5:00
1070882
SMIY, ALAN N MD
400 W DIVISION ST DOWAGIAC
49047
(269) 782-2111
BMC
M-F 9:00-5:00
1090116
SMOTHERS, GARY DO
49047
(269) 783-3052
M-F 9:00-5:00
1070892
VILLASIS, TERESITA M MD
49047
(269) 783-3052
BMC
M-F 9:00-5:00
49047
(269) 783-3052
BMC
M-F 9:00-5:00
BLMH
GERIATRICS
1070874
CHANG, BOONCHOO O MD
INTERNAL MEDICINE
1079243
BLACKMON, ROBERT IV MD
520 MAIN ST STE A DOWAGIAC
49047
(269) 783-3052
BLMH
M-F 9:00-5:00
1038354
CHANG, BOONCHOO O MD
117 S BROADWAY ST CASSOPOLIS
49031
(269) 445-0771
BMC
M-F 9:00-5:00
1122183
TRAYNOR, ANN MD
49031
(269) 445-3874
M-F 9:00-5:00
NURSE PRACTITIONER
1100406
FANTETTI, NANCY J NP
49047
(269) 783-3052
1070967
MASHNI, JOSEPH S FNP
49047
(269) 783-3052
N/A
M-F 9:00-5:00
M-F 9:00-5:00
PEDIATRICS
1122616
YOUSAF, ADEEL MD
49031
(269) 445-0771
1100411
YOUSAF, ADEEL MD
49047
(269) 783-3052
M-F 9:00-5:00
BLMH
M-F 9:00-5:00
M-F 9:00-5:00
N/A
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1070906
HEFFRON, ROB M PA
520 MAIN ST STE C DOWAGIAC
49047
(269) 783-2080
1114480
MCCLAIN GOSE, ASHLEY PA
110 E MAIN ST MARCELLUS
49067
(269) 646-0443
1070972
MITCHELSON, JUDY J PA
49031
(269) 445-0771
M-F 9:00-5:00
1070971
49047
(269) 783-3052
M-F 9:00-5:00
1098718
WASSENHOVE, SUSAN M PAC
49047
(269) 783-3052
BMC
M-F 9:00-5:00
1098717
WASSENHOVE, SUSAN M PAC
400 W DIVISION ST DOWAGIAC
49047
(269) 782-2111
BMC
M-F 9:00-5:00
CHARLEVOIX COUNTY
1073219
BROWN, MELODIE R MD
14734 PARK AVE CHARLEVOIX
49720
(231) 547-6554
CAH
M-F 9:00-5:00
1010130
CAREY, MITCHELL J MD
601 BRIDGE ST EAST JORDAN
49727
(231) 536-2206
CAH
M-F 9:00-5:00
1016906
DOSKOCH, GERALYN MD
14709 W UPRIGHT ST CHARLEVOIX
49720
(231) 547-6519
CAH
M-F 9:00-5:00
1019176
HABERER, JEANNE M DO
49727
(231) 536-2206
M-F 9:00-5:00
1021053
HARMELING, MICHAEL J MD
223 N PARK ST BOYNE CITY
49712
(231) 582-5314
CAH
M-F 9:00-5:00
1063263
JOY, DENNIS M MD
49720
(231) 547-6554
CAH
M-F 9:00-5:00
1095492
KNYSZ, PAMELA MD
49720
(231) 547-6519
M-F 9:00-5:00
1082553
LO, GUSTAV J MD
1249 M 75 SOUTH BOYNE CITY
49712
(231) 582-1515
M-F 9:00-5:00
1070183
MANN, DANIEL
49720
(231) 547-6554
M-F 9:00-5:00
1039177
MANN, DANIEL MD
37304 KINGS HWY BEAVER ISLAND
49782
(231) 448-2275
M-F 9:00-5:00
1077117
NEWCOMB, EDWARD MD
49720
(231) 547-6554
M-F 9:00-5:00
1015160
NEWCOMB, EDWARD MD
49782
(231) 448-2275
M-F 9:00-5:00
1077116
SMITH, MARK W MD
49720
(231) 547-6554
N/A
M-F 9:00-5:00
1092251
STEWART, FRALEY J MD
49720
(231) 547-6554
CAH
M-F 9:00-5:00

Not Specified

NORMIC
CAH

Page 15
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
CAH
M-F 9:00-5:00
M-F 9:00-5:00
CHARLEVOIX COUNTY (CONTINUED)

1065919
TALMO, JANET MD
49720
(231) 547-6519
1116767
WEBB, WILLIAM R MD
49727
(231) 536-2206
1023974
WENDLING, ANDREA L MD
49712
(231) 582-5314
CAH
M-F 9:00-5:00
1021052
WONSKI, CATHERINE A MD
49712
(231) 582-5314
CAH
M-F 9:00-5:00
1109767
YOUNG, ANNA MD
49720
(231) 547-8777
M-F 9:00-5:00
1009867
YOUNG, ANNA G MD
49727
(231) 536-2206
CAH
M-F 9:00-5:00
CAH
M-F 9:00-5:00
M-F 9:00-5:00
NURSE PRACTITIONER
1120679
BRINKMAN, COURTNEY S NP
49727
(231) 536-2206
1125865
COMBS, ARMINDA NP
49727
(231) 536-2206
1039254
SOLLE, SUE NP
49782
(231) 448-2275
CAH
M-F 9:00-5:00
PEDIATRICS
1079209
NEWMAN, RACHEL B MD
49720
(231) 547-3840
CAH
M-F 9:00-5:00
1091953
STATLER, CYNTHIA C MD
49720
(231) 547-6554
CAH
M-F 9:00-5:00
1080468
TINNEY, RODERIC E MD
49720
(231) 547-6554
CAH
M-F 9:00-5:00
1122977
VANKUIKEN, JERRY E MD
49727
(231) 536-2206
CAH
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1109188
DYSTE, SAMUEL PA
49727
(231) 536-2206
N/A
M-F 9:00-5:00
1117262
FERBER, HEATHER L PAC
49712
(231) 582-5314
CAH
M-F 9:00-5:00
1120675
FRAKE, KATHRYN PA
49720
(231) 547-8777
M-F 9:00-5:00
1083441
FRAKE, KATHRYN PA
49727
(231) 536-2202
M-F 9:00-5:00
1116964
MAENDEL, LEONHARD J PA-C
49712
(231) 582-5314
M-F 9:00-5:00
1103919
PEARL, CATHRYN G PAC
49712
(231) 582-5314
M-F 9:00-5:00
1092458
WALKER, KAILI M PA
49712
(231) 582-5314
M-F 9:00-5:00
49720
(231) 547-6523
M-F 9:00-5:00
CAH
PRIMARY CARE CENTER

1066020
HEALTH DEPARTMENT OF NORTHWEST M 220 W GARFIELD AVE CHARLEVOIX
CHEBOYGAN COUNTY
1103850
ALLUM, ROBERT DO
740 S MAIN STE 2C CHEBOYGAN
49721
(231) 627-3002
M-F 9:00-5:00
1095825
BALTZER, RODERICK DO
420 S NICOLET ST MACKINAW CITY
49701
(231) 436-9900
M-F 9:00-5:00
1071519
DECARLI, KAYLYNN DO
810 S MAIN ST CHEBOYGAN
49721
(231) 627-5400
M-F 9:00-5:00
1103845
DEKEYSER, PAULA DO
740 S MAIN STE 2B CHEBOYGAN
49721
(231) 627-1326
M-F 9:00-5:00
1072069
DROGOWSKI, MARK E MD
49721
(231) 627-5400
M-F 9:00-5:00
1103849
EVERETT, JOHN DO
6135 CRESSY INDIAN RIVER
49749
(231) 238-8908
M-F 9:00-5:00
M
M
1092174
FLOREK, MICHAEL DO
3696 S STRAITS HWY INDIAN RIVER
49749
(231) 238-0581
M-F 9:00-5:00
1072070
KONICKI, STEVEN M DO
49721
(231) 627-5400
M-F 9:00-5:00
1119333
LEJA, LORETTA MD
920 S HURON ST CHEBOYGAN
49721
(231) 597-8912
M-F 9:00-5:00
1103846
ZIMMERMAN, CATHERINE DO
740 S MAIN STE 2A CHEBOYGAN
49721
(231) 627-7118
M-F 9:00-5:00
INTERNAL MEDICINE
1068388
KIEL, JEFFREY DO
49749
(231) 238-0160
1103844
WATSON, DONALD DO
740 S MAIN STE 2D CHEBOYGAN
49721
(231) 627-1282
CHEB
M-F 9:00-5:00
M-F 9:00-5:00
NURSE PRACTITIONER
1116799
BREWBAKER, AMY M FNP BC
810 S MAIN ST STE 5 CHEBOYGAN
49721
(231) 627-5400
1095008
HODSON, JULIE A NP
3696 STRAITS HWY INDIAN RIVER
49749
(231) 238-0581
1077881
NOWKA, CATHERINE H CNP
420 S NICOLET ST MACKINAW CITY
49701
(231) 436-9900

Not Specified

NORMIC
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00

Page 16
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
CHEBOYGAN COUNTY (CONTINUED)

NURSE PRACTITIONER (CONTINUED)
1103986
RORICK, MARGARET NP
3696 STRAITS HWY INDIAN RIVER
49749
(231) 238-0581
M-F 9:00-5:00
1124966
WILLEY, SARAH NP
49721
(231) 627-5400
N/A
M-F 9:00-5:00
740 S MAIN STE 3A CHEBOYGAN
49721
(231) 627-3002
NORMIC
M-F 9:00-5:00
PEDIATRICS
1124211
DUARTE, CLAUDIO MD
PHYSICIAN ASSISTANT
1103848
BATCHELOR, ROBIN PA
6135 CRESSY INDIAN RIVER
49749
(231) 238-8908
M-F 9:00-5:00
1125425
LAWNICHAK, CODY PA
49721
(231) 627-3002
M-F 9:00-5:00
1097102
LAWRENCE, JOHN PA-C
49749
(231) 238-0581
M-F 9:00-5:00
7742 N M 129 PICKFORD
49774
(906) 647-2217
MSH
M-F 9:00-5:00
522 E MAIN ST FARWELL
48622
(989) 588-6153
CMCH
M-F 9:00-5:00
10785 S GRANT AVE CLARE
48617
(989) 386-2899
M-F 9:00-5:00
CHIPPEWA COUNTY
NURSE PRACTITIONER
1099728
FREEL, LESLIE NP
CLARE COUNTY
1012731
HORSLEY, BROCK W DO
INTERNAL MEDICINE
1020148
MIENK, DOUGLAS R MD
PHYSICIAN ASSISTANT
1078258
GROVE, DIANE M PAC
1509 N MCEWAN ST CLARE
48617
(989) 386-8170
CMCH
M-F 9:00-5:00
1122560
MINK, THOMAS PA
1509 N MCEWAN ST CLARE
48617
(989) 386-8170
CMCH
M-F 9:00-5:00
CLINTON COUNTY
203885
ANDERSEN, LARS P JR DO
1055 S US 27 ST JOHNS
48879
(989) 224-3000
IRMC
M-F 9:00-5:00
1018548
CALDWELL, SUSAN MD
13191 SCHAVEY RD STE 3 DEWITT
48820
(517) 669-9109
EWS
M-F 9:00-5:00
1032651
GURDEN, BARBARA A DO
9900 W M-21 STE 104 OVID
48866
(989) 834-2243
MHC
M-F 9:00-5:00
1124053
HOLLSTEIN, WERNER MD
901 S OAKLAND ST ST JOHNS
48879
(989) 224-2338
CMH
M-F 9:00-5:00
1018549
HOLOWKO, ANTHONY DO
48820
(517) 669-9109
EWS
M-F 9:00-5:00
1008428
HOLZHEI, GREGORY A DO
48879
(989) 224-2338
CMH
M-F 9:00-5:00
1004596
HUFF, DAVID A DO
9900 W M-21 STE 104 OVID
48866
(989) 862-4224
MHC
M-F 9:00-5:00
1003172
LIDDELL, MICHAEL C DO
48820
(517) 668-0555
IRMC
M-F 9:00-5:00
1012242
MENAGI, BEINAZ MD
48820
(517) 669-9109
CMH
M-F 9:00-5:00
203887
MESSENGER, ANDREW W DO
48879
(989) 224-3000
IRMC
M-F 9:00-5:00
1069015
METOYER, ALYCE DO
110 W HIGHAM ST ST JOHNS
48879
(989) 224-0646
CMH
M-F 9:00-5:00
1059711
MINNICK, PAUL D DO
48879
(989) 224-2338
CMH
M-F 9:00-5:00
1036571
OSBORN, L JOHN DO
11017 W 3RD ST FOWLER
48835
(989) 593-2525
CCH
M-F 9:00-5:00
1036573
POFF, DOUGLAS W DO
11017 W 3RD ST FOWLER
48835
(989) 593-2525
CCH
M-F 9:00-5:00
1084295
SCHAAR, MARK W MD
12805 ESCANABA DR STE 2 DEWITT
48820
(517) 975-9750
IRMC
M-F 9:00-5:00
1006695
STEIGERWALD, WILLIAM DO
210 MAPLE ST MAPLE RAPIDS
48853
(989) 682-4311
CCH
M-F 9:00-5:00
1125288
TEGTMEIER, AMIEE DO
48820
(517) 669-9109
M-F 9:00-5:00
1123273
THELEN, TAYLOR D DO
48879
(989) 224-3000
CCH
M-F 9:00-5:00
INTERNAL MEDICINE
1016733
BEAL, CHRISTOPHER T DO
48879
(989) 224-0646
CMH
M-F 9:00-5:00
1000684
MACDONALD, JOHN S MD
48879
(989) 224-0646
CMH
M-F 9:00-5:00

Not Specified


Page 17
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
CLINTON COUNTY (CONTINUED)

1001537
MCLAUGHLIN, KAY L DO
48879
(989) 224-2338
CMH
M-F 9:00-5:00
1125140
THATIKONDA, NARENDER R MD
9900 E M-21 STE 101 OVID
48866
(989) 834-2243
MHC
M-F 9:00-5:00
N/A
NURSE PRACTITIONER
M-F 9:00-5:00
M-F 9:00-5:00
CMH
M-F 9:00-5:00
(989) 224-3000
CMH
M-F 9:00-5:00
1007253
ANDERSEN, MICHELLE J NP
48879
(989) 224-3000
1084308
ECKERSON, LINDA A NP
12805 ESCANABA DR STE 2 DEWITT
48820
(517) 975-9750
1065500
HANNA, ELIZABETH A NP
48879
(989) 224-2338
1063849
WIRTH, TRACY M FNP
48879
PHYSICIAN ASSISTANT
1024648
BRANNAN, MICHELE L PA
48820
(517) 669-9109
EWS
M-F 9:00-5:00
1109212
GURECKI, BETSY PA
48879
(989) 224-3000
CMH
M-F 9:00-5:00
1021098
THELEN, MARIA ANN PA-C
48879
(989) 224-3000
CMH
M-F 9:00-5:00
1056279
TROCHLIL, GARY L PA
9900 W M-21 STE 104 OVID
48866
(989) 834-2243
MHC
M-F 9:00-5:00
1095881
WEBER, BRYANNA R PA
48879
(989) 224-3000
N/A
M-F 9:00-5:00
CRAWFORD COUNTY
1100509
DEYOUNG, ZACHARIAH MD
1250 E MICHIGAN AVE GRAYLING
49738
(989) 348-0550
MHG
M-F 9:00-5:00
1083830
MCNAMARA, WILLIAM MD
1100 MICHIGAN AVE GRAYLING
49738
(989) 348-0317
MHG
M-F 9:00-5:00
1083829
MCNAMARA, WILLIAM H MD
49738
(989) 348-0550
MHG
M-F 9:00-5:00
1064564
NIGRELLI, JOANNA DO
49738
(989) 348-0550
MHG
M-F 9:00-5:00
1010660
SCHULTZ, VINCENT E MD
49738
(989) 348-0550
MHG
M-F 9:00-5:00
1008634
SCHULTZ, VINCENT E MD
49738
(989) 348-0550
MHG
M-F 9:00-5:00
INTERNAL MEDICINE
1009950
KIAMI, BASHAR E MD
49738
(989) 348-0550
MHG
M-F 9:00-5:00
1003908
KORNELI, FERDINAND DO
49738
(989) 348-0550
MHG
M-F 9:00-5:00
1025994
TODOROFF, CHARLES MD
49738
(989) 348-0550
MHG
M-F 9:00-5:00
49738
(989) 348-0550
TSJH
M-F 9:00-5:00
NURSE PRACTITIONER
1064557
BAKER, HAYLEY NP
PEDIATRICS
1077208
AZZI, LARA MD
49738
(989) 348-0440
MHG
M-F 9:00-5:00
1084461
BYRD, VALDA L MD
49738
(989) 348-0550
TSJH
M-F 9:00-5:00
1064562
KOEHLER, KRISTIE MD
49738
(989) 348-0550
MHG
M-F 9:00-5:00
1063219
KOEHLER, KRISTIE MD
49738
(989) 348-0550
MHG
M-F 9:00-5:00
1095055
OLIPRA, DAIVA MD
49738
(989) 348-0550
M-F 9:00-5:00
1109283
PRADHAN, KAMAL MD
49738
(989) 348-0550
MHG
M-F 9:00-5:00
1106267
SCHROETER, LEA ANN MD
49738
(989) 348-0550
MHG
M-F 9:00-5:00
1069363
TOURNER, SUSAN MD
49738
(989) 348-0550
MHG
M-F 9:00-5:00
1125181
WALLACE, DANIELLE MD
49738
(989) 348-0550
MHG
M-F 9:00-5:00
MHG
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1043168
GLASSER-EDWARDS, MELISSA PA
49738
(989) 348-0550
1040476
HELINSKI, ATHENA PA
49738
(989) 348-0550
7355 WESTSHIRE DR STE 100 LANSING
48917
(517) 622-2788
EATON COUNTY
1027047
ALLEN, RICHARD DO

Not Specified

EWS

Page 18
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
EATON COUNTY (CONTINUED)

1119806
BALGER, ABIGAIL A MD
111 LANSING RD STE 110 CHARLOTTE
48813
(517) 543-7720
IRMC
M-F 9:00-5:00
1001901
BALGER, JAMES D DO
111 LANSING RD STE 110 CHARLOTTE
48813
(517) 543-7720
HGBMH
M-F 9:00-5:00
1084301
BALL, EDWARD D DO
1035 CHARLEVOIX DR GRAND LEDGE
48837
(517) 626-3100
IRMC
M-F 9:00-5:00
1124570
BRZEZINSKI, MEGAN DO
48917
(517) 622-2788
M-F 9:00-5:00
1097835
CHERMAK, LINDA MD
111 LANSING ST STE 200 CHARLOTTE
48813
(517) 543-5110
M-F 9:00-5:00
1118267
DOHM, JOHN P DO
7201 W SAGINAW HWY STE 305 LANSING
48917
(517) 853-3651
M-F 9:00-5:00
1125155
JAYASURIYA, HARSHINI A MD
1500 S MAIN ST EATON RAPIDS
48827
(517) 999-4500
M-F 9:00-5:00
253068
JOHNSON, KIMBERLY R MD
123 LANSING ST CHARLOTTE
48813
(517) 543-0600
HGBMH
M-F 9:00-5:00
202869
KELLY, THOMAS A DO
101 SPICERVILLE HWY STE 300 EATON RAPIDS
48827
(517) 663-2705
ERMC
M-F 9:00-5:00
1015719
LEITGEB, MONIKA M DO
48917
(517) 622-2788
EWS
M-F 9:00-5:00
1061823
LUTZ, JESSICA L DO
48917
(517) 622-2788
EWS
M-F 9:00-5:00
1023248
MAGERS, ERICA MD
48813
(517) 543-0600
IRMC
M-F 9:00-5:00
1061688
MARL, ANTHONY E DO
123 LANSING ST STE 3A CHARLOTTE
48813
(517) 543-0600
HGBMH
M-F 9:00-5:00
1068563
MILLER, MARISSA DO
133 W LANSING RD POTTERVILLE
48876
(517) 645-0000
EWS
1116669
MOOKERJEE, LABONY MD
6465 MILLENIUM DR STE 100 LANSING
48917
(517) 975-3720
1057812
OTTEN, TODD R MD
48813
(517) 543-5110
1010314
RANDALL, SCOT DO
48813
1127014
SCHAFER, MICHAEL W MD
11615 S HARTEL RD STE 108 GRAND LEDGE
1127011
VAN ARK, JOSEPH MD
M-F 9:00-5:00
M-F 9:00-5:00
HGBMH
M-F 9:00-5:00
(517) 541-5962
HGBMH
M-F 9:00-5:00
48837
(517) 627-3281
IRMC
M-F 9:00-5:00
48837
(517) 627-3281
IRMC
M-F 9:00-5:00
INTERNAL MEDICINE
201463
COURTNAGE, SUSAN L MD
101 SPICERVILLE HWY STE 100 EATON RAPIDS
48827
(517) 663-1511
IRMC
M-F 9:00-5:00
1033971
COY, TED G MD
114 W HARRIS ST STE B CHARLOTTE
48813
(517) 543-6555
IRMC
M-F 9:00-5:00
1047017
CRIBB, JACK E DO
134 S COCHRAN ST STE B CHARLOTTE
48813
(517) 541-1000
N/A
1108279
GUPTA, ASHOK K MD
48827
(517) 999-4500
1037505
GUPTA, ASHOK K MD
101 E SPICERVILLE HWY STE 300 EATON RAPIDS 48827
(517) 663-2705
1084296
MILLS, MARK A MD
48917
(517) 975-3720
201465
MONDEJAR, DOROTHY G MD
48813
M-F 9:00-5:00
M-F 9:00-5:00
ERMC
M-F 9:00-5:00
IRMC
M-F 9:00-5:00
(517) 543-0600
HGBMH
M-F 9:00-5:00
ERMC
NURSE PRACTITIONER
1109320
BARTLEY, KERRY L NP
48827
(517) 999-4500
M-F 9:00-5:00
1126005
BOYNE, ROSELINDE A NP
123 LANSING ST STE 3A CHARLOTTE
48813
(517) 543-0600
M-F 9:00-5:00
1120345
KOHL, ANNE NP
48827
(517) 999-4500
M-F 9:00-5:00
1103772
KRAMER, STEPHANIE NP
48813
(517) 543-5110
HGBMH
M-F 9:00-5:00
1127024
MILLS, CHERYL NP
48837
(517) 627-3281
IRMC
M-F 9:00-5:00
1125240
MURRAY, MARY E NP
134 S COCHRAN ST STE B CHARLOTTE
48813
(517) 541-1000
M-F 9:00-5:00
PEDIATRICS
1070993
BOOTE, JENNIFER DO
48917
(517) 622-1012
IRMC
M-F 9:00-5:00
1018135
BREITZER, GERARD DO
48917
(517) 622-1012
IRMC
M-F 9:00-5:00
1018546
CHRISTENSEN, RACHEL S DO
48917
(517) 622-1012
IRMC
M-F 9:00-5:00
1122545
DINKHA, SABRINA DO
48917
(517) 622-1012
M-F 9:00-5:00
252763
DOUMA, MARI E DO
48917
(517) 622-1012
EWS
M-F 9:00-5:00
252775
GREENBERG, JOEL S DO
48917
(517) 622-1012
EWS
M-F 9:00-5:00
1018494
MITCHAM, KIMBERLY A DO
48917
(517) 622-1012
EWS
M-F 9:00-5:00
1057084
POHLOD, CHRISTOPHER A DO
48917
(517) 622-1012
EWS
M-F 9:00-5:00
1076051
ROOT, ROBERT DO
48917
(517) 622-1012
EWS
M-F 9:00-5:00
1018136
STRINGER, KENNETH D DO
48917
(517) 622-1012
IRMC
M-F 9:00-5:00
1020218
WILLIAMS, HIRAM S MD
48917
(517) 622-1012
IRMC
M-F 9:00-5:00
1018137
WORTHINGTON, RUTH DO
48917
(517) 622-1012
IRMC
M-F 9:00-5:00

Not Specified


Page 19
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

PHYSICIAN ASSISTANT
1077460
BRENNER, JEFFREY PA-C
48827
(517) 999-4500
ERMC
M-F 9:00-5:00
1034461
LINE, MICHAEL J PA
133 E LANSING RD POTTERVILLE
48876
(517) 645-0000
EWS
M-F 9:00-5:00
1086120
MCGEE, TANNA S PAC
48827
(517) 999-4500
ERMC
M-F 9:00-5:00
1095415
MONTERO, ADAM F PA
133 W LANSING RD POTTERVILLE
48876
(517) 645-0000
EWS
M-F 9:00-5:00
1084311
MOORE, DANIEL J PA
48917
(517) 975-3720
N/A
M-F 9:00-5:00
1117524
SUFYAN, BASHEER S PA
1035 CHARLEVOIX DR STE 200 GRAND LEDGE
48837
(517) 626-3100
IRMC
M-F 9:00-5:00
48813
(517) 543-5110
HGBMH
M-F 9:00-5:00

1062021
COENEN, JULIA NP
EMMET COUNTY
1119607
BACON, MICHAEL J DO
1937 M 119 PETOSKEY
49770
(231) 348-9200
M-F 9:00-5:00
1092887
DECARLI, KAYLYNN DO
8881 M-119 HWY HARBOR SPRINGS
49740
(231) 347-5400
M-F 9:00-5:00
1020080
FERGUSON, RICHARD DO
2390 MITCHELL PARK DR STE A PETOSKEY
49770
(231) 348-1968
NORMIC
M-F 9:00-5:00
1039145
HOTCHKISS, SCOTT A MD
1890 US 131 S STE 3 PETOSKEY
49770
(231) 487-6000
NORMIC
M-F 9:00-5:00
1065455
JANKOWSKI, MARCIN J DO
49740
(231) 347-5400
N/A
M-F 9:00-5:00
1013949
LO, GUSTAV J MD
116 W MITCHELL ST STE 1 PETOSKEY
49770
(231) 348-2828
NORMIC
M-F 9:00-5:00
1018440
LOOMIS, THOMAS D MD
49740
(231) 347-5400
M-F 9:00-5:00
1068811
3434 HARBOR-PETOSKEY RD M 119 STE C
49740
(231) 348-9900
M-F 9:00-5:00
1053704
MANGES, BOYD MD
49740
(231) 348-9900
1041254
MANSFIELD, RICHARD W DO
1937 M 119 PETOSKEY
49770
(231) 348-9200
1119723
MATIAS, IRINEO C MD
1937 M 119 PETOSKEY
49770
(231) 348-9200
1012709
MINOR, SAMUEL F MD
1890 US 131 S STE 3 PETOSKEY
49770
(231) 487-6000
1100908
PERTUNEN, SHAWN DO
820 ARLINGTON AVE PETOSKEY
49770
1059231
PUTALIK, GREG C MD
643 E LAKE STE 4 HARBOR SPRINGS
1073250
RICCI, CARRIE A MD
3434 HARBOR-PETOSKEY RD STE C HARBOR
1043575
SAMUELS, TERRY J MD
1250 LEARS RD PETOSKEY
49770
(231) 424-1700
1083020
7700 US 31 ALANSON
49706
(231) 548-1333
1083019
8881 M-119 HARBOR SPRINGS
49740
(231) 347-5400
1039141
WALKER, WENDY MD
49740
(231) 347-5400
1038377
WEHRENBERG, SUZANNE MD
4048 CEDAR BLUFF DR STE 5 PETOSKEY
49770
(231) 348-1880
1118423
WISE, LOREN MD
49740
(231) 348-9900
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
(231) 487-9355
M-F 9:00-5:00
49740
(231) 242-4734
M-F 9:00-5:00
49740
(231) 348-9900
M-F 9:00-5:00
NORMIC
M-F 9:00-5:00
NORMIC
M-F 9:00-5:00
NORMIC
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
NORMIC
NORMIC
NORMIC
INTERNAL MEDICINE
1120832
BANYAI, MICHAEL D MD
1890 S US HWY 131 STE 4 PETOSKEY
49770
(231) 487-2000
M-F 9:00-5:00
1006443
BLANCHARD, PAUL D MD
49770
(231) 487-2460
NORMIC
M-F 9:00-5:00
1006454
DIEDRICH, JOHN L MD
49770
(231) 487-2460
NORMIC
M-F 9:00-5:00
1039296
DOULL, MAUREEN E MD
49770
(231) 487-2460
NORMIC
M-F 9:00-5:00
1101380
GROHOWSKI, MITCHELL A DO
560 W MITCHELL STE 300 PETOSKEY
49770
(231) 487-2460
NORMIC
M-F 9:00-5:00
1039144
HEISE, VIRA C MD
49770
(231) 487-2460
NORMIC
M-F 9:00-5:00
1009026
HEISE, WILLIAM F MD
49770
(231) 487-2460
NORMIC
M-F 9:00-5:00
1006455
ISMOND, TIMOTHY J DO
49770
(231) 487-2460
NORMIC
M-F 9:00-5:00
1016512
JACKSON, TERRY S DO
49770
(231) 487-2460
NORMIC
M-F 9:00-5:00
1039214
MANARY, MELANIE S MD
49770
(231) 487-2460
NORMIC
M-F 9:00-5:00
1001508
RICHMOND, MARK A MD
49770
(231) 487-2460
NORMIC
M-F 9:00-5:00
49740
(231) 347-5400
M-F 9:00-5:00
NURSE PRACTITIONER
1039191
ASBURY, CHARLOTTE NP

Not Specified


Page 20
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
N/A
Site Hours
Availability Gender
EMMET COUNTY (CONTINUED)

1069521
BALISTRERI, RITA N FNP
8881 M119 HWY HARBOR SPRINGS
49740
(231) 347-5400
M-F 9:00-5:00
1119480
BREWBAKER, AMY M FNP BC
8881 M 119 HARBOR SPRINGS
49740
(231) 347-5400
M-F 9:00-5:00
1116970
CLARK, KIMBERLY S FNP-BC
49740
(888) 300-5872
M-F 9:00-5:00
1125816
DIPZINSKI, KRISTI L NP
560 W MITCHELL STE 300 PETOSKEY
49770
(231) 487-2460
NORMIC
M-F 9:00-5:00
F
F
1068820
MCDONOUGH, JEAN FNP
49740
(231) 348-9900
M-F 9:00-5:00
1039330
STURT, MICHELE K NP
49770
(231) 487-2460
NORMIC
M-F 9:00-5:00
1124967
WILLEY, SARAH NP
49740
(231) 347-5400
N/A
M-F 9:00-5:00
NORMIC
M-F 9:00-5:00
M-F 9:00-5:00
PEDIATRICS
1042064
DECKER, JILL MD
345 N DIVISION RD PETOSKEY
49770
(231) 347-8382
1033712
MCGEATH, DENNIS MD
49770
(231) 347-8382
1039290
MEYERSON, JOSHUA MD
49770
(231) 242-1700
NORMIC
M-F 9:00-5:00
1057311
SEAGREN, GLENN R MD
49770
(231) 487-2250
NORMIC
M-F 9:00-5:00
1055085
SIGNS, MARLA M DO
49770
(231) 487-2250
NORMIC
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1068816
BARDEN, NATHAN PA
49740
(231) 348-9900
M-F 9:00-5:00
1092919
CRONKRIGHT, HOLLY A PA
49770
(231) 487-2460
M-F 9:00-5:00
1100262
JEFFERS-WCISEL, CARIANNE PA
49770
(231) 242-1700
M-F 9:00-5:00
1068815
KOCH, KAREN PA
49740
(231) 348-9900
M-F 9:00-5:00
1065457
COMMUNITY HEALTH CENTER OF NORTH 3434 HARBOR-PETOSKEY RD M 119 STE C
49740
(231) 348-9900
M-F 9:00-5:00
1097448
HEALTH DEPARTMENT OF NORTHWEST M 172 N PARK ST PELLSTON
49769
(231) 539-8550
M-F 9:00-5:00
1097450
HEALTH DEPARTMENT OF NORTHWEST M 3434 M-119 HARBOR SPRINGS
49740
(231) 347-6014
M-F 9:00-5:00
NORMIC
PRIMARY CARE CENTER

1116971
CLARK, KIMBERLY S FNP
7700 US 31 ALANSON
49706
(231) 548-1333
M-F 9:00-5:00
1125892
EDWARDS, JULIE FNP
3434 M 119 STE C HARBOR SPRINGS
49740
(231) 348-9900
M-F 9:00-5:00
1069903
KENNEDY, EMILEE L NP
8881 M119 HWY HARBOR SPRINGS
49740
(888) 300-5872
M-F 9:00-5:00
GENESEE COUNTY
1018508
AHMED, BADAR I MD
500 PERRY RD STE 102 GRAND BLANC
48439
(810) 694-9421
HMC
M-F 9:00-5:00
1058683
ARIF, AHMED MD
4400 S SAGINAW ST STE 1315 FLINT
48507
(810) 235-8861
HMC
M-F 9:00-5:00
1020492
DANI, NIKETA S MD
102 ADELAIDE ST STE 100 FENTON
48430
(810) 629-2245
HMC
M-F 9:00-5:00
1074083
JOHNSON, JANE MD
G5142 MILLER RD FLINT
48507
(810) 733-3660
MRMC
M-F 9:00-5:00
1007802
SAEED, ELMAHDI M MD
TWO HURLEY PLAZA STE 108 FLINT
48503
(810) 238-6565
HMC
M-F 9:00-5:00
1033329
SYED, MOHAMMED MD
1201 FLUSHING RD STE 1 FLINT
48504
(810) 235-8532
M-F 9:00-5:00
ADOLESCENT MEDICINE
1097245
SAWNI, ANJU A MD
806 TUURI PL FLINT
48503
(810) 767-5750
M-F 9:00-5:00
1083369
SAWNI, ANJU A MD
ONE HURLEY PLAZA FLINT
48503
(810) 262-9773
M-F 9:00-5:00

1126843
AKHTER, NILUFA MD
387 N STATE RD OTISVILLE
48463
(810) 631-4060
M-F 9:00-5:00
1002512
ALMANSOUR, MUHAMMAD A MD
4071 RICHFIELD RD FLINT
48506
(810) 736-2440
HMC
M-F 9:00-5:00
1002438
ARMOVIT, JOSEPH DO
4272 W VIENNA RD CLIO
48420
(810) 687-2850
HMC
M-F 9:00-5:00
1107503
AYUOB, MYSOON MD
G 1125 S LINDEN RD STE 900 FLINT
48532
(810) 235-6685
HMC
M-F 9:00-5:00
1006724
BELLO, JOSEFINA MD
G 3317 BEECHER RD FLINT
48532
(810) 720-0800
MRMC
M-F 9:00-5:00
204370
CHAHBAZI, JOHN MD
G 3230 BEECHER RD STE 1 FLINT
48532
(810) 342-5656
MRMC
M-F 9:00-5:00

Not Specified


Page 21
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
GENESEE COUNTY (CONTINUED)

1107524
CHARLES, DAVID P DO
2420 OWEN RD STE A FENTON
48430
(810) 496-2500
MRMC
M-F 9:00-5:00
1077144
CONHON, STANLEY MD
10090 E LIPPINCOTT BLVD DAVISON
48423
(810) 653-1130
MRMC
M-F 9:00-5:00
1093017
DASHER, PAMELA L MD
5494 S DORT HWY FLINT
48507
(810) 233-9901
M-F 9:00-5:00
1077162
DOTSON, DAVID C DO
2487 N ELMS RD FLUSHING
48433
(810) 487-3500
MRMC
M-F 9:00-5:00
1002567
DUNCAN, DEBORAH L MD
102 N ADELAIDE ST STE 100 FENTON
48430
(810) 629-2245
HMC
M-F 9:00-5:00
1124789
FARLEY, JODI L MD
10090 LIPPINCOTT BLVD DAVISON
48423
(810) 653-1130
MRMC
M-F 9:00-5:00
1002544
FLEETWOOD, LINVAL K MD
1415 BROADWAY BLVD FLINT
48506
(810) 239-7684
HMC
M-F 9:00-5:00
1102646
FRIEDMAN, JACQUELINE MD
48423
(810) 653-1130
M-F 9:00-5:00
1123981
GANAPINI, KENNETH DO
2420 OWEN RD FENTON
48430
(810) 496-2500
M-F 9:00-5:00
1109613
GEORGAKOPOULOS, JOHN DO
2900 N SAGINAW ST FLINT
48505
(810) 789-9141
M-F 9:00-5:00
1071349
HAFEZ, HOSSAM H MD
G3230 BEECHER RD STE 1 FLINT
48532
(810) 342-5608
MRMC
M-F 9:00-5:00
1066713
HOLDEN, EDWARD MD
48430
(810) 629-2245
HMC
M-F 9:00-5:00
204389
HOLMES-POLLARD, MISCHA MD
48532
(810) 342-5656
MRMC
M-F 9:00-5:00
204379
HUNT, RONALD MD
48532
(810) 342-5656
MRMC
M-F 9:00-5:00
1002089
IMPERIAL, GREGORIO MD
G 2241 S LINDEN RD STE B FLINT
48532
(810) 733-9470
MRMC
M-F 9:00-5:00
1056601
JAGIRDAR, YOGESH MD
5710 CLIO RD FLINT
48504
(810) 787-4445
HMC
M-F 9:00-5:00
1126810
JONES, CLARK DO
1125 S LINDEN RD STE 900 FLINT
48532
(810) 733-5390
M-F 9:00-5:00
1002565
JOSEPH, TEJAL S MD
48430
(810) 629-2245
HMC
M-F 9:00-5:00
1077168
KASPEROWICZ, RACHAEL A MD
48433
(810) 487-3500
MRMC
M-F 9:00-5:00
1097709
KHAN, UZMA A MD
48505
(810) 789-9141
M-F 9:00-5:00
1090377
KLEIN, MARCY A DO
G-1314 S LINDEN RD STE A FLINT
48532
(810) 342-1700
MRMC
M-F 9:00-5:00
1077176
KUDRAY, KATHLEEN DO
G 1314 S LINDEN RD STE A FLINT
48532
(810) 342-1700
MRMC
M-F 9:00-5:00
204383
LAZAR, PAUL MD
48532
(810) 342-5656
MRMC
M-F 9:00-5:00
1077167
LLOYD, DENNIS DO
48433
(810) 487-3500
MRMC
M-F 9:00-5:00
1123690
LOPEZ, JEREMIAH G MD
48532
(810) 342-5656
M-F 9:00-5:00
1002529
LOPEZ, JOSE B MD
3020 S GENESEE RD BURTON
48519
(810) 715-3049
HMC
M-F 9:00-5:00
1127749
MAHFOOZ, NAVEED MD
387 N STATE RD STE A OTISVILLE
48463
(810) 631-4060
N/A
M-F 9:00-5:00
1071593
MANSOUR, MOHAMED MD
48532
(810) 342-5656
MRMC
M-F 9:00-5:00
1034184
MOORE, JULIAN MD
2700 ROBERT T LONGWAY BLVD STE B FLINT
48503
(810) 235-2004
HMC
M-F 9:00-5:00
1077158
MURRAY, KENDALYN MD
48430
(810) 496-2500
MRMC
M-F 9:00-5:00
1077177
NEUMANN, MARK DO
48532
(810) 342-1700
MRMC
M-F 9:00-5:00
1073153
OWCZARZAK, MICHAEL T MD
G5142 MILLER RD FLINT
48507
(810) 733-3660
MRMC
M-F 9:00-5:00
253047
PLENSDORF, SCOTT D MD
48532
(810) 342-5656
MRMC
M-F 9:00-5:00
1018743
RAMALINGAM, YAMINI MD
5339 S STATE RD GOODRICH
48438
(810) 636-2231
MRMC
M-F 9:00-5:00
1034469
ROBINSON, DONALD MD
G3375 S SAGINAW ST BURTON
48529
(810) 743-6830
HMC
M-F 9:00-5:00
1016834
ROBINSON, DONALD MD
2900 N SAGINAW FLINT
48505
(810) 789-9141
HMC
M-F 9:00-5:00
1020049
RODRIGUEZ, ALEXANDER J MD
48532
(810) 342-5656
MRMC
M-F 9:00-5:00
1077157
RODRIGUEZ, ALEXANDER J MD
2313 E HILL RD GRAND BLANC
48439
(810) 953-6400
MRMC
M-F 9:00-5:00
1020563
ROGERS-GRAYS, BRENDA DO
48532
(810) 732-5555
MRMC
M-F 9:00-5:00
1023377
ROOME, GARY T MD
48529
(810) 743-6830
HMC
M-F 9:00-5:00
1024773
ROOME, GARY T MD
48505
(810) 789-9141
HMC
M-F 9:00-5:00
1024774
ROOME, GARY T MD
5710 CLIO RD FLINT
48504
(810) 787-4445
HMC
M-F 9:00-5:00
1101059
SCHULTZ, ANGELA MD
3400 FLECKENSTEIN DR FLINT
48507
(810) 877-7130
M-F 9:00-5:00
1101061
SCHULTZ, ANGELA MD
3390 N STATE RD DAVISON
48423
(810) 653-9282
M-F 9:00-5:00
1077154
SCHWARZ, DAVID F MD
48430
(810) 496-2500
MRMC
M-F 9:00-5:00
1077179
SHAHEEN, RONALD E DO
48532
(810) 342-1700
MRMC
M-F 9:00-5:00
1026660
STEVENS, JOYCE MD
48507
(810) 233-9901
HMC
M-F 9:00-5:00
1099982
STEVENS, TOMMY S MD
2298 S CENTER RD BURTON
48519
(810) 742-2544
M-F 9:00-5:00

Not Specified


Page 22
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1001846
STOKER, JOHN L DO
G 5142 MILLER RD FLINT
48507
(810) 733-3660
MRMC
M-F 9:00-5:00
1079066
THOMS, PETER MD
G4007 W COURT ST STE B FLINT
48532
(810) 732-7716
MRMC
M-F 9:00-5:00
1004515
TYLER, APRIL B DO
1361 N LONG LAKE RD FENTON
48430
(810) 629-6996
MRMC
M-F 9:00-5:00
1077181
VANDUYNE, FREDERICK W MD
48532
(810) 342-1700
MRMC
M-F 9:00-5:00
1094341
WALKER, LYNN MD
12741 S SAGINAW ST STE 402 GRAND BLANC
48439
(810) 694-7412
M-F 9:00-5:00
1020050
YAMBAO, JAIME T MD
48532
(810) 342-5656
MRMC
M-F 9:00-5:00
1066431
ZAHDEH, LOUINDA V MD
G 3375 S SAGINAW ST BURTON
48529
(810) 743-6830
HMC
M-F 9:00-5:00
1077151
ZICCARDI, MICHAEL JR DO
48430
(810) 496-2500
MRMC
M-F 9:00-5:00
INTERNAL MEDICINE
1077183
ABBUD, WAFA MD
48532
(810) 342-1700
MRMC
M-F 9:00-5:00
1074127
ABDELBASIT, NADA A MD
G 1125 S LINDEN STE 700 FLINT
48532
(810) 733-2011
HMC
M-F 9:00-5:00
1123432
ABDULRAZZAK, AMEED MD
48463
(810) 631-4060
HMC
M-F 9:00-5:00
1103968
ADEKOLUJO, ORIMISAN S MD
48532
(810) 342-5800
MRMC
M-F 9:00-5:00
1001790
AHMED, HINDI S MD
G 1425 S GRAHAM RD STE 3 FLINT
48532
(810) 732-5440
HMC
M-F 9:00-5:00
1022956
AHMED, HINDI S MD
303 MILL ST STE 1 CLIO
48420
(810) 687-2850
HMC
M-F 9:00-5:00
1001610
AHMED, KHALID MD
48503
(810) 235-2004
HMC
M-F 9:00-5:00
1079065
AHMED, SHAFI MD
48532
(810) 732-7716
MRMC
M-F 9:00-5:00
1077174
AHSAN, LUBNA MD
48433
(810) 487-3500
MRMC
M-F 9:00-5:00
1076665
ALASBAHI, MOHAMAD L MD
8434 N SAGINAW RD MOUNT MORRIS
48458
(810) 686-1997
MRMC
M-F 9:00-5:00
1015584
AL-DABAGH, AHMAD MD
5084 VILLA LINDE PKWY STE 5 FLINT
48532
(810) 733-8105
MRMC
M-F 9:00-5:00
1021094
ALI, SHAGUFTA MD
48532
(810) 342-5800
MRMC
M-F 9:00-5:00
1077159
ARBOGAST, LAURA DO
2313 E HILL RD GRAND BLANC
48439
(810) 953-6400
MRMC
M-F 9:00-5:00
1018502
ARIF, AHMED A MD
1201 FLUSHING RD STE 1 FLINT
48504
(810) 235-8532
HMC
M-F 9:00-5:00
1069178
ATAYA, HATEM MD
3400 FLECKENSTEIN DR FLINT
48507
(810) 877-7130
M-F 9:00-5:00
1053673
ATAYA, HATEM MD
3390 N STATE RD DAVISON
48423
(810) 653-9282
MRMC
M-F 9:00-5:00
1100376
AZIEM, AWAD A MD
48507
(810) 235-8861
HMC
M-F 9:00-5:00
1125022
AZIEN, AWAD MD
8089 PEPPERWOOD DR GRAND BLANC
48439
(908) 656-2003
HMC
M-F 9:00-5:00
1068217
BAUMBACH, REBECCA MD
48430
(810) 629-2245
HMC
M-F 9:00-5:00
1036620
BOUVIER, ROBERT MD
48439
(810) 694-7412
N/A
M-F 9:00-5:00
1073272
BURTON, ANN MD
48439
(810) 694-7412
N/A
M-F 9:00-5:00
1014165
CARLIS, DOROTHEA A MD
48505
(810) 789-9141
HMC
M-F 9:00-5:00
1071359
CHARDOUL, EUGENE MD
4040 S LINDEN RD FLINT
48507
(810) 835-8700
MRMC
M-F 9:00-5:00
1077150
CHOI, SOON MD
48430
(810) 496-2543
LRMC
M-F 9:00-5:00
1059813
EDWARDS-MILLER, MYRIAM MD
48532
(810) 733-2011
HMC
M-F 9:00-5:00
1105237
ELHWAIRIS, HUDA M MD
48505
(810) 789-9141
M-F 9:00-5:00
1060332
FAYYAD, ABEER S MD
5095 W BRISTOL RD STE B FLINT
48507
(810) 875-9129
MRMC
M-F 9:00-5:00
1007004
FOREBACK, JAMI L MD
48532
(810) 342-5800
MRMC
M-F 9:00-5:00
1104720
GADIRAJU, GAUTHAM S MD
48532
(810) 342-5800
MRMC
M-F 9:00-5:00
1022106
GALAL, OSAMA MD
8384 HOLLY RD STE 2 GRAND BLANC
48439
(810) 835-4200
HMC
M-F 9:00-5:00
1022954
GALAL, OSAMA MD
303 MILL ST STE 1 CLIO
48420
(810) 687-2850
HMC
M-F 9:00-5:00
1008159
GHALIB, MAY MD
48532
(810) 230-0788
MRMC
M-F 9:00-5:00
1020753
GIACALONE, MICHAEL J JR MD
48529
(810) 743-6830
HMC
M-F 9:00-5:00
1119383
48420
(810) 406-4246
HMC
M-F 9:00-5:00
1042289
5710 CLIO RD FLINT
48504
(810) 787-4445
HMC
M-F 9:00-5:00
1042288
48505
(810) 789-9141
HMC
M-F 9:00-5:00
1077145
GOLEBA, MARIA MD
48423
(810) 653-1130
MRMC
M-F 9:00-5:00
1090350
HAFEEZ, ABDULLA A MD
48503
(810) 238-6565
HMC
M-F 9:00-5:00
1036267
HAIDAR, AYMAN Y MD
48532
(810) 720-8700
MRMC
M-F 9:00-5:00

Not Specified


Page 23
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

253354
HAK, KAZEM MD
3400 FLECKENSTEIN DR STE 2 FLINT
48507
(810) 230-9323
MRMC
M-F 9:00-5:00
1047778
HARDMAN, DONALD MD
48507
(810) 820-8121
MRMC
M-F 9:00-5:00
1083839
HASSAN, MUSTAFA MD
1165 S LINDEN RD STE A FLINT
48532
(810) 732-5400
MRMC
M-F 9:00-5:00
1003585
KAKARALA, RADHIKA MD
48532
(810) 342-5800
MRMC
M-F 9:00-5:00
204400
KESARI, KAVITHA MD
48532
(810) 342-5800
MRMC
M-F 9:00-5:00
1002540
KHAN, FARHAN M MD
3433 FENTON RD FLINT
48507
(810) 235-1331
MRMC
M-F 9:00-5:00
1003687
KHANDELWAL, PARMANAND MD
G 4007 COURT ST STE C FLINT
48532
(810) 720-9000
MRMC
M-F 9:00-5:00
1001816
KINRA, KIRAN MD
1375 FLUSHING RD FLUSHING
48433
(810) 659-2233
MRMC
M-F 9:00-5:00
1103054
KUMAR, BINAY MD
5710 CLIO RD FLINT
48504
(810) 787-4445
HMC
M-F 9:00-5:00
1000219
KUSZ, HALINA MD
48532
(810) 342-5800
MRMC
M-F 9:00-5:00
1005192
MENDOZA, HENRY MD
48532
(810) 732-0020
MRMC
M-F 9:00-5:00
1123431
MIR, IMRAN MD
48463
(810) 631-4060
HMC
M-F 9:00-5:00
1002545
MOHAMED, MOUSA S MD
4250 N SAGINAW ST STE A FLINT
48505
(810) 785-1121
HMC
M-F 9:00-5:00
1001827
MOHAMMED, SHAHEEN MD
G 5105 W BRISTOL RD FLINT
48507
(810) 733-0822
MRMC
M-F 9:00-5:00
1002527
MUSSON, PAUL H MD
G 3500 FLUSHING RD STE 300 FLINT
48504
(810) 733-6980
HMC
M-F 9:00-5:00
1003200
NAIK, PURUSHOTTAM N MD
2425 AUSTINS PKWY STE 1 FLINT
48507
(810) 238-8889
HMC
M-F 9:00-5:00
1077169
OLTMANNS, LISA MOODY MD
48433
(810) 487-3500
MRMC
M-F 9:00-5:00
1101798
PALANI, GURUNANTHAN MD
48532
(810) 342-5800
MRMC
M-F 9:00-5:00
1032746
PANDRANGI, DAMAYANTHI V MD
1170 CHARTER DR STE E FLINT
48532
(810) 733-0500
HMC
M-F 9:00-5:00
1001835
RAFFEE, ABDULLAH MD
5051 VILLA LINDE STE 23 FLINT
48532
(810) 733-8243
MRMC
M-F 9:00-5:00
1001611
SAEED, SEIF M MD
48503
(810) 235-2004
HMC
M-F 9:00-5:00
1120489
SAEED, SEIF M MD
48507
(810) 233-9901
HMC
M-F 9:00-5:00
1002102
SANKARAN, SIVA V MD
48420
(810) 686-4030
MRMC
M-F 9:00-5:00
223328
SAYYID, SAMIULLAH H MD
1085 PROFFESSIONAL DR STE G2 FLINT
48532
(810) 733-5522
HMC
M-F 9:00-5:00
1107882
SCHOOLFIELD, BYRON MD
5051 VILLA LINDE PKWY STE 23 FLINT
48532
(810) 733-8241
MRMC
M-F 9:00-5:00
1007822
SCHUMACHER, RANDOLPH E MD
1409 GRAHAM RD FLINT
48532
(810) 235-2599
HMC
M-F 9:00-5:00
1118536
SHAIK MOHAMMED, TABREZ MD
ONE HURLEY PLAZA IM RESIDENCY CLINIC FLINT 48502
(810) 262-9191
HMC
M-F 9:00-5:00
1070418
SMITH, MARIA MD
48532
(810) 342-5800
MRMC
M-F 9:00-5:00
204397
SUD, PARUL MD
48532
(810) 342-5800
MRMC
M-F 9:00-5:00
1058684
SYED, MOHAMMED MD
48507
(810) 235-8861
HMC
M-F 9:00-5:00
1001734
TOWFIQ, BASIM A MD
ONE HURLEY PLAZA IM RESIDENCY CLINIC FLINT 48503
(810) 262-7300
HMC
M-F 9:00-5:00
1001312
VEMURI, KOTESWARA R MD
48532
(810) 720-9300
MRMC
M-F 9:00-5:00
1001308
VEMURI, SASIKALA MD
48532
(810) 720-9300
MRMC
M-F 9:00-5:00
NURSE PRACTITIONER
1024163
BADAL, SHAWN CNP
48532
(810) 235-2599
MRMC
M-F 9:00-5:00
1123777
BROOKS, TANYA NP
48532
(810) 342-5500
N/A
M-F 9:00-5:00
1123569
DONNELLY, MARIA-CAROLINA NP
3109 KLEINPELL FLINT
48507
(810) 422-5572
N/A
M-F 9:00-5:00
1094987
DYSON, BRIDGETTE C NP
10090 LIPPINCOTT BLVD DAVISON
48423
(810) 653-1130
MRMC
M-F 9:00-5:00
1126852
ERVIN, JENNIFER ACNP BC
48529
(810) 743-6830
M-F 9:00-5:00
1116389
FIELDS, KAELA NP
48532
(810) 342-1700
N/A
M-F 9:00-5:00
1097071
FOLTS, MARK NP
48458
(810) 686-1997
N/A
M-F 9:00-5:00
1118461
HOLLOWAY, TOPAZ J NP
48420
(810) 406-4246
N/A
M-F 9:00-5:00
1127750
MBIDZO, HILDA NP
48463
(810) 631-4060
N/A
M-F 9:00-5:00
1122294
OLES, SHELLY M NP
48430
(810) 496-2500
N/A
M-F 9:00-5:00
1080519
PENFOLD, LYNN NP
5710 CLIO RD FLINT
48504
(810) 787-4445
N/A
M-F 9:00-5:00
1077148
PENZEL, SARAH NP
48423
(810) 653-1130
M-F 9:00-5:00
1078988
PENZEL, SARAH NP
48430
(810) 496-2500
M-F 9:00-5:00
1107388
REICHERT-BROOKS, CINDY NP
48458
(810) 686-1997
M-F 9:00-5:00

Not Specified


Page 24
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1126083
ROSS, BRIDGET A NP
3109 KLEINPELL FLINT
48507
(840) 422-5834
N/A
M-F 9:00-5:00
1126084
ROSS, BRIDGET A NP
422 W FOURTH AVE FLINT
48503
(810) 496-5777
N/A
M-F 9:00-5:00
1065975
SHEA, CAREY NP
1201 FLUSHING RD FLINT
48504
(810) 235-8532
N/A
M-F 9:00-5:00
1079822
SHEA, CAREY NP
48507
(810) 235-2886
N/A
M-F 9:00-5:00
1072870
SHELLS, CHERRELL NP
48503
(810) 235-2004
M-F 9:00-5:00
1120058
SMILEY, JACQUELINE NP
48503
(810) 262-1210
M-F 9:00-5:00
1096230
SMILEY, JACQUELINE NP
48529
(810) 743-6830
N/A
M-F 9:00-5:00
1127752
YOUNG, BRIDGET NP
48463
(810) 631-4060
N/A
M-F 9:00-5:00
1108594
ZIMMERMAN, AMY NP
48532
(810) 235-2599
M-F 9:00-5:00
806 TURRI PLACE FLINT
48503
(810) 767-5750
N/A
M-F 9:00-5:00
PEDIATRIC - NURSE PRACTITIONER

1104761
ALDRICH, MEGAN NP
PEDIATRICS
1002524
AFTAB, AFTAB A MD
10118 CLIO RD CLIO
48420
(810) 686-7310
HMC
M-F 9:00-5:00
1021294
AKPINAR, MUSTAFA G MD
2303 STONE BRIDGE DR BLDG A FLINT
48532
(810) 235-8531
HMC
M-F 9:00-5:00
1011333
AKRAWI, HABIB K MD
8382 HOLLY RD STE 1 GRAND BLANC
48439
(810) 694-9110
HMC
M-F 9:00-5:00
1007238
ALAJAJ, ABDELMOHDI M MD
48532
(810) 733-0200
HMC
M-F 9:00-5:00
1062991
ALI, NUZHAT MD
1335 S LINDEN RD STE C FLINT
48532
(810) 733-0010
MRMC
M-F 9:00-5:00
1065429
BAIG, ATHAR MD
G-3283 BEECHER RD FLINT
48532
(810) 820-8923
HMC
M-F 9:00-5:00
1005210
BANERJEE, AMITABHA MD
48532
(810) 262-2150
HMC
M-F 9:00-5:00
1022466
806 TUURI PL FLINT
48503
(810) 262-9773
HMC
M-F 9:00-5:00
1126060
BERNABE, MARIA FRANCISCA S MD
48505
(810) 789-9141
M-F 9:00-5:00
1002546
BERNER, GERALD P MD
G 3500 FLUSHING RD STE 550 FLINT
48504
(810) 733-2585
HMC
M-F 9:00-5:00
1034155
DAMIDI, SUDHA MD
5205 NORKO DR FLINT
48507
(810) 733-0400
HMC
M-F 9:00-5:00
1021035
FADL, HYTHAM H M MD
806 TUURI PL FLINT
48503
(810) 262-9773
HMC
M-F 9:00-5:00
1015853
HADDAD, FAWAZ E MD
8273 S SAGINAW ST STE C GRAND BLANC
48439
(810) 695-6565
MRMC
M-F 9:00-5:00
1099151
HAI, AFROZE MD
806 TUURI PL FLINT
48503
(810) 767-5750
M-F 9:00-5:00
1001685
HAMMOUD, MANAR A MD
G 5119 W BRISTOL STE A FLINT
48507
(810) 720-1510
HMC
M-F 9:00-5:00
1069254
HASAN, KAMAL MD
1260 N IRISH RD STE A DAVISON
48423
(810) 658-9550
HMC
M-F 9:00-5:00
1001811
HOLLOWAY, MILTON G MD
5205 NORKO DR FLINT
48507
(810) 733-0400
HMC
M-F 9:00-5:00
1006676
IMPERIAL, ALICIA J MD
48532
(810) 733-9470
HMC
M-F 9:00-5:00
1056125
JINDAL, LEENA DO
48529
(810) 743-6830
HMC
M-F 9:00-5:00
1001817
KINRA, NARESH K MD
48433
(810) 659-2233
MRMC
M-F 9:00-5:00
1106290
KIRBY, MICHAEL J MD
445 N FENWAY DR FENTON
48430
(810) 750-6060
GENSIS
M-F 9:00-5:00
1009358
LAWTON, WENDY B MD
8203 S SAGINAW ST STE D GRAND BLANC
48439
(810) 953-3690
MRMC
M-F 9:00-5:00
1077147
LEVASHKEVICH, ZHANNA MD
48423
(810) 658-6508
LRMC
M-F 9:00-5:00
1078845
LEVASHKEVICH, ZHANNA MD
48433
(810) 487-3500
MRMC
M-F 9:00-5:00
1001821
LOPEZ, CECILIA G MD
48519
(810) 744-3321
HMC
M-F 9:00-5:00
1012600
LUNA, JOSEPH B MD
1510 S STATE RD STE A DAVISON
48423
(810) 658-8343
HMC
M-F 9:00-5:00
1106170
MANUELA-ABAD, TINTIN L MD
806 TUURI PL FLINT
48503
(810) 262-9773
HMC
M-F 9:00-5:00
1117413
MAWRI, FAISAL M MD
8143 S SAGINAW ST STE 2A GRAND BLANC
48439
(810) 584-7689
MHC
M-F 9:00-5:00
1027779
NARAPARAJU, VIJAY MD
806 TUURI PL PEDIATRIC RES CLINIC FLINT
48503
(810) 262-9773
HMC
M-F 9:00-5:00
1123527
48433
(810) 659-2233
HMC
M-F 9:00-5:00
1007181
PATEL, VINA R MD
5205 NORKO DR FLINT
48507
(810) 733-0400
HMC
M-F 9:00-5:00
1001836
RAMIREZ, BENJAMIN S MD
G 1425 GRAHAM RD FLINT
48532
(810) 230-1288
HMC
M-F 9:00-5:00
1002394
REYNOLDS, LAWRENCE A MD
806 TUURI PL FLINT
48503
(810) 767-5750
HMC
M-F 9:00-5:00
1005211
RUBINO, DON M MD
G-1125 S LINDEN RD STE 500 FLINT
48532
(810) 262-2150
GMC
M-F 9:00-5:00
1001841
SANKARAN, RAJALAKSHMI MD
5205 NORKO DR FLINT
48507
(810) 733-0400
HMC
M-F 9:00-5:00

Not Specified


Page 25
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
MRMC
M-F 9:00-5:00
M-F 9:00-5:00

1050924
VOBACH, KENNETH E MD
110 E THIRD ST DAVISON
48423
(810) 412-5437
1093930
ZAINUDDIN, SANIA MD
806 TUURI PL FLINT
48503
(810) 767-5750
1000381
ZAINUDDIN, SANIA MD
806 TUURI PL FLINT
48503
(810) 257-9773
HMC
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1094972
BUSKIRK, BRANDI PAC
48505
(810) 789-9141
N/A
M-F 9:00-5:00
1080539
DELBRIDGE, DESIRAE PA-C
5710 CLIO RD FLINT
48504
(810) 787-4445
N/A
M-F 9:00-5:00
1086284
HAMAKER, DAVID E PA
48529
(810) 743-6830
M-F 9:00-5:00
1089091
HOOK, CHARISSE PA-C
48529
(810) 743-6830
M-F 9:00-5:00
1089092
HOOK, CHARISSE PA-C
48505
(810) 789-9141
M-F 9:00-5:00
1036686
LANGE, REBEKAH PA
48503
(810) 235-2004
M-F 9:00-5:00
1077171
LECUREUX, MEGAN PA
48433
(810) 487-3500
M-F 9:00-5:00
1122033
LOWERY, KRISTEN PA
48529
(810) 743-6830
M-F 9:00-5:00
1069534
NEELY, MELISSA PA
48507
(810) 233-9901
M-F 9:00-5:00
1099844
NEELY, MELISSA PA
48503
(810) 235-2004
M-F 9:00-5:00
1127751
PILARSKI, JANELLE PA
48463
(810) 631-4060
N/A
M-F 9:00-5:00
1127753
SCHULER, JONATHAN PA
48463
(810) 631-4060
N/A
M-F 9:00-5:00
1098611
SCHULTZ, MARSHA PAC
48532
(810) 732-7716
N/A
M-F 9:00-5:00
1080459
VANDERLAAN, KATHERINE PA-C
48503
(810) 235-2004
N/A
M-F 9:00-5:00
1106229
WAS, KENNETH F PA
48507
(810) 820-8121
MRMC
M-F 9:00-5:00
GLADWIN COUNTY
1065754
ANCHETA, EVANGELINE A MD
609 QUARTER ST GLADWIN
48624
(989) 246-6490
M-F 9:00-5:00
1068617
BARRETO, MARCELINO MD
48624
(989) 246-6490
M-F 9:00-5:00
1123726
GREIG, DANNY MD
439 S ROSS ST BEAVERTON
48612
(989) 246-3500
M-F 9:00-5:00
1082835
HERDZIK, MONIKA A MD
48624
(989) 246-6490
M-F 9:00-5:00
1126811
JONES, CLARK DO
1277 E CEDAR AVE GLADWIN
48624
(989) 426-1100
M-F 9:00-5:00
MMMC
1103869
MACAULEY, RICHARD W MD
1277 E CEDAR ST STE A GLADWIN
48624
(989) 426-1100
M-F 9:00-5:00
1022845
VORA, KANDARP K MD
48624
(989) 426-9259
MMMC
M-F 9:00-5:00
1038409
WAGNER, JACK W MD
129 W BROWN BEAVERTON
48612
(989) 435-2937
BRMC
M-F 9:00-5:00
INTERNAL MEDICINE
1082836
ANTONACOPOULOS, PETER A MD
48624
(989) 246-6420
M-F 9:00-5:00
1097248
KEMP, MARK W DO
48612
(989) 246-3500
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
NURSE PRACTITIONER
1119616
DAVIS, JAMES H NPC
48624
(989) 426-1100
1122444
GAFT, RICHARD FNP
48624
(989) 426-1100
1125887
KNOERR, SUSAN DNP FNP
48612
(989) 246-3500
M-F 9:00-5:00
1277 E CEDAR AVE STE A GLADWIN
48624
(989) 426-1100
M-F 9:00-5:00
N/A
PHYSICIAN ASSISTANT
1095009
HOLSCHER, WILLIAM B PA
GRAND TRAVERSE COUNTY

1080540
ALAN, CLIFFORD R DO
906 BUSINESS PARK DR TRAVERSE CITY
49686
(231) 935-8750
M-F 9:00-5:00
1121733
BARBER, MARK A DO
1975 STIRLING DR INTERLOCHEN
49643
(231) 275-7965
M-F 9:00-5:00
1082274
BARBER, MARK A DO
2283 E M 113 KINGSLEY
49649
(231) 263-0700
M-F 9:00-5:00
1126074
BERG, JAMES J PA
2240 S AIRPORT W STE B TRAVERSE CITY
49684
(231) 735-8006
M-F 9:00-5:00

Not Specified


Page 26
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
GRAND TRAVERSE COUNTY (CONTINUED)

1009526
BIANCALANA, FLORA E MD
3189 LOGAN VALLEY RD TRAVERSE CITY
49684
(231) 932-1988
M-F 9:00-5:00
1015104
BOHRER, RAYMOND O MD
3601 W FRONT ST TRAVERSE CITY
49684
(231) 946-1120
M-F 9:00-5:00
1064022
CLARK, KELLY J MD
1400 MEDICAL CAMPUS DR TRAVERSE CITY
49684
(231) 935-8000
M-F 9:00-5:00
1032147
COOK, JOSEPH N DO
49684
(231) 935-8000
M-F 9:00-5:00
1065296
DAVENPORT, MARK P MD
49684
(231) 946-1120
M-F 9:00-5:00
1070502
ESSENMACHER, ANDREA A DO
3537 W FRONT ST STE E TRAVERSE CITY
49684
(231) 935-8930
M-F 9:00-5:00
1124477
FLYNN, JACOB MD
2283 M113 EAST KINGSLEY
49649
(231) 263-0700
M-F 9:00-5:00
1124475
FLYNN, JACOB MD
49643
(231) 275-7965
M-F 9:00-5:00
1124478
FLYNN, JACOB MD
49684
(231) 922-0667
M-F 9:00-5:00
1081590
FRASER, TOBIN J DO
49684
(231) 935-8099
M-F 9:00-5:00
1069667
FRASER, TOBIN J DO
49684
(231) 935-8930
M-F 9:00-5:00
1124529
GALDES, STEPHANIE DO
5024 N ROYAL DR TRAVERSE CITY
49684
(231) 935-0555
M-F 9:00-5:00
F
M
1038038
GERSTLE, ROGER K MD
49684
(231) 935-8000
M-F 9:00-5:00
1082311
GOODWIN, BRADLEY P MD
49684
(231) 935-8930
M-F 9:00-5:00
1081582
GRAY, NATALIE A MD
49684
(231) 935-8000
M-F 9:00-5:00
F
F
1098322
GRAY, NATALIE A MD
1105 SIXTH ST TRAVERSE CITY
49684
(231) 935-5000
M-F 9:00-5:00
1107681
HEINDL, AARON J MD
49684
(231) 935-8930
M-F 9:00-5:00
1090011
HILL, LAURA MD
49684
(231) 935-8000
M-F 9:00-5:00
1054470
KLEE, DAVID K MD
49684
(231) 935-8000
M-F 9:00-5:00
1107753
KUENKER, ANN K DO
1221 6TH ST STE 312 TRAVERSE CITY
49684
(231) 364-0435
M-F 9:00-5:00
1118678
KURKOWSKI, APRIL E DO
49684
(231) 935-0799
M-F 9:00-5:00
1027028
LAMBERT, TIMOTHY R DO
49684
(231) 935-8000
M-F 9:00-5:00
1102967
LEE, JOANNA DO
49686
(231) 935-8750
M-F 9:00-5:00
1027605
LEHMAN, SUSAN L MD
49686
(231) 935-8750
M-F 9:00-5:00
1081589
LEHMAN, SUSAN L MD
49684
(231) 935-8099
M-F 9:00-5:00
F
M
1076967
MARCH, NATHAN E DO
49684
(231) 935-8000
M-F 9:00-5:00
1072210
MARCH, NATHAN E DO
49684
(231) 935-8930
M-F 9:00-5:00
1125300
MAY, DAVID B DO
2240 S AIRPORT W TRAVERSE CITY
49684
(231) 735-8006
M-F 9:00-5:00
1013997
MILLER, SALLY A DO
49686
(231) 935-8750
M-F 9:00-5:00
1123638
O'CONNOR, KEARY E DO
49684
(231) 946-1120
M-F 9:00-5:00
1082273
2283 E M 113 KINGSLEY
49649
(231) 263-0700
M-F 9:00-5:00
1121726
PRIEST, MARK DO
2283 M-113 EAST KINGSLEY
49649
(231) 263-0700
M-F 9:00-5:00
1086053
PRIEST, MARK DO
49684
(231) 922-0667
M-F 9:00-5:00
M
M
1012948
RAWLIN, JOSEPH W DO
49684
(231) 935-8000
M-F 9:00-5:00
1062577
SONGER, ANESSA L DO
49684
(231) 935-8930
M-F 9:00-5:00
1081585
SWAN, LYNN L MD
49684
(231) 935-8099
M-F 9:00-5:00
1080853
SWAN, LYNN L MD
49684
(231) 935-0799
M-F 9:00-5:00
1082310
TAMLYN, RENEE M DO
49684
(231) 935-8930
M-F 9:00-5:00
1081588
WARD, PAUL J MD
49684
(231) 935-8099
M-F 9:00-5:00
1015091
WARD, PAUL J MD
49684
(231) 935-8930
M-F 9:00-5:00
1097158
WARREN, DEBORAH MD
6176 US 31 S GRAWN
49637
(231) 943-3230
M-F 9:00-5:00
1069310
WEBER, KEVIN P MD
49684
(231) 935-8930
M-F 9:00-5:00
1081580
WEBSTER, DANIEL M MD
49684
(231) 935-8000
M-F 9:00-5:00
1074278
WILCOX, DAVID J DO
49686
(231) 935-8750
M-F 9:00-5:00
1081581
YOUNG, KARI L DO
49684
(231) 935-8031
M-F 9:00-5:00
1082312
YOUNG, KARI L DO
49684
(231) 935-8930
M-F 9:00-5:00
49684
(231) 935-0799
M-F 9:00-5:00
N/A
N/A
INTERNAL MEDICINE
1127275
CAVANAGH, ANNE MD

Not Specified


Page 27
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
N/A
Site Hours
Availability Gender

1114410
CODY, MATTHEW R MD
10767 TRAVERSE HWY TRAVERSE CITY
49684
(231) 947-0351
M-F 9:00-5:00
1019577
GORMAN, JOHN J JR MD
3643 W FRONT ST STE C TRAVERSE CITY
49684
(231) 935-0614
M-F 9:00-5:00
1071346
KUHN, ROBERT E DO
49684
(231) 935-0614
M-F 9:00-5:00
1086007
MEEKER, WALTER MD
49684
(231) 935-0614
M-F 9:00-5:00
1100236
SUMINSKI, JERRY MD
2283 M 113 EAST KINGSLEY
49649
(231) 263-0700
M-F 9:00-5:00
1121724
TURNER, GEOFFREY MD
2283 M-113 EAST KINGSLEY
49649
(231) 263-0700
M-F 9:00-5:00
N/A
NURSE PRACTITIONER
1080854
AVERY, ANN M CNP
49684
(231) 935-0668
M-F 9:00-5:00
1080857
BAUER, PATRICIA J NP
49684
(231) 935-0799
M-F 9:00-5:00
1081613
CLASSENS, ALICIA M CNP
1105 6TH ST TRAVERSE CITY
49684
(231) 935-5000
M-F 9:00-5:00
1118567
CLASSENS, ALICIA M NP
49684
(231) 935-0555
M-F 9:00-5:00
1081616
HARRIS, NANCY CNP
49684
(231) 935-5000
1109287
MCKINLEY, MARA L NP
107677 TRAVERSE HWY TRAVERSE CITY
49684
(231) 947-0351
N/A
N/A
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
N/A
M-F 9:00-5:00
N/A
M-F 9:00-5:00
(231) 935-0971
M-F 9:00-5:00
49684
(231) 935-0555
M-F 9:00-5:00
1125220
PAKIESER, MARY NP
105 HALL ST TRAVERSE CITY
49684
(231) 922-4850
1080856
RASMUSSEN, LINDA B NP
49684
(231) 935-0799
1106038
STRITTMATTER, KATIE FNP
49643
(231) 275-7965
1105999
VOLAS, KAREN FNP
49684
(231) 922-0667
1081615
ZEIGLER, MADELYN J CNP
315 N DIVISION ST STE 220 TRAVERSE CITY
49684

1082118
DILTS-CARTER, CATHERINE CPNP
PEDIATRICS
1075703
CHIMNER, LISA MD
3537 W FRONT ST STE G TRAVERSE CITY
49684
(231) 935-8822
M-F 9:00-5:00
1003944
ELDREDGE, MICHAEL J MD
49684
(231) 935-0555
M-F 9:00-5:00
1124385
HEGEWALD, KIMBERLY MD
49684
(231) 935-0555
M-F 9:00-5:00
1042009
HEGEWALD, KIMBERLY A MD
49684
(231) 935-8822
M-F 9:00-5:00
1081571
KUHN, ROBERT E DO
49684
(231) 935-5000
M-F 9:00-5:00
1082849
LABIAN, LUANN K MD
4020 W ROYAL DR TRAVERSE CITY
49684
(231) 421-8099
M-F 9:00-5:00
F
F
N/A
MUNSON
1124222
LISHAWA, KRISTINA MD
49684
(231) 935-0555
M-F 9:00-5:00
1089248
MEEKER, MARGARET MD
49684
(231) 935-0614
M-F 9:00-5:00
1082850
MULDER, SARAH C MD
49684
(231) 421-8099
M-F 9:00-5:00
1083619
OLSON, DAVID S MD
49684
(231) 935-8822
M-F 9:00-5:00
1065302
49643
(231) 275-7965
M-F 9:00-5:00
1094132
ROBERTSON, JAMES W MD
49684
(231) 935-0555
M-F 9:00-5:00
1076629
SCHELL, JENNIFER L DO
49684
(231) 421-8099
M-F 9:00-5:00
1056857
SCHUBERT, CURT J MD
49684
(231) 935-0614
M-F 9:00-5:00
1087012
SMALL, SHERRY MD
49684
(231) 935-0614
M-F 9:00-5:00
1083618
SMITH, CYNTHIA MD
49684
(231) 935-0555
M-F 9:00-5:00
1082848
SMITH, KARLA M MD
49684
(231) 421-8099
M-F 9:00-5:00
1081936
SPRUNK, ROBERT W MD
49684
(231) 935-8822
M-F 9:00-5:00
1080184
TURSMAN, ANDREW D MD
49684
(231) 935-8822
M-F 9:00-5:00
MUNSON
PHYSICIAN ASSISTANT
1091544
AHO, JENNA L PAC
2283 M-113 E KINGSLEY
49649
(231) 263-0700
M-F 9:00-5:00
1081619
CASEY, CHRISTOPHER J PA
49684
(231) 935-5000
M-F 9:00-5:00
1039216
HERBST, ROBERTA L PAC
49643
(231) 275-7965
M-F 9:00-5:00
1077643
MEIS, SUSAN C PA
49684
(231) 935-5000
M-F 9:00-5:00
1120918
ROSS, AMANDA J PAC
49643
(231) 275-7965
M-F 9:00-5:00

Not Specified


Page 28
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
GRATIOT COUNTY
1018590
ANDERSON, RUSSELL DO
114 N MAIN ST ITHACA
48847
(989) 875-4166
CCH
M-F 9:00-5:00
1068123
CHESSIN, VICKI MD
1910 PINE AVE ALMA
48801
(989) 463-3101
GMC
M-F 9:00-5:00
1027003
FREESTONE, DAVID MD
48847
(989) 875-4166
CCH
M-F 9:00-5:00
1005806
GRUCA, PAUL G MD
1335 N PINE AVE ALMA
48801
(989) 463-2181
GMC
M-F 9:00-5:00
1006923
HOLMES, C JEFFREY MD
48801
(989) 463-2181
GMC
M-F 9:00-5:00
1125644
KLAHRE, MARIA MD
224 N MILL ST SAINT LOUIS
48880
(989) 681-3524
M-F 9:00-5:00
1001176
MORRIS, ROGER DO
320 S STERLING ASHLEY
48806
(989) 847-2621
GMC
M-F 9:00-5:00
1068122
MURRAY, CHRISTOPHER DO
1910 PINE AVE ALMA
48801
(989) 463-3101
GMC
M-F 9:00-5:00
1123962
POLISKEY, JAMIE A MD
321 E WARWICK DR ALMA
48801
(989) 466-3348
M-F 9:00-5:00
1009879
PROUTY, DONALD G MD
820 N PINE RIVER ST ITHACA
48847
(989) 875-3722
GMC
M-F 9:00-5:00
1102880
SHEMES, HILLARY A DO
48847
(989) 875-4166
CCH
M-F 9:00-5:00
1008870
STACK, MICHAEL A MD
48847
(989) 875-5111
GMC
M-F 9:00-5:00
1068124
STEFANEK, GREGG DO
1910 PINE AVE ALMA
48801
(989) 463-3101
GMC
M-F 9:00-5:00
1027830
STROM, SCOTT DO
48801
(989) 463-2181
GMC
M-F 9:00-5:00
1020574
VANDERLUGT, GERRIT DO
48880
(989) 681-3524
GMC
M-F 9:00-5:00
1071075
VANDERLUGT, GERRIT DO
302 W CHESTNUT ST BRECKENRIDGE
48615
(989) 842-3118
GMC
M-F 9:00-5:00
INTERNAL MEDICINE
1105153
ERNEST, JEANINE MD
200 W CENTER ALMA
48801
(989) 463-5876
GMC
M-F 9:00-5:00
1006838
FIRESTONE, JANE MD
2025 W CHEESMAN RD ALMA
48801
(989) 463-3451
GMC
M-F 9:00-5:00
1124526
HOFFMAN, MEGAN M MD
48801
(989) 463-3451
GMC
M-F 9:00-5:00
1055800
NERBUN, SR M RACHEL MD
48801
(989) 463-3451
GMC
M-F 9:00-5:00
1123244
RAYGADA, JOSE MD
160 E WARWICK ALMA
48801
(989) 466-3625
GMC
M-F 9:00-5:00
1123245
SAXENA, RAKESH N MD
311 E WARWICK DR STE A ALMA
48801
(989) 463-4976
GMC
M-F 9:00-5:00
NURSE PRACTITIONER
1086754
ELLSWORTH, PAULA FNP
48847
(989) 875-4166
CCH
M-F 9:00-5:00
1086756
ELLSWORTH, PAULA FNP
48806
(989) 847-2621
CCH
M-F 9:00-5:00
1020579
WHITE-LINN, VIRGINIA NP
820 N PINE RIVER ITHACA
48847
(989) 875-3722
GMC
M-F 9:00-5:00
GMC
PEDIATRICS
M-F 9:00-5:00
M-F 9:00-5:00
GMC
M-F 9:00-5:00
(989) 463-2966
GMC
M-F 9:00-5:00
1124046
AL-JEBAWI, YASSER MD
7320 N ALGER RD STE G ALMA
48801
(989) 463-2966
1097251
LOSSIO, FRANCISCO A MD
245 WARWICK DR STE D ALMA
48801
(989) 462-0047
1124047
OGWARA, FREDERICK MD
48801
(989) 463-2966
1109759
REGMI, HEM R MD
48801
PHYSICIAN ASSISTANT
1106260
GEORGE, KAYLA PAC
1486 WRIGHT AVE ALMA
48801
(989) 629-2080
CMCH
M-F 9:00-5:00
1063847
KASTNING, SCOTT PA
48880
(989) 681-3524
GMC
M-F 9:00-5:00
1063846
KASTNING, SCOTT PA
302 W CHESTNUT BRECKENRIDGE
48615
(989) 842-3118
GMC
M-F 9:00-5:00
1027002
KNIGHT, THOMAS PA
48847
(989) 875-4166
CCH
M-F 9:00-5:00
1102875
MCMAHON, CHRISTOPHER M PA
311 E WARWICK DR STE A ALMA
48801
(989) 463-4976
N/A
M-F 9:00-5:00
1055450
MORRISSEY, CRYSTAL R PA
121 N PINE RIVER ITHACA
48847
(989) 875-5111
GMC
M-F 9:00-5:00
1062085
STACK, MATTHEW PAC
48847
(989) 875-3722
GMC
M-F 9:00-5:00
1026960
WORSLEY, SARA PA
48806
(989) 847-2621
CCH
M-F 9:00-5:00
HCHC
M-F 9:00-5:00
M-F 9:00-5:00
HILLSDALE COUNTY
1077263
DOUD, RICHARD DO
100 E CHICAGO ST JONESVILLE
49250
(517) 849-9090
1036060
GUTOWSKI, SCOTT R DO
143 S MAIN ST READING
49274
(517) 283-1772

Not Specified


Page 29
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
N/A
M-F 9:00-5:00
M-F 9:00-5:00
HILLSDALE COUNTY (CONTINUED)

1107026
206 OLDS ST JONESVILLE
49250
(517) 849-7166
1080552
49250
(517) 849-7100
1109152
PARKER, MOLLY L DO
451 HIDDEN MEADOWS DR STE 260 HILLSDALE
49242
(517) 437-8333
HCHC
M-F 9:00-5:00
1097261
SCHALL, ROBERT E MD
1456 HUDSON RD HILLSDALE
49242
(517) 439-0200
HCHC
M-F 9:00-5:00
1082742
SCHALL, ROBERT E MD
32 S BROAD ST HILLSDALE
49242
(517) 437-3361
HCHC
M-F 9:00-5:00
1082809
TONER, JEFFREY B DO
143 S MAIN ST READING
49274
(517) 283-1772
M-F 9:00-5:00
1106897
TONER, JEFFREY B DO
49250
(517) 849-7166
M-F 9:00-5:00
1026749
TONER, JEFFREY B DO
49250
(517) 849-7100
M-F 9:00-5:00
N/A
INTERNAL MEDICINE
1071176
BAKER, KEITH R MD
49242
(517) 439-0200
M-F 9:00-5:00
1080863
JAMIL, MADA MD
49242
(517) 437-8325
M-F 9:00-5:00
HCHC
NURSE PRACTITIONER
1123615
3271 W CARLETON RD HILLSDALE
49242
(517) 437-3879
M-F 9:00-5:00
1102147
HAGER, SUE CNP
49250
(517) 849-7166
M-F 9:00-5:00
1102146
HAGER, SUE CNP
49250
(517) 849-7100
M-F 9:00-5:00
1107652
MAGNESS, LUCINDA NP
49250
(517) 849-9090
HCHC
M-F 9:00-5:00
1021524
SIES, MARY M NP
49242
(517) 439-0200
HCHC
M-F 9:00-5:00
1101982
STUMP, RACHEL NP
49250
(517) 849-7100
HCHC
M-F 9:00-5:00
1101983
STUMP, RACHEL NP
49250
(517) 849-7166
HCHC
M-F 9:00-5:00
49242
(517) 437-8325
M-F 9:00-5:00
PEDIATRICS
1080862
SACKMAN, MICHAEL MD
PHYSICIAN ASSISTANT
1101803
DILLON, MATTHEW PA
206 OLDS JONESVILLE
49250
(517) 849-7166
HCHC
M-F 9:00-5:00
1101804
DILLON, MATTHEW PA
49250
(517) 849-7100
HCHC
M-F 9:00-5:00
1101558
SCHOLL, ANDREW P PA
49250
(517) 849-9090
HCHC
M-F 9:00-5:00
1095910
STORENG, SUSANNA M PA
49242
(517) 439-0200
N/A
M-F 9:00-5:00
1096432
WILSON, KARA PA
49242
(517) 439-0200
HCHC
M-F 9:00-5:00
1101647
WOLFE, KARL PA
49250
(517) 849-7100
HCHC
M-F 9:00-5:00
1101646
WOLFE, KARL PA
49250
(517) 849-7166
HCHC
M-F 9:00-5:00
HURON COUNTY
1116996
BABIKER, YASIR MD
1108 S VAN DYKE RD BAD AXE
48413
(269) 623-0137
N/A
M-F 9:00-5:00
1116997
BABIKER, YASIR MD
48413
(989) 623-0137
N/A
M-F 9:00-5:00
1099478
BABIKER, YASIR MD
1060 S VAN DYKE STE 300 BAD AXE
48413
(989) 269-7606
M-F 9:00-5:00
1065987
CASTENEDA, CANDELARIA MD
2254 E MAIN ST UBLY
48475
(988) 658-9191
H&D
M-F 9:00-5:00
1042563
CHADWICK, ROBERT L DO
2254 MAIN ST UBLY
48475
(989) 658-9191
H&D
M-F 9:00-5:00
1045305
GASCON, DANTE MD
1011 S VAN DYKE STE C BAD AXE
48413
(989) 269-8087
HURON
M-F 9:00-5:00
1120545
HANSELMAN, LAUREY DO
170 N CASEVILLE RD PIGEON
48755
(989) 453-3223
M-F 9:00-5:00
1059577
HANSELMAN, LAUREY DO
48755
(989) 453-2141
M-F 9:00-5:00
1120457
MORRONE, WILLIAM DO
616 UNIONVILLE RD SEBEWAING
48759
(989) 883-9088
M-F 9:00-5:00
1061683
OXHOLM, AVELINA DO
48413
(989) 269-6493
M-F 9:00-5:00
1105733
RAMSEY, ROSS MD
48755
(989) 453-3223
M-F 9:00-5:00
1105711
RAMSEY, ROSS MD
4970 RAILROAD ST ELKTON
48731
(989) 375-2214
M-F 9:00-5:00
1116326
REES, ROBERT DO
48413
(989) 269-3493
M-F 9:00-5:00
1119478
REITER, SCOTT DO
7000 MAIN ST CASEVILLE
48725
(989) 856-3449
M-F 9:00-5:00

Not Specified

HURON
HURON

Page 30
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
HURON COUNTY (CONTINUED)

1025398
REITER, SCOTT DO
48755
(989) 453-3223
M-F 9:00-5:00
1014237
SCADDAN, PAUL MD
48755
(989) 453-3223
M-F 9:00-5:00
1119606
SCADDAN, PAUL MD
57 S CENTER ST SEBEWAING
48759
(989) 883-9656
M-F 9:00-5:00
INTERNAL MEDICINE
1064829
BITNER, JOHN MD
2254 MAIN ST UBLY
48475
(989) 658-9191
H&D
M-F 9:00-5:00
1008813
IQBAL, RASHID MD
669 S VAN DYKE BAD AXE
48413
(989) 269-9265
HURON
M-F 9:00-5:00
1119531
KHAN, ALI MD
48755
(989) 453-3223
M-F 9:00-5:00
1123039
KLOSOWSKI, JOHN DO
1080 S VAN DYKE RD STE A BAD AXE
48413
(989) 623-0137
HURON
M-F 9:00-5:00
1043501
MANALAC, MICHELLE MD
48413
(989) 269-5258
HURON
M-F 9:00-5:00
1076703
MUKHTAR, OSMAN MD
1080 S VAN DYKE RD STE B BAD AXE
48413
(989) 269-7778
HURON
M-F 9:00-5:00
NURSE PRACTITIONER
1119463
BOOMS, LOIS NP
48755
(989) 453-2141
M-F 9:00-5:00
1118912
BUCK, KAREN NP
48755
(989) 453-2141
M-F 9:00-5:00
1126062
FRANZEL, CARRIE NP
1040 S VAN DUKE BAD AXE
48413
(989) 269-5152
M-F 9:00-5:00
1119595
KRETZSCHMER, BRENDA NP
48755
(989) 453-2141
M-F 9:00-5:00
1036017
KRETZSCHMER, BRENDA NP
57 S CENTER ST SEBEWAING
48759
(989) 883-9656
M-F 9:00-5:00
1103989
LEE, DOROTHY NP
2254 MAIN ST UBLY
48475
(989) 658-9191
M-F 9:00-5:00
1100110
PALING, ELIZABETH E NP
2254 MAIN ST UBLY
48475
(989) 658-9191
M-F 9:00-5:00
H&D
PEDIATRICS
M-F 9:00-5:00
M-F 9:00-5:00
(989) 453-3223
M-F 9:00-5:00
48755
(989) 453-2141
M-F 9:00-5:00
1086811
CHRISTENSEN, CHARLES DO
48413
(989) 269-7677
1012154
HUNG, YUH-LIN MD
48413
(989) 269-9012
1119584
REDDY, KALA MD
170 N CASEVILL RD PIGEON
48755
1012540
REDDY, KALA MD
HURON
PHYSICIAN ASSISTANT
1119473
HALL, JERRY PA
48755
(989) 453-2141
M-F 9:00-5:00
1078632
HERNISEY, SHERRIE PA
48755
(989) 453-2141
M-F 9:00-5:00
1119571
HERNISEY, SHERRIE PA
4970 RAILROAD ST ELKTON
48731
(989) 375-2214
M-F 9:00-5:00
1045298
HIMMEL, NICK PA
2269 MAIN ST UBLY
48475
(989) 658-2159
HURON
M-F 9:00-5:00
1078078
KOGLIN, MARTHA P PA
24 E SPRING ST PORT AUSTIN
48467
(989) 738-5222
HURON
M-F 9:00-5:00
1116999
KOGLIN, MARTHA P PA
1080 S VAN DYKE RD STE A BAD AXE
48413
(989) 623-0137
N/A
M-F 9:00-5:00
1116998
KOGLIN, MARTHA P PA
48413
(989) 623-0137
M-F 9:00-5:00
1080448
OSTOSH-KROETSCH, MICHELLE PA
1060 S VAN DYKE RD STE 300 BAD AXE
48413
(989) 269-7606
M-F 9:00-5:00
1012449
PENFOLD, PAUL PA
7000 MAIN ST CASEVILLE
48725
(989) 856-3449
M-F 9:00-5:00
1037190
PLAMONDON, THOMAS PA
2254 MAIN ST UBLY
48475
(989) 658-9191
HURON
M-F 9:00-5:00
HURON
INGHAM COUNTY
1000669
ABBOTT, CATHLEEN M MD
804 SERVICE RD CLINICAL CENTER RM A142
48824
(517) 353-3050
IRMC
M-F 9:00-5:00
1026111
800 E COLUMBIA ST MASON
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1018584
1200 E MICHIGAN AVE STE 245A LANSING
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1003155
ALEXANDER, ELIZABETH MD
804 SERVICE RD CLINICAL CENTER RA A142
48824
(517) 353-3050
EWS
M-F 9:00-5:00
1018553
ALEXANDER, ELIZABETH MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1001148
AL-SHEIKH, MAHER MD
4780 OKEMOS RD STE 4 OKEMOS
48864
(517) 349-3210
IRMC
M-F 9:00-5:00
1008220
ANNIS, ROGER D MD
4378 W HOLT RD HOLT
48842
(517) 694-1466
IRMC
M-F 9:00-5:00
1018550
AZHARY, HEND MD
48824
(517) 353-3050
IRMC
M-F 9:00-5:00
1026144
AZHARY, HEND MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00

Not Specified


Page 31
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
INGHAM COUNTY (CONTINUED)

1018551
AZHARY, HEND MD
48912
(517) 364-5710
IRMC
M-F 9:00-5:00
1076585
BALAWENDER, JENIFER DO
2909 E GRAND RIVER AVE STE 211 LANSING
48912
(517) 364-8686
EWS
M-F 9:00-5:00
1002666
BARRY, HENRY MD
48824
(517) 353-3050
IRMC
M-F 9:00-5:00
1026145
BARRY, HENRY MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1018552
BARRY, HENRY MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1015199
BARUTI, TIMUR MD
207 E BELLEVUE RD LESLIE
49251
(517) 589-8252
IRMC
M-F 9:00-5:00
1065921
BEYENE, YEMISRACH A MD
1600 W GRAND RIVER AVE STE 4 OKEMOS
48864
(517) 381-6880
EWS
M-F 9:00-5:00
1026490
BOSWORTH, QUINN M DO
1881 W GRAND RIVER AVE OKEMOS
48864
(517) 339-2100
N/A
M-F 9:00-5:00
202875
BRITTON, RICHARD H DO
3955 PATIENT CARE DR STE B LANSING
48911
(517) 882-6643
IRMC
M-F 9:00-5:00
1125199
BROUGHTON, FLEUR MD
48864
(517) 381-6880
M-F 9:00-5:00
1018554
BUCHWEITZ, CYNTHIA MD
2035 ASHER CT STE 200 EAST LANSING
48823
(517) 337-8580
EWS
M-F 9:00-5:00
1020433
BURGESS, HOWARD J MD
48823
(517) 337-8580
EWS
M-F 9:00-5:00
1001904
CHANDLER, JERRY J DO
4655 DOBIE RD STE 260 OKEMOS
48864
(517) 482-1183
IRMC
M-F 9:00-5:00
1084299
CHATURVEDI, RENU MD
2450 DELHI COMMERCE DR STE 16 HOLT
48842
(517) 975-3770
IRMC
M-F 9:00-5:00
1123434
CHINOY, KASHMIRA A MD
2270 JOLLY OAK RD STE 1 OKEMOS
48864
(517) 349-6140
M-F 9:00-5:00
1029092
CLARK, SHIRIN E DO
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1028467
CLARK, SHIRIN E DO
48912
(517) 364-5710
EWS
M-F 9:00-5:00
202333
CONIGLIO, LINDA P DO
5680 MARSH RD PO BOX 10 HASLETT
48840
(517) 339-8251
IRMC
M-F 9:00-5:00
1033460
COOMBS, RAECHEL E DO
130 N SHERMAN ST LESLIE
49251
(517) 589-5071
IRMC
M-F 9:00-5:00
253076
COOPER, JONATHAN S DO
48911
(517) 882-6643
IRMC
M-F 9:00-5:00
1099035
CRAVEN, MOLLY DO
230 TEMPLE ST MASON
48854
(517) 676-9066
M-F 9:00-5:00
1018557
DARIOS, ROBERT J MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1018556
DARIOS, ROBERT J MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1055708
DEMUTH, ROBIN H MD
48824
(517) 353-3050
N/A
M-F 9:00-5:00
1029098
DEMUTH, ROBIN H MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1029097
DEMUTH, ROBIN H MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1124054
DEWEERD, JEFFREY S DO
710 TEMPLE ST MASON
48854
(517) 244-1000
IRMC
M-F 9:00-5:00
1009138
DEWEERD, JEFFREY S DO
130 N SHERMAN ST LESLIE
49251
(517) 589-5071
EWS
M-F 9:00-5:00
1024571
DRONEN, BEVERLY ANN MD
3960 PATIENT CARE DR STE 108 LANSING
48911
(517) 394-8589
IRMC
M-F 9:00-5:00
1001738
EATON, BRENDA SURAE MD
48912
(517) 364-8686
EWS
M-F 9:00-5:00
1016357
ELFRING, CHERYL A DO
1650 HASLETT RD STE 1 HASLETT
48840
(517) 339-3200
IRMC
M-F 9:00-5:00
1027061
FISHER-WILLIAMS, LINDA DO
48842
(517) 699-3820
IRMC
M-F 9:00-5:00
1064291
GARNER, CORRINE DO
710 TEMPLE ST MASON
48854
(517) 244-1000
IRMC
M-F 9:00-5:00
1076982
GERRITS, MARGARET MD
5135 S PENNSYLVANIA LANSING
48911
(517) 887-5922
EWS
M-F 9:00-5:00
F
M
201469
GRAESSER, OTTO W DO
1421 W MT HOPE AVE LANSING
48910
(517) 487-6097
IRMC
M-F 9:00-5:00
1077095
GULICK, LAURIE DO
1515 LAKE LANSING RD STE D LANSING
48912
(517) 853-0781
EWS
M-F 9:00-5:00
1124674
HICKS, JENNIFER DO
804 SERVICE RD RM A235 EAST LANSING
48824
(517) 355-1300
M-F 9:00-5:00
1124560
HINKLEY, BRIAN J DO
800 E COLUMBIA AVE MASON
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1127043
HOISINGTON, DAVID H MD
1540 LAKE LANSING RD STE 202 LANSING
48912
(517) 913-3820
IRMC
M-F 9:00-5:00
1097222
HOLZMAN, GREGORY S MD
48854
(517) 244-8940
M-F 9:00-5:00
1056600
48824
(517) 353-3050
M-F 9:00-5:00
1097225
48912
(517) 364-5710
M-F 9:00-5:00
1016169
HUGHES, ELIZABETH L DO
3515 COOLIDGE RD STE 4 EAST LANSING
48823
(517) 913-3930
IRMC
M-F 9:00-5:00
1008590
HUGHES, ELIZABETH L DO
48823
(517) 913-3930
IRMC
M-F 9:00-5:00
EWS
1118924
ISAAC, SHIMIA DO
1200 E MICHIGAN AVE STE 245 LANSING
48912
(517) 364-5160
EWS
M-F 9:00-5:00
1126660
JANISKI, CARRIE DO
800 E COLUMIBA ST MASON
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1125452
JANISKI, CARRIE DO
48912
(517) 364-5740
M-F 9:00-5:00
1021436
JOHNSON, HEIDI J DO
48823
(517) 337-8580
M-F 9:00-5:00

Not Specified

EWS

Page 32
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1026263
JOHNSON, VALERIE DO
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1017095
JOHNSON, VALERIE DO
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1097099
KAERCHER, KIP L DO
48911
(517) 882-6643
M-F 9:00-5:00
1029948
KANESHIRO, KENNETH H MD
230 TEMPLE ST MASON
48854
(517) 676-9066
EWS
M-F 9:00-5:00
1018571
KENT VANGORDER, KAREN A MD
800 E COLUMBIA ST STE 4 MASON
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1018570
KENT VANGORDER, KAREN A MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
EWS
M-F 9:00-5:00
M-F 9:00-5:00
IRMC
M-F 9:00-5:00
(517) 353-3050
EWS
M-F 9:00-5:00
(517) 244-8940
EWS
M-F 9:00-5:00
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1003 E MT HOPE AVE LANSING
48910
(517) 853-3704
IRMC
M-F 9:00-5:00
2727 S PENNSYLVANIA AVE MULTI SPECIALTY
48910
(517) 975-3750
IRMC
M-F 9:00-5:00
48910
(517) 853-3704
IRMC
M-F 9:00-5:00
48854
(517) 676-9066
EWS
M-F 9:00-5:00
1065321
KIMBALL, LISA M DO
48912
(517) 364-8686
1097107
KLANSECK, RYAN S DO
1568 LAKE LANSING RD LANSING
48912
(517) 913-3980
1127028
KOHLER, JANINE DO
48823
(517) 913-3930
1061103
KORZECKE, AMY T DO
48824
1062821
KORZECKE, AMY T DO
48854
1062820
KORZECKE, AMY T DO
1028607
KOZLOWSKI, ELIZABETH DO
1005282
KOZLOWSKI, ELIZABETH DO
1028597
KOZLOWSKI, JOSEPH S DO
1125391
KRIER, JOSHUA DO
230 TEMPLE ST MASON
1125393
KRIER, JOSHUA DO
230 TEMPLE ST MASON
48854
(517) 676-9066
EWS
M-F 9:00-5:00
1026268
KUHN, ANDREAS MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1067850
KUHN, ANDREAS MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1099998
KUSTASZ, RICHARD DO
463 EAST CIRCLE DR EAST LANSING
48824
(517) 884-6546
M-F 9:00-5:00
1062823
LEMMEN, BROOKE DO
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1062822
LEMMEN, BROOKE DO
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1015550
LESSARD, LOUIS DO
4378 W HOLT RD HOLT
48842
(517) 694-1466
IRMC
M-F 9:00-5:00
1020386
LEWANDOWSKI, ERIC DO
48840
(517) 339-3200
IRMC
M-F 9:00-5:00
1097208
LEWIS, MADELINE DO
48854
(517) 244-8940
M-F 9:00-5:00
1097212
LEWIS, MADELINE DO
48912
(517) 364-5710
M-F 9:00-5:00
201476
LOPEZ, ENRIQUE C III MD
48911
(517) 394-8589
IRMC
M-F 9:00-5:00
1037022
LUDWIG, LISA MD
48912
(517) 364-5160
EWS
M-F 9:00-5:00
1127027
LUEA, PETER J MD
48912
(517) 913-3820
IRMC
M-F 9:00-5:00
1008060
LUGINBILL, DAVID DO
48912
(517) 364-5160
EWS
M-F 9:00-5:00
1093979
MANGAN, MICHAEL T DO
319 W GRAND RIVER AVE WILLIAMSTON
48895
(517) 655-3979
M-F 9:00-5:00
1002847
MANGAN, WILLIAM T DO
48895
(517) 655-3979
IRMC
M-F 9:00-5:00
1058133
MARINAS, ERMINDA MERCURIO MD
4265 OKEMOS RD STE H OKEMOS
48864
(517) 349-3444
IRMC
M-F 9:00-5:00
1121190
MASTI, SARALA MD
48895
(517) 975-2325
M-F 9:00-5:00
1063798
MATER, DIANE DO
48910
(517) 853-3704
IRMC
M-F 9:00-5:00
1028849
MATIAS, ORLANDO O DO
48911
(517) 882-6643
IRMC
M-F 9:00-5:00
1009865
MCALVEY, MICHAEL K MD
48864
(517) 381-6880
EWS
M-F 9:00-5:00
1006875
MEIER, JEFFREY L DO
1115 S PENNSYLVANIA AVE LANSING
48912
(517) 244-8060
IRMC
M-F 9:00-5:00
1033463
MERRILL, BARBARA L DO
48840
(517) 339-3200
IRMC
M-F 9:00-5:00
1034148
MINNAAR, NICHOLAS L MD
48864
(517) 381-6880
EWS
M-F 9:00-5:00
1127023
MIR, BATOOL Q MD
48912
(517) 913-3820
IRMC
M-F 9:00-5:00
1091336
MIR, BATOOL Q MD
5525 S MLK BLVD LANSING
48911
(517) 913-3888
M-F 9:00-5:00
1098946
MITCHELL, AMY L MD
48823
(517) 337-8580
M-F 9:00-5:00
1026482
MOBLEY, SHANNON DO
48912
(517) 853-0781
EWS
M-F 9:00-5:00
1015330
MONSON, CAROL L DO
48824
(517) 355-1300
IRMC
M-F 9:00-5:00
1084312
MOOKERJEE, LABONY MD
2104 JOLLY RD STE 240 OKEMOS
48864
(517) 975-3800
IRMC
M-F 9:00-5:00
1042567
MORSE, DARIN C DO
48912
(517) 364-8686
M-F 9:00-5:00
1127022
MURTHY, SREENIVASA T MD
48912
(517) 913-3810
M-F 9:00-5:00

Not Specified

IRMC

Page 33
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1122543
NELSON, KEITH DO
463 E CIRCLE DR EAST LANSING
48824
(517) 884-6546
M-F 9:00-5:00
1109012
NEVIN, LYNN P MD
430 N LARCH ST STE B LANSING
48912
(517) 253-5000
M-F 9:00-5:00
1022511
NEWMAN, JAMI J MD
48912
(517) 364-5160
EWS
M-F 9:00-5:00
1084298
NGUYEN, TRINH D DO
2815 S PENNSYLVANIA AVE STE 105 LANSING
48910
(517) 975-9830
IRMC
M-F 9:00-5:00
1127020
NOVIS, ELMER L MD
48912
(517) 913-3810
IRMC
M-F 9:00-5:00
1061298
NOVIS, ELMER L MD
48911
(517) 913-3888
IRMC
M-F 9:00-5:00
1018572
ODOM, AMY DO
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1018573
ODOM, AMY DO
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1007559
OLSON, JAMES P MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1026320
OLSON, JAMES P MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1085772
ONUOHA, KENNETH DO
48911
(517) 394-8589
N/A
M-F 9:00-5:00
1127018
PABBATHI, PRATHIMA MD
48912
(517) 913-3900
IRMC
M-F 9:00-5:00
203721
PAGE-ECHOLS, WENDY E DO
2025 ABBOTT RD STE 100 EAST LANSING
48823
(517) 333-3550
IRMC
M-F 9:00-5:00
203723
PAGE-ECHOLS, WILLIAM H DO
48823
(517) 333-3550
IRMC
M-F 9:00-5:00
1001115
PATHAK, PRITI MD
48912
(517) 244-8060
IRMC
M-F 9:00-5:00
1037020
PATHAK, PRITI MD
48840
(517) 339-3200
IRMC
M-F 9:00-5:00
1007249
PATHAK, PRITI MD
306 W WILLOW LANSING
48906
(517) 702-3500
IRMC
M-F 9:00-5:00
1001114
PATHAK, PRITI MD
500 E THOMAS ST LANSING
48906
(517) 702-3555
IRMC
M-F 9:00-5:00
1026323
PEARSON, RANDOLPH MD
800 E COLUMBIA RD MASON
48854
(517) 244-8940
EWS
M-F 9:00-5:00
EWS
1007337
PEARSON, RANDOLPH MD
48912
(517) 364-5710
M-F 9:00-5:00
1126280
PERRY, DENNIS MD
2270 JOLLY OAK RD OKEMOS
48864
(517) 349-6140
M-F 9:00-5:00
1123433
PERRY, DENNIS J MD
48864
(517) 349-6140
M-F 9:00-5:00
1029095
PHILLIPS, JULIE P MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1035571
48824
(517) 353-3050
EWS
M-F 9:00-5:00
1029096
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1018410
PICONE, JOHN A DO
839 PUTNAM ST WILLIAMSTON
48895
(517) 655-3515
IRMC
M-F 9:00-5:00
1018574
PRICE, KENNETH J DO
48912
(517) 364-8686
EWS
M-F 9:00-5:00
1098676
RAIS, MUHAMMAD S MD
48911
(517) 887-5922
M-F 9:00-5:00
1021672
ROBERTSON, SHIRLEY MD
48912
(517) 913-3810
M-F 9:00-5:00
1089611
RONAN, ARTHUR DO
48912
(517) 913-3980
M-F 9:00-5:00
1117264
ROPER, ROSEMARY DO
230 TEMPLE ST MASON
48854
(517) 676-9066
EWS
M-F 9:00-5:00
1021843
ROSICK, EDWARD DO
804 SERVICE RD CLINICAL CENTER ROOM A235
48824
(517) 355-1300
IRMC
M-F 9:00-5:00
1029094
ROSKOS, STEVEN E MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1098939
ROSKOS, STEVEN E MD
48824
(517) 353-3050
M-F 9:00-5:00
1029093
ROSKOS, STEVEN E MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
201488
ROTH, HAROLD F DO
48912
(517) 485-1789
IRMC
M-F 9:00-5:00
1084314
SAGAN-YEWAH, MARIE LOUISE T MD
48910
(517) 975-9830
IRMC
M-F 9:00-5:00
1011579
SALTMAN, BARRY MD
790 E COLUMBIA MASON
48854
(517) 244-0120
IRMC
M-F 9:00-5:00
1016398
SALTMAN, BARRY MD
48911
(517) 887-5922
IRMC
M-F 9:00-5:00
1003416
SCARLETT, KERMITH DO
1808 S PENNSYLVANIA AVE STE A LANSING
48910
(517) 267-1270
IRMC
M-F 9:00-5:00
1008996
SCOTT, R TAYLOR DO
48824
(517) 355-1300
IRMC
M-F 9:00-5:00
1060938
SEFCIK, DONALD J DO
48824
(517) 355-1300
IRMC
M-F 9:00-5:00
1102137
SEKONI, KENYA I MD
48824
(517) 353-3050
M-F 9:00-5:00
1029945
SEKONI, KENYA I MD
48854
(517) 244-8940
M-F 9:00-5:00
1118073
SEKONI, KENYA I MD
48912
(517) 364-5710
M-F 9:00-5:00
1012715
SELIM, GHIULSER MD
48911
(517) 394-8589
IRMC
M-F 9:00-5:00
1027833
SHOEMAKER, AMANDA L MD
2040 N AURELIUS RD STE 22 HOLT
48842
(517) 694-2217
EWS
M-F 9:00-5:00
1090065
SMITH, EKRAM M MD
48864
(517) 381-6880
EWS
M-F 9:00-5:00

Not Specified

IRMC
EWS

Page 34
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1004431
SMITH, GEORGE F MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1006815
SMITH, GEORGE F MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1026343
SORKIN, SUZANNE MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1018576
SORKIN, SUZANNE MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1018577
SPALDING, JULIA E MD
48912
(517) 364-8686
EWS
M-F 9:00-5:00
1030899
SPRINGER, DAWN E MD
230 TEMPLE ST MASON
48854
(517) 676-9066
EWS
M-F 9:00-5:00
1009453
SPRINGER, DAWN E MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1071978
STASEVICH, ANDREW DO
48824
(517) 355-1300
IRMC
M-F 9:00-5:00
1070191
STEEN, JONATHAN DO
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1114459
STEINER, CATHERINE M NP
839 S CEDAR STE 100 MASON
48854
(517) 244-9170
IRMC
M-F 9:00-5:00
1050677
STEPHENSON-MCCOLE, JILL L MD
2040 N AURELIUS RD STE 22 HOLT
48842
(517) 694-2217
EWS
M-F 9:00-5:00
1084310
STOUT, THOMAS DO
48864
(517) 975-3810
IRMC
M-F 9:00-5:00
1095397
SWORDS, WILLIAM J DO
48910
(517) 975-3750
M-F 9:00-5:00
1034820
SWORDS, WILLIAM J DO
48911
(517) 887-5922
IRMC
M-F 9:00-5:00
1015696
TEPASTTE, STEPHEN MD
4378 W HOLT RD HOLT
48842
(517) 694-1466
IRMC
M-F 9:00-5:00
1006797
THERRIEN, PAULA K MD
48912
(517) 364-8686
EWS
M-F 9:00-5:00
1018579
THOMPSON, KENNETH M MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1003149
THOMPSON, KENNETH M MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1054803
TOLSON, ROSEMARIE DO
48824
(517) 355-1300
IRMC
M-F 9:00-5:00
1098844
VALLE, LUIS G MD
1717 HIGH ST LANSING
48906
(517) 371-1700
IRMC
M-F 9:00-5:00
1107149
VALLE, LUIS G MD
48906
(517) 702-3555
M-F 9:00-5:00
1127009
VARUGHESE, GEORGE MD
48912
(517) 913-3900
IRMC
M-F 9:00-5:00
1026359
WADLAND, WILLIAM C MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1018580
48824
(517) 353-3050
EWS
M-F 9:00-5:00
1020427
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1030436
WALDRON, KATHLEEN M DO
48864
(517) 381-6880
EWS
M-F 9:00-5:00
1018581
WALSWORTH, DAVID T MD
48824
(517) 353-3050
EWS
M-F 9:00-5:00
1018582
WALSWORTH, DAVID T MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1026366
WEISMANTEL, DAVID MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1009493
804 SERVICE RD RM A-142 EAST LANSING
48824
(517) 353-3050
EWS
M-F 9:00-5:00
1019287
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1009273
WELLEMEYER, TIMOTHY MD
4378 W HOLT RD HOLT
48842
(517) 694-1466
IRMC
M-F 9:00-5:00
1086590
WESTPHAL, JOANNE DO
48911
(517) 887-5922
IRMC
M-F 9:00-5:00
1020432
WILLIAMS, CHANDRA R DO
48823
(517) 337-8580
EWS
M-F 9:00-5:00
1026853
WINKLER, SARA DO
48842
(517) 699-3820
IRMC
M-F 9:00-5:00
1084547
WITTGENS, DAVID MD
48912
(517) 913-3820
IRMC
M-F 9:00-5:00
1012163
WITZKE, STEPHEN D MD
230 TEMPLE ST MASON
48854
(517) 676-9066
EWS
M-F 9:00-5:00
1006757
WOLFE, REBECCA G MD
48823
(517) 337-8580
EWS
M-F 9:00-5:00
1009004
WU, JAN Q MD
48864
(517) 381-6880
EWS
M-F 9:00-5:00
GERIATRICS
1076212
MAYLE, JAMES E MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1114373
WANG, QINGPING MD PHD
48823
(517) 355-1300
IRMC
M-F 9:00-5:00
INTERNAL MEDICINE
1127029
ABBASI, SHAHZAMAN MD
48912
(517) 913-3810
IRMC
M-F 9:00-5:00
1127030
ABDULLAH, ASHRAF MD
48912
(517) 913-3810
IRMC
M-F 9:00-5:00
1127031
AHMAD, BABAR MD
48912
(517) 913-3900
IRMC
M-F 9:00-5:00
1074183
BHATT, HITESH DO
3955 PATIENT CARE DR STE A LANSING
48911
(517) 374-7600
IRMC
M-F 9:00-5:00

Not Specified


Page 35
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1053659
BOHRER, AARON DO
839 PUTNAM ST WILLIAMSTON
48895
(517) 655-3515
N/A
M-F 9:00-5:00
1053658
BOHRER, AARON DO
48911
(517) 374-7600
N/A
M-F 9:00-5:00
201495
BOUKNIGHT, REYNARD R MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
1127032
BOYNTON, CYNTHIA S MD
48912
(517) 913-3900
IRMC
M-F 9:00-5:00
1086328
CHAHAL, GURPREET MD
804 SERVICE RD STE A225 EAST LANSING
48824
(517) 353-4941
EWS
M-F 9:00-5:00
1127034
CHAO, MARY DO
48912
(517) 913-3810
IRMC
M-F 9:00-5:00
1101749
CHENNAMANENI, VENU MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
1022122
CHERRY, MELVIN MD
ADULT HEALTH 5303 S CEDAR ST LANSING
48909
(517) 887-4302
N/A
M-F 9:00-5:00
1004714
COLEMAN-MIEZAN, PATRICIA MD
737 N GRAND AVE LANSING
48906
(517) 485-7511
EWS
M-F 9:00-5:00
203741
COOKE, PETER H MD
1717 N HIGH ST LANSING
48906
(517) 371-1700
IRMC
M-F 9:00-5:00
201497
DEHLIN, CHARLES B DO
48911
(517) 374-7600
IRMC
M-F 9:00-5:00
201498
DWAMENA, FRANCESCA MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
1127036
FARUQI, TABASSUM MD
48912
(517) 913-3900
IRMC
M-F 9:00-5:00
201499
FERENCHICK, GARY S MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
1076213
FOLEY, KEVIN T MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1076214
FOLEY, KEVIN T MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1061776
FREILICH, LAURA MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
1007675
FRETWELL, BARBARA MD
48911
(517) 374-7600
IRMC
M-F 9:00-5:00
1080470
GAUTAM, BIKKI MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
1127039
GERRISH, CHAD DO
48912
(517) 913-3810
IRMC
M-F 9:00-5:00
201500
GHOSE, AMIT MD
48911
(517) 374-7600
IRMC
M-F 9:00-5:00
1085771
GORUKANTI, PAVAN MD
48824
(517) 353-4941
EWS
M-F 9:00-5:00
1060939
GOURINENI, VENU MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
1071360
GUDAKUNST, JANE MD
48824
(517) 353-3050
IRMC
M-F 9:00-5:00
1086498
GUPTA, ADITI MD
48911
(517) 374-7600
M-F 9:00-5:00
1026662
HAN, CHURLSUN MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
1127040
HANDRO, HABTAMU P MD
48912
(517) 913-3900
IRMC
M-F 9:00-5:00
1127041
HANSEN, RAYMOND F MD
48912
(517) 913-3900
IRMC
M-F 9:00-5:00
1076215
HAQUE, RAZA MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1076216
HAQUE, RAZA MD
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1058501
HELMS, CHRISTINA L MD
48840
(517) 339-3200
IRMC
M-F 9:00-5:00
1127045
ISAACS, FRED MD
48912
(517) 913-3900
IRMC
M-F 9:00-5:00
1070419
KARNANI, RAJIL MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
1106329
KAVUTURI, SHILPA MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
1035738
KISAKA, JUSTIN S DO
48911
(517) 374-7600
IRMC
M-F 9:00-5:00
1067626
KISAKA, JUSTIN S DO
48910
(517) 975-3750
IRMC
M-F 9:00-5:00
1012175
KOWALCZYK, MICHAEL C DO
48910
(517) 975-3750
IRMC
M-F 9:00-5:00
253286
KOWALCZYK, MICHAEL C DO
48911
(517) 374-7600
HGBMH
M-F 9:00-5:00
1053968
KUNDI, ARUNA MD
48911
(517) 374-7600
N/A
M-F 9:00-5:00
1009144
LAIRD-FICK, HEATHER MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
1021293
LAURAIN, JOHN M MD
839 S CEDAR STE 100 MASON
48854
(517) 244-9170
IRMC
M-F 9:00-5:00
252806
LINZ, GEOFFREY M MD
48864
(517) 975-3810
IRMC
M-F 9:00-5:00
250598
LOWHIM, SUGANDHA MD
48912
(517) 244-8060
IRMC
M-F 9:00-5:00
1027683
LOWHIM, SUGANDHA MD
48906
(517) 702-3500
EWS
M-F 9:00-5:00
1076211
MAYLE, JAMES E MD
48854
(517) 244-8940
EWS
M-F 9:00-5:00
1086216
MCFADDEN, JEVON D MD
48912
(517) 244-8060
IRMC
M-F 9:00-5:00
1107600
MCFARLANE-PARROTT, DEAN MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
1127026
MCGILL, REGINA B MD
48912
(517) 913-3900
IRMC
M-F 9:00-5:00

Not Specified


Page 36
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1096013
MEERSCHAERT, MARY MD
48824
(517) 353-4941
M-F 9:00-5:00
1034205
MEIER, ANTHONY J MD
48911
(517) 374-7600
IRMC
M-F 9:00-5:00
1127025
MICHELENA, MIA F DO
48912
(517) 913-3810
IRMC
M-F 9:00-5:00
1090127
NEIBERG, ALAN D MD
48912
(517) 484-4033
EWS
M-F 9:00-5:00
1127021
NGUYEN, TOLAM T DO
48912
(517) 913-3810
IRMC
M-F 9:00-5:00
1125864
OJHA, MAMATA MD
48824
(517) 353-4941
M-F 9:00-5:00
253386
OLOMU, ADESUWA B MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
1072104
RAYAMAJHI, SUPRATIK MD
48824
(517) 353-4941
EWS
M-F 9:00-5:00
1127017
RICHMOND, DEBORAH DO
48912
(517) 913-3900
IRMC
M-F 9:00-5:00
1127016
ROPP, BRADLEY F MD
48912
(517) 913-3900
IRMC
M-F 9:00-5:00
1090125
SIANO, JOHN C JR MD
48912
(517) 484-4033
EWS
M-F 9:00-5:00
201506
SMITH, ROBERT C MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
253050
SOUSA, ARON C MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
1004739
STRAMPEL, WILLIAM D DO
804 SERVICE RD CLINICAL CENTER EAST
48824
(517) 355-1300
IRMC
M-F 9:00-5:00
1127013
SYED, SADIQ A MD
48912
(517) 913-3810
IRMC
M-F 9:00-5:00
1084300
THIEDE, RICHARD MD
48864
(517) 975-3800
IRMC
M-F 9:00-5:00
1127010
VANDERJAGT, DOUGLAS R DO
48912
(517) 913-3810
IRMC
M-F 9:00-5:00
1091339
48911
(517) 913-3888
M-F 9:00-5:00
253239
WAGNER, DIANNE P MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
201507
WATSON, RALPH MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
253285
WERKMAN, MARY A DO
48911
(517) 374-7600
IRMC
M-F 9:00-5:00
1015671
WERT, ERIK DO
48911
(517) 374-7600
IRMC
M-F 9:00-5:00
201508
WHEELER, EILEEN K DO
48911
(517) 374-7600
IRMC
M-F 9:00-5:00
1095135
WHITEMAN, TERENCE MD
48854
(517) 244-0120
IRMC
M-F 9:00-5:00
1095134
WHITEMAN, TERENCE MD
48911
(517) 887-5922
IRMC
M-F 9:00-5:00
1090126
WU, BO MD
48912
(517) 484-4033
EWS
M-F 9:00-5:00
201509
ZAROUKIAN, MICHAEL MD
48824
(517) 353-4941
IRMC
M-F 9:00-5:00
NURSE PRACTITIONER
1094961
BAKER, CAROLYN NP
48911
(517) 913-3888
IRMC
M-F 9:00-5:00
1001116
BALANDER, DANA P NP
48912
(517) 244-8060
N/A
M-F 9:00-5:00
1007250
BALANDER, DANA P NP
48906
(517) 702-3500
N/A
M-F 9:00-5:00
1122852
BALL, LAUREEN K CFNP
48824
(517) 884-6546
IRMC
M-F 9:00-5:00
1105786
BARUTI, LATOSHIA NP
207 E BELLEVUE RD LESLIE
49251
(517) 589-8252
IRMC
M-F 9:00-5:00
1083445
BRISBOE, LAURA NP
463 E CIRCLE DR RM 102 EAST LANSING
48824
(517) 884-6564
EWS
M-F 9:00-5:00
1125363
COATS, DENISE A CFNP
48911
(517) 913-3888
EWS
M-F 9:00-5:00
1027629
COOK, MARY JANE NP
48824
(517) 353-3050
IRMC
M-F 9:00-5:00
1091340
DABNEY, PENNY NP
48910
(517) 913-3888
M-F 9:00-5:00
1026002
DONTJE, KATHERINE CNP
48824
(517) 353-3050
M-F 9:00-5:00
1072140
GAUDET, GINA NP
306 W WILLOW ST LANSING
48906
(517) 702-3500
M-F 9:00-5:00
1059826
GAVRIL, LAURA NP
48912
(517) 913-3900
EWS
M-F 9:00-5:00
1127042
HARKER, LEANNE NP
48912
(517) 913-3900
IRMC
M-F 9:00-5:00
1086602
HERSHEY, DENISE NP
48854
(517) 244-0120
M-F 9:00-5:00
1123754
HISER, TAMI NP
48824
(517) 884-6546
M-F 9:00-5:00
1127044
IDLE, CHRISTY A NP
48912
(517) 913-3810
IRMC
M-F 9:00-5:00
1126307
JEAN-FRANCOIS, LAURA NP
48864
(517) 349-6140
IRMC
M-F 9:00-5:00
1061814
KEELER, MARGARET NP
48912
(517) 244-8060
IRMC
M-F 9:00-5:00
1001093
KEELER, MARGARET NP
5303 S CEDAR ST ADULT HEALTH LANSING
48909
(517) 887-4302
N/A
M-F 9:00-5:00
1001095
KEELER, MARGARET NP
48906
(517) 484-2352
N/A
M-F 9:00-5:00

Not Specified

IRMC

Page 37
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
MRMC
M-F 9:00-5:00
M-F 9:00-5:00

1001097
KEELER, MARGARET NP
48906
(517) 702-3500
1123876
KENYON, ANNETTE NP
2111 MERRITT RD STE 101 EAST LANSING
48823
(517) 332-4263
1074110
KIEFER, SARA NP
463 EAST CIRCLE DR ROOM 102 EAST LANSING
48824
(517) 884-6546
IRMC
M-F 9:00-5:00
1125393
KRIER, JOSHUA DO
230 TEMPLE ST MASON
48854
(517) 676-9066
EWS
M-F 9:00-5:00
1038533
LEIN, CATHERINE NP
790 E COLUMIBA MASON
48854
(517) 244-0120
IRMC
M-F 9:00-5:00
1038507
LEIN, CATHERINE NP
48911
(517) 887-5922
IRMC
M-F 9:00-5:00
1125348
LEYRER, ELIZABETH NP
48864
(517) 349-6140
IRMC
M-F 9:00-5:00
1125242
MURRAY, MARY E NP
48854
(517) 244-0120
M-F 9:00-5:00
1125241
MURRAY, MARY E NP
48911
(517) 887-5922
M-F 9:00-5:00
1127509
MWANDA, ALICE O CNP
804 SERVICE RD ROOM A142 EAST LANSING
48824
(517) 353-3050
M-F 9:00-5:00
1127455
OETMAN, BONNIE NP
48864
(517) 349-6140
M-F 9:00-5:00
1125906
OETMAN, BONNIE NP
48864
(517) 349-6140
M-F 9:00-5:00
1090128
OGDEN, PAMELA NP
48912
(517) 484-4033
M-F 9:00-5:00
1090440
ROUSSE, REBECCA NP
48911
(517) 887-5922
M-F 9:00-5:00
1028435
SALISBURY, CAROL NP
ADULT HEALTH 5303 S CEDAR ST LANSING
48909
(517) 887-4302
M-F 9:00-5:00
1072861
SCHRADER, KARA NP
48824
(517) 353-3050
M-F 9:00-5:00
1076239
SCHRADER, KARA NP
48911
(517) 887-5922
N/A
M-F 9:00-5:00
250596
STRATTON, CHARLYN NP
48912
(517) 244-8060
N/A
M-F 9:00-5:00
1094331
TALLMAN, ALISON NP
710 TEMPLE ST MASON
48854
(517) 244-1000
IRMC
M-F 9:00-5:00
1127012
THOMAS-BECKETT, JULIE NP
48823
(517) 913-3930
IRMC
M-F 9:00-5:00
IRMC
EWS
IRMC

1118486
CONNER-WARREN, RHONDA NP
901 E MT HOPE AVE STE 3 LANSING
48910
(517) 267-3400
IRMC
M-F 9:00-5:00
1118485
CONNER-WARREN, RHONDA NP
5303 S CEDAR ST LANSING
48909
(517) 887-4305
IRMC
M-F 9:00-5:00
IRMC
M-F 9:00-5:00
M-F 9:00-5:00
PEDIATRICS
1020928
ABDALLA-ALI, ABDALLA M MD
48911
(517) 882-6643
1123765
AMENDT, ANDRIA MD
48912
(517) 371-4712
1043147
ANDREWS, SUSAN G MD
48911
(517) 394-6484
IRMC
M-F 9:00-5:00
1114364
BENBOW, MELISSA MD
48824
(517) 353-3003
EWS
M-F 9:00-5:00
EWS
M-F 9:00-5:00
M-F 9:00-5:00
IRMC
M-F 9:00-5:00
(517) 482-9582
EWS
M-F 9:00-5:00
48909
(517) 887-4305
HGBMH
M-F 9:00-5:00
48910
(517) 267-3400
HGBMH
M-F 9:00-5:00
BREITZER, GERARD DO
48864
(517) 349-6560
EWS
M-F 9:00-5:00
BROUILLETTE, JAMES A MD
48864
(517) 975-3820
IRMC
M-F 9:00-5:00
CHAPIN, CAMY C MD
48912
(517) 371-4712
EWS
M-F 9:00-5:00
1004617
CHILD HEALTH 5303 S CEDAR ST LANSING
48909
(517) 887-4305
IRMC
M-F 9:00-5:00
1016961
48910
(517) 267-3400
IRMC
M-F 9:00-5:00
1018555
13750 S SEDONA PKWY STE 2 LANSING
48906
(517) 669-9758
IRMC
M-F 9:00-5:00
1070610
CUISON, JEANJIKO D MD
800 E COLUMBIA STE 3 MASON
48854
(517) 244-8950
EWS
M-F 9:00-5:00
1073444
CUISON, JEANJIKO D MD
48854
(517) 244-0120
M-F 9:00-5:00
1018585
CULTON, HUGH MD
48912
(517) 371-4712
M-F 9:00-5:00
1122544
DINKHA, SABRINA DO
48906
(517) 669-9758
M-F 9:00-5:00
1122553
DINKHA, SABRINA DO
48864
(517) 349-6560
M-F 9:00-5:00
1102977
GENGLER, JESSICA DO
48909
(517) 887-4305
IRMC
M-F 9:00-5:00
1102976
GENGLER, JESSICA DO
48824
(517) 353-3003
IRMC
M-F 9:00-5:00
1114363
BENBOW, MELISSA MD
48912
(517) 364-5440
1096010
BOINEPALLI, PRATIMA MD
48854
(517) 244-8950
1070799
BOOTE, JENNIFER DO
48906
(517) 702-3500
1072840
BRAINARD, HUGH MD
1515 LAKE LANSING RD STE C2 LANSING
48912
204131
BREITZER, GERARD DO
1016962
BREITZER, GERARD DO
252777
1084313
1054397

Not Specified

EWS

Page 38
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1102975
GENGLER, JESSICA DO
48912
(517) 364-5440
IRMC
M-F 9:00-5:00
1003843
GOLD, JONATHAN G MD
48824
(517) 353-3003
IRMC
M-F 9:00-5:00
1055079
GOLD, JONATHAN G MD
48912
(517) 364-5440
IRMC
M-F 9:00-5:00
1023387
GONUGUNTLA, ASHWEENA MD
48824
(517) 353-3003
IRMC
M-F 9:00-5:00
1018563
48864
(517) 349-6560
IRMC
M-F 9:00-5:00
1018562
48906
(517) 669-9758
IRMC
M-F 9:00-5:00
1073521
HART, COURTNEY J MD
48911
(517) 394-6484
IRMC
M-F 9:00-5:00
1085257
HEMMING, CORI MD
307 W LAKE LANSING RD EAST LANSING
48823
(517) 487-4480
IRMC
M-F 9:00-5:00
1032383
HOOPINGARNER, BRADLEY R MD
48912
(517) 371-4712
EWS
M-F 9:00-5:00
1018624
HULT, LAURIE MD
48912
(517) 371-4712
EWS
M-F 9:00-5:00
1000570
ISRAEL, MARK D MD
48912
(517) 371-4712
EWS
M-F 9:00-5:00
1025364
LIPSITZ, DAVID MD
48823
(517) 487-4480
IROH
M-F 9:00-5:00
1008749
LONG, MELISSA P DO
48823
(517) 487-4480
IRMC
M-F 9:00-5:00
1063420
LOZNAK, SARAH D DO
48912
(517) 371-4712
EWS
M-F 9:00-5:00
1060928
MATTARELLA, NINA MD
48909
(517) 887-4305
EWS
M-F 9:00-5:00
1070930
MATTARELLA, NINA MD
48824
(517) 353-3003
EWS
M-F 9:00-5:00
1070929
MATTARELLA, NINA MD
48912
(517) 364-5440
EWS
M-F 9:00-5:00
1018567
48906
(517) 669-9758
IRMC
M-F 9:00-5:00
1010557
48864
(517) 349-6560
EWS
M-F 9:00-5:00
1035700
48906
(517) 702-3500
EWS
M-F 9:00-5:00
1015667
MORA, MARY F MD
48911
(517) 394-6484
IRMC
M-F 9:00-5:00
1024977
MORIN, MELISSA DO
48911
(517) 394-6484
IRMC
M-F 9:00-5:00
1091335
NAPOLOVA, OLGA MD
48909
(517) 887-4305
M-F 9:00-5:00
1085770
NAPOLOVA, OLGA MD
48824
(517) 353-3003
EWS
M-F 9:00-5:00
1086904
NAPOLOVA, OLGA MD
48912
(517) 364-5440
EWS
M-F 9:00-5:00
1048146
PAWAR, SHIWAJI MD
48906
(517) 702-3500
IRMC
M-F 9:00-5:00
1021849
48909
(517) 887-4305
IRMC
M-F 9:00-5:00
1027679
48910
(517) 267-3400
EWS
M-F 9:00-5:00
1057083
48864
(517) 349-6560
EWS
M-F 9:00-5:00
1021848
48906
(517) 669-9758
IRMC
M-F 9:00-5:00
1027682
48906
(517) 702-3500
EWS
M-F 9:00-5:00
1015500
REYNOLDS, LESLIE MD
3400 PINE TREE RD STE 102 LANSING
48911
(517) 887-3000
IRMC
M-F 9:00-5:00
1079263
ROOT, ROBERT DO
48906
(517) 669-9758
IRMC
M-F 9:00-5:00
1070420
ROOT, ROBERT DO
48864
(517) 349-6560
IRMC
M-F 9:00-5:00
1070802
ROOT, ROBERT DO
48906
(517) 702-3500
IRMC
M-F 9:00-5:00
1073458
SADHISHKUMAR, POOMATHI MD
48912
(517) 482-9582
EWS
M-F 9:00-5:00
1015670
SHAH, ARTI U MD
48911
(517) 394-6484
IRMC
M-F 9:00-5:00
1015536
SIGAL, YAKOV M MD
48909
(517) 887-4305
IRMC
M-F 9:00-5:00
1002214
SIGAL, YAKOV M MD
48824
(517) 353-3003
IRMC
M-F 9:00-5:00
1003499
SPATES, NANCY MD
48912
(517) 482-9582
EWS
M-F 9:00-5:00
1057546
STIFFLER, D MICHAEL MD
804 SERVICE RD A110 EAST LANSING
48824
(517) 353-3003
EWS
M-F 9:00-5:00
1053715
48912
(517) 364-5440
IRMC
M-F 9:00-5:00
1018872
48910
(517) 267-3400
IRMC
M-F 9:00-5:00
204142
48909
(517) 887-4305
IRMC
M-F 9:00-5:00
1003194
48864
(517) 349-6560
IRMC
M-F 9:00-5:00
1002218
48906
(517) 669-9758
IRMC
M-F 9:00-5:00
1023699
SUDHANTHAR, SATHYANARAYAN MD
48824
(517) 353-3003
IRMC
M-F 9:00-5:00
1066302
SUESS, ANNE E MD
48854
(517) 244-8950
IRMC
M-F 9:00-5:00

Not Specified


Page 39
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1032384
TAKAGISHI, JOSHUA K MD
48912
(517) 371-4712
EWS
M-F 9:00-5:00
1001714
TAKAGISHI, MARK S MD
48912
(517) 371-4712
EWS
M-F 9:00-5:00
1055528
THAKUR, KRIPA MD
48909
(517) 887-4305
N/A
M-F 9:00-5:00
1055529
THAKUR, KRIPA MD
48824
(517) 353-3003
IRMC
M-F 9:00-5:00
1003417
TURNER, JANE L MD
48824
(517) 353-3003
IRMC
M-F 9:00-5:00
1084315
WATSON, ELEANOR A MD
48864
(517) 975-3820
IRMC
M-F 9:00-5:00
1008013
48909
(517) 887-4305
IRMC
M-F 9:00-5:00
1016959
48910
(517) 267-3400
IRMC
M-F 9:00-5:00
1008014
48906
(517) 702-3500
IRMC
M-F 9:00-5:00
1019513
48909
(517) 887-4305
IRMC
M-F 9:00-5:00
1016956
48910
(517) 267-3400
IRMC
M-F 9:00-5:00
1018625
48906
(517) 669-9758
IRMC
M-F 9:00-5:00
1005215
48864
(517) 349-6560
IRMC
M-F 9:00-5:00
204149
48906
(517) 702-3500
IRMC
M-F 9:00-5:00
1097234
48906
(517) 702-3555
M-F 9:00-5:00
1002746
YIAN, HO-MING MD
48823
(517) 487-4480
IRMC
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1077535
BARONE, HOLLY PA
48912
(517) 853-0781
EWS
M-F 9:00-5:00
1055321
BARR, KATHY PA
48824
(517) 355-1300
IRMC
M-F 9:00-5:00
1125381
BOLTON, HEATHER PA
48864
(517) 349-6140
M-F 9:00-5:00
1046804
CLARK, WILLIAM PA
48911
(517) 913-3888
IRMC
M-F 9:00-5:00
1017648
COWAN, JAMES PA
463 EAST CIRCLE DR ROOM 102 EAST LANSING
48824
(517) 884-6546
EWS
M-F 9:00-5:00
1091343
FELLER, JOSHUA PA
48910
(517) 913-3888
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
(517) 913-3888
M-F 9:00-5:00
48910
(517) 913-3888
M-F 9:00-5:00
48910
(517) 975-9830
MHC
M-F 9:00-5:00
MATYASIC, JULIE A PA
463 EAST CIRCLE DR EAST LANSING
48824
(517) 884-6546
IRMC
M-F 9:00-5:00
1026277
NEHIL, CATHERINE L PA
48854
(517) 244-8900
EWS
M-F 9:00-5:00
1019217
NEHIL, CATHERINE L PA
48912
(517) 364-5710
EWS
M-F 9:00-5:00
1034146
RICHARDS, DANIELLE PA
48912
(517) 364-5160
EWS
M-F 9:00-5:00
1090439
ROUSSE, REBECCA NP
48854
(517) 244-0120
M-F 9:00-5:00
1097773
SHULL, DONNA M PA
48824
(517) 353-3050
N/A
M-F 9:00-5:00
1057531
THELEN, JONATHAN D PAC
1650 RAMBLEWOOD DR EAST LANSING
48823
(517) 332-1200
IRMC
M-F 9:00-5:00
1106297
TUCHEK, KRISTINE PAC
48910
(517) 913-3888
IRMC
M-F 9:00-5:00
1125267
YOUNG, KATHERINE E PA
48864
(517) 349-6140
IRMC
M-F 9:00-5:00
1120669
FISHER, MARIBETH PA
260 N MAIN ST EAST LANSING
48823
(616) 696-2020
1069273
FRANKOVICH, MAUREEN PA
48824
(517) 355-1300
1102744
GOMOLL, JILL PA
48911
(517) 913-3888
1078080
ISAACSON, SHANNON PA
48912
(517) 244-8060
1091344
JORDAN, WILLIAM PA
48910
1091345
LOWER, ANGELA PA
1084309
MASS, PAULA PA
1109318
IRMC
IRMC

1090129
COUREY, SHIRLEY R NP
48912
(517) 484-4033
EWS
M-F 9:00-5:00
1106271
HUGHES-CARTER, DELLA NP
48854
(517) 244-0120
IRMC
M-F 9:00-5:00
1106270
HUGHES-CARTER, DELLA NP
48911
(517) 887-5922
IRMC
M-F 9:00-5:00
1106250
KIRK, SUZANNE NP
48854
(517) 244-0120
IRMC
M-F 9:00-5:00
1106249
KIRK, SUZANNE NP
48911
(517) 887-5922
IRMC
M-F 9:00-5:00
1101836
REIN, ROCHELLE R NP
48912
(517) 244-8060
IRMC
M-F 9:00-5:00
1114486
VERMEESCH, AMBER NP
5135 S PENNSYLVANIA LANSING
48911
(517) 887-5922
EWS
M-F 9:00-5:00

Not Specified


Page 40
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
IONIA COUNTY
1013089
BARKER, CHARLES R JR DO
215 E STATE ST STE D BELDING
48809
(616) 794-1810
SCH
M-F 9:00-5:00
1127033
BROWN, CRAIG DO
406 KENT ST PORTLAND
48875
(517) 647-4166
IRMC
M-F 9:00-5:00
1090345
GENDICH, SHEILA M MD
910 E LINCOLN AVE IONIA
48846
(616) 527-2370
ICMH
M-F 9:00-5:00
1073185
JOHNSON, STEVEN P DO
910 E LINCOLN IONIA
48846
(616) 527-2370
CMH
M-F 9:00-5:00
1101838
LAWSON, GREGORY MD
550 E WASHINGTON ST IONIA
48846
(616) 523-1600
ICMH
M-F 9:00-5:00
1126034
MASTERS, LYNETTE MD
9751 E GRAND RIVER AVE PORTLAND
48875
(517) 647-6722
ICMH
M-F 9:00-5:00
1036572
OSBORN, L JOHN DO
505 E BRIDGE ST LYONS
48851
(989) 855-3345
CCH
M-F 9:00-5:00
1036574
POFF, DOUGLAS W DO
505 E BRIDGE ST LYONS
48851
(989) 855-3345
CCH
M-F 9:00-5:00
1016882
RUTHRUFF, CHRISTOPHER M MD
48846
(616) 523-1600
ICMH
M-F 9:00-5:00
1067270
SASSE, TROY J DO
330 LOVELL ST IONIA
48846
(616) 527-5732
M-F 9:00-5:00
1016883
SMITH, LAUREN S MD
48846
(616) 523-1600
ICMH
M-F 9:00-5:00
1119565
STANSBY, ERIC MD
910 E LINCOLN AVE IONIA
48846
(616) 527-2370
ICMH
M-F 9:00-5:00
1016884
TOAZ, LYNN ANN DO
48846
(616) 523-1600
ICMH
M-F 9:00-5:00
INTERNAL MEDICINE
1085430
ABUALRIHY, ZUHAIR MD
48875
(517) 647-6722
ICMH
M-F 9:00-5:00
1125274
ST JOHN, SENA DO
550 WASHINGTON ST IONIA
48846
(616) 523-1600
ICMH
M-F 9:00-5:00
1057397
THOMPSON, RUSSELL MD
330 LOVELL ST IONIA
48846
(616) 527-5732
ICMH
M-F 9:00-5:00
550 E WASHINGTON ST STE 104 IONIA
48846
(616) 523-1600
M-F 9:00-5:00
NURSE PRACTITIONER
1099928
WILSON, SUSAN NP
PEDIATRICS
1066038
HUNTER, ROSE M MD
48846
(616) 523-1600
ICMH
M-F 9:00-5:00
1101881
MYSORE VENKATESH, BHAGYA M MD
48875
(517) 647-6722
ICMH
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1017737
BECKHOLD, ANGELA PA
48875
(517) 647-6722
N/A
M-F 9:00-5:00
1126117
BUSH, MARC PA
330 LOVELL ST IONIA
48846
(616) 527-5732
ICMH
M-F 9:00-5:00
1100989
KASS, LAURA PA
302 S BRIDGE ST BELDING
48809
(616) 794-5221
M-F 9:00-5:00
1124727
SCHMITT, ROBERT PA
330 LOVELL ST IONIA
48846
(616) 527-5732
ICMH
M-F 9:00-5:00
IOSCO COUNTY
1010166
BOLOCZKO, SYLVIA MD
106 N DIVISION OSCODA
48750
(989) 739-5691
TSJH
M-F 9:00-5:00
1008475
ELLIS, DON III MD
5939 N HURON RD OSCODA
48750
(989) 739-1441
TSJH
M-F 9:00-5:00
1009821
ENZENBERGER, GLEN DO
700 GERMAN ST TAWAS CITY
48763
(989) 362-4170
TSJH
M-F 9:00-5:00
1057645
KLOSKA, BRADLEY DO
700 E GERMAN TAWAS CITY
48763
(989) 362-4170
TSJH
M-F 9:00-5:00
1057646
KLOSKA, EMILY DO
5939 N HURON OSCODA
48750
(989) 739-1441
TSJH
M-F 9:00-5:00
1065362
5671 N SKEEL AVE STE 8 OSCODA
48750
(989) 739-2550
M-F 9:00-5:00
1068822
MANGES, BOYD MD
48750
(989) 739-2550
M-F 9:00-5:00
1098160
RAYKOVA, VANIA MD
116 CHURCH ST HALE
48739
(989) 728-4211
M-F 9:00-5:00
1014569
WAGNER, MICHAEL DO
48763
(989) 362-4170
TSJH
M-F 9:00-5:00
1002171
WRIGHT, CLARENCE DAVID MD
48750
(989) 739-1441
TSJH
M-F 9:00-5:00
INTERNAL MEDICINE
1026534
ALI, MOHAMED S MD
3190 NORTHRIDGE DR HALE
48739
(989) 728-6000
WBRMC
M-F 9:00-5:00
1055203
DOWDY, STEVEN DO
295 MAPLE DRIVE STE 201 TAWAS CITY
48764
(989) 362-6108
TSJH
M-F 9:00-5:00
295 MAPLE STE 203 TAWAS CITY
48763
(989) 362-6108
TSJH
M-F 9:00-5:00
NURSE PRACTITIONER
1090946
BRINCEFIELD, SARAH NP

Not Specified


Page 41
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
IOSCO COUNTY (CONTINUED)

1101980
DOLL, CARMELA FNP
5939 N HURON OSCODA
48750
(989) 739-1441
N/A
M-F 9:00-5:00
1071191
HOCK, CHRISTINE NP
106 DIVISION ST OSCODA
48750
(989) 739-5691
TSJH
M-F 9:00-5:00
1068819
MCDONOUGH, JEAN FNP
48750
(989) 739-2550
M-F 9:00-5:00
1071981
MCKULSKY, TANA L NP
325 E M55 TAWAS CITY
48763
(989) 984-3770
M-F 9:00-5:00
1085394
MICHAUD, SHANNON NP
116 CHURCH ST HALE
48739
(989) 728-4211
M-F 9:00-5:00
1077336
MYERS, ELIZABETH F NP
295 MAPLE DRIVE STE 201 TAWAS CITY
48764
(989) 362-6108
M-F 9:00-5:00
1090409
NIXON, MELISSA NP
48739
(989) 728-6000
M-F 9:00-5:00
1017858
PROVOAST, DEBRA KAYE NP
48739
(989) 728-6000
WBRMC
M-F 9:00-5:00
1017859
WEAVER, BETH NP
48739
(989) 728-6000
WBRMC
M-F 9:00-5:00
TSJH
TSJH
PEDIATRICS
1002670
PETANI, JOSIP MD
101 W LAKE ST TAWAS CITY
48764
(989) 362-8617
N/A
M-F 9:00-5:00
1024672
STUDLEY, JOANNA K MD
325 M-55 TAWAS CITY
48763
(989) 984-3770
TSJH
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1055328
BARDEN, NATHAN PA
48750
(989) 739-2550
M-F 9:00-5:00
1068814
KOCH, KAREN PA
48750
(989) 739-2550
M-F 9:00-5:00
1074294
MESHEW, RICHARD PAC
48763
(989) 362-4170
TSJH
M-F 9:00-5:00
1071977
PESTRUE, JOEL PA
48750
(989) 739-1441
TSJH
M-F 9:00-5:00
48750
(989) 739-2550
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
F
F
PRIMARY CARE CENTER

1021978
ALCONA CITIZENS FOR HEALTH OSCODA 5671 N SKEEL AVE STE 8 OSCODA
ISABELLA COUNTY
1073441
ANDERSON, KURT DO
364 W WRIGHT AVE SHEPHERD
48883
(989) 828-6691
1119691
ANDERSON, KURT DO
4851 E PICKARD ST MOUNT PLEASANT
48858
(989) 828-6691
1092097
BALL, TERRY DO
2853 HEALTH PKWY STE B MOUNT PLEASANT
48858
(989) 775-7641
1018328
BEEBE, HARLOW DO
48858
(989) 775-1610
1085010
DAKE, TESSA MD
2940 HEALTH PKWY MOUNT PLEASANT
48858
(989) 953-5175
1093163
INDRAKUMARAN, JUDY K MD
48858
(989) 775-1610
MMMC
M-F 9:00-5:00
1060733
JENNINGS, MARTIN DO
48858
(989) 779-5262
CMCH
M-F 9:00-5:00
1126809
JONES, CLARK DO
1111 S MISSION ST MOUNT PLEASANT
48858
(989) 773-9700
M-F 9:00-5:00
GMC
MMMC
1084542
48858
(989) 773-9700
M-F 9:00-5:00
1124507
MCCONNON, MICHAEL L MD
2940 HEALTH PARKWAY MOUNT PLEASANT
48858
(989) 983-5320
M-F 9:00-5:00
1100081
MELENDEZ, RAMON MD
48858
(989) 953-5320
CMCH
M-F 9:00-5:00
1068413
MOHAN, ANNU MD
2480 ROSEWOOD DR MOUNT PLEASANT
48858
(989) 775-3823
GMC
M-F 9:00-5:00
1097358
SZELAG, HENRY P DO
3520 N WOODRUFF RD WEIDMAN
48893
(989) 644-3329
M-F 9:00-5:00
1012733
VASHISHTA, NISHA MD
4639 E PICKARD ST STE A MOUNT PLEASANT
48858
(989) 779-5299
CMCH
M-F 9:00-5:00
1127799
VASHISHTA, NISMA MD
4639 E PICKARD ST STE B MOUNT PLEASANT
48858
(989) 779-5283
CMCH
M-F 9:00-5:00
1126190
VOGEL, R SCOTT DO
48858
(989) 953-5320
CMCH
M-F 9:00-5:00
INTERNAL MEDICINE
1076466
BENNETT, LARRY MD
217 W BROADWAY MOUNT PLEASANT
48858
(989) 773-4433
M-F 9:00-5:00
1074796
CALDWELL, JOHN M MD
314 S BROWN ST MOUNT PLEASANT
48858
(989) 953-5400
CMCH
M-F 9:00-5:00
1013332
GUYTINGCO, RICARDO R MD
2480 W CAMPUS DR STE 300 MOUNT PLEASANT
48858
(989) 779-7200
CMCH
M-F 9:00-5:00
1119310
KHABIR, JEFFREY MD
1985 PARKLAND DR MOUNT PLEASANT
48858
(989) 953-5330
M-F 9:00-5:00
1005742
LAYNES, MARIA L MD
2480 W CAMPUS DR BLDG B STE 300 MOUNT
48858
(989) 779-7200
CMCH
M-F 9:00-5:00
1016926
MOUTSATSON, TAMARA J DO
48858
(989) 779-5222
CMCH
M-F 9:00-5:00
1123248
SAXENA, RAKESH N MD
1750 E BELLOWS STE B MOUNT PLEASANT
48858
(989) 463-4976
GMC
M-F 9:00-5:00

Not Specified


Page 42
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
ISABELLA COUNTY (CONTINUED)

1066722
SHANKARIAH, LAKSHMI MD
1201 SOUTH DR STE 131 MOUNT PLEASANT
48858
(989) 779-5250
CMCH
M-F 9:00-5:00
1100533
SIMMONS, PAUL MD
2981 HEALTH PARKWAY STE A MOUNT PLEASANT 48858
(989) 953-4002
CMCH
M-F 9:00-5:00
1019628
VASHISHTA, ASHOK MD
48858
(989) 779-5299
CMCH
M-F 9:00-5:00
N/A
NURSE PRACTITIONER
1012741
BEESON, SALLY NP
322 E WRIGHT AVE SHEPHERD
48883
(989) 828-4614
1119615
DAVIS, JAMES H NPC
48858
(989) 773-9700
1072086
VOSSOS, HELENE B NP
4851 E PICKARD STE J MOUNT PLEASANT
48858
(989) 775-1610
GMC
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
PEDIATRICS
1125543
AL-JEBAWI, YASSER MD
4851 E PICKARD MOUNT PLEASANT
48858
(989) 775-1610
GMC
M-F 9:00-5:00
1012739
BARODAWALLA, RUMANA MD
709 S ADAMS MOUNT PLEASANT
48858
(989) 772-7774
CMCH
M-F 9:00-5:00
1020163
FOX, CONSTANZA I MD
48858
(989) 779-5270
CMCH
M-F 9:00-5:00
1008811
MSIBI, BHEKUMUSA DO
1970 ASHLAND DR STE A MOUNT PLEASANT
48858
(989) 772-1500
GMC
M-F 9:00-5:00
1103031
RATHMANN, KAREN MD
48858
(989) 779-5270
CMCH
M-F 9:00-5:00
1122287
REGMI, HEM R MD
4851 E PICKARD MOUNT PLEASANT
48858
(989) 775-1610
GMC
M-F 9:00-5:00
1012740
WALVISCH, STEVEN MD
48858
(989) 779-5270
CMCH
M-F 9:00-5:00
1127606
YODER, ERNEST MD
1523 S MISSION ST STE 2 MOUNT PLEASANT
48858
(989) 773-1166
CMC
M-F 9:00-5:00
1126874
YODER, ERNEST MD
48858
(989) 779-5259
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1119743
BRICKNER, LORI K PA
48858
(989) 775-7641
CMCH
M-F 9:00-5:00
1091958
DANIELS, JONATHAN M PAC
322 E WRIGHT AVE SHEPHERD
48883
(989) 828-4614
CMCH
M-F 9:00-5:00
1085910
GANDY, KYLE PA-C
48858
(989) 773-9700
M-F 9:00-5:00
1108525
GARDNER, LACEY PA
48858
(989) 953-5320
M-F 9:00-5:00
1121432
JOHNS, DAVID PA
48858
(989) 953-5320
M-F 9:00-5:00
1094536
KASTNING, APRIL S PA
48858
(989) 775-1610
GMC
M-F 9:00-5:00
1067652
KIMBALL-CHRISTIE, DEBRA PA
48858
(989) 779-5259
CMCH
M-F 9:00-5:00
1095044
MINK, THOMAS PA
48858
(989) 779-5299
CMCH
M-F 9:00-5:00
1095335
RIBITCH, KRISTINE M PA-C
48858
(989) 775-7641
M-F 9:00-5:00
JACKSON COUNTY
1071596
ARNTZ, STEVEN MD
214 N WEST AVE JACKSON
49201
(517) 784-9189
N/A
M-F 9:00-5:00
1071597
COLE, RAYMOND DO
107 CHICAGO ST BROOKLYN
49230
(517) 592-3275
N/A
M-F 9:00-5:00
1103588
CRAWFORD-JOHNSON, TYWANDA R MD
505 N JACKSON ST JACKSON
49201
(517) 748-5500
CH
M-F 9:00-5:00
1125156
JAYASURIYA, HARSHINI A MD
400 E MAIN ST SPRINGPORT
49284
(517) 857-4500
M-F 9:00-5:00
1120344
KOHL, ANNE NP
400 E MAIN ST STE 200 SPRINGPORT
49284
(517) 857-4500
M-F 9:00-5:00
1094034
RIZWAN, NAVIRA MD
49201
(517) 748-5500
N/A
M-F 9:00-5:00
1014344
ROSENBERG, MATT T MD
49201
(517) 784-9189
N/A
M-F 9:00-5:00
1122761
ROYCHOUDHURY, PROMITA MD
49201
(517) 748-5500
M-F 9:00-5:00
1123730
SIAL, ROBINA I MD
49201
(517) 748-5500
CMH
M-F 9:00-5:00
1071600
SMITH, CHANNING MD
49201
(517) 784-9189
N/A
M-F 9:00-5:00
1126653
THOMPSON, JOSEPH B MD
49201
(517) 748-5500
N/A
M-F 9:00-5:00
ERMC
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
INTERNAL MEDICINE
1046862
GUPTA, ASHOK K MD
49284
(517) 857-4500
1080267
JOHNSON, ROSE MD
49201
(517) 748-5500
1123730
SIAL, ROBINA I MD
49201
(517) 748-5500
1081770
WILLOUGHBY, EUGENE MD
2425 SPRING ARBOR RD JACKSON
49203
(517) 783-2895

Not Specified

CMH

Page 43
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
M-F 9:00-5:00
ERMC
M-F 9:00-5:00
JACKSON COUNTY (CONTINUED)

NURSE PRACTITIONER
1035450
ANGLIN, AMY C NP
49201
(517) 748-5500
1109321
BARTLEY, KERRY L NP
400 E MAIN ST SPRINGPORT
49284
(517) 857-4500
PEDIATRICS
1003934
GHALI, MOHAMMAD MD
49201
(517) 748-5500
M-F 9:00-5:00
1000811
REYES-GANZON, MIRAFLOR T MD
49201
(517) 748-5500
M-F 9:00-5:00
1027898
ROUSE, SHARON D DO
49201
(517) 748-5500
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1090870
BRENNER, JEFFREY PA-C
49284
(517) 857-4500
M-F 9:00-5:00
1082403
BROWN, TRAVIS M PA
49201
(517) 748-5500
M-F 9:00-5:00
1065517
HITE, PATRICK F PA
49201
(517) 748-5500
M-F 9:00-5:00
2680 WEST CENTER AVE PORTAGE
49024
(269) 324-2400
LCH
M-F 9:00-5:00
BMC
M-F 9:00-5:00
M-F 9:00-5:00
KALAMAZOO COUNTY
1083550
ELIAS, JULIE MD

1077927
ADAMSON, ANGELA DO
7901 ANGLING RD PORTAGE
49024
(269) 324-8600
1105426
ADAMSON, ANGELA DO
9880 E MICHIGAN AVE STE 100 GALESBURG
49053
(269) 665-7092
1077932
ADAMSON, ANGELA DO
8450 N 32ND ST RICHLAND
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1072353
BOBBA, JYOTHIRMAI MD
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072354
8450 NORTH 32ND ST RICHLAND
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1107811
BRANDT, SEAN K DO
5629 STADIUM DR KALAMAZOO
49009
(269) 372-5701
BRONMETH
M-F 9:00-5:00
1102911
CHAPMAN, DUNCAN R MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M
M
1105427
49053
(268) 665-7092
1102910
7901 ANGLING RD STE B-201 PORTAGE
49024
(269) 324-8600
1127386
1701 GULL RD KALAMAZOO
49048
(269) 226-5290
1086494
CIESIELSKI, MATT DO
3300 W CENTRE PORTAGE
49024
(269) 324-8950
M-F 9:00-5:00
1124956
CLARKE, MICHAEL MD
924 RUSSELL ST KALAMAZOO
49001
(269) 349-2641
M-F 9:00-5:00
1084276
CLARKE, MICHAEL MD
117 W PATERSON ST KALAMAZOO
49007
(269) 349-2641
M-F 9:00-5:00
1100252
DAREY, AMBER D MD
3300 WEST CENTRE PORTAGE
49024
(269) 324-8950
M-F 9:00-5:00
1103981
DAREY-THOMAS, AMBER MD
5629 STADIUM DR STE B KALAMAZOO
49009
(269) 544-3270
M-F 9:00-5:00
1072491
GATZ, TIMOTHY S MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1072488
GATZ, TIMOTHY S MD
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072508
GOODWIN, THOMAS A DO
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072510
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1072520
GRAHAM, YON Y MD
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072524
GRAHAM, YON Y MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1124954
HAUGHN, EDWARD W DO
49001
(269) 349-2641
M-F 9:00-5:00
1118450
HAUGHN, EDWARD W DO
49007
(269) 349-2641
BCHS
M-F 9:00-5:00
M
M
BMC
BRONMETH
BRONMETH
1018961
HELGERSON, KURT P MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1072539
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1123703
HINA, HUMEERA S MD
3300 WEST CENTRE ST PORTAGE
49024
(269) 324-8950
M-F 9:00-5:00
1119307
HOUCHIN, ERIC J MD
6938 ELM VALLEY DR KALAMAZOO
49007
(269) 552-4233
M-F 9:00-5:00
1094815
HOUCHIN, ERIC J MD
601 JOHN ST STE M-020 KALAMAZOO
49007
(269) 341-8282
M-F 9:00-5:00
1123873
HOUTMAN, JENNIFER N MD
117 W PATERSON KALAMAZOO
49007
(269) 349-2641
M-F 9:00-5:00
1124338
HOWARD, THOMAS A DO
820 JOHN ST STE 102 KALAMAZOO
49007
(269) 341-8938
M-F 9:00-5:00
1122278
HRPKA, BOJAN DO
49007
(269) 349-2641
M-F 9:00-5:00

Not Specified

ALLEGA

Page 44
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
KALAMAZOO COUNTY (CONTINUED)

1102912
HRPKA, BOJAN DO
601 JOHN STREET STE M020 KALAMAZOO
49007
(269) 341-8282
LCH
M-F 9:00-5:00
1101866
HUNT, JACK MD
1820 SHAFFER ST KALAMAZOO
49048
(269) 381-7136
LCH
M-F 9:00-5:00
1101653
HUNT, JAMES MD
49048
(269) 381-7136
LCH
M-F 9:00-5:00
1101833
HUNT, JOHN DO
49048
(269) 381-7136
LCH
M-F 9:00-5:00
1117616
IREY, BRITTANY L MD
7901 ANGLING RD STE B201 PORTAGE
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1117618
IREY, BRITTANY L MD
49053
(269) 665-7092
BMC
M-F 9:00-5:00
1117617
IREY, BRITTANY L MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1123737
KELLY, NATALIE MD
7901 ANGLING RD STE B 201 PORTAGE
49024
(269) 324-8600
M-F 9:00-5:00
1072573
KONZEN, DENNIS W MD
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072575
KONZEN, DENNIS W MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1119306
KOREN, NATASHA MD
49009
(269) 552-4233
M-F 9:00-5:00
1114532
KOREN, NATASHA MD
49024
(269) 324-8950
BRONMETH
M-F 9:00-5:00
1072590
KU, MICHAEL T DO
7901 ANGLING RD STE B-201 PORTAGE
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072592
KU, MICHAEL T DO
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1100387
LEWIS, BARTON DO
49009
(269) 372-5701
BRONMETH
M-F 9:00-5:00
1117246
LIAO, THEODORE W MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1117245
LIAO, THEODORE W MD
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072359
MAKOWSKI, DAVID N DO
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072360
49083
(269) 324-8600
BMC
M-F 9:00-5:00
1072365
MARTINEK, JONATHAN T MD
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072367
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1024734
MCKAY, GIANNA L MD
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072393
MCKAY, GIANNA L MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1094766
MCKEEBY, SHANNON MD
49007
(269) 341-8282
BRONMETH
M-F 9:00-5:00
1096318
MINDOCK, GREGORY P PAC
49083
(269) 226-2500
M-F 9:00-5:00
1096317
49024
(269) 324-8600
M-F 9:00-5:00
1125195
MIRANPURI, GURKIT K MD
7901 ANGLING RD SUITE B-201 PORTAGE
49024
(269) 324-8600
M-F 9:00-5:00
1125197
9880 E. MICHIGAN AVE STE 100 GALESBURG
49053
(256) 966-5709
M-F 9:00-5:00
1125196
49083
(269) 226-2500
M-F 9:00-5:00
1024099
MUMFORD, CONSTANCE A MD
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072411
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1072437
NEWHOUSE, PETER A MD
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072439
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1117351
PARASHAR, KALIND MD
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1117352
PARASHAR, KALIND MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1090110
PATEL, ANIL MD
49007
(269) 349-2641
BRONMETH
M-F 9:00-5:00
1094765
PETERS-SPARLING, MARTI JO MD
49007
(269) 341-8282
BRONMETH
M-F 9:00-5:00
1072459
PINON, AL J MD
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072474
PINON, AL J MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1123586
PIPER, LAUREN S DO
49007
(269) 349-2641
BCHS
M-F 9:00-5:00
1116392
POLLENS, STEVEN MD
49007
(269) 349-2641
M-F 9:00-5:00
1098684
POLLENS, STEVEN MD
49007
(269) 341-8282
BRONMETH
M-F 9:00-5:00
1103976
POLLENS, STEVEN MD
49009
(269) 544-3270
M-F 9:00-5:00
1103982
RAPHELSON, MICHAEL MD
49009
(269) 544-3270
M-F 9:00-5:00
1095711
RAPHELSON, MICHAEL MD
601 JOHN ST STE M020 KALAMAZOO
49007
(269) 341-8282
M-F 9:00-5:00
1101720
ROBBINS, MYRAL DO
49007
(269) 341-8282
M-F 9:00-5:00
1123657
RUNGE, REBECCA DO
49083
(269) 226-2500
M-F 9:00-5:00
1123656
RUNGE, REBECCA DO
49024
(269) 324-8600
M-F 9:00-5:00

Not Specified

LCH

Page 45
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1070778
SAAD, TOM T MD
49024
(269) 324-8405
BMC
M-F 9:00-5:00
1095091
SANDBORN, CARRIE S DO
940 JOHN ST KALAMAZOO
49001
(269) 343-7296
BMC
M-F 9:00-5:00
1098501
SCHULTZ, KATHERINE M PAC
49083
(269) 226-2500
N/A
M-F 9:00-5:00
1098500
49024
(269) 324-8600
N/A
M-F 9:00-5:00
1072481
SLATER, MARY E MD
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072486
SLATER, MARY E MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1096424
SWARD, NICHOLAS MD
49007
(269) 341-8282
BRONMETH
M-F 9:00-5:00
1072496
ULMER, LAWRENCE A DO
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1007718
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1119626
UNTERSEHER, CHRIS A MD
49009
(269) 552-4233
M-F 9:00-5:00
1107797
UNTERSEHER, CHRIS A MD
49007
(269) 341-8400
BRONMETH
M-F 9:00-5:00
1122992
UTASH, JACOB MD
49007
(269) 341-8282
BRONMETH
M-F 9:00-5:00
1124952
VANDERKOLK, KRISTI MD
49001
(269) 349-2641
M-F 9:00-5:00
1086882
VANDERKOLK, KRISTI MD
49007
(269) 349-2641
BRONMETH
M-F 9:00-5:00
1072505
VONMAUR, CAROLYN A DO
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1024098
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072533
WILE, LARRY MD
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072534
WILE, LARRY MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1124951
WILKE, ALLAN MD
49001
(269) 349-2641
M-F 9:00-5:00
1084288
WILKE, ALLAN MD
49007
(269) 349-2641
M-F 9:00-5:00
1080643
ZIEMKOWSKI, PETER J MD
49007
(269) 349-2641
M-F 9:00-5:00
GERIATRICS
1076243
MARIGOWDA, LOKESH K MD
49048
(269) 226-5290
1122627
1521 GULL RD STE 146E KALAMAZOO
49048
(269) 552-2970
1072441
OPRESCU, NICOARA C MD
49048
(269) 226-5290
1072442
3427 GULL ROAD NAZARETH
49074
(269) 381-6291
1122622
OPRISCU, NICOARA C MD
1521 GULL RD STE 146E KALAMAZOO
49048
(269) 552-2970
M-F 9:00-5:00
M-F 9:00-5:00
BMC
M-F 9:00-5:00
BMC
M-F 9:00-5:00
M-F 9:00-5:00
BMC
INTERNAL MEDICINE
1082080
ALCARAZ, CHRISTOPHER A MD
49009
(269) 544-3270
M-F 9:00-5:00
1080009
BATCHU, MADHU MD
49024
(269) 324-4141
BRONMETH
M-F 9:00-5:00
1010187
BRADTKE, JOHN L MD
7895 CURRIER DR PORTAGE
49002
(269) 321-7120
BMC
M-F 9:00-5:00
1127383
BRADTKE, JOHN L MD
49024
(269) 321-7120
M-F 9:00-5:00
1098321
CABALA, ALBERT MD
49007
(269) 341-8400
BRONMETH
M-F 9:00-5:00
1072373
CAMPBELL, DOUGLAS G MD
1717 SHAFFER ST STE 124 KALAMAZOO
49048
(269) 226-5290
BMC
M-F 9:00-5:00
1098569
CASEY, AMBER DO
49007
(269) 341-8400
BRONMETH
M-F 9:00-5:00
1103978
COPPINGER, JEFFREY MD
49009
(269) 544-3270
M-F 9:00-5:00
1098281
COPPINGER, JEFFREY MD
49024
(269) 324-4141
BRONMETH
M-F 9:00-5:00
1100322
CUSTODIO, SARA BETH MD
49009
(269) 544-3270
BRONMETH
M-F 9:00-5:00
1078287
DOE, ALICE F MD
49048
(269) 226-5967
BMC
M-F 9:00-5:00
1127384
DOE, ALICE F MD
49048
(269) 226-5290
M-F 9:00-5:00
1127382
DURANCEAU, JESSE W DO
49024
(269) 321-7120
M-F 9:00-5:00
1072476
49002
(269) 321-7120
BMC
M-F 9:00-5:00
1077630
GRIGGS, HEIDI DO
49024
(269) 324-4141
BRONMETH
M-F 9:00-5:00
1100404
INCHARDI, EVE MD
601 JOHN ST SUITE M020 KALAMAZOO
49007
(269) 341-8400
BRONMETH
M-F 9:00-5:00
1101931
KAMMENZIND, RICHARD MD
601 JOHN ST STE M170A KALAMAZOO
49007
(269) 381-5060
LCH
M-F 9:00-5:00
1104351
KHAIRALLAH, NAJI M MD
49009
(269) 544-3270
M-F 9:00-5:00
1105223
LUNDE, PAULA MD
49007
(269) 341-8400
M-F 9:00-5:00

Not Specified


Page 46
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1095259
NEWCASTLE, JENNIFER MD
49009
(269) 372-5701
BRONMETH
M-F 9:00-5:00
1107854
NISHIZAWA, BRENDA N DO
49009
(269) 544-3270
BRONMETH
M-F 9:00-5:00
1072451
OPRESCU, ALEXANDRA G MD
1701 GULL ROAD KALAMAZOO
49048
(269) 226-5290
BMC
M-F 9:00-5:00
1098376
ORTIZ, LUIS MD
49009
(269) 372-5701
BRONMETH
M-F 9:00-5:00
1091359
ROGERS, ROCKELLE D MD
49001
(269) 343-7296
BMC
M-F 9:00-5:00
1101898
SCOTT, AILESE MD
49007
(269) 381-5060
LCH
M-F 9:00-5:00
1078857
SHAIKH, ABDUL MD
49053
(269) 665-7092
BMC
M-F 9:00-5:00
1070777
SHAIKH, ABDUL S MD
49024
(269) 324-8405
BMC
M-F 9:00-5:00
1099398
SHAY, ERIC S MD
49007
(269) 381-5060
M-F 9:00-5:00
1096509
SIWIK, JAROSLAW MD
49024
(269) 324-4141
BRONMETH
M-F 9:00-5:00
1098408
SMITH, CINDI MD
49007
(269) 341-8400
BRONMETH
M-F 9:00-5:00
1082082
TERRANELLA, MARILYN R MD
49007
(269) 341-8400
M-F 9:00-5:00
1103983
WARNER, ELIZABETH J MD
49009
(269) 544-3270
M-F 9:00-5:00
1024735
WATSON, STACEY E MD
49083
(269) 226-2500
M-F 9:00-5:00
1127390
WATSON, STACEY E MD
49048
(269) 226-5290
M-F 9:00-5:00
1082939
WATSON, STACEY E MD
49048
(269) 226-5967
M-F 9:00-5:00
1103984
WHITE, TODD J DO
49009
(269) 544-3270
M-F 9:00-5:00
1098326
WHITE, TODD J DO
49024
(269) 324-4141
BRONMETH
M-F 9:00-5:00
1102274
ZAYZAFOON, AHED MD
117 W. PATTERSON STREET KALAMAZOO
49007
(269) 349-2641
BRONMETH
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
BMC
BMC
NURSE PRACTITIONER
1124963
BEARD, DAVID NP
49001
(269) 349-2641
1123841
BEARD, DAVID NP
49007
(269) 349-2641
BRONMETH
BMC
1072343
BEAVERS, JOHN P NP
49053
(269) 665-7092
M-F 9:00-5:00
1098896
BLAMER, KAREN NP
49024
(269) 324-8950
M-F 9:00-5:00
1103977
BLAMER, KAREN NP
49009
(269) 544-3270
M-F 9:00-5:00
1077933
BRYANT, PAMELA NP
49083
(236) 226-2500
BMC
M-F 9:00-5:00
1077936
BRYANT, PAMELA NP
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072379
CHAPPELL, KAITLIN T NP
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072381
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1104236
DAVIS, WILLIAM S NP
49002
(269) 321-7090
N/A
M-F 9:00-5:00
1021652
DEJONG, SANDRA R NP
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1072388
DEJONG, SANDRA R NP
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1103980
DELILLE, LESLEY CNM
49009
(269) 544-3270
M-F 9:00-5:00
1081293
DEMORROW, PAMELA CNP
49007
(269) 341-8786
M-F 9:00-5:00
1103979
49009
(269) 544-3270
M-F 9:00-5:00
1105563
49024
(269) 324-2400
M-F 9:00-5:00
1023427
DENNIS, TERRI J NP
49024
(269) 324-8600
M-F 9:00-5:00
1126362
DYKSTRA, JENNIFER FNP
431 N ROSE ST KALAMAZOO
49007
(269) 349-2641
M-F 9:00-5:00
1126360
325 E CENTER AVE PORTAGE
49002
(269) 349-2641
M-F 9:00-5:00
1126361
2918 PORTAGE ST KALAMAZOO
49001
(269) 349-2641
M-F 9:00-5:00
1126359
DYKSTRA, JENNIFER A FNP
49001
(269) 349-2641
M-F 9:00-5:00
1126358
DYKSTRA, JENNIFER A FNP
49007
(269) 349-2641
M-F 9:00-5:00
1094850
GHOSH, SIAN A NP
49009
(269) 544-3270
M-F 9:00-5:00
1100240
HARING, NANETTE NP
601 JOHN ST SUITE M020 KALAMAZOO
49007
(269) 341-8400
BRONMETH
M-F 9:00-5:00
1104871
HARRIS, CONNIE L NP
49009
(269) 544-3270
M-F 9:00-5:00
1100379
HUSTED, HOLLY NP
49009
(269) 544-3270
BRONMETH
M-F 9:00-5:00
1107021
JONES, ASHLEY NP
49083
(269) 226-2500
N/A
M-F 9:00-5:00
1107022
JONES, ASHLEY NP
49024
(269) 324-8600
N/A
M-F 9:00-5:00

Not Specified

BMC

Page 47
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
N/A
Site Hours
Availability Gender

1126047
KELLOGG, TERESA L NP
49009
(269) 552-4233
M-F 9:00-5:00
1081292
MAYNARD, JOANNA L CNP
49007
(269) 341-6900
M-F 9:00-5:00
1123662
49083
(269) 226-2500
M-F 9:00-5:00
1123661
49024
(269) 324-8600
M-F 9:00-5:00
1123750
MORATTI, KATHRYN NP
1717 SHAFFER ST STE 232 KALAMAZOO
49048
(269) 226-5050
M-F 9:00-5:00
1124961
MWANDA, ALICE O CNP
49001
(269) 349-2641
M-F 9:00-5:00
1109769
MWANDA, ALICE O CNP
49007
(269) 349-2641
M-F 9:00-5:00
1109073
NICHOLAS, MIKE NP
1000 OAKLAND DR KALAMAZOO
49008
(269) 337-6300
1123871
OVERMYER, CORINNE NP
418 W KALAMZOO AVE KALAMAZOO
49007
(269) 373-6000
1124960
PEREZ, SUSAN M NP
49001
(269) 349-2641
1107638
RENSBERGER, CHARLOTTE C NP
49024
(269) 329-0944
N/A
N/A
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
F
F
1107639
49083
(269) 226-2500
N/A
M-F 9:00-5:00
1098751
SCHIRA, MARY JO NP
49024
(269) 324-2400
BRONMETH
M-F 9:00-5:00
1123886
SOVA, LAURA NP
1541 GULL RD STE 200 KALAMAZOO
49048
(269) 343-1264
M-F 9:00-5:00
1101761
SUTTER, DENISE NP
49007
(269) 381-5060
LCH
M-F 9:00-5:00
1072519
WESSENDORF, KAREN M NP
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1024464
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1081290
WOLGAMOOD, CHRISTI N CNP
49007
(269) 341-7333
M-F 9:00-5:00
1021493
YEALIN, MARY E NP
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072546
YEALIN, MARY E NP
49083
(269) 226-2500
BMC
M-F 9:00-5:00

1100282
HARIG, KATHERINE NP
49024
(269) 324-2400
LCH
M-F 9:00-5:00
1101737
JEPSEN, MICHELLE NP
5629 STADIUM DR STE A KALAMAZOO
49009
(269) 372-1000
LCH
M-F 9:00-5:00
1080659
PEREZ, SUSAN M NP
49007
(269) 349-2641
M-F 9:00-5:00
1080660
PEREZ, SUSAN M NP
49001
(269) 349-2641
M-F 9:00-5:00
PEDIATRICS
M-F 9:00-5:00
M-F 9:00-5:00
(269) 341-8986
M-F 9:00-5:00
(269) 349-2641
M-F 9:00-5:00
(269) 349-2641
M-F 9:00-5:00
49007
(269) 349-2641
M-F 9:00-5:00
325 CENTRE ST PORTAGE
49002
(269) 349-2641
M-F 9:00-5:00
DETOLVE, GEOFFREY MD
49007
(269) 341-8986
M-F 9:00-5:00
1123695
DIEHL, ASHLEY MD
49083
(269) 226-2500
M-F 9:00-5:00
1123694
DIEHL, ASHLEY MD
49024
(269) 329-0944
M-F 9:00-5:00
1100395
DODSON-HUNT, KELLIE DO
49009
(269) 372-1000
BRONMETH
M-F 9:00-5:00
1102963
DRISCOLL, JENNIFER MD
4613 WEST MAIN STREET STE A KALAMAZOO
49006
(269) 488-8672
LCH
M-F 9:00-5:00
1100235
DYK, RANDALL MD
49009
(269) 372-1000
LCH
M-F 9:00-5:00
1086294
EHLKE-BEJCEK, SARA MD
49024
(269) 324-2400
BRONMETH
M-F 9:00-5:00
1083550
ELIAS, JULIE MD
49024
(269) 324-2400
LCH
M-F 9:00-5:00
1083551
GAGGINO, JEANNETTE MD
49009
(269) 372-1000
LCH
M-F 9:00-5:00
1072622
GARRISON, LINDA E MD
49024
(269) 329-0944
BMC
M-F 9:00-5:00
1072623
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1081202
GOODWIN, CHRISTOPHER K MD
601 JOHN ST STE E352 KALAMAZOO
49007
(269) 341-8986
M-F 9:00-5:00
1104973
GOODWIN, CHRISTOPHER K MD
49009
(269) 372-1000
M-F 9:00-5:00
1084275
JACKSON, KATHY JO MD
49007
(269) 349-2641
M-F 9:00-5:00
1084695
BLAZEK, MARK A MD
670 MALL DR PORTAGE
49024
(269) 327-1900
1117295
BROWN, GAIL R MD
5082 LOVERS LN PORTAGE
49002
(269) 381-0118
1081201
CORPUS, BRYAN A MD
49007
1080631
DANIEL, SHANTHINI A MD
49007
1080629
DANIEL, SHANTHINI A MD
49001
1096896
DELEON, JOCELYN MD
1090146
DELEON, JOCELYN MD
1081203

Not Specified

BRONMETH
BRONMETH

Page 48
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1096898
49001
(269) 349-2641
M-F 9:00-5:00
1124953
49001
(269) 349-2641
M-F 9:00-5:00
1072734
JOHN, SUNIL P MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1105277
LAMPART, REBEKAH DO
49002
(269) 381-0118
BRONMETH
M-F 9:00-5:00
1084944
LAREAU, ALLAN MD
49024
(269) 324-2400
BRONMETH
M-F 9:00-5:00
1072659
LASSILA, RENEE C MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1072657
LASSILA, RENEE C MD
49024
(269) 329-0944
BMC
M-F 9:00-5:00
1103973
LEMMEN, KATHLEEN L MD
670 MALL DR PORTAGE
49024
(269) 327-1900
BRONMETH
M-F 9:00-5:00
1098554
LISTER, EMMA MD
49009
(269) 324-2400
BRONMETH
M-F 9:00-5:00
1124540
LISTER, EMMA C MD
2680 W CENTRE PORTAGE
49024
(269) 324-2400
BRONMETH
M-F 9:00-5:00
1072679
MAIRA, ROSA S DO
49024
(269) 329-0944
BMC
M-F 9:00-5:00
1072680
MAIRA, ROSA S DO
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1098313
NAGLER, LISA MD
49009
(269) 372-1000
BRONMETH
M-F 9:00-5:00
1084693
OHMART, DAVID L MD
670 MALL DR PORTAGE
49024
(269) 327-1900
BRONMETH
M-F 9:00-5:00
1072228
PAGE, ROBERT MD
49002
(269) 381-0118
BRONMETH
M-F 9:00-5:00
1123601
PATEL, NILAM MD
49083
(269) 226-2500
N/A
M-F 9:00-5:00
1123600
PATEL, NILAM MD
49024
(269) 329-0944
N/A
M-F 9:00-5:00
1123901
PELC, EVAN DO
49024
(269) 329-0944
N/A
M-F 9:00-5:00
1072796
RAHMAN, SAADIA K MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1072794
RAHMAN, SAADIA K MD
49024
(269) 329-0944
BMC
M-F 9:00-5:00
1098337
REDDY, PADMA MD
49009
(269) 372-1000
BRONMETH
M-F 9:00-5:00
1124059
REID, LESLEY MD
49007
(269) 349-2641
M-F 9:00-5:00
1099397
SCHREINER, REBECCA L MD
4613 W MAIN ST STE A KALAMAZOO
49006
(269) 488-8672
M-F 9:00-5:00
1081204
49007
(269) 341-8481
M-F 9:00-5:00
1123611
SEGEDY, JESSICA DO
49083
(269) 226-2500
M-F 9:00-5:00
1123610
SEGEDY, JESSICA DO
49024
(269) 329-0944
M-F 9:00-5:00
1072765
SIMPSON, AIMEE W MD
49024
(269) 329-0944
BMC
M-F 9:00-5:00
1072772
SIMPSON, AIMEE W MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1081205
SKALETZKY, SHARON M MD
601 JOHN ST STE E352 KALAMAZOO
49007
(269) 341-8986
M-F 9:00-5:00
1092544
SOMERS, STEPHANIE MD
49002
(269) 381-0118
BRONMETH
M-F 9:00-5:00
1072783
SOOD-MCMILLEN, SANDHYA R MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1072782
49024
(269) 329-0944
BMC
M-F 9:00-5:00
1072787
SPITZER, JOHN J MD
49024
(269) 329-0944
BMC
M-F 9:00-5:00
1072788
SPITZER, JOHN J MD
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1072107
VANES, ANTHONY MD
49002
(269) 381-0118
BRONMETH
M-F 9:00-5:00
1072700
WIEDERHOLD, SANDRA D MD
49024
(269) 324-8600
BMC
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1095849
ALLARD, SARAH M PA-C
49083
(269) 226-2500
M-F 9:00-5:00
1097123
49024
(269) 329-0944
M-F 9:00-5:00
1106771
ALLEN, LINDSAY PA-C
49024
(269) 324-8600
N/A
M-F 9:00-5:00
1106770
ALLEN, LINDSAY PA-C
49083
(269) 226-2500
N/A
M-F 9:00-5:00
1106071
BENDER, ASHLEY M PA
49002
(269) 321-7120
N/A
M-F 9:00-5:00
1127389
BENDER, ASHLEY M PA
49024
(269) 321-7120
M-F 9:00-5:00
1107983
BOELMAN, ELISABETH B PA
4613 WEST MAIN ST STE A KALAMAZOO
49006
(269) 488-8672
M-F 9:00-5:00
1091566
BOWSER, JULIE M PAC
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1091567
BOWSER, JULIE M PAC
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1021064
CAMPBELL, LINDA M PA
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1072371
49083
(269) 226-2500
BMC
M-F 9:00-5:00

Not Specified


Page 49
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
BMC
Site Hours
Availability Gender

PHYSICIAN ASSISTANT (CONTINUED)
1072468
DOAN, RONALD D PA
49024
(269) 324-8600
1126012
EASTER, JESSICA E PA
49007
(269) 349-2641
M-F 9:00-5:00
M-F 9:00-5:00
1126013
EASTER, JESSICA E PA
49007
(269) 349-2641
M-F 9:00-5:00
1114416
EBENHOEH, DANIEL J PA
49048
(269) 381-7136
BRONMETH
M-F 9:00-5:00
1100265
GREEN, TROY PA
5629 STADIUM DR STE D KALAMAZOO
49009
(269) 372-5701
BRONMETH
M-F 9:00-5:00
1098361
HANOUTE, SHANAE PA
49024
(269) 324-4141
BRONMETH
M-F 9:00-5:00
1072564
HOPPS, BARBARA PA
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1072563
HOPPS, BARBARA PA
49024
(269) 324-8600
BMC
M-F 9:00-5:00
1125212
HUTCHINSON, CYNTHIA PA
600 S LINCOLN AUGUSTA
49012
(269) 731-5762
M-F 9:00-5:00
1072577
KANWISCHER, LISA V PA
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1107704
KHALILI, SOPHIA PA
49007
(269) 341-8282
BRONMETH
M-F 9:00-5:00
1107577
KLOK, AMY PA
3300 WEST CENTRE STREET PORTAGE
49024
(269) 324-8950
BRONMETH
M-F 9:00-5:00
1080677
LEVESTON-HAMILTON, PAMELA S PAC
49007
(269) 349-2641
M-F 9:00-5:00
1080671
LEVESTON-HAMILTON, PAMELA S PAC
49001
(269) 349-2641
M-F 9:00-5:00
1081296
LINN, MARTHA J PA
49007
(269) 341-7690
M-F 9:00-5:00
1098391
MICHALOWSKI, GRETCHEN PA
5629 STADIUM DR STE D KALAMAZOO
49009
(269) 372-5701
BRONMETH
M-F 9:00-5:00
1072400
MICKELSON, MELISSA K PA
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1124964
MURUNGA, IRENE FLORENCE PA
49001
(269) 349-2641
M-F 9:00-5:00
1108460
MURUNGA, IRENE FLORENCE PA
49007
(269) 349-2641
M-F 9:00-5:00
1095747
OPDYCKE, JENNIFER PA-C
49007
(269) 341-8400
M-F 9:00-5:00
1107009
PREDUM, LEAH D PA
49083
(269) 226-2500
N/A
M-F 9:00-5:00
1107007
PREDUM, LEAH D PA
49024
(269) 324-8600
N/A
M-F 9:00-5:00
1124959
SCHAEFER, JENNIFER L PA
49001
(269) 349-2641
M-F 9:00-5:00
1103999
SCHAEFER, JENNIFER L PA
49007
(269) 349-2641
M-F 9:00-5:00
1102127
49024
(269) 324-8405
M-F 9:00-5:00
1127222
1521 GULL RD STE 430 KALAMAZOO
49048
(269) 226-5177
M-F 9:00-5:00
1094146
STEELE, SUSAN M PA
49007
(269) 349-2641
M-F 9:00-5:00
1124958
TURMAN, GISSELLE PA
49001
(269) 349-2641
M-F 9:00-5:00
1084289
TURMAN, GISSELLE PA
49007
(269) 349-2641
M-F 9:00-5:00
1098592
VISSER, MELISSA L PA
49024
(269) 324-4141
BRONMETH
M-F 9:00-5:00
1103019
WERTZ, JODY PA-C
49048
(269) 381-7136
LCH
M-F 9:00-5:00
1124957
WHITE, CAROLINE PA
49001
(269) 349-2641
M-F 9:00-5:00
1101623
WHITE, CAROLINE PA
49007
(269) 349-2898
M-F 9:00-5:00
1102946
WILSON, JESSICA PAC
4613 W MAIN STS STE A KALAMAZOO
49006
(269) 488-8672
LCH
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00

1124962
BURLEY, CHERYL NP
49001
(269) 349-2641
1096643
BURLEY, CHERYL NP
49007
(269) 349-2641
LCH
1072399
DENNIS, TERRI J NP
49083
(269) 226-2500
BMC
M-F 9:00-5:00
1107553
FOSTER, ASHLEY E NP
49007
(269) 341-8282
BRONMETH
M-F 9:00-5:00
KALKASKA COUNTY
1089182
BEST, DAVID K DO
4713 PINE ST SW SOUTH BOARDMAN
49680
(231) 369-2656
M-F 9:00-5:00
1063108
KURKOWSKI, APRIL E DO
419 S CORAL ST KALKASKA
49646
(231) 258-7749
M-F 9:00-5:00
49646
(231) 258-7548
M-F 9:00-5:00
PEDIATRICS
1082837
SMITH, CYNTHIA A MD

Not Specified


Page 50
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
KALKASKA COUNTY (CONTINUED)

PHYSICIAN ASSISTANT
1124615
DUCHARME, KATHERINE PA
49646
(231) 258-7777
M-F 9:00-5:00
1072260
KREYKES, TODD PA
4713 PINE ST SW SOUTH BOARDMAN
49680
(231) 369-2656
M-F 9:00-5:00
1082841
MINOR, THOMAS A PA-C
49646
(231) 258-7500
M-F 9:00-5:00
1119509
WEASEL BREGE, CHRISTINA L PAC
49646
(231) 258-7791
KALKA
M-F 9:00-5:00
BUTTER
M-F 9:00-5:00
M-F 9:00-5:00
BUTTER
M-F 9:00-5:00
KENT COUNTY
1098578
ARROWSMITH, JANET MD
550 CHERRY ST SE GRAND RAPIDS
49503
(616) 235-7272
1104500
BOUWENS, ERIC C MD
75 SHELDON BLVD SE STE 101 GRAND RAPIDS
49503
(616) 391-9001
1126113
DYKE, SALEH F MD
669 STOCKING AVE NE GRAND RAPIDS
49504
(616) 235-1480
1119140
EUGENIO, GRACE MD
751 LAFAYETTE AVE NE GRAND RAPIDS
49503
(616) 742-9945
M-F 9:00-5:00
1104315
EUGENIO, GRACE MD
49503
(616) 235-7272
BUTTER
M-F 9:00-5:00
1097909
GRAESER, RONALD E DO
669 STOCKING AVE NW GRAND RAPIDS
49504
(616) 235-1480
N/A
M-F 9:00-5:00
1081887
HAMERSMA, JOHN W MD
2093 HEALTH DR SW STE 200 GRAND RAPIDS
49519
(616) 459-3158
M-F 9:00-5:00
1119141
HEMPHILL-HARRIS, KARLA DO
2929 BURLINGAME AVE SW WYOMING
49509
(616) 965-8333
M-F 9:00-5:00
1083818
49503
(616) 235-7272
1094138
HOUCHIN, ERIC J MD
669 STOCKING NW GRAND RAPIDS
49504
(616) 235-1450
1026436
LAGARDE, STACIA MD
751 LAFAYETTE NE GRAND RAPIDS
49503
(616) 742-9945
1098732
MACHIREDDY, SEENAMMA MD
49504
1101743
PEREZ, DAVID DO
1059000
SEPTER, MICHAEL DO
1080680
1121005
M-F 9:00-5:00
M-F 9:00-5:00
N/A
M-F 9:00-5:00
(616) 235-1480
BUTTER
M-F 9:00-5:00
49504
(616) 235-1480
BUTTER
M-F 9:00-5:00
6735 CASCADE RD SE STE 300 GRAND RAPIDS
49546
(616) 956-9400
N/A
M-F 9:00-5:00
SIGELKO, DANIELLE M DO
261 N MAIN CEDAR SPRINGS
49319
(616) 696-2020
M-F 9:00-5:00
TROOST, PAUL DO
49504
(616) 235-1480
M-F 9:00-5:00
N/A
INTERNAL MEDICINE
M-F 9:00-5:00
M-F 9:00-5:00
BUTTER
M-F 9:00-5:00
N/A
M-F 9:00-5:00
M-F 9:00-5:00
N/A
M-F 9:00-5:00
BUTTER
M-F 9:00-5:00
(616) 965-8333
M-F 9:00-5:00
(616) 486-5990
M-F 9:00-5:00
1100366
JOSHI, PARTH M MD
49503
(616) 965-8200
1122539
LITT, ARASHDEEP MD
233 FULTON ST E STE 102 GRAND RAPIDS
49503
(616) 929-9078
1120826
LITT, ARASHDEEP MD
4467 BYRON CENTER AVE SW GRAND RAPIDS
49519
(616) 929-9078
1028613
PELKEY, LESLIE MD
49503
(616) 965-8200
1086283
PLATT, THOMAS C MD
49503
(616) 965-8200
1082223
SEIN OHN, KAREN E MD
49503
(616) 965-8200
1104043
THORNBURG, KAREN MD
49503
(616) 965-8200
1119142
THORNBURG, KAREN MD
49509
1094482
WRIGHT, LEONARD D III MD
145 MICHIGAN ST NE STE 5200 GRAND RAPIDS
49503
N/A
NURSE PRACTITIONER
1123702
GROELSMA, JESSICA NP
100 MICHIGAN ST NE 10TH FL MC 248 GRAND
49503
(616) 267-9150
M-F 9:00-5:00
1123932
HEERSPINK, KERI NP
330 E BELTLINE AVE NE STE 100 GRAND RAPIDS
49506
(616) 752-6235
M-F 9:00-5:00
1095019
KERRIDGE, KAREN NP
49503
(616) 235-7272
M-F 9:00-5:00
1124546
LITZENBERGER, JOSHLYN NP
49504
(616) 235-1480
M-F 9:00-5:00
1123826
MORRIS-MCCOY, LINDA NP
49503
(616) 486-5933
SPECTH
M-F 9:00-5:00
1104360
STERKEN, DAVID J NP
100 MICHIGAN ST NE STE D9220 MC 117 GRAND
49503
(616) 267-0116
BUTTER
M-F 9:00-5:00
1123795
STERKEN, DAVID J NP
49503
(616) 267-0116
BUTTER
M-F 9:00-5:00
1090091
VANDUSEN, PAMELA K NP
49503
(616) 235-7272
M-F 9:00-5:00

1104360
STERKEN, DAVID J NP
100 MICHIGAN ST NE STE D9220 MC 117 GRAND
49503
(616) 267-0116
BUTTER
M-F 9:00-5:00
1123795
STERKEN, DAVID J NP
49503
(616) 267-0116
BUTTER
M-F 9:00-5:00

Not Specified


Page 51
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
KENT COUNTY (CONTINUED)

PEDIATRICS
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
N/A
M-F 9:00-5:00
(616) 391-1709
BUTTER
M-F 9:00-5:00
49503
(616) 965-8200
N/A
M-F 9:00-5:00
49504
(616) 235-1480
N/A
M-F 9:00-5:00
PARAS, PHILLIP MD
49504
(616) 235-1480
N/A
M-F 9:00-5:00
1039344
RANDLES, MONICA MD
49503
(616) 776-2400
N/A
M-F 9:00-5:00
1069356
SANAULLAH, KHURRUM MD
49503
(616) 776-2400
N/A
M-F 9:00-5:00
1093562
SHATZ, EUGENE MD
330 BARCLAY NE STE 300 GRAND RAPIDS
49503
(616) 391-8810
BUTTER
M-F 9:00-5:00
1050428
STOUT, KRISTIN MD
49504
(616) 235-1480
N/A
M-F 9:00-5:00
1039324
VANDUINEN, JONI DO
49503
(616) 965-8200
N/A
M-F 9:00-5:00
1081543
APP, MICHAEL J MD
330 BARCLAY AVE NE STE 300 GRAND RAPIDS
49503
(616) 391-1719
1068241
BATES, MARIBEL DO
49503
(616) 459-4314
1080859
BORRERO, FLOR L MD
3637 CLYDE PARK AVE SW STE 4 WYOMING
49509
(616) 808-3265
1050424
BUSH, JENNY MD
49504
(616) 235-1480
1093538
HOWARD, KATHLEEN MD
100 MICHIGAN ST NE GRAND RAPIDS
49503
1069357
KLEMP, JANICE MD
1083831
O'ROURKE, SUSAN DO
1065515
N/A
PHYSICIAN ASSISTANT
1093398
BATY, MARISSA PA
49504
(616) 235-1480
M-F 9:00-5:00
1068236
BOONSTRA, LESLIE PA
49504
(616) 234-1480
M-F 9:00-5:00
1068237
BREWER, LARRY PA
49503
(616) 235-7272
M-F 9:00-5:00
1068238
BRYANT, PAUL PA
49503
(616) 235-7272
M-F 9:00-5:00
1018851
COX, THOMAS B PAC
261 N MAIN ST CEDAR SPRINGS
49319
(616) 696-2020
M-F 9:00-5:00
1094997
GREENWOOD, MAUREEN PA
49503
(616) 235-7272
M-F 9:00-5:00
1093400
GRINCEWICZ, BRADLEY L PA
49503
(616) 235-7272
M-F 9:00-5:00
1068240
HOGAN, VINCENT PA
49503
(616) 965-8200
M-F 9:00-5:00
1038747
HULL, REBECCA A PAC
49319
(616) 696-2020
N/A
M-F 9:00-5:00
1056672
LARSEN, MATTHEW A PAC
49319
(616) 696-2020
N/A
M-F 9:00-5:00
1069358
LINDHOUT, KATHLEEN PA
751 LAFAYETTE NE GRAND RAPIDS
49503
(616) 742-9945
M-F 9:00-5:00
1018850
MATTHEWS, ALISSA M PA
261 N MAIN CEDAR SPRINGS
49319
(616) 696-2020
M-F 9:00-5:00
1127756
RIVERA, OLIVIA PA
49503
(616) 965-8200
M-F 9:00-5:00
1095075
RODRIGUEZ, CRISTIAN PA
2133 BUCHANAN AVE SW GRAND RAPIDS
49507
(616) 247-3638
M-F 9:00-5:00
49503
(616) 965-8200
M-F 9:00-5:00
N/A
N/A

1091734
RAMSEY, JENNIFER C NP
LAKE COUNTY
1126308
BRIGGS, JOHN G MD
1615 MICHIGAN AVE BALDWIN
49304
(231) 745-4624
M-F 9:00-5:00
1032627
SCHROEDER, CLAUDIA MD
49304
(231) 745-4624
M-F 9:00-5:00
49304
(231) 745-4624
M-F 9:00-5:00
GMHS
INTERNAL MEDICINE
1065298
BOW, DANIEL J DO
NURSE PRACTITIONER
1120782
SHERWOOD, CYNTHIA NP
525 W FOURTH ST BALDWIN
49304
(231) 745-3116
M-F 9:00-5:00
1090626
TANIS, MICHAEL D NP
49304
(231) 745-4624
M-F 9:00-5:00
49304
(231) 745-4625
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1101189
BORGES, TERRANCE L PAC

Not Specified

N/A

Page 52
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
SMCHSA
M-F 9:00-5:00
M-F 9:00-5:00
LAPEER COUNTY
1065152
AGELOFF-KUPETZ, SHANA MD
100 E THIRD ST IMLAY CITY
48444
(810) 724-3201
1125805
AHMED, USMAN MD
1457 SUNCREST DR LAPEER
48446
(810) 245-3629
1077133
BRINKER, NANCY DO
1254 N MAIN ST LAPEER
48446
(810) 664-4531
LRMC
M-F 9:00-5:00
1027567
48444
(810) 724-3201
CMC
M-F 9:00-5:00
1002948
DE LANGE, EDWIN L DO
3273 DAVISON RD STE 2 LAPEER
48446
(810) 667-8840
LRMC
M-F 9:00-5:00
1056046
EZZEDDINE, TAREK MD
971 BALDWIN RD LAPEER
48446
(810) 667-3811
MRMC
M-F 9:00-5:00
1077137
GLENN, BRIAN MD
48446
(810) 664-4531
LRMC
M-F 9:00-5:00
1125541
NAGARAJA, RAJESHWARI MD
4526 PINE ST COLUMBIAVILLE
48421
(810) 793-7550
HMC
M-F 9:00-5:00
1077129
PERKINS, KATHLEEN DO
809 W DRYDEN RD METAMORA
48455
(810) 678-4000
LRMC
M-F 9:00-5:00
1101060
SCHULTZ, ANGELA MD
48446
(810) 667-3811
N/A
M-F 9:00-5:00
1077135
SKINDELL, ROGER DO
48446
(810) 664-4531
LRMC
M-F 9:00-5:00
1026659
STEVENS, JOYCE K MD
1794 N LAPEER RD STE D LAPEER
48446
(810) 233-9901
HMC
M-F 9:00-5:00
204097
SUBNANI, MADHU MD
542 N CEDAR IMLAY CITY
48444
(810) 724-0480
LRMC
M-F 9:00-5:00
1077131
TACKABURY, DANIEL E MD
4482 HURON ST NORTH BRANCH
48461
(810) 688-3093
LRMC
M-F 9:00-5:00
1019107
TAMEZ, GARY L DO
48444
(810) 724-3201
LRMC
M-F 9:00-5:00
1060457
WURSTER, FREDERICK DO
48446
(810) 660-7902
LRMC
M-F 9:00-5:00
1003391
ZIELINSKI, MICHAEL E DO
1794 N LAPEER RD STE A LAPEER
48446
(810) 245-1800
LRMC
M-F 9:00-5:00
INTERNAL MEDICINE
1056488
AHMED, HISHAM I MD
1457 SUNCREST LAPEER
48446
(810) 245-3629
LRMC
M-F 9:00-5:00
1055453
ATAYA, HATEM MD
48446
(810) 667-3811
LRMC
M-F 9:00-5:00
1120113
ESPINOSA, AMIEE MD
4526 PINE ST COLUMBIAVILLE
48421
(810) 793-7550
M-F 9:00-5:00
1117275
EUBANKS, ROCHELLE A MD
48455
(810) 678-4000
M-F 9:00-5:00
1117850
EUBANKS, ROCHELLE A MD
48446
(810) 664-4531
M-F 9:00-5:00
202196
KHAN, ZAKIUDDIN MD
3257 DAVISON RD LAPEER
48446
(810) 664-3396
M-F 9:00-5:00
1125446
SHARMA, NEENA MD
48446
(810) 664-4713
M-F 9:00-5:00
202340
SHARMA, VISHNU K MD
48446
(810) 664-4713
LRMC
M-F 9:00-5:00
N/A
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
LRMC
LRMC
NURSE PRACTITIONER
1098619
BRIDGES, DAKIMA NP
48444
(810) 724-3201
1077132
MATEN, JOAN FNP
4482 HURON ST NORTH BRANCH
48461
(810) 688-3093
1077128
MYSEN, KATIE NP
48455
(810) 678-4000
1095739
MYSEN, KATIE NP
48446
(810) 664-4531
M-F 9:00-5:00
1124607
PARADISE BUMHOFFER, LAUREL NP
48444
(810) 724-3201
M-F 9:00-5:00
LRMC
PEDIATRICS
1026494
AL-HARASTANI, MOHAMMAD MD
1083 SUNCREST DR STE A LAPEER
48446
(810) 245-9700
LRMC
M-F 9:00-5:00
1077136
DHARAMRAJ, KEITH MD
48446
(810) 664-4531
LRMC
M-F 9:00-5:00
1077127
TANGRI, POOJA MD
48455
(810) 678-4000
LRMC
M-F 9:00-5:00
LEELANAU COUNTY
1114419
FLISS, NICOLE MD
9975 W OTTAWA AVE EMPIRE
49630
(231) 835-2088
N/A
M-F 9:00-5:00
1124482
FLYNN, JACOB MD
9975 W OTTAWA AVE EMPIRE
49630
(231) 835-2088
N/A
M-F 9:00-5:00
301 N MILL ST NORTHPORT
49670
(231) 386-7147
M-F 9:00-5:00
INTERNAL MEDICINE
1022015
ZITER, MICHAEL J MD

Not Specified


Page 53
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
LENAWEE COUNTY
1126493
CHIU, SIN-CHING MD
1200 N MAIN ST ADRIAN
49221
(517) 263-1800
MERCMO
M-F 9:00-5:00
1117649
DEMOTS, WILLIAM J MD
49221
(517) 263-1800
MERCMO
M-F 9:00-5:00
458 CROSS ST HUDSON
49247
(517) 448-8918
M-F 9:00-5:00
INTERNAL MEDICINE
1082416
SCHMIDT, JONNA L MD
PHYSICIAN ASSISTANT
1122032
CARLISLE, MARLA D PA
49221
(517) 263-1800
1118507
CRETSINGER, CYNTHIA A PC
49221
(517) 263-1800
M-F 9:00-5:00
MERCMO
M-F 9:00-5:00
LIVINGSTON COUNTY
1119482
FALKENBERG, GARY A DO
8641 W GRAND RIVER AVE STE 4 BRIGHTON
48116
(810) 225-0900
M-F 9:00-5:00
1118355
GABBEART, EMILY J MD
48116
(810) 225-0900
N/A
M-F 9:00-5:00
INTERNAL MEDICINE
1071157
COX, AMANDA M MD
8001 CHALLIS RD BRIGHTON
48116
(810) 227-9510
UM
M-F 9:00-5:00
1003591
DIMAGNO, MONICA M MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1071782
EALOVEGA, MARK W MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1113072
EHLERT, BRITT W MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1072224
HAMMOUD, ANNISSA J MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1084853
KAZANGY, FALIH R MD
8680 W GRAND RIVER AVE BRIGHTON
48116
(810) 227-5008
N/A
M-F 9:00-5:00
1073449
KIRSCH, ANITA H MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1084756
SCOTT-CRAIG, THOMAS P MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1106708
SKALSKI, MARK J MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1110108
YARBROUGH, CORINNE A MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
NURSE PRACTITIONER
1112667
CRUPI, SAMANTHA E NP
48116
(810) 227-9510
UM
M-F 9:00-5:00
1113422
DAVIS, MICHELLE A NP
48116
(810) 227-9510
UM
M-F 9:00-5:00
1113176
FREY, SARSP S NP
48116
(734) 763-5459
UM
M-F 9:00-5:00
1110879
HELMAN, JENNIFER L NP
48116
(810) 227-9510
UM
M-F 9:00-5:00
1113775
HORWOOD, LAURA E NP
48116
(810) 227-9510
UM
M-F 9:00-5:00
1113994
SANVORDENKER, JILL K NP
48116
(810) 227-9510
UM
M-F 9:00-5:00
1113334
SOUTHWORTH, ERICA F NP
48116
(810) 227-9510
UM
M-F 9:00-5:00
1111098
SOVITCH, PATRICIA A NP
48116
(810) 227-9510
UM
M-F 9:00-5:00
1114266
WALKER, JULIE K NP
48116
(810) 227-9510
UM
M-F 9:00-5:00
1110194
WHITAKER, SUSAN I NP
48116
(810) 227-9510
UM
M-F 9:00-5:00
PEDIATRICS
1123140
AKERS, DANIELLE C MD
711 BYRON HOWELL
48843
(517) 548-1020
UM
M-F 9:00-5:00
1124719
BENDER, ISABEL B MD
711 BYRON HOWELL
48843
(517) 548-1020
UM
M-F 9:00-5:00
1124720
BENDER, ISABEL B MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1003785
DESAI, BIPIN MD
136 KISSANE AVE BRIGHTON
48116
(810) 229-7337
N/A
M-F 9:00-5:00
1113374
DICKSON, ALISON L MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1113373
711 BYRON HOWELL
48843
(517) 548-1020
UM
M-F 9:00-5:00
1003558
ENGERT, SUSAN F MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1082923
GESSNER, LYNN M MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1093748
GLAMANN, JENNIFER A MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1083430
GOODSON, STEPHANIE L MD
48116
(810) 227-9510
UM
M-F 9:00-5:00

Not Specified


Page 54
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
LIVINGSTON COUNTY (CONTINUED)

1091644
INYANG, JOY E MD
11525 HIGHLAND RD STE 14 HARTLAND
48353
(810) 632-3200
M-F 9:00-5:00
1110155
MADISON-WILLIAMS, JULIA E MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1071229
ORRINGER, KELLY A MD
711 BYRON HOWELL
48843
(517) 548-1020
UM
M-F 9:00-5:00
1113706
48116
(810) 227-9510
UM
M-F 9:00-5:00
1030485
QALIEH, BASHAR S MD
48116
(810) 220-3700
HVSH
M-F 9:00-5:00
1003273
RAO, SHANTI MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1110715
REED, LAUREN M MD
711 BYRON HOWELL
48843
(517) 548-1020
UM
M-F 9:00-5:00
1110716
REED, LAUREN M MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1114669
RUIZ, CYNTHIA A MD
48116
(810) 227-9510
UM
M-F 9:00-5:00
1073717
RUIZ, CYNTHIA A MD
711 BYRON HOWELL
48843
(517) 548-1020
UM
M-F 9:00-5:00
1110522
SWINDELL, SHARON L MD
711 BYRON HOWELL
48843
(517) 548-1020
UM
M-F 9:00-5:00
1111239
WICKHAM, CHERYL A MD
711 BYRON HOWELL
48843
(517) 548-1020
UM
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1111047
CASTEEL, ALEKSANDRA M PAC
48116
(810) 227-9510
UM
M-F 9:00-5:00
1114027
DU BOIS, ELIZABETH C PAC
48116
(810) 227-9510
UM
M-F 9:00-5:00
1110317
EID-HUBERT, HEATHER R PAC
48116
(810) 225-8677
UM
M-F 9:00-5:00
1111325
SHANKAR, ANUSHREE PAC
48116
(810) 227-9510
UM
M-F 9:00-5:00
M-F 9:00-5:00
MSH
M-F 9:00-5:00
MACKINAC COUNTY
1120399
GUNNELL, CHRISTOPHER J MD
1140 N STATE ST SAINT IGNACE
49781
(906) 643-0466
1123626
HAWKINS, CARL W MD
49781
(906) 643-0466
1047141
HAWKINS, CARL W MD
220 BURDETTE ST SAINT IGNACE
49781
(906) 643-8585
M-F 9:00-5:00
1109909
MCCONNELL, RYAN DO
49781
(906) 643-8585
M-F 9:00-5:00
1083691
SHOCKLEY, JENNIFER MD
7474 MARKET STREET MACKINAC ISLAND
49757
(906) 847-3582
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
INTERNAL MEDICINE
1127083
ALSABEH, RASHID MD
49781
(906) 643-8585
1127252
ALSABEH, RASHID MD
49781
(906) 643-0466
1080622
HEPKER, SUSAN H MD
49781
(906) 643-0466
N/A
NURSE PRACTITIONER
1098983
BECKER, REBECCA R FNP
49781
(906) 643-0466
MSH
M-F 9:00-5:00
1127056
MITCHELL, MAUREEN L NP
49781
(906) 643-8585
N/A
M-F 9:00-5:00
49781
(906) 643-0466
M-F 9:00-5:00
49781
(906) 643-0466
MSH
M-F 9:00-5:00
35200 DEQUINDRE RD STE 600 STERLING
48310
(248) 844-0315
CH
M-F 9:00-5:00
29703 HOOVER RD STE B WARREN
48093
(586) 573-9090
HF
M-F 9:00-5:00
28098 23 MILE RD NEW BALTIMORE
48051
(586) 949-0123
N/A
M-F 9:00-5:00
PEDIATRICS
1103916
DELORENZO, CHANDRA L DO
PHYSICIAN ASSISTANT
1094798
KOVAR, CARYN PA
MACOMB COUNTY
1029988
LITTLE-JONES, SUSAN E MD
ADOLESCENT MEDICINE
1079768
BERRY, ASHRAF MD

1127477
ADAIR, ANDREW DO

Not Specified


Page 55
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
MACOMB COUNTY (CONTINUED)

1127483
ADAIR, ANDREW DO
57911 VAN DYKE RD WASHINGTON
48094
(586) 781-0800
N/A
M-F 9:00-5:00
1127478
ADAIR, ANDREW DO
43740 GARFIELD RD CLINTON TOWNSHIP
48038
(586) 228-0270
N/A
M-F 9:00-5:00
1107829
ALLA, YLLI DO
35103 SILVANO DR CLINTON TOWNSHIP
48035
(586) 791-5250
MCRMC
M-F 9:00-5:00
1071312
ALRAIS, MARK B MD
22646 NINE MILE RD STE A SAINT CLAIR SHORES 48080
(586) 498-4800
WBGP
M-F 9:00-5:00
1118439
ASKAR, MAAN MD
13430 13 MILE RD WARREN
48088
(586) 427-1357
HF
M-F 9:00-5:00
1118440
ASKAR, MAAN MD
26440 HOOVER RD STE C WARREN
48089
(586) 427-1337
HF
M-F 9:00-5:00
1105981
BAKER, ERIN M MD
35111 DODGE PARK STERLING HEIGHTS
48312
(586) 978-8010
MCRMC
M-F 9:00-5:00
1025380
BOLLIN, KENNETH MD
24911 LITTLE MACK STE C SAINT CLAIR SHORES 48080
(586) 777-2050
SJHMC
M-F 9:00-5:00
1114475
BOLUKH, OLEH MD
2539 E 12 MILE RD WARREN
48092
(586) 558-5075
N/A
M-F 9:00-5:00
1083749
BURGIN, JODE J MD
64321 VAN DYKE WASHINGTON
48095
(586) 281-6000
WBTR
M-F 9:00-5:00
1070073
BURGOYNE, PAUL MD
19901 E 10 MILE RD SAINT CLAIR SHORES
48080
(586) 777-1277
SJHMC
M-F 9:00-5:00
1039659
BYRNE, ANNETTA MD
25509 KELLY RD STE A ROSEVILLE
48066
(586) 443-7600
WBGP
M-F 9:00-5:00
1024318
CASEY, NINA MD
239 S MAIN ST ROMEO
48065
(586) 752-2861
MCRMC
M-F 9:00-5:00
1083751
CECIL, LEAH M DO
48095
(586) 281-6000
WBTR
M-F 9:00-5:00
1077019
CHALMERS, RICHARD DO
46401 ROMEO PLANK STE 4 MACOMB
48044
(586) 226-8600
MCRMC
M-F 9:00-5:00
1057953
CHANG, EMILY MD
13439 14 MILE RD STERLING HEIGHTS
48312
(586) 977-3900
HVSH
M-F 9:00-5:00
1033375
COOKE, RICHARD R MD
21400 ELEVEN MILE RD SAINT CLAIR SHORES
48081
(586) 498-4400
WBRO
M-F 9:00-5:00
1121194
CORONDAN, VICTOR MD
48088
(586) 920-2249
SJMOHM
M-F 9:00-5:00
1123491
COSTEA, GEORGE DO
30695 LITTLE MACK STE 200 ROSEVILLE
48066
(586) 294-9600
WBGP
M-F 9:00-5:00
1083753
COTHERY, JILL P DO
48095
(586) 281-6000
WBTR
M-F 9:00-5:00
1075793
DOMICZEK, ALEKSANDER MD
6900 E TEN MILE RD CENTER LINE
48015
(586) 756-7777
M-F 9:00-5:00
1071019
DOMICZEK, ALEKSANDER MD
18 MARKET STREET STE C MOUNT CLEMENS
48043
(586) 756-7777
MCRMC
M-F 9:00-5:00
1096200
DUSEVIC, TAMMY S DO
28585 SCHOENHERR WARREN
48088
(586) 758-6263
N/A
M-F 9:00-5:00
1057335
DZEBO, RUZICA MD
44250 DEQUINDRE RD FMC STERLING HEIGHTS
48314
(248) 964-0400
WBTR
M-F 9:00-5:00
1123492
EDWARDS, ROBERT MD
48066
(586) 294-9600
WBGP
M-F 9:00-5:00
1106291
EKOLE, ALPHONSE A MD
21331 KELLY RD STE 120 EASTPOINTE
48021
(586) 585-9119
N/A
M-F 9:00-5:00
1034167
ELLIOTT, LUKE A MD
(586) 498-4800
WBGP
M-F 9:00-5:00
1123864
FICI, RICHARD A DO
18200 10 MILE RD STE 100 EASTPOINTE
48021
(586) 772-0727
HF
M-F 9:00-5:00
1034245
FLORENCE, PATRICIA J DO
36500 GRATIOT STE 202 CLINTON TOWNSHIP
48035
(586) 493-3727
MCRMC
M-F 9:00-5:00
1074130
FOGLA, SUMIT MD
48081
(586) 498-4400
WBRO
M-F 9:00-5:00
1065100
FRANCIS, KWAME MD
21099 MASONIC BLVD SAINT CLAIR SHORES
48082
(586) 296-6213
SJHMC
M-F 9:00-5:00
1025381
FULGENZI, KATHLEEN MD
(586) 777-2050
SJHMC
M-F 9:00-5:00
1124461
GADZINSKI, NICHOLAS MD
31581 GRATIOT AVE ROSEVILLE
48066
(586) 783-4802
M-F 9:00-5:00
1077004
GENDERNALIK, BERNADETTE DO
37399 GARFIELD RD STE 203 CLINTON TOWNSHIP 48036
(586) 228-2911
M-F 9:00-5:00
1090963
GIBSON, JOSHUA J MD
33270 HARPER AVE STE A CLINTON TOWNSHIP
48035
(586) 294-5210
M-F 9:00-5:00
1105872
GIDEON, LARRY MD
36620 HERITAGE RICHMOND
48062
(586) 727-3275
M-F 9:00-5:00
1091183
GOLDMAN, MARILYN MD
42627 GARFIELD STE 213 CLINTON TOWNSHIP
48038
(586) 783-3904
M-F 9:00-5:00
1064220
GRUBER, AMBER M DO
48314
(248) 964-0400
WBTR
M-F 9:00-5:00
1023003
HARRIS, ROGER DO
39880 VAN DYKE STE 202 STERLING HEIGHTS
48313
(586) 264-7930
MCRMC
M-F 9:00-5:00
1098377
HENEIN, NAIRA S MD
21510 HARPER SAINT CLAIR SHORES
48080
(586) 776-1888
WBGP
M-F 9:00-5:00
1123493
HOFFMANN, KEITH MD
48066
(586) 294-9600
WBGP
M-F 9:00-5:00
1114435
HOMISHA, SAMER I MD
6900 E TEN MILE RD CENTER LINE
48015
(586) 756-7777
HUH
M-F 9:00-5:00
1114434
HOMISHA, SAMER I MD
18 MARKET ST STE C MOUNT CLEMENS
48043
(586) 756-7777
HUH
M-F 9:00-5:00
1029962
HUDOCK, STEVEN M MD
8244 METROPOLITAN PKWY STE C STERLING
48312
(586) 795-4060
WBTR
M-F 9:00-5:00
1032150
IYER, CHANDRIKA MD
48080
(586) 296-6213
SJHMC
M-F 9:00-5:00
1068043
JADDOU, NEIL D MD
36950 RYAN RD STERLING HEIGHTS
48310
(586) 722-7240
M-F 9:00-5:00
1106099
JAYAKAR, ARUNIMA MD
48080
(586) 775-6010
SJMOHM
M-F 9:00-5:00
1123495
KAMATH, CLARA MD
48066
(586) 284-9600
WBGP
M-F 9:00-5:00

Not Specified

MCRMC
SJRDH

Page 56
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1080881
KATYCHEV, ANDREI MD
24424 GRATIOT AVE EASTPOINTE
48021
(586) 778-7575
M-F 9:00-5:00
1034162
KERGES, DANA G MD
27070 HOOVER WARREN
48093
(586) 427-7300
WBGP
M-F 9:00-5:00
1070051
KHATER, MONA MD
5555 METROPOLITAN PKWY STE 400 STERLING
48310
(586) 264-0670
SJMOHM
M-F 9:00-5:00
1034160
KIM, PAULA J MD
27070 HOOVER WARREN
48093
(586) 427-7300
WBGP
M-F 9:00-5:00
1094542
KLIMKOWSKI, WALTER J MD
8180 26 MILE RD STE 101 SHELBY TOWNSHIP
48316
(586) 465-2000
M-F 9:00-5:00
1029877
KLING, MARCIA E MD
47733 VAN DYKE STE A UTICA
48317
(586) 254-2534
WBTR
M-F 9:00-5:00
1069002
KOSS, MARCUS E MD
48066
(586) 443-7600
WBGP
M-F 9:00-5:00
1122224
KUE, IA Y DO
27450 SCHOENHERR STE 400 WARREN
48088
(586) 582-7550
M-F 9:00-5:00
1070135
KURZAWA, MARK MD
36367 HARPER AVE CLINTON TOWNSHIP
48035
(586) 791-6868
SJHMC
M-F 9:00-5:00
1063411
KYRIACOU, MANOLIS MD
28001 HARPER AVE SAINT CLAIR SHORES
48081
(586) 772-7180
MCRMC
M-F 9:00-5:00
1077005
LANGENBURG, LISA MD
(586) 228-2911
MCRMC
M-F 9:00-5:00
1106353
LAX, SANFORD J MD
48091
(313) 416-6200
DRH
M-F 9:00-5:00
1106257
LEE BILLING, CRYSTAL R MD
4669 E 8 MILE RD STE 1664 WARREN
48091
(313) 416-6200
DRH
M-F 9:00-5:00
1027132
LICK, DAVID MD
44250 DEQUINDRE RD STERLING HEIGHTS
48314
(248) 964-0400
WBRO
M-F 9:00-5:00
1073386
LOREDO, CHARLES DO
24901 KELLY RD EASTPOINTE
48021
(586) 772-9055
MCRMC
M-F 9:00-5:00
1077006
MACINTYRE, GAIL DO
(586) 228-2911
MCRMC
M-F 9:00-5:00
1085439
MARIETTA-NUNEZ, DEBORAH S DO
6900 E 10 MILE RD CENTER LINE
48015
(586) 756-7777
M-F 9:00-5:00
1096246
MARIETTA-NUNEZ, DEBORAH S DO
18 MARKET ST MOUNT CLEMENS
48043
(586) 756-7777
M-F 9:00-5:00
1083828
MATTEUSSI, JANAINA MD
48081
(586) 772-7180
SJMOHM
M-F 9:00-5:00
1101550
MATTI, VIVIAN G MD
48093
(586) 573-5890
SJMOHM
M-F 9:00-5:00
1127745
MATTI, VIVIAN G MD
58144 GRATIOT AVE NEW HAVEN
48048
(586) 749-5197
N/A
M-F 9:00-5:00
1035298
MCCLOSKEY, CHARLES MD
27450 SCHOENHERR RD STE 400 WARREN
48088
(586) 582-7550
SJMOHM
M-F 9:00-5:00
1122773
MEHTA, SATISH R MD
48021
(586) 776-4185
CHM
M-F 9:00-5:00
1034163
MEYERS, LEIA F MD
27070 HOOVER RD WARREN
48093
(586) 427-7300
WBGP
M-F 9:00-5:00
1027131
MILBACK, CHRISTOPHER MD
48314
(248) 964-0400
WBRO
M-F 9:00-5:00
1027130
MISCH, PAUL W MD
48314
(248) 964-0400
WBRO
M-F 9:00-5:00
1057343
MISRA, SAROJ DO
48088
(586) 582-7550
SJMOHM
M-F 9:00-5:00
1027129
MULHEM, ELIE MD
48314
(248) 964-0400
WBTR
M-F 9:00-5:00
1025385
MURPHY, MARY MD
(586) 777-2050
SJHMC
M-F 9:00-5:00
1070146
NAMEI, FARZIN MD
24100 LITTLE MACK AVE SAINT CLAIR SHORES
48080
(586) 443-4063
SJHMC
M-F 9:00-5:00
1083128
NAOUMI, MANHAL MD
48310
(586) 939-9500
M-F 9:00-5:00
1023461
NEUMANN, FREDRIC I DO
39880 VAN DYKE STERLING HEIGHTS
48313
(586) 939-9060
MCRMC
M-F 9:00-5:00
1036882
NINE, CAROLYN E MD
48066
(586) 443-7600
WBGP
M-F 9:00-5:00
1098682
NIXON, RACHEL A DO
48088
(248) 582-7550
SJHMC
M-F 9:00-5:00
1026633
O'BYRNE, RACHEL E MD
48082
(586) 296-6213
SJHMC
M-F 9:00-5:00
1084240
ODUMODU, NWANNEKA MD
15330 EAST TEN MILE RD EASTPOINTE
48021
(586) 779-4550
M-F 9:00-5:00
1053909
OLESZKOWICZ, ANDREW MD
48314
(248) 964-0400
WBTR
M-F 9:00-5:00
1070150
PANICCIA, ANTHONY G MD
48080
(586) 777-1277
SJHMC
M-F 9:00-5:00
1063943
PANTHANGI, VEENA MD
48082
(586) 296-6213
SJHMC
M-F 9:00-5:00
1070926
PARCELLS, JEFFREY MD
(586) 777-2050
M-F 9:00-5:00
1033071
PASCHALL, MARK MD
(586) 777-2050
SJHMC
M-F 9:00-5:00
1026880
PAYTON, GLADSTONE A DO
247 N GRATIOT MOUNT CLEMENS
48043
(586) 468-8088
MCRMC
M-F 9:00-5:00
1122185
PEARSON, SHANNA DO
48088
(586) 582-7550
SJMOHM
M-F 9:00-5:00
1079213
POPE, HALEY DO
48021
(586) 772-9055
M-F 9:00-5:00
1080219
PRADKO, JOHN R DO
48035
(586) 294-5210
M-F 9:00-5:00
1092901
PUTRUS, RAMIZ S MD
48092
(586) 274-3400
M-F 9:00-5:00
1077024
RAMOS, JASON MD
46401 ROMEO PLANK RD STE 4 MACOMB
48044
(586) 226-8600
M-F 9:00-5:00
1086659
REICKERT, EILEEN MD
(586) 777-2050
M-F 9:00-5:00

Not Specified

MCRMC

Page 57
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1085977
REYNOLDS, JENESE MD
(586) 777-2050
M-F 9:00-5:00
1064224
RIPLEY, TREVOR W MD
48314
(248) 964-0400
WBTR
M-F 9:00-5:00
1030034
RIVERA, ALEIDA M MD
43956 MOUND RD STERLING HEIGHTS
48314
(586) 323-1122
WBTR
M-F 9:00-5:00
1035745
RIZK, NABIL K MD
21400 E ELEVEN MILE RD SAINT CLAIR SHORES
48081
(586) 498-4400
WBGP
M-F 9:00-5:00
1027128
RODGERS, DAVID MD
48314
(248) 964-0400
WBRO
M-F 9:00-5:00
1034812
RODIN, PETER J DO
48081
(586) 498-4400
WBGP
M-F 9:00-5:00
1035746
ROLLINGER, KATHLEEN M DO
21400 E ELEVEN MILE RD SAINT CLAIR SHORES
48081
(586) 498-4400
WBGP
M-F 9:00-5:00
1034811
ROSBOLT, JAMES P DO
48081
(586) 498-4400
WBGP
M-F 9:00-5:00
1105870
ROSS, SUZANNE MD
36620 HERITAGE DR RICHMOND
48062
(586) 727-3275
M-F 9:00-5:00
1090438
ROTH, KATHERINE R MD
48044
(586) 226-8600
MCRMC
M-F 9:00-5:00
1034170
SAMYN, ROBIN C MD
25631 LITTLE MACK STE 103 SAINT CLAIR
48081
(586) 443-2333
WBGP
M-F 9:00-5:00
1021768
SCHNURER, CHRISTOPHER DO
48035
(586) 493-3727
MCRMC
M-F 9:00-5:00
1028454
SCOFIELD, BARRY MD
48082
(586) 296-6213
SJHMC
M-F 9:00-5:00
1124389
SCOTT, COLLEEN DO
22905 W MAIN ST ARMADA
48005
(810) 395-4840
LRMC
M-F 9:00-5:00
1098068
SHAJAHAN, ASHA MD
48081
(586) 498-4400
WBGP
M-F 9:00-5:00
1045080
SINGLETON, SHEILA MD
48048
(586) 749-5197
N/A
M-F 9:00-5:00
1034418
SOFFA, JASON DO
48088
(586) 582-7550
SJMOHM
M-F 9:00-5:00
1036254
SOTIROV, ANETA MD
5335 AUBURN RD UTICA
48317
(586) 726-0011
WBGP
M-F 9:00-5:00
1036253
SOTIROV, ZANA MD
5335 AUBURN RD UTICA
48317
(586) 726-0011
WBGP
M-F 9:00-5:00
1035032
STACHELSKI, DANIEL MD
22646 E NINE MILE RD STE A SAINT CLAIR
48080
(586) 498-4800
WBGP
M-F 9:00-5:00
1076999
SULLIVAN, MICHAEL DO
16700 21 MILE RD STE 101 MACOMB
48044
(586) 263-0320
N/A
M-F 9:00-5:00
1119359
SWETECH, STEPHEN DO
43600 GARFIELD CLINTON TOWNSHIP
48038
(586) 228-0400
M-F 9:00-5:00
1125149
TORRES, LELA MD
30695 LITTLE MACK AVE STE 200 ROSEVILLE
48066
(586) 259-9600
PHH
M-F 9:00-5:00
1077037
TROSIN, CYNTHIA DO
48035
(586) 791-5250
MCRMC
M-F 9:00-5:00
1029714
TUCCIARONE, JENNIFER MD
48314
(248) 964-0400
WBTR
M-F 9:00-5:00
1125768
TUCKER, PETER MD
48314
(248) 964-0400
WBTR
M-F 9:00-5:00
1077008
VALKA, PAMELA DO
(586) 228-2911
MCRMC
M-F 9:00-5:00
1070319
VOLLMER, JOHN A MD
25250 KELLY RD STE 100 ROSEVILLE
48066
(586) 777-4668
M-F 9:00-5:00
1066315
WANG, PING MD
29245 RYAN RD STE 300 WARREN
48092
(586) 578-0222
WBRO
M-F 9:00-5:00
1086448
WARNICK, STEPHEN MD
48091
(313) 416-6200
SJHMC
M-F 9:00-5:00
1091071
WEST, TAMMY L MD
48313
(586) 843-3935
M-F 9:00-5:00
1123494
WETZEL, JENNILYN MD
48066
(586) 294-9600
WBGP
M-F 9:00-5:00
1071964
WILSON, SARAH E MD
48314
(248) 964-0400
WBTR
M-F 9:00-5:00
1125264
WUDYKA, ANDREA E MD
48314
(248) 964-0400
WBTR
M-F 9:00-5:00
1057952
YIM, ROGER S DO
48312
(586) 977-3900
HVSH
M-F 9:00-5:00
1075603
ZELCH, JAMES MD
25429 VAN DYKE CENTER LINE
48015
(586) 759-1100
M-F 9:00-5:00
1034169
ZOLO, SHOSHAN P MD
48081
(586) 443-2333
WBGP
M-F 9:00-5:00
GERIATRICS
1023010
BARNETT, RONALD DO
48081
(586) 772-7180
MCRMC
M-F 9:00-5:00
1030345
JOHNSON, BRUCE DO
30550 UTICA RD ROSEVILLE
48066
(586) 771-0290
WBTR
M-F 9:00-5:00
1122721
JOHNSON, BRUCE DO
48066
(586) 771-0290
MCRMC
M-F 9:00-5:00
INTERNAL MEDICINE
1046728
ABIRAGI, MARIE MD
29751 LITTLE MACK STE A ROSEVILLE
48066
(586) 447-4000
WBGP
M-F 9:00-5:00
1029902
AGGARWAL, KEWAL K MD
29610 RYAN RD WARREN
48092
(586) 751-6270
WBTR
M-F 9:00-5:00
1123194
AHMAD, FARRAH MD
48089
(586) 758-7880
WBTR
M-F 9:00-5:00
1119726
AHMAD, FARRAH MD
48314
(586) 580-0280
M-F 9:00-5:00
1038629
ALATASSI, MALAZ MD
18263 10 MILE RD STE D ROSEVILLE
48066
(586) 778-4950
M-F 9:00-5:00

Not Specified


Page 58
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
CH
M-F 9:00-5:00
M-F 9:00-5:00

1105947
ALI, AZZAT A MD
37771 SCHOENHERR RD STE 104 STERLING
48312
(248) 601-6945
1120691
AL-MATCHY, VICTOR MD
48310
(586) 275-0065
1015204
ALNAJJAR, DAVID S MD
48310
(586) 977-9066
WBTR
M-F 9:00-5:00
1123195
ASMAR, SAMI E MD
48089
(586) 758-7880
WBTR
M-F 9:00-5:00
1069397
ASMAR, SAMI E MD
48314
(586) 580-0280
SJMOHM
M-F 9:00-5:00
1067743
ATASSI, RACHEED M MD
241 N MAIN ROMEO
48065
(586) 752-9694
TH
M-F 9:00-5:00
1060296
BEEAI, MUNA A MD
(586) 498-4800
WBGP
M-F 9:00-5:00
1122850
BROUTIN, CRISTA K DO
36500 GRATIOT AVE STE 102 CLINTON TOWNSHIP 48035
(586) 790-9003
MCRMC
M-F 9:00-5:00
1123390
DARDA, SABA MD
48093
(586) 751-7515
WBTR
M-F 9:00-5:00
1107447
DARDA, SABA MD
57850 VAN DYKE RD STE 400 WASHINGTON
48094
(586) 677-4606
CH
M-F 9:00-5:00
1126848
DASWATTA, DILLNI DO
50505 SCHOENHERR RD STE 340 UTICA
48315
(586) 731-8400
M-F 9:00-5:00
1060203
DATLA, SAILAJA MD
24800 HARPER STE 1 SAINT CLAIR SHORES
48080
(586) 445-3706
SJHMC
M-F 9:00-5:00
1055681
DEMASHKIEH, FADI MD
57850 VAN DYKE AVE STE 100 WASHINGTON
48094
(586) 540-4000
WBTR
M-F 9:00-5:00
1090955
EASTIN, TARA J DO
48035
(586) 294-5210
M-F 9:00-5:00
1071919
FONSEKA, KUMUDINIE C MD
48080
(586) 772-2300
WBGP
M-F 9:00-5:00
1059750
HAMES, DOUGLAS G MD
48021
(586) 774-2900
WBGP
M-F 9:00-5:00
1034164
HANNA, WAFAA S MD
48066
(586) 447-4000
WBGP
M-F 9:00-5:00
1080887
HAQUE, MOHAMMED Z MD
24424 GRATIOT AVE EASTPOINTE
48021
(586) 778-7575
M-F 9:00-5:00
1124376
HIGLEY, LISA DO
36333 HARPER AVE CLINTON TOWNSHIP
48035
(586) 792-8877
M-F 9:00-5:00
1120063
HIGLEY, LISA J DO
36333 HARPER CLINTON TOWNSHIP
48035
(586) 792-8877
M-F 9:00-5:00
1059835
HINDERER, KATHRYN DO
48088
(586) 758-6263
MCRMC
M-F 9:00-5:00
1076996
HOUSEL, CYNTHIA DO
(586) 226-3500
MCRMC
M-F 9:00-5:00
1079256
ISHAQSEI, WAHED MD
48066
(586) 778-4950
M-F 9:00-5:00
1057866
ISKANDER, JOSEPHINE A MD
48314
(586) 799-4350
MRMC
M-F 9:00-5:00
1017065
JAAMOUR, MOHAMMAD MD
241 N MAIN ROMEO
48065
(586) 752-9694
CH
M-F 9:00-5:00
1125396
JABBOUR, DENISE M DO
48080
(586) 447-8021
HF
M-F 9:00-5:00
1124613
JAIN, DEEPALI M MD
29751 LITTLE MACK AVE STE A ROSEVILLE
48066
(586) 447-4000
M-F 9:00-5:00
1090985
JAYAKAR, SHAUN M MD
48080
(586) 775-6010
STJOH
M-F 9:00-5:00
1124762
JONES, CAMILLE E MD
15301 E 8 MILE RD EASTPOINTE
48021
(586) 776-5677
CHM
M-F 9:00-5:00
1058319
KOUA, LANA MD
48310
(586) 979-5100
SGH
M-F 9:00-5:00
1080260
KUMAR, SARWAN MD
48312
(248) 601-6945
CH
M-F 9:00-5:00
1089452
LEVAN, DEBORAH DO
11885 E 12 MILE RD STE 300A WARREN
48093
(586) 582-6630
M-F 9:00-5:00
1056773
LEWIS, RAJA E MD
48310
(586) 826-9625
N/A
M-F 9:00-5:00
1031407
LITTLE, JAMES R MD
48310
(586) 826-8600
WBTR
M-F 9:00-5:00
1124528
MAEZA, ALAEDDIN A MD
37771 SCHOENHERR RD STE104 STERLING
48312
(248) 601-6945
CH
M-F 9:00-5:00
1119428
MANDAVA, VASUDEVA MD
6900 E 10 MILE RD CENTER LINE
48015
(586) 756-7777
M-F 9:00-5:00
1058803
MANSOUR, CHADI H MD
43393 SCHOENHERR RD STERLING HEIGHTS
48313
(586) 323-0301
WBRO
M-F 9:00-5:00
1123190
MARSHEH, NICOLAS A MD
48089
(586) 758-7880
WBTR
M-F 9:00-5:00
1032020
48314
(586) 580-0280
WBTR
M-F 9:00-5:00
1076997
MCMANN, SHANNON DO
13725 19 MILE RD STE 100 STERLING HEIGHTS
48313
(586) 226-3500
MCRMC
M-F 9:00-5:00
1021789
MCMANN, SHANNON DO
48035
(586) 790-9003
MCRMC
M-F 9:00-5:00
1078531
MERAM, SALIM MD
48093
(586) 573-5890
SJMOHM
M-F 9:00-5:00
1039782
MERMIGES, DEMETRIOS N MD
29751 LITTLE MACK AVE STE A ROSEVILLE
48066
(586) 447-4000
WBRO
M-F 9:00-5:00
1030009
MEYER, BARRY S DO
48091
(586) 755-5400
WBTR
M-F 9:00-5:00
1095043
MICHAEL CHEN, YING MIN MD
48081
(586) 771-2097
SJMOHM
M-F 9:00-5:00
1079582
MICHAEL CHEN, YING MIN MD
48093
(586) 754-6797
SJMOHM
M-F 9:00-5:00
1068732
MOGAKA, JORAM DO
48021
(586) 777-0630
DRH
M-F 9:00-5:00
1035276
MOHAMMED, SABAH M MD
48066
(586) 778-4950
M-F 9:00-5:00

Not Specified


Page 59
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1099818
NANNAPANENI, SUDHA MD
18285 E 10 MILE RD STE 120 ROSEVILLE
48066
(586) 771-4830
SJHMC
M-F 9:00-5:00
1077204
OSOWA, BENJAMIN MD
18263 E 10 MILE RD STE E ROSEVILLE
48066
(586) 552-8696
SJMOHM
M-F 9:00-5:00
1089451
PLIZGA, LINDA DO
48093
(586) 582-6630
M-F 9:00-5:00
1120064
PULS, MARY DO
36333 HARPER CLINTON TOWNSHIP
48035
(586) 792-8877
M-F 9:00-5:00
1126285
RAHBAR, MOHAMED S MD
19070 E TEN MILE RD EASTPOINTE
48021
(586) 445-0177
M-F 9:00-5:00
1039033
RAHBAR, MOHAMED S MD
48066
(586) 778-4950
M-F 9:00-5:00
1078898
RAHIMEE, FUAD M MD
48066
(586) 778-4950
SJMOHM
M-F 9:00-5:00
1126287
RAHIMEE, FUAD M MD
48021
(586) 445-0177
SJMOHM
M-F 9:00-5:00
1091128
RAZOKY, BNAN MD
48310
(586) 883-6787
PHMC
M-F 9:00-5:00
1070055
REHMAN, NINA DO
31700 VAN DYKE STE 120 WARREN
48093
(586) 276-8100
SJMOHM
M-F 9:00-5:00
1106266
RIHAWI, MOUHAMAD MD
43361 COMMONS DR CLINTON TOWNSHIP
48038
(586) 286-2620
HFM
M-F 9:00-5:00
1106265
RIHAWI, MOUHAMAD MD
3500 DIVISION RD STE 9 RICHMOND
48062
(586) 727-7209
HFM
M-F 9:00-5:00
1077001
RISE, JENNIFER L DO
48088
(586) 758-6263
MCRMC
M-F 9:00-5:00
1096358
RODRIGUEZ, JOSE MD
48093
(586) 754-6797
SJMOHM
M-F 9:00-5:00
1082999
RODRIGUEZ, JOSE MD
48081
(586) 771-2097
SJMOHM
M-F 9:00-5:00
1123916
ROJAS, BERNARDO A MD
48314
(586) 739-1333
WBRO
M-F 9:00-5:00
1010831
ROJAS, BERNARDO A MD
48314
(586) 739-1333
WBTR
M-F 9:00-5:00
1050780
SAHA, JOYANTA K MD
43211 DALCOMA DR STE 1 CLINTON TOWNSHIP
48038
(586) 263-7190
M-F 9:00-5:00
1126286
SALEM, FARAH K MD
48021
(586) 445-0177
SJMOHM
M-F 9:00-5:00
1118451
SALEM, FARAH K MD
18263 E 10 MILE RD STE D ROSEVILLE
48066
(586) 778-4950
HFM
M-F 9:00-5:00
1120194
SHARABI, GHANEM MD
48081
(586) 771-2097
SJMOHM
M-F 9:00-5:00
1078451
SHARABI, GHANEM MD
48093
(586) 757-6400
SJMOHM
M-F 9:00-5:00
1039838
SHELTON, BERNARD W MD
30140 HARPER AVE STE 300 SAINT CLAIR
48082
(586) 293-1868
M-F 9:00-5:00
1074243
SKARDARASY, CHARLES MD
48312
(586) 258-3775
SJMOHM
M-F 9:00-5:00
1057956
SMITH, BRENT DO
48312
(586) 977-3900
HVSH
M-F 9:00-5:00
1125774
VARADARAJAN, ANUPAMA MD
48035
(586) 790-9003
M-F 9:00-5:00
SJMOHM
1070165
VITALE, MASSIMILIANO MD
48044
(586) 226-6800
SJHMC
M-F 9:00-5:00
1034165
WANG, JENNIFER H MD
48066
(586) 447-4000
WBGP
M-F 9:00-5:00
1040472
WENDT, BETH DO
48035
(586) 790-9003
MCRMC
M-F 9:00-5:00
1076998
WHATELEY, JASON DO
(586) 226-3500
MCRMC
M-F 9:00-5:00
1106062
WILEY, ANDREW L DO
48093
(586) 582-6630
SJMOHM
M-F 9:00-5:00
1033397
YOUNG, BRIAN D DO
(586) 226-3500
MCRMC
M-F 9:00-5:00
1085320
ZAKARIA, KHALID SABAH MD
37771 SCHOENHERR STE 104 STERLING HEIGHTS 48312
(248) 601-6945
CH
M-F 9:00-5:00
NURSE PRACTITIONER
1071660
CHIRCO, NAHLA
48310
(586) 977-9066
WBRO
M-F 9:00-5:00
1040188
CLINTON, DENISE NP
35429 SCHOENHERR STERLING HEIGHTS
48312
(586) 264-4261
MCRMC
M-F 9:00-5:00
1126011
CLYNE, ALISSA NP
1000 HARRINGTON BLVD MOUNT CLEMENS
48043
(586) 493-8565
M-F 9:00-5:00
1074240
SCHUNEMANN, CHRISTIE NP
48066
(586) 771-0290
MCRMC
M-F 9:00-5:00
1122722
48066
(586) 771-0290
MCRMC
M-F 9:00-5:00
1045307
VERNIER, PATRICIA NP
48048
(586) 749-5197
PHH
M-F 9:00-5:00
PEDIATRICS
1104289
ABIRAGI, CAROL MD
35054 23 MILE RD STE 101 NEW BALTIMORE
48047
(586) 725-2670
SJHMC
M-F 9:00-5:00
1104288
ABIRAGI, CAROL MD
48066
(586) 774-7710
SJHMC
M-F 9:00-5:00
1104298
ABIRAGI, ROGER MD
48047
(586) 725-2670
SJHMC
M-F 9:00-5:00
1102112
ABIRAGI, ROGER MD
48066
(586) 774-7710
SJHMC
M-F 9:00-5:00
1061038
AL-AHMAD, LAMIS MD
50505 SCHOENHERR RD STE 250 UTICA
48315
(586) 991-0720
WBTR
M-F 9:00-5:00
1038648
ARASTU, HUSAIN MD
11446 E 13 MILE RD STE B WARREN
48093
(586) 574-2020
N/A
M-F 9:00-5:00

Not Specified


Page 60
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1100625
BELIVEAU, NICOLE MD
48066
(586) 774-7710
SJHMC
M-F 9:00-5:00
1104264
BELIVEAU, NICOLE MD
48047
(586) 725-2670
SJHMC
M-F 9:00-5:00
1104124
BERRY, ASHRAF MD
39200 GARFIELD RD STE E CLINTON TOWNSHIP
48038
(586) 263-4010
HF
M-F 9:00-5:00
1079768
BERRY, ASHRAF MD
48093
(586) 573-9090
HF
M-F 9:00-5:00
1077039
BHARGAVA, NEENA MD
48044
(586) 226-2032
MCRMC
M-F 9:00-5:00
1104777
BILAL, KIRAN MD
50720 SCHOENHERR RD UTICA
48315
(586) 566-2340
WBRO
M-F 9:00-5:00
1036156
BITAR, MOHAMMAD A MD
47389 VAN DYKE AVE UTICA
48317
(586) 739-8030
WBTR
M-F 9:00-5:00
1076925
BLACK, E DALTON MD
48080
(586) 443-4950
M-F 9:00-5:00
1034444
BLACK, E DALTON MD
48044
(586) 226-6250
M-F 9:00-5:00
1076923
BLODGETT, JOSEPH R MD
48080
(586) 443-4950
M-F 9:00-5:00
1036440
48044
(586) 226-6250
M-F 9:00-5:00
1069840
BREGE, DAVID MD
48317
(586) 323-7148
M-F 9:00-5:00
1118680
CATALAN, MARISSA MD
22500 METROPOLITAN PKWY STE 201 CLINTON
48035
(586) 493-3732
M-F 9:00-5:00
1077046
CATALAN, MARISSA MD
48035
(586) 493-3732
M-F 9:00-5:00
1076927
CRISTESCU, EVA S MD
48080
(586) 443-4950
M-F 9:00-5:00
1055281
CRISTESCU, EVA S MD
48044
(586) 226-6250
M-F 9:00-5:00
1029927
DE LOS SANTOS MAC, ERNESTINA H MD
48315
(586) 566-2340
WBTR
M-F 9:00-5:00
1031397
DEPREZ, MARK F MD
42141 MOUND RD STE B STERLING HEIGHTS
48314
(586) 254-7593
WBTR
M-F 9:00-5:00
1068317
DREYER-LAEZZA, JAMIE L MD
48315
(586) 566-2340
CHM
M-F 9:00-5:00
1029930
DUBINA, ELIZABETH A MD
48315
(586) 566-2340
WBRO
M-F 9:00-5:00
1086568
ELGHOROURY, MAHMOUD A MD
57850 VAN DYKE AVE STE 100 WASHINGTON
48094
(248) 852-5177
SJMERC
M-F 9:00-5:00
1076928
FOWLER, SHARON MD
48080
(586) 443-4950
M-F 9:00-5:00
1051060
FOWLER, SHARON MD
48044
(586) 226-6250
M-F 9:00-5:00
1076924
GREEN, LYRIC MD
48080
(586) 443-4950
M-F 9:00-5:00
1070235
GREEN, LYRIC MD
48044
(586) 226-6250
M-F 9:00-5:00
1033818
GUZMAN-MORALES, CERES A MD
48315
(586) 566-2340
WBTR
M-F 9:00-5:00
1123711
HALL, ELIZABETH DO
48044
(586) 226-6250
SJMOHM
M-F 9:00-5:00
1023367
HASSANE, YASSER MD
21840 23 MILE RD MACOMB
48042
(586) 840-4916
MCRMC
M-F 9:00-5:00
1125771
HORNIK, MATTHEW J DO
48314
(248) 964-0400
WBTR
M-F 9:00-5:00
1029964
HUGEN, ROBIN A MD
48314
(586) 254-7593
WBTR
M-F 9:00-5:00
1100012
KUTSKILL, KEVIN MD
48066
(586) 774-7710
SJHMC
M-F 9:00-5:00
1038924
MACATANGAY, TOMAS A MD
45100 STERRITT DR UTICA
48317
(586) 739-0505
MCRMC
M-F 9:00-5:00
1018151
MC MANUS, SHARON M DO
48314
(586) 254-7593
WBTR
M-F 9:00-5:00
1069016
MIKHAIL, BESMA MD
3755 E 15 MILE RD STERLING HEIGHTS
48310
(586) 722-7498
WBTR
M-F 9:00-5:00
1076929
MIRZA, SHAKEELA MD
48080
(586) 443-4950
M-F 9:00-5:00
1064600
MIRZA, SHAKEELA MD
48044
(586) 226-6250
M-F 9:00-5:00
1065512
MOHIUDDIN, SYED G MD
48314
(586) 254-7593
LRMC
M-F 9:00-5:00
1101604
MOSCHOURIS, LEONIDAS MD
48066
(586) 774-7710
SJMOHM
M-F 9:00-5:00
1101605
MOSCHOURIS, LEONIDAS MD
48047
(586) 725-2670
SJMOHM
M-F 9:00-5:00
1118681
OLSON, LUCILA W MD
22500 METROPOLITAN PKWY STE 201 CLINTON
48035
(586) 493-3732
M-F 9:00-5:00
1032934
OSKA, ANTOUN MD
48093
(586) 573-9090
HF
M-F 9:00-5:00
1104210
OSKA, ANTOUN MD
48038
(586) 263-4010
HF
M-F 9:00-5:00
1077038
POKRIEFKA, EILEEN DO
35111 DODGE PK STERLING HEIGHTS
48312
(586) 978-8010
MCRMC
M-F 9:00-5:00
1024465
RASHEED, ABDUR MD
37300 DEQUINDRE STE 202 STERLING HEIGHTS
48310
(586) 939-6899
MCRMC
M-F 9:00-5:00
1034452
RASHEED, ZEHRA MD
48310
(586) 939-6899
WBTR
M-F 9:00-5:00
1030033
REHMAN, DURDANA T MD
48310
(586) 977-9090
WBTR
M-F 9:00-5:00
1096380
RUMMANI-ASKAR, SUNDUS F MD
13430 13 MILE RD WARREN
48088
(586) 427-1351
SJMOHM
M-F 9:00-5:00
1076922
SABERI, MOHAMMAD MD
48080
(586) 443-4950
M-F 9:00-5:00

Not Specified

MCRMC

Page 61
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

M-F 9:00-5:00
M-F 9:00-5:00
(586) 443-4950
M-F 9:00-5:00
48044
(586) 226-6250
M-F 9:00-5:00
18811 E 10 MILE RD ROSEVILLE
48066
(586) 771-2340
SJHMC
M-F 9:00-5:00
SMYKA, WILLIAM MD
48047
(586) 725-2670
SJHMC
M-F 9:00-5:00
1096568
SMYKA, WILLIAM MD
48066
(586) 774-7710
SJHMC
M-F 9:00-5:00
1104083
SUBRAMANIAN, BANUMATHY MD
48038
(586) 263-4010
HF
M-F 9:00-5:00
1104082
SUBRAMANIAN, BANUMATHY MD
48093
(586) 573-9090
HF
M-F 9:00-5:00
1106881
SUNDARAM, SHOBANA MD
48314
(586) 731-1500
M-F 9:00-5:00
1121491
TOMA, NABEEL MD
31200 DEQUINDRE RD WARREN
48092
(586) 939-1800
M-F 9:00-5:00
1033931
TREBLIN, MICHAEL H MD
48315
(586) 566-2340
WBRO
M-F 9:00-5:00
1019247
VANAHARAM, KAMALA MD
7828 22 MI RD UTICA
48317
(586) 254-8581
N/A
M-F 9:00-5:00
1040881
VILLANUEVA, ETHEL MD
5528 METRO PKWY STERLING HEIGHTS
48310
(586) 795-3232
N/A
M-F 9:00-5:00
1030062
WEGNER, REBECCA K MD
48314
(586) 254-7593
WBTR
M-F 9:00-5:00
1077043
WEIDNER-CZAJA, HALINA T MD
48044
(586) 226-2032
MCRMC
M-F 9:00-5:00
1070251
SABERI, MOHAMMAD MD
48044
(586) 226-6250
1031571
SAINI, INDER J MD
48310
(586) 939-2229
1076930
SCHRECK, PAULA K MD
48080
1062144
SCHRECK, PAULA K MD
1109392
SHAH, REKHA MD
1104251
WBTR
PHYSICIAN ASSISTANT
1085315
HRANCHOOK-EHARDT, HELEN PA-C
48035
(586) 294-5210
MCRMC
M-F 9:00-5:00
1123347
PLOCINIK, MICHAEL PA
31581 GRATIOT AVE ROSEVILLE
48066
(586) 783-4802
HFM
M-F 9:00-5:00
MANISTEE COUNTY
1073812
ANHALT, JOEL E DO
3268 LAKE ST ARCADIA
49613
(231) 889-7030
M-F 9:00-5:00
1016888
ANTAL, PAUL J MD
72 FILER ST MANISTEE
49660
(231) 723-5600
M-F 9:00-5:00
1124480
FLYNN, JACOB MD
8225 LAKE ST BEAR LAKE
49614
(231) 864-3314
M-F 9:00-5:00
1124476
FLYNN, JACOB MD
2198 US 31 SOUTH MANISTEE
49660
(231) 723-3567
M-F 9:00-5:00
1121731
GRIFFITHS, GLENN MD
49614
(231) 864-3314
M-F 9:00-5:00
1121730
GRIFFITHS, GLENN MD
2198 US-31 S MANISTEE
49660
(231) 723-3567
M-F 9:00-5:00
1121729
MAHONEY, GERARD DO
49660
(231) 723-3567
M-F 9:00-5:00
1074759
MCCOMB, BRIAN DO
1400 E PARKDALE AVE MANISTEE
49660
(231) 398-1840
WESTSH
M-F 9:00-5:00
1039685
TRACY, RAYMOND D DO
14477 CABERFAE HWY WELLSTON
49689
(231) 848-4777
N/A
M-F 9:00-5:00
M-F 9:00-5:00
WESTSH
M-F 9:00-5:00
INTERNAL MEDICINE
1116380
FELT, JULIE J MD
1391 E PARKDALE AVE STE 101 MANISTEE
49660
(231) 398-1760
1075878
WEINER, WILLIAM MD
49660
(231) 398-1840
NURSE PRACTITIONER
1093407
HERRING, ELLEN M NP
49614
(231) 864-3314
M-F 9:00-5:00
1117683
KAAP, SUSAN J FNP
49660
(231) 398-1840
M-F 9:00-5:00
1109621
KANE, AMY FNP
49660
(231) 398-1840
M-F 9:00-5:00
1077468
MCKINLEY, MARA L NP
6433 8 MILE RD BEAR LAKE
49614
(231) 889-5000
M-F 9:00-5:00
1014804
SAWHILL, VICTORIA E FNP
110 WASHINGTON ST MANISTEE
49660
(231) 723-9190
M-F 9:00-5:00
1121728
SMART, STEPHANIE NP
49660
(231) 723-3567
M-F 9:00-5:00
1076492
SMART, STEPHANIE A NP
1806 E PARKDALE STE 2 MANISTEE
49660
(231) 723-3567
M-F 9:00-5:00
49660
(231) 398-1710
M-F 9:00-5:00
PEDIATRICS
1102410
REININK, JENNIFER MD

Not Specified

WESTSH

Page 62
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
N/A
Site Hours
Availability Gender
MANISTEE COUNTY (CONTINUED)

PHYSICIAN ASSISTANT
1039450
BLISS, BRADLEY L PAC
49689
(231) 848-4777
M-F 9:00-5:00
1117682
DYE, KATIE PAC
49660
(231) 398-1840
M-F 9:00-5:00
1122134
WARNSHOLZ, JORDAN PA
49689
(231) 848-4777
M-F 9:00-5:00
1100234
WATSON, KRISTIN PA
2198 US 31 SOUTH MANISTEE
49660
(231) 723-3567
M-F 9:00-5:00
N/A
MASON COUNTY
1104381
5511 W US HWY 10 LUDINGTON
49431
(231) 843-1553
M-F 9:00-5:00
1118220
O'CALLAGHAN, TIMOTHY G MD
922 LAWNDALE ST LUDINGTON
49431
(231) 845-7380
M-F 9:00-5:00
1118218
OVERMYER, AMANDA J MD
49431
(231) 845-7380
M-F 9:00-5:00
1094631
RYAN, JAMES T DO
300 S RATH STE 202 LUDINGTON
49431
(231) 845-2312
M-F 9:00-5:00
1026726
TRACY, RAYMOND D DO
505 W LUDINGTON AVE LUDINGTON
49431
(231) 843-8452
N/A
M-F 9:00-5:00
1012090
WOLTANSKI, TIMOTHY R MD
202 N THOMAS ST SCOTTVILLE
49454
(231) 757-3743
MEMMED
M-F 9:00-5:00
INTERNAL MEDICINE
1016513
AVEDISIAN, RALPH DO
7 N ATKINSON DR STE 111 LUDINGTON
49431
(231) 843-3487
M-F 9:00-5:00
1014107
KNOER, ZANE DO
7 N ATKINSON DR STE 111 LUDINGTON
49431
(231) 843-3487
M-F 9:00-5:00
1124763
O'CALLAGHAN, MARY K DO
49431
(231) 845-7380
BUTTER
M-F 9:00-5:00
PEDIATRICS
1091376
BUCKLES, TAMARA L MD
907 E TINKHAM AVE LUDINGTON
49431
(231) 843-3477
MEMMED
M-F 9:00-5:00
1090896
LEIKERT, KARI A DO
907 E TINKHAM AVE LUDINGTON
49431
(231) 843-3477
MEMMED
M-F 9:00-5:00
1105770
MIDDLEBROOK, MARGARET MD
907 TINKHAM AVE LUDINGTON
49431
(231) 843-3477
MEMMED
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1039448
BLISS, BRADLEY L PAC
49431
(231) 843-8452
N/A
M-F 9:00-5:00
1065306
CAMILLI, SONYA PAC
49431
(231) 843-8452
MEMMED
M-F 9:00-5:00
1106527
FOSTER, NINA PA
5511 W US HWY 10 LUDINGTON
49431
(231) 843-1553
N/A
M-F 9:00-5:00
1122135
WARNSHOLZ, JORDAN PA
49431
(231) 843-8452
M-F 9:00-5:00
201 LINDEN ST BIG RAPIDS
49307
(231) 796-2801
M-F 9:00-5:00
MECOSTA COUNTY
1083629
MAHABEER, HOWARD A MD

1114560
BRUMMELER, CHARLES J DO
650 LINDEN ST STE 1 BIG RAPIDS
49307
(231) 796-3200
N/A
M-F 9:00-5:00
1072114
8354 100TH AVE STANWOOD
49346
(231) 972-6000
N/A
M-F 9:00-5:00
1114559
605 OAK ST BIG RAPIDS
49307
(231) 796-8691
N/A
M-F 9:00-5:00
1012397
DUBOIS, WILLIAM F MD
49346
(231) 972-2710
M-F 9:00-5:00
1072111
FOSTER, ANTHONY M MD
49307
(231) 796-3200
M-F 9:00-5:00
1072116
HECHT, EVA MD
49346
(231) 972-6000
M-F 9:00-5:00
1072120
MACDONALD, PETER A MD
49307
(231) 796-3200
N/A
M-F 9:00-5:00
1072122
VANDERHILL, SCOTT D MD
49307
(231) 796-3200
N/A
M-F 9:00-5:00
1114370
YOUNG, ALAN MD
49346
(231) 972-6000
N/A
M-F 9:00-5:00
1109719
YOUNG, ALAN MD
49307
(231) 796-3200
N/A
M-F 9:00-5:00
1107440
YOUNG, ERIN MD
49307
(231) 796-3200
N/A
M-F 9:00-5:00
1114436
YOUNG, ERIN MD
49346
(231) 972-6000
N/A
M-F 9:00-5:00
705 OAK ST STE 11 BIG RAPIDS
49307
(231) 796-4406
N/A
M-F 9:00-5:00
INTERNAL MEDICINE
1081627
VANDEMARK, PETER MD

Not Specified


Page 63
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
MECOSTA COUNTY (CONTINUED)

NURSE PRACTITIONER
1090839
BLUHM, DIANE M CNP
49307
(231) 796-2801
M-F 9:00-5:00
1090840
NOWAK, LYNI M FNP
49307
(231) 796-2801
M-F 9:00-5:00
PEDIATRICS
1126774
ADAMS, STACIE MD
49307
(231) 796-4470
GMHS
M-F 9:00-5:00
1072117
WILLIAMS, JONATHAN W MD
49307
(231) 796-4470
N/A
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1109721
GODFREY, MICHELLE PA
49346
(231) 972-6000
N/A
M-F 9:00-5:00
1072110
KEUSCH, ANDRIA PA
650 LINDEN RD STE 1 BIG RAPIDS
49307
(231) 796-3200
N/A
M-F 9:00-5:00
1125849
RUSSELL, JONATHAN M PA
49307
(231) 796-3200
MCMC
M-F 9:00-5:00
1125850
RUSSELL, JONATHAN M PA
49346
(231) 972-6000
MCMC
M-F 9:00-5:00
1072123
SACKETT-FOSTER, TRACY PA
49307
(231) 796-3200
N/A
M-F 9:00-5:00
1122111
TRAVIS, CLAIR PA
49307
(231) 796-3200
MCMC
M-F 9:00-5:00
1122112
TRAVIS, CLAIR PA
49346
(231) 972-6000
MCMC
M-F 9:00-5:00
BRMC
M-F 9:00-5:00
M-F 9:00-5:00
MIDLAND COUNTY
1045310
KOEHLER, RONALD DO
4615 EASTMAN AVE MIDLAND
48640
(989) 631-7110
1021312
VARGAS, JOHN DO
2525 WASHINGTON ST MIDLAND
48642
(989) 832-8803
1045084
WAGNER, JACK W MD
4615 EASTMAN AVE MIDLAND
48640
(989) 631-7110
BRMC
M-F 9:00-5:00
117 N ROLAND MC BAIN
49657
(231) 825-2643
MERCCA
M-F 9:00-5:00
MISSAUKEE COUNTY
1074806
TRIMPER, DONALD P DO
NURSE PRACTITIONER
1126312
CANE, ANN G NP
117 N ROLAND ST MC BAIN
49657
(231) 825-2643
N/A
M-F 9:00-5:00
1126311
RICHARDS, VICTORIA L NP
49657
(231) 825-2643
N/A
M-F 9:00-5:00
49657
(231) 825-2643
N/A
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1126310
BORTON, JONATHON E PAC
MONROE COUNTY
1093266
BURKE, LISA L DO
7581 SECOR RD LAMBERTVILLE
48144
(734) 856-6360
M-F 9:00-5:00
1097655
CHARTIER, MICHELLE M DO
7825 N DIXIE HWY STE 101 NEWPORT
48166
(734) 240-4580
MERCMO
M-F 9:00-5:00
1026563
CHIU, SIN-CHING MD
8765 LEWIS AVE TEMPERANCE
48182
(734) 847-3802
MERCMO
M-F 9:00-5:00
1106045
COLLINS, VICKI L MD
650 STEWART MONROE
48162
(734) 240-8430
MERCMO
M-F 9:00-5:00
1089185
DAIBER, ROBERT R MD
48144
(734) 586-6360
M-F 9:00-5:00
1126109
DAILL, MICHELLE L MD
120 WATERSTRADT COMMERCE DR DUNDEE
48131
(734) 823-5437
M-F 9:00-5:00
1122229
DELACRUZ, MARK MD
650 STEWARD RD MONROE
48162
(734) 240-8430
M-F 9:00-5:00
1109861
DOYLE, JAMES M DO
111 MEDICAL CENTER DR CARLETON
48117
(734) 240-8580
M-F 9:00-5:00
1080858
HACKL, PAMELA J DO
7443 JACKMAN RD TEMPERANCE
48182
(734) 850-0100
M-F 9:00-5:00
1104634
HEHL-BISSON, ANNA MD
3132 NEWPORT RD STE 107 N PARK PLAZA
48166
(734) 586-9120
OAKW
M-F 9:00-5:00
1106115
HULSEMANN, SUSAN J MD
650 STEWART MONROE
48162
(734) 240-8430
MERCMO
M-F 9:00-5:00
1081969
KOEHL, MARK T MD
48182
(734) 847-3802
MERCMO
M-F 9:00-5:00
1081967
NAGUIT, CORNELIO L MD
48117
(734) 654-2169
MERCMO
M-F 9:00-5:00
1055962
PEYTON, JOSEPH DO
48144
(734) 856-6360
M-F 9:00-5:00

Not Specified

MERCMO

Page 64
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
MERCMO
M-F 9:00-5:00
M-F 9:00-5:00
MONROE COUNTY (CONTINUED)

1097636
ROECKER, KURT M DO
14930 LAPLAISANCE RD STE 118 MONROE
48161
(734) 240-2892
1081772
RUMSCHLAG, BETTY K DO
48144
(734) 856-4586
1125444
RUMSCHLAG, BETTY K DO
14930 LAPLAISANCE RD STE 118 MONROE
48161
(734) 240-2892
MERCMO
M-F 9:00-5:00
1107565
SHARON, JESSICA L DO
48117
(734) 654-2169
MERCMO
M-F 9:00-5:00
1082741
YAP PUEYING, WILSON S MD
901 N MACOMB ST STE 103 MONROE
48162
(734) 384-2056
M-F 9:00-5:00
INTERNAL MEDICINE
1003302
BHURGRI, AAMER H MD
48162
(734) 799-0146
M-F 9:00-5:00
1024119
HAQ, IHSAN U MD
48162
(734) 799-0146
M-F 9:00-5:00
48182
(734) 847-3802
M-F 9:00-5:00
NURSE PRACTITIONER
1119564
BAIRD, KRISTY K NP
MERCMO
PEDIATRICS
1082740
ABU-ASHOUR, BASMA M MD
48162
(734) 384-2754
M-F 9:00-5:00
1126109
DAILL, MICHELLE L MD
120 WATERSTRADT COMMERCE DR DUNDEE
48131
(734) 823-5437
M-F 9:00-5:00
1120634
KHAGHANY, AZADEH MD
313 STEWART RD MONROE
48162
(734) 244-5560
PHMC
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1081975
SOUTH, REGINA M PAC
48117
(734) 654-2169
1081974
WILSON, NICHOLAS R PA
48182
(734) 847-3802
MERCMO
MONTCALM COUNTY
1024065
AUSIELLO, DOMENICO S MD
200 S FRANKLIN ST GREENVILLE
48838
(616) 754-6949
N/A
M-F 9:00-5:00
1027019
FERGUSON, SETH THOMAS DO
221 E MAPLE CARSON CITY
48811
(989) 584-3153
CCH
M-F 9:00-5:00
1126696
GRENTZ, DIETMAR J MD
102 S THIRD ST STE 100 CARSON CITY
48811
(989) 584-1308
CCH
M-F 9:00-5:00
1026971
HEINLEN, LENE DO
48811
(989) 584-1308
CCH
M-F 9:00-5:00
1121004
HEINLEN, LENE DO
545 N STATE ST STANTON
48888
(989) 831-8301
M-F 9:00-5:00
1021998
NOWLAND, DEVOTA J DO
11116 N PINE GROVE STE B VESTABURG
48891
(989) 268-1337
M-F 9:00-5:00
1093677
PIAZZA, RICHARD DO
223 W MAIN ST EDMORE
48829
(989) 427-3331
M-F 9:00-5:00
1092997
PIAZZA, RICHARD S DO
620 W MAIN ST STANTON
48888
(989) 831-7200
M-F 9:00-5:00
1068244
SANKEY, BEVERLY MD
1003 N LAFAYETTE GREENVILLE
48838
(616) 225-9650
N/A
M-F 9:00-5:00
1065922
SARVEPALLI, SAILAJA MD
1021 E MAIN ST EDMORE
48829
(989) 427-5320
GMC
M-F 9:00-5:00
1126388
STASEVICH, ANDREW DO
48811
(989) 584-1308
M-F 9:00-5:00
1034472
STEURY, MONICA DO
303 CONGRESS SHERIDAN
48884
(989) 291-5077
M-F 9:00-5:00
1084998
STEURY, RONALD DO
303 CONGRESS ST SHERIDAN
48884
(989) 291-5077
M-F 9:00-5:00
1019949
STOWITTS, JEFFREY DO
1014 WASHINGTON ST GREENVILLE
48838
(616) 754-7145
CCH
M-F 9:00-5:00
48811
(989) 584-1308
CCH
M-F 9:00-5:00
N/A
SCH
GERIATRICS
1001196
SEALS, ROBERT H DO
INTERNAL MEDICINE
1107160
CRIBB, JACK E DO
48888
(989) 831-7200
M-F 9:00-5:00
1006809
PATTON, JOE D DO
48811
(989) 584-1308
CCH
M-F 9:00-5:00
1007287
SARVEPALLI, PRAKASH J MD
48829
(989) 427-5320
GMC
M-F 9:00-5:00
NURSE PRACTITIONER
1026957
AULTMAN, DEB PA
223 W MAIN STREET STE 4 EDMORE
48829
(989) 427-3331
SCH
M-F 9:00-5:00
1066051
FERGUSON, LISA L NP
221 E MAPLE CARSON CITY
48811
(989) 584-3153
CCH
M-F 9:00-5:00
1057547
MYERS, WANDA NP
48811
(989) 584-1308
CCH
M-F 9:00-5:00

Not Specified


Page 65
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
MONTCALM COUNTY (CONTINUED)

1024505
STUNER, MARY NP
11116 N PINE GROVE STE B VESTABURG
48891
(989) 954-4462
N/A
M-F 9:00-5:00
1020273
TERRY, PATRICIA A NP
48811
(989) 584-1308
N/A
M-F 9:00-5:00
1026970
WEAVER, NANCY NP
48811
(989) 584-1308
CCH
M-F 9:00-5:00
245 S SECOND ST CARSON CITY
48811
(989) 584-3981
CCH
M-F 9:00-5:00

1102978
MILLER, ANDREA S NP
PEDIATRICS
1007643
BETANCOURT, ALBERTO MD
48811
(989) 584-3981
CCH
M-F 9:00-5:00
1118487
FERNANDEZ-MAYMI, CARLOS MD
48811
(989) 584-3981
CCH
M-F 9:00-5:00
1096218
WINDELER, JONATHAN MD
1003 N LAFAYETTE ST GREENVILLE
48838
(616) 225-9650
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1089520
AULTMAN, DEB PA
48888
(989) 831-7200
M-F 9:00-5:00
1041601
BORING, STEPHANIE PA
48829
(989) 427-5320
CCH
M-F 9:00-5:00
1026955
CLOUSE, PAUL PA
223 W MAIN ST EDMORE
48829
(989) 427-3331
SCH
M-F 9:00-5:00
1126097
CORCORAN, ALEXANDER PAC
48838
(616) 225-9650
N/A
M-F 9:00-5:00
1022784
GATCHEL, HOLLY J PA
545 N STATE ST STANTON
48888
(989) 831-8301
CCH
M-F 9:00-5:00
1057255
GERMAN, MANDY J PA
48838
(616) 225-9650
N/A
M-F 9:00-5:00
1089867
HUNTER, LINDSEY PA
48829
(989) 427-5320
GMC
M-F 9:00-5:00
1064964
SIMON, HEATHER PA
1014 E WASHINGTON RD GREENVILLE
48838
(616) 754-7145
CCH
M-F 9:00-5:00
1093401
SOWERS, MARGUERITE PA
48838
(616) 225-9650
M-F 9:00-5:00
1026958
THWAITES, BRIAN PA
303 CONGRESS SHERIDAN
48884
(989) 291-0577
SCH
M-F 9:00-5:00
1027004
WORSLEY, SARA PA
48811
(989) 584-3981
CCH
M-F 9:00-5:00
48838
(616) 225-9650
M-F 9:00-5:00

1094109
KARGEL, BRENDA NP
MONTMORENCY COUNTY
1093147
FAIRBANKS, MICHAEL B MD
11899 M-32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1093148
15774 STATE ST HILLMAN
49746
(989) 742-4583
M-F 9:00-5:00
1008301
HAUTEA, MARION C MD
11899 M 32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1097426
HAYES, TIMOTHY DO
49746
(989) 742-2183
M-F 9:00-5:00
1065458
HAYES, TIMOTHY DO
11899 M32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1096696
HILLMAN, DONALD L DO
11899 M32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1096133
49746
(989) 742-4583
M-F 9:00-5:00
1093152
JACQUEMIN, WALTER W MD
49746
(989) 742-4583
M-F 9:00-5:00
1093151
11899 M-32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1044804
MASCHKE, KRISTIN S MD
3040 BOURN ST LEWISTON
49756
(989) 786-4877
M-F 9:00-5:00
1047232
MCNAMARA, MICHAEL R DO
49756
(989) 786-4877
M-F 9:00-5:00
1117448
SMITH, ELAINE C DO
49746
(989) 742-4583
M-F 9:00-5:00
1117449
SMITH, ELAINE C DO
11899 M-32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1117446
SMITH, ELAINE C DO
245 E THIRD ST HILLMAN
49746
(989) 733-2082
M-F 9:00-5:00
INTERNAL MEDICINE
1097423
JACALA-TADIAN, JEMELLEE MD
11899 M-32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1075991
49746
(989) 724-4583
M-F 9:00-5:00
11899 M-32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
NURSE PRACTITIONER
1107053
DESCHAMPS, TRISHA J FNP

Not Specified


Page 66
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
N/A
Site Hours
Availability Gender
MONTMORENCY COUNTY (CONTINUED)

1106129
49746
(989) 742-4583
M-F 9:00-5:00
1102315
LAFAVE, JULIE NP
11899 M-32 WEST ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1102314
LAVAVE, JULIE NP
49746
(989) 742-4583
M-F 9:00-5:00
1109685
11899 M-32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1109684
49746
(989) 742-4583
M-F 9:00-5:00
1109688
245 E THIRD ST HILLMAN
49746
(989) 733-2082
M-F 9:00-5:00
1122405
PEASLEY, CECELIA NP
49746
(989) 742-4583
M-F 9:00-5:00
1122409
PEASLEY, CECELIA NP
11899 M 32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1078269
SIMPSON, ANGELA J NP
11899 M32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
1097431
49746
(989) 742-4583
1098395
STIER, LISA A NP
49756
(989) 786-4877
1078268
WILLIAMS, COREEN J NP
49746
(989) 742-4583
M-F 9:00-5:00
N/A
PHYSICIAN ASSISTANT
1102318
BARSEN, JILL P PAC
49746
(989) 742-4583
M-F 9:00-5:00
1076138
BARSEN, JILL P PA-C
11899 M 32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1042606
GAWEL, BONITA PA
49746
(989) 742-4583
M-F 9:00-5:00
1127233
LAWNICHAK, CODY PA
11899 M32 ATLANTA
49709
(989) 785-4855
N/A
M-F 9:00-5:00
1127235
LAWNICHAK, CODY PA
49746
(989) 742-4583
N/A
M-F 9:00-5:00
1027968
MCEWEN, WAYNE PA
11899 M 32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1097428
MCEWEN, WAYNE PA
49746
(989) 742-4583
M-F 9:00-5:00
1123559
49746
(989) 742-4583
N/A
M-F 9:00-5:00
1123561
11899 M 32 ATLANTA
49709
(989) 785-4855
N/A
M-F 9:00-5:00
1123562
4549 M33 HILLMAN
49746
(989) 733-4980
N/A
M-F 9:00-5:00
2700 BAKER ST 3RD FL MUSKEGON
49444
(231) 737-1335
M-F 9:00-5:00
MUSKEGON COUNTY
1045565
HULTMAN, JENNIFER A MD

1082451
DOROTINSKY, BENJAMIN E MD
2201 S GETTY ST MUSKEGON
49444
(231) 739-9315
M-F 9:00-5:00
1119949
FABRICK, SUSAN C MD
49444
(231) 737-1335
M-F 9:00-5:00
1069582
HOLMAN, HARLAND T MD
2700 BAKER ST 3RD FLR MUSKEGON
49444
(231) 737-1335
M-F 9:00-5:00
1069583
KOESTNER, DANIELLE KT DO
49444
(231) 737-1335
M-F 9:00-5:00
1025770
KOHN, WAYNE H DO
49444
(231) 737-1335
M-F 9:00-5:00
1106002
MERRITT, MONA MD
49444
(231) 737-9806
M-F 9:00-5:00
1087052
MIEDEMA, NIDIA O MD
2700 BAKER ST 3RD FLOOR MUSKEGON
49444
(231) 737-1335
M-F 9:00-5:00
1079817
NEVIN, LYNN P MD
49444
(231) 739-9315
M-F 9:00-5:00
N/A
N/A
INTERNAL MEDICINE
1104051
MERRITT, CARLOS S MD
49444
(231) 773-5765
MERCMU
M-F 9:00-5:00
1082453
SPRAGUE, F SPRAGUE MD
49444
(231) 737-9806
N/A
M-F 9:00-5:00
NURSE PRACTITIONER
1102535
DZICKOWITZ, AMY NP
2700 BAKER STREET 3RD FLOOR MUSKEGON
49444
(231) 737-1335
MERCMU
M-F 9:00-5:00
1086570
JONES, TRACI NP
49444
(231) 739-9315
N/A
M-F 9:00-5:00
1086353
WOLTER, MARGARET NP
49444
(231) 739-9315
M-F 9:00-5:00
49444
(231) 733-6607
M-F 9:00-5:00
PEDIATRICS
1063144
SIEPLINGA, KIRA R MD

Not Specified


Page 67
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
MUSKEGON COUNTY (CONTINUED)

PHYSICIAN ASSISTANT
1082262
ANDERSON, TRICIA M PA
49444
(231) 737-1335
M-F 9:00-5:00
1093404
BECK, KATHERINE A PA
49444
(231) 737-1335
M-F 9:00-5:00
1119950
BRADFORD, NICOLE PA
49444
(231) 737-1335
M-F 9:00-5:00
1082258
DICKINSON, JAMIE L PA
49444
(231) 737-1335
M-F 9:00-5:00
1086571
FAIR, NATASHA PA
49444
(231) 739-9315
M-F 9:00-5:00
1082457
FINK, PATRICK M PA
49444
(231) 739-9315
M-F 9:00-5:00
1124323
HURT, TESSA J PA
1675 LEAHY ST MUSKEGON
49442
(231) 737-1335
M-F 9:00-5:00
1082257
HURT, TESSA J PA
49444
(231) 737-1335
M-F 9:00-5:00
1082260
LUCKETT, MARY C PAC
49444
(231) 737-1335
M-F 9:00-5:00
1124324
MURI, JENNA L PA
1675 LEAHY ST MUSKEGON
49442
(231) 737-1335
M-F 9:00-5:00
1116611
MURI, JENNA L PA
49444
(231) 737-1335
MERCMU
M-F 9:00-5:00
1096044
OGINSKY, STEVEN PA
2700 BAKER STREET 3RD FLOOR MUSKEGON
49444
(231) 737-1335
MERCMU
M-F 9:00-5:00
1082259
SCHRAM, KAREL S PA
49444
(231) 737-1335
M-F 9:00-5:00
1082256
SHIELDS, JUSTIN L PA
49444
(231) 737-1335
M-F 9:00-5:00
1086351
SHULL, AMBER PA
49444
(231) 739-9315
M-F 9:00-5:00
1086352
SMIT, STEVEN PA
49444
(231) 739-9315
M-F 9:00-5:00
1041374
STIBITZ, ELLEN J PA
49444
(231) 737-1335
M-F 9:00-5:00
1095110
STRANTZ, ADAM PAC
49442
(231) 767-9806
M-F 9:00-5:00
1086572
ULRICH, WILLIAM PA
49444
(231) 767-9806
M-F 9:00-5:00
1082455
VEENHUIS-FELBER, AMANDA R PA
49444
(231) 739-9315
M-F 9:00-5:00
N/A
HACKLEY
NEWAYGO COUNTY
1101176
AMBROSIA, ANGELA MD
11 N MAPLE ST GRANT
49327
(231) 834-0444
M-F 9:00-5:00
1081854
BERNDT, MARK E MD
1035 E WILCOX AVE WHITE CLOUD
49349
(231) 689-5943
M-F 9:00-5:00
1118173
BONT, TIMOTHY M MD
211 W PINE LAKE DR NEWAYGO
49337
(231) 652-1631
M-F 9:00-5:00
1057270
BRIGGS, JOHN G MD
49349
(231) 689-5943
M-F 9:00-5:00
1118176
CETON, RANDALL J MD
230 W OAK ST FREMONT
49412
(231) 924-4200
M-F 9:00-5:00
N/A
1104622
DEWEERD, CAROL L MD
49337
(231) 652-1631
M-F 9:00-5:00
1119308
DEWEERD, CAROL L MD
49412
(231) 924-4200
M-F 9:00-5:00
1118180
DEWEERD, CAROL L MD
49412
(231) 924-4200
M-F 9:00-5:00
1118181
DEWEERD, CAROL L MD
49337
(231) 652-1631
M-F 9:00-5:00
1118182
DEWEERD, MICHAEL J MD
49412
(231) 924-4200
M-F 9:00-5:00
1118171
GILLARD, PAUL J MD
230 W OAK ST STE 201 FREMONT
49412
(231) 924-4200
M-F 9:00-5:00
1065544
GUNNELL, ROBERT V MD
230 S MAPLE ST GRANT
49327
(231) 834-5995
M-F 9:00-5:00
1118186
HUDSON, CHRISTOPHER J MD
49412
(231) 924-4200
M-F 9:00-5:00
1118192
LENZ, MICHELLE L MD
49337
(231) 652-1631
M-F 9:00-5:00
1075094
MCDERMED, ALINA M DO
49327
(231) 834-5995
M-F 9:00-5:00
1118203
RENAUD, PAUL T MD
49412
(231) 924-4200
M-F 9:00-5:00
1118205
ROSE, ERICA R MD
49337
(231) 652-1631
M-F 9:00-5:00
1119309
ROSE, ERICA R MD
49337
(231) 652-1631
M-F 9:00-5:00
1116212
THOME, JEFFREY A DO
204 W MAIN ST FREMONT
49412
(231) 924-1800
M-F 9:00-5:00
1118211
WEAVER, ERIC R MD
49412
(231) 924-4200
M-F 9:00-5:00
1118216
WELSH, STEPHEN L MD
49412
(231) 924-4200
M-F 9:00-5:00
1074814
WUEHRMANN, BARBARA L MD
49327
(231) 834-5995
M-F 9:00-5:00
49412
(231) 924-1800
M-F 9:00-5:00
GMHS
INTERNAL MEDICINE
1094139
KUIPER, MARK D MD

Not Specified


Page 68
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
NEWAYGO COUNTY (CONTINUED)

1086974
OLIVEIRA, LINDSAY L MD
49412
(231) 924-1800
GMHS
M-F 9:00-5:00
1097178
POULIOT, JOCELYN MD
11 N MAPLE ST GRANT
49327
(231) 834-0444
GMHS
M-F 9:00-5:00
1063946
ROYSTER, ROBIN A MD
11 N MAPLE ST GRANT
49327
(231) 834-0444
M-F 9:00-5:00
NURSE PRACTITIONER
1081858
BOURZAC, SHERYL S CNP
49349
(231) 876-6524
M-F 9:00-5:00
1118195
MEAD, JAMES J NP
49412
(231) 924-4200
M-F 9:00-5:00
1074791
NIEBOER, ALAN L CNP
49412
(231) 924-1800
M-F 9:00-5:00
1118207
TABER-TANIS, JUDY A NP
49412
(231) 924-4200
M-F 9:00-5:00
1118208
TABER-TANIS, JUDY A NP
49337
(231) 652-1631
M-F 9:00-5:00
PEDIATRICS
1095024
KUIPER, JENNIFER M MD
49412
(231) 924-1800
M-F 9:00-5:00
1094139
KUIPER, MARK D MD
49412
(231) 924-1800
M-F 9:00-5:00
1118199
NORRIS, JULIE A MD
49412
(231) 924-4200
M-F 9:00-5:00
1118214
WELSH, ELIZABETH J MD
49412
(231) 924-4200
M-F 9:00-5:00
GMHS
PHYSICIAN ASSISTANT
1074031
ALVESTEFFER, WENDY R PA-C
49327
(231) 924-4251
M-F 9:00-5:00
1116213
ALVESTEFFER, WENDY R PA-C
49412
(231) 924-1800
M-F 9:00-5:00
1109181
BONT, CAYLEE PA
11 N MAPLE ST GRANT
49327
(231) 834-0444
M-F 9:00-5:00
1039065
DE HAAN, STEPHEN J PAC
49349
(231) 689-3268
M-F 9:00-5:00
1108250
DERRICK, ANGELA PA
49349
(231) 689-5943
M-F 9:00-5:00
1065340
FRIES, PETER PAC
49349
(231) 689-5943
M-F 9:00-5:00
1074815
HILBRAND, JAMES PAC
49327
(231) 834-5995
M-F 9:00-5:00
1059159
KARP, KORTNIE A PA
49327
(231) 834-5995
M-F 9:00-5:00
1126720
MCDANIEL, RUSSELL PA
49349
(231) 689-5943
M-F 9:00-5:00
1053708
MILLER, ROBERTO J PA
11 N MAPLE ST GRANT
49327
(231) 834-0444
M-F 9:00-5:00
1074790
STOUT, CATHY L PA
49412
(231) 924-1800
M-F 9:00-5:00
1025564
WATSON, KELLY PAC
11 N MAPLE ST GRANT
49327
(231) 834-0444
M-F 9:00-5:00
N/A
N/A
OAKLAND COUNTY
1032237
CULVER, WALTER H MD
1854 W AUBURN RD STE 100A ROCHESTER
48309
(248) 696-3170
SJMERC
M-F 9:00-5:00
1032233
DICKSON, TIMOTHY G MD
1375 S LAPEER RD STE 210 LAKE ORION
48360
(248) 693-5700
SJMERC
M-F 9:00-5:00
1089912
EINHORN, DEREK A MD
39475 LEWIS DR STE 130 NOVI
48377
(248) 374-0502
M-F 9:00-5:00
1029957
HAKIM, NISHATH K MD
33200 W 14 MILE RD STE 150 WEST BLOOMFIELD 48322
(248) 419-5111
WBRO
M-F 9:00-5:00
1032232
LARSEN, THERESA A MD
48360
(248) 693-5700
SJMERC
M-F 9:00-5:00
1029980
LEE, MARY S MD
(248) 419-5111
WBRO
M-F 9:00-5:00
1089913
LEFF, CARRIE F DO
48377
(248) 374-0502
M-F 9:00-5:00
1032231
MCCARTHY, AMY MD
48360
(248) 693-5700
M-F 9:00-5:00
1089911
ROSENBERG, DANIEL M MD
48377
(248) 374-0502
M-F 9:00-5:00
SJMERC

1102619
ABBO, MARISA DO
27776 WOODWARD AVE ROYAL OAK
48067
(248) 556-4900
WBRO
M-F 9:00-5:00
1090934
AHAD, DURAID MD
1380 COOLIDGE HWY STE 100 TROY
48084
(248) 288-4300
SJMOHM
M-F 9:00-5:00
1087174
AHMAD, MUTAHHAR MD
22972 LAHSER RD SOUTHFIELD
48033
(248) 353-4777
SGH
M-F 9:00-5:00
1056353
AHMAD, NAILA MD
6744 HIGHLAND RD WATERFORD
48327
(248) 666-2120
SJMERC
M-F 9:00-5:00
1076037
AKERS, NANCY A DO
1701 BALDWIN STE 103 PONTIAC
48340
(248) 334-4964
POH
M-F 9:00-5:00
1093053
ALI, ESA M MD
2590 ELIZABETH LAKE RD WATERFORD
48328
(248) 738-5500
POH
M-F 9:00-5:00

Not Specified


Page 69
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
OAKLAND COUNTY (CONTINUED)

1090938
ANAND, PANCHARATHNA MD
23077 GREENFIELD RD STE 253 SOUTHFIELD
48075
(248) 559-5950
M-F 9:00-5:00
1038436
ANTUNANO, EMILIO MD
1724 AIRPORT RD WATERFORD
48327
(248) 673-5520
SJMERC
M-F 9:00-5:00
1065928
ARABBO, ADIL MD
4123 MARTIN RD STE 102 WALLED LAKE
48390
(248) 366-3700
HVSH
M-F 9:00-5:00
1119646
AZHARUDDIN, TAHERA MD
1308 W AUBURN RD ROCHESTER
48309
(248) 266-9504
M-F 9:00-5:00
1025354
BALON, DENISE MD
210 N LAFAYETTE SOUTH LYON
48178
(248) 437-1744
PHMC
M-F 9:00-5:00
1103611
BANNO, MARK K MD
27970 ORCHARD LAKE RD STE 1 FARMINGTON
48334
(248) 626-1999
PHMC
M-F 9:00-5:00
1025355
BARBER, PATRICIA MD
22250 PROVIDENCE DR STE 500 SOUTHFIELD
48075
(248) 849-3441
PHMC
M-F 9:00-5:00
1025356
BARTELL, STACEY MD
48178
(248) 437-1744
PHMC
M-F 9:00-5:00
1062066
BASAK, ROBERT J DO
385 N LAPEER RD OXFORD
48371
(248) 628-2597
POH
M-F 9:00-5:00
1095824
BLAIR-WATSON, LAKEISHA MD
4000 HIGHLAND RD STE 114 WATERFORD
48328
(248) 674-0388
M-F 9:00-5:00
1105611
BLOCK SONI, EMILY B DO
210 N LARAYETTE SOUTH LYON
48178
(248) 437-1744
PPH
M-F 9:00-5:00
1078475
BOWMAN, WILLIAM P MD
595 BARCLAY CIRCLE STE D ROCHESTER
48307
(248) 852-5355
WBTR
M-F 9:00-5:00
1102929
CACCO, ANTHONY L MD
48307
(248) 852-5355
CH
M-F 9:00-5:00
1057984
CHATMAN, SYLMARA E MD
17603 W 10 MILE RD SOUTHFIELD
48075
(248) 569-8420
CHM
M-F 9:00-5:00
1031395
CHEEMA, SAIF U MD
1500 WALTON BLVD ROCHESTER
48309
(248) 651-1129
CH
M-F 9:00-5:00
1125848
CHILDS, JACQUELENE C MD
210 N LAYFAYETTE SOUTH LYON
48178
(248) 437-1744
PPH
M-F 9:00-5:00
1124212
CIBOR, GREGORY DO
26750 PROVIDENCE PKWY STE 210 NOVI
48374
(248) 465-4782
M-F 9:00-5:00
1069987
CIBOR, GREGORY DO
30055 NORTHWESTERN HWY STE 30
48334
(248) 465-4782
M-F 9:00-5:00
1118090
CITRON, ALISSA NICOLE DO
29645 W 14 MILE RD STE 110 FARMINGTON HILLS 48334
(248) 254-6000
M-F 9:00-5:00
1076026
COHEN, RICHARD L DO
1240 S LAPEER RD STE 101A LAKE ORION
48362
(248) 656-0472
M-F 9:00-5:00
1120101
CZESNOWSKI, PATRICIA I MD
24503 JOHN R HAZEL PARK
48030
(248) 629-6440
M-F 9:00-5:00
1098862
DANTES, LETICIA T MD
114 ORCHARD LAKE RD PONTIAC
48341
(248) 724-7605
M-F 9:00-5:00
1122018
22200 W NINE MILE RD SOUTHFIELD
48033
(248) 359-8787
M-F 9:00-5:00
1122019
279 SUMMIT DR WATERFORD
48328
(248) 724-7600
M-F 9:00-5:00
1025360
DEEN, BRASWELL MD
22250 PROVIDENCE STE 500 SOUTHFIELD
48075
(248) 849-3441
PHMC
M-F 9:00-5:00
1106756
DEIGHTON, KEVIN MD
1135 W UNIVERSITY DR STE 250 ROCHESTER
48307
(248) 650-6301
PHMC
M-F 9:00-5:00
1106757
DEIGHTON, KEVIN MD
26400 W 12 MILE RD STE 111 SOUTHFIELD
48034
(248) 359-8073
M-F 9:00-5:00
1027237
EATHORNE, SCOTT W MD
48374
(248) 465-4782
PHMC
M-F 9:00-5:00
1034821
FELDMAN, ALAN DO
1965 UNION LAKE RD COMMERCE TOWNSHIP
48382
(248) 363-4151
HVSH
M-F 9:00-5:00
1126419
FELDMAN, ERWIN E DO
350 E 12 MILE RD MADISON HEIGHTS
48071
(248) 399-3550
SJHMC
M-F 9:00-5:00
1126515
FENTON, FRANK DO
2335 S COMMERCE RD WALLED LAKE
48390
(248) 624-1526
HFWB
M-F 9:00-5:00
1126150
FENTON, FRANK L DO
2335 S COMMERCE RD WALLED LAKE
48390
(248) 624-1526
M-F 9:00-5:00
1020019
GARG, TILAK R MD
2985 ORCHARD LAKE RD KEEGO HARBOR
48320
(248) 681-4200
DHM
M-F 9:00-5:00
1024874
GASTMAN, IRVIN J DO
3560 PONTIAC LAKE RD WATERFORD
48328
(248) 674-2259
POH
M-F 9:00-5:00
1045698
GIULIANI, JAMES A DO
48371
(248) 628-2597
POH
M-F 9:00-5:00
1023115
GLASSON, CYNTHIA DO
3003 S BALDWIN RD LAKE ORION
48359
(248) 391-9090
POH
M-F 9:00-5:00
1126724
GNAS, LISA R DO
5130 COOLIDGE HWY ROYAL OAK
48073
(248) 288-9500
M-F 9:00-5:00
1024876
GOLD, PAUL M DO
48328
(248) 674-2259
POH
M-F 9:00-5:00
1031404
GOWDA, UMESH G MD
48307
(248) 651-1155
CH
M-F 9:00-5:00
1097136
HADUCK, PAUL W DO
10740 DIXIE HWY DAVISBURG
48350
(248) 625-7007
M-F 9:00-5:00
1024885
HALICKI, NESTOR B DO
48327
(248) 674-2273
POH
M-F 9:00-5:00
1032013
HANA, NADA D MD
41069 DEQUINDRE RD STE 103 TROY
48085
(248) 828-8900
WBTR
M-F 9:00-5:00
1086927
HAQ, JUNAED U MD
48033
(248) 359-8787
M-F 9:00-5:00
1086928
HAQ, JUNAED U MD
48341
(248) 724-7605
M-F 9:00-5:00
1079691
HAQ, JUNAED U MD
461 W HURON ST STE 107 PONTIAC
48341
(248) 724-7437
M-F 9:00-5:00
1086929
HEMADY, NIKHIL MD
48033
(248) 359-8787
M-F 9:00-5:00
1086747
HEMADY, NIKHIL MD
114 ORCHARD LK RD PONTIAC
48341
(248) 724-7605
M-F 9:00-5:00
1079923
HEMADY, NIKHIL MD
48341
(248) 724-7437
M-F 9:00-5:00

Not Specified

PHMC
POH
N/A
DHM

Page 70
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
N/A
Site Hours
Availability Gender

1124391
HENDRIKS, ERIN M MD
24450 EVERGREEN STE 220 SOUTHFIELD
48075
(248) 559-0590
M-F 9:00-5:00
1086317
HENDRIKS, ERIN M MD
1135 UNIVERSITY DR STE 250 ROCHESTER
48307
(248) 650-6301
M-F 9:00-5:00
1086318
HENDRIKS, ERIN M MD
48034
(248) 359-8073
M-F 9:00-5:00
1076027
HOLLOWAY, GARY P DO
1240 S LAPEER RD STE 101A LAKE ORION
48362
(248) 628-3000
M-F 9:00-5:00
1103037
HUSSAIN, ASIMA MD
21440 ARCHWOOD CIRCLE FARMINGTON
48336
(248) 473-8411
N/A
M-F 9:00-5:00
1034056
ISAAC, HERBERT III MD
989 UNIVERSITY DR STE 101 PONTIAC
48342
(248) 334-4773
SJMERC
M-F 9:00-5:00
1079253
ISAAC, HERBERT III MD
17330 NORTHLAND PARK CT SOUTHFIELD
48075
(248) 552-9500
M-F 9:00-5:00
1093664
ISRAEL, NEJLA
26454 WOODWARD AVE STE B ROYAL OAK
48067
(248) 288-9500
M-F 9:00-5:00
1089380
ISRAEL, NEJLA MD
5130 COOLIDGE ROYAL OAK
48073
(248) 288-9500
M-F 9:00-5:00
1073476
ISRAEL, NEJLA ABDUL-MASSIH MD
48034
(248) 359-8073
M-F 9:00-5:00
1035210
JADDOU, NEIL D MD
1615 W BIG BEAVER RD STE A4 TROY
48084
(248) 816-1010
M-F 9:00-5:00
1086991
JAFRY, SHEALA MD
1135 W UNIVERSITY STE 250 ROCHESTER
48307
(248) 650-6301
M-F 9:00-5:00
1086745
JAYATILAKE, PRASANI MD
180 N ORTONVILLE RD ORTONVILLE
48462
(248) 627-3535
POH
M-F 9:00-5:00
1079832
JOSHOWITZ, JEFFREY DO
48377
(248) 489-0766
BOTS
M-F 9:00-5:00
1039916
KADO, HADEEL N MD
1380 COOLIDGE STE 100 TROY
48084
(248) 288-4300
N/A
M-F 9:00-5:00
1093350
KAMIENECKI, RUTH DO
23995 NOVI RD STE C101 NOVI
48375
(248) 380-8811
BOTS
M-F 9:00-5:00
1101401
KARAZIM, JOHN J II MD
46 N SAGINAW PONTIAC
48342
(248) 322-6747
M-F 9:00-5:00
1126514
KARCHON, MARK DO
2630 UNION LAKE RD STE 220 COMMERCE
48382
(248) 360-6000
HFWB
M-F 9:00-5:00
1025197
KIM, CHANGHEE MD
48083
(248) 740-7771
WBTR
M-F 9:00-5:00
1118815
KOPP, AMY A MD
26015 GREENFIELD RD SOUTHFIELD
48076
(248) 552-7230
M-F 9:00-5:00
1097132
KULICK, MATTHEW F DO
719 S OPDYKE RD AUBURN HILLS
48326
(248) 333-2600
M-F 9:00-5:00
1079834
KUZDAK, RON DO
32754 GRAND RIVER FARMINGTON
48335
(248) 476-3280
BOTS
M-F 9:00-5:00
1054704
LAUDER, NEHMAN L MD
48034
(248) 359-8073
DRH
M-F 9:00-5:00
1003932
LEIB, JOEL K DO
48328
(248) 674-2259
POH
M-F 9:00-5:00
1096790
LEIGHTON, BETHANY D DO
1041 S MAIN ST ROYAL OAK
48067
(248) 280-6400
SJHMC
M-F 9:00-5:00
1037766
LEPLEY, RAGHAD MD
147 N MILFORD RD STE 101 HIGHLAND
48357
(248) 887-3900
HVSH
M-F 9:00-5:00
1024952
LESZKOWITZ, DAVID DO
9178 HIGHLAND RD WHITE LAKE
48386
(248) 698-1999
POH
M-F 9:00-5:00
1076028
LOEWENSTEIN, LINDA L DO
180 N ORTONVILLE RD ORTONVILLE
48462
(248) 627-3535
POH
M-F 9:00-5:00
1068669
MACHNACKI, DAVID
2455 UNION LAKE STE 101 COMMERCE
48382
(800) 234-2128
HVSH
M-F 9:00-5:00
1045699
MAGNATTA, CRAIG L DO
48371
(248) 969-7354
POH
M-F 9:00-5:00
1070362
MALAYEV, ALEXANDER MD
72 S WASHINGTON ST STE 206 OXFORD
48371
(248) 628-8200
CH
M-F 9:00-5:00
1032019
MANSOUR-HABIB, NANCY F MD
3940 JOHN R RD TROY
48083
(248) 688-9500
WBTR
M-F 9:00-5:00
1054723
MARKOVA, TSVETI P MD
48307
(248) 650-6301
CH
M-F 9:00-5:00
1126541
MATEO, MARIE E MD
1560 E MAPLE RD STE 200 TROY
48083
(248) 581-5200
CH
M-F 9:00-5:00
1059357
MATEO, MARIE E MD
48307
(248) 650-6301
CH
M-F 9:00-5:00
1125406
MILLMAN, NEIL S DO
22821 ORCHARD LAKE RD FARMINGTON
48336
(248) 615-6600
M-F 9:00-5:00
1125405
MILLMAN, NEIL S DO
18900 W TEN MILE RD SOUTHFIELD
48075
(248) 424-8340
SGH
M-F 9:00-5:00
1105833
MISHO, VIAN MD
3345 COOLIDGE HWY BERKLEY
48072
(248) 544-7110
N/A
M-F 9:00-5:00
1025368
MITCHELL, KAREN MD
48075
(248) 849-3441
PHMC
M-F 9:00-5:00
1086746
MITTAL, ANUJ MD
48341
(248) 724-7605
M-F 9:00-5:00
1082913
MITTAL, ANUJ MD
48341
(248) 724-7437
M-F 9:00-5:00
1086930
MITTAL, ANUJ MD
461 W HURON ST PONTIAC
48341
(248) 359-8787
M-F 9:00-5:00
1116325
MOGHUL, RAMLA S MD
10740 DIXIE HWY DAVISBURG
48350
(248) 625-7007
M-F 9:00-5:00
1070006
MONTICO, MICHAEL MD
1050 CORPORATE OFFICE DR STE 100 MILFORD
48381
(248) 684-6155
PHMC
M-F 9:00-5:00
1054747
MORRIS, PIERRE A MD
48307
(248) 650-6301
CH
M-F 9:00-5:00
1054748
MURDOCH, WILLIAM J MD
48307
(248) 650-6301
CH
M-F 9:00-5:00
1073953
MURTHY, SANJAY MD
1202 WALTON BLVD STE 205 ROCHESTER
48307
(248) 266-6073
CH
M-F 9:00-5:00
1122548
MURTHY, SANJAY MD
29940 ORCHARD LAKE RD FARMINGTON HILLS
48334
(248) 432-7367
CH
M-F 9:00-5:00

Not Specified

WBTR

Page 71
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1120195
NAOUMI, MANHAL MD
3950 ROCHESTER RD STE 1200 ROCHESTER
48307
(248) 844-6000
M-F 9:00-5:00
1035714
NELSON, CAROLYN D DO
48335
(248) 476-3280
BOTS
M-F 9:00-5:00
1126292
NELSON, CAROLYN D DO
28100 GRAND RIVER AVE STE 313 FARMINGTON
48336
(248) 615-7150
BOTS
M-F 9:00-5:00
1089707
OTREMBA, JOHN A MD
48307
(248) 650-6301
M-F 9:00-5:00
1089708
OTREMBA, JOHN A MD
48034
(248) 359-8073
M-F 9:00-5:00
1025369
OTSUJI, GARY MD
48075
(248) 849-3441
PHMC
M-F 9:00-5:00
1071946
PINELIS, SUSANNA MD
48076
(248) 552-7230
WBRO
M-F 9:00-5:00
1093439
PINSON, THOMAS M DO
30581 STEPHENSON HWY MADISON HEIGHTS
48071
(248) 589-1770
M-F 9:00-5:00
1053893
PIRZADA, PAMELA DO
1041 S MAIN ST ROYAL OAK
48067
(248) 280-6400
M-F 9:00-5:00
1099062
RIVERA, ALEIDA M MD
25 S WASHINGTON STE A OXFORD
48371
(248) 236-8549
M-F 9:00-5:00
1044383
ROSIN, FREDERICK MD
1135 W UNIVERSITY STE 250 ROCHESTER
48307
(248) 650-6301
CH
M-F 9:00-5:00
1025371
RUMSCHLAG, MARTHA MD
48075
(248) 849-9441
PHMC
M-F 9:00-5:00
1124180
RYKE, NICOLE L MD
48334
(248) 723-5880
WBRO
M-F 9:00-5:00
1123388
RYKE, NICOLE L MD
29992 NORTHWESTERN HWY STE C
48334
(248) 851-1430
WBRO
M-F 9:00-5:00
1078272
SALANTA, CAMELIA L MD
48076
(248) 552-7230
WBRO
M-F 9:00-5:00
1064684
SAMAD, MUNZER MD
26631 SOUTHFIELD RD SOUTHFIELD
48076
(248) 552-8195
MHG
M-F 9:00-5:00
1085837
SAWKA, JAROSLAW DO
2820 CROOKS RD STE 400 ROCHESTER
48309
(248) 852-9290
CH
M-F 9:00-5:00
1025372
SCHNEIDERHAN, JILL MD
48075
(248) 849-3441
PHMC
M-F 9:00-5:00
1079845
SCHOEPS, PETER R DO
48335
(248) 476-3280
BOTS
M-F 9:00-5:00
1060427
SCHURY, MARK P DO
1701 BALDWIN STE 102 PONTIAC
48340
(248) 334-4962
POH
M-F 9:00-5:00
1069963
SCHWARTZ, KENDRA L MD
48307
(248) 650-6301
M-F 9:00-5:00
1054863
SCHWARTZ, KENDRA L MD
48034
(248) 359-8073
M-F 9:00-5:00
1093884
SCHWARTZ, LOUIS W DO
48377
(248) 374-0502
M-F 9:00-5:00
1123594
SEBASTIAN, MATTHEW DO
28100 GRAND RIVER STE 313 FARMINGTON
48336
(248) 615-7150
M-F 9:00-5:00
1086748
SEIFELDIN, RAOUF MD
48341
(248) 724-7605
M-F 9:00-5:00
1086931
SEIFELDIN, RAOUF MD
48033
(248) 359-8787
M-F 9:00-5:00
1079919
SEIFELDIN, RAOUF MD
48341
(248) 724-7437
M-F 9:00-5:00
1125285
SHAFFER, KATHRYN MD
48075
(248) 849-3441
M-F 9:00-5:00
1089099
SHAREEFUDDIN, FAISAL MD
48341
(248) 724-7605
M-F 9:00-5:00
1089098
48033
(248) 359-8787
M-F 9:00-5:00
1089100
48341
(248) 724-7437
M-F 9:00-5:00
1078844
SINGH, PAULEENA MD
6405 TELEGRAPH RD STE A-1 BLOOMFIELD HILLS 48301
(248) 792-3690
DRH
M-F 9:00-5:00
1125815
SMITH, CHERYL L MD
48075
(248) 849-3441
PHMC
M-F 9:00-5:00
1091363
SOVERINSKY, LOUIS D DO
1701 BALDWIN AVE STE 203 PONTIAC
48340
(248) 334-2311
M-F 9:00-5:00
1086742
SULAKA, WILLIAM MD
5777 MAPLE STE 140 WEST BLOOMFIELD
48322
(248) 406-1000
M-F 9:00-5:00
1124214
SURENDRAN, RAMKRISHNA MD
1349 S ROCHESTER RD STE 100 ROCHESTER
48307
(248) 759-5460
M-F 9:00-5:00
1091867
SURENDRAN, RAMKRISHNA MD
48307
(248) 852-5355
CH
M-F 9:00-5:00
1025000
SWILLEY, BRYAN K DO
673 MARTIN LUTHER KING BLVD N PONTIAC
48342
(248) 338-2793
POH
M-F 9:00-5:00
1022937
SYED, MUSHTAQUE MD
4800 CLINTONVILLE RD CLARKSTON
48346
(248) 674-0903
SJMERC
M-F 9:00-5:00
1125042
SYPITKOWSKI, CHRISTINE DO
48371
(248) 969-7354
M-F 9:00-5:00
1124202
TAYLOR, JAMILA MD
48075
(248) 849-3441
M-F 9:00-5:00
1120048
TERRITO, JOSEPH L DO
4400 DIXIE HWY WATERFORD
48329
(248) 673-1244
M-F 9:00-5:00
1095410
THOMAS, PRESTON MD
1701 BALDWIN AVE PONTIAC
48340
(248) 334-4964
M-F 9:00-5:00
1025376
TREMBATH, CHERLOEE MD
48178
(248) 437-1711
PHMC
M-F 9:00-5:00
1126441
TUCKER, PETER MD
48034
(248) 223-9650
WBTR
M-F 9:00-5:00
1127493
TUCKER, PETER MD
48034
(248) 223-9650
WBRO
M-F 9:00-5:00
1126440
TUCKER, PETER MD
48076
(248) 552-7230
WBTR
M-F 9:00-5:00
1124709
TUXHARI, SNEZHANA DO
48335
(248) 476-3280
N/A
M-F 9:00-5:00

Not Specified

WBRO
DRH
PHMC
SMCHSA
PHMC

Page 72
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1031576
WANG, PING MD
3535 W 13 MILE RD OPC ROYAL OAK
48073
(248) 551-1210
WBRO
M-F 9:00-5:00
1097439
WEISS, MICHAEL D PC
930 W AVON RD STE 18 ROCHESTER
48307
(248) 608-2737
N/A
M-F 9:00-5:00
1045712
WEITZ, MATHIAS G DO
48371
(248) 969-7354
POH
M-F 9:00-5:00
1026464
WRIGHT JONES, TENIESHA N DO
48075
(248) 849-3441
PHMC
M-F 9:00-5:00
1054917
XU, JINPING MD
48307
(248) 650-6301
CH
M-F 9:00-5:00
1126675
ZAHEER, SALIEHA MD
48307
(248) 650-6301
M-F 9:00-5:00
1126676
ZAHEER, SALIEHA MD
1560 E MAPLE RD STE 200 TROY
48083
(248) 581-5200
M-F 9:00-5:00
1025378
ZAKARIA, KAMRAN MD
48075
(248) 849-3441
PHMC
M-F 9:00-5:00
1015435
ZALLA, STEVEN DO
1265 W HURON STE 201 WATERFORD
48328
(248) 683-1212
POH
M-F 9:00-5:00
1030067
ZAWAIDEH, MEGAN C DO
1041 S MAIN ST STE A ROYAL OAK
48067
(248) 280-6400
WBTR
M-F 9:00-5:00
1074025
ZELCH, JAMES MD
1224 W 14 MILE RD CLAWSON
48017
(248) 543-6400
M-F 9:00-5:00
1025379
ZELTZER, SUSAN MD
48075
(248) 849-3441
PHMC
M-F 9:00-5:00
43996 WOODWARD AVE STE 104 BLOOMFIELD
48302
(248) 977-4138
SJMERC
M-F 9:00-5:00
GERIATRICS
1062077
KANMANTHA-REDDY, JAYAKAR MD
INTERNAL MEDICINE
1069500
ABHARI, FARNAZ MD
4085 PONTIAC TRAIL WEST BLOOMFIELD
48323
(248) 977-4628
HVSH
M-F 9:00-5:00
1002846
1100 W UNIVERSITY DR ROCHESTER
48307
(248) 651-8200
WBTR
M-F 9:00-5:00
1053657
AHMED, MOSHARRAF MD
44405 WOODWARD AVE PONTIAC
48341
(248) 858-3126
SJMERC
M-F 9:00-5:00
1036449
AHSAN, SAMIRA MD
48075
(248) 849-3281
PHMC
M-F 9:00-5:00
1034840
ALAM, SHAFIQUL MD
2708 S ROCHESTER RD STE A ROCHESTER
48307
(248) 844-1500
CH
M-F 9:00-5:00
1020013
ALAM, WASEEM MD
43344 WOODWARD AVE BLOOMFIELD HILLS
48302
(248) 758-0730
SJMERC
M-F 9:00-5:00
1060450
ALI, ZULEKHA Y MD
75 BARCLAY CIRCLE ROCHESTER
48307
(248) 856-7100
CH
M-F 9:00-5:00
1119363
ALJUNDI, HEND MD
48328
(248) 972-5110
M-F 9:00-5:00
1070224
AL-KHERSAN, RAID A MD
48374
(248) 465-4163
M-F 9:00-5:00
1089305
ALOSACHIE, IYAD MD
23411 JOHN R RD HAZEL PARK
48030
(248) 399-8331
M-F 9:00-5:00
1118844
ALSAADI, ALI MD
48034
(248) 200-3715
PPH
M-F 9:00-5:00
1092105
ALSABTI, REEM J MD
23350 GREENFIELD RD STE 200 OAK PARK
48237
(248) 808-6225
PROV
M-F 9:00-5:00
1043260
ANTONE, MAY M MD
28500 SOUTHFIELD RD STE 200 SOUTHFIELD
48076
(248) 423-7000
DHM
M-F 9:00-5:00
1076034
BADAWI, M AMIN MD
48328
(248) 674-0388
POH
M-F 9:00-5:00
1070227
BAJOUKA, NEERAN MD
48334
(248) 865-3740
M-F 9:00-5:00
1031823
BANSAL, ASHOK K MD
48076
(248) 827-7612
WBRO
M-F 9:00-5:00
1074388
BARBER, JON DO
210 W HIGHLAND RD STE 102 HIGHLAND
48357
(248) 887-5333
SJMERC
M-F 9:00-5:00
1123178
BENKOFF, DAVID L MD
48334
(248) 746-0040
M-F 9:00-5:00
1102802
BERGER, GREGORY MD
27209 LAHSER RD STE 120 SOUTHFIELD
48034
(248) 799-4300
SGH
M-F 9:00-5:00
1029857
BHOGINENI, LALITHA MD
115 E LONG LAKE RD TROY
48085
(248) 828-7500
WBRO
M-F 9:00-5:00
1126838
BOUCREE, SUELYN C MD
48075
(248) 849-3281
PHMC
M-F 9:00-5:00
1123003
BURTON, HOLLY R PA
44201 DEQUINDRE RD TROY
48085
(248) 964-8912
WBRO
M-F 9:00-5:00
1069985
CAPATINA-RATA, ANAMARIA M MD
48075
(248) 849-3281
PHMC
M-F 9:00-5:00
1066357
CHAHIN, LOURIN N MD
1950 E WATTLES RD STE 101 TROY
48085
(248) 740-8000
SGH
M-F 9:00-5:00
1074253
CHALLA, HIMA MD
44405 WOODWARD STE H13 PONTIAC
48341
(248) 858-3126
SJMERC
M-F 9:00-5:00
1035737
CHAMPION, C KOHLER MD
48327
(248) 618-6857
SJMERC
M-F 9:00-5:00
1027638
CHUN, KENNETH MD
48302
(248) 338-8220
SJMERC
M-F 9:00-5:00
1100970
COSMA, CECILIA C MD
44555 WOODWARD AVE H 13 PONTIAC
48341
(248) 858-3126
HFWB
M-F 9:00-5:00
1024864
COWSILL, LAWRENCE J DO
950 UNIVERSITY PONTIAC
48342
(248) 334-0947
POH
M-F 9:00-5:00
1046724
CRISS, DAVID MD
23077 GREENFIELD STE 156 SOUTHFIELD
48075
(248) 557-3337
N/A
M-F 9:00-5:00
1045371
CROSSLEY, NANCY E MD
25 S WASHINGTON STE A OXFORD
48371
(248) 236-8549
WBTR
M-F 9:00-5:00
1065487
DASS, RAMSAY F MD
24601 COOLIDGE HWY OAK PARK
48237
(248) 546-9100
WBRO
M-F 9:00-5:00

Not Specified

MHG

Page 73
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1029861
DEMASHKIEH, FADI MD
48307
(248) 844-1500
WBTR
M-F 9:00-5:00
1059991
DIACZOK, BENJAMIN MD
48341
(248) 858-3126
SJMERC
M-F 9:00-5:00
1076025
DIETZ, LISA G DO
6507 TOWN CTR DR STE A CLARKSTON
48346
(248) 922-9975
POH
M-F 9:00-5:00
1104791
DILLON, LINDA MD
27776 WOODWARD AVE ROYAL OAK
48067
(248) 556-4900
M-F 9:00-5:00
1106755
DILLON, LINDA MD
3535 W 13 MILE RD STE LL ROYAL OAK
48073
(248) 551-3000
WBRO
M-F 9:00-5:00
1103460
DOVITZ, STEVEN M MD
2300 HAGGERTY RD STE 2120 WEST
48323
(248) 960-7711
CHM
M-F 9:00-5:00
1090161
EBURUCHE, REGINALD N MD
48034
(248) 440-6090
PHMC
M-F 9:00-5:00
1106372
EL-ACHKAR, SAMAR MD
543 MAIN ST ROCHESTER
48307
(248) 656-3100
WBRO
M-F 9:00-5:00
1106373
EL-ACHKAR, SAMAR MD
610 N MAIN ST ROCHESTER
48307
(248) 651-9200
WBRO
M-F 9:00-5:00
1071543
ELYAS, NAHID MD
30055 NORTHWESTERN HWY FARMINGTON HILLS 48334
(248) 539-0729
M-F 9:00-5:00
1069217
ESPINOSA, AIMEE M MD
1949 W 12 MILE RD STE 100 BERKLEY
48072
(248) 551-0615
WBRO
M-F 9:00-5:00
1114564
FALKELL, BARBARA J DO
1026 11 MILE RD ROYAL OAK
48067
(248) 543-8111
HVSH
M-F 9:00-5:00
1060055
FAWAZ, SAMUEL T MD
17392 13 MILE RD FRANKLIN
48025
(248) 646-8166
WBRO
M-F 9:00-5:00
1082882
FOSTER, DAWN MD
48075
(313) 822-9801
HUH
M-F 9:00-5:00
1073373
GAPPY, MUSIB S MD
23411 JOHN R HAZEL PARK
48030
(248) 399-8331
WBRO
M-F 9:00-5:00
1031401
GEORGE, ATIF M MD
23760 WOODWARD AVE PLEASANT RIDGE
48069
(248) 543-2800
WBRO
M-F 9:00-5:00
1058025
GEORGE, MUMTAZ MD
48073
(248) 288-9500
N/A
M-F 9:00-5:00
1038635
GHAZI, SAMINA A MD
33110 W 12 MILE RD FARMINGTON HILLS
48334
(248) 489-9070
DSH
M-F 9:00-5:00
1055275
GODOSHIAN, CHARLES G MD
48034
(248) 353-0882
HVSH
M-F 9:00-5:00
1089910
GOLDEN, JAMES A MD
48377
(248) 374-0502
M-F 9:00-5:00
1059990
GREWAL, RAJINDER MD
48341
(248) 858-3492
SJMERC
M-F 9:00-5:00
1075361
GULLAPALLI, SRINIVAS MD
48302
(248) 758-0730
SJMERC
M-F 9:00-5:00
1037163
HATAHET, MOHAMAD A MD
48328
(248) 681-2226
POH
M-F 9:00-5:00
1067973
HINES, SHYRAN MD
48075
(313) 822-9801
HUH
M-F 9:00-5:00
1122907
HOWARD JR, HILLS MD
48075
(248) 443-5050
SGH
M-F 9:00-5:00
1123130
HUSAIN, SARA MD
48034
(248) 354-4709
SGH
M-F 9:00-5:00
1127835
HUSSAIN, SALWA MD
48075
(248) 849-3281
M-F 9:00-5:00
1122991
HUSSAIN, SYED AHMED MD
48034
(248) 354-4709
SGH
M-F 9:00-5:00
1095845
IBRAHIM, KAMAL MD
6001 W OUTER DR STE 320 WEST BLOOMFIELD
48325
(313) 397-1907
DRH
M-F 9:00-5:00
1057849
JACOBS, DAVID M MD
48034
(248) 223-9650
WBRO
M-F 9:00-5:00
1124742
JALAL, TABISH MD
28411 NORTHESTERN HWY STE 1050
48034
(248) 354-4709
SGH
M-F 9:00-5:00
1032015
JENNINGS, JEFFREY M MD
48307
(248) 651-2100
SJMERC
M-F 9:00-5:00
1103085
JONES LACKEY, SANDRA MD
48034
(248) 799-4300
SGH
M-F 9:00-5:00
1039022
KALE, NAMDEO MD
1100 W UNIVERSITY BLDG 2 STE A ROCHESTER
48307
(248) 338-0861
SJMERC
M-F 9:00-5:00
1059167
KALE, NAMDEO MD
35 S JOHNSON STE 2D PONTIAC
48341
(248) 338-0860
SJMERC
M-F 9:00-5:00
1062077
KANMANTHA-REDDY, JAYAKAR MD
48302
(248) 977-4138
SJMERC
M-F 9:00-5:00
1033836
KASMIKHA, RAAD P MD
1498 WALTON BLVD ROCHESTER
48309
(248) 652-1365
CHM
M-F 9:00-5:00
1041215
KASMIKHA, RIYADH P MD
48076
(248) 440-2185
SJMERC
M-F 9:00-5:00
1056307
KEIRN, RICHARD MD
950 UNIVERSITY DR PONTIAC
48342
(248) 334-0947
POH
M-F 9:00-5:00
1085767
KELEKAR, ARATI K MD
48073
(248) 551-3000
WBRO
M-F 9:00-5:00
1063687
KHAIRA, AMARBIR MD
75 BARCLAY CIRCLE STE 208 ROCHESTER
48307
(248) 856-6800
SJMERC
M-F 9:00-5:00
1118726
KHALID, MONA MD
48076
(248) 552-8195
M-F 9:00-5:00
1017577
KHAN, MUHAMMAD N MD
48341
(248) 858-3126
SJMERC
M-F 9:00-5:00
1035736
KRIVITSKY, MICHAEL DO
48327
(248) 618-6857
SJMERC
M-F 9:00-5:00
1089818
LERMAN, ERIC J MD
29355 NORTHWESTERN HIGHWAY STE 302
48034
(248) 223-9650
WBRO
M-F 9:00-5:00
1073738
LERMAN, ERIC J MD
48034
(248) 354-9666
WBRO
M-F 9:00-5:00
1038470
LEVINSON, GERALD DO
32270 TELEGRAPH STE 100 FRANKLIN
48025
(248) 258-2888
HVSH
M-F 9:00-5:00
1089693
MADDENS, NICHOLAS J MD
48072
(248) 551-0615
WBRO
M-F 9:00-5:00

Not Specified


Page 74
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1030005
MANSOUR, YOUSIF S MD
17070 W 12 MILE RD STE A SOUTHFIELD
48076
(248) 559-2280
WBRO
M-F 9:00-5:00
1031038
MARSHALL, MICHAEL MD
48075
(248) 849-3281
PHMC
M-F 9:00-5:00
1124871
MEER, JEFFREY MD
48072
(248) 548-9090
N/A
M-F 9:00-5:00
1107647
MEHWASH, AYESHA MD
48342
(248) 322-6747
SJMERC
M-F 9:00-5:00
1074944
MISHULIN, SVETLANA MD
3250 W BIG BEAVER RD STE 144 TROY
48084
(248) 637-7100
WBTR
M-F 9:00-5:00
1094522
MUMTAZ, SAMAR MD
17392 W 13 MILE RD FRANKLIN
48025
(248) 646-8166
M-F 9:00-5:00
1126425
MUMTAZ, SAMAR MD
48034
(248) 223-9650
WBTR
M-F 9:00-5:00
1126426
MUMTAZ, SAMAR MD
3535 W 12 MILE RD ROYAL OAK
48073
(248) 551-1210
WBTR
M-F 9:00-5:00
1107990
MURAD, YAHYA MD
7071 ORCHARD LAKE RD STE 220 WEST
48322
(248) 855-6033
M-F 9:00-5:00
1027940
NICOLA, MONICA MD
48341
(248) 858-3126
M-F 9:00-5:00
1098359
OMRAN, FATEMA MD
48334
(248) 737-4800
M-F 9:00-5:00
1122398
PABARUE, HUGH MD
7125 ORCHARD LAKE RD WEST BLOOMFIELD
48322
(248) 855-5355
M-F 9:00-5:00
1104706
PABARUE, HUGH P MD
48073
(248) 551-3000
M-F 9:00-5:00
1125050
PABARUE, HUGH P MD
48307
(248) 808-6225
M-F 9:00-5:00
1096827
PAI, BHANU R MD
48072
(248) 551-0615
M-F 9:00-5:00
1123821
PAUL, MARYANN MD
48075
(248) 849-3281
M-F 9:00-5:00
1124870
PIKAL, ROBERT MD
48072
(248) 548-9090
M-F 9:00-5:00
1067656
PIKAL, ROBERT MD
48072
(248) 548-9090
SJMERC
M-F 9:00-5:00
1102849
PLATEL, RAYLENE MD
48034
(248) 799-4300
SGH
M-F 9:00-5:00
1038493
PRADHAN, SANGITA MD
48307
(248) 651-1155
WBRO
M-F 9:00-5:00
1125139
PRESTON, STAFFORD A MD
44000 W 12 MILE RD STE 200 NOVI
48377
(248) 347-8191
HVSH
M-F 9:00-5:00
1107748
PULLELA, SWATHI DO
48075
(248) 849-3281
PHMC
M-F 9:00-5:00
1100138
QURESHI, KASHIF MD
(248) 419-5111
M-F 9:00-5:00
1031568
RAAM, SUMITRA N MD
48085
(248) 828-7500
WBRO
M-F 9:00-5:00
1127808
RAHEEM, SHAHEENA Z DO
48034
(248) 354-4709
DRH
M-F 9:00-5:00
1103099
RAJKUMAR, PRIYA MD
48034
(248) 799-4300
N/A
M-F 9:00-5:00
1035597
RANDHAWA, GAGANDEEP MD
5777 W MAPLE RD STE 180 WEST BLOOMFIELD
48322
(248) 539-9084
WBRO
M-F 9:00-5:00
1075920
RAO, KHALID A MD
48076
(248) 552-8195
PHMC
M-F 9:00-5:00
1117594
RASHEED, SHABANA MD
48033
(248) 796-7949
DRH
M-F 9:00-5:00
1086662
RASSAM, NAJAH MD
48374
(248) 465-3790
M-F 9:00-5:00
1127466
RENARD, GARY A MD
48307
(248) 299-5777
M-F 9:00-5:00
1070469
RIFAI, TOM M
44555 WOODWARD AVE STE 305 PONTIAC
48341
(248) 858-2475
M-F 9:00-5:00
1076033
RIZK, ABDALLAH M MD
6815 DIXIE HWY STE 1 CLARKSTON
48346
(248) 625-1011
POH
M-F 9:00-5:00
1126421
ROJAS, BERNARDO MD
48307
(248) 299-5777
WBTR
M-F 9:00-5:00
1042170
SADIK, NADIA MD
48327
(248) 618-6857
SJMERC
M-F 9:00-5:00
1060062
SADIK, TANIA M MD
48072
(248) 551-0615
WBRO
M-F 9:00-5:00
1093883
SAKR, LINA A MD
1380 COOLIDGE STE 150 TROY
48084
(248) 288-5700
M-F 9:00-5:00
1124922
SAMARIAN, BRUCE MD
48072
(248) 551-0615
M-F 9:00-5:00
1093284
SAMY, CHRIS D MD
48309
(248) 852-9290
CH
M-F 9:00-5:00
1030041
SANDBERG, JAY H DO
48085
(248) 828-7500
WBRO
M-F 9:00-5:00
1125334
SAVAGE, JILL P DO
25 S WASHINGTON ST STE A OXFORD
48371
(248) 236-8549
WBTR
M-F 9:00-5:00
1104805
SCAPINI, MARK J MD
48073
(248) 551-3000
WBRO
M-F 9:00-5:00
1127591
SCHMITT, JOHN R MD
17392 W 13 MILE RD FRANKLIN
48025
(248) 642-7575
WBRO
M-F 9:00-5:00
1017940
SCHUBINER, HOWARD MD
48075
(248) 849-3281
PHMC
M-F 9:00-5:00
1064325
SHEEHAN, COLLEEN MD
1724 AIRPORT ROAD WATERFORD
48327
(248) 673-5520
DSH
M-F 9:00-5:00
1102865
SIDDIQUE, MOHAMED MD
48034
(248) 799-4300
N/A
M-F 9:00-5:00
1098282
SINGH, GURBIR MD
48075
(248) 849-3281
SJHMC
M-F 9:00-5:00
1102143
SKLAR, MANUEL MD
48034
(248) 799-4300
M-F 9:00-5:00

Not Specified

SJMERC
PHH
PHH
WBTR

Page 75
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
N/A
Site Hours
Availability Gender

M-F 9:00-5:00
M-F 9:00-5:00
WBRO
M-F 9:00-5:00
(248) 856-6600
CH
M-F 9:00-5:00
48307
(248) 856-6600
CH
M-F 9:00-5:00
116 W 8 MILE RD HAZEL PARK
48030
(248) 541-7606
DSH
M-F 9:00-5:00
SURESH, BINDU MD
48085
(248) 828-7500
WBRO
M-F 9:00-5:00
1118629
SWANSON, KAREN M MD
48334
(248) 865-4242
PHMC
M-F 9:00-5:00
1101314
SYRIAC, JANE K MD
48323
(248) 960-1122
HVSH
M-F 9:00-5:00
1102883
SYRIAC, JANE K MD
2300 HAGGERTY STE 1010 WEST BLOOMFIELD
48323
(248) 668-0900
HVSH
M-F 9:00-5:00
1100332
TAGHAVI, NASSER MD
522 W COMMERCE COMMERCE TOWNSHIP
48382
(248) 363-7123
PPH
M-F 9:00-5:00
1007748
TANIR-AVCI, NARIN MD
5905 S MAIN ST STE 2 CLARKSTON
48346
(248) 620-3700
SJMERC
M-F 9:00-5:00
1125262
TAWEEL, JAMIE DO
55840 GRAND RIVER AVE STE 300 NEW HUDSON 48165
(248) 264-6169
HVSH
M-F 9:00-5:00
1123052
TAYLOR, MICHAEL G MD
15565 NORTHLAND DR STE 106E SOUTHFIELD
48075
(248) 552-0880
SGH
M-F 9:00-5:00
1124298
TERRIO, BRUCE W MD
48377
(248) 347-8191
HVSH
M-F 9:00-5:00
1086336
TOBIA, MANHAL MD
48076
(248) 552-1200
WBRO
M-F 9:00-5:00
1101788
TOMA, RAAD J MD
15300 W 9 MILE RD STE 1 OAK PARK
48237
(248) 968-2003
M-F 9:00-5:00
1117290
VERARDI, MARY A MD
48341
(248) 858-3126
M-F 9:00-5:00
1103097
WALKER, ROBERT MD
48034
(248) 799-4300
SGH
M-F 9:00-5:00
1126004
WEHBE, NABIL K MD
48377
(248) 347-8191
HVSH
M-F 9:00-5:00
1123124
WHITE, ORONDE L MD
48076
(248) 663-6582
DRH
M-F 9:00-5:00
1070641
YAPCHAI, MANUEL S MD
48309
(248) 852-9290
CH
M-F 9:00-5:00
1047100
YONAN, MAZIN MD
2221 LIVERNOIS RD STE 100 TROY
48083
(248) 250-9474
CH
M-F 9:00-5:00
1064963
YOUSIF, NASHWAN MD
48360
(248) 693-8634
CH
M-F 9:00-5:00
1086190
ZAKARIA, ALAN A DO
1080 KIRTS BLVD STE 400 TROY
48084
(248) 362-2660
WBRO
M-F 9:00-5:00
1037092
ZAKI, GAMAL S MD
48307
(248) 844-1500
CH
M-F 9:00-5:00
1070599
ZUKKOOR, NAIMAR DAVID MD
30000 ORCHARD LAKE RD STE A FARMINGTON
48334
(248) 851-0500
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
1104166
SOILE, REMI O MD
48075
(248) 557-0507
1070256
SOMAND, MICHAEL MD
48334
(248) 865-4242
1124186
SPECK, LISA B MD
32905 W 12 MILE RD STE 400 FARMINGTON HILLS 48331
(248) 553-0335
1084233
STEPHAN, ELENA MD
48307
1084232
STEPHAN, NAMIR MD
1042555
SURAPANENI, KIRANMAYI MD
1030059
NURSE PRACTITIONER
1120667
ANTHONIO, RUTH NP
46 N SAGINAW ST PONTIAC
48342
(248) 322-6747
1117592
BLAIR, NICOLE NP
48342
(248) 322-6747
1085015
FRENCH, BETH C CNP
5635 MAPLE RD WEST BLOOMFIELD
48322
(248) 626-2803
1121167
GEORGE, BENCY NP
48342
(248) 322-6747
SJMOHO
M-F 9:00-5:00
1107265
JACKSON, ALMETA NP
48073
(248) 288-9500
N/A
M-F 9:00-5:00
1119282
KIRONDE, SARAH NP
48342
(248) 322-6747
SJMOHO
M-F 9:00-5:00
1107018
KRESMERY, PENELOPE NP
48085
(248) 964-5000
N/A
M-F 9:00-5:00
1107019
KRESMERY, PENELOPE NP
48073
(248) 898-0633
N/A
M-F 9:00-5:00
1104057
MCERLEAN, LINDSI K NP
48073
(248) 898-4021
WBRO
M-F 9:00-5:00
1107294
MITCHELL, INDYA NP
48342
(248) 322-6747
N/A
M-F 9:00-5:00
1078681
MYSEN, KATIE NP
1240 S LAPEER RD LAKE ORION
48362
(248) 656-0472
M-F 9:00-5:00
1123735
NORRIS, LISA NP
221 S MAIN ST STE 201 ROYAL OAK
48067
(248) 398-6459
M-F 9:00-5:00
1109812
ROBINSON, FREDERIKA NP
1051 ARLENE ST PONTIAC
48340
(248) 451-7365
M-F 9:00-5:00
1120624
SMITH-GRAYSON, STACY R NP
468 CADIEUX TROY
48085
(313) 473-1605
M-F 9:00-5:00
1106118
WALKER, BETH M NP
44201 DEQUINDRE RD EC TROY
48085
(248) 964-5111
WBTR
M-F 9:00-5:00
1078274
WEBBER, ELAINE NP
23133 ORCHARD LAKE ROAD STE 100
48336
(248) 477-0100
BOTS
M-F 9:00-5:00
1125323
ZIMMERMAN, KELLY NP
23133 ORCHARD LAKE RD STE 100 FARMINGTON 48336
(248) 477-0100
N/A
M-F 9:00-5:00
5635 MAPLE RD WEST BLOOMFIELD
(248) 626-2803
M-F 9:00-5:00
N/A
N/A

1089504
PAWLIK, KATHLEEN M CNP
48322

Not Specified


Page 76
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

PEDIATRIC - NURSE PRACTITIONER (CONTINUED)
1089505
41935 12 MILE RD STE 100 NOVI
48377
(248) 305-6172
M-F 9:00-5:00
1024998
STEWART, HELEN NP
673 MARTIN LUTHER KING BLVD PONTIAC
48342
(248) 334-2346
POH
M-F 9:00-5:00
PEDIATRICS
1125337
ALBASHITI, BASSAM MD
48073
(248) 551-3000
WBRO
M-F 9:00-5:00
1024841
ALNAJJAR, PETER M MD
48342
(248) 334-0024
POH
M-F 9:00-5:00
1098083
ALSAHLANI, HANNAN J DO
7416 HAGGERTY WEST BLOOMFIELD
48322
(248) 661-9100
WBRO
M-F 9:00-5:00
1105868
AZZI, LARA MD
48374
(248) 465-4847
PPH
M-F 9:00-5:00
1038651
BALIGA, SRINIVAS MD
23077 GREEN FIELD RD STE 253 SOUTHFIELD
48075
(248) 559-5950
HVSH
M-F 9:00-5:00
1038650
BANKS, CRYSTAL MD
48034
(248) 358-2410
CHM
M-F 9:00-5:00
1023059
BAUER, GLENN MD
48327
(248) 666-2900
SJMERC
M-F 9:00-5:00
1119360
BAUER, GLENN MD
4299 ROSEBERRY CT WATERFORD
48329
(248) 674-0401
M-F 9:00-5:00
1031138
BEG, ADEELA MD
(248) 615-7029
M-F 9:00-5:00
1032540
BERRY, PAMELA MD
48034
(248) 358-2410
CHM
M-F 9:00-5:00
1100975
BILAL, KIRAN MD
48085
(248) 879-5570
WBRO
M-F 9:00-5:00
1022988
BOCKNEK, MARC P DO
2632 S MILFORD RD HIGHLAND
48357
(248) 684-5510
HVSH
M-F 9:00-5:00
1022922
CAMPBELL, JEANNETTE MD
48341
(248) 335-6282
SJMERC
M-F 9:00-5:00
1057641
CASTRO, JENNIFER G DO
48302
(248) 451-0600
N/A
M-F 9:00-5:00
1029918
CHUNG, WILLIAM J MD
48307
(248) 651-5454
WBTR
M-F 9:00-5:00
1103293
COOPER, SCOTT H MD
48323
(248) 960-7711
CHM
M-F 9:00-5:00
1109357
DAS, SUNIL K MD
256 S BROADWAY ST LAKE ORION
48362
(248) 693-1808
CH
M-F 9:00-5:00
1029926
48085
(248) 879-5570
WBTR
M-F 9:00-5:00
1126422
DEGRAW, MARCUS MD
48073
(248) 551-2030
WBRO
M-F 9:00-5:00
1022923
DHAR, SUDIPTA MD
48382
(248) 366-0101
SJMERC
M-F 9:00-5:00
1027119
DOYLE, KALLI JO MD
3535 W 13 MILE RD LL ROYAL OAK
48073
(248) 551-3000
WBRO
M-F 9:00-5:00
1068316
48085
(248) 879-5570
CHM
M-F 9:00-5:00
1029929
48085
(248) 879-5570
WBTR
M-F 9:00-5:00
1125773
EARLES, SONJA M MD
48307
(248) 856-6300
M-F 9:00-5:00
1022924
2502 S ROCHESTER RD ROCHESTER
48307
(248) 852-5177
SJMERC
M-F 9:00-5:00
1069587
GABBARA, SAM S MD
(248) 477-0100
BOTS
M-F 9:00-5:00
1079829
GARADA, TAREK MD
(248) 477-0100
BOTS
M-F 9:00-5:00
1124921
GENDELMAN, BRIAN S MD
48073
(248) 551-3000
M-F 9:00-5:00
1032236
GORMAN, STACEY MD
2630 UNION LK RD STE 100 COMMERCE
48382
(248) 360-1200
M-F 9:00-5:00
1124521
GUPTA, DEVYANI MD
48328
(248) 682-3300
M-F 9:00-5:00
1038655
GUPTA, MADAN MD
48075
(248) 559-5950
N/A
M-F 9:00-5:00
1017973
44199 DEQUINDRE STE 222 TROY
48085
(248) 879-5570
WBTR
M-F 9:00-5:00
1122338
HANNISH, MAJDA A MD
909 W MAPLE RD STE 111 CLAWSON
48017
(248) 288-5437
WBTR
M-F 9:00-5:00
1107025
HARDING, ERICA S MD
48073
(248) 551-3000
WBTR
M-F 9:00-5:00
1058270
HASABA, HASAN MD
48075
(248) 559-7958
MCRMC
M-F 9:00-5:00
1071322
HERNANDEZ-TROYA, ANDREA C MD
48073
(248) 551-3000
WBRO
M-F 9:00-5:00
1067973
HINES, SHYRAN MD
48075
(313) 822-9801
HUH
M-F 9:00-5:00
1100790
HIRSCH, SHERYL MD
41935 W 12 MILE RD NOVI
48377
(248) 347-8040
M-F 9:00-5:00
1023132
HODA, QAMRUL MD
35 S JOHNSON STE 3A PONTIAC
48341
(248) 332-9294
M-F 9:00-5:00
1126446
HORNIK, MATTHEW J DO
48073
(248) 551-3000
M-F 9:00-5:00
1093155
INYANG, JOY E MD
2313 ORCHARD LAKE RD STE 100 FARMINGTON
48336
(248) 615-0100
BOTS
M-F 9:00-5:00
1079831
IRANI, ARDESHIR MD
(248) 477-0100
BOTS
M-F 9:00-5:00
1034244
ISLAM, SHAMIN A MD
48328
(248) 674-7337
SJMERC
M-F 9:00-5:00
1038490
KAM, ELIYAHOU MD
48075
(248) 569-0150
CHM
M-F 9:00-5:00
1123829
KAMAL, KHALID MD
48073
(248) 551-3000
HFM
M-F 9:00-5:00

Not Specified

SJMERC
SJMERC

Page 77
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
M-F 9:00-5:00
HVSH
M-F 9:00-5:00
M-F 9:00-5:00

1098076
KAPEN, EHUD H MD
48322
(248) 661-9100
1015582
KARMO, NIBRAS MD
26206 W TWELVE MILE RD STE 106 SOUTHFIELD
48034
(248) 354-1600
1070597
KAZA, LAKSHMI P MD
31000 TELEGRAPH RD STE 100 FRANKLIN
48025
(248) 865-0030
1031405
KELLY, MAUREEN MD
48302
(248) 451-0600
WBTR
M-F 9:00-5:00
1058522
KENDALL, ADA L MD
48374
(248) 465-4847
PHMC
M-F 9:00-5:00
1038653
KHADEEJA, THARAYIL MD
48075
(248) 559-5950
N/A
M-F 9:00-5:00
1022930
KHAMBETE, DEVYANI MD
1408 LAPEER RD LAKE ORION
48360
(248) 690-9285
SJMERC
M-F 9:00-5:00
1022929
KHAMBETE, DEVYANI MD
48328
(248) 682-3300
SJMERC
M-F 9:00-5:00
1036081
KHAN, MONIRUZZAMAN MD
48328
(248) 648-8930
SJMERC
M-F 9:00-5:00
1123950
KIRBY, JULIE ANN DO
48085
(248) 964-3476
M-F 9:00-5:00
1031624
KOSTECKE, REKHA MD
1550 NORTH MILFORD RD STE 307 MILFORD
48381
(248) 676-0991
PHMC
M-F 9:00-5:00
1032235
KOWALSKI, AMY C MD
48382
(248) 360-1200
SJMERC
M-F 9:00-5:00
1070001
LEVY, LILI MD
48374
(248) 465-4847
PHMC
M-F 9:00-5:00
1060365
MARUTHAVANAN, RAMALINGAM MD
48374
(248) 465-4847
PHMC
M-F 9:00-5:00
1030007
MASSARANI, TAMER M MD
1579 W BIG BEAVER RD STE B-5 TROY
48084
(248) 614-0124
WBTR
M-F 9:00-5:00
1118270
MCDONALD, MARIE A MD
48328
(248) 682-3300
M-F 9:00-5:00
1079836
MERCHANT, NASREEN MD
(248) 477-0100
BOTS
M-F 9:00-5:00
1070005
MIELE, COLLEEN MD
48374
(248) 465-4847
PHMC
M-F 9:00-5:00
1038649
MONDE-MATTHEWS, MARIE-JEANNE D MD 29255 NORTHWESTERN HWY STE 100
48034
(248) 358-2410
CHM
M-F 9:00-5:00
1122337
MULLER, PETER T MD
909 W MAPLE RD STE 111 CLAWSON
48017
(248) 288-5437
WBTR
M-F 9:00-5:00
1032234
NAIR, GEETHA M MD
48382
(248) 360-1200
SJMERC
M-F 9:00-5:00
1045620
NAJEM, BADIE MD
2632 S MILFORD RD HIGHLAND
48357
(248) 684-5510
HVSH
M-F 9:00-5:00
1014976
NAVAI, MOHAMMAD MD
1935 N PONTIAC TR WALLED LAKE
48390
(248) 624-6633
HVSH
M-F 9:00-5:00
1040064
NEWCOMBE, MARCIA J MD
48374
(248) 465-4847
PHMC
M-F 9:00-5:00
1084806
OSKA-GERAK, CARLA DO
(248) 477-0100
BOTS
M-F 9:00-5:00
1001461
OSMAN, FARHAT MD
SJMO PED CLINIC 44405 WOODWARD AVE
48341
(248) 858-3492
SJMERC
M-F 9:00-5:00
1038232
OSMAN, FARHAT MD
48309
(248) 844-8890
WBTR
M-F 9:00-5:00
1070008
PARIKH, MANISHA MD
48374
(248) 465-4847
PHMC
M-F 9:00-5:00
1098079
PEPLINSKI, SUZANNE R DO
48322
(248) 661-9100
WBRO
M-F 9:00-5:00
1066815
PERLA, RATNAVALI B MD
48374
(248) 662-4091
SJMERC
M-F 9:00-5:00
1066363
PINNAMARAJU, SRILAKSHMI D MD
48374
(248) 662-4091
SJMERC
M-F 9:00-5:00
1030028
POPOVIC, MIRJANA B MD
30701 WOODWARD AVE STE S301 ROYAL OAK
48073
(248) 541-2222
WBRO
M-F 9:00-5:00
1022936
PULLUKAT, ANNAMMA S MD
48341
(248) 253-9600
DHM
M-F 9:00-5:00
1079839
QALIEH, BASHAR MD
(248) 477-0100
BOTS
M-F 9:00-5:00
1079840
RAMESH, DILLI MD
(248) 477-0100
BOTS
M-F 9:00-5:00
1067574
REDDY, SUMATI MD
(248) 477-0100
BOTS
M-F 9:00-5:00
1066298
ROCHLEN, JEFFREY A MD
1026 W ELEVEN MILE RD ROYAL OAK
48067
(248) 543-8111
WBRO
M-F 9:00-5:00
1010738
ROMANIK-PATENAUDE, ANNE MARIE MD 26850 PROVIDENCE PKWY STE 455 NOVI
48374
(248) 465-4847
PHMC
M-F 9:00-5:00
1070757
ROTH, HERBERT MD
31815 SOUTHFIELD RD STE 10 FRANKLIN
48025
(248) 644-2700
M-F 9:00-5:00
1070758
ROTH, MARLENE M MD
48025
(248) 644-2700
M-F 9:00-5:00
1030035
ROUMAYAH-ELIA, SULAFA E MD
48073
(248) 541-2222
WBRO
M-F 9:00-5:00
1030038
SAKER, NADA MD
1380 COOLIDGE HWY STE 240 TROY
48084
(248) 435-9310
WBRO
M-F 9:00-5:00
1060069
SAMPATH, PRAVEENA MD
48360
(248) 683-3385
WBTR
M-F 9:00-5:00
1032391
SCHWARZ-WARNER, LAURA L MD
48302
(248) 451-0600
WBRO
M-F 9:00-5:00
1070011
SEGALOFF, DAVID MD
48374
(248) 465-4847
PHMC
M-F 9:00-5:00
1070197
SHAH, KALPANA MD
31000 TELEGRAPH RD STE 100 FRANKLIN
48025
(248) 865-0030
M-F 9:00-5:00
1125801
SINGH, AJIT MD
48328
(248) 674-7337
N/A
M-F 9:00-5:00
1030216
SIVARAMAKRISHNAN, PARVATHI MD
1408 LAPEER RD LAKE ORION
48360
(248) 690-9285
SJMERC
M-F 9:00-5:00

Not Specified


Page 78
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1023265
SIVARAMAKRISHNAN, PARVATHI MD
48328
(248) 682-3300
SJMERC
M-F 9:00-5:00
1027118
SMYTH, MARY MD
3535 W 13 MILE RD LL ROYAL OAK
48073
(248) 551-3000
WBRO
M-F 9:00-5:00
1074764
SOLER, MIRTA MD
(248) 477-0100
BOTS
M-F 9:00-5:00
1079846
SOWINSKI, HEATHER DO
(248) 477-0100
BOTS
M-F 9:00-5:00
1074262
STOIAN, ANGELA D DO
48302
(248) 451-0600
M-F 9:00-5:00
1038480
TALLA, S RAO MD
48076
(248) 552-1220
WBRO
M-F 9:00-5:00
1022938
THOMAS, KINGSLEY MD
48342
(248) 373-2720
SJMERC
M-F 9:00-5:00
1067471
TICE, SHARON MD
48034
(248) 358-2410
M-F 9:00-5:00
1099092
TICE, SHARON L MD
41935 W 12 MILE RD NOVI
48377
(248) 347-8040
M-F 9:00-5:00
1053868
TOMA, NABEEL MD
28037 DEQUINDRE RD BLDG B MADISON HEIGHTS 48071
(248) 546-7300
N/A
M-F 9:00-5:00
1032198
48085
(248) 879-5570
WBTR
M-F 9:00-5:00
1127823
YULO, KATHERINE JEAN V MD
48073
(248) 541-2222
WBRO
M-F 9:00-5:00
1086190
ZAKARIA, ALAN A DO
48084
(248) 362-2660
WBRO
M-F 9:00-5:00
1030066
ZAKARIA, NAHED A MD
48084
(248) 362-2660
WBTR
M-F 9:00-5:00
1079851
ZOLLER, DANIEL MD
(248) 477-0100
BOTS
M-F 9:00-5:00
WBTR
PHYSICIAN ASSISTANT
M-F 9:00-5:00
M-F 9:00-5:00
SJMERC
M-F 9:00-5:00
(248) 964-5000
WBTR
M-F 9:00-5:00
48085
(248) 964-8912
WBTR
M-F 9:00-5:00
48073
(248) 898-4021
WBRO
M-F 9:00-5:00
GAHRY, KENNETH PA
48073
(248) 288-9500
N/A
M-F 9:00-5:00
1122120
GALVIN, ERIN PA
48071
(248) 589-1770
OAKW
M-F 9:00-5:00
1104296
MCDOWELL, KATHRYN C PA
48073
(248) 898-4021
WBRO
M-F 9:00-5:00
1127954
NAGY, AMANDA PA
48307
(248) 844-6000
M-F 9:00-5:00
1125327
PANZICA, JUSTIN M PA
48085
(248) 964-8912
M-F 9:00-5:00
1122106
PASIK, ALIYA PA
48071
(248) 589-1770
M-F 9:00-5:00
1119808
PATEL, NISHI PA
48071
(248) 589-1770
M-F 9:00-5:00
1106026
ROHRER, SCOTT R PA
48085
(248) 964-8912
M-F 9:00-5:00
1120623
STEINER, ELIZABETH K PA
468 CADIEUX ROYAL OAK
48073
(313) 473-1605
M-F 9:00-5:00
1106215
SURO, DEREK PA
48073
(248) 898-4021
M-F 9:00-5:00
1125328
VALENTI, MARY C PA
48085
(248) 964-8912
M-F 9:00-5:00
1125329
WASEK, KATHERINE E PA
48085
(248) 964-8912
M-F 9:00-5:00
1126043
WEBSTER, SHANNON PA
911 E 9 MILE RD FERNDALE
48220
(248) 336-4000
M-F 9:00-5:00
1106103
YOUNG, JOHN R PA
48073
(248) 898-4021
M-F 9:00-5:00
1093441
ZIMMER, KRISTEN E PA
48071
(248) 589-1770
M-F 9:00-5:00
1106108
ALLOR, KATHLEEN B PA
48085
(248) 964-8912
1125326
BLICKENSTAFF, BRETT W PA
48085
(248) 364-8912
1106227
BYRD, DANIEL T PA
48085
(248) 964-5000
1105960
CORBA, EMILY E PA
48085
1106008
DANESHVAR, CAROLINE PA
1104286
DJORDJEVIC, SLOBODAN PA
1058022
PROV
WBRO
WBRO
OCEANA COUNTY
1057272
COONEY, JOHN P DO
2481 N 72ND AVE HART
49420
(231) 873-2163
M-F 9:00-5:00
1126044
MILLER, REBECCA W MD
500 N HANCOCK ST PENTWATER
49449
(231) 869-7051
M-F 9:00-5:00
1014028
NELSON, ALLAN D MD
49449
(231) 869-7051
M-F 9:00-5:00
1102551
ROSEMA, KATHY L DO
119 S STATE ST SHELBY
49455
(231) 861-2130
N/A
M-F 9:00-5:00
1077488
TANNER, TINA MD
78 N DIVISION HESPERIA
49421
(231) 854-7235
GMHS
M-F 9:00-5:00
1013428
THOME, JEFFREY A DO
78 N DIVISION ST HESPERIA
49421
(231) 854-6415
M-F 9:00-5:00

Not Specified

MEMMED

Page 79
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
OCEANA COUNTY (CONTINUED)

NURSE PRACTITIONER
1059164
BROWN, DIANNA L CNP
78 N DIVISION ST HESPERIA
49421
(231) 854-6415
M-F 9:00-5:00
1125955
DIEHLMAN, RENITA L NP
49449
(231) 869-7051
M-F 9:00-5:00
1125954
DIEHLMAN, RENITA L NP
2481 N 72ND AVE HART
49420
(231) 873-2163
M-F 9:00-5:00
1077489
HUDSON, MOLLIE T NP
78 N DIVISION HESPERIA
49421
(231) 854-7235
GMHS
M-F 9:00-5:00
OGEMAW COUNTY
1015122
BASH, THEODORE DO
2331 PROGRESS ST STE D WEST BRANCH
48661
(989) 345-1184
WBRMC
M-F 9:00-5:00
1015124
BASH, THEODORE DO
2990 CAMPBELL RD ROSE CITY
48654
(989) 685-2333
WBRMC
M-F 9:00-5:00
1071405
BEASLEY, MICHAEL W MD
621 COURT ST STE 102 WEST BRANCH
48661
(989) 345-7000
M-F 9:00-5:00
1069570
BEASLEY, MICHAEL W MD
611 COURT ST WEST BRANCH
48661
(989) 345-7000
M-F 9:00-5:00
1098254
HURT, HOWARD DO
125 WASHINGTON PRESCOTT
48756
(989) 873-3352
M-F 9:00-5:00
1064847
JAMWAL, MANDHIR MD
48661
(989) 345-1184
M-F 9:00-5:00
1081928
MENDIOLA, ANTONIO F JR MD
1827 GREENWOOD RD PRESCOTT
48756
(989) 873-6200
M-F 9:00-5:00
1015128
WAHL, WAYNE S MD
48654
(989) 685-2333
WBRMC
M-F 9:00-5:00
611 COURT WEST BRANCH
48661
(989) 345-7488
N/A
M-F 9:00-5:00
BRMC
WBRMC
INTERNAL MEDICINE
1084334
WILLIAMS, TERRI L MD
NURSE PRACTITIONER
1127055
BRINDLEY, SUSAN NP
48661
(989) 345-1184
N/A
M-F 9:00-5:00
1071608
BRINDLEY, SUSAN NP
48661
(989) 345-7000
BRMC
M-F 9:00-5:00
1071609
BRINDLEY, SUSAN NP
48661
(989) 345-7000
BRMC
M-F 9:00-5:00
1125675
DOLL, CARMELA FNP
48654
(989) 685-2333
M-F 9:00-5:00
1071604
HODGINS, KERI NP
48661
(989) 345-0100
BRMC
M-F 9:00-5:00
1071603
HODGINS, KERI NP
48661
(989) 345-7000
BRMC
M-F 9:00-5:00
1068858
MULKEY, JAMIE FNP
48661
(989) 345-1184
WBRMC
M-F 9:00-5:00
1068859
MULKEY, JAMIE FNP
48654
(989) 685-2333
WBRMC
M-F 9:00-5:00
1101665
RICHARDSON, DEBORAH NP
48661
(989) 345-1184
N/A
M-F 9:00-5:00
1101666
RICHARDSON, DEBORAH NP
2990 CAMPBELL ROSE CITY
48654
(989) 685-2333
N/A
M-F 9:00-5:00
1015168
ROSS, ROSE FNP
48654
(989) 685-2333
N/A
M-F 9:00-5:00
1072278
SOMERFIELD, SARAH NP
611 COURT STREET WEST BRANCH
48661
(989) 345-7000
BRMC
M-F 9:00-5:00
1072279
SOMERFIELD, SARAH NP
621 COURT STREET STE 102 WEST BRANCH
48661
(989) 345-7000
BRMC
M-F 9:00-5:00
1093268
STEPHENS, KERRI A FNP
2331 PROGRESS STE D WEST BRANCH
48661
(989) 345-1184
M-F 9:00-5:00
335 E HOUGHTON AVE WEST BRANCH
48661
(989) 343-9466
WBRMC
M-F 9:00-5:00
PEDIATRICS
1026580
PETANI, JOSIP MD
PHYSICIAN ASSISTANT
1071606
MACAULEY, BRIAN PA
48661
(989) 345-7000
BRMC
M-F 9:00-5:00
1071607
MACAULEY, BRIAN PA
48661
(989) 345-7000
BRMC
M-F 9:00-5:00
1071462
MOEGGENBORG, AMEY L PA
48661
(989) 345-7000
BRMC
M-F 9:00-5:00
1071605
MOEGGENBORG, AMEY L PA
48661
(989) 345-7000
BRMC
M-F 9:00-5:00
1100895
PROVOAST, KIMBERLY PA
48661
(989) 345-1184
M-F 9:00-5:00
1095692
WARD, JIMMIE S PAC
125 WASHINGTON PRESCOTT
48756
(989) 873-3352
M-F 9:00-5:00
N/A
OSCEOLA COUNTY
1017194
DENNIS, JONATHAN A DO
111 E CHURCH ST TUSTIN
49688
(231) 832-8560
M-F 9:00-5:00
1024115
VANCE, MARLA D MD
300 N PATTERSON RD REED CITY
49677
(231) 832-7170
M-F 9:00-5:00

Not Specified


Page 80
February 19, 2015

PIN
Provider
Address
Zip
Phone
49677
(231) 832-3668
Hospital
Site Hours
Availability Gender
OSCEOLA COUNTY (CONTINUED)

1018236
ZOOK, MARK A DO
M-F 9:00-5:00
INTERNAL MEDICINE
1078393
BURY, MARTIN MD
4499 220TH AVE REED CITY
49677
(231) 832-5817
M-F 9:00-5:00
1008936
49677
(231) 832-8300
M-F 9:00-5:00
1083628
49677
(231) 832-3930
M-F 9:00-5:00
REEDCI
NURSE PRACTITIONER
1082229
BLUHM, DIANE M CNP
49677
(231) 832-3930
M-F 9:00-5:00
1082230
LEITER, KAREN S FNP
49677
(231) 832-8300
M-F 9:00-5:00
1040226
LEITER, KAREN S FNP
49677
(231) 832-3930
M-F 9:00-5:00
1065355
MARDAUSS-KAHLER, JULIE FNP
5991 95TH AVE EVART
49631
(231) 734-5561
M-F 9:00-5:00
1082231
NOWAK, LYNI M FNP
49677
(231) 832-3930
M-F 9:00-5:00
1039701
TRUAX, ANN L FNP
49677
(231) 832-7170
M-F 9:00-5:00
PEDIATRICS
1097643
HOEPNER, PATRICIA S MD
111 CHURCH ST TUSTIN
49688
(231) 832-8560
N/A
M-F 9:00-5:00
1095783
49677
(231) 832-7170
N/A
M-F 9:00-5:00
1097644
5991 S 95TH ST EVART
49631
(231) 832-8700
N/A
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1065356
FLEMING, PAMELA PAC
300 N PATTERSON REED CITY
49677
(232) 832-7170
REEDCI
M-F 9:00-5:00
1075883
IEHL, JOHN PA
49677
(232) 832-7170
REEDCI
M-F 9:00-5:00
1069134
MCGILLIS, TRICIA PA
100 W MAIN ST MARION
49665
(231) 743-0150
M-F 9:00-5:00
1119551
MEEHAN, ERIN M PAC
5991 95TH AVE EVART
49631
(231) 832-8700
M-F 9:00-5:00
1106377
NIXON, AMANDA PAC
49665
(231) 743-0150
REEDCI
M-F 9:00-5:00
1076285
VANPELT, LAURA PA
49677
(232) 832-7170
REEDCI
M-F 9:00-5:00
1065357
VANRYN, CHRISTOPHER PA
49677
(232) 832-7170
REEDCI
M-F 9:00-5:00
558 LOCKWOOD LN MIO
48647
(989) 826-3271
WBRMC
M-F 9:00-5:00
OSCODA COUNTY
1021885
BASH, THEODORE DO
NURSE PRACTITIONER
1038781
HENRY, CHERYL L FNP
1392 MAPLE DR FAIRVIEW
48621
(989) 848-5644
M-F 9:00-5:00
1116497
PHILLIPS, KATHLEEN NP
558 LOCKWOOD LN MIO
48647
(989) 826-3271
M-F 9:00-5:00
1116401
ROSS, ROSE FNP
558 LOCKWOOD LN MIO
48647
(989) 826-3271
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
OTSEGO COUNTY
1011991
COUSINEAU, DONALD P DO
994 N CENTER AVE GAYLORD
49735
(989) 732-7843
1121961
ISAYENKO, YELENA V MD
829 N CENTER AVE STE 210 GAYLORD
49735
(989) 731-7860
1086090
KURN, DAVID MD
1996 WALDEN DR GAYLORD
49735
(989) 731-4111
1084242
MANSFIELD, RICHARD DO
1951 S OTSEGO AVE GAYLORD
49735
(989) 732-3284
1000463
MEE, ROBERT P DO
49735
(989) 731-7860
M-F 9:00-5:00
1039265
OLSON, DAVID L MD
652 N OTSEGO AVE GAYLORD
49735
(989) 732-3529
M-F 9:00-5:00
1039221
OLSON, DEREK D MD
49735
(989) 732-3529
OMH
M-F 9:00-5:00
1098769
RUSSO, SAMUEL J DO
829 N CENTER STE 210 GAYLORD
49735
(989) 731-7860
N/A
M-F 9:00-5:00
OMH
NORMIC
1104870
RUSSO, SAMUEL J DO
2572 N US HWY 131 ELMIRA
49730
(989) 731-7770
M-F 9:00-5:00
1044022
SMITH, KEVIN M DO
49735
(989) 731-7860
M-F 9:00-5:00

Not Specified


Page 81
February 19, 2015

PIN
Provider
Address
Zip
Phone
1996 WALDEN DR GAYLORD
49735
(989) 731-4111
Hospital
Site Hours
Availability Gender
OTSEGO COUNTY (CONTINUED)

1086301
WEISBERGER, RONALD A DO
M-F 9:00-5:00
INTERNAL MEDICINE
1012704
LI, CHANGXIN H MD
49735
(989) 731-7870
M-F 9:00-5:00
1109712
MAZUR, MATTHEW A DO
49735
(989) 731-7870
OMH
M-F 9:00-5:00
1119511
WARD, STEPHEN M MD
49735
(989) 731-7870
OMH
M-F 9:00-5:00
1024263
WISNIEWSKI, STEVEN J MD
49735
(989) 731-7870
M-F 9:00-5:00
NURSE PRACTITIONER
1107719
APPLEBEY, KIMBERLY A NP
49730
(989) 731-7700
M-F 9:00-5:00
1074355
PAWLANTA, KATHLEEN FNP
49735
(989) 731-7860
M-F 9:00-5:00
1039227
SEGER, MARY NP
49735
(989) 731-7870
M-F 9:00-5:00
OMH
PEDIATRICS
1071680
COLLAZO, LUIS R MD
49735
(989) 731-7930
M-F 9:00-5:00
1008797
KAUFMANN, STEVEN V DO
49735
(989) 731-7930
M-F 9:00-5:00
1039287
KOBY-OLSON, KAREN S MD
49735
(989) 732-3529
M-F 9:00-5:00
1119608
WILLIAMS, AMANDA L MD
49735
(989) 731-7930
M-F 9:00-5:00
OMH
PHYSICIAN ASSISTANT
1094826
DZINGLE, KRISTI N PA
49735
(989) 731-7860
M-F 9:00-5:00
1104869
DZINGLE, KRISTI N PA
49730
(989) 731-7770
M-F 9:00-5:00
1079547
LAWRENCE, JOHN M PA-C
49735
(989) 731-7860
M-F 9:00-5:00
49735
(989) 732-1734
M-F 9:00-5:00
OMH
PRIMARY CARE CENTER

1097447
HEALTH DEPARTMENT OF NORTHWEST M 95 LIVINGSTON BLVD GAYLORD
OTTAWA COUNTY
1098662
DIXON, ROBERT MD
1310 WISCONSIN AVE STE 200 GRAND HAVEN
49417
(616) 846-2640
M-F 9:00-5:00
1082778
HOLMAN, ROGER DO
675 W RANDALL ST COOPERSVILLE
49404
(616) 837-9777
M-F 9:00-5:00
1125006
LIBRA, JEFFREY J MD
285 JAMES ST HOLLAND
49424
(616) 399-0200
M-F 9:00-5:00
1080893
POEL, LARRY DO
49417
(616) 846-8570
N/A
M-F 9:00-5:00
1080892
POSTEMA, JAMES A DO
49417
(616) 846-8570
N/A
M-F 9:00-5:00
1080894
RABIDEAU, RAYMOND P DO
600 PARK AVE GRAND HAVEN
49417
(616) 842-4220
N/A
M-F 9:00-5:00
1109503
RYAN, CHRISTINE DO
1310 WISCONSIN ST STE 301 GRAND HAVEN
49417
(616) 846-8570
M-F 9:00-5:00
1123952
WAGNER, ALEX DO
1901 BEACON BLVD GRAND HAVEN
49417
(616) 604-0096
M-F 9:00-5:00
1032288
ZARLENGA, LANA J MD
49424
(616) 399-0200
M-F 9:00-5:00
N/A
INTERNAL MEDICINE
1117564
ASSAAD, HANEY N MD
1310 WISCONSON ST STE 103 GRAND HAVEN
49417
(616) 844-4701
NOROTT
M-F 9:00-5:00
1080896
ORAVITAN, MARILENA C MD
49417
(616) 844-4701
N/A
M-F 9:00-5:00
1080895
SANDY, JENNIFER D DO
1445 SHELDON STE 203 GRAND HAVEN
49417
(616) 607-7136
M-F 9:00-5:00
1080897
SINGH, TULIKA MD
49417
(616) 844-4701
M-F 9:00-5:00
N/A
NURSE PRACTITIONER
1123653
CROZIER, RENAE NP
49417
(616) 604-0096
M-F 9:00-5:00
1084003
DISCHINGER-SMEDES, ROBERTA NP
49424
(616) 399-0200
M-F 9:00-5:00
1084004
DURAN, TERRI NP
49424
(616) 399-0200
M-F 9:00-5:00
1082995
EADELMAN, SUSAN FNP
49417
(616) 604-0096
M-F 9:00-5:00
1109871
OLECHNOWICZ, JULIE A NP
49417
(616) 842-4220
M-F 9:00-5:00

Not Specified

N/A

Page 82
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
OTTAWA COUNTY (CONTINUED)

1080903
VANDYKE, TANIA D NP
49417
(616) 842-4200
N/A
M-F 9:00-5:00
1098300
ZAMBETIS, DONNA NP
49417
(616) 846-2640
N/A
M-F 9:00-5:00
1080902
ZUIDEMA, ANNE M NP
49417
(616) 842-4220
N/A
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1120747
OPHOFF, DAVID PA
49424
(855) 869-6900
N/A
M-F 9:00-5:00
1098715
PEBBLES, THERESA PA
1445 SHELDON RD STE 203 GRAND HAVEN
49417
(616) 607-8136
N/A
M-F 9:00-5:00
1080905
PEBBLES, THERESA PA
49417
(616) 846-8570
N/A
M-F 9:00-5:00
1082235
VANSCHOICK-OVERBEEK, HEATHER E PA 370 120TH AVE HOLLAND
49424
(616) 396-5855
M-F 9:00-5:00
PRESQUE ISLE COUNTY

1015899
ALLUM, THOMAS H DO
573 N BRADLEY HWY ROGERS CITY
49779
(989) 734-2171
M-F 9:00-5:00
1102316
21258 W M-68 HWY ONAWAY
49765
(989) 733-2082
M-F 9:00-5:00
1102320
21258 W M-68 ONAWAY
49765
(989) 733-2082
M-F 9:00-5:00
1003966
205 S BRADLEY HWY ROGERS CITY
49779
(989) 734-2052
M-F 9:00-5:00
1093149
4549 M-33 ONAWAY
49765
(989) 733-4980
M-F 9:00-5:00
1099985
HAUTEA, MARION C MD
21258 W M68 ONAWAY
49765
(989) 733-2082
M-F 9:00-5:00
1093145
HAUTEA, MARION C MD
205 BRADLEY HWY ROGERS CITY
49779
(989) 734-2052
M-F 9:00-5:00
1097425
HAYES, TIMOTHY DO
49779
(989) 734-2052
M-F 9:00-5:00
1097427
HAYES, TIMOTHY DO
49765
(989) 722-2082
M-F 9:00-5:00
1096694
49779
(989) 734-2052
M-F 9:00-5:00
1096695
21258 M 68 HWY ONAWAY
49765
(989) 733-2082
M-F 9:00-5:00
1075702
21258 W M68 HWY ONAWAY
49765
(989) 733-2082
M-F 9:00-5:00
1093154
49779
(989) 734-2052
M-F 9:00-5:00
1093153
4549 M-33 ONAWAY
49765
(989) 733-4980
M-F 9:00-5:00
1114483
SMITH, ELAINE C DO
49765
(989) 733-2082
M-F 9:00-5:00
1117447
SMITH, ELAINE C DO
49779
(989) 734-2052
M-F 9:00-5:00
1117450
SMITH, ELAINE C DO
4549 M33 ONAWAY
49765
(989) 733-4980
M-F 9:00-5:00
1124976
WRIGHT, KEITH E DO
49779
(989) 734-2171
M-F 9:00-5:00
NORMIC
ALPENA
INTERNAL MEDICINE
1097424
49765
(989) 733-2082
M-F 9:00-5:00
1097422
49779
(989) 734-2052
M-F 9:00-5:00
NURSE PRACTITIONER
1107054
49765
(989) 733-2082
M-F 9:00-5:00
1107052
49779
(989) 734-2052
M-F 9:00-5:00
1107055
4549 M-33 ONAWAY
49765
(989) 733-4980
M-F 9:00-5:00
1124977
HENIGAN, TAMYRA NP
49779
(989) 734-2171
M-F 9:00-5:00
1077559
LAFAVE, JULIE NP
49779
(989) 734-2052
M-F 9:00-5:00
1077558
LAFAVE, JULIE NP
4549 M 33 ONAWAY
49765
(989) 733-4980
M-F 9:00-5:00
1075992
LAFAVE, JULIE A NP
21258 M68 HWY ONAWAY
49765
(989) 733-2082
M-F 9:00-5:00
1109207
21258 W M 68 HWY ONAWAY
49765
(989) 733-2082
M-F 9:00-5:00
1109686
49779
(989) 734-2052
M-F 9:00-5:00
1109687
4549 M-33 ONAWAY
49765
(989) 733-4980
M-F 9:00-5:00
1122406
PEASLEY, CECELIA NP
49765
(989) 733-2082
M-F 9:00-5:00
1122407
PEASLEY, CECELIA NP
49779
(989) 734-2052
M-F 9:00-5:00
1122408
PEASLEY, CECELIA NP
4549 M33 ONAWAY
49765
(989) 733-4980
M-F 9:00-5:00

Not Specified

N/A

Page 83
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
PRESQUE ISLE COUNTY (CONTINUED)

1097432
49779
(989) 734-2052
M-F 9:00-5:00
1097433
49765
(989) 733-2082
M-F 9:00-5:00
1097434
4549 M-33 ONAWAY
49765
(989) 733-4980
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1102319
BARSEN, JILL P PAC
49765
(989) 733-2082
M-F 9:00-5:00
1093146
BARSEN, JILL P PAC
49779
(989) 734-2052
M-F 9:00-5:00
1102317
BARSEN, JILL P PAC
4549 M-33 HWY ONAWAY
49765
(989) 733-4980
M-F 9:00-5:00
1124975
COOK, JAMES PA
49779
(989) 734-2171
M-F 9:00-5:00
1127234
LAWNICHAK, CODY PA
49779
(989) 734-2052
N/A
M-F 9:00-5:00
1127232
LAWNICHAK, CODY PA
21258 W M68 ONAWAY
49765
(989) 733-2082
N/A
M-F 9:00-5:00
1097429
MCEWEN, WAYNE PA
49779
(989) 734-2052
M-F 9:00-5:00
1097430
MCEWEN, WAYNE PA
49765
(989) 733-2082
M-F 9:00-5:00
1028020
MILLER, SARAH PA
49765
(989) 733-2082
M-F 9:00-5:00
1093150
MILLER, SARAH PA
4549 M-33 ONAWAY
49765
(989) 733-2082
M-F 9:00-5:00
1123558
49765
(989) 733-2082
N/A
M-F 9:00-5:00
1123560
49779
(989) 734-2052
N/A
M-F 9:00-5:00
ROSCOMMON COUNTY
1124039
BALGER, JAMES D DO
135 LAKE ST ROSCOMMON
48653
(989) 275-8931
N/A
M-F 9:00-5:00
1124055
BALGER, JAMES D DO
48653
(989) 275-8931
N/A
M-F 9:00-5:00
1015123
BASH, THEODORE DO
1360 N ST HELEN RD SAINT HELEN
48656
(989) 389-4944
WBRMC
M-F 9:00-5:00
1040015
DENLINGER, KEVIN DO
9249 W LAKE CITY RD HOUGHTON LAKE
48629
(989) 422-5122
MMMC
M-F 9:00-5:00
1100508
DEYOUNG, KAREN DO
48653
(989) 275-1200
MHG
M-F 9:00-5:00
1118677
DEYOUNG, KAREN DO
2858 W HOUGHTON LAKE PRUDENVILLE
48651
(989) 366-2900
M-F 9:00-5:00
1118676
DEYOUNG, ZACHARIAH MD
2858 W HOUGHTON LAKE DR PRUDENVILLE
48651
(989) 366-2900
M-F 9:00-5:00
1012247
DIBBET, MARK A MD
48653
(989) 275-1200
MHG
M-F 9:00-5:00
1026612
DIBBET, MARK A MD
48651
(989) 366-2900
MHG
M-F 9:00-5:00
1066412
NIGRELLI, JOANNA L DO
48653
(989) 275-1200
MHG
M-F 9:00-5:00
1065893
NIGRELLI, JOANNA L DO
48651
(989) 366-2900
MHG
M-F 9:00-5:00
1001418
STRICKLER, JEFF MD
48629
(989) 422-5122
MHG
M-F 9:00-5:00
1010662
THORNTON, TIMOTHY J MD
48653
(989) 275-1200
MHG
M-F 9:00-5:00
1011606
THORNTON, TIMOTHY J MD
48651
(989) 366-2900
MHG
M-F 9:00-5:00
1116346
VIGUILLA, ROBERTO MD
48653
(989) 275-8931
M-F 9:00-5:00
1015129
WAHL, WAYNE S MD
48656
(989) 389-4944
WBRMC
M-F 9:00-5:00
INTERNAL MEDICINE
1100900
GEE, JAMES L MD
48651
(989) 348-1212
MHG
M-F 9:00-5:00
1086856
KEMP, MARK W DO
48629
(989) 422-2183
MMMC
M-F 9:00-5:00
1125187
MCKEEVER, HOLLY A MD
48656
(989) 389-4944
N/A
M-F 9:00-5:00
1086131
TODOROFF, CHARLES MD
48651
(989) 346-1212
M-F 9:00-5:00
NURSE PRACTITIONER
1119326
ALVERSON, VICKI NP
3406 DAVENPORT HOUGHTON LAKE HEIGHT
48630
(989) 790-3450
N/A
M-F 9:00-5:00
1037511
ANDERSON, AMORETTE L NP
48653
(989) 275-1200
MHG
M-F 9:00-5:00
1046696
ANDERSON, AMORETTE L NP
48651
(989) 366-2900
MHG
M-F 9:00-5:00
1064571
BAKER, HAYLEY NP
48651
(989) 366-2900
TSJH
M-F 9:00-5:00
1065542
BAKER, HAYLEY NP
48651
(989) 366-2900
TSJH
M-F 9:00-5:00

Not Specified


Page 84
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
ROSCOMMON COUNTY (CONTINUED)

1116318
BELLINGER, AIMEE NP
48656
(989) 389-4944
M-F 9:00-5:00
1016021
BLANCHARD, SUZANNE A NP
1401 SHORT DR PRUDENVILLE
48651
(989) 366-1515
M-F 9:00-5:00
1116347
BONNER, CARISSA NP
4433 W HOUGHTON LAKE DR HOUGHTON LAKE
48629
(989) 366-2061
M-F 9:00-5:00
1040811
GEERS, CONSTANCE FNP
48629
(989) 275-6658
M-F 9:00-5:00
1116918
GEERS, CONSTANCE NP
299 H W SUNSET BLVD ROSCOMMON
48653
(989) 275-8931
M-F 9:00-5:00
1040805
MCGUIRE, PATRICIA A NP
48629
(989) 422-5122
MHG
M-F 9:00-5:00
1127054
SEBERT, MICHELLE NP
48656
(989) 359-4944
N/A
M-F 9:00-5:00
1024067
STEFANKO, JUNE NP
48629
(989) 422-5122
MHG
M-F 9:00-5:00
1104430
VANDERVANE, AMY NP
48629
(989) 422-2183
M-F 9:00-5:00
48651
(989) 366-2900
MHG
M-F 9:00-5:00
MHG
PEDIATRICS
1063218
KOEHLER, KRISTIE MD
PHYSICIAN ASSISTANT
1046911
CRONKRIGHT, HOLLY A PA
48629
(989) 422-2181
N/A
M-F 9:00-5:00
1092849
FOX, SHERI L PA
48629
(989) 422-2183
MMMC
M-F 9:00-5:00
1046688
GLASSER-EDWARDS, MELISSA PA
2585 W HOUGHTON LAKE RD PRUDENVILLE
48651
(989) 366-2900
MHG
M-F 9:00-5:00
1040807
HELIIN, ANTOINETTE PA
48653
(989) 275-1200
MHG
M-F 9:00-5:00
1046690
HELIIN, ANTOINETTE PA
2585 W HOUGHTON LAKE RD PRUDENVILLE
48651
(989) 275-1200
MHG
M-F 9:00-5:00
1040006
TONELLO, HEATHER PA
48629
(989) 422-5122
MHG
M-F 9:00-5:00
48651
(989) 366-2900
N/A
M-F 9:00-5:00

1010669
GIELINCKI, BARBARA NP
SAGINAW COUNTY
1126519
AKHTER, NILUFA MD
6940 DIXIE HWY BRIDGEPORT
48722
(989) 746-0933
N/A
M-F 9:00-5:00
1123243
ANDERSON, KURT DO
16690 W GRATIOT RD HEMLOCK
48626
(989) 642-6262
GMC
M-F 9:00-5:00
1069891
3020 BOARDWALK DR SAGINAW
48603
(989) 791-3888
SMCHSA
M-F 9:00-5:00
1006156
BACH, JANET M DO
1027 W GENESEE FRANKENMUTH
48734
(989) 652-5220
SMCHSA
M-F 9:00-5:00
1010674
48722
(989) 759-6460
BRMC
M-F 9:00-5:00
1018831
1522 JANES ST SAGINAW
48601
(989) 755-0316
SMCHSA
M-F 9:00-5:00
1018834
229 GALLAGHER SAGINAW
48601
(989) 755-3619
SMCHSA
M-F 9:00-5:00
1018833
501 LAPEER ST SAGINAW
48601
(989) 753-6000
SMCHSA
M-F 9:00-5:00
1035637
BHATTACHARYYA, PRADIP MD
3570 SHATTUCK RD SAGINAW
48603
(989) 793-6740
SMCHSA
M-F 9:00-5:00
1011983
BOGGESS, BRENT D MD
3570 SHATTUCK SAGINAW
48603
(989) 792-5353
SMCHSA
M-F 9:00-5:00
1003340
BOTZ, PATRICK J DO
48734
(989) 652-5210
SMCHSA
M-F 9:00-5:00
1076234
BRASSEUR, JAMES DO
48603
(989) 791-3888
N/A
M-F 9:00-5:00
1123999
CARTHRON, JAMES A MD
2110 N MORSON SAGINAW
48602
(989) 401-7225
CMC
M-F 9:00-5:00
1100381
CARTHRON, JAMES A MD
3141 CABARET TRAIL STE 400 SAGINAW
48603
(989) 401-7225
CMC
M-F 9:00-5:00
1018827
48722
(989) 759-6460
SMCHSA
M-F 9:00-5:00
1010620
48601
(989) 755-0316
SMCHSA
M-F 9:00-5:00
1018830
48601
(989) 755-3619
SMCHSA
M-F 9:00-5:00
1018829
48607
(989) 753-6000
SMCHSA
M-F 9:00-5:00
1078278
EBERT, CAROLYN MD
300 S CHAPMAN ST CHESANING
48616
(989) 845-7644
MHC
M-F 9:00-5:00
1018854
48722
(989) 759-6460
SMCHSA
M-F 9:00-5:00
1018855
48601
(989) 755-0316
SMCHSA
M-F 9:00-5:00
1017365
229 GALLAGHER ST SAGINAW
48601
(989) 755-3619
SMCHSA
M-F 9:00-5:00
1018857
48601
(989) 753-6000
SMCHSA
M-F 9:00-5:00

Not Specified


Page 85
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
SAGINAW COUNTY (CONTINUED)

1125551
EZZEDDINE, TAREK MD
4046 HESS AVE SAGINAW
48601
(989) 753-7781
M-F 9:00-5:00
1065252
EZZEDDINE, TAREK MD
48601
(989) 753-7781
M-F 9:00-5:00
1007818
FLEETWOOD, LINVAL K MD
9856 SARLE RD FREELAND
48623
(989) 692-0780
HMC
M-F 9:00-5:00
1015233
FORSYTH, DOUGLAS B MD
1600 W BRADY CHESANING
48616
(989) 845-1800
SMCHSA
M-F 9:00-5:00
1107695
HASHMI, SHAHRUKH MD
9900 E BIRCH RUN RD BIRCH RUN
48415
(989) 624-1500
SMCHSA
M-F 9:00-5:00
1127071
HASHMI, SHAHRUKH MD
1575 CONCENTRIC BLVD STE 1 SAGINAW
48604
(989) 583-6800
M-F 9:00-5:00
1011970
KELLA, KISHAN L MD
625 N MICHIGAN AVE SAGINAW
48602
(989) 752-6116
SMCHSA
M-F 9:00-5:00
1100535
LALONDE, LAWRENCE L MD
1575 CONCENTRIC BLVD SAGINAW
48604
(989) 583-6800
CMH
M-F 9:00-5:00
1010481
LALONDE, LAWRENCE L MD
5421 N COLONY SAGINAW
48603
(989) 790-3141
SMCHSA
M-F 9:00-5:00
1125552
LATIF, GHAZANFAR MD
48601
(989) 753-7781
M-F 9:00-5:00
1012594
LICHT, RUTH M DO
5810 GRATIOT STE B SAGINAW
48603
(989) 790-1074
SMCHSA
M-F 9:00-5:00
1071545
LONG, TOBY MD
48601
(989) 755-3619
SMCHSA
M-F 9:00-5:00
1127269
LONG, TOBY MD
48604
(989) 583-6800
M-F 9:00-5:00
1125550
MAHFOOZ, NAVEED MD
48601
(989) 753-7781
M-F 9:00-5:00
1089528
MATHEW, ELIZABETH MD
48601
(989) 755-3619
M-F 9:00-5:00
1070566
MEYER, PAUL A MD
2110 N MORSON SAGINAW
48602
(989) 249-9965
M-F 9:00-5:00
1083655
MORRONE, WILLIAM DO
48604
(989) 583-6800
M-F 9:00-5:00
CMH
1125554
48601
(989) 753-7781
M-F 9:00-5:00
1123947
48603
(989) 753-7781
M-F 9:00-5:00
1109777
48722
(989) 759-6460
CMC
M-F 9:00-5:00
1109778
48601
(989) 755-3619
CMC
M-F 9:00-5:00
1109776
48601
(989) 755-0316
CMC
M-F 9:00-5:00
1106368
501 LAPEER SAGINAW
48607
(989) 753-6000
CMC
M-F 9:00-5:00
1101928
NOVELOSO, BERNARD
48604
(989) 583-6800
CMC
M-F 9:00-5:00
1069311
PATEL, SATYA MD
9900 E BIRCH RUN RD BIRCH RUN
48415
(989) 624-1500
SMCHSA
M-F 9:00-5:00
1097246
RATHKAMP, WALTER T MD
7340 MIDLAND RD FREELAND
48623
(989) 695-8014
M-F 9:00-5:00
1101667
RUPKE, STUART MD
48604
(989) 583-6800
CMC
M-F 9:00-5:00
1109890
SAMI, SYED MD
48603
(989) 791-3888
N/A
M-F 9:00-5:00
1125553
SAMI, SYED MD
48601
(989) 753-7781
M-F 9:00-5:00
1067575
SARKAR, ARUP MD
48604
(989) 583-6800
M-F 9:00-5:00
1080588
SARKODIE, AMANING K MD
3444 DAVENPORT AVE SAGINAW
48602
(989) 790-7670
M-F 9:00-5:00
1045532
SARVEPALLI, BHRAMARAMBA MD
48603
(989) 792-5353
SMCHSA
M-F 9:00-5:00
1045531
SARVEPALLI, RAGHURAM MD
48603
(989) 792-5353
SMCHSA
M-F 9:00-5:00
1004599
SMALL, ROY F DO
9000 E PEET RD CHESANING
48616
(989) 845-4949
MHC
M-F 9:00-5:00
1099546
SQUIER, HARRIET A MD
48604
(989) 583-6800
CMC
M-F 9:00-5:00
1020959
SZILAGYI, CARMEN C MD
48734
(989) 652-5230
SMCHSA
M-F 9:00-5:00
1018836
TAMEZ, GARY L DO
48722
(989) 759-6460
SMCHSA
M-F 9:00-5:00
CMH
1018839
TAMEZ, GARY L DO
48601
(989) 755-3619
SMCHSA
M-F 9:00-5:00
1018837
TAMEZ, GARY L DO
48601
(989) 755-0316
SMCHSA
M-F 9:00-5:00
1018838
TAMEZ, GARY L DO
48607
(989) 753-6000
SMCHSA
M-F 9:00-5:00
1004600
TEAL, THOMAS M MD
300 S CHAPMAN CHESANING
48616
(989) 845-7644
MHC
M-F 9:00-5:00
INTERNAL MEDICINE
1070992
48603
(989) 791-3888
SMCHSA
M-F 9:00-5:00
1025521
BRAUN, CONNIE MD
2605 WEISS SAGINAW
48602
(989) 497-9419
BRMC
M-F 9:00-5:00
1017153
CHOKSHI, RAKESH S MD
144 N FROST DR SAGINAW
48638
(989) 249-7702
M-F 9:00-5:00
1109784
48722
(989) 759-6460
CMC
M-F 9:00-5:00
1103035
48601
(989) 755-0316
CMC
M-F 9:00-5:00
1109785
48601
(989) 755-3619
CMC
M-F 9:00-5:00

Not Specified


Page 86
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1109783
48607
(989) 753-6000
CMC
M-F 9:00-5:00
1109788
JAGIRDAR, MAYURI MD
48722
(989) 759-6460
SMCHSA
M-F 9:00-5:00
1102846
JAGIRDAR, MAYURI MD
48601
(989) 755-0316
SMCHSA
M-F 9:00-5:00
1109789
JAGIRDAR, MAYURI MD
48601
(989) 755-3619
SMCHSA
M-F 9:00-5:00
1109787
JAGIRDAR, MAYURI MD
48601
(989) 753-6000
SMCHSA
M-F 9:00-5:00
1077206
KHAN, AYESHA MD
912 S WASHINGTON AVE STE B SAGINAW
48601
(989) 791-7900
N/A
M-F 9:00-5:00
1092890
KHAN, AYESHA MD
48601
(989) 791-7900
SMCHSA
M-F 9:00-5:00
1055692
KHAN, MUHAMMAD ASMIM MD
48601
(989) 791-4100
CMC
M-F 9:00-5:00
1078198
KHAN, SADIA
48601
(989) 791-7900
M-F 9:00-5:00
1118862
LATIF, GHAZANFAR MD
48603
(989) 791-3888
M-F 9:00-5:00
1123355
MAHFOOZ, NAVEED MD
48722
(989) 746-0933
N/A
M-F 9:00-5:00
1065253
MAHFOOZ, NAVEED MD
48603
(989) 791-3888
SMCHSA
M-F 9:00-5:00
1123078
MARTHAKIS, NANCY DO
1000 HOUGHTON AVE SAGINAW
48602
(989) 583-6800
CMC
M-F 9:00-5:00
1089373
NALLANI, SUDHA MD
3570 SHATTUCK SAGINAW
48603
(989) 792-5353
SMCHSA
M-F 9:00-5:00
1051589
SINGH, BIRJITENDER MD
3406 DAVENPORT SAGINAW
48603
(989) 790-3450
SMCHSA
M-F 9:00-5:00
1017813
SINGH, HARPAL MD
5580 STATE ST STE 7 SAGINAW
48603
(989) 799-9250
SMCHSA
M-F 9:00-5:00
1097914
VARIAR, VIVEK MD
1000 HOUGHTON SAGINAW
48602
(989) 583-6800
CMC
M-F 9:00-5:00
NURSE PRACTITIONER
1046914
ADER, JANET NP
48722
(989) 759-6460
N/A
M-F 9:00-5:00
1123956
ALVERSON, VICKI NP
4701 TOWNE CENTRE RD STE 104 SAGINAW
48604
(989) 799-1160
N/A
M-F 9:00-5:00
1026130
48722
(989) 759-6460
N/A
M-F 9:00-5:00
1026128
48601
(989) 755-0316
N/A
M-F 9:00-5:00
1026129
48602
(989) 755-3619
N/A
M-F 9:00-5:00
1026682
48601
(989) 753-6000
N/A
M-F 9:00-5:00
1101115
BENDER, JEANNE NP
4680 MCLEOD STE E SAGINAW
48604
(989) 791-9133
BRMC
M-F 9:00-5:00
1126520
BENDER-STAFFORD, JENNIFER NP
48722
(989) 746-0933
N/A
M-F 9:00-5:00
1118864
48603
(989) 791-3888
M-F 9:00-5:00
1125548
48601
(989) 753-7781
M-F 9:00-5:00
1090943
BOENSCH, REBECCA NP
48734
(989) 652-5220
M-F 9:00-5:00
1098624
BRIDGES, DAKIMA NP
48722
(989) 759-6460
N/A
M-F 9:00-5:00
1098620
BRIDGES, DAKIMA NP
48601
(989) 755-0316
N/A
M-F 9:00-5:00
1098621
BRIDGES, DAKIMA NP
48601
(989) 755-3619
N/A
M-F 9:00-5:00
1098623
BRIDGES, DAKIMA NP
48607
(989) 753-6000
N/A
M-F 9:00-5:00
1086146
BROWN, PAULA FNP
48603
(989) 791-3888
SMCHSA
M-F 9:00-5:00
1109792
BYLER, AMANDA NP
48722
(989) 759-6460
N/A
M-F 9:00-5:00
1109793
BYLER, AMANDA NP
48601
(989) 755-3619
N/A
M-F 9:00-5:00
1109791
BYLER, AMANDA NP
48601
(989) 755-0316
N/A
M-F 9:00-5:00
1103013
BYLER, AMANDA NP
501 LAPEER SAGINAW
48607
(989) 753-6000
N/A
M-F 9:00-5:00
1118863
CHAPMAN, CYNTHIA NP
48603
(989) 791-3888
M-F 9:00-5:00
1016988
DYMEK, MARY NP
4801 MCLEOD DR SAGINAW
48604
(989) 790-2709
N/A
M-F 9:00-5:00
1010613
48602
(989) 755-3619
N/A
M-F 9:00-5:00
1090971
GRAHAM, AMANDA NP
48722
(989) 759-6460
M-F 9:00-5:00
1090970
GRAHAM, AMANDA NP
48601
(989) 755-3619
M-F 9:00-5:00
1090969
GRAHAM, AMANDA NP
48601
(989) 755-0316
M-F 9:00-5:00
1090968
GRAHAM, AMANDA NP
48607
(989) 753-6000
M-F 9:00-5:00
1028828
HAGADON, GERRI L NP
300 S CHAPMAN CHESANING
48616
(989) 845-7644
MHC
M-F 9:00-5:00
1107775
HANSON, ERIN NP
48604
(989) 583-6800
N/A
M-F 9:00-5:00
1079460
JAROS, KARIN NP-C
48722
(989) 753-6000
N/A
M-F 9:00-5:00

Not Specified


Page 87
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1079458
JAROS, KARIN NP-C
48601
(989) 755-0316
N/A
M-F 9:00-5:00
1079462
JAROS, KARIN NP-C
48601
(989) 755-3619
N/A
M-F 9:00-5:00
1079461
JAROS, KARIN NP-C
48607
(989) 753-6000
N/A
M-F 9:00-5:00
1080513
48722
(989) 759-6460
N/A
M-F 9:00-5:00
1080511
48607
(989) 755-0316
N/A
M-F 9:00-5:00
1080515
48601
(989) 755-3619
N/A
M-F 9:00-5:00
1080514
48607
(989) 753-6000
N/A
M-F 9:00-5:00
1125392
KADRI, ADEBAMBO MD
1015 S WASHINGTON AVE SAGINAW
48601
(989) 754-3000
SMCHSA
M-F 9:00-5:00
1068883
KELCH, ROBERT NP
48601
(989) 755-3619
M-F 9:00-5:00
1018893
KISH, BARBARA A FNP
48722
(989) 759-6460
N/A
M-F 9:00-5:00
1018896
KISH, BARBARA A FNP
48601
(989) 755-3619
N/A
M-F 9:00-5:00
1018895
KISH, BARBARA A FNP
48601
(989) 753-6000
N/A
M-F 9:00-5:00
1127084
LEBOURDAIS, JILL PA
48601
(989) 755-0316
N/A
M-F 9:00-5:00
1125549
LEWIS, AVERETTA NP
48601
(989) 753-7781
M-F 9:00-5:00
1018924
48722
(989) 759-6460
N/A
M-F 9:00-5:00
1018927
48601
(989) 755-3619
N/A
M-F 9:00-5:00
1018926
48601
(989) 753-6000
N/A
M-F 9:00-5:00
1127540
MURPHY, SHANNON NP
48607
(989) 753-6000
N/A
M-F 9:00-5:00
1127859
NAJAWICZ, JENNIFER NP
912 S WASHINGTON ST STE B SAGINAW
48601
(989) 791-4100
N/A
M-F 9:00-5:00
1124608
PARADISE BUMHOFFER, LAUREL NP
48601
(989) 755-0316
M-F 9:00-5:00
1119540
PENNING, JENNIFER PA
6297 DIXIE HWY SAGINAW
48601
(989) 759-6460
M-F 9:00-5:00
1069316
SCHLAUD, LUISA A NP
48603
(989) 791-3888
M-F 9:00-5:00
1125555
YOUNG, BRIDGET NP
48601
(989) 753-7781
M-F 9:00-5:00
PEDIATRICS
1010672
ALAMAH, ABDUR-RAHMAN S MD
3162 DAVENPORT SAGINAW
48602
(989) 799-2197
SMCHSA
M-F 9:00-5:00
1006793
BURKEY, THOMAS M MD
5821 COLONY DR N SAGINAW
48638
(989) 797-1041
SMCHSA
M-F 9:00-5:00
1017949
KHAN, MOHAMMAD Y MD
5821 COLONY DR SAGINAW
48638
(989) 797-1061
SMCHSA
M-F 9:00-5:00
1099157
MORALES-DOPICO, LOURDES MD
48604
(989) 583-6800
CMC
M-F 9:00-5:00
CMC
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
1090172
MORALES-DOPICO, LOURDES MD
48602
(989) 583-6800
1092578
PASSAL, DONALD MD
48601
(989) 755-0316
1010623
PASSAL, DONALD B MD
48722
(989) 777-2151
1083654
RAMANI, MEENA MD
2215 N CENTER RD SAGINAW
48603
(989) 249-8940
1101939
VAN HOWE, ROBERT MD
48602
(989) 583-6000
CMC
M-F 9:00-5:00
1127975
VAN HOWE, ROBERT MD
48604
(989) 583-6800
N/A
M-F 9:00-5:00
MRMC
PHYSICIAN ASSISTANT
1100827
BOWERMAN, SHELLY PA
7340 MIDLAND RD FREELAND
48623
(989) 695-8014
M-F 9:00-5:00
1074099
BREIDINGER, LAURA PA
48601
(989) 753-7786
M-F 9:00-5:00
1094299
BREIDINGER, LAURA M PA
48722
(989) 746-0933
M-F 9:00-5:00
1097935
DERINGER-KOHORST, SARA A PA
300 S CHAPMAN ST CHESANING
48616
(989) 845-7644
MHC
M-F 9:00-5:00
1122292
GEORGE, KAYLA PAC
48601
(989) 755-0316
N/A
M-F 9:00-5:00
1118865
GEORGE, KAYLA PAC
48603
(989) 791-3888
N/A
M-F 9:00-5:00
1018897
48722
(989) 759-6460
N/A
M-F 9:00-5:00
1018900
48601
(989) 755-3619
N/A
M-F 9:00-5:00
1018898
48601
(989) 755-0316
N/A
M-F 9:00-5:00
1018899
48601
(989) 753-6000
N/A
M-F 9:00-5:00
1071363
LITWILLER, DESAREE PA
48603
(989) 791-3888
M-F 9:00-5:00
1018906
MARTIN, JOHN A PA
48722
(989) 759-6460
M-F 9:00-5:00

Not Specified

N/A

Page 88
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1018923
MARTIN, JOHN A PA
48601
(989) 755-3619
N/A
M-F 9:00-5:00
1018907
MARTIN, JOHN A PA
48601
(989) 755-0316
N/A
M-F 9:00-5:00
1018922
MARTIN, JOHN A PA
48601
(989) 753-6000
N/A
M-F 9:00-5:00
1012082
48722
(989) 759-6460
M-F 9:00-5:00
1012080
48601
(989) 755-3619
M-F 9:00-5:00
1012084
48601
(989) 755-0316
M-F 9:00-5:00
1090230
NORMAN, RODNEY PA
3020 BOARDWALK SAGINAW
48603
(989) 791-3888
SMCHSA
M-F 9:00-5:00
1037059
REYNOLDS, ROBYN PA
48722
(989) 759-6460
N/A
M-F 9:00-5:00
1037060
REYNOLDS, ROBYN PA
48607
(989) 755-0316
N/A
M-F 9:00-5:00
1037061
REYNOLDS, ROBYN PA
48607
(989) 755-3619
N/A
M-F 9:00-5:00
1036878
REYNOLDS, ROBYN PA
501 LAPEER SAGINAW
48607
(989) 753-6000
N/A
M-F 9:00-5:00
1028443
SMALLMAN, CHARLES PA
501 LAPEER SAGINAW
48607
(989) 753-9000
N/A
M-F 9:00-5:00
1028442
SMALLMAN, CHARLES O PA
48601
(989) 755-0316
N/A
M-F 9:00-5:00
N/A

1018844
48722
(989) 759-6460
M-F 9:00-5:00
1018845
48601
(989) 755-0316
M-F 9:00-5:00
1018847
48601
(989) 753-6000
M-F 9:00-5:00
1010614
KISH, BARBARA A FNP
48601
(989) 755-0316
N/A
M-F 9:00-5:00
1010146
48601
(989) 755-0316
N/A
M-F 9:00-5:00
SAINT CLAIR COUNTY

1063442
BATTIATA, RONALD E MD
1011 MILITARY STREET PORT HURON
48060
(810) 488-8000
PHH
M-F 9:00-5:00
1045074
BATTIATA, RONALD E MD
555 ST CLAIR RIVER DR ALGONAC
48001
(810) 794-4982
PHH
M-F 9:00-5:00
1027860
BORGIEL, CHRISTOPHER J MD
4190 24TH AVE STE 206 FORT GRATIOT
48059
(810) 989-7770
MCRMC
M-F 9:00-5:00
1027674
CAVATAIO, PIETRO MD
10127 MARINE CITY HWY FAIR HAVEN
48023
(586) 716-1371
MCRMC
M-F 9:00-5:00
1027859
CAVATAIO, PIETRO A MD
3350 GRATIOT AVE MARYSVILLE
48040
(810) 364-4000
MCRMC
M-F 9:00-5:00
1027675
COLOMBO, ANTONINO MD
48023
(586) 716-1371
MCRMC
M-F 9:00-5:00
1027858
COLOMBO, JOHN MD
3350 GRATIOT AVE MARYSVILLE
48040
(810) 364-4000
MCRMC
M-F 9:00-5:00
1067913
DOWDEN, G BLAIR MD
4071 24TH AVENUE FORT GRATIOT
48059
(810) 824-4222
PHH
M-F 9:00-5:00
1059695
HINDY, DAVID T MD
1051 ST CLAIR RIVER RD ALGONAC
48001
(810) 794-0348
SJRDH
M-F 9:00-5:00
1126729
KIZY, THOMAS MD
48001
(810) 794-4917
M-F 9:00-5:00
1090394
MATTE, SILVANA D MD
875 MICHIGAN AVE MARYSVILLE
48040
(810) 364-8600
M-F 9:00-5:00
1127589
MATTI, VIVIAN G MD
48001
(810) 794-4982
M-F 9:00-5:00
1025514
MCPHILIMY, SCOTT DO
7470 BROCKWAY RD YALE
48097
(810) 387-9355
M-F 9:00-5:00
1099159
MERCATANTE, ANNETTE MD
2215 COURT ST PORT HURON
48060
(810) 987-1311
M-F 9:00-5:00
1016153
MULLALLY, JOHN P MD
1117 STONE ST STE 2 PORT HURON
48060
(810) 966-4540
PHH
M-F 9:00-5:00
1057362
NAQVI, FARRUKH MD
48059
(810) 989-7788
PHH
M-F 9:00-5:00
1006354
NEDIC, IGOR MD
3350 GRATIOT STE B MARYSVILLE
48040
(810) 364-4000
MCRMC
M-F 9:00-5:00
1062930
PRIEBE, MICHAEL R MD
48060
(810) 488-8000
PHH
M-F 9:00-5:00
1034279
PRIEBE, MICHAEL R MD
48001
(810) 794-4982
PHH
M-F 9:00-5:00
1028353
RAYMOND, MICHELE DO
2425 MILITARY ST BLDG 2 PORT HURON
48060
(810) 984-5700
MCRMC
M-F 9:00-5:00
1015046
RUTHVEN, ALEXANDER G MD
1225 10TH ST PORT HURON
48060
(810) 987-6200
PHH
M-F 9:00-5:00
1060454
SCHEEL, LISA DO
4154 S RIVER RD BLDG 2 EAST CHINA
48054
(810) 329-2350
MCRMC
M-F 9:00-5:00
1063440
SINGLETON, SHEILA MD
48060
(810) 488-8000
N/A
M-F 9:00-5:00
1027863
SOUPHIS, DANIEL DO
48059
(810) 989-7788
MCRMC
M-F 9:00-5:00
1125940
SUNILKUMAR, MINI MD
1011 MILITARY ST PORT HURON
48060
(810) 488-8000
MHG
M-F 9:00-5:00

Not Specified

SJRDH
PHH

Page 89
February 19, 2015

PIN
Provider
Address
Zip
Phone
48054
(810) 329-2350
Hospital
Site Hours
Availability Gender
SAINT CLAIR COUNTY (CONTINUED)

1125259
ZIELONKA, SUSAN M DO
M-F 9:00-5:00
INTERNAL MEDICINE
1066743
BAZO, CHARBAL MD
1641 10TH STREET STE B PORT HURON
48060
(810) 987-7200
MCRMC
M-F 9:00-5:00
1008219
BRUER, PAUL MD
3350 GRATIOT BLVD MARYSVILLE
48040
(810) 364-4000
MCRMC
M-F 9:00-5:00
1066744
ELSAFY, YEHIA MD
2425 MILITARY ST BLDG 1 PORT HURON
48060
(810) 985-6680
PHH
M-F 9:00-5:00
1069725
HAJJAR, RIAD MD
1201 STONE ST STE 5 PORT HURON
48060
(810) 966-9556
M-F 9:00-5:00
1011570
JOHN, BENJAMIN MD
1217 KEARNEY ST STE 3 PORT HURON
48060
(810) 984-5001
N/A
M-F 9:00-5:00
1045231
LEE, JAE MD
130 WASHINGTON ST MARINE CITY
48039
(810) 765-8844
SJRDH
M-F 9:00-5:00
1073423
PASHLEY, PETER DO
130 WASHINGTON ST MARINE CITY
48039
(810) 765-8750
N/A
M-F 9:00-5:00
1067970
PLONKA, RANDY J MD
5979 LAKESHORE RD FORT GRATIOT
48059
(810) 385-6370
N/A
M-F 9:00-5:00
1027862
RUSU-LENGHEL, ANCA MD
48059
(810) 989-7770
MCRMC
M-F 9:00-5:00
1105945
SACHS, ROBERT J MD
48060
(810) 488-8000
PHH
M-F 9:00-5:00
1120126
SACHS, ROBERT J MD
48001
(810) 794-4982
PHH
M-F 9:00-5:00
NURSE PRACTITIONER
1045229
ARMSTRONG, SHARON NP
48060
(810) 987-6200
PHH
M-F 9:00-5:00
1117745
DUTCHER, TAMI L NP
4190 24TH AVE FORT GRATIOT
48059
(810) 989-7770
N/A
M-F 9:00-5:00
1045230
KEGLER, KAREN FNP
48060
(810) 987-6200
PHH
M-F 9:00-5:00
1101732
MANGAN, SANDRA NP
2215 COURT ST PORT HURON
48060
(810) 987-1311
N/A
M-F 9:00-5:00
1101733
MANGAN, SANDRA NP
48060
(810) 987-5300
N/A
M-F 9:00-5:00
1123789
RUSSELL, NAILA NP
3350 GRATIOT BLVD MARYSVILLE
48040
(810) 364-4000
M-F 9:00-5:00
1119575
SCHWEIGER, MICHELLE L NP
48023
(586) 716-1371
M-F 9:00-5:00
1321 STONE STREET PORT HURON
48060
(810) 984-1000
N/A
M-F 9:00-5:00

1123797
KLENCZAR, SHERRI NP
PEDIATRICS
1046731
BARNES, ANNETTE MD
2603 ELECTRIC AVE STE A PORT HURON
48060
(810) 966-3000
PHH
M-F 9:00-5:00
1028907
GRACE, JESSICA MD
1600 GRATIOT BLVD STE 9 MARYSVILLE
48040
(810) 364-9916
N/A
M-F 9:00-5:00
1029849
HAWLEY, SCOTT MD
1321 STONE ST PORT HURON
48060
(810) 984-1000
N/A
M-F 9:00-5:00
1028799
NANDAMUDI, DEVKUMAR MD
3030 COMMERCE DR FORT GRATIOT
48059
(810) 385-9559
N/A
M-F 9:00-5:00
1028908
NANDI, AMIT MD
105 COMMERCE DR YALE
48097
(810) 387-9612
WBTR
M-F 9:00-5:00
1048354
NANDI, AMIT MD
48060
(810) 984-1000
WBTR
M-F 9:00-5:00
1029845
NANDI, HEMALATA MD
48060
(810) 984-1000
N/A
M-F 9:00-5:00
1094589
NANDI, HEMALATA MD
48040
(810) 364-9916
M-F 9:00-5:00
1029846
PAKNIKAR, SREEDHAR MD
48060
(810) 984-1000
N/A
M-F 9:00-5:00
1126608
PASIA, SARAH J DO
48060
(810) 985-9300
PHH
M-F 9:00-5:00
1029844
WILHELM, DANIEL MD
48060
(810) 984-1000
N/A
M-F 9:00-5:00
1045316
WILHELM, DANIEL MD
48040
(810) 364-9916
PHH
M-F 9:00-5:00
1028909
ZMIEJKO, JOHN MD
4154 S RIVER RD STE 1 EAST CHINA
48054
(810) 329-6710
N/A
M-F 9:00-5:00
PHH
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1123341
COENEN, KATHLEEN PAC
7470 BROCKWAY RD YALE
48097
(810) 387-9355
1125278
GILES-VOSS, JENNY L PAC
4071 24TH AVENUE FORT GRATIOT
48059
(810) 824-4222
1097775
HILL, STACIE L PA
48059
(810) 989-7788
1125218
SHAYA, FELICIA PA
48060
(810) 984-5700

Not Specified

PHH

Page 90
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
SAINT JOSEPH COUNTY

1077931
ADAMSON, ANGELA DO
1241 W BROADWAY THREE RIVERS
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1093299
AMARIA, YAZDI N MD
1555 E CHICAGO RD STURGIS
49091
(269) 651-3218
STURGI
M-F 9:00-5:00
1072345
1241 WEST BROADWAY THREE RIVERS
49093
(269) 665-7092
BMC
M-F 9:00-5:00
1102908
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1126530
EVANS-MAYS, RUTH E MD
677 E MAIN ST CENTREVILLE
49032
(269) 467-1950
M-F 9:00-5:00
1072483
GATZ, TIMOTHY S MD
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1072504
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1123863
GOVIER, JACKALYN DO
601 E CHICAGO WHITE PIGEON
49099
(269) 483-7624
THRERI
M-F 9:00-5:00
1072515
GRAHAM, YON Y MD
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1072535
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1117614
IREY, BRITTANY L MD
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1082077
KIM, SEONG C MD
17 VINEWOOD AVE STURGIS
49091
(269) 651-1411
M-F 9:00-5:00
1114558
KLINGLER, JADE NP
1717 CHICAGO RD STE 2 STURGIS
49091
(269) 659-4415
M-F 9:00-5:00
1120845
KLINGLER, JADE NP
111 ST JOSEPH ST COLON
49040
(269) 432-3221
M-F 9:00-5:00
1007285
KONZEN, DENNIS W MD
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1072587
KU, MICHAEL T DO
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1117243
LIAO, THEODORE W MD
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1007714
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1095039
MAMOU, DANY MD
1717 E CHICAGO RD STE 2 STURGIS
49091
(269) 659-4415
STURGI
M-F 9:00-5:00
1098360
MARTIN, DANA L PA
201 BROADUS ST STURGIS
49091
(269) 659-8474
M-F 9:00-5:00
1072361
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1072382
MCKAY, GIANNA L MD
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1096315
49093
(269) 273-9539
M-F 9:00-5:00
1125193
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1072407
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1016474
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1117349
PARASHAR, KALIND MD
49093
(269) 273-9539
BMC
M-F 9:00-5:00
STURGI
STURGI
1093300
PATEL, BHUMIT MD
49091
(269) 659-4415
M-F 9:00-5:00
1125475
PATEL, BHUMIT MD
49091
(269) 651-1471
M-F 9:00-5:00
1125466
PATEL, KEYUR MD
67105 US HWY 131 S CONSTANTINE
49042
(269) 659-6516
M-F 9:00-5:00
1063741
PATEL, KEYUR MD
49091
(269) 659-4415
M-F 9:00-5:00
1072455
PINON, AL J MD
49093
(269) 273-9539
M-F 9:00-5:00
1096590
ROBERTSON, JOHN P MD
201 BROADUS STURGIS
49091
(269) 659-8474
M-F 9:00-5:00
1080816
ROGERS, WILLIAM B MD
201 BROADUS STURGIS
49091
(269) 659-8474
M-F 9:00-5:00
1120841
SANDERS, KELLIE D MD
49091
(269) 659-4415
M-F 9:00-5:00
1081081
SANDERS, KELLIE D MD
49091
(269) 659-4415
M-F 9:00-5:00
1103669
SCHIMNOSKI, DONALD R MD
711 S HEALTH PKWY STE 3 THREE RIVERS
49093
(269) 273-8557
THRERI
M-F 9:00-5:00
1098498
49093
(269) 273-9539
N/A
M-F 9:00-5:00
1081080
SCHUMAKER, JONATHAN MD
111 ST JOSEPH ST COLON
49040
(269) 432-3221
M-F 9:00-5:00
1072478
SLATER, MARY E MD
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1072489
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1124568
VEGA TORRES, LUIS MD
1717 CHICAGO ROAD STURGIS
49091
(269) 651-1471
M-F 9:00-5:00
1072501
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1072529
WILE, LARRY MD
49093
(269) 273-9539
BMC
M-F 9:00-5:00
BMC
INTERNAL MEDICINE
1095439
CHEBES, ANDRZEJ J MD
49093
(269) 273-8557
M-F 9:00-5:00
1109884
GRABOWSKA-CHEBES, ANNA S MD
721 6TH AVE STE B THREE RIVERS
49093
(269) 273-9782
M-F 9:00-5:00
1095436
NANDIHALLI, KALLAN B MD
49093
(269) 273-6400
M-F 9:00-5:00

Not Specified


Page 91
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
M-F 9:00-5:00
THRERI
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
SAINT JOSEPH COUNTY (CONTINUED)

1095452
PATEL, VEERA MD
1021 HILL ST STE 100 THREE RIVERS
49093
(269) 273-8511
1124473
PROKOPIV, HALYNA MD
49093
(269) 273-9751
1082885
VAKHARIA, BHARAT M MD
600 S LAKEVIEW AVE STE 206 STURGIS
49091
(269) 651-2011
1122919
VAN MAREL, DOUGLAS D MD
711 S HEALTH PARKWAY STE 3 THREE RIVERS
49093
(269) 273-8557
1125483
VERMA, ASHISH MD
49091
(269) 651-1471
M-F 9:00-5:00
1081083
VERMA, ASHISH MD
49091
(269) 659-4415
M-F 9:00-5:00
THRERI
NURSE PRACTITIONER
1081085
BICKLE, JENNIFER D CNP
49091
(269) 651-1471
M-F 9:00-5:00
1125479
BICKLE, JENNIFER D CNP
49091
(269) 651-3554
M-F 9:00-5:00
1077934
BRYANT, PAMELA NP
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1072376
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1107982
CUPP, LORI A NP
721 6TH AVE STE B THREE RIVERS
49093
(269) 273-9782
M-F 9:00-5:00
1114378
DAVIDHIZAR, ANNE E NP
49093
(269) 273-8557
1125065
DAVIDHIZAR, ANNE E NP
721 6TH AVE STE A THREE RIVERS
49093
(269) 273-9782
1072385
DEJONG, SANDRA R NP
49093
(269) 273-9539
1072397
DENNIS, TERRI J NP
49093
(269) 273-9539
1123616
600 S LAKEVIEW ST STE 201 STURGIS
49091
1125478
HACKMAN, AMY M NP
1081084
HACKMAN, AMY M NP
1125473
HAYLETT, NANCY J NP
1081086
M-F 9:00-5:00
M-F 9:00-5:00
BMC
M-F 9:00-5:00
BMC
M-F 9:00-5:00
(269) 832-8912
M-F 9:00-5:00
49091
(269) 651-3554
M-F 9:00-5:00
49091
(269) 651-7114
M-F 9:00-5:00
49091
(269) 651-3554
M-F 9:00-5:00
HAYLETT, NANCY J NP
49091
(269) 651-1471
M-F 9:00-5:00
1117647
KANE, PATRICIA NP
711 S HEALTH PKWY THREE RIVERS
49093
(269) 273-8557
M-F 9:00-5:00
1121745
KANE, PATRICIA NP
49099
(269) 483-7624
M-F 9:00-5:00
1125469
MCKINLEY, TRACI J NP
49091
(269) 651-7114
M-F 9:00-5:00
1123658
49093
(269) 273-9539
M-F 9:00-5:00
1123890
SOVA, LAURA NP
600 S LAKEVIEW ST RM 106 STURGIS
49091
(269) 343-1264
M-F 9:00-5:00
1072512
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1072543
YEALIN, MARY E NP
49093
(269) 273-9539
BMC
M-F 9:00-5:00
N/A
PEDIATRICS
1095421
EVANS, LINDA S MD
721 6TH AVE THREE RIVERS
49093
(269) 273-9782
THRERI
M-F 9:00-5:00
1123133
EVANS, LINDA S MD
49099
(269) 483-7624
THRERI
M-F 9:00-5:00
1081078
MELENDEZ, ELIEZER MD
49091
(269) 651-7114
M-F 9:00-5:00
1095423
SALVI, SEEMA S MD
721 6TH AVE STE A THREE RIVERS
49093
(269) 273-9782
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1106769
ALLEN, LINDSAY PA-C
49093
(269) 273-9539
N/A
M-F 9:00-5:00
1091564
BOWSER, JULIE M PAC
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1072364
49093
(269) 273-9539
BMC
M-F 9:00-5:00
1081088
CARLIN, ANDREA L PA
49091
(269) 651-1471
M-F 9:00-5:00
1123680
EGYED, LYNDELLE M PAC
49099
(269) 483-7624
M-F 9:00-5:00
1072559
HOPPS, BARBARA PA
49093
(269) 273-9539
1127290
49093
(269) 279-5240
1127149
49093
(269) 279-5240
1107008
PREDUM, LEAH D PA
49093
(269) 273-9539
1125481
SMITH, KRISTI PA
49091
(269) 651-3554
1104635
SMITH, KRISTI PA
49091
(269) 651-1471

Not Specified

BMC
N/A
STURGI
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00

Page 92
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
49093
(269) 273-9539
N/A
M-F 9:00-5:00

1107020
JONES, ASHLEY NP
SANILAC COUNTY
1001797
BRENGEL, ROBERT T DO
7115 CADE RD BROWN CITY
48416
(810) 346-2757
LRMC
M-F 9:00-5:00
1002620
DOMBROSKE, OLAN DO
7115 CADE RD BROWN CITY
48416
(810) 346-2757
LRMC
M-F 9:00-5:00
1114553
KAMALAPURKAR, BALU G MD
5730 MAIN ST LEXINGTON
48450
(810) 359-2605
N/A
M-F 9:00-5:00
1103708
LAMING, CHRISTIE MD
48450
(810) 359-5030
PHH
M-F 9:00-5:00
1102394
STUENKEL, TERRI M DO
2433 BLACK RIVER ST DECKERVILLE
48427
(810) 376-2835
DCH
M-F 9:00-5:00
2433 BLACK RIVER ST DECKERVILLE
48427
(810) 376-2835
DCH
M-F 9:00-5:00
DCH
M-F 9:00-5:00
M-F 9:00-5:00
PEDIATRICS
1069124
AFANEH, BASSAM A MD
PHYSICIAN ASSISTANT
1101938
NUGENT, LORI M PA
3559 PINE ST DECKERVILLE
48427
(810) 376-2835
1095297
SCHUITMAN, KELLY R PA
3559 PINE ST DECKERVILLE
48427
(810) 376-2835
1107749
VILAS, AMY E PA
48450
(810) 359-2605
N/A
M-F 9:00-5:00
300 HEALTH PARK DR STE 304 OWOSSO
48867
(989) 729-4222
MHC
M-F 9:00-5:00
SHIAWASSEE COUNTY
1015195
SALMAN, REEM MD

1125806
AHMED, USMAN MD
3337 W BRITTON RD PERRY
48872
(517) 625-3004
M-F 9:00-5:00
1010512
BADRA, ANGELA DO
204 W EXCHANGE ST OWOSSO
48867
(989) 723-0046
MHC
M-F 9:00-5:00
1031370
BLAISING-WALLACE, AMY DO
48872
(517) 625-3004
MHC
M-F 9:00-5:00
1101906
CAMARATA, SARA L DO
239 N STATE RD OWOSSO
48867
(989) 743-3415
MHC
M-F 9:00-5:00
1118061
COUGHLIN, BRENDA MD
1975 W M-21 OWOSSO
48867
(989) 729-4848
M-F 9:00-5:00
1127037
FLANDERS, JODI DO
1457 N M-52 UNIT 2 STE A OWOSSO
48867
(989) 723-5136
IRMC
M-F 9:00-5:00
1004595
GURDEN, BARBARA A DO
317 E GRAND RIVER RD LAINGSBURG
48848
(517) 651-2801
MHC
M-F 9:00-5:00
1004594
LANDICK, GREG W MD
48872
(517) 625-3004
MHC
M-F 9:00-5:00
1105158
LARKIN, JILL MD
3737 W LANSING RD PERRY
48872
(517) 975-2300
IRMC
M-F 9:00-5:00
1117780
MATTHEWIS, KRISTIANNA MD
213 MERCER ST DURAND
48429
(989) 288-2100
N/A
M-F 9:00-5:00
202872
MORGAN, JAMES G DO
3809 LANSING RD PERRY
48872
(517) 625-4155
IRMC
M-F 9:00-5:00
1127019
OLIVER, TIMOTHY D MD
48867
(989) 723-5136
IRMC
M-F 9:00-5:00
1061029
PATSY, ANTHONY DO
812 BRADLEY ST OWOSSO
48867
(989) 725-8171
MHC
M-F 9:00-5:00
1093310
RANKL, RICHARD M MD
9099 E LANSING RD STE A DURAND
48429
(989) 288-2651
MHC
M-F 9:00-5:00
1083832
RAUS, ADRIANA MD
48867
(989) 743-3415
MHC
M-F 9:00-5:00
1104602
ROE, THOMAS F MD
317 E GRAND RIVER RD LAINGSBURG
48848
(517) 651-2801
MHC
M-F 9:00-5:00
1109539
SHIELDS, MICHELLE MD
1975 W M-21 STE 104 OWOSSO
48867
(989) 729-4848
N/A
M-F 9:00-5:00
1127255
SIAL, ROBINA MD
48867
(989) 729-4848
N/A
M-F 9:00-5:00
1004886
STRONG, DOUGLAS MD
320 N WASHINGTON ST OWOSSO
48867
(989) 723-8216
MHC
M-F 9:00-5:00
1120061
VORENKAMP, CAROL DO
48867
(989) 729-2255
M-F 9:00-5:00
INTERNAL MEDICINE
1079994
ALAWA, VIORICA DO
300 HEALTH PARK DR SUITE 303 OWOSSO
48867
(989) 723-2299
MHC
M-F 9:00-5:00
1006195
KING, WENDY MD
200 HEALTH PARK DR OWOSSO
48867
(989) 723-8666
MHC
M-F 9:00-5:00
1118728
MACAL, OSCAR MD
48867
(989) 723-5540
M-F 9:00-5:00
1004613
PURDY, MARGARET A MD
200 HEALTH PARK DR OWOSSO
48867
(989) 723-8666
MHC
M-F 9:00-5:00
1008330
SALMAN, WAEL MD
48867
(989) 729-4222
MHC
M-F 9:00-5:00

Not Specified


Page 93
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
48867
(989) 723-4555
MHC
M-F 9:00-5:00
SHIAWASSEE COUNTY (CONTINUED)

1118727
SANTIAGO, ANTONIO MD
NURSE PRACTITIONER
1127035
DELANEY, AMY J NP
48867
(989) 723-5136
IRMC
M-F 9:00-5:00
1122289
GUTCHAK, DIANE FNP
48429
(989) 288-2651
MHC
M-F 9:00-5:00
1122402
GUTCHAK, DIANE FNP
48867
(989) 720-7000
MHC
M-F 9:00-5:00
1122288
GUTCHAK, DIANE FNP
48872
(517) 625-3004
M-F 9:00-5:00
1022869
HAGADON, GERRI L NP
9099 E LANSING RD DURAND
48429
(989) 288-2651
MHC
M-F 9:00-5:00
1079469
HAYES, DIANA NP
48867
(989) 743-3415
MHC
M-F 9:00-5:00
1083370
HAYES, DIANA NP
317 E GRAND RIVER AVE LAINGSBURG
48848
(517) 651-2801
M-F 9:00-5:00
1072082
HORGER, KRISHA NP
812 BRADLEY ST OWOSSO
48867
(989) 725-8171
MHC
M-F 9:00-5:00
1107735
KUJACZNSKI, ANGELIKA L NP
48429
(989) 288-2651
MHC
M-F 9:00-5:00
1104617
YAKLIN, KRISTINA NP
48867
(989) 729-4848
N/A
M-F 9:00-5:00
PEDIATRICS
1004604
BUDAI, MARIA MD
802 W KING ST STE J OWOSSO
48867
(989) 725-9247
MHC
M-F 9:00-5:00
1101946
KRAMER, MICHAEL B DO
802 W KING ST STE C OWOSSO
48867
(989) 729-4100
MHC
M-F 9:00-5:00
1001336
MALHOTRA, SUSHIL MD
802 W KING ST STE B OWOSSO
48867
(989) 725-9555
MHC
M-F 9:00-5:00
1009483
SHASTRY, MANJALI MD
1787 S M 52 STE 201 OWOSSO
48867
(989) 729-4600
MHC
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1105159
BABCOCK, CHRISTINE PA
3737 W LANSING RD PERRY
48872
(517) 975-2300
IRMC
M-F 9:00-5:00
1127038
FRANKOVICH, MAUREEN PA
48867
(989) 723-5136
IRMC
M-F 9:00-5:00
1015955
MANKEY, MARY T PA
48872
(517) 625-3004
N/A
M-F 9:00-5:00
1026113
PLATNER, TAMARA PA
48872
(517) 625-3004
N/A
M-F 9:00-5:00
1042359
SCRIBNER, DIANE PA
48867
(989) 729-4848
N/A
M-F 9:00-5:00
1028444
SMALLMAN, CHARLES PA
48867
(989) 729-4848
N/A
M-F 9:00-5:00
1010153
TROCHLIL, GARY L PA
317 E GRAND RIVER LAINGSBURG
48848
(517) 651-2801
N/A
M-F 9:00-5:00
TUSCOLA COUNTY
1126842
AKHTER, NILUFA MD
1525 W CARO RD CARO
48723
(989) 672-2100
HMC
M-F 9:00-5:00
1070027
HALL, RICHARD DO
4674 HILL ST CASS CITY
48726
(989) 872-4725
H&D
M-F 9:00-5:00
1080569
KELLA, KISHAN L MD
664 STATE RD VASSAR
48768
(989) 823-8421
M-F 9:00-5:00
1103715
KRAMER HARRINGTON, MELANIE MD
6230 HOSPITAL DR CASS CITY
48726
(989) 872-2410
H&D
M-F 9:00-5:00
1101821
KRAMER HARRINGTON, MELANIE MD
5915 STATE ST KINGSTON
48741
(989) 683-8065
H&D
M-F 9:00-5:00
1123946
1525 W CARO RD CARO
48723
(989) 672-2100
M-F 9:00-5:00
1010657
RAYTHATHA, SURENDRA H MD
6190 HOSPITAL DR STE 103 CASS CITY
48726
(989) 872-5010
H&D
M-F 9:00-5:00
1065988
ROBBINS JR, DONALD DO
48726
(989) 872-8303
H&D
M-F 9:00-5:00
1107509
SAMI, SYED A MD
1525 W CARO RD CARO
48723
(989) 672-2100
CARO
M-F 9:00-5:00
1022660
SARKAR, ARUP MD
1212 W SAGINAW RD VASSAR
48768
(989) 823-5020
SMCHSA
M-F 9:00-5:00
INTERNAL MEDICINE
1070995
1525 W CARO RD CARO
48723
(989) 672-2100
SMCHSA
M-F 9:00-5:00
1127801
AHSAN, MUHAMMAD MD
206 MONTAGUE AVE CARO
48723
(989) 673-2102
N/A
M-F 9:00-5:00
1036296
ANWAR, FARRUKH MD
1070 E CARO RD CARO
48723
(989) 672-2500
SMCHSA
M-F 9:00-5:00
1018462
AQIL, ARSHAD MD
1070 E CARO RD CARO
48723
(989) 672-0341
SMCHSA
M-F 9:00-5:00
1069890
1525 W CARO RD CARO
48723
(989) 672-2112
SMCHSA
M-F 9:00-5:00
1064828
BITNER, JOHN MD
48726
(989) 872-4725
H&D
M-F 9:00-5:00
1062249
EZZEDDINE, TAREK MD
1525 W CARO RD CARO
48723
(989) 672-2100
SMCHSA
M-F 9:00-5:00

Not Specified


Page 94
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
TUSCOLA COUNTY (CONTINUED)

1027582
FARRUKH, SHAHANA MD
1070 E CARO RD CARO
48723
(989) 672-2500
SMCHSA
M-F 9:00-5:00
1096673
FERREIRA, AFONSO MD
48726
(989) 872-1555
CARO
M-F 9:00-5:00
1096483
FERREIRA, AFONSO MD
465 N HOOPER ST CARO
48723
(989) 672-1555
CARO
M-F 9:00-5:00
1020851
KHAN, SADIA MD
1525 W CARO RD PO BOX 506 CARO
48723
(989) 672-2100
SMCHSA
M-F 9:00-5:00
1118568
LATIF, GHAZANFAR MD
1525 W CARO RD CARO
48723
(989) 672-2100
N/A
M-F 9:00-5:00
1020847
MAHFOOZ, NAVEED MD
1525 W CARO RD CARO
48723
(989) 672-2100
SMCHSA
M-F 9:00-5:00
1126188
MIR, IMRAN MD
1525 W CARO RD CARO
48723
(989) 672-2100
N/A
M-F 9:00-5:00
1011072
RAZA, SAYYID S MD
5000 MAPLE ST FAIRGROVE
48733
(989) 693-1059
BRMC
M-F 9:00-5:00
NURSE PRACTITIONER
1119539
BECKER, SUSAN M NP
1525 W CARO RD CARO
48723
(989) 672-2100
M-F 9:00-5:00
1116655
1525 W CARO RD CARO
48723
(989) 672-2100
N/A
M-F 9:00-5:00
1118527
CHAPMAN, CYNTHIA L NP
1525 W CARO RD CARO
48723
(989) 672-2100
N/A
M-F 9:00-5:00
1119580
FREDENBURG, BECKY NP
1070 E CARO RD CARO
48723
(989) 672-0341
M-F 9:00-5:00
1057280
KAPA, JUDY NP
1525 W CARO RD CARO
48723
(989) 672-2100
SMCHSA
M-F 9:00-5:00
1101710
PALING, ELIZABETH NP
5915 STATE ST KINGSTON
48741
(989) 683-8065
H&D
M-F 9:00-5:00
1105382
ROBERSON, SHAWN NP
48726
(989) 872-4725
M-F 9:00-5:00
1042003
SCHLUND, DARCY NP
48726
(989) 872-8503
M-F 9:00-5:00
1096450
SMALE, JODI NP
48726
(989) 872-8303
H&D
M-F 9:00-5:00
1099096
ZAUCHA, ANGELA NP
48726
(989) 872-8303
H&D
M-F 9:00-5:00
PEDIATRICS
1096672
KUMAR, PARIKSHIT MD
48726
(989) 872-1555
CARO
M-F 9:00-5:00
1096671
KUMAR, PARIKSHIT MD
465 N HOOPER ST CARO
48723
(989) 672-1555
CARO
M-F 9:00-5:00
1032954
WADE, NANCY MD
48726
(989) 872-8503
H&D
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1073961
BREIDINGER, LAURA PA
1525 W CARO RD CARO
48723
(989) 672-2100
M-F 9:00-5:00
1109713
GEORGE, KAYLA PAC
1525 W CARO RD CARO
48723
(989) 672-2100
M-F 9:00-5:00
1034309
KUEFFNER, LORI PA
1525 W CARO RD PO BOX 506 CARO
48723
(989) 672-2100
M-F 9:00-5:00
1056809
LITWILLER, DESAREE PA
1525 W CARO RD CARO
48723
(989) 672-2100
SMCHSA
M-F 9:00-5:00
1126821
SCHULER, JONATHAN PA
1525 W CARO RD CARO
48723
(989) 672-2100
N/A
M-F 9:00-5:00
VAN BUREN COUNTY

1077926
ADAMSON, ANGELA DO
24466 RED ARROW HWY MATTAWAN
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1103066
BHAGALIA, PARUL MD
451 HEALTH PARKWAY STE B PAW PAW
49079
(269) 655-3065
LCH
M-F 9:00-5:00
1072348
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1071106
BRITTAN, KATHY MD
451 HEALTH PKWY STE B PAW PAW
49079
(269) 655-3065
M-F 9:00-5:00
1081336
BURKOW, LESTER DO
319 W DELAWARE ST DECATUR
49045
(269) 423-7028
M-F 9:00-5:00
1124551
BWITITI, TAMAYI MD
52375 N MAIN ST MATTAWAN
49071
(269) 668-3348
N/A
M-F 9:00-5:00
1102909
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1072485
GATZ, TIMOTHY S MD
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1072506
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1072517
GRAHAM, YON Y MD
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1072536
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1105239
JNANANAND, NAYANTARA MD
49079
(269) 655-3065
M-F 9:00-5:00
1072572
KONZEN, DENNIS W MD
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1072589
KU, MICHAEL T DO
49071
(269) 668-4180
BMC
M-F 9:00-5:00

Not Specified


Page 95
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
VAN BUREN COUNTY (CONTINUED)

1126807
LEKOVIC, MIRSEN MD
49079
(269) 655-3065
BRONMETH
M-F 9:00-5:00
1117244
LIAO, THEODORE W MD
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1081337
LIBRA, JEFFREY J MD
451 HEALTH PKWY STE A PAW PAW
49079
(269) 657-2550
M-F 9:00-5:00
1072358
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1072362
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1072389
MCKAY, GIANNA L MD
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1096316
49071
(269) 668-4180
M-F 9:00-5:00
1125194
49071
(269) 668-4180
M-F 9:00-5:00
1072410
49071
(269) 668-4180
M-F 9:00-5:00
1081330
NAZ, ZEBI MD
49079
(269) 657-2550
M-F 9:00-5:00
1072435
24466 RED ARROW MATTAWAN
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1098594
OLIVEIRA, FELLIPE MD
49079
(269) 655-3065
BRONMETH
M-F 9:00-5:00
1117350
PARASHAR, KALIND MD
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1072457
PINON, AL J MD
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1080835
RAVI, SUBHASCHANDRA R MD
30 W MAIN ST HARTFORD
49057
(269) 621-2166
LCHW
M-F 9:00-5:00
1024932
REIMAN, STEVE E DO
49071
(269) 668-3348
M-F 9:00-5:00
1108978
SANCHEZ, PAMELA MD
965 S BAILEY AVE SOUTH HAVEN
49090
(269) 639-2772
SHCH
M-F 9:00-5:00
1098499
49071
(269) 668-4180
N/A
M-F 9:00-5:00
1107694
SHAH, JAY MD
525 S CENTER ST HARTFORD
49057
(269) 463-3600
LAKEST
M-F 9:00-5:00
1081629
SHERBURN, LEON E DO
49057
(269) 621-4063
M-F 9:00-5:00
1072479
SLATER, MARY E MD
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1024808
SMALL, MATTHEW MD
49090
(269) 639-2772
SHCH
M-F 9:00-5:00
1072494
49071
(269) 668-4180
BMC
1090470
VIRGILIO, NANCY PAC
308 CHARLES STREET BANGOR
49013
(269) 427-7967
1072502
49071
(269) 668-4180
1072531
WILE, LARRY MD
49071
(269) 668-4180
1081800
WILKINSON, WILLIAM L MD
308 CHARLES ST BANGOR
49013
(269) 427-7967
BMC
M-F 9:00-5:00
M-F 9:00-5:00
BMC
M-F 9:00-5:00
BMC
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
INTERNAL MEDICINE
1089171
CHIP, JEROLD MD
49090
(269) 639-2777
1081343
KHAIRALLAH, NAJI M MD
451 HEALTH PKWY STE F PAW PAW
49079
(269) 655-3080
SHCH
1101879
KHAWAJA, HASEEB MD
451 HEALTH PARKWAY STE F PAW PAW
49079
(269) 655-3080
1081341
MILLER, ANTHONY W MD
49079
(269) 655-3080
M-F 9:00-5:00
1081342
PEIRCE, DAVID B MD
49079
(269) 655-3080
M-F 9:00-5:00
LCH
NURSE PRACTITIONER
1077958
BASTOS, GENEVIEVE T NP
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1077935
BRYANT, PAMELA NP
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1072377
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1117523
CHILES, JAMIE NP
49079
(269) 657-1660
LCH
M-F 9:00-5:00
1072387
DEJONG, SANDRA R NP
24466 RED ARROW MATTAWAN
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1072398
DENNIS, TERRI J NP
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1077957
FOLEY, MEGAN O NP
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1081352
FORD, LAURA C NP
49071
(269) 668-3348
M-F 9:00-5:00
F
F
M-F 9:00-5:00
M-F 9:00-5:00
(269) 423-7028
M-F 9:00-5:00
49079
(269) 655-3065
M-F 9:00-5:00
49079
(269) 655-3065
M-F 9:00-5:00
1123948
FREDERICK, BARBARA D NP
308 CHARLES STREET BANGOR
49013
(269) 427-7967
1077930
HANLEY, SHARON L NP
49071
(269) 668-4180
1037229
HARRIS, CONNIE L NP
319 W DELAWARE ST DECATUR
49045
1089210
LEIGHTON, MARISA NP
1081353
LOUNSBURY, LYNNE M NP

Not Specified

BMC

Page 96
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1123659
49071
(269) 668-4180
M-F 9:00-5:00
1100426
MUNSON, SUSAN NP
451 HEALTH PARKWAY STE. A PAW PAW
49079
(269) 657-2550
BRONMETH
M-F 9:00-5:00
1077921
REFFITT, MELISSA NP
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1107637
49071
(269) 668-4180
N/A
M-F 9:00-5:00
1081351
ROBERTS, AMY L NP
451 HEALTH PKWY STE E PAW PAW
49079
(269) 655-3080
M-F 9:00-5:00
1095080
ROTH-BOWERSOCK, ROSE NP
451 HEALTH PARKWAY STE E PAW PAW
49079
(269) 655-3080
BRONMETH
M-F 9:00-5:00
1072514
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1072545
YEALIN, MARY E NP
49071
(269) 668-4180
BMC
M-F 9:00-5:00
49071
(269) 668-4180
BMC
M-F 9:00-5:00

1077925
KUIPER, ANGELA L NP
PEDIATRICS
1081328
CARTMILL, WILLIAM C MD
49079
(269) 655-3090
M-F 9:00-5:00
1081327
HUGGETT, THOMAS J MD
49079
(269) 655-3090
M-F 9:00-5:00
1079168
JANSON, KAREN MD
49090
(269) 639-2772
M-F 9:00-5:00
1081326
KAVANAUGH, JOHN W MD
49079
(269) 655-3090
M-F 9:00-5:00
1123599
PATEL, NILAM MD
49071
(269) 668-4180
M-F 9:00-5:00
1123900
PELC, EVAN DO
49071
(269) 668-4180
M-F 9:00-5:00
1079105
UWEDJOJEVWE, UDORO MD
49090
(269) 639-2772
M-F 9:00-5:00
SHCH
SHCH
PHYSICIAN ASSISTANT
1097121
49071
(269) 668-4180
M-F 9:00-5:00
1106772
ALLEN, LINDSAY PA-C
49071
(269) 668-4180
N/A
M-F 9:00-5:00
1109429
BEDGOOD, SHONA PAC
520 RAILROAD ST BANGOR
49013
(269) 427-5811
SHCH
M-F 9:00-5:00
1091565
BOWSER, JULIE M PAC
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1081357
BUSH, GERALD M PA
49079
(269) 655-3065
M-F 9:00-5:00
1072369
49071
(269) 668-4180
1081358
CUMMINGS, DAVID PA
451 HEALTH PKWY PAW PAW
49079
(269) 657-2550
1072464
DOAN, RONALD D PA
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1109465
DOBREFF, STACY PAC
49090
(269) 639-2777
SHCH
M-F 9:00-5:00
1100590
GUINDON, BRIAN M PA
520 RAILROAD ST BANGOR
49013
(269) 427-5811
SHCH
M-F 9:00-5:00
1072561
HOPPS, BARBARA PA
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1118321
KHALILI, SOPHIA PA
49079
(269) 655-3065
M-F 9:00-5:00
1072583
KOOY, LAURA A PA
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1107594
KUIPERS, STEFAN PAC
49090
(269) 639-2772
SHCH
M-F 9:00-5:00
1077923
MICKELSON, MELISSA K PA
49071
(269) 668-4180
BMC
M-F 9:00-5:00
1081639
NEWINGTON, EDWIN K PA
49057
(269) 621-4063
M-F 9:00-5:00
1081356
PERKINS, ELAINE PA
49079
(269) 655-3065
M-F 9:00-5:00
1107010
PREDUM, LEAH D PA
49071
(269) 668-4180
M-F 9:00-5:00
1117234
SLACHTA, ANNE PAC
49090
(269) 639-2772
M-F 9:00-5:00
1117086
SMEADER, JESSICA PAC
49079
(269) 353-9898
M-F 9:00-5:00
BMC
SHCH
M-F 9:00-5:00
M-F 9:00-5:00

1098375
GROWE, BETTY NP
451 HEALTH PKWY ACUTE CARE CLINIC PAW
49079
(269) 655-3065
LCH
M-F 9:00-5:00
1107023
JONES, ASHLEY NP
49071
(269) 668-4180
N/A
M-F 9:00-5:00
200 ARNET ST STE 200 YPSILANTI
48198
(734) 482-6221
UM
M-F 9:00-5:00
WASHTENAW COUNTY
1114304
ALVAREZ, DAVID J DO

Not Specified


Page 97
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
WASHTENAW COUNTY (CONTINUED)

1113942
APGAR, BARBARA S MD
14700 E OLD US 12 CHELSEA
48118
(734) 475-1321
UM
M-F 9:00-5:00
1110766
BARTELME, RICARDO R MD
1801 BRAIRWOOD CIR ANN ARBOR
48108
(734) 998-7167
UM
M-F 9:00-5:00
1110767
48198
(734) 482-6221
UM
M-F 9:00-5:00
1110769
4260 PLYMOUTH RD ANN ARBOR
48109
(734) 647-5655
UM
M-F 9:00-5:00
1110768
400 E EISENHOWER STE B ANN ARBOR
48108
(734) 232-2600
UM
M-F 9:00-5:00
1083264
BETTCHER, CATHERINE M MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1110728
48108
(734) 998-7167
UM
M-F 9:00-5:00
1110729
48108
(734) 232-2600
UM
M-F 9:00-5:00
1110730
48109
(734) 647-5655
UM
M-F 9:00-5:00
1113822
CHANG, TAMMY MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1039809
COOKE, JAMES M MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1113810
COOKE, JAMES M MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1113809
COOKE, JAMES M MD
48109
(734) 647-5655
UM
M-F 9:00-5:00
1112716
DENAY, KERI L MD
24 FRANK LLOYD WRIGHT DR LOBBY H ANN
48105
(734) 647-5640
UM
M-F 9:00-5:00
1112715
DENAY, KERI L MD
48108
(734) 998-7167
UM
M-F 9:00-5:00
1112713
DENAY, KERI L MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1112717
DENAY, KERI L MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1110753
DOBSON, MARGARET L MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1093721
FENSKE, JILL N MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1111130
FENSKE, JILL N MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1111131
FENSKE, JILL N MD
48109
(734) 647-5655
UM
M-F 9:00-5:00
1110696
FETTERS, MICHAEL D MD
48105
(734) 647-5640
UM
M-F 9:00-5:00
1110695
FETTERS, MICHAEL D MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1032513
FORSCH, RANDALL T MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1110065
FORSCH, RANDALL T MD
48109
(734) 647-5655
UM
M-F 9:00-5:00
1114301
GALLAGHER, KRISTINA M MD
48108
(734) 998-7167
UM
M-F 9:00-5:00
1003400
48118
(734) 475-1321
UM
M-F 9:00-5:00
1114303
48109
(734) 647-5655
UM
M-F 9:00-5:00
1114302
48108
(734) 232-2600
UM
M-F 9:00-5:00
1111478
GEORGE-NWOGU, UCHE D MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1114616
GOLD, KATHERINE J MD
48105
(734) 647-5640
UM
M-F 9:00-5:00
1122873
GOSSA, WEYINSHET P MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1122871
48118
(734) 475-1321
UM
M-F 9:00-5:00
1122872
1801 BRIARWOOD CIR ANN ARBOR
48108
(734) 998-7390
UM
M-F 9:00-5:00
1111109
GREENBERG, GRANT M MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1111111
48198
(734) 482-6221
UM
M-F 9:00-5:00
1111112
48109
(734) 647-5655
UM
M-F 9:00-5:00
1100492
HARMES, KATHRYN M MD
7300 DEXTER ANN ARBOR RD DEXTER
48130
(734) 426-2796
UM
M-F 9:00-5:00
1111051
48118
(734) 475-1321
UM
M-F 9:00-5:00
1111053
48109
(734) 647-5655
UM
M-F 9:00-5:00
1111052
48108
(734) 232-2600
UM
M-F 9:00-5:00
1111085
HASHIKAWA, MICHELEEN S MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1111088
48105
(734) 647-5640
UM
M-F 9:00-5:00
1111087
48198
(734) 482-6221
UM
M-F 9:00-5:00
1076444
HEIDELBAUGH, JOEL J MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1111381
HOLMSTROM, HEATHER L MD
48105
(734) 647-5640
UM
M-F 9:00-5:00
1111380
48198
(734) 482-6221
UM
M-F 9:00-5:00
1111439
HUDSON, STEFANI A MD
48198
(734) 482-6221
UM
M-F 9:00-5:00

Not Specified


Page 98
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1114083
JIMBO, MASAHITO MD
48105
(734) 647-5640
UM
M-F 9:00-5:00
1110697
KELLEY, SCOTT A MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1110698
KELLEY, SCOTT A MD
48108
(734) 998-7167
UM
M-F 9:00-5:00
1110699
KELLEY, SCOTT A MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1110700
KELLEY, SCOTT A MD
48109
(734) 647-5655
UM
M-F 9:00-5:00
1111545
KININGHAM, ROBERT B MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1111546
48105
(734) 647-5640
UM
M-F 9:00-5:00
1111547
48109
(734) 647-5655
UM
M-F 9:00-5:00
1113462
KIRST, NELL B MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1113463
KIRST, NELL B MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1112209
KLINKMAN, MICHAEL S MD
48108
(734) 998-7167
UM
M-F 9:00-5:00
1112208
48118
(734) 475-1321
UM
M-F 9:00-5:00
1112211
48109
(734) 647-5655
UM
M-F 9:00-5:00
1112210
48108
(734) 232-2600
UM
M-F 9:00-5:00
1112737
KRAUSE, CHRISTINE W MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1112738
48105
(734) 647-5640
UM
M-F 9:00-5:00
1112739
48109
(734) 647-5655
UM
M-F 9:00-5:00
1110889
LLANES, MIKEL MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1111670
MALOUIN, JEAN M MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1111669
MALOUIN, JEAN M MD
48108
(734) 998-7167
UM
M-F 9:00-5:00
1030110
MALOUIN, JEAN M MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1111672
MALOUIN, JEAN M MD
48109
(734) 647-5655
UM
M-F 9:00-5:00
1111671
MALOUIN, JEAN M MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1112011
MASTER-HUNTER, TARANNUM A MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1112012
MASTER-HUNTER, TARANNUM A MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1112523
MCKEE, MICHAEL M MD
48130
(734) 426-2796
UM
M-F 9:00-5:00
1112522
MCKEE, MICHAEL M MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1111816
MILLER, AMY C MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1111815
MILLER, AMY C MD
48108
(734) 998-7167
UM
M-F 9:00-5:00
1111818
MILLER, AMY C MD
48109
(734) 647-5655
UM
M-F 9:00-5:00
1111817
MILLER, AMY C MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1004667
MUSOLF, KAREN L MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1125947
NISONGER, CHRISTINA A MD
1801 BRIARWOOD CR ANN ARBOR
48108
(734) 998-7390
M-F 9:00-5:00
1079653
O'BRIEN, JOHN M MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1112815
O'BRIEN, JOHN M MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1110581
ORIZONDO, CARISSA A MD
48108
(734) 998-7167
UM
M-F 9:00-5:00
1122943
OTHMAN, AMAL E MD
48105
(734) 647-5640
UM
M-F 9:00-5:00
1122941
OTHMAN, AMAL E MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1125177
OTT, ANNELIE MD
7300 DEXTER ANN ARBOR D DEXTER
48130
(734) 426-2796
M-F 9:00-5:00
1125176
OTT, ANNELIE MD
48105
(734) 647-5640
M-F 9:00-5:00
1125173
OTT, ANNELIE MD
1801 BRIARWOOD CIRCLE ANN ARBOR
48108
(734) 998-7390
M-F 9:00-5:00
1125172
OTT, ANNELIE MD
48118
(734) 475-1321
M-F 9:00-5:00
1125174
OTT, ANNELIE MD
48198
(734) 482-6221
M-F 9:00-5:00
1112545
PARKER-FEATHERSTONE, EBONY C MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1112542
48118
(734) 475-1321
UM
M-F 9:00-5:00
1112544
48108
(734) 998-7167
UM
M-F 9:00-5:00
1112546
48108
(734) 232-2600
UM
M-F 9:00-5:00
1105789
PEGGS, JAMES F MD
48118
(734) 475-1321
UM
M-F 9:00-5:00

Not Specified


Page 99
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1112698
PETERS, THERESA R MD
48130
(734) 426-2796
UM
M-F 9:00-5:00
1112696
48118
(734) 475-1321
UM
M-F 9:00-5:00
1112697
48108
(734) 232-2600
UM
M-F 9:00-5:00
1122729
PETERSEN, KETTI S MD
48118
(734) 475-1321
N/A
M-F 9:00-5:00
1112980
PICKEN, ELISA B MD
48130
(734) 426-2796
UM
M-F 9:00-5:00
1112977
PICKEN, ELISA B MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1112976
PICKEN, ELISA B MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1112978
PICKEN, ELISA B MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1112979
PICKEN, ELISA B MD
48109
(734) 647-5655
UM
M-F 9:00-5:00
1078901
RABIDEAU, MICHELLE L MD
48130
(734) 426-2796
UM
M-F 9:00-5:00
1114647
48108
(734) 998-7167
UM
M-F 9:00-5:00
1112305
48118
(734) 475-1321
UM
M-F 9:00-5:00
1114649
48109
(734) 647-5655
UM
M-F 9:00-5:00
1114648
48108
(734) 232-2600
UM
M-F 9:00-5:00
1110159
REW, KARL T MD
48108
(734) 998-7167
UM
M-F 9:00-5:00
1110160
REW, KARL T MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1110161
REW, KARL T MD
48105
(734) 647-5640
UM
M-F 9:00-5:00
1110158
REW, KARL T MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1110163
REW, KARL T MD
48109
(734) 647-5655
UM
M-F 9:00-5:00
1110162
REW, KARL T MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1110723
ROCKWELL, PAMELA G DO
48198
(734) 482-6221
UM
M-F 9:00-5:00
1110724
48105
(734) 647-5640
UM
M-F 9:00-5:00
1110725
48109
(734) 647-5655
UM
M-F 9:00-5:00
1110301
RODGERS, PHILLIP E MD
48108
(734) 998-7167
UM
M-F 9:00-5:00
1110302
48198
(734) 482-6221
UM
M-F 9:00-5:00
1110303
48108
(734) 232-2600
UM
M-F 9:00-5:00
1110304
48109
(734) 647-5655
UM
M-F 9:00-5:00
1111113
RUFFIN, MACK T MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1111114
RUFFIN, MACK T MD
48108
(734) 998-7167
UM
M-F 9:00-5:00
1111115
RUFFIN, MACK T MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1111116
RUFFIN, MACK T MD
48109
(734) 647-5655
UM
M-F 9:00-5:00
1113967
SERLIN, DAVID C MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1113963
SERLIN, DAVID C MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1113965
SERLIN, DAVID C MD
48108
(734) 998-7167
UM
M-F 9:00-5:00
1113973
SERLIN, DAVID C MD
48109
(734) 647-5655
UM
M-F 9:00-5:00
1113971
SERLIN, DAVID C MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1111320
SHIH, ELIZABETH R MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1114357
48105
(734) 647-5640
UM
M-F 9:00-5:00
1100807
48118
(734) 475-1321
UM
M-F 9:00-5:00
1114173
SKYE, ERIC P MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1107280
SKYE, ERIC P MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1114174
SKYE, ERIC P MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1110498
STRZODA, CHERYL E MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1101446
TOMA, GHAZWAN G MD
14700 E OLD US HWY 12 CHELSEA
48118
(734) 475-1321
M-F 9:00-5:00
1112630
VELEZ, LOURDES MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1111491
WAMPLER, STEPHEN M MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1111405
WARBER, SARA L MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1111406
WARBER, SARA L MD
48108
(734) 998-7167
UM
M-F 9:00-5:00

Not Specified


Page 100
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
UM
M-F 9:00-5:00
M-F 9:00-5:00

1111407
WARBER, SARA L MD
48108
(734) 232-2600
1108505
WILLIAMS, CHRISTA MD
48130
(734) 426-2796
1087127
WONG, JEAN H MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1112127
YEN, GARY MD
48108
(734) 998-7167
UM
M-F 9:00-5:00
1112128
YEN, GARY MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1112126
YEN, GARY MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1112129
YEN, GARY MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1113816
YOUNG, ALISA P MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1113820
YOUNG, ALISA P MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1113817
YOUNG, ALISA P MD
48108
(734) 998-7167
UM
M-F 9:00-5:00
1111378
ZAZOVE, PHILIP MD
48130
(734) 426-2796
UM
M-F 9:00-5:00
1111375
ZAZOVE, PHILIP MD
48105
(734) 647-5640
UM
M-F 9:00-5:00
1111373
ZAZOVE, PHILIP MD
48108
(734) 998-7167
UM
M-F 9:00-5:00
1111374
ZAZOVE, PHILIP MD
48198
(734) 482-6221
UM
M-F 9:00-5:00
1111371
ZAZOVE, PHILIP MD
48118
(734) 475-1321
UM
M-F 9:00-5:00
1111376
ZAZOVE, PHILIP MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1111377
ZAZOVE, PHILIP MD
48109
(734) 647-5655
UM
M-F 9:00-5:00
GERIATRICS
1113429
DENGIZ, ALAN N MD
1200 EARHART RD ANN ARBOR
48105
(734) 769-0177
UM
M-F 9:00-5:00
1113430
DENGIZ, ALAN N MD
48109
(734) 764-6831
UM
M-F 9:00-5:00
1110588
HALL, KAREN E MD
48105
(734) 769-0177
UM
M-F 9:00-5:00
1110590
HALL, KAREN E MD
48109
(734) 764-6831
UM
M-F 9:00-5:00
1114295
HALTER, JEFFREY B MD
48105
(734) 769-0177
UM
M-F 9:00-5:00
1114296
HALTER, JEFFREY B MD
48109
(734) 764-6831
UM
M-F 9:00-5:00
1114287
LEE, PEARL G MD
48105
(734) 769-0177
UM
M-F 9:00-5:00
1114288
LEE, PEARL G MD
48109
(734) 764-6831
UM
M-F 9:00-5:00
1113211
MALANI, PREETI N MD
48105
(734) 769-0177
UM
M-F 9:00-5:00
1111694
MIN, LILLIAN C MD
48105
(734) 769-0177
UM
M-F 9:00-5:00
1111696
MIN, LILLIAN C MD
48109
(734) 764-6831
UM
M-F 9:00-5:00
1112333
MODY, LONA MD
48105
(734) 769-0177
UM
M-F 9:00-5:00
1112335
MODY, LONA MD
48109
(734) 764-6831
UM
M-F 9:00-5:00
1114280
MONTOYA, ANA T MD
48105
(734) 769-0177
UM
M-F 9:00-5:00
1114281
MONTOYA, ANA T MD
48109
(734) 764-6831
UM
M-F 9:00-5:00
1113035
NNODIM, JOSEPH O MD
48105
(734) 769-0177
UM
M-F 9:00-5:00
1113037
NNODIM, JOSEPH O MD
48109
(734) 764-6831
UM
M-F 9:00-5:00
1110184
PERSKY, NEAL W MD
48105
(734) 769-0177
UM
M-F 9:00-5:00
1110185
PERSKY, NEAL W MD
48109
(734) 764-6831
UM
M-F 9:00-5:00
1114041
STOLTZ, ANJANETTE M MD
48105
(734) 769-0177
UM
M-F 9:00-5:00
1114043
STOLTZ, ANJANETTE M MD
48109
(734) 764-6831
UM
M-F 9:00-5:00
1114686
VITALE, CAROLINE A MD
48105
(734) 769-0177
UM
M-F 9:00-5:00
1114688
VITALE, CAROLINE A MD
48109
(734) 764-6831
UM
M-F 9:00-5:00
1113740
WIGGINS, JOCELYN E MD
48105
(734) 769-0177
UM
M-F 9:00-5:00
1113744
WIGGINS, JOCELYN E MD
48109
(734) 764-6831
UM
M-F 9:00-5:00
INTERNAL MEDICINE
1110042
AN, LAWRENCE C MD
1500 E MEDICAL CENTER DR 3RD FL TAUBMAN
48109
(734) 936-5582
UM
M-F 9:00-5:00
1110043
AN, LAWRENCE C MD
400 E EISENHOWER PKWY STE B ANN ARBOR
48108
(734) 232-2600
UM
M-F 9:00-5:00
1113534
BAGATTO, AMY J MD
48109
(734) 936-5582
UM
M-F 9:00-5:00

Not Specified


Page 101
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1114112
BALOGH, LINDA M MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1041502
BERLAND, DANIEL W MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1111778
BILLI, JOHN E MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1079610
BLITZ, SUSAN G MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1110491
BLITZ, SUSAN G MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1113340
CHEN, XIAN MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1078010
CHEN, XIAN MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1110531
CHICK, DAVOREN A MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1110533
CHICK, DAVOREN A MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1110532
CHICK, DAVOREN A MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1112419
COLLIER, KRISTIN M MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1110807
COOKE, DAVID A MD
700 E WOODLAND DR SALINE
48176
(734) 429-2302
UM
M-F 9:00-5:00
1110805
COOKE, DAVID A MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1110806
COOKE, DAVID A MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1113549
CRUMP, JOHN MD
48176
(734) 429-2302
UM
M-F 9:00-5:00
1113547
CRUMP, JOHN MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1113545
CRUMP, JOHN MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1116507
DEWYER, RODNEY MD
350 N MAIN ST STE 100 CHELSEA
48118
(734) 433-1500
SJMERC
M-F 9:00-5:00
1110305
DIMAGNO, MONICA M MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1114190
DRAKE, ELIZABETH A MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1114191
48109
(734) 647-5650
UM
M-F 9:00-5:00
1113418
FAN, AUDREY L MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1110067
FENDRICK, A MARK MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1110068
FENDRICK, A MARK MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1113354
FINE, PAUL L MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1113357
FINE, PAUL L MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1113356
FINE, PAUL L MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1110772
GENCYUZ, CHARISSE F MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1110771
48108
(734) 232-2600
UM
M-F 9:00-5:00
1041259
GOOLD, SUSAN D MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1113578
GOOLD, SUSAN D MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1094265
HAYWARD, RODNEY A MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1114620
HAYWARD, RODNEY A MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1112301
HOWELL, JOEL D MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1112302
HOWELL, JOEL D MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1110168
HSU, JENNY N MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1122036
HUNTER, JOHN MD
48109
(734) 936-5582
N/A
M-F 9:00-5:00
1112894
KAHN, JASON H MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1111564
KLEAVELAND, MARY MD
4900A JACKSON RD ANN ARBOR
48103
(734) 998-7380
UM
M-F 9:00-5:00
1102519
KRIEGER, KRISTEN A MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1112217
KWOK, YEONG S MD
48176
(734) 429-2302
UM
M-F 9:00-5:00
1112216
KWOK, YEONG S MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1077939
KWOK, YEONG S MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1005863
MCMAHON, LAURENCE F MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1111830
48108
(734) 232-2600
UM
M-F 9:00-5:00
1111401
MCMASTER, LAWRENCE J DO
48109
(734) 647-5650
UM
M-F 9:00-5:00
1111811
MCQUILLAN, MARK A MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1111813
48108
(734) 232-2600
UM
M-F 9:00-5:00

Not Specified


Page 102
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1111814
48109
(734) 647-5650
UM
M-F 9:00-5:00
1111760
MEDDINGS, JENNIFER A MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1111762
48108
(734) 232-2600
UM
M-F 9:00-5:00
1111763
48109
(734) 647-5670
UM
M-F 9:00-5:00
1096059
MORELOCK, JULIE A MD
48176
(734) 429-2302
UM
M-F 9:00-5:00
1110182
48108
(734) 232-2600
UM
M-F 9:00-5:00
1110183
48109
(734) 647-5650
UM
M-F 9:00-5:00
1112699
O'CONNOR, THOMAS P MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1112701
48109
(734) 647-5650
UM
M-F 9:00-5:00
1112700
48108
(734) 232-2600
UM
M-F 9:00-5:00
1113958
O'DONNELL, KIMBERLY S MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1113957
O'DONNELL, KIMBERLY S MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1113524
OSTAFIN, ELISA A MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1099894
OSTAFIN, ELISA A MD
48103
(734) 998-7380
UM
M-F 9:00-5:00
1113526
OSTAFIN, ELISA A MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1125319
PAPPAS, MATTHEW A MD
700 EAST WOODLAND DR SALINE
48176
(734) 429-2302
M-F 9:00-5:00
1125318
1500 E MEDICAL CENTER DR ANN ARBOR
48109
(734) 936-5582
M-F 9:00-5:00
1125317
48109
(734) 936-5582
M-F 9:00-5:00
1113668
PATEL, RAJESH N MD
48108
(734) 232-2600
M-F 9:00-5:00
1119568
PATRIAS, REBECCA L MD
350 N MAIN ST STE 100 CHELSEA
48118
(734) 433-1500
M-F 9:00-5:00
1098931
PERSSON, CHRISTINE A MD
48103
(734) 998-7380
UM
M-F 9:00-5:00
1112416
48108
(734) 232-2600
UM
M-F 9:00-5:00
1112417
48109
(734) 647-5650
UM
M-F 9:00-5:00
1111865
SACHDEV, NAMITA MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1111864
SACHDEV, NAMITA MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1017480
SHIHADEH, MUAIAD MD
2236 PACKARD RD YPSILANTI
48197
(734) 434-8900
M-F 9:00-5:00
1110318
SKALSKI, MARK J MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1108582
SMITH, JEFFERY D MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1113583
SMITH, JEFFERY D MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1113585
SMITH, JEFFERY D MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1113748
SOYSTER, BARBARA MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1004862
SPSPLINGER, DAVID A MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1112239
STANDIFORD, CONNIE J MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1112241
48108
(734) 232-2600
UM
M-F 9:00-5:00
1112242
48109
(734) 647-5650
UM
M-F 9:00-5:00
1112466
STUTZ, DAVID R MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1112704
SUN, ELEANOR Y MD
48176
(734) 429-2302
UM
M-F 9:00-5:00
1112703
SUN, ELEANOR Y MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1094570
SUTTER, JYOTI K MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1110559
TERRELL, LINDA B MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1112970
TICHENOR, PAUL K MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1098812
TICHENOR, PAUL K MD
48103
(734) 998-7380
UM
M-F 9:00-5:00
1112973
TICHENOR, PAUL K MD
48109
(734) 647-5650
UM
M-F 9:00-5:00
1112972
TICHENOR, PAUL K MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1111915
WILLIAMS, BRENT C MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1111917
48109
(734) 647-5650
UM
M-F 9:00-5:00
1111916
48108
(734) 232-2600
UM
M-F 9:00-5:00
1113754
WOOLLISCROFT, JAMES O MD
48109
(734) 936-5582
UM
M-F 9:00-5:00

Not Specified

UM

Page 103
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
48108
(734) 232-2600
UM
M-F 9:00-5:00

1094244
YARBROUGH, CORINNE A MD
NURSE PRACTITIONER
1110961
BELL, GAIL M NP
48109
(734) 764-6831
UM
M-F 9:00-5:00
1110818
BENLOUCIF-MOORE, SUZANNE NP
48108
(734) 647-5871
UM
M-F 9:00-5:00
1110035
BIBICOFF, NINA K NP
48105
(734) 769-0177
UM
M-F 9:00-5:00
1110036
BIBICOFF, NINA K NP
48109
(734) 764-6831
UM
M-F 9:00-5:00
1112615
BIENIASZ, MARY E NP
48198
(734) 482-6221
UM
M-F 9:00-5:00
1125324
CLARK, JUDITH C NP
48108
(734) 998-7207
M-F 9:00-5:00
1112666
CRUPI, SAMANTHA E NP
48108
(734) 232-2600
UM
M-F 9:00-5:00
1111152
CURTIS, MEGAN NP
48109
(734) 647-5650
UM
M-F 9:00-5:00
1111125
EGNER, SUSAN M NP
48109
(734) 647-6000
UM
M-F 9:00-5:00
1112996
ELENBAAS, JANE E NP
48109
(734) 647-5650
UM
M-F 9:00-5:00
1113047
FERRY, NANCY L NP
48108
(734) 232-2600
UM
M-F 9:00-5:00
1112263
FREEMAN, CAROL M NP
48109
(734) 764-6831
UM
M-F 9:00-5:00
1112512
GREGORY, LYNN A NP
48105
(734) 769-0177
UM
M-F 9:00-5:00
1112514
GREGORY, LYNN A NP
48109
(734) 764-6831
UM
M-F 9:00-5:00
1110504
KAUFMAN, LAURA I NP
48109
(734) 764-6831
UM
M-F 9:00-5:00
1122176
KOPICKO, KAREN NP
911 BROWN ST ANN ARBOR
48104
(734) 769-3702
M-F 9:00-5:00
1111680
LENZ, SHERRY L NP
48103
(734) 998-7380
UM
M-F 9:00-5:00
1125545
MARQUIS HENSON, CARLY NP
48108
(734) 998-7207
UM
M-F 9:00-5:00
1112043
MERZ, JULIE C NP
48108
(734) 647-5871
UM
M-F 9:00-5:00
1123708
MILLER, PATRICIA NP
250 W EISENHOWER PKWY STE 190 ANN ARBOR 48108
(734) 660-6177
M-F 9:00-5:00
1111041
MORRIS, CAROLYN L NP
48109
(734) 764-6831
M-F 9:00-5:00
1127858
NUTT, CHRISTINA M NP
1500 E MEDICAL CENTER DR B1 FL UNIVERSITY
48109
(734) 936-4566
M-F 9:00-5:00
1110478
O'CONNELL, THOMAS V NP
48105
(734) 769-0177
UM
M-F 9:00-5:00
1110479
O'CONNELL, THOMAS V NP
48109
(734) 764-6831
UM
M-F 9:00-5:00
1113528
PLANTE, SUZANNE M NP
48105
(734) 769-0177
UM
M-F 9:00-5:00
1111765
POOLE, MICHELE A NP
48105
(734) 769-0177
UM
M-F 9:00-5:00
1111767
POOLE, MICHELE A NP
48109
(734) 764-6831
UM
M-F 9:00-5:00
1111952
RICHARDS, DIANA E NP
48109
(734) 647-5660
UM
M-F 9:00-5:00
1112357
SANDRETTO, ANNETTE M NP
48118
(734) 475-1321
UM
M-F 9:00-5:00
1113987
SCANLON, KAREN L NP
48109
(734) 647-6000
UM
M-F 9:00-5:00
1114017
SELZER, BELA J NP
48109
(734) 647-5650
UM
M-F 9:00-5:00
1112993
SMITH, JENNIFER L NP
48109
(734) 647-5650
UM
M-F 9:00-5:00
1124673
STECHOW, RENEE NP
950 VICTORS WAY STE 100 ANN ARBOR
48108
(734) 926-4800
N/A
M-F 9:00-5:00
1113831
STRUBLE, LAURA M NP
48105
(734) 769-0177
UM
M-F 9:00-5:00
1113832
STRUBLE, LAURA M NP
48109
(734) 764-6831
UM
M-F 9:00-5:00
1127601
SZCZAK, JOHANNA M NP
325 E EISENHOWER STE 100 ANN ARBOR
48108
(734) 998-1513
UM
M-F 9:00-5:00
1111333
THOMAS, NANCY I NP
48109
(734) 647-5650
UM
M-F 9:00-5:00
1112444
TOBIN, CINDY A NP
48108
(734) 647-5871
UM
M-F 9:00-5:00
1127857
TOMAJKO, SHERI L NP
1500 E MEDICAL CENTER DR 9TH FL CS MOTT
48109
(734) 763-5302
UM
M-F 9:00-5:00
1112118
TOMASIK, KRISTINA M NP
48109
(734) 764-6831
UM
M-F 9:00-5:00
1112324
WALKOWIAK, ELIZABETH H NP
48109
(734) 647-5650
UM
M-F 9:00-5:00
UM
PEDIATRICS
1119513
BARCLAY, BETH MD
3200 W LIBERTY STE A ANN ARBOR
48103
(734) 994-5858
SJMERC
M-F 9:00-5:00
1124718
BENDER, ISABEL B MD
48176
(734) 429-2302
UM
M-F 9:00-5:00
1124714
BENDER, ISABEL B MD
48198
(734) 484-7288
UM
M-F 9:00-5:00

Not Specified


Page 104
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1124716
BENDER, ISABEL B MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1124717
BENDER, ISABEL B MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1077446
BURROWS, HEATHER L MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1113588
BURROWS, HEATHER L MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1112300
DAVIS, MATTHEW M MD
48109
(734) 936-5582
UM
M-F 9:00-5:00
1113372
48176
(734) 429-2302
UM
M-F 9:00-5:00
1113367
48198
(734) 484-7288
UM
M-F 9:00-5:00
1113369
48108
(734) 232-2600
UM
M-F 9:00-5:00
1113370
48109
(734) 647-5670
UM
M-F 9:00-5:00
1113371
48103
(734) 998-7380
UM
M-F 9:00-5:00
1066432
DUMONT, ALLEN D MD
48104
(734) 769-3702
SJMERC
M-F 9:00-5:00
1110422
FEALY, JESSICA L MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1119436
GOLD, LAUREN MD
48103
(734) 994-5858
SJMERC
M-F 9:00-5:00
1110705
HAKIM, MARK N MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1112110
HAMMER, LISA K MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1112109
HAMMER, LISA K MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1122002
HARRIS, SUSAN L MD
48104
(734) 769-3702
N/A
M-F 9:00-5:00
1113626
HELMS, LAUREN E MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1110761
JOINER, TERENCE A MD
48198
(734) 484-7288
UM
M-F 9:00-5:00
1110762
JOINER, TERENCE A MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1113194
KILENY, SHARON MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1113195
KILENY, SHARON MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1112560
KOCHHAR, PARAMJEET K MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1111881
LANCASTER, JILL A MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1111163
LANGLOIS, DEBRA M MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1111164
48109
(734) 647-5670
UM
M-F 9:00-5:00
1112602
LAULE, SARA M MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1114147
LEDESAI, THUY B MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1114148
LEDESAI, THUY B MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1122081
MIKHAIL, AMY P MD
48104
(734) 769-3702
SJMERC
M-F 9:00-5:00
1091112
MOHAMMED, LAYLA S MD
48198
(734) 484-7288
UM
M-F 9:00-5:00
1110787
MOHAMMED, LAYLA S MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1112774
MUSCI, ADRIENNE T MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1076699
NOBLE, JILL A MD
48176
(734) 429-2302
UM
M-F 9:00-5:00
1111267
NOBLE, JILL A MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1111268
NOBLE, JILL A MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1113520
NORTHWAY, REBECCA M MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1113523
48109
(734) 647-5670
UM
M-F 9:00-5:00
1113704
48176
(734) 429-2302
UM
M-F 9:00-5:00
1113691
48198
(734) 484-7288
UM
M-F 9:00-5:00
1113701
48103
(734) 998-7380
UM
M-F 9:00-5:00
1113698
48108
(734) 232-2600
UM
M-F 9:00-5:00
1113085
PARK, STEPHEN M MD
48176
(734) 429-2302
UM
M-F 9:00-5:00
1113083
PARK, STEPHEN M MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1113084
PARK, STEPHEN M MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1111149
RAHEJA, AARTI MD
48176
(734) 429-2302
UM
M-F 9:00-5:00
1111146
RAHEJA, AARTI MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1111148
RAHEJA, AARTI MD
48103
(734) 998-7380
UM
M-F 9:00-5:00

Not Specified


Page 105
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1111147
RAHEJA, AARTI MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1110714
REED, LAUREN M MD
48176
(734) 429-2302
UM
M-F 9:00-5:00
1110709
REED, LAUREN M MD
48198
(734) 484-7288
UM
M-F 9:00-5:00
1110711
REED, LAUREN M MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1110712
REED, LAUREN M MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1110713
REED, LAUREN M MD
48103
(734) 998-7380
UM
M-F 9:00-5:00
1111099
SANDVIG, SARA J MD
48108
(734) 232-2600
UM
M-F 9:00-5:00
1102520
SANDVIG, SARA J MD
48103
(734) 998-7380
UM
M-F 9:00-5:00
1070179
SEILER, ANDREW MD
48103
(734) 994-5858
SJMERC
M-F 9:00-5:00
1110520
48198
(734) 484-7288
UM
M-F 9:00-5:00
1110521
48108
(734) 232-2600
UM
M-F 9:00-5:00
1112276
YOON, ESTHER Y MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
1094425
ZIRNGIBL, GWENDOLYN R MD
48109
(734) 647-5670
UM
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1110295
AUBRY, ALYSSA M PAC
48109
(734) 936-5582
UM
M-F 9:00-5:00
1111705
BINNS, LIZABETH A PAC
48109
(734) 764-6831
UM
M-F 9:00-5:00
1111295
BOARDMAN, KRISTEN A PAC
48109
(734) 647-5670
UM
M-F 9:00-5:00
1111385
BROZO, CHRISTINE M PAC
48109
(734) 647-5670
UM
M-F 9:00-5:00
1110235
CUMMINGS, KAREN S PAC
48109
(734) 764-6831
UM
M-F 9:00-5:00
1110483
DOYLE, SUSAN M PAC
48108
(734) 998-7390
UM
M-F 9:00-5:00
1112360
HUYCK, MARY E PAC
48109
(734) 936-5582
UM
M-F 9:00-5:00
1111187
JOSHUA, SURESH V PAC
48198
(734) 482-6221
UM
M-F 9:00-5:00
1113110
LUPO, KELLY J PAC
48109
(734) 764-6831
UM
M-F 9:00-5:00
1112566
MARSH, ELIZABETH A PAC
48109
(734) 936-6000
UM
M-F 9:00-5:00
1127860
REIZNER, MARYANN PA-C
1500 E MEDICAL CENTER DR B1 FL UNIVERSITY
48109
(734) 936-8857
M-F 9:00-5:00
1110059
SULLENS, BRUCE F PAC
48118
(734) 475-1321
UM
M-F 9:00-5:00
1111126
TELIAN, ERIN M PAC
48108
(734) 998-7390
UM
M-F 9:00-5:00
1110583
WDOWIAK, MIKEAL D PAC
2098 S MAIN ST ANN ARBOR
48103
(734) 998-6485
UM
M-F 9:00-5:00
6231 CANTON CENTER RD STE 101 CANTON
48187
(734) 455-0800
ANNAPO
M-F 9:00-5:00
OHCGC
M-F 9:00-5:00
M-F 9:00-5:00
WAYNE COUNTY
ADOLESCENT MEDICINE
1121345
RAGHUNATHAN, MEERA N MD

1104780
ABBAS, RIMA MD
29150 FORD RD GARDEN CITY
48135
(734) 762-3600
1026465
ABDO, BASIL O MD
8555 SILVERY LN STE C 302 DEARBORN HEIGHTS 48127
(313) 561-9090
1123134
AGBASSI, INNOCENT E MD
32233 SCHOOLCRAFT RD STE 100 LIVONIA
48150
(734) 266-3565
SGH
M-F 9:00-5:00
1097656
AHMED, MOTAHAR H MD
9632 CONANT ST HAMTRAMCK
48212
(313) 871-1912
N/A
M-F 9:00-5:00
1034156
AJEMIAN, NANCY A MD
131 KERCHEVAL STE 99 GROSSE POINTE FARMS 48236
(313) 640-2424
WBGP
M-F 9:00-5:00
1097411
ALI, HALIMA MD
2001 S MERRIMAN RD SUITE 100 WESTLAND
48186
(734) 727-1000
OAKW
M-F 9:00-5:00
1104219
ALPER, BERNARD DO
1183 E GRAND BLVD DETROIT
48221
(313) 921-1882
HUH
M-F 9:00-5:00
1097516
ALPER, BERNARD DO
3130 GRATIOT AVE DETROIT
48207
(313) 579-1860
HUH
M-F 9:00-5:00
1123788
AL-RAHOMI, TAHA MD
29150 FORD ROAD GARDEN CITY
48135
(734) 762-3600
M-F 9:00-5:00
1124721
ANDERSONNING, THERESA DO
15540 BEECH DALY REDFORD
48239
(313) 387-5253
M-F 9:00-5:00
1071067
APPIAH, JACQUELINE MD
37595 SEVEN MILE RD STE 210 LIVONIA
48152
(734) 432-7591
M-F 9:00-5:00
1104213
BAKER, CAROL MD
48186
(734) 727-1076
OAKW
M-F 9:00-5:00
1110764
1051 N CANTON CENTER RD CANTON
48187
(734) 844-8400
UM
M-F 9:00-5:00
1097661
BERNHARD, CLINT E MD
37595 7 MILE RD STE 210 LIVONIA
48152
(734) 432-7581
PHMC
M-F 9:00-5:00

Not Specified

N/A

Page 106
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
WAYNE COUNTY (CONTINUED)

1118595
BERRIOS-ANTUNA, EMILIO J MD
6224 MICHIGAN AVE DETROIT
48210
(313) 974-6328
OAKW
M-F 9:00-5:00
1114365
BEST, LYDIA R MD
7633 E JEFFERSON STE 290 DETROIT
48214
(313) 499-4890
DRH
M-F 9:00-5:00
1122334
BEYDOUN, SUZAN MD
2050 HAGGERTY RD STE 100 CANTON
48187
(734) 446-9757
M-F 9:00-5:00
1103198
BOLINA, MANISH MD
15777 NORTHLINE RD SUITE 101 SOUTHGATE
48195
(734) 324-9580
M-F 9:00-5:00
1026746
BRADLEY, MAURA MD
37595 SEVEN MILE RD LIVONIA
48152
(734) 432-7591
M-F 9:00-5:00
1037537
BRAVER, BARRY DO
17520 CHESTER DETROIT
48224
(313) 884-0900
WBRO
M-F 9:00-5:00
1064256
BRAVER, TZVI DO
48224
(313) 884-0900
WBGP
M-F 9:00-5:00
1109410
BUSWINKA, JAMES W DO
3022 DIX HWY LINCOLN PARK
48146
(313) 381-5674
N/A
M-F 9:00-5:00
1103471
CAMERON, MARY A MD
97 MONROE ST DETROIT
48226
(313) 227-0065
CHM
M-F 9:00-5:00
1117266
CAVELL, JOHN DO
48135
(734) 421-7474
N/A
M-F 9:00-5:00
1062051
CHAKRAVARTY, SUDHA MD
15000 GRATIOT AVE STE 120 DETROIT
48205
(313) 245-1400
M-F 9:00-5:00
1104197
CLARK, CHRISTINA MD
48211
(313) 921-1882
CHM
M-F 9:00-5:00
1104198
CLARK, CHRISTINA MD
48207
(313) 579-1860
CHM
M-F 9:00-5:00
1104293
CLARK, FRANK M DO
48211
(313) 921-1882
HUH
M-F 9:00-5:00
1104294
CLARK, FRANK M DO
48207
(313) 579-1860
HUH
M-F 9:00-5:00
1094209
CLIMIE, CHRISTINE MD
48195
(734) 246-8100
OAKW
M-F 9:00-5:00
1124737
COUMARBATCH, JIRA G MD
3956 MT ELLIOTT DETROIT
48207
(313) 925-4540
DRH
M-F 9:00-5:00
1106269
CREGER, CLARK M MD
48135
(734) 762-3611
OHCGC
M-F 9:00-5:00
1118662
DEIGHTON, KEVIN MD
15400 W MCNICHOLS DETROIT
48235
(313) 835-5990
M-F 9:00-5:00
1033638
DEIGHTON, KEVIN MD
48152
(734) 432-7591
M-F 9:00-5:00
1104042
DIEBOLD, MICHELLE MD
201 THIRD ST SUITE 200 BELLEVILLE
48111
(734) 697-9065
OAKW
M-F 9:00-5:00
1124203
DOOLEY, VICTORIA MD
21580 NOVI RD STE 200 DETROIT
48267
(248) 946-4905
PPH
M-F 9:00-5:00
1127856
DUCATO, MICHAEL MD
1535 E STATE FAIR HIGHLAND PARK
48203
(313) 824-9000
DRH
M-F 9:00-5:00
1105565
ELMENINI, MOHAMMAD S MD
10645 W WARREN STE 200 DEARBORN
48126
(313) 945-9393
OAKW
M-F 9:00-5:00
1098745
ELSARAWY, ZAINAB MD
4880 LAWNDALE ST DETROIT
48210
(313) 846-6030
N/A
M-F 9:00-5:00
1123135
EVANS, GEORGE DO
2950 E JEFFERSON AVE DETROIT
48207
(313) 567-3550
M-F 9:00-5:00
1119481
FALKENBERG, GARY A DO
1600 S CANTON CENTER RD STE 220 CANTON
48188
(734) 398-8790
M-F 9:00-5:00
1121022
FERGUSON, MARGO MD
6001 W OUTER DR STE 205 DETROIT
48235
(313) 966-9521
M-F 9:00-5:00
1071069
FITZGIBBONS, KELLY MD
48152
(734) 432-7591
M-F 9:00-5:00
1104125
FOESS-HALAAS, JENNIFER A MD
48111
(734) 697-9065
OAKW
M-F 9:00-5:00
1102450
FRANCU, ANGELICA M MD
30900 FORD RD STE B GARDEN CITY
48135
(734) 524-0920
ANNAPO
M-F 9:00-5:00
1078563
FRANKEL, JEROME DO
14001 GREENFIELD DETROIT
48227
(313) 273-1200
BOTS
M-F 9:00-5:00
1078562
FRANKEL, KEVIN DO
48227
(313) 273-1200
BOTS
M-F 9:00-5:00
1045475
FRENCH, JOSETTE M MD
4880 LAWNDALE ST DETROIT
48210
(313) 846-6030
OAKW
M-F 9:00-5:00
1078561
GHIOTO, JEFFREY DO
48227
(313) 273-1200
BOTS
M-F 9:00-5:00
1105637
GIANNOLA, JOSEPH V MD
48235
(313) 835-5990
M-F 9:00-5:00
1034789
GIANNOLA, JOSEPH V MD
48152
(734) 432-7591
M-F 9:00-5:00
1123128
GRUCZ, DOUGLAS R MD
7330 CANTON CENTER RD CANTON
48187
(734) 454-8001
OAKW
M-F 9:00-5:00
1089172
GRUCZ, RICHARD G MD
7330 CANTON CENTER ROAD STE 111 CANTON
48187
(734) 454-8001
OAKW
M-F 9:00-5:00
1071070
HASSO, FAWAZ MD
48152
(734) 793-2470
M-F 9:00-5:00
1091208
HAVEMAN, JESSICA L MD
48135
(734) 762-3600
OHCGC
M-F 9:00-5:00
1111379
48187
(734) 844-8400
UM
M-F 9:00-5:00
1118661
ISRAEL, NEJLA MD
48235
(313) 835-5990
M-F 9:00-5:00
1114081
JIMBO, MASAHITO MD
48187
(734) 844-8400
UM
M-F 9:00-5:00
1103102
JONES, CHRISTINE DO
48152
(734) 432-7581
N/A
M-F 9:00-5:00
1110197
JONES, ELIZABETH K MD
20321 FRARMINGTON RD LIVONIA
48152
(248) 888-9000
UM
M-F 9:00-5:00
1065671
JURATLI, SHAM MD
18181 OAKWOOD BLVD STE 206 DEARBORN
48124
(313) 451-8253
HUH
M-F 9:00-5:00
1104807
KANE, JEFFREY J MD
48195
(734) 246-8100
OAKW
M-F 9:00-5:00

Not Specified

OAKW
SGH

Page 107
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
ANNAPO
Availability Gender

1117556
KANI, SHEFA MD
15777 NORTHLINE RD SOUTHGATE
48195
(734) 324-9580
M-F 9:00-5:00
1080879
KATYCHEV, ANDREI MD
8282 WOODWARD AVE DETROIT
48202
(313) 874-3440
M-F 9:00-5:00
1080878
KATYCHEV, ANDREI MD
6455 GRAITOT AVE DETROIT
48207
(313) 921-8600
M-F 9:00-5:00
1080880
KATYCHEV, ANDREI MD
14071 E 7 MILE RD DETROIT
48205
(313) 371-2828
M-F 9:00-5:00
1103525
KIMBROUGH, CHRISTINA L MD
19460 GRAND RIVER AVE DETROIT
48223
(313) 387-1097
SGH
M-F 9:00-5:00
1079833
KOHL, STEVEN DO
48239
(313) 387-5253
BOTS
M-F 9:00-5:00
1117629
KOTTUKAPALLY, NOBIN MD
2001 SOUTH MERRIMAN RD STE 100 WESTLAND
48186
(734) 727-1076
ANNAPO
M-F 9:00-5:00
1112736
48187
(734) 844-8400
UM
M-F 9:00-5:00
1106355
LAX, SANFORD J MD
79 W ALEXANDRINE ST STE 3810 DETROIT
48201
(313) 444-8880
DRH
M-F 9:00-5:00
1106352
LAX, SANFORD J MD
15400 W MCNICHOLS RD DETROIT
48235
(313) 835-5990
DRH
M-F 9:00-5:00
1106354
LAX, SANFORD J MD
60 E WARREN AVE DETROIT
48201
(313) 686-8100
DRH
M-F 9:00-5:00
1103352
LEVINE-BLASE, BARBARA F DO
97 MONROE ST DETROIT
48226
(313) 227-0065
HUH
M-F 9:00-5:00
1079835
LINDEN, MELVIN D DO
27031 WARREN DEARBORN HEIGHTS
48127
(313) 274-3320
BOTS
M-F 9:00-5:00
1113980
LITTLE, SAHOKO H MD
20321 FARMINGTON RD LIVONIA
48152
(248) 888-9000
UM
M-F 9:00-5:00
1104724
LOPEZ GUTIERREZ, PATRICIA MD
48135
(734) 762-3600
OHCGC
M-F 9:00-5:00
1095743
LOWE, RALUCA M MD
15200 KERCHEVAL AVE GROSSE POINTE
48230
(313) 473-6100
WBGP
M-F 9:00-5:00
1104725
MALICK, PAUL DO
48195
(734) 246-8100
OAKW
M-F 9:00-5:00
1106140
MATAVERDE, ALEX MD
15101 SOUTHFIELD RD ALLEN PARK
48101
(313) 336-3180
HERIT
M-F 9:00-5:00
1125793
MAYS, RUTH E MD
14201 2ND AVE STE 114 HIGHLAND PARK
48203
(313) 305-1001
DRH
M-F 9:00-5:00
1104719
MEHTA, ARUN MD
48195
(734) 246-8100
OAKW
M-F 9:00-5:00
1106288
MIHAILOFF, NEVENA MD
1650 N TELEGRAPH RD DEARBORN
48128
(313) 278-1140
OAKW
M-F 9:00-5:00
1000806
MOHEY, VINOD K MD
995 FORD AVE WYANDOTTE
48192
(734) 284-3100
N/A
M-F 9:00-5:00
1070144
MULPURI, DURGA MD
15050 E JEFFERSON STE 101 GROSSE POINTE
48230
(313) 823-4682
SJHMC
M-F 9:00-5:00
1125949
NISONGER, CHRISTINA A MD
48152
(248) 473-4300
M-F 9:00-5:00
1034791
O'DOWD, STACY MD
48152
(734) 432-7591
M-F 9:00-5:00
1124198
O'NEIL, THOMAS A MD
48152
(248) 888-9000
M-F 9:00-5:00
1125175
OTT, ANNELIE MD
48152
(248) 473-4300
M-F 9:00-5:00
1104737
PABIAN, CHRISTOPHER MD
2001 S MERRIMAN RD STE 100 WESTLAND
48186
(734) 727-1000
OAKW
M-F 9:00-5:00
1105975
PACKEY, NICHOLAS S DO
48135
(734) 421-7474
N/A
M-F 9:00-5:00
1109405
PALM, KAI MD
48210
(313) 554-1095
M-F 9:00-5:00
1086650
PAREKH, DEEPIKA K MD
17306 W SEVEN MILE RD DETROIT
48235
(313) 255-4820
DRH
M-F 9:00-5:00
1126517
PATEL, VIJAY MD
2901 A NEWBURGH RD WAYNE
48184
(734) 729-7220
OAKW
M-F 9:00-5:00
1093438
PINSON, THOMAS M DO
13636 DIX TOLEDO SOUTHGATE
48195
(734) 283-2262
M-F 9:00-5:00
1038491
POLECK, ANNEMARIE DO
19335 GRAND RIVER DETROIT
48223
(313) 794-8780
DRH
M-F 9:00-5:00
1109384
POPE, SHERWOOD MD
1700 WATERMAN ST DETROIT
48209
(313) 841-1699
N/A
M-F 9:00-5:00
1108041
RAHMAN, FAIZ MD
1816 GRINDLEY PARK ST STE 2 DEARBORN
48124
(313) 792-1200
M-F 9:00-5:00
1117693
RAHMAN, HUSAN MD
48146
(313) 381-5674
N/A
M-F 9:00-5:00
1104052
RAJ, NAVIN MD
19145 ALLEN RD STE 107 TRENTON
48183
(734) 486-4200
N/A
M-F 9:00-5:00
1108535
RAJ, NAVIN MD
333 INKSTER RD STE 201 INKSTER
48141
(313) 438-6080
M-F 9:00-5:00
1079841
RAYOS, LYNDA C DO
48127
(313) 274-3320
BOTS
M-F 9:00-5:00
1104335
RAZA, MUSHAHID MD
7330 CANTON CENTER RD SUITE 111 CANTON
48187
(734) 454-8001
OAKW
M-F 9:00-5:00
1104168
REGIEC, JANELIN R MD
48111
(734) 697-9065
OAKW
M-F 9:00-5:00
1110722
48187
(734) 844-8400
UM
M-F 9:00-5:00
1079842
ROSENBAUM, JEFFREY DO
48152
(248) 476-1010
BOTS
M-F 9:00-5:00
1117219
SAAD, MOHAMMED MD
48135
(734) 762-3600
ANNAPO
M-F 9:00-5:00
1078277
SAN JUAN, MARIA BELEN MD
1600 S CANTON CENTER STE 220 CANTON
48188
(734) 398-8790
PHMC
M-F 9:00-5:00
1114488
SAWABINI, GEORGE T DO
2500 HAMLIN RD INKSTER
48141
(313) 561-5100
HUH
M-F 9:00-5:00
1106157
SCOTT, THOMAS M DO
48135
(734) 421-7474
N/A
M-F 9:00-5:00

Not Specified

UM

Page 108
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1106302
SCZECIENSKI, STANLEY DO
35600 CENTRAL CITY PKWY STE 104 WESTLAND
48185
(734) 261-3778
N/A
M-F 9:00-5:00
1116235
SIDIQI, ESSA J MD
15777 NORTHLINE ROAD STE 101 SOUTHGATE
48195
(734) 324-9580
ANNAPO
M-F 9:00-5:00
1104126
SINHA, ANITA MD
48187
(734) 454-8001
OAKW
M-F 9:00-5:00
1089192
SKOURES, MARY ANN MD
48127
(313) 274-3320
BOTS
M-F 9:00-5:00
1071071
SMITH, STACY MD
48152
(734) 432-7591
M-F 9:00-5:00
1071072
STACHERSKI, MARK MD
48152
(734) 432-7591
M-F 9:00-5:00
1082735
STRYD, SCOTT P MD
48209
(313) 841-1699
N/A
M-F 9:00-5:00
1104253
SZARAZ, DAVID J MD
201 THIRD ST STE 200 BELLEVILLE
48111
(734) 697-9065
OAKW
M-F 9:00-5:00
1097579
SZUPER, ANDREA M MD
7330 CANTON CENTER ROAD STE 111 CANTON
48187
(734) 454-8001
OAKW
M-F 9:00-5:00
1104088
TABOR, BERNARD DO
14319 DIX TOLEDO RD SOUTHGATE
48195
(734) 285-0677
OAKW
M-F 9:00-5:00
1105962
TOLEDO-NEELY, IMELDA MD
48186
(734) 727-1000
OAKW
M-F 9:00-5:00
1103432
TREECE, DENNIS C DO
48223
(313) 387-1097
SGH
M-F 9:00-5:00
1118414
UZANSKY, GERALD DO
48210
(313) 897-2600
BOTS
M-F 9:00-5:00
1116154
VASAPPA, RASHMI DO
15777 NORTHLINE RD STE 101 SOUTHGATE
48195
(734) 324-9580
OAKW
M-F 9:00-5:00
1091066
VETTRAINO, ANTHONY N MD
1600 S CANTON CENTER RD STE 220 CANTON
48188
(734) 398-8790
M-F 9:00-5:00
1123807
VINTON, BRIAN MD
201 THIRD ST STE 300 BELLEVILLE
48111
(734) 697-9065
HERIT
M-F 9:00-5:00
1098719
WADOOD, SHAZIA MD
12170 CONANT ST STE C2 HAMTRAMCK
48212
(313) 893-6218
N/A
M-F 9:00-5:00
1086584
WALTON-DOYLE, ERIN MD
79 W ALEXANDRINE ST STE 3810 DETROIT
48201
(313) 444-8880
SJHMC
M-F 9:00-5:00
1086583
WALTON-DOYLE, ERIN MD
48201
(313) 416-6261
SJHMC
M-F 9:00-5:00
1111404
WARBER, SARA L MD
48187
(734) 844-8400
UM
M-F 9:00-5:00
1086444
WARNICK, STEPHEN MD
48201
(313) 416-6261
SJHMC
M-F 9:00-5:00
1124760
WASH, DAVID K MD
15200 GRATIOT DETROIT
48205
(313) 526-2376
CHM
M-F 9:00-5:00
1109206
WEATHERSBY, LIZA J MD
48239
(313) 387-5253
M-F 9:00-5:00
1106063
WEAVER, KAREN MD
48186
(734) 727-1000
OAKW
M-F 9:00-5:00
1106241
WEIDE, LORI MD
48187
(734) 454-8001
OAKW
M-F 9:00-5:00
1071073
WHITE, WILLIAM MD
48152
(734) 432-7591
M-F 9:00-5:00
1101759
WILLIAMS, RALPH E MD
4201 ST ANTOINE STE 7A DETROIT
48201
(313) 745-4091
HUH
M-F 9:00-5:00
1104106
WORZNIAK, MICHAEL MD
48111
(734) 697-9065
OAKW
M-F 9:00-5:00
1106346
YAEKLE, SCOTT MD
48186
(734) 727-1000
OAKW
M-F 9:00-5:00
1097410
YI, CHIN MD
201 THIRD STREET SUITE 200 BELLEVILLE
48111
(734) 697-9065
OAKW
M-F 9:00-5:00
1070543
ZAHOOR, SAMEENA MD
1600 S CANTON CENTER STE 200 CANTON
48188
(734) 713-4000
M-F 9:00-5:00
1109531
ZELCH, JAMES MD
33316 PLYMOUTH RD LIVONIA
48150
(734) 513-2608
M-F 9:00-5:00
1104605
ZIMMIE, MATTHEW MD
2001 S MERRIMAN RD STE 100 WESTLAND
48186
(734) 727-1000
M-F 9:00-5:00
1082698
ZOUABI, FIRAS MD
18250 W WARREN AVE DETROIT
48228
(313) 271-2800
M-F 9:00-5:00
OAKW
GERIATRICS
1054495
CARDOZO, LAVOISIER J MD
4201 ST ANTOINE STE 5B DETROIT
48201
(313) 745-1741
DRH
M-F 9:00-5:00
1055950
STEINBERG, JOEL D MD
48201
(313) 745-1741
DRH
M-F 9:00-5:00
1054900
TURLO, GERALD E MD
48201
(313) 745-1741
DRH
M-F 9:00-5:00
INTERNAL MEDICINE
1118518
ABDALLAH, BELAL F MD
15400 MICHIGAN AVE STE 1 DEARBORN
48126
(313) 584-3359
HERIT
M-F 9:00-5:00
1126496
ABDALLAH, BELAL F MD
27015 W WARREN ST DEARBORN HEIGHTS
48127
(313) 562-1030
OAKW
M-F 9:00-5:00
1104572
ABUFARHA, SAMI MD
5280 OAKMAN BLVD DEARBORN
48126
(313) 846-1997
M-F 9:00-5:00
1073591
AKKIREDDY, PADMAJA MD
50 E CANFIELD DETROIT
48201
(313) 745-4525
M-F 9:00-5:00
1072291
AKKIREDDY, PADMAJA MD
4201 ST ANTOINE STE 4C DETROIT
48201
(313) 745-4525
M-F 9:00-5:00
1123689
ALEXANDER, ASHLEY E DO
48230
(313) 473-6100
M-F 9:00-5:00
1104279
ALI, SAJID A MD
19251 MACK AVE STE 333 GROSSE POINTE
48236
(313) 343-7280
SJHMC
M-F 9:00-5:00
1098246
AL-JARRAH, MOHAMAD MD
15830 FORT ST STE 7 SOUTHGATE
48195
(734) 282-3236
HFWY
M-F 9:00-5:00

Not Specified


Page 109
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1106340
AL-SARAF, RAAD MD
6840 GREENFIELD RD DEARBORN
48126
(313) 846-1700
OAKW
M-F 9:00-5:00
1035742
ANAR, MOMTAZ MD
48230
(313) 417-6100
WBGP
M-F 9:00-5:00
1070069
AQUINO, ROBERT DO
48214
(313) 499-4661
SJHMC
M-F 9:00-5:00
1054451
ARNOLD, ELIZABETH BASS WILEY MD
48201
(313) 745-1741
DRH
M-F 9:00-5:00
1104285
ARUNACHALAM, VIJAYALAKSHMI MD
4900 MERCURY DR SUITE 201 DEARBORN
48126
(313) 982-4351
OAKW
M-F 9:00-5:00
1103464
ATTANASIO, FRANCO A MD
48223
(313) 387-1097
DRH
M-F 9:00-5:00
1100278
AVERY, ANDREW MD
48214
(313) 822-9801
HUH
M-F 9:00-5:00
1104109
AZZO, ZAIN MD
48236
(313) 343-7280
SJHMC
M-F 9:00-5:00
1123005
BAILEY, CRAIG A MD
4777 E OUTER DR STE 110 DETROIT
48234
(313) 305-7940
DRH
M-F 9:00-5:00
1105204
BALOGH, LINDA M MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1094874
BANDRI, RAGHUNATH MD
48187
(734) 454-8001
OAKW
M-F 9:00-5:00
1060294
BEEAI, MUNA A MD
131 KERCHEVAL AVE STE 99 GROSSE POINTE
48236
(313) 640-2424
WBGP
M-F 9:00-5:00
1102803
BERGER, GREGORY MD
48235
(313) 966-9444
SGH
M-F 9:00-5:00
1104787
BERRI, ZIAD MD
14515 FORD RD DEARBORN
48126
(313) 581-4511
OAKW
M-F 9:00-5:00
1118905
BERRY, HADI DO
2040 MONROE STE 208 DEARBORN
48124
(313) 228-5616
DRH
M-F 9:00-5:00
1126069
BEYDOUN, NADA S DO
15400 MICHIGAN AVE STE 122 DEARBORN
48126
(313) 584-3359
M-F 9:00-5:00
1112648
BHAT, SUVARNA N MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1101494
BIG, CECILIA MD
4900 MERCURY DR SUITE 201 DEARBORN
48126
(313) 982-4351
OAKW
M-F 9:00-5:00
1105976
BLEVINS, CHRISTINA L DO
6255 INKSTER RD STE 101 GARDEN CITY
48135
(734) 421-4850
N/A
M-F 9:00-5:00
1114085
BRANFORD, GRETA L MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1112044
BRINLEY, FLOYD J MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1054487
BURACK, ROBERT C MD
48201
(313) 745-4525
DRH
M-F 9:00-5:00
1082878
CAMPBELL, EVERETT W MD
48214
(313) 822-9801
N/A
M-F 9:00-5:00
1112019
CARSTENSEN, JEAN C MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1068089
CARTER, LYNNE F MD
48201
(313) 745-4525
M-F 9:00-5:00
1054497
CARTER, LYNNE F MD
48201
(313) 745-4525
DRH
M-F 9:00-5:00
1038603
CHARLES, PATRICK A MD
18601 MACK AVE STE 2 GROSSE POINTE FARMS
48236
(313) 640-1250
WBGP
M-F 9:00-5:00
1113339
CHEN, XIAN MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1110530
CHICK, DAVOREN A MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1082875
CLARKE, ANTHONY MD
48214
(313) 822-9801
HUH
M-F 9:00-5:00
1112418
COLLIER, KRISTIN M MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1119554
DAKKAK, WAAD MD
4878 W WARREN DETROIT
48210
(313) 896-1399
M-F 9:00-5:00
1080882
DARDEN, JOY J MD
48207
(313) 921-8600
M-F 9:00-5:00
1080883
DARDEN, JOY J MD
48205
(313) 921-8600
M-F 9:00-5:00
1027171
DARWISH, DARWISH O MD
15000 GRATIOT AVE STE 120 DETROIT
48205
(313) 245-1400
M-F 9:00-5:00
1104214
DASSANAYAKE, CHAMPA MD
48195
(734) 246-8100
OAKW
M-F 9:00-5:00
1113321
DAVIS, PAMELA B MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1069990
DE MEIRELES, MARIO MD
23874 KEAN ST DEARBORN
48124
(313) 359-0801
PHMC
M-F 9:00-5:00
1111894
DEGUZMAN, DAVID A MD
48152
(248) 888-9000
UM
M-F 9:00-5:00
1111893
DEGUZMAN, DAVID A MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1067889
DESAI, JAYSHREE M MD
36180 FIVE MILE RD LIVONIA
48154
(734) 591-7666
M-F 9:00-5:00
1073473
DEVARA, ANUPAMA MD
48201
(313) 745-4525
M-F 9:00-5:00
1126542
DEVARA, ANUPAMA MD
3901 CHRYSLER DR STE 4A DETROIT
48201
(313) 745-4525
M-F 9:00-5:00
1073472
DEVARA, ANUPAMA MD
48201
(313) 745-4525
M-F 9:00-5:00
1100231
DIMITRIJEVIC, OLIVER MD
48236
(313) 343-7280
SJHMC
M-F 9:00-5:00
1046727
DIONNE, MICHAEL MD
131 KERCHEVAL AVE STE 330 GROSSE POINTE
48236
(313) 885-5700
WBGP
M-F 9:00-5:00
1123755
DONAGHUE, JASON MD
48236
(313) 343-7280
M-F 9:00-5:00
1107569
DWAIHY, RENE L MD
48236
(313) 343-7280
M-F 9:00-5:00

Not Specified

CH
SJHMC

Page 110
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1104772
EDGE, JUDITH M DO
8012 MIDDLEBELT RD STE A WESTLAND
48185
(734) 425-1225
N/A
M-F 9:00-5:00
1127763
EDGE, JUDITH M DO
48127
(313) 278-1982
BOTS
M-F 9:00-5:00
1127593
EDGE, JUDITH M DO
27031 WARREN RD DEARBORN HEIGHTS
48127
(313) 278-1982
BOTS
M-F 9:00-5:00
1104788
ELFAKIH, ASSEM MD
14650 W WARREN AVE STE 150 DEARBORN
48126
(313) 581-0200
OAKW
M-F 9:00-5:00
1106311
ELTERIEFI, RUAA MD
4900 MERCURY DR STE 201 DEARBORN
48126
(313) 982-4351
OAKW
M-F 9:00-5:00
1101876
EZZAT, SAMIR MD
15830 FORT ST STE 7 SOUTHGATE
48195
(734) 282-5444
N/A
M-F 9:00-5:00
1106334
FAKIH-ELMENINI, IMAN MD
25516 FORD RD DEARBORN HEIGHTS
48127
(313) 792-0000
M-F 9:00-5:00
1113416
FAN, AUDREY L MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1113417
FAN, AUDREY L MD
48152
(248) 888-9000
UM
M-F 9:00-5:00
1117381
FARROW, KIMBERLY MD
48207
(313) 921-4700
M-F 9:00-5:00
1086535
FARROW, KIMBERLY M MD
48201
(313) 745-4525
M-F 9:00-5:00
1110066
FENDRICK, A MARK MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1113353
FINE, PAUL L MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1070114
FOZO, PAUL MD
48236
(313) 343-7280
SJHMC
M-F 9:00-5:00
1104750
FROMAN, ANN A MD
17000 HUBBARD DR SUITE 300 DEARBORN
48126
(313) 271-3802
OAKW
M-F 9:00-5:00
1069995
GARG, MANISHA MD
48124
(313) 359-0801
PHMC
M-F 9:00-5:00
1080577
GHANI, NESRENE MD
5245 SCHAEFER RD STE A DEARBORN
48126
(313) 624-0000
M-F 9:00-5:00
1104246
GO, LILY MD
1700 BIDDLE AVE WYANDOTTE
48192
(734) 284-2026
OAKW
M-F 9:00-5:00
1122055
GODBOLD, HENRI MD
25650 OUTER DR LINCOLN PARK
48146
(313) 383-1897
DRH
M-F 9:00-5:00
1122968
GORREPATI, UMA D MD
4160 JOHN R STE 730 DETROIT
48201
(313) 831-7000
M-F 9:00-5:00
1070119
HADESMAN, STEVEN MD
48214
(313) 499-4890
M-F 9:00-5:00
1104685
HAKIM, MARY MD
48209
(313) 841-1699
M-F 9:00-5:00
1054623
HANNA-JOHNSON, MELANIE G MD
48201
(313) 745-4525
DRH
M-F 9:00-5:00
1126546
HANNA-JOHNSON, MELANIE G MD
48201
(313) 745-4525
CH
M-F 9:00-5:00
1055389
HANNA-JOHNSON, MELANIE G MD MHSA
48201
(313) 745-4525
N/A
M-F 9:00-5:00
1104630
HANNIS, MARK MD
15101 FORD ROAD DEARBORN
48126
(313) 582-2769
OAKW
M-F 9:00-5:00
1080886
48207
(313) 921-8600
M-F 9:00-5:00
1080885
8282 WOODWARD AVE DETROIT
48202
(313) 874-3440
M-F 9:00-5:00
1080884
48205
(313) 371-2828
M-F 9:00-5:00
1104744
HARB, WALID MD
17000 HUBBARD DR SUITE 300 DEARBORN
48126
(313) 271-3802
OAKW
M-F 9:00-5:00
1041625
HARRIS, ANTHONY MD
48235
(313) 836-5801
SGH
M-F 9:00-5:00
1122780
HARSHAVARDHAN, KRISHNA R MD
9324 CONANT STE A HAMTRAMCK
48212
(313) 891-1500
DRH
M-F 9:00-5:00
1039652
HARSTON-LEDOUX, LISA MD
48152
(734) 743-2771
N/A
M-F 9:00-5:00
1063691
HASAN, HASAN SULEIMAN F MD
849 N WAYNE RD WESTLAND
48185
(248) 476-8600
N/A
M-F 9:00-5:00
1038804
HERTZ, RONALD DO
48236
(313) 343-7280
SJHMC
M-F 9:00-5:00
1045063
HILU, RAYMOND MD
48236
(313) 343-7280
SJHMC
M-F 9:00-5:00
1118088
IRBY-JOHNSON, NIJUANNA P MD
48126
(313) 982-4351
M-F 9:00-5:00
1035297
ISHAQSEI, WAHED MD
48214
(313) 499-4985
M-F 9:00-5:00
1104591
JAIN, ASHOK K MD
18181 OAKWOOD BLVD STE 303 DEARBORN
48124
(313) 336-5010
OAKW
M-F 9:00-5:00
1106205
JOHNSON, VALERIE L MD
48187
(734) 454-8101
OAKW
M-F 9:00-5:00
1103086
JONES LACKEY, SANDRA MD
48235
(313) 966-4800
SGH
M-F 9:00-5:00
1119610
KALAHASTY, SAMBAMURTY MD
7445 ALLEN RD STE 210 ALLEN PARK
48101
(313) 382-0505
M-F 9:00-5:00
1125185
KAMATH, RAGHAVENDIR A MD
48236
(313) 343-7280
PHMC
M-F 9:00-5:00
1070127
KAMRAN, FARAH MD
48236
(313) 343-7280
SJHMC
M-F 9:00-5:00
1057836
KANG, MOHAMMAD TARIQ-YASIN MD
48201
(313) 745-1741
M-F 9:00-5:00
1069997
KANIOWSKI, THOMAS MD
48124
(313) 359-0801
M-F 9:00-5:00
1080221
KANIOWSKI, THOMAS MD
48152
(734) 542-6155
M-F 9:00-5:00
1117344
KAZANGY, FALIH R MD
6061 W VERNOR HWY DETROIT
48209
(313) 841-1010
M-F 9:00-5:00

Not Specified

SJHMC
PHMC
N/A

Page 111
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
HFWY
Site Hours
Availability Gender

M-F 9:00-5:00
M-F 9:00-5:00
HFWY
M-F 9:00-5:00
N/A
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
(734) 432-7713
M-F 9:00-5:00
48183
(734) 676-4996
M-F 9:00-5:00
1700 BIDDLE AVE WYANDOTTE
48192
(734) 284-2026
OAKW
M-F 9:00-5:00
LEMON, ZACHARY T DO
6255 INKSTER RD STE 101 GARDEN CITY
48135
(734) 421-4850
N/A
M-F 9:00-5:00
1127762
LEMON, ZACHARY T DO
48127
(313) 278-1982
BOTS
M-F 9:00-5:00
1127594
LEMON, ZACHARY T DO
27031 WARREN RD DEARBORN HEIGHTS
48127
(313) 278-1982
BOTS
M-F 9:00-5:00
1054707
LEVINE, DIANE L MD
48201
(313) 745-4525
DRH
M-F 9:00-5:00
1055611
LEVINE, DIANE L MD
48201
(313) 745-4525
DRH
M-F 9:00-5:00
1026055
MAHMOOD, ALI-HASAN MD
13031 CONANT HAMTRAMCK
48212
(313) 893-5490
SGH
M-F 9:00-5:00
1083876
MALIK, RIZWAN MD
48236
(313) 343-7280
SJHMC
M-F 9:00-5:00
1101704
MASSIE, NICOLE MD
48201
(313) 745-4091
HUH
M-F 9:00-5:00
1066479
MATTI, MAHIR MD
22341 W 8 MILE RD STE 104 DETROIT
48219
(313) 412-2419
SGH
M-F 9:00-5:00
1111400
MCMASTER, LAWRENCE J DO
48187
(734) 844-5400
UM
M-F 9:00-5:00
1111810
48187
(734) 844-5400
UM
M-F 9:00-5:00
1111759
48187
(734) 844-5400
UM
M-F 9:00-5:00
1121955
MEHDI, FARAH MD
831 MONROE ST DEARBORN
48124
(313) 565-8950
HERIT
M-F 9:00-5:00
1070141
MICHAEL, FREDERICK DO
48236
(313) 343-7280
SJHMC
M-F 9:00-5:00
1082419
MOHAN, PREEYA MD
48146
(313) 381-5674
M-F 9:00-5:00
1069113
MOHEY, MEGHA MD
995 FORD AVE WYANDOTTE
48192
(734) 284-3100
N/A
M-F 9:00-5:00
1103496
MOORE, CHERYL L MD
48235
(313) 966-9521
DRH
M-F 9:00-5:00
1114342
NASTELIN, JENNIFER G MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1105927
NNODIM, IJEOMA O MD
48201
(313) 745-4525
CHM
M-F 9:00-5:00
1104770
ODEH, WAFA MD
48195
(734) 246-8100
OAKW
M-F 9:00-5:00
1113521
OSTAFIN, ELISA A MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1104623
OTT, MATTHEW DO
20901 MOROSS RD GROSSE POINTE FARMS
48236
(313) 626-2600
M-F 9:00-5:00
1123763
PARVATANENI, KESAV MD
48236
(313) 343-7280
M-F 9:00-5:00
1056894
PATEL, PRAGNESH J MD
48201
(313) 745-1741
M-F 9:00-5:00
1113665
PATEL, RAJESH N MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1104683
PATEL, TRUPTI MD
33200 W WARREN RD WESTLAND
48185
(734) 421-4242
ANNAPO
M-F 9:00-5:00
1124722
PERNELL, HESTER S MD
48207
(313) 925-4540
DRH
M-F 9:00-5:00
1104736
PIKO, CYNTHIA MD
48126
(313) 982-4351
OAKW
M-F 9:00-5:00
1102850
PLATEL, RAYLENE MD
48235
(313) 966-4800
SGH
M-F 9:00-5:00
1023523
QURESHI, KASHIF MD
19145 ALLEN RD STE 107 TRENTON
48183
(734) 486-4200
SGH
M-F 9:00-5:00
1069267
QURESHI, KASHIF MD
333 INKSTER RD STE 201 INKSTER
48141
(313) 438-6080
M-F 9:00-5:00
1103100
RAJKUMAR, PRIYA MD
48235
(313) 966-4800
N/A
M-F 9:00-5:00
1122118
RASLAN, MOHAMAD H MD
6300 HAGGERTY RD STE B CANTON
48187
(734) 641-3000
ANNAPO
M-F 9:00-5:00
1124541
RIDDLE JONES, LATONYA A MD
48201
(313) 745-4525
CHM
M-F 9:00-5:00
1105595
ROJAS, GRACIELA E MD
48201
(313) 745-4525
M-F 9:00-5:00
1054852
48201
(313) 745-4525
DRH
M-F 9:00-5:00
1126544
48201
(313) 745-4525
CH
M-F 9:00-5:00
1086108
ROXAS, RENALTO JR MD
3950 BEAUBIEN 4TH FL DETROIT
48201
(313) 832-8290
M-F 9:00-5:00
1054855
ROXAS, RENATO JR MD
48201
(313) 745-4525
M-F 9:00-5:00
1106059
KHAN, MAHMOOD MD
25880 W OUTER DR LINCOLN PARK
48146
(313) 389-5200
1120734
KHAN, SHABANA MD
831 MONROE ST DEARBORN
48124
(313) 565-8950
1120589
KHANNA, VIJAY MD
21801 GODDARD RD TAYLOR
48180
(734) 287-3830
1056648
KINGZETT, KRISTEN E MD
4201 ST ANTOINE UHC 4A DETROIT
48201
(313) 745-4525
1089614
KINGZETT, KRISTEN E MD
48201
(313) 745-4525
1114012
KRIEGER, KRISTEN A MD
48187
(734) 844-5400
1071068
KUMAR, DHANANJAY MD
48152
1126055
LAIRD, RAYMOND DO
5400 FORT ST STE 200 TRENTON
1104321
LANKA, ARUNA MD
1104762

Not Specified

UM
SJHMC
DRH

Page 112
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1046497
ROZZELL, DONALD MD
48236
(313) 343-7280
SJHMC
M-F 9:00-5:00
1111863
SACHDEV, NAMITA MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1106100
SAKKA, WATHEK MD
23611 GODDARD RD TAYLOR
48180
(734) 287-6110
HERIT
M-F 9:00-5:00
1101822
SALAH, ZAHRAA MD
48152
(734) 793-2470
N/A
M-F 9:00-5:00
1116368
SANFORD, TIFFANY L MD
7330 N CANTON CENTER RD STE 209 CANTON
48187
(734) 454-8001
ANNAPO
M-F 9:00-5:00
1017238
SHAH, KARTIK H MD
48146
(313) 381-5674
M-F 9:00-5:00
1102866
SIDDIQUE, MOHAMED MD
48235
(313) 966-4800
N/A
M-F 9:00-5:00
1104661
SIL, ANIL MD
48126
(313) 982-4351
OAKW
M-F 9:00-5:00
1055946
SINGH, MANMEET M MD
48201
(313) 745-4525
M-F 9:00-5:00
1062898
SINGH, MANMEET M MD
48201
(313) 745-4525
M-F 9:00-5:00
1118413
SITNER, JEROME DO
48210
(313) 897-2600
M-F 9:00-5:00
1102142
SKLAR, MANUEL MD
48235
(313) 966-9444
M-F 9:00-5:00
1113579
SMITH, JEFFERY D MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1056330
SMITHERMAN, HERBERT C JR MD
4201 ST ANTOINE ST STE 7A DETROIT
48201
(313) 745-4091
HUH
M-F 9:00-5:00
1054880
SMITHERMAN, HERBERT C MD
48201
(313) 745-4525
DRH
M-F 9:00-5:00
1113747
SOYSTER, BARBARA MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1102856
STEINBERGER, DAVID S MD
48152
(734) 793-2470
N/A
M-F 9:00-5:00
1112465
STUTZ, DAVID R MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1124735
SUBRAMANIAN, ARTI MD
48207
(313) 925-4540
CHM
M-F 9:00-5:00
1117552
SUNGURLU, SHEILA MD
48195
(734) 246-8100
OAKW
M-F 9:00-5:00
1068722
TAGHAVI, NASSER MD
48152
(248) 478-1100
PPH
M-F 9:00-5:00
1110557
TERRELL, LINDA B MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1122453
THAMER, JAWAD MD
2040 MONROE ST STE 206 DEARBORN
48124
(313) 757-7647
OAKW
M-F 9:00-5:00
1054896
THATI, NEELIMA MD
48201
(313) 745-4525
DRH
M-F 9:00-5:00
1058071
THATI, NEELIMA MD
4201 ST ANTOINE STE 4C UHC DETROIT
48201
(313) 745-4525
DRH
M-F 9:00-5:00
1118579
TRIFUNOVIC, BORIVOJE M MD
18601 MACK AVE GROSSE POINTE FARMS
48236
(313) 640-1250
SJHMC
M-F 9:00-5:00
1035033
TUURI, WILLIAM R MD
48230
(313) 417-6100
WBGP
M-F 9:00-5:00
1104534
VETTESE, THERESA E MD
48201
(313) 745-4525
M-F 9:00-5:00
1089613
VETTESE, THERESA E MD
48201
(313) 745-4525
M-F 9:00-5:00
1103098
WALKER, ROBERT MD
48235
(313) 966-4800
SGH
M-F 9:00-5:00
1107620
WEINBERGER, JARRETT J MD
48201
(313) 745-4525
DRH
M-F 9:00-5:00
1107621
WEINBERGER, JARRETT J MD
48201
(313) 745-4525
DRH
M-F 9:00-5:00
1093156
WIETRZYKOWSKI, MATTHEW MD
9230 JOSEPH CAMPAU ST HAMTRAMCK
48212
(313) 875-9270
M-F 9:00-5:00
1043473
YACOUB, MICHAEL F MD
48236
(313) 343-7280
SJHMC
M-F 9:00-5:00
1070020
ZABLOCKI, LAWRENCE MD
48152
(734) 432-7723
PHMC
M-F 9:00-5:00
1070168
ZACHARIAS, VIRGINIA MD
48236
(313) 343-7280
SJHMC
M-F 9:00-5:00
1110467
ZAO, DENISE H MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1110468
ZAO, DENISE H MD
48152
(248) 888-9000
UM
M-F 9:00-5:00
1096414
ZIMMERMAN, JONATHAN MD
48126
(313) 982-4351
OAKW
M-F 9:00-5:00
BOTS
NURSE PRACTITIONER
1069602
BANNICK, ALLISON A CNP
3950 BEAUBIEN ST 3RD FLR DETROIT
48201
(313) 832-9324
M-F 9:00-5:00
1064606
BARTLETT, HEATHER L CNP
3950 BEAUBIEN ST 4TH FL DETROIT
48201
(313) 832-8290
M-F 9:00-5:00
1125854
BARTOSH, ANGELA NP
48152
(248) 615-0777
M-F 9:00-5:00
1125137
BOYLE, DENISE R NP
48187
(734) 455-0800
N/A
M-F 9:00-5:00
1123827
BUTLER, TAMMIE NP
2500 HAMLIN CT INKSTER
48141
(313) 561-5100
N/A
M-F 9:00-5:00
1123053
CHAN, TRACEY E NP
5555 CONNER AVE STE 2691 DETROIT
48213
(313) 579-1182
N/A
M-F 9:00-5:00
1113623
CLOTFELTER, ANNE E NP
48187
(734) 844-5400
UM
M-F 9:00-5:00
1112015
DE RUBEIS, MARY BETH NP
48187
(734) 844-5400
UM
M-F 9:00-5:00

Not Specified


Page 113
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
UM
M-F 9:00-5:00
M-F 9:00-5:00

1113046
FERRY, NANCY L NP
48187
(734) 844-5400
1082525
FRENCH, BETH C CNP
3901 BEAUBIEN ST 3RD FL MAIN BLDG DETROIT
48201
(313) 745-5906
1122983
GERDES, JULIA S NP
26650 EUREKA RD STE C1 TAYLOR
48180
(734) 941-4991
N/A
M-F 9:00-5:00
1114102
GHORMLEY, TAMARA M NP
48187
(734) 844-5400
UM
M-F 9:00-5:00
1110877
HELMAN, JENNIFER L NP
48187
(734) 844-5400
UM
M-F 9:00-5:00
1063759
HORVATH, CANDACE M CNP
3901 BEAUBIEN ST 2ND FLR CARL'S BLDG
48201
(313) 745-5541
M-F 9:00-5:00
1082523
JACKSON, KATRINA M CNP
4100 JOHN R ST DETROIT
48201
(800) 527-6266
M-F 9:00-5:00
1123728
LAWSON, AMANDA NP
18501 ROTUNDA DR STE 200 DEARBORN
48124
(313) 996-1960
OAKW
M-F 9:00-5:00
1112849
MASON, HEIDI L NP
48187
(734) 844-5400
UM
M-F 9:00-5:00
1113313
MCNULTY, MARY L NP
48187
(734) 844-5400
UM
M-F 9:00-5:00
1125807
OLAGBAIYE, TEMITOPE O NP
13031 CONANT ST HAMTRAMCK
48212
(313) 893-5490
M-F 9:00-5:00
1111223
REINKE, DENISE K NP
48187
(734) 844-5400
M-F 9:00-5:00
1064698
SPENCER, LINDA C CNP
48201
(313) 832-9324
M-F 9:00-5:00
1110138
SZCZAK, JOHANNA M NP
48187
(734) 844-5400
UM
M-F 9:00-5:00
1123125
THREAT, TRACY A FNP
5555 CONNER AVE DETROIT
48213
(313) 579-1182
N/A
M-F 9:00-5:00
1120767
VOGEL, DEBORAH NP
6300 HAGGERTY RD STE B CANTON
48187
(734) 641-3000
M-F 9:00-5:00
1110191
WHITAKER, SUSAN I NP
48187
(734) 844-5400
UM
M-F 9:00-5:00
1114105
YEZBACK, KRISTA L NP
48187
(734) 844-5400
UM
M-F 9:00-5:00
1082535
ZENG-WANG, YIPING M CNP
48201
(313) 745-5585
M-F 9:00-5:00
1110426
ZUREKI, KARI M NP
48187
(734) 844-5400
M-F 9:00-5:00
UM
UM

1082534
CYNTHIA, SABO J CNP
48201
(313) 745-5585
M-F 9:00-5:00
1082529
HAYES-HART, KIMBERLY D CNP
3980 JOHN R ST DETROIT
48201
(313) 745-0511
M-F 9:00-5:00
1062838
KIENZLER, ELIZABETH A CNP
3901 BEAUBIEN ST ER MAIN BLDG DETROIT
48201
(313) 745-5260
M-F 9:00-5:00
1082522
KNUTH, NANCY F CPNP
48201
(313) 832-8550
M-F 9:00-5:00
1089448
MATSON, JILL
3901 BEAUBIEN 3RD FLOOR DETROIT
48201
(313) 745-5906
M-F 9:00-5:00
1082530
MOODY, LARAINE Y CNP
3901 BEAUBIEN ST ER DEPT MAIN BLDG DETROIT 48201
(313) 745-5481
M-F 9:00-5:00
1082532
MURPHY, MARY CNP
48201
(313) 745-5585
M-F 9:00-5:00
1073236
3901 BEAUBIEN ST 3RD FLR MAIN BLDG DETROIT 48201
(313) 745-5906
M-F 9:00-5:00
1064069
ROEDER, RUTH A CNP
48201
(313) 745-5906
M-F 9:00-5:00
1082524
YAGOLKOVSKAYA, BELLA CPNP
3901 BEAUBIEN ST 3RD FL MAIN BLDG DETROIT
48201
(313) 745-5906
M-F 9:00-5:00
1082528
ZELIN, KATHLEEN M CNP
3901 BEAUBIEN ST DETROIT
48201
(313) 745-5481
M-F 9:00-5:00
PEDIATRICS
1110827
ABU-ISA, HEBA MD
48152
(248) 888-9000
M-F 9:00-5:00
1065149
ADHIKARI, AMITA MD
3950 BEAUBIEN ST 4TH FLR DETROIT
48201
(313) 832-9220
M-F 9:00-5:00
1072896
AHMAD, AYESHA MD
3950 BEAUBIEN 3RD FLOOR DETROIT
48201
(313) 832-9324
M-F 9:00-5:00
1107716
AKHTAR, NOMANA DO
22201 MOROSS STE 270 GROSSE POINTE FARMS 48236
(313) 343-3481
SJHMC
M-F 9:00-5:00
1106413
AL ADO, MUHAMMAD MD
8449 PARK AVE STE 2 ALLEN PARK
48101
(313) 386-1100
OAKW
M-F 9:00-5:00
1106412
AL ADO, MUHAMMAD MD
355 MAIN STREET BELLEVILLE
48111
(734) 697-2595
OAKW
M-F 9:00-5:00
1107570
AL DAIS, ADNAN MD
14650 W WARREN STE 300 DEARBORN
48126
(313) 581-9446
M-F 9:00-5:00
1081788
ALHUSEIN, NAZEM MD
20211 ANN ARBOR TRL DEARBORN HEIGHTS
48127
(313) 336-4444
M-F 9:00-5:00
1096976
ALHUSEIN, NAZEM MD
20217 ANN ARBOR TRL STE A DEARBORN
48127
(313) 271-5001
M-F 9:00-5:00
1070065
ALTON, KAREN MD
(313) 343-3481
M-F 9:00-5:00
1082471
AMER, AHDI A MD
48201
(313) 832-8290
M-F 9:00-5:00
1111663
ANDREAE, MARGIE C MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1102238
ANGELILLI, MARY MD
19401 NORTHLINE RD SOUTHGATE
48195
(734) 785-7700
N/A
M-F 9:00-5:00
1102237
ANGELILLI, MARY MD
13101 ALLEN RD SOUTHGATE
48195
(734) 785-7700
N/A
M-F 9:00-5:00

Not Specified

UM
SJHMC

Page 114
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1063160
ANGELILLI, MARY L MD
3901 BEAUBIEN ST 5TH FL CARLS BLDG DETROIT 48201
(313) 745-4000
M-F 9:00-5:00
1082469
ANGELILLI, MARY L MD
48201
(313) 832-8290
M-F 9:00-5:00
1100278
AVERY, ANDREW MD
48214
(313) 822-9801
HUH
M-F 9:00-5:00
1054455
AYERS, ERIC W MD
48201
(313) 745-4525
CHM
M-F 9:00-5:00
1086059
AYERS, ERIC W MD
48201
(313) 832-8290
M-F 9:00-5:00
1082476
AYERS, ERIC W MD
48201
(313) 745-4000
M-F 9:00-5:00
1082482
BABITCH, LELAND A MD
48201
(313) 745-4000
M-F 9:00-5:00
1104586
BAKHTYAR, ARSALA MD
48187
(734) 454-8001
OAKW
M-F 9:00-5:00
1038652
BALIGA, SRINIVAS MD
48152
(248) 426-6680
N/A
M-F 9:00-5:00
1104132
BATRA, RESHAM MD
48187
(734) 454-8001
OAKW
M-F 9:00-5:00
1124713
BENDER, ISABEL B MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1082487
BRITTO-WILLIAMS, PAMELA MD
48201
(313) 832-8550
M-F 9:00-5:00
1116864
CARDOZO, MARIA Y MD
1051 NORTH CANTON CENTER RD CANTON
48187
(734) 844-5400
M-F 9:00-5:00
1082481
CARTER-BLANKS, LATISHA N MD
48201
(313) 832-8290
M-F 9:00-5:00
1104587
CHERIAN, BETSY MD
48210
(313) 554-1095
M-F 9:00-5:00
1044382
CHU, ROLAND L MD
3901 BEAUBIEN ST 2ND FL DETROIT
48201
(313) 745-5515
M-F 9:00-5:00
1125403
CHURCH, SAGE R DO
22201 MOROSS RD STE 270 GROSSE POINTE
48236
(313) 343-3481
SJHMC
M-F 9:00-5:00
1021702
CHWIKANI, RAGHDA MD
10326 W WARREN DEARBORN
48126
(313) 581-2064
CHM
M-F 9:00-5:00
1038620
CHWIKANI, RAGHDA MD
6100 DOROTHY DETROIT
48211
(313) 921-5881
CHM
M-F 9:00-5:00
1082875
CLARKE, ANTHONY MD
48214
(313) 822-9801
HUH
M-F 9:00-5:00
1086096
COLLINS, JAMES W MD
48201
(313) 832-8290
M-F 9:00-5:00
1094368
DAGNEW, HIRUT MD
48195
(734) 246-8100
OAKW
M-F 9:00-5:00
1114590
DAVIS, MATTHEW M MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1048158
DEGRAW, MARCUS E MD
(313) 343-3481
SJHMC
M-F 9:00-5:00
1113366
48187
(734) 844-5400
UM
M-F 9:00-5:00
1113368
48152
(248) 888-9000
UM
M-F 9:00-5:00
1082468
DUBOSE-PARSONS, SHERIDA D MD
48201
(313) 832-8290
M-F 9:00-5:00
1105964
EL-SABBAGH, ALEX MD
1022 N TELEGRAPH RD DEARBORN
48128
(313) 274-6666
M-F 9:00-5:00
1104778
EL-TAKECH, HAISSAM G MD
23351 FORD RD DEARBORN
48128
(313) 274-3123
M-F 9:00-5:00
1086077
EVANS, JOSHUA B MD
48201
(313) 832-8290
M-F 9:00-5:00
1092127
FRATTARELLI, DANIEL A MD
18181 OAKWOOD BLVD STE 101G DEARBORN
48124
(313) 593-7240
OAKW
M-F 9:00-5:00
1111165
FREED, GARY L MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1068534
GANDRA, SRIDEVI DO
48201
(313) 832-8290
M-F 9:00-5:00
1038656
GUPTA, MADAN MD
48152
(248) 426-6680
N/A
M-F 9:00-5:00
1110704
HAKIM, MARK N MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1069250
HAMZEH, BASEL MD
(313) 343-3481
SJHMC
M-F 9:00-5:00
1102288
HANAUER, DAVID A MD
48152
(248) 888-9000
UM
M-F 9:00-5:00
1111103
HARTE, KELLY M MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1038540
HEATH, WILLIAM MD
48219
(313) 255-2209
CHM
M-F 9:00-5:00
1082876
HERNDON, KATRICE L MD
4201 SAINT ANTOINE ST STE 7A DETROIT
48201
(313) 745-4091
N/A
M-F 9:00-5:00
1086071
HOLTROP, TERESA M MD
48201
(313) 832-8290
M-F 9:00-5:00
1038626
ICE, ANNE MARIE MD
48219
(313) 255-2209
CHM
M-F 9:00-5:00
1106320
ILYASOV, IZABELLA MD
48195
(734) 246-8100
OAKW
M-F 9:00-5:00
1082474
KAMAT, DEEPAK M MD
48201
(313) 745-4000
M-F 9:00-5:00
1005650
KAPLAN, JOSEPH MD
48201
(313) 832-8290
M-F 9:00-5:00
1038654
KHADEEJA, THARAYIL MD
48152
(248) 426-6680
N/A
M-F 9:00-5:00
1090909
KHAN, ADEEBA MD
3901 BEAUBIEN DETROIT
48201
(313) 745-5214
N/A
M-F 9:00-5:00
1067926
12033 CONANT RD HAMTRAMCK
48212
(313) 366-4000
M-F 9:00-5:00

Not Specified

OAKW

Page 115
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1040587
KHATIB, RANA MD
3901 BEAUBIEN 2ND FL DETROIT
48201
(313) 745-5515
N/A
M-F 9:00-5:00
1076143
KONTOS, NATALIE DO
(313) 343-3481
SJHMC
M-F 9:00-5:00
1102286
48152
(248) 888-9000
UM
M-F 9:00-5:00
1111880
48187
(734) 844-5400
UM
M-F 9:00-5:00
1111162
48187
(734) 844-5400
UM
M-F 9:00-5:00
1114145
LEDESAI, THUY B MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1104664
LESS, JOAN MD
48195
(734) 246-8100
OAKW
M-F 9:00-5:00
1094369
LOWE, BETH D MD
18181 OAKWOOD BLVD STE 101G DEARBORN
48124
(313) 593-7240
OAKW
M-F 9:00-5:00
1101704
MASSIE, NICOLE MD
48201
(313) 745-4091
HUH
M-F 9:00-5:00
1068988
MORTENSEN, ANNE M MD
48201
(313) 832-8550
M-F 9:00-5:00
1082475
NAZER, DENA H MD
48201
(313) 832-8550
M-F 9:00-5:00
1113519
48187
(734) 844-5400
M-F 9:00-5:00
1042210
OETTGEN, ANNE B MD
48201
(313) 832-8550
M-F 9:00-5:00
1110844
OLSON, MEGAN A MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1113693
48152
(248) 888-9000
UM
M-F 9:00-5:00
1113689
48187
(734) 844-5400
UM
M-F 9:00-5:00
1038806
PETROFF, CHRISTY MD
(313) 343-3481
SJHMC
M-F 9:00-5:00
1063755
PRENTICE, ELIZABETH R DO
48201
(313) 745-4000
M-F 9:00-5:00
1102771
PURIFOY, JERALD MD
48135
(734) 762-3600
M-F 9:00-5:00
1121345
RAGHUNATHAN, MEERA N MD
48187
(734) 455-0800
ANNAPO
M-F 9:00-5:00
1046676
RAZA, SALEEM MD
(313) 343-3481
SJHMC
M-F 9:00-5:00
1110708
REED, LAUREN M MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1110710
REED, LAUREN M MD
48152
(248) 888-9000
UM
M-F 9:00-5:00
1066383
ROXAS, RENATO JR MD
48201
(313) 966-8999
M-F 9:00-5:00
1104753
SAXENA, NUTAN MD
48187
(734) 454-8001
OAKW
M-F 9:00-5:00
1113452
SEYFRIED, JEANNE M MD
48152
(248) 888-9000
UM
M-F 9:00-5:00
1113451
SEYFRIED, JEANNE M MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1082480
SLOAN SCHAFER, KATHERINE E DO
3901 BEAUBIEN ST DETROIT
48201
(313) 966-0128
M-F 9:00-5:00
1063757
SMITHERMAN, LYNN C MD
48201
(313) 832-8550
M-F 9:00-5:00
1086061
SMITHERMAN, LYNN C MD
4201 SAINT ANTOINE ST UHC 4B DETROIT
48201
(313) 966-8017
M-F 9:00-5:00
1038497
SROKA, CELIA DO
48224
(313) 884-0900
WBRO
M-F 9:00-5:00
1110776
TARINI, BETH A MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1080838
TARIQUE, ZEESHAN MD
18940 SCHOOLCRAFT DETROIT
48223
(313) 281-8070
M-F 9:00-5:00
1100334
TREMONTI, NADIA MD
48201
(313) 832-8290
N/A
M-F 9:00-5:00
1110144
VANDERKOOY, ERICA P MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1068635
WANG, ZHIHONG J MD
48201
(313) 745-5515
M-F 9:00-5:00
1106378
WASKERWITZ, STEVEN MD
18181 OAKWOOD BLVD SUITE 101-G DEARBORN
48124
(313) 593-7240
M-F 9:00-5:00
1082491
WELDON, STACI J MD
3901 BEAUBIEN ST 2ND FLR MAIN BLDG DETROIT 48201
(313) 745-5515
M-F 9:00-5:00
1082493
WHITTEN-SHURNEY, WANDA J MD
48201
(313) 745-5515
M-F 9:00-5:00
1112275
YOON, ESTHER Y MD
48187
(734) 844-5400
UM
M-F 9:00-5:00
1096413
YU, AUSTIN MD
48195
(734) 246-8100
OAKW
M-F 9:00-5:00
1040690
ZIEGLER, DOUGLAS MD
(313) 343-3481
SJHMC
M-F 9:00-5:00
UM
OAKW
PHYSICIAN ASSISTANT
1113464
BARAZSU, LINDSAY A PAC
48187
(734) 844-5400
UM
M-F 9:00-5:00
1113389
BONDY, KERRY L PAC
48187
(734) 844-5400
UM
M-F 9:00-5:00
1111383
BROZO, CHRISTINE M PAC
48187
(734) 844-5400
UM
M-F 9:00-5:00
1103108
BURNS, JANET PA
48239
(313) 592-6330
N/A
M-F 9:00-5:00
1113917
COLLINS, HEATHER N PAC
48187
(734) 844-5400
UM
M-F 9:00-5:00

Not Specified


Page 116
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1112228
DEBEAUCLAIR, COLLEEN A PAC
48187
(734) 844-5400
UM
M-F 9:00-5:00
1114354
FISHER, PAMELA C PAC
48187
(734) 844-5400
UM
M-F 9:00-5:00
1122119
GALVIN, ERIN PA
48195
(734) 283-2262
OAKW
M-F 9:00-5:00
1121401
GLINES, DAVID PA
22101 MOROSS GROSSE POINTE FARMS
48236
(313) 343-7374
M-F 9:00-5:00
1110759
GUERRA, TANYA M PAC
48187
(734) 844-5400
UM
M-F 9:00-5:00
1112007
HUNT, TRACY L PAC
48187
(734) 844-5400
UM
M-F 9:00-5:00
1122461
OWHOR, CLIFFORD PA
48207
(313) 925-4540
M-F 9:00-5:00
1114336
PALAZZOLO, KRISINDA P PAC
48187
(734) 844-5400
M-F 9:00-5:00
1122105
PASIK, ALIYA PA
48195
(734) 283-2262
M-F 9:00-5:00
1119807
PATEL, NISHI PA
48195
(734) 283-2262
M-F 9:00-5:00
1110972
ROGERS, KENDRA A PAC
48187
(734) 844-5400
M-F 9:00-5:00
1120772
STONE, KERRY L PA
8012 MIDDLEBELT RD STE A GARDEN CITY
48135
(734) 425-1225
M-F 9:00-5:00
1113189
WAGGONER, MATTHEW A PAC
48187
(734) 844-5400
UM
M-F 9:00-5:00
1112426
WONG, LAURA M PAC
48187
(734) 844-5400
UM
M-F 9:00-5:00
1093440
ZIMMER, KRISTEN E PA
48195
(734) 283-2262
M-F 9:00-5:00
1111479
ZYCZYNSKI, LAURA E PAC
48187
(734) 844-5400
UM
M-F 9:00-5:00
N/A
UM
UM
WEXFORD COUNTY
1124474
FLYNN, JACOB MD
115 E 7TH ST MANTON
49663
(231) 824-4100
1082846
HEWITT, MITZIE J DO
11293 N M 37 STE A BUCKLEY
49620
(231) 269-4185
1109223
LEVINE, DENNIS MD
520 COBB ST CADILLAC
49601
(231) 775-6521
1121725
PRIEST, MARK DO
115 EAST 7TH ST MANTON
49663
(231) 824-4100
GMHS
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
INTERNAL MEDICINE
1077614
GEORGE, WILLIAM MD
49601
(231) 775-6521
1121727
TURNER, GEOFFREY MD
49663
(231) 882-9661
MERCCA
NURSE PRACTITIONER
1098261
CANE, ANN G NP
520 COBBS ST CADILLAC
49601
(231) 775-6521
M-F 9:00-5:00
1094483
HARRIS, KIMBERLY P FNP
49663
(231) 824-4100
M-F 9:00-5:00
1108559
RICHARDS, VICTORIA L NP
49601
(231) 775-6521
M-F 9:00-5:00
1097755
ROUSSE, NATHAN A NP
49601
(231) 775-6521
MERCCA
M-F 9:00-5:00
1065359
SHOOK, ROBIN R NP
49601
(231) 775-6521
N/A
M-F 9:00-5:00
520 COBBS ST CADILLAC
49601
(231) 775-6521
M-F 9:00-5:00
DRH
PEDIATRICS
1083383
DOLORFINO, AUGUSTIN MD
PHYSICIAN ASSISTANT
1065336
BORTON, JONATHON E PAC
49601
(231) 775-6521
M-F 9:00-5:00
1098336
KOGELMAN, JESSE PA
11293 N M-37 STE A BUCKLEY
49620
(231) 269-4185
N/A
M-F 9:00-5:00
1096779
MINTO, CARRIE PA
11293 N M-37 STE A BUCKLEY
49620
(231) 269-4185
N/A
M-F 9:00-5:00

Not Specified


Page 117
February 19, 2015
BI-LINGUAL PRIMARY CARE

PIN
Provider
Address
Zip
Phone
Hospital
Gender
Site Hours
Availability
ARABIC
1007802
SAEED, ELMAHDI M MD
48503
(810) 238-6565
HMC
M-F 9:00-5:00
1015195
SALMAN, REEM MD
48867
(989) 729-4222
MHC
M-F 9:00-5:00

1002512
ALMANSOUR, MUHAMMAD A MD
4071 RICHFIELD RD FLINT
48506
(810) 736-2440
HMC
M-F 9:00-5:00
1032019
MANSOUR-HABIB, NANCY F MD
3940 JOHN R RD TROY
48083
(248) 688-9500
WBTR
M-F 9:00-5:00
INTERNAL MEDICINE
1009950
KIAMI, BASHAR E MD
49738
(989) 348-0550
MHG
M-F 9:00-5:00
1030005
MANSOUR, YOUSIF S MD
17070 W 12 MILE RD STE A SOUTHFIELD
48076
(248) 559-2280
WBRO
M-F 9:00-5:00
1032020
48314
(586) 580-0280
WBTR
M-F 9:00-5:00
1002545
MOHAMED, MOUSA S MD
4250 N SAGINAW ST STE A FLINT
48505
(810) 785-1121
HMC
M-F 9:00-5:00
1001611
1037092
SAEED, SEIF M MD
ZAKI, GAMAL S MD

48503
48307
(810) 235-2004
(248) 844-1500
HMC
CH
M
M
M-F 9:00-5:00
M-F 9:00-5:00
PEDIATRICS
1024841
1022924

2502 S ROCHESTER RD ROCHESTER
48342
48307
(248) 334-0024
(248) 852-5177
POH
SJMERC
M
M
M-F 9:00-5:00
M-F 9:00-5:00
1001685
HAMMOUD, MANAR A MD
G 5119 W BRISTOL STE A FLINT
48507
(810) 720-1510
HMC
M-F 9:00-5:00
1030035
ROUMAYAH-ELIA, SULAFA E MD
48073
(248) 541-2222
WBRO
M-F 9:00-5:00
1003417
TURNER, JANE L MD
48824
(517) 353-3003
IRMC
M-F 9:00-5:00
48307
(248) 844-1500
CH
M-F 9:00-5:00
ENGLISH
INTERNAL MEDICINE
1037092
ZAKI, GAMAL S MD
FRENCH
203721
PAGE-ECHOLS, WENDY E DO
48823
(517) 333-3550
IRMC
M-F 9:00-5:00
1030067
ZAWAIDEH, MEGAN C DO
1041 S MAIN ST STE A ROYAL OAK
48067
(248) 280-6400
WBTR
M-F 9:00-5:00
102 ADELAIDE ST STE 100 FENTON
48430
(810) 629-2245
HMC
M-F 9:00-5:00
GUJARATI
1020492
DANI, NIKETA S MD
HINDI
INTERNAL MEDICINE
1002846
1100 W UNIVERSITY DR ROCHESTER
48307
(248) 651-8200
WBTR
M-F 9:00-5:00
1029902
48092
(586) 751-6270
WBTR
M-F 9:00-5:00
204397
SUD, PARUL MD
48532
(810) 342-5800
MRMC
M-F 9:00-5:00
1030059
SURESH, BINDU MD
48085
(248) 828-7500
WBRO
M-F 9:00-5:00
48085
(248) 828-7500
WBRO
M-F 9:00-5:00
48083
(248) 740-7771
WBTR
M-F 9:00-5:00
48307
(248) 651-5454
WBTR
M-F 9:00-5:00
KANNADA
INTERNAL MEDICINE
1029857
KOREAN
1025197
KIM, CHANGHEE MD
PEDIATRICS
1029918
CHUNG, WILLIAM J MD


- Not Specified

Bi-Lingual Primary Care

Page 118
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Gender
Site Hours
Availability
48341
(248) 253-9600
DHM
M-F 9:00-5:00
48732
(989) 895-4840
BRMC
M-F 9:00-5:00
48073
(248) 541-2222
WBRO
M-F 9:00-5:00
48507
(810) 235-1331
MRMC
M-F 9:00-5:00
MALAYALAM
PEDIATRICS
1022936
POLISH
PEDIATRICS
1015529
BALINSKI, DARIUSZ A MD
SERBIAN
PEDIATRICS
1030028
POPOVIC, MIRJANA B MD
SINDHI
INTERNAL MEDICINE
1002540
KHAN, FARHAN M MD
SPANISH
1001904
CHANDLER, JERRY J DO
4655 DOBIE RD STE 260 OKEMOS
48864
(517) 482-1183
IRMC
M-F 9:00-5:00
1023115
GLASSON, CYNTHIA DO
3003 S BALDWIN RD LAKE ORION
48359
(248) 391-9090
POH
M-F 9:00-5:00
1030034
1003416
RIVERA, ALEIDA M MD
SCARLETT, KERMITH DO

1808 S PENNSYLVANIA AVE STE A LANSING
48314
48910
(586) 323-1122
(517) 267-1270
WBTR
IRMC
F
M
M-F 9:00-5:00
M-F 9:00-5:00
1004095
TAMEZ, GARY L DO
48706
(989) 671-2000
BRMC
M-F 9:00-5:00
1717 N HIGH ST LANSING
48906
(517) 371-1700
IRMC
M-F 9:00-5:00
INTERNAL MEDICINE
203741
COOKE, PETER H MD
PEDIATRICS
1012600
LUNA, JOSEPH B MD
48423
(810) 658-8343
HMC
M-F 9:00-5:00
1001836
1022938
THOMAS, KINGSLEY MD

48532
48342
(810) 230-1288
(248) 373-2720
HMC
SJMERC
M
M
M-F 9:00-5:00
M-F 9:00-5:00
48503
(810) 238-6565
HMC
M-F 9:00-5:00
SWAHILI
1007802
SAEED, ELMAHDI M MD
TAGALOG
1006724
BELLO, JOSEFINA MD
G 3317 BEECHER RD FLINT
48532
(810) 720-0800
MRMC
M-F 9:00-5:00
1002529
LOPEZ, JOSE B MD
48519
(810) 715-3049
HMC
M-F 9:00-5:00
48085
(248) 828-7500
WBRO
M-F 9:00-5:00
48085
(248) 828-7500
WBRO
M-F 9:00-5:00
TAMIL
INTERNAL MEDICINE
1029857
TELUGU
INTERNAL MEDICINE
1029857


- Not Specified


Page 119
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Gender
Site Hours
Availability
5905 S MAIN ST STE 2 CLARKSTON
48346
(248) 620-3700
SJMERC
M-F 9:00-5:00
4800 CLINTONVILLE RD CLARKSTON
48346
(248) 674-0903
SJMERC
M-F 9:00-5:00
TURKISH
INTERNAL MEDICINE
1007748
TANIR-AVCI, NARIN MD
URDU
1022937
SYED, MUSHTAQUE MD
INTERNAL MEDICINE
1002540
KHAN, FARHAN M MD
48507
(810) 235-1331
MRMC
M-F 9:00-5:00
202196
KHAN, ZAKIUDDIN MD
48446
(810) 664-3396
LRMC
M-F 9:00-5:00
35 S JOHNSON STE 3A PONTIAC
48341
(248) 332-9294
SJMERC
M-F 9:00-5:00
PEDIATRICS
1023132
HODA, QAMRUL MD


- Not Specified


Page 120
February 19, 2015
CHILDRENS SPECIAL HEALTH - PRIMARY CARE PROVIDERS

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
ALCONA COUNTY
1027173
DUNCKEL, KATHLEEN J MD
48742
(989) 736-8157
M-F 9:00-5:00
1074879
177 N BARLOW LINCOLN
48742
(989) 736-8157
M-F 9:00-5:00
1022752
MARSHALL, THOMAS J MD
48742
(989) 736-3020
M-F 9:00-5:00
1010914
RICHARDS, JAMES P MD
205 N STATE STE A HARRISVILLE
48740
(989) 724-5655
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1077338
KIRKPATRICK, TOREY B PA
205 N STATE RD STE A HARRISVILLE
48740
(989) 724-5655
M-F 9:00-5:00
1074882
KRUTTLIN, KIANN PAC
205 N STATE ST STE A HARRISVILLE
48740
(989) 724-5655
M-F 9:00-5:00
49450
(855) 869-6900
M-F 9:00-5:00
N/A
ALLEGAN COUNTY
INTERNAL MEDICINE
1081804
BRADY, DESMONDA L MD
ALPENA COUNTY
1058198
BASHEERA, HASAN MD
1185 US 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1045787
BRISCOE, JENNIFER L MD
49707
(989) 354-2142
M-F 9:00-5:00
1014037
DECKER, JAMES D MD
49707
(989) 354-2142
M-F 9:00-5:00
1044899
FITZGERALD, JACQUELINE DO
49766
(989) 471-2156
M-F 9:00-5:00
1026642
LA FAVE, MICHELLE M MD
49707
(989) 354-2142
M-F 9:00-5:00
1062588
LAWSON, RONG MD
49707
(989) 354-2142
M-F 9:00-5:00
1058203
PANKNIN, DANA MD
1185 US 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1074946
SPAETH, DONALD G DO
1185 US 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1058204
SPAETH, DONALD G DO
49766
(989) 471-2156
M-F 9:00-5:00
1039275
WERTH, CHRISTY L DO
49707
(989) 354-2142
M-F 9:00-5:00
ALPENA
PHYSICIAN ASSISTANT
1074947
1185 US 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1058201
49766
(989) 471-2156
M-F 9:00-5:00
1058206
STEVENS, SARAH B PAC
1185 US 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1080480
STEVENS, SARAH B PA-C
49766
(989) 471-2156
M-F 9:00-5:00
1058207
49766
(989) 471-2156
M-F 9:00-5:00
1058208
WISNIEWSKI, JEFFREY PAC
1185 US 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
1074873
1185 US 23 N ALPENA
49707
(989) 356-4049
M-F 9:00-5:00
48706
(989) 671-2000
M-F 9:00-5:00
48706
(989) 671-2000
M-F 9:00-5:00
BAY COUNTY
1004095
TAMEZ, GARY L DO
BRMC
NURSE PRACTITIONER
1071572
PRIOR, HEATHER NP
PHYSICIAN ASSISTANT
1010145
48706
(989) 671-2000
N/A
M-F 9:00-5:00
1012014
MARTIN, JOHN A PA
48706
(989) 671-2000
N/A
M-F 9:00-5:00
1012083
48706
(989) 671-2000
M-F 9:00-5:00

Not Specified

Childrens Special Health Primary Care

Page 121
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
BERRIEN COUNTY
1081795
COLLINS, DAVID E MD
49111
(269) 461-6927
M-F 9:00-5:00
1081796
MACCART, JOHN G MD
49022
(269) 927-5400
M-F 9:00-5:00
1081802
WOLF, MARY M MD
49022
(269) 927-5400
M-F 9:00-5:00
INTERNAL MEDICINE
1081805
FINK, LISA M MD
49022
(269) 927-5400
M-F 9:00-5:00
1032514
JHA, SACHCHIDANAND MD
49022
(269) 927-5400
M-F 9:00-5:00
1084000
O'BRIEN, MARK MD
49022
(269) 927-5400
M-F 9:00-5:00
49111
(269) 461-6927
M-F 9:00-5:00
NURSE PRACTITIONER
1083997
JASKIEWICZ, MICHAEL NP
PEDIATRICS
1084000
O'BRIEN, MARK MD
49022
(269) 927-5400
M-F 9:00-5:00
1081793
REDDY, RADHIKA G MD
49022
(269) 927-5400
M-F 9:00-5:00
EMMET COUNTY
1068811
49740
(231) 348-9900
M-F 9:00-5:00
1053704
MANGES, BOYD MD
49740
(231) 348-9900
M-F 9:00-5:00
1073250
RICCI, CARRIE A MD
3434 HARBOR-PETOSKEY RD STE C HARBOR
49740
(231) 348-9900
M-F 9:00-5:00
49740
(231) 348-9900
M-F 9:00-5:00
49770
(231) 347-8382
M-F 9:00-5:00
NURSE PRACTITIONER
1068820
MCDONOUGH, JEAN FNP
PEDIATRICS
1033712
MCGEATH, DENNIS MD
PHYSICIAN ASSISTANT
1068816
BARDEN, NATHAN PA
49740
(231) 348-9900
M-F 9:00-5:00
1068815
KOCH, KAREN PA
49740
(231) 348-9900
M-F 9:00-5:00
GENESEE COUNTY
1056601
JAGIRDAR, YOGESH MD
5710 CLIO RD FLINT
48504
(810) 787-4445
HMC
M-F 9:00-5:00
1034184
MOORE, JULIAN MD
48503
(810) 235-2004
HMC
M-F 9:00-5:00
1016834
ROBINSON, DONALD MD
2900 N SAGINAW FLINT
48505
(810) 789-9141
HMC
M-F 9:00-5:00
1023377
ROOME, GARY T MD
48529
(810) 743-6830
HMC
M-F 9:00-5:00
1026660
STEVENS, JOYCE MD
48507
(810) 233-9901
HMC
M-F 9:00-5:00
1094341
WALKER, LYNN MD
48439
(810) 694-7412
M-F 9:00-5:00
1066431
ZAHDEH, LOUINDA V MD
48529
(810) 743-6830
HMC
M-F 9:00-5:00
INTERNAL MEDICINE
1014165
CARLIS, DOROTHEA A MD
48505
(810) 789-9141
HMC
M-F 9:00-5:00
1006949
CARRAVALLAH, LAURA A MD
5710 CLIO RD FLINT
48504
(810) 787-4445
HMC
M-F 9:00-5:00
1020753
48529
(810) 743-6830
HMC
M-F 9:00-5:00
1119383
48420
(810) 406-4246
HMC
M-F 9:00-5:00
1120489
SAEED, SEIF M MD
48507
(810) 233-9901
HMC
M-F 9:00-5:00
1001611
SAEED, SEIF M MD
48503
(810) 235-2004
HMC
M-F 9:00-5:00
5710 CLIO RD FLINT
48504
(810) 787-4445
N/A
M-F 9:00-5:00
NURSE PRACTITIONER
1080519
PENFOLD, LYNN NP

Not Specified


Page 122
February 19, 2015

PIN
Provider
Address
Zip
Phone
48503
(810) 235-2004
Hospital
Site Hours
Availability Gender

1072870
SHELLS, CHERRELL NP
M-F 9:00-5:00
PEDIATRICS
1062991
ALI, NUZHAT MD
1335 S LINDEN RD STE C FLINT
48532
(810) 733-0010
MRMC
M-F 9:00-5:00
1005210
48532
(810) 262-2150
HMC
M-F 9:00-5:00
1006949
5710 CLIO RD FLINT
48504
(810) 787-4445
HMC
M-F 9:00-5:00
1021035
FADL, HYTHAM H M MD
806 TUURI PL FLINT
48503
(810) 262-9773
HMC
M-F 9:00-5:00
1056125
JINDAL, LEENA DO
48529
(810) 743-6830
HMC
M-F 9:00-5:00
1012600
LUNA, JOSEPH B MD
48423
(810) 658-8343
HMC
M-F 9:00-5:00
1123527
48433
(810) 659-2233
HMC
M-F 9:00-5:00
1027779
806 TUURI PL PEDIATRIC RES CLINIC FLINT
48503
(810) 262-9773
HMC
M-F 9:00-5:00
1001836
48532
(810) 230-1288
HMC
M-F 9:00-5:00
1005211
RUBINO, DON M MD
G-1125 S LINDEN RD STE 500 FLINT
48532
(810) 262-2150
GMC
M-F 9:00-5:00
1064496
VANIAWALA, VISHWAS MD
806 TUURI PLACE FLINT
48503
(810) 262-9773
HMC
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1036686
LANGE, REBEKAH PA
48503
(810) 235-2004
M-F 9:00-5:00
1069534
NEELY, MELISSA PA
48507
(810) 233-9901
M-F 9:00-5:00
1099844
NEELY, MELISSA PA
48503
(810) 235-2004
M-F 9:00-5:00
1080459
VANDERLAAN, KATHERINE PA-C
48503
(810) 235-2004
N/A
M-F 9:00-5:00
48624
(989) 426-9259
MMMC
M-F 9:00-5:00
GLADWIN COUNTY
1022845
VORA, KANDARP K MD

PEDIATRICS
1075703
CHIMNER, LISA MD
49684
(231) 935-8822
M-F 9:00-5:00
1003944
ELDREDGE, MICHAEL J MD
49684
(231) 935-0555
M-F 9:00-5:00
1042009
HEGEWALD, KIMBERLY A MD
49684
(231) 935-8822
M-F 9:00-5:00
1082849
LABIAN, LUANN K MD
49684
(231) 421-8099
M-F 9:00-5:00
1082850
MULDER, SARAH C MD
49684
(231) 421-8099
M-F 9:00-5:00
1083619
OLSON, DAVID S MD
49684
(231) 935-8822
M-F 9:00-5:00
1094132
ROBERTSON, JAMES W MD
49684
(231) 935-0555
M-F 9:00-5:00
1076629
SCHELL, JENNIFER L DO
49684
(231) 421-8099
M-F 9:00-5:00
1083618
SMITH, CYNTHIA MD
49684
(231) 935-0555
M-F 9:00-5:00
1082848
SMITH, KARLA M MD
49684
(231) 421-8099
M-F 9:00-5:00
1081936
SPRUNK, ROBERT W MD
49684
(231) 935-8822
M-F 9:00-5:00
1080184
TURSMAN, ANDREW D MD
49684
(231) 935-8822
M-F 9:00-5:00
32 S BROAD ST HILLSDALE
49242
(517) 437-3361
HCHC
M-F 9:00-5:00
48413
(989) 269-9012
HURON
M-F 9:00-5:00
MUNSON
MUNSON
HILLSDALE COUNTY
1082742
SCHALL, ROBERT E MD
HURON COUNTY
PEDIATRICS
1012154
HUNG, YUH-LIN MD

Not Specified


Page 123
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
48910
(517) 853-3704
IRMC
M-F 9:00-5:00
INGHAM COUNTY
1028597
KOZLOWSKI, JOSEPH S DO
IOSCO COUNTY
1065362
48750
(989) 739-2550
M-F 9:00-5:00
1068822
MANGES, BOYD MD
48750
(989) 739-2550
M-F 9:00-5:00
48750
(989) 739-2550
M-F 9:00-5:00
325 M-55 TAWAS CITY
48763
(989) 984-3770
M-F 9:00-5:00
NURSE PRACTITIONER
1068819
MCDONOUGH, JEAN FNP
PEDIATRICS
1024672
STUDLEY, JOANNA K MD
TSJH
PHYSICIAN ASSISTANT
1055328
BARDEN, NATHAN PA
48750
(989) 739-2550
M-F 9:00-5:00
1068814
KOCH, KAREN PA
48750
(989) 739-2550
M-F 9:00-5:00
ISABELLA COUNTY
PEDIATRICS
1008811
MSIBI, BHEKUMUSA DO
1970 ASHLAND DR STE A MOUNT PLEASANT
48858
(989) 772-1500
GMC
M-F 9:00-5:00
1012740
WALVISCH, STEVEN MD
48858
(989) 779-5270
CMCH
M-F 9:00-5:00
N/A
KENT COUNTY
1083818
49503
(616) 235-7272
1119141
49509
(616) 965-8333
M-F 9:00-5:00
M-F 9:00-5:00
PEDIATRICS
1050424
BUSH, JENNY MD
49504
(616) 235-1480
N/A
M-F 9:00-5:00
1083831
O'ROURKE, SUSAN DO
49504
(616) 235-1480
N/A
M-F 9:00-5:00
1065515
PARAS, PHILLIP MD
49504
(616) 235-1480
N/A
M-F 9:00-5:00
1050428
STOUT, KRISTIN MD
49504
(616) 235-1480
N/A
M-F 9:00-5:00
49304
(231) 745-4624
M-F 9:00-5:00
1083 SUNCREST DR STE A LAPEER
48446
(810) 245-9700
LRMC
M-F 9:00-5:00
LAKE COUNTY
1032627
SCHROEDER, CLAUDIA MD
LAPEER COUNTY
PEDIATRICS
1026494
AL-HARASTANI, MOHAMMAD MD
LIVINGSTON COUNTY
PEDIATRICS
1003785
DESAI, BIPIN MD
136 KISSANE AVE BRIGHTON
48116
(810) 229-7337
N/A
M-F 9:00-5:00
1030485
QALIEH, BASHAR S MD
48116
(810) 220-3700
HVSH
M-F 9:00-5:00

Not Specified


Page 124
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
MACOMB COUNTY
1083749
BURGIN, JODE J MD
48095
(586) 281-6000
WBTR
M-F 9:00-5:00
1083751
CECIL, LEAH M DO
48095
(586) 281-6000
WBTR
M-F 9:00-5:00
1083753
COTHERY, JILL P DO
48095
(586) 281-6000
WBTR
M-F 9:00-5:00
1023003
HARRIS, ROGER DO
39880 VAN DYKE STE 202 STERLING HEIGHTS
48313
(586) 264-7930
MCRMC
M-F 9:00-5:00
1030034
RIVERA, ALEIDA M MD
48314
(586) 323-1122
WBTR
M-F 9:00-5:00
1077037
TROSIN, CYNTHIA DO
48035
(586) 791-5250
MCRMC
M-F 9:00-5:00
NURSE PRACTITIONER
1074240
48066
(586) 771-0290
MCRMC
M-F 9:00-5:00
1122722
48066
(586) 771-0290
MCRMC
M-F 9:00-5:00
PEDIATRICS
1038648
ARASTU, HUSAIN MD
11446 E 13 MILE RD STE B WARREN
48093
(586) 574-2020
N/A
M-F 9:00-5:00
1036156
BITAR, MOHAMMAD A MD
48317
(586) 739-8030
WBTR
M-F 9:00-5:00
1076925
BLACK, E DALTON MD
48080
(586) 443-4950
M-F 9:00-5:00
1076923
48080
(586) 443-4950
M-F 9:00-5:00
1076927
CRISTESCU, EVA S MD
48080
(586) 443-4950
M-F 9:00-5:00
1076928
FOWLER, SHARON MD
48080
(586) 443-4950
M-F 9:00-5:00
1076924
GREEN, LYRIC MD
48080
(586) 443-4950
M-F 9:00-5:00
1069016
MIKHAIL, BESMA MD
3755 E 15 MILE RD STERLING HEIGHTS
48310
(586) 722-7498
M-F 9:00-5:00
1076929
MIRZA, SHAKEELA MD
48080
(586) 443-4950
M-F 9:00-5:00
1030033
REHMAN, DURDANA T MD
48310
(586) 977-9090
M-F 9:00-5:00
1076922
SABERI, MOHAMMAD MD
48080
(586) 443-4950
M-F 9:00-5:00
1076930
SCHRECK, PAULA K MD
48080
(586) 443-4950
M-F 9:00-5:00
1019247
VANAHARAM, KAMALA MD
7828 22 MI RD UTICA
48317
(586) 254-8581
N/A
M-F 9:00-5:00
1040881
VILLANUEVA, ETHEL MD
48310
(586) 795-3232
N/A
M-F 9:00-5:00
48838
(616) 225-9650
N/A
M-F 9:00-5:00
WBTR
WBTR
MONTCALM COUNTY
1068244
SANKEY, BEVERLY MD
MONTMORENCY COUNTY
1093147
11899 M-32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1093148
49746
(989) 742-4583
M-F 9:00-5:00
1008301
HAUTEA, MARION C MD
11899 M 32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1065458
HAYES, TIMOTHY DO
11899 M32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
1097426
HAYES, TIMOTHY DO
49746
(989) 742-2183
M-F 9:00-5:00
1093152
49746
(989) 742-4583
M-F 9:00-5:00
INTERNAL MEDICINE
1075991
49746
(989) 724-4583
M-F 9:00-5:00
1097423
11899 M-32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
11899 M32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
NURSE PRACTITIONER
1078269
PHYSICIAN ASSISTANT
1102318
BARSEN, JILL P PAC
49746
(989) 742-4583
M-F 9:00-5:00
1076138
BARSEN, JILL P PA-C
11899 M 32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00

Not Specified


Page 125
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1042606
GAWEL, BONITA PA
49746
(989) 742-4583
M-F 9:00-5:00
1097428
MCEWEN, WAYNE PA
49746
(989) 742-4583
M-F 9:00-5:00
1027968
MCEWEN, WAYNE PA
11899 M 32 ATLANTA
49709
(989) 785-4855
M-F 9:00-5:00
49444
(231) 737-1335
M-F 9:00-5:00
MUSKEGON COUNTY
1045565
HULTMAN, JENNIFER A MD

1069583
KOESTNER, DANIELLE KT DO
49444
(231) 737-1335
M-F 9:00-5:00
1025770
KOHN, WAYNE H DO
49444
(231) 737-1335
M-F 9:00-5:00
49444
(231) 733-6607
M-F 9:00-5:00
PEDIATRICS
1063144
SIEPLINGA, KIRA R MD
PHYSICIAN ASSISTANT
1082262
ANDERSON, TRICIA M PA
49444
(231) 737-1335
M-F 9:00-5:00
1093404
BECK, KATHERINE A PA
49444
(231) 737-1335
M-F 9:00-5:00
1082258
DICKINSON, JAMIE L PA
49444
(231) 737-1335
M-F 9:00-5:00
1082257
HURT, TESSA J PA
49444
(231) 737-1335
M-F 9:00-5:00
1082260
LUCKETT, MARY C PAC
49444
(231) 737-1335
M-F 9:00-5:00
1082259
SCHRAM, KAREL S PA
49444
(231) 737-1335
M-F 9:00-5:00
1082256
SHIELDS, JUSTIN L PA
49444
(231) 737-1335
M-F 9:00-5:00
1041374
STIBITZ, ELLEN J PA
49444
(231) 737-1335
M-F 9:00-5:00
1854 W AUBURN RD STE 100A ROCHESTER
48309
(248) 696-3170
SJMERC
M-F 9:00-5:00
1265 W HURON STE 201 WATERFORD
48328
(248) 683-1212
POH
M-F 9:00-5:00
48342
(248) 334-2346
POH
M-F 9:00-5:00
OAKLAND COUNTY
1032237
CULVER, WALTER H MD

1015435
ZALLA, STEVEN DO

1024998
STEWART, HELEN NP
PEDIATRICS
1024841
48342
(248) 334-0024
POH
M-F 9:00-5:00
1029926
48085
(248) 879-5570
WBTR
M-F 9:00-5:00
1022923
DHAR, SUDIPTA MD
48382
(248) 366-0101
SJMERC
M-F 9:00-5:00
1068316
48085
(248) 879-5570
CHM
M-F 9:00-5:00
1029929
48085
(248) 879-5570
WBTR
M-F 9:00-5:00
1038655
GUPTA, MADAN MD
48075
(248) 559-5950
N/A
M-F 9:00-5:00
1017973
48085
(248) 879-5570
WBTR
M-F 9:00-5:00
1034244
ISLAM, SHAMIN A MD
48328
(248) 674-7337
SJMERC
M-F 9:00-5:00
1036081
48328
(248) 648-8930
SJMERC
M-F 9:00-5:00
1066817
48360
(248) 683-3385
SJMERC
M-F 9:00-5:00
1022936
48341
(248) 253-9600
DHM
M-F 9:00-5:00
1027943
RAO, SWARAJYALAXMI B MD
48360
(248) 683-3385
SJMERC
M-F 9:00-5:00
1070757
ROTH, HERBERT MD
48025
(248) 644-2700
M-F 9:00-5:00
1070758
ROTH, MARLENE M MD
48025
(248) 644-2700
M-F 9:00-5:00
1060069
48360
(248) 683-3385
M-F 9:00-5:00

Not Specified

WBTR

Page 126
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender
48085
(248) 879-5570
WBTR
M-F 9:00-5:00
49665
(231) 743-0150
M-F 9:00-5:00
49424
(616) 399-0200
M-F 9:00-5:00

1032198
OSCEOLA COUNTY
PHYSICIAN ASSISTANT
1069134
MCGILLIS, TRICIA PA
OTTAWA COUNTY
1032288
ZARLENGA, LANA J MD
NURSE PRACTITIONER
1084003
DISCHINGER-SMEDES, ROBERTA NP
49424
(616) 399-0200
M-F 9:00-5:00
1084004
DURAN, TERRI NP
49424
(616) 399-0200
M-F 9:00-5:00
PRESQUE ISLE COUNTY

1003966
49779
(989) 734-2052
M-F 9:00-5:00
1102320
21258 W M-68 ONAWAY
49765
(989) 733-2082
M-F 9:00-5:00
1102316
49765
(989) 733-2082
M-F 9:00-5:00
1093149
4549 M-33 ONAWAY
49765
(989) 733-4980
M-F 9:00-5:00
1093145
HAUTEA, MARION C MD
205 BRADLEY HWY ROGERS CITY
49779
(989) 734-2052
M-F 9:00-5:00
1097425
HAYES, TIMOTHY DO
49779
(989) 734-2052
M-F 9:00-5:00
1097427
HAYES, TIMOTHY DO
49765
(989) 722-2082
M-F 9:00-5:00
1096694
49779
(989) 734-2052
M-F 9:00-5:00
1093154
49779
(989) 734-2052
M-F 9:00-5:00
1093153
4549 M-33 ONAWAY
49765
(989) 733-4980
M-F 9:00-5:00
1075702
49765
(989) 733-2082
M-F 9:00-5:00
49765
(989) 733-2082
M-F 9:00-5:00
INTERNAL MEDICINE
1097424
NURSE PRACTITIONER
1077558
LAFAVE, JULIE NP
4549 M 33 ONAWAY
49765
(989) 733-4980
M-F 9:00-5:00
1122407
PEASLEY, CECELIA NP
49779
(989) 734-2052
M-F 9:00-5:00
1097434
4549 M-33 ONAWAY
49765
(989) 733-4980
M-F 9:00-5:00
1097433
49765
(989) 733-2082
M-F 9:00-5:00
1097432
49779
(989) 734-2052
M-F 9:00-5:00
PHYSICIAN ASSISTANT
1102319
BARSEN, JILL P PAC
49765
(989) 733-2082
M-F 9:00-5:00
1093146
BARSEN, JILL P PAC
49779
(989) 734-2052
M-F 9:00-5:00
1102317
BARSEN, JILL P PAC
4549 M-33 HWY ONAWAY
49765
(989) 733-4980
M-F 9:00-5:00
1097429
MCEWEN, WAYNE PA
49779
(989) 734-2052
M-F 9:00-5:00
1028020
MILLER, SARAH PA
49765
(989) 733-2082
M-F 9:00-5:00
SAGINAW COUNTY
1010674
48722
(989) 759-6460
BRMC
M-F 9:00-5:00
1010620
48601
(989) 755-0316
SMCHSA
M-F 9:00-5:00

Not Specified


Page 127
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

1018854
48722
(989) 759-6460
SMCHSA
M-F 9:00-5:00
1071545
LONG, TOBY MD
48601
(989) 755-3619
SMCHSA
M-F 9:00-5:00
NURSE PRACTITIONER
1026128
48601
(989) 755-0316
N/A
M-F 9:00-5:00
1010613
48602
(989) 755-3619
N/A
M-F 9:00-5:00
1079458
JAROS, KARIN NP-C
48601
(989) 755-0316
N/A
M-F 9:00-5:00
1080511
48607
(989) 755-0316
N/A
M-F 9:00-5:00
M-F 9:00-5:00
M-F 9:00-5:00
PEDIATRICS
1092578
PASSAL, DONALD MD
48601
(989) 755-0316
1010623
PASSAL, DONALD B MD
48722
(989) 777-2151
MRMC
PHYSICIAN ASSISTANT
1036878
REYNOLDS, ROBYN PA
501 LAPEER SAGINAW
48607
(989) 753-6000
N/A
M-F 9:00-5:00
1028442
SMALLMAN, CHARLES O PA
48601
(989) 755-0316
N/A
M-F 9:00-5:00

1010614
KISH, BARBARA A FNP
48601
(989) 755-0316
N/A
M-F 9:00-5:00
1010146
48601
(989) 755-0316
N/A
M-F 9:00-5:00
SAINT CLAIR COUNTY

1027674
CAVATAIO, PIETRO MD
48023
(586) 716-1371
MCRMC
M-F 9:00-5:00
1027675
COLOMBO, ANTONINO MD
48023
(586) 716-1371
MCRMC
M-F 9:00-5:00
1060454
SCHEEL, LISA DO
48054
(810) 329-2350
MCRMC
M-F 9:00-5:00
1975 W M-21 OWOSSO
48867
(989) 729-4848
M-F 9:00-5:00
48867
(989) 729-4848
M-F 9:00-5:00
308 CHARLES ST BANGOR
49013
(269) 427-7967
M-F 9:00-5:00
SHIAWASSEE COUNTY
1118061
COUGHLIN, BRENDA MD
PHYSICIAN ASSISTANT
1042359
SCRIBNER, DIANE PA
N/A
VAN BUREN COUNTY

1081800
WILKINSON, WILLIAM L MD
WAYNE COUNTY
1037537
BRAVER, BARRY DO
48224
(313) 884-0900
WBRO
M-F 9:00-5:00
1064256
BRAVER, TZVI DO
48224
(313) 884-0900
WBGP
M-F 9:00-5:00
1082735
STRYD, SCOTT P MD
48209
(313) 841-1699
N/A
M-F 9:00-5:00
INTERNAL MEDICINE
1080882
DARDEN, JOY J MD
48207
(313) 921-8600
M-F 9:00-5:00
1080883
DARDEN, JOY J MD
48205
(313) 921-8600
M-F 9:00-5:00
1080886
48207
(313) 921-8600
M-F 9:00-5:00
1080884
48205
(313) 371-2828
M-F 9:00-5:00

Not Specified


Page 128
February 19, 2015

PIN
Provider
Address
Zip
Phone
Hospital
Site Hours
Availability Gender

PEDIATRICS
1081788
ALHUSEIN, NAZEM MD
20211 ANN ARBOR TRL DEARBORN HEIGHTS
48127
(313) 336-4444
M-F 9:00-5:00
1021702
CHWIKANI, RAGHDA MD
10326 W WARREN DEARBORN
48126
(313) 581-2064
CHM
M-F 9:00-5:00
1038540
HEATH, WILLIAM MD
48219
(313) 255-2209
CHM
M-F 9:00-5:00
1038497
SROKA, CELIA DO
48224
(313) 884-0900
WBRO
M-F 9:00-5:00

Not Specified


Page 129
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Alcona County
ALCONA COUNTY
AMBULATORY FAMILY PLANNING FACILITY
1032102
DISTRICT #2 HEALTH DEPARTMENT
311 LAKE ST PO BOX 218
HARRISVILLE 48740
(989) 724-6757
177 N BARLOW RD
HARRISVILLE 48740
(989) 354-5717
177 N BARLOW RD
LINCOLN 48742
(989) 736-8157
177 N BARLOW RD
LINCOLN 48742
(989) 736-8157
GENERAL SURGERY
1082351
PAULSELL, MICHAEL D MD
NEPHROLOGY
1127256
AZABACHE, DANIEL MD
PSYCHIATRY
1074868
BARBA, RUDY MD
PUBLIC HEALTH CLINIC

1016534
ALCONA CITIZENS FOR HEALTH INC
177 N BARLOW RD
LINCOLN 48742
(989) 736-8157
1021977
ALCONA HEALTH CENTER HARRISVILLE SERVICES
205 N STATE STE A
HARRISVILLE 48740
(989) 724-5655
1032102
311 LAKE ST PO BOX 218
HARRISVILLE 48740
(989) 724-6757
923 BARLOW RD
LINCOLN 48742
(989) 340-0535
SPEECH THERAPY
1105775
VRC REHABILITATION
Allegan County
ALLEGAN COUNTY
ADULT HEALTH NURSE PRACTITIONER
1072427
BAKER, LINDA L NP
411 NAOMI ST
PLAINWELL 49080
(269) 685-6811
1072815
TISRON, ROSS E NP
411 NAOMI ST
PLAINWELL 49080
(269) 685-6811
ALLERGY & IMMUNOLOGY

1076550
HIERLWIMMER, ULF R DO
844 WASHINGTON AVE STE 2900
HOLLAND 49423
(616) 392-8877
1084710
REDDY, BYRA M MD
844 S WASHINGTON AVE STE 1400
HOLLAND 49423
(616) 392-8877
3255 122ND AVE STE 200
ALLEGAN 49010
(269) 686-4540

1010798
FAMILY PLANNING & WOMENS HEALTH
CARDIOLOGY
1077487
CRONIN, LYNN J MD
602 MICHIGAN AVE STE 102
HOLLAND 49423
(616) 392-3824
1077486
FRAUENHEIM, WILLIAM A MD
HOLLAND 49423
(616) 392-3824
1091977
GRIBAR, JOHN MD
904 S WASHINGTON STE 120
HOLLAND 49423
(616) 392-3824
1118826
GRIBAR, JOHN MD
HOLLAND 49423
(616) 392-3824
1076050
JANSYN, ELLEN M MD
HOLLAND 49423
(616) 392-3824
1098278
PAWLIK, MICHAEL DO
551 LINN ST
ALLEGAN 49010
(269) 373-1222
1072709
WILLIAMS, ALICIA M DO
671 W ALLEGAN ST STE B
PLAINWELL 49080
(269) 381-3963
555 LINN ST
ALLEGAN 49010
(800) 448-9684
551 LINN ST SPECIALTY CLINIC STE 250
ALLEGAN 49010
(269) 321-7546
CARDIOVASCULAR SURGERY
1101851
ALAM, SYED MD
DERMATOLOGY
1084653
MOHNEY, CRAIG A MD
DME - P&O
1103123
AIRLINK HOMECARE LLC
305 THOMAS ST STE B
ALLEGAN 49010
(269) 673-5600
1037424
AIRWAY OXYGEN INC HOLLAND
831 S WASHINGTON
HOLLAND 49423
(800) 284-5882

Page 130
February 19, 2015

PIN
Provider
Address
ALLEGAN COUNTY (CONTINUED)
City and Zip
Phone
Gender
Allegan County
EAR - NOSE - THROAT (ENT)

1100150
TAYLOR, JOSEPH C MD
551 LINN ST
ALLEGAN 49010
(616) 459-4514
END STAGE RENAL DISEASE CENTER

1095620
RAI HASTINGS AVE HOLLAND
649 HASTINGS AVE STE B
HOLLAND 49423
(616) 392-3263
1085255
RCG ALLEGAN
730 AIRWAY DR
ALLEGAN 49010
(269) 673-1700
ENDOCRINOLOGY
1122667
GREENBERG, CRAIG P MD
411 NAOMI ST
PLAINWELL 49080
(269) 226-1222
1122665
345 NAOMI ST
PLAINWELL 49080
(269) 552-0100
671 ALLEGAN ST MEDICAL SPECIALTIES BLDG
PLAINWELL 49080
(269) 385-9900
GASTROENTEROLOGY
1084749
TURK, AIJAZ H MD
GENERAL SURGERY
1028441
DE COOK, DANIEL J MD
HOLLAND 49423
(616) 786-3581
1078168
HOUSKAMP, WILLIAM R MD
HOLLAND 49423
(616) 394-0673
1107864
RALPH, MATTHEW S DO
551 LINN ST STE 220
ALLEGAN 49010
(269) 686-4936
1025738
VANWYLEN, STEPHEN J MD
HOLLAND 49423
(616) 772-5950
HEMATOLOGY - ONCOLOGY
1084645
LEIPMAN, MARCIA K MD
555 LINN ST ALLEGAN SPECIALTY CLINIC
ALLEGAN 49010
(269) 686-5880
1089984
LIEPMAN, MARCIA MD
551 LINN ST
ALLEGAN 49010
(269) 686-5880
555 LINN ST
ALLEGAN 49010
(269) 686-4293
555 LINN ST
ALLEGAN 49010
(269) 686-4067
HOME HEALTH CARE

1087213
ALLEGAN HOMECARE INC
INFUSION SERVICES CENTER

1125707
ALLEGAN GENERAL HOSPITAL
INTERNAL MEDICINE
1070917
411 NAOMI STREET
PLAINWELL 49080
(269) 685-6811
1081425
MCLACHLAN, JAMES E MD
411 NAOMI ST
PLAINWELL 49080
(269) 685-6811
1122625
NEHME, NADINE MD
345 NAOMI ST
PLAINWELL 49080
(269) 552-0100
1076228
NEHME, NADINE MD
411 NAOMI ST
PLAINWELL 49080
(269) 685-6811
1081325
ROOSENBERG, JOHN M MD
555 LINN ST
ALLEGAN 49010
(269) 673-2158
1070858
SRIDHARAN, MAILVAGANAM MD
411 NAOMI STREET
PLAINWELL 49080
(269) 685-6811
1081405
TREXLER, MICHAEL F MD
411 NAOMI ST
PLAINWELL 49080
(269) 685-6811
1024782
VALITUTTO, MICHAEL DO
345 NAOMI ST
PLAINWELL 49080
(269) 552-0100
1070787
411 NAOMI ST
PLAINWELL 49080
(269) 226-8321
NEPHROLOGY
1094343
FILIPPOVA, KSENIYA V MD
649 HASTINGS AVE
HOLLAND 49423
(616) 752-6235
1094346
GOUSHAW, PHILIP J MD
649 HASTINGS AVE
HOLLAND 49423
(616) 752-6235
1094347
GRATIOT-DEANS, JEANNE M MD
649 HASTINGS AVE
HOLLAND 49423
(616) 752-6235
1084648
MANRING, PETER MD
730 AIRWAY DR
ALLEGAN 49010
(269) 349-6759
1094348
SANTHANA KRISHNAN, SRIVILLIPUTTUR G MD
649 HASTINGS AVE
HOLLAND 49423
(616) 752-6235
1094345
SLATON, BYRON T MD
649 HASTINGS AVE
HOLLAND 49423
(616) 752-6235
1094349
UNRUH, MICHAEL J MD
649 HASTINGS AVE
HOLLAND 49423
(616) 752-6235
1094350
VISSER, JAMES A MD
649 HASTINGS AVE
HOLLAND 49423
(616) 752-6235
1094344
VISSER, JAMES A MD
649 HASTINGS AVE
HOLLAND 49423
(616) 752-6235

Page 131
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Allegan County
NEURO SURGERY
1072553
BRUMBLAY, HUNTER GEOFFREY MD
551 LINN ST
ALLEGAN 49010
(269) 343-1264
1070850
EDEN, SONIA V MD
555 LINN ST
ALLEGAN 49010
(269) 343-1264
1072722
KRINOCK, MARK J MD
551 LINN STREET
ALLEGAN 49010
(269) 343-1264
1072750
MEYER, MARK E MD
551 LINN ST
ALLEGAN 49010
(269) 343-1264
NEUROLOGY
1085349
DAGLI, RAJESH D MD
411 NAOMI ST
PLAINWELL 49080
(269) 685-0700
1099414
DUNNE, THOMAS C MD
555 LINN ST STE B
ALLEGAN 49010
(269) 488-8430
1126368
DUNNE, THOMAS C MD
570 LINN ST
ALLEGAN 49010
(269) 488-8430
1072674
MAHMOOD, FAYYAZ MD
555 LINN ST PROFESSIONAL BUILDING
ALLEGAN 49010
(269) 381-7380
1123222
MAHMOOD, FAYYAZ MD
570 LINN ST
ALLEGAN 49010
(269) 381-7380
NURSE MIDWIFE
1072432
ALLGOR, JANIE B CNM
671 ALEGAN
PLAINWELL 49080
(269) 685-1002
1072433
DEIBEL, MEGAN G CNM
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
1084761
HARTMAN, LYDIA A CNM
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
1072436
KELLOGG, LORI L CNM
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
1072438
MAJSZAK, CHRISTINA CNM
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
1072440
MILLER, SUSAN M CNM
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
1072443
NEWBERRY, THERESA R CNM
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
1072445
VANDER PLOEG, KATHERINE A CNM
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
1072447
ZIELINSKI, RUTH E CNM
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
OBSTETRICS - GYNECOLOGY
1072644
HARDIMAN, MICHAEL K DO
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
1072807
HOFFMAN, JENNIFER L MD
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
1087158
MCGHEE, KANIA G MD
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
1117346
NASH GUILFORD, AMBER R DO
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
1072799
RANGRASS, RAJIV MD
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
1084596
ROBINSON, DAWN MD
671 ALLEGAN ST
PLAINWELL 49080
(269) 685-1002
1072795
STEENSTRA, MARIJO MD
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
1072715
WINTER, ROBERT N MD
671 ALLEGAN
PLAINWELL 49080
(269) 685-1002
OPHTHALMOLOGY
1098303
ARENDSHORST, JOHN MD
999 WASHINGTON AVE
HOLLAND 49423
(616) 396-2316
1089301
SNYDER, ERIC MD
999 S WASHINGTON AVE
HOLLAND 49423
(616) 396-2316
OPTOMETRY
1117202
ANNIS, RICHARD OD
114 BLUE STAR HWY
DOUGLAS 49406
(269) 857-2020
1086961
GOFF, ADAM R OD
123 S FAIR ST
OTSEGO 49078
(269) 694-9462
1086242
HODGE, AMANDA OD
123 LOCUST ST
ALLEGAN 49010
(269) 673-5100
1086243
HODGE, PAUL OD
123 LOCUST ST
ALLEGAN 49010
(269) 673-5100
1086484
JACQUEMIN, REBECCA OD
4752 136TH AVE
HAMILTON 49419
(269) 751-4440
1059660
JAMMER, ANGELA OD
1148 S WASHINGTON
HOLLAND 49423
(616) 396-8814
1092011
OOSTERBAAN, TARA OD
999 WASHINGTON AVE
HOLLAND 49423
(616) 396-2316
1096517
PRUIS, ROSANNE OD
HOLLAND 49423
(616) 396-2316
1086481
ROUBOS, ANDREW OD
4752 136TH AVE
HAMILTON 49419
(269) 751-4440
1098421
SANDIFER, BRUCE OD
1281 W M89
PLAINWELL 49080
(269) 685-1071

Page 132
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Allegan County
OPTOMETRY (CONTINUED)
1086487
SCHROTENBOER, DIRK OD
4752 136TH AVE
HAMILTON 49419
(269) 751-4440
1084206
SWANSON, JOHN OD
123 S FAIR ST
OTSEGO 49078
(269) 694-9462
1095248
VANDEWEGHE, CHRISTINE OD
1148 S WASHINGTON
HOLLAND 49423
(616) 396-8814
1086241
WITTKOP, DALE OD
123 LOCUST ST
ALLEGAN 49010
(269) 673-5100
ORTHOPEDIC SURGERY
1104407
TEHRANCHI, SACHA DO
551 LINN ST STE 220
ALLEGAN 49010
(269) 673-5571
1102357
WARNER, MARK W DO
551 LINN ST STE 220
ALLEGAN 49010
(269) 673-5571
555 LINN ST
ALLEGAN 49010
(269) 686-4300
PAIN MANAGEMENT
1125404
ELDOHIRI, SALAH-ELDIN MD
PALLIATIVE MEDICINE - FAMILY PRACTICE

1072758
MEYER, JEANETTE M MD
411 NAOMI ST
PLAINWELL 49080
(269) 685-6811
1072701
PAYNE, SAMUEL KIRK MD
411 NAOMI STREET
PLAINWELL 49080
(269) 685-6811
1075321
REESE, TRACY A PA
411 NAOMI ST
PLAINWELL 49080
(269) 685-6811
1072821
411 NAOMI ST
PLAINWELL 49080
(269) 685-6811
PHYSICAL MEDICINE AND REHABILITATION

1070796
BAKDALIEH, YAHYA MD
345 NAOMI ST
PLAINWELL 49080
(269) 552-0100
1021158
BROCKMAN, DAVID J MD
345 NAOMI ST
PLAINWELL 49080
(269) 552-0100
1070863
YU, GENE C DO
345 NAOMI ST
PLAINWELL 49080
(269) 552-0100
720 MICHIGAN AVE STE B
HOLLAND 49423
(616) 396-4620
PROSTHETICS
1076225
HANGER PROSTHETICS & ORTHOTICS INC
PSYCHIATRY
1085526
ANDREWS, AURORA MD
551 LINN ST STE 230
ALLEGAN 49010
(269) 686-4110
1108865
ARELLANO, JULIE A MD
HOLLAND 49423
(616) 820-3780
1108652
KHULLAR, MANAV MD
HOLLAND 49423
(616) 820-3780
1108727
RIVERA-GUTIERREZ, ALBERTO R MD
HOLLAND 49423
(616) 820-3780
SKILLED NURSING FACILITY

1093799
HEARTLAND OF HOLLAND
493 W 32ND ST
HOLLAND 49423
(616) 396-1438
1073065
TENDERCARE HEALTH AND REHAB HOLLAND
1221 E 16TH ST
HOLLAND 49423
(616) 396-7095
1091796
THE LAURELS OF SANDY CREEK
425 EAST ELM ST
WAYLAND 49348
(269) 792-2249
555 LINN ST
ALLEGAN 49010
(517) 686-4070
SPEECH THERAPY
1117956
ALLEGAN PHYSICAL THERAPY
VASCULAR SURGERY
1084632
JAIN, KRISHNA M MD
555 LINN ST
ALLEGAN 49010
(800) 448-9684
1084654
MUNN, JOHN S MD
555 LINN ST
ALLEGAN 49010
(800) 448-9684
ALPENA COUNTY
Alpena County
CARDIOLOGY
1075950
ARORA, SANJEEV MD
460 LONG RAPIDS PLZ
ALPENA 49707
(989) 356-0141
1093631
CANNON, LOUIS A MD
211 LONG RAPIDS RD
ALPENA 49707
(231) 487-2490
1093632
OVERTON, NAOMI MD
211 LONG RAPIDS RD
ALPENA 49707
(231) 487-2490

Page 133
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Alpena County
CARDIOLOGY (CONTINUED)
1077840
WALLS, ULYSSES C MD
460 LONG RAPIDS PLZ
ALPENA 49707
(989) 356-0141
1082797
WALLS, ULYSSES C MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
DME - P&O
1019731
ALPENA OXYGEN & EQUIPMENT COMP
232 RIVER ST
ALPENA 49707
(989) 356-9275
1084484
LEFAVE PHARMACY & HOME MEDICAL EQUIP
1202 W CHISHOLM ST
ALPENA 49707
(989) 354-3189
1016387
TETER ORTHOTICS & PROSTHETICS
341 LONG RAPIDS PLAZA
ALPENA 49707
(989) 356-9556
1025579
WRIGHT & FILIPPIS INC
1201 W CHISHOLM
ALPENA 49707
(989) 356-2034
ALPENA 49707
(989) 356-6353
1501 CHISHOLM ST
ALPENA 49707
(989) 356-7252

1090389
LOMBARDO, CHRISTOPHER P MD
EMERGENCY CARE CENTER

1117940
ARMC ER
GENERAL SURGERY
1082349
HANNA, BRIAN S DO
ALPENA 49707
(989) 354-5717
1076969
PULS, MARK MD
ALPENA 49707
(989) 354-5717
1097379
QUIGLEY, DEAN R MD
ALPENA 49707
(989) 354-5717
1033 N BAGLEY
ALPENA 49707
(989) 799-6603
HEARING AID PROVIDER

1096707
MIRACLE EAR HEARING CENTER
1021261
DONNELL, ROBERT MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
1076299
HITZELBERGER JR, WILLIAM A DO
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7353
1020154
MANTZ, SANDRA L MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
2078 M-32 W
ALPENA 49707
(231) 627-7157
HOSPICE
1069501
VITALCARE HOSPICE OF THE SUNRISE SHORE
INFECTIOUS DISEASES
1026917
DEERY, HUGH G III MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
1082801
DENBESTEN, KAREN E MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
1035409
SANGEORZAN, JON A MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
1501 W CHISHOLM
ALPENA 49707
(989) 356-7580
INTERNAL MEDICINE
1097490
COOKINHAM, SARAH MD
NEPHROLOGY
1020502
AZABACHE, DANIEL B MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7510
1123528
RAMOS, MARCO A MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
601 W CHISHOLM ST
ALPENA 49707
(989) 753-4000
105 ARBOR LANE
ALPENA 49707
(989) 356-0504
NEURO SURGERY
1105598
ADAMS, MARK MD
NURSE MIDWIFE
1082803
BARTZ, BONNIE R CNM
1084374
BATES, RICHARD D MD
1501 CHISHOLM ST
ALPENA 49707
(989) 356-7000
1082796
CONBOY, BRENDAN R MD
1501 W CHISHOLM ST STE 201
ALPENA 49707
(989) 356-5228

Page 134
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Alpena County

OBSTETRICS - GYNECOLOGY (CONTINUED)
1123783
HILL, MARISSA DO
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-5228
1090444
SANDERS, MICHELLE K DO
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-5228
1117928
SCHEXNAYDRE, EVON L MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-5228
1106218
SCHIEBOUT, DENISE R MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-5228
OPHTHALMOLOGY
1002677
CURRIER, ROBERT DO
127 PARK PL
ALPENA 49707
(989) 354-3171
1071174
RINKE, ALLAN R MD
346 LONG RAPIDS PLZ
ALPENA 49707
(989) 356-6353
1035 US 23 N
ALPENA 49707
(989) 356-4231
OPTOMETRY
1085482
VANWAGNEN, JAMES F OD
ORTHOPEDIC SURGERY
1086213
CORNISH, ERIC R MD
ALPENA 49707
(989) 356-9333
1079999
DOMBROSKI, JEFFREY MD
401 LONG RAPIDS PLZ
ALPENA 49707
(989) 356-9333
1123591
OHMART, BRUCE MD
393 LONG RAPIDS RD
ALPENA 49707
(989) 356-9333
1082806
TAN, JANE S MD
105 ARBOR LANE
ALPENA 49707
(989) 356-9333
1075871
VOGEL, DANIEL J DO
ALPENA 49707
(989) 356-9333
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-8000
100 WOODS CIRCLE
ALPENA 49707
(989) 356-4507
PAIN MANAGEMENT
1079381
GRIFFITH, TERESA MD
PEDIATRIC - CARDIOLOGY
1018445
SERWER, GERALD A MD
PEDIATRICS
1085134
MEYERSON, JOSHUA MD

1104872
GRAHAM, KURT W MD
ALPENA 49707
(989) 356-9333
1125002
GRAHAM, KURT W MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-8060
1097738
GRAHAM, KURT W MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-9333
PLASTIC SURGERY
1121562
KHAN, NABEEL A MD
1501 W CHISOLM ST
ALPENA 49707
(989) 356-5230
1087149
MUSSMAN, JASON MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-8089
PODIATRY
1017569
PILICHOWSKI, CRAIG J DPM
ALPENA 49707
(517) 354-3309
1071344
ST JOHN, TIMOTHY DPM
ALPENA 49707
(989) 354-3309
1019171
ZIELASKOWSKI, LORNE A DPM
ALPENA 49707
(989) 354-3309
PROSTHETICS
1084484
LEFAVE PHARMACY & HOME MEDICAL EQUIP
1202 W CHISHOLM ST
ALPENA 49707
(989) 354-3189
1016387
ALPENA 49707
(989) 356-9556
1025579
1201 W CHISHOLM
ALPENA 49707
(989) 356-2034
PSYCHIATRY
1036077
BARBA, RUDY MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
1103699
KOPPENOL, CAROLYN MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7379
1038259
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390

Page 135
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Alpena County

PSYCHIATRY (CONTINUED)
1090215
MILLER, HELENE MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
1103697
MILLER, HELENE MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7379

1015305
ALCONA HEALTH CENTER ALPENA SERVICES
1185 US 23 N
ALPENA 49707
(989) 356-4049
1015311
ALCONA HEALTH CENTER OSSINEKE SERVICES
11745 US 23 N
OSSINEKE 49766
(989) 471-2156
1003454
DISTRICT HEALTH DEPT NO 4
100 WOODS CIRCLE STE 200
ALPENA 49707
(989) 356-4507
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7000
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
PULMONOLOGY
1083492
MAXWELL, DANIEL DO
RADIATION ONCOLOGY
1082808
LACERNA, MARIO D MD

1073075
TENDERCARE ALPENA
301 LONG RAPIDS RD
ALPENA 49707
(989) 356-2194
1073063
TENDERCARE GREENVIEW
1234 GOLF COURSE RD
ALPENA 49707
(989) 356-1030
SPEECH THERAPY
1128000
TENDERCARE ALPENA
301 LONG RAPIDS RD
ALPENA 49707
(989) 356-2194
1127979
1234 GOLF COURSE RD
ALPENA 49707
(989) 356-1030
1105774
VRC REHABILITATION
2578 US 23 SOUTH
ALPENA 49707
(989) 340-0535
UROLOGY
1067257
BOEHM, BRADLEY A DO
1065 US HIGHWAY 23 N
ALPENA 49707
(989) 354-0607
1017049
MILLIGAN, RICHARD J MD
321 LONG RAPIDS PLZ
ALPENA 49707
(989) 356-4564
124 AMES STE 2
ELK RAPIDS 49629
(231) 264-8282
Antrim County
ANTRIM COUNTY
CARDIOLOGY
1093079
RICCI, JASON MD
OPTOMETRY
1093411
HUFFORD, STEVEN OD
123 RIVER ST
ELK RAPIDS 49629
(231) 264-2020
1086340
MEAD, RONALD OD
211 N BRIDGE ST
BELLAIRE 49615
(231) 533-6283
1086342
OPPERMANN, PETER OD
211 N BRIDGE ST
BELLAIRE 49615
(231) 533-6283
1086346
SLEZAK, NATHAN OD
211 N BRIDGE ST
BELLAIRE 49615
(231) 533-6283
1086345
SLEZAK, ROBERT OD
211 N BRIDGE ST
BELLAIRE 49615
(231) 533-6283
205 GROVE ST
MANCELONA 49659
(231) 587-5052
4543 S M 88 HWY
BELLAIRE 49615
(231) 533-6028
STANDISH 48658
(989) 846-6541
PEDIATRICS
1070399
MEYERSON, JOSHUA MD

1106347
MEADOW BROOK MEDICAL CARE FACILITY
Arenac County
ARENAC COUNTY
1096675
CENTRAL MICHIGAN DISTRICT HD
3727 DEEP RIVER RD

Page 136
February 19, 2015

PIN
Provider
Address
ARENAC COUNTY (CONTINUED)
City and Zip
Phone
Gender
Arenac County
CARDIOLOGY
1054977
LEE, DANIEL T MD
1020 W CEDAR ST
STANDISH 48658
(989) 894-3278
1059178
MATTICHAK, STEPHEN J MD
1020 W CEDAR ST
STANDISH 48658
(989) 894-3278
1072994
COLLINS, JOHN MD
805 CEDAR
STANDISH 48658
(989) 846-3446
1073002
GUDIPATI, RAO VC MD
805 CEDAR
STANDISH 48658
(989) 754-3000
DME - P&O
1027093
BALANCED MEDICAL SUPPLY INC
130 E CEDAR ST STE 2
STANDISH 48658
(989) 846-6328
1126603
MEDICAL SUPPLY SHOP
130 E CEDAR ST
STANDISH 48658
(989) 718-3331
805 W CEDAR ST
STANDISH 48658
(989) 846-4521
805 W CEDAR ST
STANDISH 48658
(989) 846-3500

1095412
STANDISH COMMUNITY HOSPITAL
GASTROENTEROLOGY
1001499
SHAMIEH, IBRAHIM S MD
1058072
HURTUBISE, MICHEL R MD
805 W CEDAR ST
STANDISH 48658
(989) 631-3975
1107070
VARADARAJAN, PRAKASH MD
4489 M-61
STANDISH 48658
(989) 846-9692
INTERNAL MEDICINE
1089659
AHMAD, BASSEL MD
725 E STATE ST
STERLING 48659
(989) 654-2491
1118683
ATAYA, HATEM MD
5022 RIFLE RIVER TRAIL
ALGER 48610
(989) 873-1571
1097241
RUNYON, LINDA MD
725 E STATE ST
STERLING 48659
(989) 654-2491
725 E STATE ST
STERLING 48659
(989) 654-2491
1027628
VANDENBELT, WILLIAM J MD
OPTOMETRY
1019207
NORFLEET, JANEL C OD
529 MAIN ST PO BOX 429
STANDISH 48658
(989) 846-6009
1013421
NORFLEET, THOMAS W OD
529 S MAIN ST STE A PO BOX 429
STANDISH 48658
(989) 846-6009
725 E STATE ST
STERLING 48659
(989) 654-2491
805 W CEDAR
STANDISH 48658
(800) 842-1829
725 E STATE ST
STERLING 48659
(989) 654-2491
PEDIATRICS
1089662
OBRIEN, JAMES D DO

1016418
JURADO, JOSE MARI G MD
PSYCHIATRY
1028159
OSSIAN, MICHAEL S DO

1096675
3727 DEEP RIVER RD
STANDISH 48658
(989) 846-6541
1015980
ST MARYS STANDISH COMMUNITY HOSPITAL RURAL HE
805 W CEDAR ST
STANDISH 48658
(989) 846-4888
500 S SCHOOL RD
STERLING 48659
(989) 654-2496
1064 W CEDAR ST
STANDISH 48658
(866) 792-2792

1119398
MEDILODGE OF STERLING
SLEEP DISORDER DIAGNOSTIC CENTER

1072078
SOUND ASLEEP PLC

Page 137
February 19, 2015

PIN
Provider
Address
ARENAC COUNTY (CONTINUED)
City and Zip
Phone
Gender
Arenac County
THORACIC CARDIOVASCULAR SURGERY

1054987
CHERUKURI, RAMESH B MD
1020 W CEDAR ST
STANDISH 48658
(989) 894-3278
1054982
HOLMES, ROBERT J MD
1020 W CEDAR ST
STANDISH 48658
(989) 894-3278
1073011
MARESCA, LUIGI MD
805 CEDAR
STANDISH 48658
(989) 754-3000
Barry County
BARRY COUNTY
CARDIOLOGY
1095646
GUPTA, VISHAL MD
11320 S M-43 HWY
DELTON 49046
(269) 226-5050
1095649
LAPENNA, ROBERT J MD
11320 S M-43 HWY
DELTON 49046
(269) 226-5050
1095659
LAPENNA, WILLIAM F MD
11320 S M-43 HWY
DELTON 49046
(269) 226-5050
1095658
PECK, STEPHEN L MD
11320 S M-43 HWY
DELTON 49046
(269) 226-5050
1009 W GREEN ST
HASTINGS 49058
(800) 448-9684
330 W WOODLAWN AVE
HASTINGS 49058
(269) 945-4220
1101844
ALAM, SYED MD
DIETARY MANAGEMENT
1121485
WARE, DAWN RD
DME - P&O
1037432
AIRWAY OXYGEN INC HASTINGS
1450 W M-42 HWY STE 7
HASTINGS 49058
(866) 790-6367
1069485
CARELINC MEDICAL EQUIPMENT & SUPPLY CO LLC
725 W STATE ST
HASTINGS 49058
(800) 298-3300
915 W GREEN ST STE 101
HASTINGS 49058
(616) 249-8000
1230 W STATE ST
HASTINGS 49058
(269) 945-9003

1020820
COX, CLAUDELL MD

1095607
FRESENIUS MEDICAL CARE HASTINGS
INTERNAL MEDICINE
1100321
SCHIRMER, ROBERT MD
330 W WOODLAWN AVE
HASTINGS 49058
(517) 543-2430
1107512
WOODLIFF, DAVID MD
330 W WOODLAWN AVE
HASTINGS 49058
(517) 543-2430
NEPHROLOGY
1084649
MANRING, PETER MD
1230 W STATE ST
HASTINGS 49058
(269) 349-6759
1084659
PARK, JOON SUNG MD
1230 W STATE ST
HASTINGS 49058
(269) 349-6759
1009 W GREEN
HASTINGS 49058
(800) 464-6499
1009 W GREEN ST
HASTINGS 49058
(616) 954-9800
HASTINGS 49058
(269) 945-3866
NEUROLOGY
1071005
MILLER, GARY L DO
ONCOLOGY
1109706
YOST, KATHLEEN J MD
OPHTHALMOLOGY
1061093
FLOHR, MICHAEL J MD
OPTOMETRY
1061090
KRESNAK, CHAD M OD
HASTINGS 49058
(269) 945-3866
1093131
PARKER, MATTHEW A OD
803 W STATE ST
HASTINGS 49058
(269) 945-9724
1107045
SCHAD, JENNIFER OD
HASTINGS 49058
(269) 945-3866

Page 138
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Barry County
BARRY COUNTY (CONTINUED)

ORTHOPEDIC SURGERY
1095662
GILBERT, JAMES D MD
11320 S M-43 HWY
DELTON 49046
(269) 343-1535
PODIATRY
1012328
MANSKY, DAVID W DPM
1127 W STATE ST STE B
HASTINGS 49058
(269) 945-2222
1014767
UEBELE, STACY A DPM
HASTINGS 49058
(269) 948-9155
725 W STATE ST
HASTINGS 49058
(800) 298-3300
330 W WOODLAWN
HASTINGS 49058
(517) 543-2430
240 EAST NORTH ST
HASTINGS 49058
(269) 945-9564
11320 S M-43 HWY
DELTON 49046
(269) 343-1535
1005 W GREEN ST
HASTINGS 49058
(800) 448-9684
414 N TUSCOLA RD
BAY CITY 48708
(989) 895-5007
414 N TUSCOLA RD
BAY CITY 48708
(989) 895-5007
3175 PROFESSIONAL DR
BAY CITY 48708
(989) 894-3278
PROSTHETICS
1069485

204236
BARRY EATON DIST HEALTH DEPT

1101681
MAGNUM CARE OF HASTINGS
SPORTS MEDICINE
1095661
VAJGRT, MARY E MD
VASCULAR SURGERY
1084638
JAIN, KRISHNA M MD
BAY COUNTY
Bay County
ALLERGY
203009
HORBAL, RICHARD J MD

1125960
HORBAL, JONATHAN M DO
CARDIAC ELECTROPHYSIOLOGY
1059954
MAHMUD, REHAN MD
CARDIOLOGY
1106253
ASSAR, SOHEIL DO
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3278
1004191
CHAVALI, SUBBARAO MD
200 S WENONA STE G-28
BAY CITY 48706
(989) 893-8116
1004168
JOSEPH, JAPHET G MD
714 S TRUMBULL ST
BAY CITY 48708
(989) 892-8456
1038556
LEE, DANIEL T MD
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3000
1059184
LEE, DANIEL T MD
3175 W PROFESSIONAL DR
BAY CITY 48706
(989) 894-3278
1069459
MASRI, KALIL DO
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3000
1059183
BAY CITY 48706
(989) 894-3278
1039291
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3000
1004171
MOHAN, KOCHUNNI MD
714 S TRUMBULL
BAY CITY 48708
(989) 892-8456
1108420
OBEID, MUHAMMED DO
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3000
1045614
REED, PAMELA MD
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3278
1004193
SWETERLITSCH, ERIC M MD
700 BORTON AVE
ESSEXVILLE 48732
(989) 893-3392
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3278
615 S EUCLID
BAY CITY 48706
(989) 667-5700
1102974
THORS, AXEL DO
COLON - RECTAL SURGERY

1102669
SOLH, WAEL A MD

Page 139
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Bay County

DME - P&O
1054555
FUSION CUSTOM CHAIRS
1607 PRAIRIE ST
ESSEXVILLE 48732
(989) 894-5906
1105455
HART MEDICAL EQUIPMENT LLC
1454 W CENTER RD STE 3
ESSEXVILLE 48732
(989) 895-4500
1090221
OAKLAND ORTHOPEDIC APPLIANCE
210 S EUCLID AVE
BAY CITY 48706
(989) 893-7544
1009359
OAKLAND ORTHOPEDICS
515 MULHOLLAND ST
BAY CITY 48708
(989) 893-7544
1095634
OTTO BOCK ORTHOPEDIC SERVICES
1002 MARQUETTE ST STE B
BAY CITY 48706
(800) 711-2205
1026020
SENIOR HOME HEALTH CARE
6004 WEST SIDE SAGINAW RD STE D
BAY CITY 48706
(989) 671-3441

1021086
BAKER, SCOTT A MD
4175 N EUCLID STE 10
BAY CITY 48706
(989) 684-4400
1000566
FARBER, DAVID L MD
1003 MULHOLLAND
BAY CITY 48708
(989) 894-2823
1900 COLUMBUS AVE
BAY CITY 48708
(866) 247-3141
1536 CENTER AVE
ESSEXVILLE 48732
(989) 894-2810

1003446
EM MED PC

1012974
BAY AREA REGIONAL DIALYSIS CENTER BAY CITY
ENDOCRINOLOGY
1107722
AL-SAYED, MOHAMAD Y MD
BAY CITY 48706
(989) 316-4310
1103620
BOBOC, LAVINA MD
BAY CITY 48706
(989) 316-4310
1004178
MACIULIS, MARGARETHE MD
200 S WENONA AVE STE 260
BAY CITY 48706
(989) 894-6040
116 N TUSCOLA
BAY CITY 48708
(989) 892-9595
EYEWARE SUPPLIER
1016732
BAY EYE CARE CENTER
GASTROENTEROLOGY
1004153
ISLAM, ABUL F MD
3720 KATALIN CT STE 203
BAY CITY 48706
(989) 686-5900
1000649
KULE, VARIN U MD
200 S WENONA AVE STE G92
BAY CITY 48706
(989) 893-3503
GENERAL SURGERY
1058383
BENITEZ, LEONARD D MD
200 S WENONA ST STE 195
BAY CITY 48706
(989) 892-4591
1060802
BRUCK, CHRISTOPHER E MD
200 S WENONA STE 195
BAY CITY 48706
(989) 892-4591
1070299
CROSHAW, RANDAL MD
BAY CITY 48706
(989) 894-3275
1102659
HACKETT, TIMOTHY MD
615 EUCLID STE 3
BAY CITY 48706
(989) 667-5700
1016435
HOWELL, SANDRA L MD
BAY CITY 48706
(989) 667-6349
1004201
RAHALL, RICHARD A DO
3210 E MIDLAND RD
BAY CITY 48706
(989) 684-0607
1102667
SHAHEEN, SAMUEL W MD
615 EUCLID STE 3
BAY CITY 48706
(989) 667-5700
1124889
STULL, TARI S MD
BAY CITY 48706
(989) 894-3278
1102670
YOON, YONG C MD
615 EUCLID STE 3
BAY CITY 48706
(989) 667-5700

1083191
BAY AREA HEARING INC
BAY CITY 48706
(989) 892-6232
1083192
HEAR USA
714 S TRUMBULL ST
BAY CITY 48708
(989) 671-9513
1126960
HEAR USA
714 S TRUMBULL ST
BAY CITY 48708
(989) 671-9537
1004083
ABRAMSON, JONATHAN D MD
BAY CITY 48706
(989) 893-3551
1058073
BAY CITY 48706
(989) 631-3975
1117730
THOUTREDDY, SHALINI MD
BAY CITY 48706
(989) 893-3551

Page 140
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Bay County

HOME HEALTH CARE
1032441
ACTIVE COMMUNITY NURSING LLC
4600 GARFIELD RD STE 300
AUBURN 48611
(989) 662-9816
1096299
HEARTLAND HOME HEALTH CARE
1426 STRAITS DR
BAY CITY 48706
(989) 667-8137
1014733
MCLAREN VISITING NURSE & HOSPICE
3140 W CAMPUS DR
BAY CITY 48706
(800) 840-3147
HOSPICE
1096311
HEARTLAND HOME HEALTH CARE AND HOSPICE
1426 STRAITS DR
BAY CITY 48706
(989) 667-3440
1035172
1717 HORIZON DR
ESSEXVILLE 48732
(989) 895-1473
1010860
3140 W CAMPUS DR
BAY CITY 48706
(800) 840-3147
4175 EUCLID AVE STE 8
BAY CITY 48706
(989) 667-3185
INFECTIOUS DISEASES
1024777
STUART, DARRELL W MD
INTERNAL MEDICINE
1120350
AHMED, TAZEEN MD
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3000
1014843
POTTS, JEFFREY A MD
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3000
405 RICHARDS RD
BAY CITY 48706
(989) 892-7722
MRI CENTER
1118834
SYNERGY MOBILE IMAGING LLC
NEURO SURGERY
1013097
CHAKRAVARTHI, SRINIVASACHARI T MD
4175 N EUCLID AVE STE 9
BAY CITY 48706
(989) 667-3400
1104163
GATES, TIMOTHY A DO
4175 N EUCLID AVE STE 9
BAY CITY 48706
(989) 667-3400
1013098
SRIHARAN, SIVASUPIRAMANIAM MD
BAY CITY 48706
(989) 667-3400
NEUROLOGY
1046797
AL-QASMI, MOHAMMED MD
BAY CITY 48706
(989) 894-3000
1055811
NASRALLAH, KHALIL MD
BAY CITY 48706
(989) 894-3000
NUCLEAR CARDIOLOGY
1059592
NUCLEAR CARDIAC IMAGING PLLC
701 E VERMONT
BAY CITY 48706
(989) 892-4586
1059581
2520 N EUCLID
BAY CITY 48706
(989) 684-8183
1059585
2108 16TH ST
BAY CITY 48708
(989) 891-0955
1059588
2117 16TH ST
BAY CITY 48708
(989) 892-1549
1059590
204 W 3RD ST
PINCONNING 48650
(989) 879-3771
3720 KATALIN CT
BAY CITY 48706
(989) 667-6980
NUCLEAR MEDICINE
1090543
NURSE MIDWIFE
1004208
CLARK, NANCY CNM
BAY CITY 48706
(989) 667-3377
1009134
FIFE, ROSE M CNM
BAY CITY 48706
(989) 667-3377
1027146
FLEMING, MARY ANN CNM
BAY CITY 48706
(989) 667-3377
1100422
HOUSE, LORI A CNM
BAY CITY 48706
(989) 667-3377
1107426
PFUNDT, JEANINE CNM
BAY CITY 48706
(989) 667-3377
1011194
FETTINGER, STEVEN G MD
2919 E WILDER RD
BAY CITY 48706
(989) 671-0755
1095552
MAKKIYA, ALIAA MD
BAY CITY 48706
(989) 667-3377
1009341
MARKUS, THOMAS S MD
BAY CITY 48706
(989) 667-3377
1018176
MERRILLS, BRADLEY W MD
BAY CITY 48706
(989) 667-3377
1017671
3884 MONITOR RD
BAY CITY 48706
(989) 671-2000

Page 141
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Bay County

1011193
MINNEC, THOMAS M MD
2919 E WILDER RD
BAY CITY 48706
(989) 671-0755
1009342
SAYLOR, DOUGLAS J MD
BAY CITY 48706
(989) 667-3377
1011196
SPENCE, KRISTINE K DO
2919 E WILDER RD
BAY CITY 48706
(989) 671-0755
1117010
STRYKER, AUDREY E MD
BAY CITY 48706
(989) 667-3371
1011199
WAGNER, ANDREW S MD
2919 E WILDER RD
BAY CITY 48706
(989) 671-0755
2919 E WILDER RD STE 130
BAY CITY 48706
(989) 671-5720
OCCUPATIONAL MEDICINE
1022584
ECKSTEIN, TIM E DO
ONCOLOGY
1004175
COOK, DAVID A MD
BAY CITY 48706
(989) 893-3551
1019975
GREAT LAKES CANCER INSTITUTE, BAY CITY
1900 COLUMBUS AVE
BAY CITY 48708
(866) 696-4524
1019976
GREAT LAKES CANCER INSTITUTE, JEPPESEN RADIATIO 3180 E MIDLAND RD
BAY CITY 48706
(989) 667-6670
OPHTHALMOLOGY
1000323
BURK, DAVID W MD
116 N TUSCOLA RD
BAY CITY 48708
(989) 892-9595
1090347
GRAHAM, ROBERT W DO
116 N TUSCOLA
BAY CITY 48708
(989) 892-9595
1055812
NORRIS, LESLIE DO
116 N TUSCOLA
BAY CITY 48708
(989) 892-9595
1010361
PAN, TIM DO
1601 MARQUETTE ST
BAY CITY 48706
(989) 671-2550
1015815
VANDENBELT, SCOTT M MD
800 WOODSIDE AVE
BAY CITY 48708
(989) 892-6616
1009220
WACKSMAN, RICHARD L MD
116 N TUSCOLA RD
BAY CITY 48708
(989) 892-9595
1007312
ZELENAK, DARYL J DO
116 N TUSCOLA RD
BAY CITY 48708
(989) 892-9595
1009219
ZENZEN, CHARLES T MD
116 N TUSCOLA RD
BAY CITY 48708
(989) 892-9595
OPTOMETRY
1028030
BAUER-SKELLEY, HEIDI OD
1601 MARQUETTE STE 1
BAY CITY 48706
(989) 671-2550
1014437
BOSCO, JAY W OD
ESSEXVILLE 48732
(989) 892-5555
1000324
BREWER, MICHAEL J OD
116 N TUSCOLA
BAY CITY 48708
(989) 892-9595
1014880
LALONDE, RAYMOND A OD
1948 N HURON ST
PINCONNING 48650
(989) 879-3937
1009767
NEWTON, LEE C OD
3720 E WILDER RD
BAY CITY 48708
(989) 667-9393
1018659
NORFLEET, JANEL C OD
3941 TRAXLER CT STE 100
BAY CITY 48706
(989) 684-7121
1018658
3941 TRAXLER CT STE 100
BAY CITY 48706
(989) 684-7121
1011177
SANSBURN, KRISTIN MARIE OD
116 N TUSCOLA RD
BAY CITY 48708
(989) 892-9595
1063570
STRAIN, RICHARD ERIC OD
600 S EUCLID AVENUE
BAY CITY 48706
(989) 684-8840
ORTHOPEDIC SURGERY
1006728
BEHAN, BRANISLAV D MD
2117 16TH ST
BAY CITY 48708
(989) 895-9500
1100507
KURDI, RAMY DO
BAY CITY 48706
(989) 667-3161
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3000
OTOLARYNGOLOGY - FACIAL PASTIC SURGERY

1077079
BASURA, GREGORY MD
PAIN MANAGEMENT
1059176
GROVER, THERON H MD
4121 SHRESTHA DR
BAY CITY 48706
(989) 686-6900
1060500
MORKOS, SAM MD
BAY CITY 48706
(989) 667-3350
2919 E WILDER RD
BAY CITY 48706
(989) 583-0000
PEDIATRIC - NEUROLOGY
1080266
MAJKOWSKI, MARIANNE DO

Page 142
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Bay County

1103065
ETHA, VENKATA MD
3190 E MIDLAND RD
BAY CITY 48706
(989) 667-6650
1006498
LAKKARAJU, RAVI K MD
3190 E MIDLAND RD
BAY CITY 48706
(989) 667-6650
PLASTIC SURGERY
1004139
KOMOROWSKI, MARK C MD
610 S TRUMBULL
BAY CITY 48708
(989) 893-9393
1106184
SOFER, JULIE DO
BAY CITY 48706
(989) 316-4110
PODIATRY
1017689
AMBROZIAK, MICHAEL T DPM
BAY CITY 48706
(989) 667-4663
1004174
BAUGHMAN, GARY W DPM
720 LIVINGSTON
BAY CITY 48708
(989) 895-8594
1004167
COHEN, ANDREW H DPM
3592 CENTER AVE
ESSEXVILLE 48732
(989) 671-9930
1032790
DOWLING, GERALD L DPM
316 S COLUMBIAN
BAY CITY 48706
(989) 686-2331
1023942
ECKER, JUDI M DPM
3592 CENTER AVE
ESSEXVILLE 48732
(989) 671-9930
1106422
ECKER, JUDI M DPM
105 CENTER ST
LINWOOD 48634
(989) 671-9930
1004162
HOLLAND, MICHAEL H DPM
3601 E WILDER RD
BAY CITY 48706
(989) 667-3668
1017873
MILLER, AMY JEAN DPM
BAY CITY 48706
(989) 667-4663
1062417
REPITOR, STEVEN DPM
3592 CENTER AVE
ESSEXVILLE 48732
(989) 671-9930
1017685
SHINK, JILL L DPM
BAY CITY 48706
(989) 667-4663
1009251
SHRESTHA, SAKIN K DPM
3720 KATALIN CT
BAY CITY 48706
(989) 686-2800
PROSTHETICS
1090221
OAKLAND ORTHOPEDIC APPLIANCE
210 S EUCLID AVE
BAY CITY 48706
(989) 893-7544
1009359
OAKLAND ORTHOPEDICS
515 MULHOLLAND ST
BAY CITY 48708
(989) 893-7544
PSYCHIATRY
1034004
FOSTER, DOUGLAS L MD
863 N PINE ST STE B
ESSEXVILLE 48732
(989) 893-2121
1063941
IBRAHIM, ALI MD
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1063932
IBRAHIM, ALI MD
3720 WILDER RD UNIT B
BAY CITY 48706
(989) 460-1000
1008554
INGRAM, MICHAEL MD
BAY CITY 48706
(989) 460-1000
1086528
INGRAM, MICHAEL MD
690 S TRUMBULL ST
BAY CITY 48708
(989) 922-4900
1063481
JAFFERANY, MOHAMMAD MD
BAY CITY 48706
(989) 460-1000
1104518
2355 DELTA RD
BAY CITY 48706
(989) 684-6832
1063476
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1087277
KONDAPANENI, KISHORE B MD
690 S TRUMBULL ST
BAY CITY 48708
(989) 922-4900
1087276
LATHIA, MUKESH MD
690 S TRUMBULL ST
BAY CITY 48708
(989) 922-4900
1091459
MOVVA, USHA R MD
1420 CENTER AVE
BAY CITY 48708
(989) 686-1990
1105946
NICHOLAS, ADAM D MD
690 S TRUMBULL
BAY CITY 48708
(989) 922-4900
1091762
SINGLA, PUNEET MD
690 S TRUMBULL
BAY CITY 48708
(989) 922-4900
1091761
SINGLA, PUNEET MD
1420 CENTER AVE
BAY CITY 48708
(989) 686-1990
1004182
SYED, JAIN MD
2110 16TH ST
BAY CITY 48708
(989) 892-6333
1004183
TALASILA, HEMA N MD
BAY CITY 48706
(989) 893-3212
1004184
TALASILA, VENKAT MD
200 S WENONA G-29
BAY CITY 48706
(989) 893-3212

1003763
BAY COUNTY HEALTH DEPARTMENT
1200 WASHINGTON AVE
BAY CITY 48708
(989) 895-4009
1059312
BAY COUNTY HEALTH DEPARTMENT
415 ARTHUR ST
PINCONNING 48650
(989) 879-3081
1011008
BAYSIDE HEALTH CENTER
3884 MONITOR RD
BAY CITY 48706
(989) 671-2000

Page 143
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Bay County

PULMONOLOGY
1038471
AHMAD, SAAD S MD
640 S TRUMBULL
BAY CITY 48708
(989) 893-7460
1091124
KATRANJI, MOHAMMAD DO
690 S TRUMBULL ST
BAY CITY 48708
(989) 893-7460
1003807
MANAWAR, SHAHZAD MD
640 S TRUMBULL
BAY CITY 48708
(989) 893-7460
1091049
SOUEIDAN, ALI S MD
640 S TRUMBALL
BAY CITY 48708
(989) 893-7460
RADIATION ONCOLOGY
1005984
KOCHERIL, PAUL G MD
3180 E MIDLAND RD
BAY CITY 48706
(989) 667-6670
1080329
KOTECHA, RAJESH MD
3180 E MIDLAND RD
BAY CITY 48706
(989) 667-6670
1010519
KOTECHA, RAJESH P MD
3180 E MIDLAND RD
BAY CITY 48706
(989) 667-6670
1012587
LITTLES, JAMES F MD
3180 E MIDLAND RD
BAY CITY 48707
(989) 667-6670
1006129
LITTLES, JAMES F MD
3180 E MIDLAND RD
BAY CITY 48706
(989) 667-6670
1080332
MEHTA, RAJNIKANT MD
3180 E MIDLAND RD
BAY CITY 48706
(989) 667-6670
RHEUMATOLOGY
1022393
ANWAR, FARRUKH MD
2108 16TH ST
BAY CITY 48708
(989) 672-2500
1004198
MACIULIS, ALGIMANTAS P MD
200 S WENONA AVE STE 260
BAY CITY 48706
(989) 894-6040

1103503
BAY SHORES SENIOR CARE AND REHAB LLC
3254 E MIDLAND RD
BAY CITY 48706
(989) 686-3770
1065053
CARRIAGE HOUSE NURSING HOME
2394 MIDLAND RD
BAY CITY 48706
(989) 684-2303
1054320
HEARTLAND HEALTH CARE CENTER- HAMPTON
800 MULHOLLAND RD
BAY CITY 48708
(989) 895-8539
248 WASHINGTON AVE
BAY CITY 48706
(866) 792-2792

1072079
SOUND ASLEEP PLC
SPEECH THERAPY
1040437
CENTER FOR REHABILITATION
3190 E MIDLAND RD FRONT DESK
BAY CITY 48706
(989) 667-6600
1009815
HEALTHTRAK PHYSICAL THERAPY
903 N EUCLID AVE
BAY CITY 48706
(989) 684-5009
1040438
MEDICAL MALL PHYSICAL THERAPY CENTER
1454 W CENTER RD
ESSEXVILLE 48732
(989) 895-4640
1017353
PARAMOUNT REHABILITATION SERVICES
2535 22ND ST
BAY CITY 48708
(989) 891-9800

1059193
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3000
1038477
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3000
1040596
HOLMES, ROBERT J MD
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3000
1059190
HOLMES, ROBERT J MD
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3000
712 S TRUMBULL ST
BAY CITY 48708
(989) 893-4351
UROLOGY
1015235
CUMMINGS, DOUGLAS M MD
VASCULAR SURGERY
1078063
GODIALI, VASSO G MD
2010 15TH ST
BAY CITY 48708
(989) 893-8361
1124781
MOUAWAD, NICOLAS MD
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3278
1059955
TAYLOR, STEPHENS MD
BAY CITY 48708
(989) 894-3278
BENZONIA 49616
(231) 929-9090
BENZIE COUNTY
Benzie County
ALLERGY
1043585
MCCLELLAN, JAMES S III MD
6227 FRANKFORT HWY

Page 144
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Benzie County
BENZIE COUNTY (CONTINUED)

1120837
BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT
6051 FRANKFORT HWY STE 100
BENZONIA 49616
(231) 882-4409
DME - P&O
1117140
224 PARK AVE
FRANKFORT 49635
(800) 346-0161
1023204
THE PRESCRIPTION SHOP OF HONOR INC
10587 MAIN ST
HONOR 49640
(231) 943-0600
BENZONIA 49616
(231) 882-4409
1144 BEULAH HWY
BEULAH 49617
(231) 882-5542
BENZONIA 49616
(231) 882-4409
210 MAPLES AVE
FRANKFORT 49635
(231) 352-9674
1008716
COLLINS, MICHAEL MD
OPTOMETRY
1090445
SCARBROUGH, EDWARD L OD

1120837

1118514
MAPLES-BENZIE COUNTY MEDICAL CARE FACILITY
Berrien County
BERRIEN COUNTY
1084617
DANDAMUDI, SESHAGIRI R MD
2002 W 11TH ST
NILES 49120
(269) 687-2799
1084624
EDARA, LOKESWARA R MD
2906 STONEGATE PARK
SAINT JOSEPH 49085
(269) 428-0002
1104058
JUDGE, SUTINDERPAL MD
951 PIPESTONE RD
BENTON HARBOR 49022
(269) 925-0323
1080565
2550 NILES RD
SAINT JOSEPH 49085
(269) 429-1085
1077345
REDDY, BYRA MD
2002 S 11TH ST
NILES 49120
(269) 687-2799
1077343
REDDY, BYRA M MD
3906 STONEGATE PARK
SAINT JOSEPH 49085
(269) 428-0002
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
3950 HOLLYWOOD RD SUITE 110
SAINT JOSEPH 49085
(269) 985-1000

1037858
PLANNED PARENTHOOD MID AND SOU
1126965
BERI, ABHIMANYU MD
CARDIOLOGY
1126592
ALI, OMAR MD
687 E EMPIRE AVE STE 101
BENTON HARBOR 49022
(269) 926-8535
1105846
ALI, OMAR MD
BENTON HARBOR 49022
(269) 926-8535
1082726
ARORA, DILIP S MD
3950 HOLLYWOOD RD STE 110
SAINT JOSEPH 49085
(269) 985-1000
1082336
ARORA, DILIP S MD
960 AGARD AVE
BENTON HARBOR 49022
(800) 887-7747
1099608
ARORA, DILIP S MD
6559 PAW PAW AVE
COLOMA 49038
(269) 468-4100
1099607
ARORA, DILIP S MD
24 N ST JOSEPH ST STE A
NILES 49120
(269) 985-1000
1099606
ARORA, DILIP S MD
2500 NILE RD STE 8
SAINT JOSEPH 49085
(269) 985-1000
1080739
BASTOW, BRADLEY D DO
3900 HOLLYWOOD RD
SAINT JOSEPH 49085
(269) 637-1388
1126965
BERI, ABHIMANYU MD
3950 HOLLYWOOD RD SUITE 110
SAINT JOSEPH 49085
(269) 985-1000
1015234
BHAT, ISHWARA M MD
24 N SAINT JOSEPH AVE STE A
NILES 49120
(269) 683-1120
1020509
BROOKS, DONALD F MD
450 MEDICAL PARK DR STE 400
WATERVLIET 49098
(269) 463-3044
1099617
CHIU, YULAM MD
6559 PAW PAW AVE
COLOMA 49038
(269) 468-4100
1074390
CHIU, YULAM MD
SAINT JOSEPH 49085
(269) 985-1000
1099616
CHIU, YULAM MD
NILES 49120
(269) 985-1000

Page 145
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Berrien County
1099615
CHIU, YULAM MD
2500 NILES RD STE 8
SAINT JOSEPH 49085
(269) 985-1000
1082732
HUGGETT, J DOUGLAS DO
61 N SAINT JOSEPH AVE
NILES 49120
(269) 684-6777
1091435
HUGGETT, J DOUGLAS DO
4077 S CLEVELAND AVE
SAINT JOSEPH 49085
(269) 428-9980
1082103
HUGGETT, J. DOUGLAS D DO
SAINT JOSEPH 49085
(269) 429-2992
1100356
KUHNLEIN, JEROME L MD
NILES 49120
(269) 985-1000
1100357
2500 NILES RD STE 8
SAINT JOSEPH 49085
(269) 985-1000
1100358
6559 PAW PAW AVE
COLOMA 49038
(269) 468-4100
1082727
SAINT JOSEPH 49085
(269) 985-1000
1118305
MESMER, OGUBAY MD
24 N ST JOSEPH AVE STE F1
NILES 49120
(269) 687-9575
1082733
MESMER, OGUBAY T MD
NILES 49120
(616) 428-9980
1126571
MOHAMED, TAHIR MD
BENTON HARBOR 49022
(269) 926-8535
1100869
MOHAMED, TAHIR MD
BENTON HARBOR 49022
(269) 926-8535
1099938
POW, THOMAS MD
6559 PAW PAW AVE
COLOMA 49038
(269) 468-4100
1099940
POW, THOMAS MD
2500 NILE RD STE 8
SAINT JOSEPH 49085
(269) 985-1000
1099939
POW, THOMAS MD
NILES 49120
(269) 985-1000
1099937
POW, THOMAS MD
SAINT JOSEPH 49085
(269) 985-1000
1082728
POW, THOMAS K MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-5300
1080741
POW, THOMAS K MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-5300
1089454
SATTAR, HAMID MD
BENTON HARBOR 49022
(269) 926-8535
1126582
SATTAR, HAMID MD
BENTON HARBOR 49022
(269) 926-8535
460 MEDICAL PARK DR
WATERVLIET 49098
(800) 448-9684
1101850
ALAM, SYED MD
DERMATOLOGY
1057560
BROWN, CLARENCE W MD
2500 NILES RD STE 11
SAINT JOSEPH 49085
(269) 428-5199
1057559
DIMITROPOULOS, VASSILIOS MD
2500 NILES RD STE 1
SAINT JOSEPH 49085
(269) 428-5199
DME - P&O
1037428
AIRWAY OXYGEN INC BENTON HARBOR
1126 E NAPIER DR
BENTON HARBOR 49022
(888) 676-5153
1085126
AMERICAN LIMB & ORTHOPEDIC
3901 STONEGATE PARK STE 200
SAINT JOSEPH 49085
(269) 408-0129
1117823
CARE SOURCE INC DBA METRON
2605 S CLEVELAND
SAINT JOSEPH 49085
(269) 651-3266
1122515
HEALTH CARE SOLUTIONS
2560 S CLEVELAND AVE STE 5
SAINT JOSEPH 49085
(269) 982-4070
1084481
HEALTHLINK MEDICAL EQUIPMENT LLC
2460 M 139 STE C
BENTON HARBOR 49022
(269) 925-8267
1084483
LAKELAND MEDICAL EQUIPMENT LLC
2550 MEADOWBROOK RD STE 110
BENTON HARBOR 49022
(269) 985-4402
1122519
LINCARE INC
2460 M-139 STE C
BENTON HARBOR 49022
(269) 925-8267
1086863
RESPIRATORY HOME CARE & CONVALESCENT SUPPLY I 320 N REDBUD TR
BUCHANAN 49107
(269) 695-1315
1116771
VAN'S MEDICAL EQUIPMENT OF LAKELAND
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 982-4306
1042542
323 W GLENLORD RD
SAINT JOSEPH 49085
(269) 927-8635
1116772
42 N ST JOSEPH AVE
NILES 49120
(269) 683-8422
1116770
3900 HOLLYWOOD RD MARIE YEDGER CANCER SAINT JOSEPH 49085
(269) 556-7197

1080697
HABENICHT, DEBORAH MD
60 N SAINT JOSEPH AVE STE C
NILES 49120
(269) 687-2910
1080747
42 N ST JOSEPH AVE STE 300
NILES 49120
(269) 687-2910
1091439
9045 US 31 STE 3
BERRIEN SPRINGS 49103
(269) 471-9702
1020884
WALTER, MARGARET A MD
3901 STONEGATE PARK STE 100
SAINT JOSEPH 49085
(269) 428-0960
1082338
WALTER, MARGARET A MD
960 AGARD AVE
BENTON HARBOR 49022
(616) 927-5162

Page 146
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Berrien County

1121498
LIBERTY AT LAKELAND NILES
8 LONGMEADOW VILLAGE DR
NILES 49120
(269) 684-0116
1121496
LIBERTY AT LAKELAND ROYALTON
3772 HOLLYWOOD RD
SAINT JOSEPH 49085
(269) 428-7474
ENDOCRINOLOGY
1082105
AL-NAJJAR, MAJDI MD
960 AGARD AVE
BENTON HARBOR 49022
(269) 927-5162
1082871
FELDMAN, EDGARD I MD
SAINT JOSEPH 49085
(269) 408-1000
GASTROENTEROLOGY
1085536
BIRRIS, THOMAS MD
3903 HOLLYWOOD RD
SAINT JOSEPH 49085
(269) 408-1100
1090621
BIRRIS, THOMAS R MD
6416 DEANS HILL RD
BERRIEN CENTER 49102
(616) 983-3365
1082107
BUKHARI, ATHER MD
960 AGARD AVE STE 130
BENTON HARBOR 49022
(269) 927-5162
1082714
BUKHARI, ATHER MD
3903 HOLLYWOOD RD
SAINT JOSEPH 49085
(269) 408-1100
1089310
JONES, BRUCE MD
800 M139 STE D
BENTON HARBOR 49022
(269) 408-1100
1082106
JONES, BRUCE A MD
BENTON HARBOR 49022
(269) 927-5162
1082715
JONES, BRUCE A MD
3903 HOLLYWOOD RD
SAINT JOSEPH 49085
(269) 408-1100
1082717
SNIPES, RICKEY L MD
3903 HOLLYWOOD RD
SAINT JOSEPH 49085
(269) 408-1100
1082109
SNIPES, RICKEY L MD
BENTON HARBOR 49022
(269) 927-5162
1089435
SNIPES, RICKEY L MD
800 M 139 STE D
BENTON HARBOR 49022
(269) 427-7937
GENERAL SURGERY
1107717
BATES, BRIAN MD
NILES 49120
(269) 384-6696
1125931
CHUPP, MICHAEL E MD
3950 HOLLYWOOD STE 100
SAINT JOSEPH 49085
(269) 429-0900
1082720
CLANCY, JAMES P III MD
2990 NILES RD
SAINT JOSEPH 49085
(269) 983-3368
1080763
HABENICHT, LAURENCE E MD
NILES 49120
(269) 683-8070
1091438
HABENICHT, LAURENCE E MD
NILES 49120
(269) 683-8070
1082719
HASTINGS, GLEN H MD
2990 NILES RD
SAINT JOSEPH 49085
(269) 983-3368
1091430
KLINE, CRAIG M MD
WATERVLIET 49098
(269) 463-8323
1080756
KLINE, CRAIG M MD
SAINT JOSEPH 49085
(269) 429-0900
1091429
KNEFELKAMP, ELIZABETH J MD
WATERVLIET 49098
(269) 463-8323
1080762
KNEFELKAMP, ELIZABETH J MD
SAINT JOSEPH 49085
(269) 429-0900
1080759
KOLE, KERRY DO
60 N SAINT JOSEPH AVE STE E
NILES 49120
(269) 684-6696
1080699
NIRMALAN, RUBAN MD
NILES 49120
(269) 684-6696
1082718
RASBACH, DENNIS A MD
2990 NILES RD
SAINT JOSEPH 49085
(269) 983-3368
1127497
SCHUHKNECHT, MICHAEL DO
NILES 49120
(269) 684-6696
1080760
SCHUHKNECHT, MICHAEL DO
NILES 49120
(269) 684-6696
1081634
SYED, ABBAS R DO
450 MEDICAL PARK DR
WATERVLIET 49098
(269) 463-3733
1014557
VITANGCOL JR, LOPE MD
WATERVLIET 49098
(269) 463-6490
1081635
VITANGCOL JR, LOPE MD
450 MEDICAL PARK DR
WATERVLIET 49098
(269) 463-2449
1082340
VITANGCOL, LOPE JR MD
960 AGARD AVE
BENTON HARBOR 49022
(269) 927-5162
1080761
WINSLOW, ROY E MD
SAINT JOSEPH 49085
(269) 429-0900
3900 HOLLYWOOD RD
SAINT JOSEPH 49085
(269) 408-1852
SAINT JOSEPH 49085
(269) 429-4263
3900 HOLLYWOOD RD
SAINT JOSEPH 49085
(269) 408-1852
GYN ONCOLOGY
1081067
METHOD, MICHAEL W MD
HAND SURGERY
1022735
BERRY, MICHAEL E MD
1019315
RODRIGUEZ, MICHAEL MD

Page 147
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Berrien County
HOME HEALTH CARE

1101863
21ST CENTURY HOME HEALTH CARE INC
4235 LAKE ST
BRIDGMAN 49106
(269) 266-7128
1101834
HAPPY HOME CARE
717 SHIP ST
SAINT JOSEPH 49085
(269) 556-9910
INFECTIOUS DISEASES
1080793
DOUCE, RICHARD W MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1080771
FROGGATT III, JOHN W MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1082603
6418 DEANS HILL RD
(267) 471-7761
1082110
960 AGARD AVE
BENTON HARBOR 49022
(269) 927-5315
1082604
HARRISON, MARK S MD
6390 DEANS HILL RD
(269) 471-1496
1080772
HARRISON, MARK S MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1081711
PETROELJE, BRIAN K MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
INTERNAL MEDICINE
1081803
BOYD, BARBARA J MD
800 M 139
BENTON HARBOR 49022
(269) 927-5400
1080796
DALLAS, STEPHEN N MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1080797
DILAN-SZANTO, SUSAN H MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 471-1700
1082605
DOUCE, RICHARD W MD
6418 DEANS HILL RD
(269) 471-7761
1082111
DOUCE, RICHARD W MD
960 AGARD AVE
BENTON HARBOR 49022
(269) 927-5162
1080774
DRUMMOND, ALTRESSA MD
NILES 49120
(269) 684-0166
1080794
EMERSON, SAMRAJA MD
NILES 49120
(269) 684-0166
1081719
GHEORGHIU, IOANA A MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1080786
HENDERSON, JUDY D MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1080790
LING, MATTHEW MD
NILES 49120
(269) 684-0166
1080776
MADANGUIT, AURORA B MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1105525
MCGILLEM, MARK MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1081806
MCKILLION, PATRICK C MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 427-7937
1080781
MESIHA, HANY S MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1080780
PUZYCKI, DAVID A MD
NILES 49120
(269) 684-0166
1081714
RICHARDSON, KELLY A MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 471-1700
1080775
SHARMAN, ANAMIKA R MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1080783
SIDDIQI, ISRAR A MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1081720
SIDDIQI, ISRAR A MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1080779
SNYDER, DANIEL H MD
NILES 49120
(269) 684-0166
1080777
TUMANGDAY, SUNNY MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 471-7741
1080792
WANG, MICHAEL S MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1082112
WIERMAN, MEREDITH K DO
960 AGARD AVE
BENTON HARBOR 49022
(269) 937-5376
3900 HOLLYWOOD RD
SAINT JOSEPH 49085
(269) 556-2802
MEDICAL SPECIALTY
1119352
LAKELAND HOSPITALS
NEPHROLOGY
1084608
BHATT, AASH MD
8816 RED ARROW HWY
WATERVLIET 49098
(269) 349-6759
1082745
BRASH, DANIEL MD
SAINT JOSEPH 49085
(269) 428-0819
1082746
KWON, KATHERINE MD
SAINT JOSEPH 49085
(269) 428-0819
1082747
SONGLINGCO, OLIVER C MD
SAINT JOSEPH 49085
(269) 428-0819
460 MEDICAL PARK DR
WATERVLIET 49098
(269) 343-1264
NEURO SURGERY
1072552

Page 148
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Berrien County
NEURO SURGERY (CONTINUED)

1070821
DIRRENBERGER, RICHARD A MD
460 MEDICAL PARK DR
WATERVLIET 49098
(269) 343-1264
1072613
EDEN, SONIA V MD
460 MEDICAL PARK DR
WATERVLIET 49098
(269) 343-1264
1072720
KRINOCK, MARK J MD
460 MEDICAL PARK DRIVE
WATERVLIET 49098
(269) 343-1264
1072747
MEYER, MARK E MD
460 MEDICAL PARK DR
WATERVLIET 49098
(269) 343-1264
1080800
ROTHSCHILD, CHESLOVAS MD
SAINT JOSEPH 49085
(269) 556-1040
1080801
SIKORSKI, CHRISTIAN W MD
SAINT JOSEPH 49085
(269) 556-1990
1080802
SZYMANSKI, DENNIS C MD
411 MOMANY DR
SAINT JOSEPH 49085
(269) 985-0640
NEUROLOGY
1080742
FRIEDEN, RICHARD W MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1012946
SPENCER, PETER B DO
SAINT JOSEPH 49085
(269) 985-0000
1082730
WARD III, ROBERT C DO
820 LESTER AVE STE B15
SAINT JOSEPH 49085
(269) 983-3690
1100504
WARD, ROBERT C III DO
SAINT JOSEPH 49085
(269) 684-3333
1082711
WARD, ROBERT C III DO
42 N ST JOSEPH ST STE 301
NILES 49120
(269) 684-3333
NURSE MIDWIFE
1123896
ANDERSON, TRACY M APRN, C
800 M139
BENTON HARBOR 49022
(855) 869-6900
1119937
BAILEY, JOANNE M CNM
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
1096305
BEGNAUD, GEORGIA CNM
800 M-139
BENTON HARBOR 49022
(269) 927-5400
1082344
BEGNAUD, GEORGIA A CNM
960 AGARD AVE
BENTON HARBOR 49022
(269) 927-5315
1090948
BROWN, BARBARA M CNM
800 M-139
BENTON HARBOR 49022
(269) 927-5400
1090947
BROWN, BARBARA M CNM
6270 W MAIN ST
EAU CLAIRE 49111
(269) 461-6927
1125397
DANIELSON, MEGAN W CNM
6270 W MAIN ST
EAU CLAIRE 49111
(269) 461-6927
1119920
GLENN, JESSICA CNM
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
1126730
HOLDERREAD, MELISSA E CNM
800 M-139
BENTON HARBOR 49022
(855) 869-6900
1119903
KELLEY, JENNIFER L CNM
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
1119869
LANGILLE, CHRISTINA A CNM
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
1080805
LEMLEY, TERRIE CNM
SAINT JOSEPH 49085
(269) 429-8010
1094131
LEMLEY, TERRIE CNM
800 M-139
BENTON HARBOR 49022
(269) 427-7937
1091004
MENEGUZZO, LESLIE CNM
800 M-139
BENTON HARBOR 49022
(269) 927-5400
1080804
MENEGUZZO, LESLIE CNM
SAINT JOSEPH 49085
(269) 429-8010
1120242
SCHEIMAN, LISA J CNM
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
1120259
SCOTT, MELISA N CNM
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
1120208
SUPANICH, JUDITH B CNM
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
OB GYN NURSE PRACTITIONER

1080806
ZECH, ELIZABETH B NP
NILES 49120
(269) 687-0808
1080807
ZIZZO, JENNIFER L NP
NILES 49120
(269) 687-0808
1064044
BARD, JOHN L MD
800 M 139 STE D
BENTON HARBOR 49022
(269) 429-8010
1103922
BARD, JOHN L MD
800 M-139
BENTON HARBOR 49022
(269) 927-5400
1038583
BARD, JOHN L MD
960 AGARD AVE
BENTON HARBOR 49022
(269) 927-5162
1119835
BELL, CARRIE MD
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
1119886
BELL, JASON D MD
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
1106459
BERMEO, MIGUEL MD
800 M139
BENTON HARBOR 49022
(269) 927-5400
1082332
CAIRNS, LAWRENCE C MD
960 AGARD AVE
BENTON HARBOR 49022
(269) 927-5162
1101768
CASTLEMAN, LAURA D MD
1161 E NAPIER AVE
BENTON HARBOR 49022
(269) 926-2042

Page 149
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Berrien County

1107677
CONKLIN, ALISSA M MD
800 M139
BENTON HARBOR 49022
(269) 927-5400
1120310
DALTON, VANESSA K MD
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
1120225
HARRIS, LISA H MD
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
1122204
HOMA, LORI MD
1161 E NAPIER AVE
BENTON HARBOR 49022
(269) 926-2042
1082293
JOHNSON, HELENE MD
60 N SAINT JOSEPH AVE STE B
NILES 49120
(269) 683-0300
1091182
JOHNSON, HELENE MD
NILES 49120
(269) 687-4673
1082331
JYUNG, JIN B MD
960 AGARD AVE
BENTON HARBOR 49022
(269) 927-5162
1082245
JYUNG, JIN B MD
SAINT JOSEPH 49085
(269) 428-2800
1119852
KAHN, CHAVA MD
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
1127825
KAUFMANN, KENNETH MD
42 N ST JOSEPH RD SUITE 201
NILES 49120
(269) 687-0808
1082330
KUTZNER, DEANN K MD
960 AGARD AVE
BENTON HARBOR 49022
(269) 927-5162
1082244
KUTZNER, DEANN K MD
SAINT JOSEPH 49085
(269) 428-2800
1126707
MARSHALL, EEKA MD
42 N ST JOSEPH RD STE 201
NILES 49120
(269) 687-0808
1091426
MCEACHEN, PAULA MD
NILES 49120
(269) 687-0808
1122277
MCKEEL, DONALD DO
181 W EMMETT ST
BENTON HARBOR 49022
(269) 965-8866
1089247
MURPHY, MEGHAN K DO
NILES 49120
(269) 683-0300
1093289
MURPHY, MEGHAN K DO
NILES 49120
(269) 471-7741
1023436
PROCTOR, RACHEL E MD
SAINT JOSEPH 49085
(269) 428-2800
1082333
PROCTOR, RACHEL E MD
960 AGARD AVE
BENTON HARBOR 49022
(269) 927-5162
1101960
REID, VIRGIL C MD
1161 E NAPIER AVE
BENTON HARBOR 49022
(269) 926-2042
1080738
RITTER, THOMAS L MD
6416 DEANS HILL RD
(616) 687-0808
1035177
RITTER, THOMAS L MD
60 N SAINT JOSEPH AVE STE B
NILES 49120
(269) 683-0300
1101910
TRILLET, STEVEN M MD
1161 E NAPIER AVE
BENTON HARBOR 49022
(269) 926-2042
1120748
VAS, VERONICA MD
800 M-139
BENTON HARBOR 49022
(269) 927-5400
1120293
WALLETT, SARAH M MD
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
1106646
WOOD, BENJAMIN DO
800 M139
BENTON HARBOR 49022
(269) 927-5400
1120276
ZAPATA, MYA R MD
1161 E NAPIER AVE
BENTON HARBOR 49023
(269) 926-2042
1080737
ZIENERT, KAREN D MD
NILES 49120
(269) 687-0808
1082294
ZIENERT, KAREN D MD
60 N SAINT JOSEPH AVE # B2
NILES 49120
(269) 683-0300
ONCOLOGY
1081038
FARHAT, MOHAMED I MD
4 LONGMEADOW LN STE 1
NILES 49120
(269) 683-4153
1081072
KANG, HYUNG-CHIL MD
3900 HOLLYWOOD RD
SAINT JOSEPH 49085
(269) 687-1406
1080808
PALOYAN, EDMUND B MD
SAINT JOSEPH 49085
(269) 428-4411
1080778
STRAYHORN, CHRISTOPHER H MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8300
1081073
ZON, ROBIN T MD
4 LONGMEADOW LN STE 1
NILES 49120
(269) 683-4153
OPHTHALMOLOGY
1013217
BROWN, DAVID N MD
2848 NILES RD
SAINT JOSEPH 49085
(269) 428-3300
1082123
COOKE, DAVID L MD
2848 NILES RD
SAINT JOSEPH 49085
(269) 428-3300
1082127
MCKEY, RONALD L MD
2848 NILES RD
SAINT JOSEPH 49085
(269) 428-3300
1109300
PATEL, NARENDRA MD
NILES 49120
(269) 684-6400
1108996
PATEL, NARENDRA MD
2848 NILES RD
SAINT JOSEPH 49085
(269) 428-3300
1082128
PLETCHER, STANLEY W MD
2848 NILES RD
SAINT JOSEPH 49085
(269) 428-3300
1082126
SEWARD, MICHAEL S MD
2848 NILES RD
SAINT JOSEPH 49085
(269) 428-3300
1082122
WANG, ANDREW M MD
2848 NILES RD
SAINT JOSEPH 49085
(269) 428-3300

Page 150
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Berrien County
OPTOMETRY
1117978
BOWMAR, ANDREA OD
1761 M 139
BENTON HARBOR 49022
(269) 342-0003
1098738
BOWMAR, ANDREA OD
1421 S 11TH ST
NILES 49120
(269) 684-1330
1105612
CHO, SARAH OD
NILES 49120
(269) 684-6400
1098770
COTTER, HEATHER OD
1761 S M139
BENTON HARBOR 49023
(269) 934-0424
1098771
COTTER, HEATHER OD
2008 WASHINGTON
SAINT JOSEPH 49085
(269) 983-1303
1021131
SCIESZKA, JEFFREY OD
2810 NILES RD
SAINT JOSEPH 49085
(269) 429-6781
SAINT JOSEPH 49085
(269) 556-9398
ORAL-MAXILLOFACIAL SURGERY
1080820
LOGIE, BRAD MD
ORTHOPEDIC SURGERY
1080871
EDWARDS, KENNETH J MD
183 PEACE BLVD
SAINT JOSEPH 49085
(269) 428-3500
1107687
FARBER, JOSEPH MD
183 PEACE BLVD
SAINT JOSEPH 49085
(269) 428-3500
1080869
KOLETTIS, GEORGE T MD
183 PEACE BLVD
SAINT JOSEPH 49085
(269) 428-3500
1081641
PIATKOWSKI, KURT DO
460 MEDICAL PARK DR
WATERVLIET 49098
(269) 463-3733
1104086
POSTMA, JEFFERY DO
6559 PAW PAW AVE
COLOMA 49038
(269) 463-3600
1081642
SCHAEFER, ROBERT S MD
6559 PAW PAW AVE
COLOMA 49038
(269) 463-3600
1080810
SOHN, DANIEL G MD
6 LONGMEADOW VILLAGE DR STE D
NILES 49120
(269) 684-6484
1080620
SOHN, DANIEL G MD
6 LONGMEADOW VILLAGE DR STE 1
NILES 49120
(269) 684-6484
1080868
SOHN, DANIEL G MD
183 PEACE BLVD
SAINT JOSEPH 49085
(269) 428-3500
1090071
SYBESMA, JUSTIN MD
6 LONGMEADOWS DR S
NILES 49120
(269) 428-3500
1086994
SYBESMA, JUSTIN T MD
183 PEACE BLVD
SAINT JOSEPH 49085
(269) 428-3500
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 341-6350
PEDIATRIC - HEMATOLOGY/ONCOLOGY
1126346
SCOTT, KATHERINE M MD
PEDIATRICS
1097368
JOHANSEN, FREDERICK MD
769 PIPESTONE ST
BENTON HARBOR 49022
(269) 926-7121
1102924
21 N ELM ST
THREE OAKS 49128
(269) 756-2008
1102923
1205 N FRONT ST
NILES 49120
(269) 684-2000
PODIATRY
1021659
FARIS, CHRISTOPHER H DPM
719 E MAIN ST
NILES 49120
(269) 684-0166
1081628
MASKILL, MICHAEL DPM
6559 PAW PAW AVE
COLOMA 49038
(269) 463-3600
1082845
SAINT-PHARD, GUERY DPM
185 E MAIN ST STE 408
BENTON HARBOR 49022
(269) 277-5040
709 MIDWAY AVE
SAINT JOSEPH 49085
(269) 983-6118
PROSTHETICS
1084489
TWIN CITIES ORTHOTIC & PROSTHETIC SER

1105394
BERRIEN COUNTY HEALTH DEPARTMENT
1205 N FRONT ST
NILES 49120
(269) 684-2000
1091989
769 PIPESTONE
BENTON HARBOR 49022
(269) 926-7121
1105392
21 N ELM ST
THREE OAKS 49128
(269) 756-2008
PULMONOLOGY
1082713
PIASECKI, ROBERT L DO
3904 STONEGATE PARK
SAINT JOSEPH 49085
(517) 485-0001
1080799
SRIUBIENE, INGA MD
2500 NILES RD STE 9
SAINT JOSEPH 49085
(269) 408-1115
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8888
RADIATION ONCOLOGY
1082775
ESPINOZA, SALVADOR MD

Page 151
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Berrien County
RADIATION ONCOLOGY (CONTINUED)

1109771
LAI, PETER P MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8888
1082776
LAI, PETER P MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8888
1117560
PAXIMADIS, PETER MD
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8888
960 AGARD AVE
BENTON HARBOR 49022
(269) 927-5162
RHEUMATOLOGY
1082113
ALGHAFEER, IBRAHIM MD

1109671
RIVERIDGE MANOR
1333 WEISS ST
NILES 49120
(269) 684-1111
1090441
ROYALTON MANOR
288 PEACE BLVD
SAINT JOSEPH 49085
(269) 556-9050
820 LESTER AVE STE B15
SAINT JOSEPH 49085
(269) 983-3690
1030 MINERS RD
SAINT JOSEPH 49085
(269) 408-1688
SLEEP STUDIES
1082731
PIASECKI, ROBERT L DO
SPORTS MEDICINE
1126754
TRIGGER, CHRISTOPHER C MD

1107655
BAGHELAI, KOUROSH MD
6559 PAW PAW AVE
COLOMA 49038
(269) 408-1660
1107654
61 N ST JOSEPH AVE
NILES 49120
(269) 408-1660
UROLOGY
1082779
KIRBY, KENT A MD
NILES 49120
(269) 684-0259
1080764
STOCKTON, BENJAMIN R MD
815 SAINT JOSEPH DR
SAINT JOSEPH 49085
(269) 983-3455
1080765
TERHUNE, DAVID W MD
815 SAINT JOSEPH DR
SAINT JOSEPH 49085
(269) 983-3455
VASCULAR SURGERY
1082791
2500 NILES RD STE 6
SAINT JOSEPH 49085
(269) 408-1660
1084635
JAIN, KRISHNA M MD
460 MEDICAL PARK DR
WATERVLIET 49098
(800) 448-9684
1084655
MUNN, JOHN S MD
WATERVLIET 49098
(800) 448-9684
360 E CHICAGO ST STE I-109
COLDWATER 49036
(269) 968-3030
BRANCH COUNTY
Branch County

1077346
POLASANI, RAVINDER R MD
CARDIOLOGY
1125814
AGGARWAL, SHWETA MD
360 E CHICAGO AVE STE H
COLDWATER 49036
(517) 279-2885
1072565
CAINES, STANLEY E MD
COLDWATER 49036
(517) 279-2885
1124580
GERA, NITIN MD
COLDWATER 49036
(517) 279-2885
1072630
GUPTA, VISHAL MD
360 E CHICAGO ST
COLDWATER 49036
(269) 226-5050
1072656
KAMATH, SREENIVAS P MD
360 EAST CHICAGO AVE STE H
COLDWATER 49036
(517) 279-2885
1122671
360 E CHICAGO AVE
COLDWATER 49036
(517) 279-2885
1122670
360 E CHICAGO AVE
COLDWATER 49036
(517) 279-2885
1072761
360 EAST CHICAGO STREET
COLDWATER 49036
(269) 226-5050
1072742
COLDWATER 49036
(269) 226-5050
1105161
OWUSU, VICTOR MD
23 N HANCHETT STE 1
COLDWATER 49036
(517) 439-1850
1072731
PECK, STEPHEN L MD
COLDWATER 49036
(269) 226-5050

Page 152
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Branch County
1101846
ALAM, SYED MD
360 E CHICAGO ST SUITE 103
COLDWATER 49036
(800) 448-9684
DME - P&O
1037433
AIRWAY OXYGEN INC COLDWATER
49 W CHICAGO ST
COLDWATER 49036
(866) 684-1444
1069483
407 E CHICAGO
COLDWATER 49036
(800) 752-9571
1120103
LINCARE INC
484 MARSHALL ST
COLDWATER 49036
(517) 279-2409
370 E CHICAGO
COLDWATER 49036
(517) 279-5500
360 E CHICAGO ST STE 112
COLDWATER 49036
(517) 278-2970
350-2 MARSHALL ST
COLDWATER 49036
(517) 279-7951
COLDWATER 49036
(800) 448-9684
20 S HANCHETT
COLDWATER 49036
(517) 278-2814

1125911
JANKOWSKI, EDWARD G MD

1085253
RCG COLDWATER
EYEWARE SUPPLIER
1007883
TRI-STATE OPTICAL
GENERAL SURGERY
1084719
RUMMEL, MARK C MD

1083201
HOPCO HEARING CENTER
NEPHROLOGY
1084660
PARK, JOON SUNG MD
COMMUNITY HEALTH CENTER OF BRANCH CO
COLDWATER 49036
(269) 349-6759
1084689
QURESHI, AHSAN A MD
COLDWATER 49036
(269) 349-6759
NEURO SURGERY
1072551
COLDWATER 49036
(269) 343-1264
1070824
COLDWATER 49036
(269) 343-1264
1072612
EDEN, SONIA V MD
COLDWATER 49036
(269) 343-1264
1072719
KRINOCK, MARK J MD
370 E CHICAGO STREET STE 200
COLDWATER 49036
(269) 343-1264
1072695
MEYER, MARK E MD
COLDWATER 49036
(269) 343-1264
COLDWATER 49036
(269) 381-7380
235 E CHICAGO ST
COLDWATER 49036
(517) 279-8465
370 E CHICAGO ST
COLDWATER 49036
(517) 279-5301
142 E CHICAGO RD
COLDWATER 49036
(517) 279-7927
NEUROLOGY
1094169
LEE, ANTHONY MD
1075766
LAKE JR, EDWARD C MD
ONCOLOGY
1125030
MCGRATH, BARBARA MD
OPHTHALMOLOGY
1071506
HOLICKI, JOSEPH P DO
OPTOMETRY
1086922
GOFF, ADAM R OD
350 MARSHALL ST
COLDWATER 49036
(517) 278-6303
1059657
HIBLER, JOSEPH OD
755 E CHICAGO
COLDWATER 49036
(517) 278-9004
1102156
MCDANIEL, DENVER OD
755 E CHICAGO
COLDWATER 49036
(517) 278-9004
1059644
PRIEUR, MARC OD
755 E CHICAGO
COLDWATER 49036
(517) 278-9004
1025867
SUSSEX, MICHAEL OD
350 MARSHALL ST
COLDWATER 49036
(517) 278-6303
1086923
SUSSEX, MICHAEL L OD
350 MARSHALL ST
COLDWATER 49036
(517) 278-6303

Page 153
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Branch County
1084205
SWANSON, JOHN OD
350 MARSHALL ST
COLDWATER 49036
(517) 278-6303
892 E CHICAGO RD
COLDWATER 49036
(269) 349-8601
ORTHOPEDIC SURGERY
1099427
GERSTNER, DAVID L MD
PAIN MANAGEMENT
1123967
BUONOCORE, JOHN DO
360 E CHICAGO ST
COLDWATER 49036
(269) 316-5744
1125823
GEHRKE, GLENN A MD
360 E CHICAGO ST
COLDWATER 49036
(269) 316-5744
370 E CHICAGO ST
COLDWATER 49036
(517) 279-5099
407 E CHICAGO
COLDWATER 49036
(800) 752-9571
274 E CHICAGO ST
COLDWATER 49036
(517) 279-5326
PEDIATRICS
1125903
ARIVOLI, MEHALAI MD
PROSTHETICS
1069483
PSYCHIATRY
1125844
KANWAR, RANA MD
PULMONOLOGY
1091537
ABDELKARIM, TARIQ MD
COLDWATER 49036
(517) 437-3879
1094822
CHAPARALA, SATYA B MD
COLDWATER 49036
(269) 969-6099
1126796
LETZER, JEFFREY P DO
370 E CHICAGO ST
COLDWATER 49036
(517) 279-5301
90 NORTH MICHIGAN AVE
COLDWATER 49036
(517) 279-9808
200 VISTA DR
COLDWATER 49036
(517) 278-4621
COLDWATER 49036
(800) 448-9684
126 COLLEGE ST STE B
BATTLE CREEK 49017
(269) 968-3030

1091793
THE LAURELS OF COLDWATER
SPEECH THERAPY
1116757
HOPE NETWORK REHABILITATION SERVICES
VASCULAR SURGERY
1084636
JAIN, KRISHNA M MD
Calhoun County
CALHOUN COUNTY
ALLERGY
1018883

1077340
126 COLLEGE ST STE B
BATTLE CREEK 49017
(269) 968-3030
1084662
PARK, MICHAEL MD
3630 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 321-6673
1077348
215 E MANSION ST STE 1H
MARSHALL 49068
(269) 968-3030
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885

1086726
PLANNED PARENTHOOD OF MID AND SOUTH
1122662
GRUBELICH, FRANCIS MD
363 FREMONT ST
BATTLE CREEK 49017
(269) 381-3963
1122660
GRUBELICH, FRANCIS A MD
300 NORTH AVE
BATTLE CREEK 49017
(269) 381-3307
1072667
LIU, XIAOKE K MD
215 EAST MANSION STE 3B
MARSHALL 49068
(269) 789-3020
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 226-5050
CARDIOLOGY
1125813
AGGARWAL, SHWETA MD

Page 154
February 19, 2015

PIN
Provider
Address
CALHOUN COUNTY (CONTINUED)
City and Zip
Phone
Gender
Calhoun County
1100400
ELIUK, BRETT DO
3238 CAPITAL AVENUE, SW
BATTLE CREEK 49015
(269) 373-1222
1124579
GERA, NITIN MD
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 226-5050
1122585
300 NORTH AVE
BATTLE CREEK 49017
(269) 381-3963
1122590
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 226-5050
1122574
GUPTA, VISHAL MD
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 226-5050
1072631
GUPTA, VISHAL MD
363 FREMONT ST STE 101
BATTLE CREEK 49017
(269) 965-3521
1072763
363 FREMONT STREET STE 101
BATTLE CREEK 49017
(269) 965-3521
1122655
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 226-5050
1072745
BATTLE CREEK 49017
(269) 965-3521
1122656
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 226-5050
1016759
MADALA, CHANDRAMOULI MD
BATTLE CREEK 49017
(616) 969-6088
1082158
MADALA, CHANDRAMOULI J MD
BATTLE CREEK 49017
(269) 966-8302
1126605
MADALA, CHANDRAMOULI J MD
BATTLE CREEK 49017
(269) 969-6088
1117705
OLIVARES, GILBERTO T MD
215 E MANSION STE 3B
MARSHALL 49068
(269) 789-3020
1072744
PECK, STEPHEN L MD
BATTLE CREEK 49017
(269) 965-3521
1122648
PECK, STEPHEN L MD
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 226-5050
1072784
PERRY, BENJAMIN A MD
215 EAST MANSION STE 3B
MARSHALL 49068
(269) 789-3020
1072737
ZEGERIUS, RONALD J MD
215 EAST MANSON STE 3B
MARSHALL 49068
(269) 789-3020
3630 CAPITAL AVENUE SW
BATTLE CREEK 49015
(800) 448-9684
1101847
ALAM, SYED MD

1087023
CHALASANI, SRIDHAR MD
3770 CAPITAL AVE SW STE A
BATTLE CREEK 49015
(269) 441-1771
1087024
111 HAMILTON AVE
MARSHALL 49068
(269) 441-1771
1087017
KARAMCHANDANI, MAHESH MD
3770 CAPITAL AVE SW STE A
BATTLE CREEK 49015
(269) 441-1771
1087018
111 HAMILTON AVE
MARSHALL 49068
(269) 441-1771
DME - P&O
1037425
AIRWAY OXYGEN INC BATTLE CREEK
595 NORTH AVE
BATTLE CREEK 49017
(800) 445-5820
1121298
AIRWAY OXYGEN INC SPRINGFIELD
2535 5TH AVE
BATTLE CREEK 49037
(269) 962-9541
1125728
BRONSON AT HOME MEDICAL EQUIPMENT
166 E GOODALE AVE
BATTLE CREEK 49017
(269) 660-3669
1019047
KING HOME MEDICAL EQUIPMENT
1950 COLUMBIA AVE WEST STE A
BATTLE CREEK 49015
(269) 966-2000
1122518
LINCARE INC
7175 TOWER RD STE E
BATTLE CREEK 49014
(269) 964-0030
1055378
QUALITY PROSTHETIC & ORTHOTIC CARE INC
424 RIVERSIDE DR STE 102
BATTLE CREEK 49015
(269) 963-9696
1025583
3600 SW CAPITAL STE 104
BATTLE CREEK 49015
(269) 969-8816
3238 CAPITAL AVE
BATTLE CREEK 49015
(269) 779-6432
300 NORTH AVE
BATTLE CREEK 49017
(800) 875-7374

1127887
CASTRO, DAN J MD

1033667
CALHOUN COUNTY EMERGENCY PHYSICIANS

1085254
RCG BATTLE CREEK
2845 CAPITAL AVE SW STE 104
BATTLE CREEK 49015
(269) 979-8865
1034074
RCG BATTLE CREEK NORTH
233 E ROOSEVELT AVE
BATTLE CREEK 49015
(269) 968-8860
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 226-8321
ENDOCRINOLOGY
1122575

Page 155
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Calhoun County
GASTROENTEROLOGY
1084603
BEYER, KEVIN L DO
215 E MANSION STE 2C
MARSHALL 49068
(269) 385-9900
1084604
BEYER, KEVIN L DO
3770 CAPITAL AVE SW STE B
BATTLE CREEK 49015
(269) 441-1776
1084622
DEWAN, BRIJ M MD
BATTLE CREEK 49015
(269) 441-1776
1084725
SHARMA, TARUN K MD
215 E MANSION ST STE 2C
MARSHALL 49068
(269) 385-9900
1084726
SHARMA, TARUN K MD
BATTLE CREEK 49015
(269) 441-1776
1084751
TURK, AIJAZ H MD
BATTLE CREEK 49015
(269) 441-1776
GENERAL SURGERY
1119210
GORDON, ANDREW J MD
215 E MANSION ST STE 3E
MARSHALL 49068
(269) 781-4267
1018630
KOZIARSKI, JOHN D MD
BATTLE CREEK 49015
(269) 979-6200
1098609
MITCHELL, JEFFREY R MD
BATTLE CREEK 49017
(269) 969-6123
1080717
MURRAY, KERRI L MD
BATTLE CREEK 49017
(269) 245-8310
1082853
MURRAY, KERRI L MD
BATTLE CREEK 49017
(269) 966-8350
1043331
RAHMAN, MOHAMMAD A MD
3790 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 979-6310
1016665
ROBART, FORREST D DO
215 ROOSEVELT AVE E
BATTLE CREEK 49037
(269) 969-6126
1084718
RUMMEL, MARK C MD
3630 CAPITAL AVE SW
BATTLE CREEK 49015
(800) 448-9684
1122645
STEWART, DANIEL E MD
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 226-5456
1122641
VERSEMAN, STUART R MD
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 226-5456
1099442
WEAVER, KIBWE A MD
BATTLE CREEK 49017
(269) 245-8190
1082852
WILHELMSON, CHRISTOPHER L MD
BATTLE CREEK 49017
(269) 966-8350
1080716
WILHELMSON, CHRISTOPHER L MD
BATTLE CREEK 49017
(269) 245-8310
139 W MANSION ST
MARSHALL 49068
(269) 248-6090
166 E GOODALE AVE
BATTLE CREEK 49037
(269) 660-3600
166 E GOODALE AVE
BATTLE CREEK 49017
(269) 660-3669
GYNECOLOGY
1123585
LANGSCHWAGER, LARSON MD
HOME HEALTH CARE

1011329
BRONSON AT HOME HEALTH
HOSPICE
1057808
BRONSON AT HOME HOSPICE CARE
INFECTIOUS DISEASES
1050540
HARRINGTON, GREGORY D DO
BATTLE CREEK 49017
(269) 245-8302
1124565
190 E MICHIGAN AVE STE A100
BATTLE CREEK 49014
(269) 969-6370
1124564
1023 AVE A
BATTLE CREEK 49037
(269) 441-1295
1082854
BATTLE CREEK 49017
(269) 966-8302
1102039
100 W VANBUREN ST
BATTLE CREEK 49017
(269) 965-9539
INTERNAL MEDICINE
1081065
ADAM, GEORGE A MD
220 GOODALE AVE E # A
BATTLE CREEK 49037
(269) 964-0101
1106030
BALDEON, CESAR MD
5352 BECKLEY RD STE B
BATTLE CREEK 49015
(269) 979-6888
1082264
CHADALAVADA, RAVI MD
BATTLE CREEK 49017
(269) 969-6100
1082368
GOULD, MONTIE R MD
842 COLUMBIA AVE E STE 2
BATTLE CREEK 49014
(269) 969-6003
1081275
GUNNERSON, DAVID C MD
391 S SHORE DR STE 214
BATTLE CREEK 49015
(269) 345-5440
1126841
MISHRA, NIDHI MD
300 NORTH AVE
BATTLE CREEK 49017
(269) 245-8660
1082856
PASCOE, TROY E MD
300 NORTH AVE
BATTLE CREEK 49017
(269) 966-8000
233 E ROOSEVELT STE 103
BATTLE CREEK 49017
(269) 979-0409
NEPHROLOGY
1084605
BHATT, AASH MD

Page 156
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Calhoun County
NEPHROLOGY (CONTINUED)
1101387
DUHN, VALERIE S MD
BATTLE CREEK 49017
(269) 979-0409
1084647
MANRING, PETER MD
BATTLE CREEK 49017
(269) 979-0409
1084656
OO, THAN N MD
233 ROOSEVELT E AVE STE 103
BATTLE CREEK 49017
(269) 979-0409
1084658
PARK, JOON SUNG MD
233 ROOSEVELT E AVE STE 103
BATTLE CREEK 49037
(269) 979-0409
1084691
QURESHI, AHSAN A MD
111 HAMILTON
MARSHALL 49068
(269) 349-6759
NEURO SURGERY
1072550
BATTLE CREEK 49017
(269) 343-1264
1122581
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 343-1264
1072611
EDEN, SONIA V MD
BATTLE CREEK 49017
(269) 343-1264
1122578
EDEN, SONIA V MD
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 343-1264
1070961
KRINOCK, MARK J MD
BATTLE CREEK 49017
(269) 343-1264
1122658
KRINOCK, MARK J MD
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 343-1264
1072718
KRINOCK, MARK J MD
BATTLE CREEK 49017
(269) 343-1264
1122654
LUSIS, ERIKS MD
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 343-1264
1072691
MEYER, MARK E MD
BATTLE CREEK 49017
(269) 343-1264
1070921
MEYER, MARK E MD
BATTLE CREEK 49017
(269) 343-9555
1122652
MEYER, MARK E MD
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 343-1264
1123580
SPENCER, TIMOTHY DO
14250 BEADLE LAKE RD STE 160
BATTLE CREEK 49014
(269) 841-4350
NEUROLOGY
1125625
CAMPBELL, BYRON D MD
2845 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 969-6177
1084610
70 W MICHIGAN AVE STE 250
BATTLE CREEK 49017
(269) 969-6177
1015421
CAMPBELL, BYRON DOUGLAS MD
70 MICHIGAN AVE W STE 250
BATTLE CREEK 49017
(269) 969-6177
1125623
HOOD, DANIEL C MD
2845 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 969-6177
1024084
HOOD, DANIEL C MD
BATTLE CREEK 49017
(269) 969-6177
1024085
JONES, JEFFREY M MD
BATTLE CREEK 49017
(269) 969-6177
1125624
JONES, JEFFREY M MD
2845 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 969-6177
1072779
SRIDHARAN, SUGANDHI MD
BATTLE CREEK 49017
(269) 381-7380
1119963
YODER, RYAN L MD
300 NORTH AVE 2ND FL
BATTLE CREEK 49017
(269) 245-5862
NURSE MIDWIFE
1119936
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1123625
FOULKE, HEATHER CNM
181 W EMMETT ST
BATTLE CREEK 49037
(269) 965-8866
1119919
GLENN, JESSICA CNM
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1123743
HOPE, RUTH CNM
181 W EMMETT ST
BATTLE CREEK 49037
(269) 965-8866
1119902
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1119868
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1124485
RAZMUS, HEATHER CNM
181 W EMMETT ST
BATTLE CREEK 49037
(269) 965-8866
1120240
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1120258
SCOTT, MELISA N CNM
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1120207
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
139 W MANSION ST
MARSHALL 49068
(269) 248-6090
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
OBSTETRICS
1123009
YOUNG, KATHRYN M MD
1119833
BELL, CARRIE MD

Page 157
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Calhoun County

1119885
BELL, JASON D MD
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1101775
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1086056
CUSTER, JEFFREY C DO
181 W EMMETT ST
BATTLE CREEK 49037
(269) 965-8866
1120309
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1092917
EBNER, EMIL E MD
14231 BEADLE LAKE RD
BATTLE CREEK 49014
(269) 962-0441
1071451
FORMSMA, KARI MD
181 W EMMETT ST
BATTLE CREEK 49037
(269) 965-8866
1120224
HARRIS, LISA H MD
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1091101
HOLLADAY, THERESA DO
181 W EMMET ST
BATTLE CREEK 49037
(269) 965-8866
1122211
HOMA, LORI MD
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1119851
KAHN, CHAVA MD
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1034406
KRAUSS, BRIAN C MD
3238 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 979-6432
1122649
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 969-8828
1101967
REID, VIRGIL C MD
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1091760
SIDDIQUI, MAHMOOD MD
3238 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 779-6432
1098740
TERRELL, TRAVIS D MD
2545 CAPITAL AVE
BATTLE CREEK 49015
(269) 969-8828
1122644
TERRELL, TRAVIS D MD
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 969-8828
1101917
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1127537
VANDENBRINK-WEBB, SUZANNE MD
215 E MANSION ST STE D
MARSHALL 49068
(269) 781-1183
1102612
WALKER, ANGELA DO
3238 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 979-6432
1120292
WALLETT, SARAH M MD
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
1116635
WRISTON, LINDSAY MD
181 W EMMETT ST
BATTLE CREEK 49037
(269) 965-8866
1014114
YANKAMA, RACHEL D MD
601 S SHORE DR UNIT 224
BATTLE CREEK 49014
(269) 969-6115
1120275
ZAPATA, MYA R MD
2855 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 964-0885
ONCOLOGY
1080718
632 NORTH AVE
BATTLE CREEK 49017
(269) 969-6145
1082857
300 NORTH AVE
BATTLE CREEK 49017
(269) 245-8660
1015282
SMILEY, STEPHEN L MD
300 NORTH AVE
BATTLE CREEK 49017
(269) 245-8662
OPHTHALMOLOGY
1032986
ADDIEGO, RAFFAELLO MD
BATTLE CREEK 49017
(269) 964-3018
1082390
COLQUHOUN, P JEFFERY MD
BATTLE CREEK 49015
(616) 979-6383
1040734
ERNEST, PAUL H MD
363 FREEMONT ST STE 301
BATTLE CREEK 49017
(877) 852-8463
1086257
GOSSAGE, DAVID DO
125 W MAIN ST
HOMER 49245
(517) 568-4411
1086229
HATHAWAY, DARREN P MD
114 W ERIE ST
ALBION 49224
(517) 629-3981
1014954
HATHAWAY, DARREN P MD
830 W MICHIGAN AVE
MARSHALL 49068
(269) 781-9822
1086227
HATHAWAY, NOLAN P MD
114 W ERIE ST
ALBION 49224
(517) 629-3981
1082405
KELLER, JAMES L MD
BATTLE CREEK 49015
(269) 979-6305
1003871
LAVERY, KEVIN MD
363 FREMONT ST #301
BATTLE CREEK 49017
(269) 964-3018
1086254
LUPARELLO, KAREN DO
125 W MAIN ST
HOMER 49245
(517) 568-4411
1080844
MARTIN, SHANNON N MD
830 W MICHIGAN AVE
MARSHALL 49068
(269) 781-9822
1086226
MARTIN, SHANNON N MD
114 W ERIE ST
ALBION 49224
(517) 629-3981
1040739
PUROHIT, SURENDAR MD
BATTLE CREEK 49017
(877) 852-8463
1091774
SRAY, WILLIAM A MD
BATTLE CREEK 49015
(269) 979-6383
1047103
STOUT, RANDALL C MD
BATTLE CREEK 49015
(269) 977-6383
1082389
VANDER PLAS, LARRY M MD
3600 CAPTIAL AVE SW STE 203
BATTLE CREEK 49015
(269) 977-6383

Page 158
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Calhoun County
OPTOMETRY
1064188
CUMMING, ANGELA M OD
BATTLE CREEK 49017
(877) 852-8463
1086920
GOFF, ADAM R OD
1525 W MICHIGAN AVE STE 15A
BATTLE CREEK 49037
(269) 964-9200
1123851
GOULD, COLLEEN OD
BATTLE CREEK 49017
(269) 964-3018
1059650
HANNA, GERALD OD
65 E COLUMBIA
BATTLE CREEK 49015
(269) 965-5106
1056840
HIBLER, JOSEPH M OD
15865 W MICHIGAN AVE
MARSHALL 49068
(269) 781-6644
1086253
KOSCIUSZKO, MARK OD
125 W MAIN ST
HOMER 49245
(517) 568-4411
1036594
MILLER, CRAIG A OD
4275 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 979-1561
1086225
RUNYON, BRADLEY OD
114 E ERIE ST
ALBION 49224
(517) 629-3981
1086224
RUNYON, BRADLEY OD
830 W MICHIGAN AVE
MARSHALL 49068
(269) 781-9822
1064189
SHAY, JAMIE OD
BATTLE CREEK 49017
(877) 852-8463
1065990
STAGNER, TODD OD
228 N HELMER RD
BATTLE CREEK 49015
(269) 963-5640
1084207
SWANSON, JOHN OD
1525 W MICHIGAN AVE STE 15A
BATTLE CREEK 49037
(269) 964-9200
1109099
TROY, ALEXANDRA OD
BATTLE CREEK 49015
(269) 979-6383
1042738
WATERBURY, WILLIAM F OD
3600 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 979-6383
1086223
WOZNICKI, PATRICIA OD
114 E ERIE ST
ALBION 49224
(517) 629-3981
1086222
WOZNICKI, PATRICIA OD
830 W MICHIGAN ST
MARSHALL 49068
(269) 781-9822
ORTHOPEDIC SURGERY
1124831
BURKHARDT, JOSEPH E DO
710 NORTH AVE
BATTLE CREEK 49017
(269) 969-6251
1124832
COMAI, WILLIAM J DO
710 NORTH AVE
BATTLE CREEK 49017
(269) 969-6251
1124833
GARCIA, DANIEL X MD
710 NORTH AVE
BATTLE CREEK 49017
(269) 969-6251
1099426
485 E COLUMBIA AVE STE 9
BATTLE CREEK 49015
(269) 349-8601
1122576
GILBERT, JAMES D MD
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 343-1535
1124830
RUSSELL, MARK D DO
710 NORTH AVE
BATTLE CREEK 49017
(269) 969-6251

1122582
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 552-2225
1122640
YO, GENE C DO
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 552-2225
PROSTHETICS
1055378
QUALITY PROSTHETIC & ORTHOTIC CARE INC
424 RIVERSIDE DR STE 102
BATTLE CREEK 49015
(269) 963-9696
1025583
3600 SW CAPITAL STE 104
BATTLE CREEK 49015
(269) 969-8816
126 COLLEGE ST
BATTLE CREEK 49017
(269) 968-4140
PSYCHIATRY
1021419
TATINENI, KAMESWARA R MD
PULMONOLOGY
1080826
ABDELKARIM, TARIQ H MD
BATTLE CREEK 49015
(269) 832-8912
1124630
ABDOH, MAMOUN MD
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 345-1161
1126606
BADARINATH, MADDUR N MD
BATTLE CREEK 49017
(269) 969-6100
1000815
BATTLE CREEK 49017
(269) 969-6100
1094823
103 E MANSON ST
MARSHALL 49068
(269) 969-6099
1017232
5161 B DR S STE A
BATTLE CREEK 49015
(269) 969-6099
1017901
BATTLE CREEK 49017
(269) 969-6099
1124584
DYKSTRA, JENNIFER A NP
300 N AVE
BATTLE CREEK 49017
(269) 245-5780
1125228
KLUKA, ELIZABETH M DO
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 345-1161
1122657
LADWIG, JASON R MD
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 345-1161
1082234
POTEMPA, NADINE E MD
5161 B DR S STE A
BATTLE CREEK 49015
(269) 969-6099

Page 159
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Calhoun County
PULMONOLOGY (CONTINUED)
1094819
POTEMPA, NADINE F MD
103 E MANSON ST
MARSHALL 49068
(269) 969-6099
1006401
TEHRANI, REZA M MD
BATTLE CREEK 49017
(269) 969-6100
300 NORTH AVE
BATTLE CREEK 49017
(269) 245-8056
RADIATION ONCOLOGY
1045806
MUDGE, RANDY A MD
RHEUMATOLOGY
1107525
IGNACZAK, THOMAS MD
BATTLE CREEK 49037
(269) 245-8393
1127148
IGNACZAK, THOMAS MD
3630 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 441-6082
1105518
SOLANKI, SATISH MD
BATTLE CREEK 49015
(269) 979-6333

1103536
EVERGREEN SENIOR CARE AND REHAB
111 EVERGREEN RD
BATTLE CREEK 49037
(269) 969-6110
1093762
HEARTLAND HEALTH CARE CENTER- BATTLE CREEK
200 ROOSEVELT AVE E
BATTLE CREEK 49017
(269) 965-3327
1080328
MAGNUM CARE OF ALBION
1000 W ERIE ST
ALBION 49224
(517) 629-5501
1066706
TENDERCARE MARSHALL
879 E MICHIGAN ST
MARSHALL 49068
(269) 781-4251
1023736
THE LAURELS OF BEDFORD
270 N BEDFORD RD
BATTLE CREEK 49017
(269) 968-2296
1084475
THE MANOR OF BATTLE CREEK SKILLED NURSING & RE
675 WAGNER DR
BATTLE CREEK 49017
(269) 969-6244
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 565-9100
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 345-1161
879 E MICHIGAN ST
MARSHALL 49068
(269) 781-4251
842 E COLUMBIA AVE
BATTLE CREEK 49014
(269) 343-1535
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 343-1555

1122638
BORGESS MEDICAL CENTER
SLEEP STUDIES
1122579
DOE, ALICE F MD
SPEECH THERAPY
1127998
TENDERCARE MARSHALL
SPORTS MEDICINE
1089632
VAJGRT, MARY E MD

1125343
KANAAN, SAMER A MD
UROLOGY
1119733
BLIX, GREGOR MD
710 NORTH AVE
BATTLE CREEK 49017
(269) 349-9745
1119734
BOUR, JAMES MD
710 NORTH AVE LOWER LEVEL
BATTLE CREEK 49017
(269) 349-9745
1119735
GAUTHIER, ANTHONY R MD
BATTLE CREEK 49017
(269) 349-9745
1119737
ISACKSEN, ROBERT MD
BATTLE CREEK 49017
(269) 349-9745
1119736
LUCAS, MARK MD
BATTLE CREEK 49017
(269) 349-9745
1127904
LUDMER, COLLIN PA
710 NORTH AVE LL
BATTLE CREEK 49017
(269) 349-9745
1108593
POTLURI, SURESH MD
710 NORTH AVENUE LOWER LEVEL
BATTLE CREEK 49017
(269) 349-9745
1108469
RUBENS, BRANDON MD
BATTLE CREEK 49017
(269) 349-9745
VASCULAR SURGERY
1082739
ABUSHMAIES, A KARIM A MD
3790 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 979-6310
1080720
EL-SHAARAWY, TAREK MD
363 FREMONT ST
BATTLE CREEK 49017
(269) 966-8302
1082858
EL-SHAARAWY, TAREK MD
BATTLE CREEK 49017
(269) 966-8302
1043855
GLEESON, TAMMY L DO
3790 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 979-6310
1084633
JAIN, KRISHNA M MD
3630 CAPITAL AVE SW
BATTLE CREEK 49015
(800) 448-9684

Page 160
February 19, 2015

PIN
Provider
CASS COUNTY
Address
City and Zip
Phone
Gender
Cass County

1091432
520 MAIN ST
DOWAGIAC 49047
(269) 429-1085
420 W HIGH ST
DOWAGIAC 49047
(269) 783-3017
420 W HIGH ST
DOWAGIAC 49047
(800) 448-9684
420 W HIGH ST
DOWAGIAC 49047
(269) 782-8681
CARDIOLOGY
1092918
DHATREECHARAN, SRINIVASAN MD
1101848
ALAM, SYED MD

1090142
BORGESS LEE EMERGENCY PHYS
GENERAL SURGERY
1082887
SYED, ABBAS MD
515 MAIN ST
DOWAGIAC 49047
(269) 782-2273
1127380
SYED, ABBAS MD
520 MAIN ST
DOWAGIAC 49047
(269) 783-3052
1081675
WALSH, JON C MD
520 MAIN ST STE A
DOWAGIAC 49047
(269) 783-3052
420 WEST HIGH STREET
DOWAGIAC 49047
(269) 782-8681
1117706
NAGPAL, SUNIL MD
INTERNAL MEDICINE
1122587
520 MAIN ST STE A
DOWAGIAC 49047
(269) 783-3052
1122643
520 MAIN ST
DOWAGIAC 49047
(269) 783-3052
1102514
WHITE, CHARLES DO
57392 M-51 S
DOWAGIAC 49047
(269) 782-4141
DOWAGIAC 49047
(269) 782-8681
57392 M-51 S
DOWAGIAC 49047
(269) 782-4141
69001 M 62 STE E
EDWARDSBURG 49112
(269) 414-4492
NEUROLOGY
1075254
DAGLI, RAJESH D MD
1118816
VAS, VERONICA MD
OPTOMETRY
1094218
LAMBART, JENNIFER L OD
ORTHOPEDIC SURGERY
1117223
ANSARI, AFTAB A MD
420 W HIGH ST
DOWAGIAC 49047
(269) 783-3053
1117224
ANSARI, AFTAB A MD
420 W HIGH ST
DOWAGIAC 49047
(269) 782-8681
1101662
BURAN, KATHLEEN A MD
420 W HIGH ST
DOWAGIAC 49047
(269) 782-8681
1101663
BURAN, KATHLEEN A MD
420 W HIGH ST
DOWAGIAC 49047
(269) 783-3053
1081685
PIATKOWSKI, KURT DO
420 W HIGH ST
DOWAGIAC 49047
(269) 783-3052
1070978
420 W HIGH ST
DOWAGIAC 49047
(269) 783-3053
1070979
420 W HIGH ST
DOWAGIAC 49047
(269) 782-8681
302 SOUTH FRONT ST JAMES E SNOW
DOWAGIAC 49047
(269) 782-0064
57392 M-51 S
DOWAGIAC 49047
(269) 782-4141
520 MAIN ST
DOWAGIAC 49047
(269) 783-3052
420 W HIGH ST
DOWAGIAC 49047
(269) 345-1161
PEDIATRICS
1125580
PODIATRY
1119447
MOORE, PATRICIA DPM
PSYCHIATRY
1070895
DHATREECHARAN, GEETHA MD
PULMONOLOGY
1124631
ABDOH, MAMOUN MD

Page 161
February 19, 2015

PIN
Provider
CASS COUNTY (CONTINUED)
Address
City and Zip
Phone
Gender
Cass County
1072711
JEFFERSON, STEPHEN E MD
420 W HIGH ST
DOWAGIAC 49047
(269) 345-1161
1125229
420 W HIGH STREET
DOWAGIAC 49047
(269) 345-1161
420 W HIGH ST
DOWAGIAC 49047
(269) 345-1161
SLEEP STUDIES
1101156
DOE, ALICE F MD
UROLOGY
1070901
GAUTHIER, ANTHONY RAYMOND MD
515 MAIN ST
DOWAGIAC 49047
(269) 782-2273
1070905
GAUTHIER, ANTHONY RAYMOND MD
420 W HIGH ST
DOWAGIAC 49047
(269) 783-3048
420 W HIGH ST
DOWAGIAC 49047
(800) 448-9684
14735 PARK AVE W
CHARLEVOIX 49720
(877) 912-9090
VASCULAR SURGERY
1084641
JOHNSTON, DANIEL J MD
CHARLEVOIX COUNTY
Charlevoix County

1034318
CARDIOLOGY
1093080
CANNON, LOUIS A MD
1404 BRIDGE ST
CHARLEVOIX 49720
(231) 487-2490
1093630
RICCI, JASON MD
1404 BRIDGE ST STE B
CHARLEVOIX 49720
(231) 487-2490
8888 ANCE RD UNIT A
CHARLEVOIX 49720
(231) 237-6000
DME - P&O
1094721
LINCARE INC

1122272
FEELEY, MARC A MD
14705 W UPRIGHT ST
CHARLEVOIX 49720
(231) 487-3277
1122271
GIETZEN, KEVIN L DO
14705 W UPRIGHT ST
CHARLEVOIX 49720
(231) 487-3277
1122270
SNYDER, ERIC R MD
14705 W UPRIGHT ST
CHARLEVOIX 49720
(231) 487-3277
1122269
SOMERS, MELISSA L MD
14705 W UPRIGHT ST
CHARLEVOIX 49720
(231) 487-3277
14700 LAKESHORE DR
CHARLEVOIX 49720
(231) 547-4024

1092546
CHARLEVOIX AREA HOSPITAL
GENERAL SURGERY
1117630
FOSTER, SARAH MD
14695 PARK AVE
CHARLEVOIX 49720
(231) 547-2812
1015042
LAME, MARC E MD
14695 PARK AVE
CHARLEVOIX 49720
(231) 547-2812
1077603
LAME, MARC E MD
14695 PARK AVENUE
CHARLEVOIX 49720
(231) 547-2812
1077602
WENDT, CRAIG D MD
14695 PARK AVENUE
CHARLEVOIX 49720
(231) 547-2812

1077567
AUDICARE HEARING CENTERS
145 M-66
CHARLEVOIX 49720
(231) 547-3100
1122531
PETOSKEY EAR NOSE & THROAT
14705 W UPRIGHT ST
CHARLEVOIX 49720
(231) 487-3277
220 W GARFIELD AVE
CHARLEVOIX 49720
(231) 547-6523
14695 PARK AVE
CHARLEVOIX 49720
(231) 547-4024
HOSPICE
1075145
HEALTH DEPARTMENT OF NORTHWEST MI
INTERNAL MEDICINE
1118825
RIDDLE, ANDREW J DO

Page 162
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Charlevoix County
CHARLEVOIX COUNTY (CONTINUED)
1027532
IVEY, MARY A MD
14651 W UPRIGHT ST
CHARLEVOIX 49720
(231) 547-8823
1019645
JEAKLE, JAMES MD
14651 W UPRIGHT ST
CHARLEVOIX 49720
(231) 547-4477
1067562
MOSHER, WILLIAM MD
14651 W UPRIGHT ST
CHARLEVOIX 49720
(231) 547-4477
OPTOMETRY
1079095
HUFFORD, STEVEN OD
225 STATE ST
BOYNE CITY 49712
(231) 582-9933
1086341
MEAD, RONALD OD
102 E MAIN
BOYNE CITY 49712
(231) 582-6704
1086084
MOLTER, KIMBERLY S OD
1008 BRIDGE ST
CHARLEVOIX 49720
(231) 547-7800
1090166
MOLTER, ROBERT OD
1008 BRIDGE ST
CHARLEVOIX 49720
(231) 547-7800
1086343
OPPERMANN, PETER OD
102 E MAIN
BOYNE CITY 49712
(231) 582-6704
1086348
SLEZAK, NATHAN OD
102 E MAIN
BOYNE CITY 49712
(231) 582-6704
1086344
SLEZAK, ROBERT OD
102 E MAIN
BOYNE CITY 49712
(231) 582-6704
1116472
VANWAGNEN, JON C OD
1008 BRIDGE ST
CHARLEVOIX 49720
(231) 547-7800
1090469
VANWAGNEN, JON C OD
1008 N BRIDGE ST
CHARLEVOIX 49720
(231) 547-7800
1084234
VOCI, STEVEN A OD
601 BRIDGE ST
EAST JORDAN 49727
(231) 536-2240
1024056
VOCI, STEVEN A OD
103 CLINTON
CHARLEVOIX 49720
(231) 547-2901
ORTHOPEDIC SURGERY
1090499
MCMURRAY, MARK R MD
14715 W UPRIGHT ST
CHARLEVOIX 49720
(231) 547-7546
1096190
NEMEC, SCOTT A DO
14715 W UPRIGHT ST
CHARLEVOIX 49720
(231) 547-7546
1095509
RONQUIST, RONALD MD
14715 W UPRIGHT ST
CHARLEVOIX 49720
(231) 547-7546
1090498
WILCOX, DANIEL K MD
14715 W UPRIGHT ST
CHARLEVOIX 49720
(231) 547-7546
1096186
WITTENBERG, BRIAN D MD
14715 W UPRIGHT ST
CHARLEVOIX 49720
(231) 547-7546
1096206
WROBLEWSKI, ALFRED J MD
14715 W UPRIGHT ST
CHARLEVOIX 49720
(231) 547-7546
14705 W UPRIGHT ST
CHARLEVOIX 49720
(231) 487-3277
220 W GARFIELD
CHARLEVOIX 49720
(231) 547-6523
14700 LAKE SHORE DR
CHARLEVOIX 49720
(800) 770-8109

1122271
GIETZEN, KEVIN L DO
PEDIATRICS
1065758
MEYERSON, JOSHUA MD

1118312
MACKENZIE, JAMES R MD
PODIATRY
1013051
DEKORTE, THOMAS B DPM
1404 BRIDGE ST STE 103
CHARLEVOIX 49720
(231) 547-4662
1106235
DEKORTE, THOMAS B DPM
1662 OLD 27 SOUTH
CHARLEVOIX 49720
(989) 732-6565
14676 W UPRIGHT ST
CHARLEVOIX 49720
(231) 547-1005
14700 LAKE SHORE DR
CHARLEVOIX 49720
(231) 547-3124

1093190
BOULDER PARK TERRACE
SLEEP STUDIES
1008921
BOSS, NATHAN CRAIG MD
SPEECH THERAPY
1067561
BOYNE REHABILITATION CENTER
197 STATE ST
BOYNE CITY 49712
(231) 582-6365
1032105
JORDAN VALLEY REHAB CNTR
100 E MAIN ST
EAST JORDAN 49727
(231) 536-1451

Page 163
February 19, 2015

PIN
Provider
CHEBOYGAN COUNTY
Address
City and Zip
Phone
Gender
Cheboygan County
CARDIOLOGY
1093629
COLFER, HARRY MD
740 S MAIN ST STE 3A
CHEBOYGAN 49721
(231) 487-2490
1093042
GADOWSKI, GERALD A DO
740 S MAIN STE 3A
CHEBOYGAN 49721
(231) 487-2490
DERMATOLOGY
1093484
COTTER, MURRAY A MD
125 N MAIN ST
CHEBOYGAN 49721
(231) 487-2230
1093490
MESSANA, CHRISTOPHER A DO
125 N MAIN ST
CHEBOYGAN 49721
(231) 487-2230
DME - P&O
1068871
ABC MEDICAL SUPPLY
9750 N STRAITS HWY 2
CHEBOYGAN 49721
(231) 627-2677
1016448
740 S MAIN STE 1B
CHEBOYGAN 49721
(231) 597-9770
1068930
VITALCARE HOME MEDICAL EQUIPMENT
998 S MAIN ST
CHEBOYGAN 49721
(231) 627-7157
748 S MAIN ST
CHEBOYGAN 49721
(231) 439-9230
740 S MAIN STE 3B
CHEBOYGAN 49721
(231) 627-4364

1089734
N MI EMERGENCY PHYSICIANS
GENERAL SURGERY
1103842
DUNCAN, CRAIG DO

1077565
748 S MAIN ST
CHEBOYGAN 49721
(231) 627-3100
1096699
323 N MAIN ST
CHEBOYGAN 49721
(989) 799-6603
740 S MAIN ST
CHEBOYGAN 49721
(231) 627-1449
761 LAFAYETTE ST
CHEBOYGAN 49721
(231) 627-7157
761 LAFAYETTE ST
CHEBOYGAN 49721
(231) 627-7157
1072339
GALLOWAY, LISA DO
HOME HEALTH CARE

1035424
VITALCARE HOSPICE OF THE STRAITS
HOSPICE
1035424
VITALCARE HOSPICE OF THE STRAITS
NEUROLOGY
1080840
SESI, VERONICA K DO
217 S HURON ST
CHEBOYGAN 49721
(231) 627-7327
1083137
SESI, VERONICA K DO
217 S HURON ST
CHEBOYGAN 49721
(888) 288-0854
740 S MAIN ST STE 3B
CHEBOYGAN 49721
(231) 627-4364
1103840
COY, MARVIN DO
OPHTHALMOLOGY
1124606
BENJAMIN, ERIN DO
810 S MAIN ST STE 3
CHEBOYGAN 49721
(231) 627-3169
1070432
CHAULK, JEFFREY MD
810 S MAIN ST STE 3
CHEBOYGAN 49721
(231) 627-3169
1070429
HABRYL, MICHAEL DO
810 S MAIN ST STE 3
CHEBOYGAN 49721
(231) 627-3169
OPTOMETRY
1120016
ELOWSKY, TRAVIS OD
730 S MAIN ST
CHEBOYGAN 49721
(231) 627-5666
1125349
ELOWSKY, TRAVIS OD
3757 S STRAITS HWY
INDIAN RIVER 49749
(231) 231-2020
1085361
KOSANKE, EDWARD P OD
3757 S STRAITS HWY
INDIAN RIVER 49749
(231) 238-2020
1085362
KOSANKE, EDWARD P OD
730 N MAIN ST
CHEBOYGAN 49721
(231) 627-5666
1070424
SAMU, JULIE OD
810 S MAIN ST STE 3
CHEBOYGAN 49721
(231) 627-3169
1070426
SHOULDICE, WILLIAM OD
810 S MAIN ST STE 3
CHEBOYGAN 49721
(231) 627-3169
1084866
TREMBLAY, ELIZABETH
3757 S STRAITS HWY
INDIAN RIVER 49749
(231) 238-2020
1085360
TREMBLAY, ELIZABETH OD
730 S MAIN ST
CHEBOYGAN 49721
(231) 627-5666

Page 164
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Cheboygan County
ORTHOPEDIC SURGERY
1096158
HANCE, JOSEPH W MD
838 S MAIN ST
CHEBOYGAN 49721
(231) 627-3161
1096192
NEMEC, SCOTT A DO
838 S MAIN ST
CHEBOYGAN 49721
(231) 627-3161
1090875
RONQUIST, RONALD MD
838 S MAIN ST
CHEBOYGAN 49721
(231) 627-3161
1096229
WILCOX, DANIEL K MD
838 S MAIN ST
CHEBOYGAN 49721
(231) 627-3161
1096187
838 S MAIN ST
CHEBOYGAN 49721
(231) 627-3161
1096207
838 S MAIN ST
CHEBOYGAN 49721
(231) 627-3161
125 N MAIN ST
CHEBOYGAN 49721
(231) 348-5900
825 S HURON ST STE 1
CHEBOYGAN 49721
(231) 627-8850
740 S MAIN ST
CHEBOYGAN 49721
(231) 347-9800

1096028
SLATER, JAMES DO
PEDIATRICS
1118349
MYERSON, JOSHUA MD

1093283
KLOOSTER, GERALD DO
PODIATRY
1108448
DAY, GEOFFREY M DPM
810 S MAIN ST STE 6
CHEBOYGAN 49721
(989) 348-3090
1108450
DAY, GEOFFREY M DPM
850 S NICOLET ST
MACKINAW CITY 49701
(989) 348-3090
1123522
RICHMOND, PATRICK DPM
6135 CRESSY ST
INDIAN RIVER 49749
(800) 453-5750
PROSTHETICS
1068871
ABC MEDICAL SUPPLY
9750 N STRAITS HWY 2
CHEBOYGAN 49721
(231) 627-2677
1016448
740 S MAIN STE 1B
CHEBOYGAN 49721
(231) 597-9770
825 S HURON ST STE 1
CHEBOYGAN 49721
(231) 627-8850
824 S HERON ST
CHEBOYGAN 49721
(231) 627-4347
810 S MAIN ST
CHEBOYGAN 49721
(231) 627-4364

1118346
DISTRICT HEALTH DEPARTMENT NO 4

1066708
TENDERCARE HEALTH CARE CENTER OF CHEBOYGAN
SLEEP STUDIES
1068125
BOSS, NATHAN CRAIG MD
SPEECH THERAPY
1127983
TENDERCARE HEALTH CARE CNTR OF CHEBOYGAN
824 S HERON ST
CHEBOYGAN 49721
(231) 627-4347
1068795
VANCES REHABILITAITON CENTER
3589 S STRAITS HWY
INDIAN RIVER 49749
(231) 238-0199
810 S MAIN ST STE 2
CHEBOYGAN 49721
(231) 627-9936
UROLOGY
1092191
MIYAMOTO, KEITH Y MD
CHIPPEWA COUNTY
Chippewa County
CARDIOLOGY
1126635
DOGHMI, WALEED MD
560 OSBORN BLVD
SAULT ST MARIE 49783
(906) 253-0668
1093621
MIRANDA, DALTON JR MD
560 OSBORN BLVD
(231) 487-2490
1093620
OVERTON, NAOMI MD
560 OSBORN BLVD
(231) 487-2490
1093622
RICCI, JASON MD
560 OSBORN BLVD
(231) 487-2490
711 JOHNSTON ST
(906) 253-1721
DME - P&O
1122522
LINCARE INC

Page 165
February 19, 2015

PIN
Provider
Address
CHIPPEWA COUNTY (CONTINUED)
City and Zip
Phone
Gender
Chippewa County
DME - P&O (CONTINUED)

1016452
146 W SPRUCE ST
(877) 607-0171
1025612
2901 I-75 BUSINESS SPUR STE 1
(906) 632-1927
OPHTHALMOLOGY
1086237
MADION, MATTHEW MD
511 ASHMUN ST
(906) 635-9802
1086233
SNEED, PETER J MD
511 ASHMUN ST
(906) 635-9802
1086239
THUENTE, DANIEL MD
511 ASHMUN ST
(906) 635-9802
1086917
VONKULAJTA, PETRA C MD
511 ASHMUN ST
(906) 635-9802
1086238
WENTZLOFF, JEFFREY N MD
511 ASHMUN ST
(906) 635-9802
309 W 12TH AVE STE 102
(906) 253-1300
ORTHOPEDIC SURGERY
1014260
LAWSON, KEVIN J MD
PODIATRY
1075265
HUNTER, DAVID DPM
1104 ASHMUN STREET
(906) 635-9511
1083600
1104 ASHMUN ST
(906) 635-9511
PROSTHETICS
1016452
146 W SPRUCE ST
(877) 607-0171
1025612
2901 I-75 BUSINESS SPUR STE 1
(906) 632-1927
1011 MERIDIAN AVE
(906) 635-1518
225 W MAIN ST
HARRISON 48625
(989) 539-6731

1093724
TENDERCARE-SAULT STE MARIE
Clare County
CLARE COUNTY
1096668
CARDIOLOGY
1072979
DIEHL, RODNEY O DO
815 N CLARE AVE
HARRISON 48625
(800) 897-8857
1127089
GELLMAN, STEVEN D MD
703 N MCEWAN
CLARE 48617
(989) 802-5102
1119693
602 BEECH ST STE 1230
CLARE 48617
(989) 802-8415
1097350
CLARE 48617
(989) 802-8415
1116750
KEHOE, ELLEN L DO
741 RICHARD ST
HARRISON 48625
(989) 539-2998
GENERAL SURGERY
1081686
NGUYEN, TRUNG Q DO
602 BEECH ST
CLARE 48617
(989) 802-8773
1074301
NUNOO, ROBERT MD
CLARE 48617
(989) 802-8773
1430 N MCEWAN ST
CLARE 48617
(989) 799-6603

1096708
1053961
DANSO, DANIEL Y MD
602 BEECH ST
CLARE 48617
(989) 631-3975
1058075
703 N MCEWAN ST STE 1200
CLARE 48617
(989) 631-3975
225 W MAIN ST
HARRISON 48625
(989) 539-6731
INFECTIOUS DISEASES
1062901
GULICK, PETER G DO

Page 166
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Clare County
CLARE COUNTY (CONTINUED)

INTERNAL MEDICINE
1127543
BENNETT, LARRY MD
703 N MCEWAN
CLARE 48617
(989) 802-5102
10785 S GRANT AVE
CLARE 48617
(989) 386-2899
110 W WHEATON AVE
CLARE 48617
(989) 386-3401
NUCLEAR CARDIOLOGY
1059593
OPTOMETRY
1016232
FINN, JOHN A OD
PODIATRY
1094981
DAILEY, TIMOTHY J DPM
125 DWYER AVE
CLARE 48617
(989) 386-9721
1082873
MOSSEL, JEFFREY R DPM
125 DWYER AVE
CLARE 48617
(989) 386-9721
225 W MAIN ST
HARRISON 48625
(989) 539-6731
600 S E 4TH ST
CLARE 48617
(989) 386-7723
600 SE 4TH ST
CLARE 48617
(989) 386-7723
901 S OAKLAND ST STE 101
ST JOHNS 48879
(269) 969-8920
4179 S US 27
ST JOHNS 48879
(989) 224-1173
1055 S US 27
ST JOHNS 48879
(989) 224-3000

1096668

1064949
TENDERCARE CLARE
SPEECH THERAPY
1127993
TENDERCARE CLARE
Clinton County
CLINTON COUNTY
1033741
KALFA, VASIF MD

253391
CLINTON CO FAMILY RESOURCE CENTER
DIETARY MANAGEMENT
1063855
WILLIAMS, ANDREA L RD
DME - P&O
1074157
GREAT LAKES CARING HOME MEDICAL EQUIPMENT
1011 S US 27 STE A
ST JOHNS 48879
(800) 379-1600
1069630
SPARROW MEDICAL SUPPLY
306 E ELM ST STE C
ST JOHNS 48879
(989) 224-6730
805 S OAKLAND ST
ST JOHNS 48879
(989) 224-6881
975 E TOWNSEND RD
ST JOHNS 48879
(989) 224-2662

1031934
CLINTON MEMORIAL HOSPITAL

1126256
FRESENIUS MEDICAL CARE ST JOHNS
GENERAL SURGERY
1071582
MINNICK, DAVID B DO
901 S OAKLAND ST
ST JOHNS 48879
(989) 224-2338
1030229
PORTER, DONALD MD
901 S OAKLAND ST
ST JOHNS 48879
(989) 224-8971
HAND SURGERY
1064300
HUETTNER, WILLIAM C MD
ST JOHNS 48879
(517) 332-4263
1058234
KATRANJI, ABDALMAJID MD
ST JOHNS 48879
(517) 332-4263
12775 ESCANABA DR STE 3
DEWITT 48820
(517) 669-8080

1007674
ADVANCED AUDIOLOGY LLC

Page 167
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Clinton County
HEARING AID PROVIDER (CONTINUED)

1124048
CLINTON COUNTY MEDICAL CENTER PSYCH
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1065856
FLUKE HEARING INSTRUMENTS LLC
201 E WALKER ST
ST JOHNS 48879
(517) 336-1940
1033776
KALUZA, VESNA MD
805 S OAKLAND ST
ST JOHNS 48879
(989) 224-2338
1104833
MACDONALD, DIANE M MD
108 W HIGHAM ST
ST JOHNS 48879
(989) 463-9307
1011 S US 27 STE A
ST JOHNS 48879
(800) 379-1600
1011 S US 27 STE A
ST JOHNS 48879
(800) 379-1600
ST JOHNS 48879
(888) 626-8236
901 S OAKLAND STE 101
ST JOHNS 48879
(517) 913-3860
HOME HEALTH CARE

1074156
GREAT LAKES CARING HOME HEALTH
HOSPICE
1074158
GREAT LAKES CARING HOSPICE
1061283
SPARROW HOSPICE SERVICES CLINTON HOME HOSPIC 306 E ELM ST
NEPHROLOGY
1127090
JAVIER, RAFAEL A MD
NEUROLOGY
1089514
BURGHARDT, TYSON MD
805 S OAKLAND ST
ST JOHNS 48879
(989) 227-3300
1089508
POSTELS, DOUGLAS MD
805 S OAKLAND ST
ST JOHNS 48879
(989) 227-3300
1089599
YASSIN-KASSAB, MOUNZER MD
805 S OAKLAND ST
ST JOHNS 48879
(989) 227-3300
DEWITT 48820
(517) 975-9750

1119951
DAWSON, BETTY W NP
1096693
BECHER, MICHELLE L DO
306 E ELM ST STE B
ST JOHNS 48879
(989) 584-3107
1127210
MANEY, RHONDA S MD
901 S OAKLAND STE 102
ST JOHNS 48879
(989) 227-3435
252503
MAYHARTLE, THERESA L DO
DEWITT 48820
(517) 975-9750
252500
SHAH, UPENDRA M MD
DEWITT 48820
(517) 975-9750
1033466
TREMP, STACEY S DO
DEWITT 48820
(517) 975-9750
1002 N US HIGHWAY 27
ST JOHNS 48879
(989) 224-1452
OPHTHALMOLOGY
1094459
COOK, BRANDY DO
OPTOMETRY
1015066
DOBRZELEWSKI, MITCHELL OD
12900 S US 27 STE 7
DEWITT 48820
(517) 669-4411
203454
DOYLE, THOMAS J OD
13151 SCHAVEY RD
DEWITT 48820
(517) 669-2945
1068788
FISHER, JANA M OD
13151 SCHAVEY RD
DEWITT 48820
(517) 669-2445
1001647
KOETS, JEFFREY OD
12900 S US 27 STE 7
DEWITT 48820
(517) 669-4411
1027941
PETERS III, EDWARD OD
1002 N US 27
ST JOHNS 48879
(989) 224-3937
1003257
PETERS, DAVID L OD
611 W STATE ST
ST JOHNS 48879
(989) 224-6651
1126118
TO, THU T OD
1002 N US 27
ST JOHNS 48879
(989) 224-3937
1027942
WHITE, MARK S OD
1002 N US 27
ST JOHNS 48879
(989) 224-3937
ORTHOPEDIC SURGERY
1079706
PALAZETI, JOSEPH DO
1000 E STURGIS ST STE 9
ST JOHNS 48879
(989) 227-1371
1079704
SCHMIDT, MICHAEL DO
ST JOHNS 48879
(989) 227-1371
1079702
WHELAN, RHONDA DO
ST JOHNS 48879
(989) 227-1371

Page 168
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Clinton County
PAIN MANAGEMENT
1072072
KUHNERT, SCOTT MD
1055 S US 27
ST JOHNS 48879
(989) 224-3000
805 S OAKLAND ST
ST JOHNS 48879
(989) 227-3300
ST JOHNS 48879
(989) 227-1371
13105 SCHAVEY RD STE 2
DEWITT 48820
(517) 668-6166
306 E ELM ST STE C
ST JOHNS 48879
(989) 224-6730
1089511
DYME, ZACHARY I MD

1079700
BRANCH, GARY DO
PODIATRY
1061101
SIMONS, ANDREA DPM
PROSTHETICS
1069630
PSYCHIATRY
1122573
DEVRIES, DANIEL J MD
1055 S US HWY 27
ST JOHNS 48879
(989) 224-3000
1122572
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1307 E TOWNSEND RD
ST JOHNS 48879
(989) 224-2195
1101 S SCOTT RD
ST JOHNS 48879
(989) 224-8936
ST JOHNS 48879
(888) 584-3971
1100 E MICHIGAN AVE
GRAYLING 49738
(989) 344-5800
1250 MICHIGAN AVE BLDG D
GRAYLING 49738
(231) 929-9090

1070528
MID MICHIGAN DISTRICT HEALTH DEPARTMENT

1036273
HAZEL I FINDLAY COUNTRY MANOR
UROLOGY
1118795
STOCKALL, ERIC MD
CRAWFORD COUNTY
Crawford County

1118625
BELTZ, KATHY J NP

1034322
DME - P&O
1016345
APRIA HEALTHCARE INC
5443 DONALD RD STE A
GRAYLING 49738
(989) 344-9922
1016445
1200 N DOWN RIVER RD
GRAYLING 49738
(800) 346-0161
ENDOCRINOLOGY
1124877
KIAMI, BASHAR MD
1200 E NORTH DOWN RIVER RD STE B
GRAYLING 49738
(989) 745-6601
1000403
KIAMI, BASHAR E MD
1250 E MICHIGAN
GRAYLING 49738
(989) 348-5461
GENERAL SURGERY
1076195
BOWDEN, KENT DO
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
1020796
CVITKOVICH, GARRICK REID MD
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
1046825
DUNCAN, CRAIG DO
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
1049111
GOLLISH, STEVEN MD
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
1104511
HYDE, RONALD A DO
1100 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
1107424
HYDE, RONALD A DO
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
1104510
JENTZ, AMY B MD
1100 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550

Page 169
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Crawford County
CRAWFORD COUNTY (CONTINUED)
GENERAL SURGERY (CONTINUED)
1071222
JOSEPH, EINAS MD
1250 E MICHIGAN
GRAYLING 49738
(989) 348-0550
1104957
LAW, SUZANNE DO
1100 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
1119485
TODD, MICHAEL MD
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 344-5800
1046828
YORK, RICHARD MD
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
1200 E NORTH DOWN RIVER RD
GRAYLING 49738
(989) 799-6603

1096711
INTERNAL MEDICINE
1109762
HECTOR WORD, ZACHARY MD
1100 E MICHIGAN AVE
GRAYLING 49738
(989) 344-5800
1109764
RUCH, JOSHUA M MD
1100 E MICHIGAN AVE
GRAYLING 49738
(989) 344-5800
NEURO SURGERY
1022632
FIELD, E MALCOLM MD
308 E MICHIGAN AVE
GRAYLING 49738
(989) 799-8712
1058229
FIELD, E MALCOLM MD
1100 MICHIGAN AVE
GRAYLING 49738
(989) 799-8712
1200 W NORTH DOWN RIVER RD
GRAYLING 49738
(231) 935-9700
GRAYLING 49738
(989) 348-7400
501 NORWAY ST
GRAYLING 49738
(989) 348-7800
NEUROLOGY
1126294
ROBENS, CORNELIUS
NUCLEAR CARDIOLOGY
1059595
NURSE MIDWIFE
1107531
SAUCEDO, REBECCA CNM
1009954
LA GATTUTA, DAVID A MD
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
1009164
SCHUBERT, CARL F MD
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
1100 E MICHIGAN AVE
GRAYLING 49738
(989) 344-5800
ONCOLOGY
1109763
RIDDLE, ANDREW J DO
OPHTHALMOLOGY
1124604
BENJAMIN, ERIN DO
GRAYLING 49738
(989) 348-8689
1070431
CHAULK, JEFFREY MD
GRAYLING 49738
(231) 627-3169
1070428
HABRYL, MICHAEL DO
GRAYLING 49738
(989) 348-8689
OPTOMETRY
1014620
AUBRY, ROBERT OD
904 MICHIGAN AVE
GRAYLING 49738
(989) 348-3211
1007992
DEAN, WILLIAM I OD
904 MICHIGAN AVE
GRAYLING 49738
(989) 348-3211
1014930
NOSS, MARK D OD
110 MICHIGAN AVE
GRAYLING 49738
(989) 348-2833
1086387
PIERCE, CAROLYN OD
234 MICHIGAN AVE UNIT 1
GRAYLING 49738
(989) 350-6500
1070423
SAMU, JULIE OD
GRAYLING 49738
(989) 348-8689
1070425
GRAYLING 49738
(989) 348-8689
1086390
TANKE, ANNA OD
234 E MICHIGAN AVE UNIT 1
GRAYLING 49738
(989) 350-6500
ORTHOPEDIC SURGERY
1100875
BENNETT, JASON DO
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
1032886
HABIB, SYED I MD
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
1032519
KIRKLAND, KENT MD
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
1064558
RAU, FREDERICK MD
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550

Page 170
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Crawford County
ORTHOPEDIC SURGERY (CONTINUED)
1062989
RONQUIST, RONALD MD
1250 E MICHIGAN AVE STE B
GRAYLING 49738
(989) 348-0550
1074793
RUBERT, CYNTHIA MD
GRAYLING 49738
(989) 348-0550
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550

1064560
SCHARF, KEITH MD
PEDIATRICS
1065481
DOLORFINO JR, AUGUSTIN D MD
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
1127062
ZREIK, HANI MED
1100 E MICHIGAN AVE
GRAYLING 49738
(989) 752-8669

1118317
BALL, RICHARD D MD
1100 E MICHIGAN AVE
GRAYLING 49738
(800) 770-8109
1118316
GRONEK, JULIE A MD
1100 E MICHIGAN AVE
GRAYLING 49738
(800) 770-8109
1118315
RICHARDSON, CHRISTINA A DO
1100 E MICHIGAN AVE
GRAYLING 49738
(800) 770-8109
6251 M-72 WEST
GRAYLING 49738
(989) 348-3090
GRAYLING 49738
(800) 346-0161
501 NORWAY ST
GRAYLING 49738
(989) 348-7800
PODIATRY
1070481
DAY, GEOFFREY M DPM
PROSTHETICS
1016445

1106430
DISTRICT HEALTH DEPARTMENT 10
RADIATION ONCOLOGY
1093077
ARMSTRONG, PETER S MD
1100 MICHIGAN AVE
GRAYLING 49738
(989) 348-5461
1093063
BOIKE, THOMAS P MD
1100 MICHIGAN AVE
GRAYLING 49738
(989) 348-5461
1093066
BROWN, DOUGLAS M MD
1100 MICHIGAN AVE
GRAYLING 49738
(989) 348-5461
1093070
GIELDA, BENJAMIN T MD
1100 MICHIGAN AVE
GRAYLING 49738
(989) 348-5461
1093074
HEIMBURGER, DAVID MD
1100 MICHIGAN AVE
GRAYLING 49738
(989) 348-5461
1093060
PRUST, ROBERT M MD
1100 MICHIGAN AVE
GRAYLING 49738
(989) 348-5461
809 MICHIGAN AVE
GRAYLING 49738
(989) 348-6610
UROLOGY
1093479
STIRLING, BRIAN N DO
DELTA COUNTY
Delta County
DME - P&O
1066540
1317 LUDINGTON ST
ESCANABA 49829
(906) 789-1303
1025591
2323 FIRST AVE N
ESCANABA 49829
(906) 786-0538
3501 LUDINGTON ST
ESCANABA 49829
(906) 789-8009
2323 FIRST AVE N
ESCANABA 49829
(906) 786-0538

1074625
RCG CENTRAL ILLINOIS-ESCANABA
PROSTHETICS
1025591

1090314
CHRISTIAN PARK HEALTHCARE CENTER
2415 5TH AVE S
ESCANABA 49829
(906) 786-6907
1090315
CHRISTIAN PARK VILLAGE
2525 SEVENTH AVE SOUTH
ESCANABA 49829
(906) 786-0408

Page 171
February 19, 2015

PIN
Provider
DICKINSON COUNTY
Address
City and Zip
Phone
Gender
Dickinson County
DME - P&O
1066542
116 S MERRITT AVE
IRON MOUNTAIN 49801
(906) 779-1892
1711 S STEPHENSON AVE STE 130
IRON MOUNTAIN 49801
(906) 776-1393
1225 WOODWARD AVE
IRON MOUNTAIN 49801
(906) 774-4805

1095608
FRESENIUS MEDICAL CARE IRON MOUNTAIN

1093763
MANORCARE HEALTH SERVICES-KINGSFORD
EATON COUNTY
Eaton County
ALLERGY
1023553
AVULA, RAMESH MD
123 LANSING RD
CHARLOTTE 48813
(800) 991-2762
1066280
KALFA, VASIF MD
134 S COCHRAN STE B
CHARLOTTE 48813
(517) 324-7020
CARDIOLOGY
1073908
BAKR, OMAR MD
11615 S HARTEL RD STE 206
GRAND LEDGE 48837
(517) 347-3000
1073906
BAKR, OMAR MD
321 E HARRIS ST
CHARLOTTE 48813
(517) 347-3000
1073909
BAKR, OMAR MD
1500 S MAIN ST
EATON RAPIDS 48827
(517) 347-3000
1073924
SHAH, IBRAHIM MD
1500 S MAIN ST
EATON RAPIDS 48827
(517) 347-3000
1073914
ZACK, PAUL MD
1500 S MAIN ST
EATON RAPIDS 48827
(517) 347-3000
DERMATOLOGY
1102949
DEHDASHTI, ALMA D DO
416 S CREYTS RD
LANSING 48917
(517) 886-0333
1005473
GALE, ALICE MD
7201 W SAGINAW HWY STE 215
LANSING 48917
(517) 323-2583
DME - P&O
1027092
E Z SLEEP SUPPLIES
LANSING 48917
(517) 853-9126
1007736
FRONT ROOM UNDERFASHIONS
727 LINCOLN CT
LANSING 48917
(517) 332-3294
1024601
PHARMACY PLUS #4
508 S CLINTON ST
GRAND LEDGE 48837
(517) 627-1670
1089532
201 S COCHRAN AVE
CHARLOTTE 48813
(517) 543-0978
1073949
1015 CHARLEVOIX DR
GRAND LEDGE 48837
(517) 627-1670
1058820
WILDERNS DURABLE SUPPLIES LLC
201 S COCHRAN ST
CHARLOTTE 48813
(517) 543-0978
7201 W SAGINAW STE 300
LANSING 48917
(517) 321-6801

1001903
BERG, EDWARD D DO

1027871
ERMC ER PHYSICIANS
1500 S MAIN ST
EATON RAPIDS 48827
(517) 663-2671
1076435
HAYES GREEN BEACH MEMORIAL
321 E HARRIS ST
CHARLOTTE 48813
(517) 541-5927

1075244
FRESENIUS MEDICAL CARE LANSING WEST
916 MALL DR EAST STE 100
LANSING 48917
(517) 322-0894
1023815
RCG CHARLOTTE
111 LANSING ST STE 120
CHARLOTTE 48813
(517) 543-6777
GASTROENTEROLOGY
1005993
ROSE, ROBERT P DO
CHARLOTTE 48813
(517) 543-1050
1005992
WIEDEMER, DAVID H MD
CHARLOTTE 48813
(517) 543-1050
CHARLOTTE 48813
(517) 543-9564
GENERAL SURGERY
1064996
DEPPEN, JEFFREY G DO

Page 172
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Eaton County

1103070
FERGUSON, TROY DO
CHARLOTTE 48813
(517) 543-9564
1067704
HANSES, SUZANNE DO
4911 W ST JOSEPH HWY STE 102
LANSING 48917
(517) 853-3600
1064997
JONES, MARK WAYNE DO
CHARLOTTE 48813
(517) 543-9564
1032407
LINDSEY, HUGH J MD
111 LANSING RD STE 220
CHARLOTTE 48813
(517) 543-9564
7335 WESTSHIRE DR STE 102
LANSING 48917
(517) 622-1012
4000 N MICHIGAN RD
DIMONDALE 48821
(517) 646-6258
GENETICS
1021836
AMALFITANO, ANDREA DO
GERIATRICS
1073531
ABDELRAHMAN, NADIR MD
HAND SURGERY
1109904
CLARKSON, JAMES MD
123 LANSING ST
CHARLOTTE 48813
(517) 543-9500
1058235
1500 S MAIN ST
EATON RAPIDS 48827
(517) 332-4263
1105618
TRULUCK, WILLIAM II DO
CHARLOTTE 48813
(517) 543-7976

1120977
EDWARD D BERG DO PC HA
7201 W SAGINAW
LANSING 48917
(517) 321-6801
1065857
804 S COCHRAN ST
CHARLOTTE 48813
(517) 336-1940
1062230
SONUS GRAND LEDGE
820 CHARLEVOIX DR STE 250
GRAND LEDGE 48837
(517) 627-3202
123 LANSING ST
CHARLOTTE 48813
(517) 543-0600
321 E HARRIS ST DEPT 797
CHARLOTTE 48813
(517) 543-4182
1010725
MONDEJAR, DOROTHY G MD
HOME HEALTH CARE

1007887
HAYES GREEN BEACH HOMECARE
INTERNAL MEDICINE
1098324
BASIC, EDIN DO
916 MALL DR
LANSING 48917
(517) 327-0386
1018504
COURTNAGE, SUSAN L MD
1500 S MAIN ST
EATON RAPIDS 48827
(517) 663-2671
1021554
GUPTA, ASHOK K MD
LANSING 48917
(517) 323-9624
1003860
GUPTA, ASHOK K MD
LANSING 48917
(517) 663-2705
1083375
SCHIRMER, ROBERT MD
1033 HEALTH CARE DR
CHARLOTTE 48813
(517) 541-2672
1107511
WOODLIFF, DAVID MD
1033 HEALTH CARE DR
CHARLOTTE 48813
(517) 541-2672
NEUROLOGY
1118074
AUSTIN, ERICA DO
1500 S MAIN ST
EATON RAPIDS 48827
(517) 663-9403
1089519
BIRBECK, GRETCHEN L MD
321 E HARRIS ST
CHARLOTTE 48813
(517) 543-1050
1007369
BOZOKI, ANDREA C MD
123 LANSING RD
CHARLOTTE 48813
(517) 364-6247
1001339
BOZOKI, ANDREA C MD
EATON RAPIDS 48827
(517) 353-8122
1089516
BURGHARDT, TYSON MD
321 E HARRIS ST
CHARLOTTE 48813
(517) 543-1050
1090085
LEAHY, CARA DO
123 LANSING ST
CHARLOTTE 48813
(517) 543-9500
1089510
POSTELS, DOUGLAS MD
321 E HARRIS ST
CHARLOTTE 48813
(517) 543-1050
1000877
PYSH, JOSEPH J DO
CHARLOTTE 48813
(517) 543-9500
1089601
321 E HARRIS ST
CHARLOTTE 48813
(517) 543-1050
CHARLOTTE 48813
(517) 543-9563
GRAND LEDGE 48837
(517) 626-3100
NURSE MIDWIFE
1076054
SHAREEF, SAMEERAH CNM

1060370
DAWSON, BETTY W NP

Page 173
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Eaton County
OB GYN NURSE PRACTITIONER (CONTINUED)

1076053
ROOT, ELIZABETH A NP
CHARLOTTE 48813
(517) 543-9563
1016412
FERIK, ELIZABETH S DO
GRAND LEDGE 48837
(517) 626-3100
1032652
GIBBS, GRACE A DO
CHARLOTTE 48813
(517) 543-9563
1040998
GIBBS, GRACE A DO
1500 S MAIN ST
EATON RAPIDS 48827
(517) 663-9478
1075157
MCKEEL, DONALD DO
CHARLOTTE 48813
(517) 543-9563
1032655
RUSSELL, SANDRA K DO
CHARLOTTE 48813
(517) 543-9563
OPHTHALMOLOGY
1085385
HSU, ANTHONY DO
GRAND LEDGE 48837
(517) 627-3030
1063851
LEWIS, CRAIG D MD
GRAND LEDGE 48837
(517) 627-3030
1034196
MACKERSIE, DEBORAH L MD
11615 S HARTEL
GRAND LEDGE 48837
(517) 627-3030
1015824
YEOMANS, MATTHEW M MD
GRAND LEDGE 48837
(517) 627-3030
OPTOMETRY
1122044
BENVENUTO, ANGELO OD
5857 W SAGINAW
LANSING 48917
(517) 323-8221
1114531
BOESKOOL, ZACHARY OD
5857 W. SAGINAW
LANSING 48917
(517) 323-8221
1029784
BOOHER, KYLE R OD
136 S MAIN ST
EATON RAPIDS 48827
(517) 663-2020
202072
BRAKE-NORDER, JEANNINE OD
123 LANSING ST
CHARLOTTE 48813
(517) 543-2020
1125254
BROZZO, SARAH OD
5857 W SAGINAW
LANSING 48917
(517) 323-8221
1010312
BURNETT, DAVID OD
GRAND LEDGE 48837
(517) 627-3030
1015832
BURNETT, DAVID OD
124 S COCHRAN
CHARLOTTE 48813
(517) 543-9899
1011461
COMPARONI, LORI L OD
124 S COCHRAN
CHARLOTTE 48813
(517) 543-9899
1000847
DARIN, FREDERICK P OD
123 LANSING ST
CHARLOTTE 48813
(517) 543-2020
1061077
DOHR, ELLEN OD
5403 SAGINAW HWY
LANSING 48917
(517) 886-0222
1064809
GOEMAN, LYNDA OD
1315 LANSING RD
CHARLOTTE 48813
(517) 543-7577
1073832
GRABOWSKI, MARK OD
5857 W SAGINAW
LANSING 48917
(517) 323-8221
1011452
HEMMING, JOHN OD
GRAND LEDGE 48837
(517) 627-3030
1059658
HIBLER, JOSEPH OD
6001 W SAGINAW HWY
LANSING 48917
(517) 886-2888
1055235
HONHOLT, BRUCE OD
5857 W SAGINAW RD
LANSING 48917
(517) 323-8221
1121999
JONCAS, LUC R OD
5857 W SAGINAW
LANSING 48917
(517) 323-8221
1046851
KENNEDY, PAUL OD
5857 W SAGINAW RD
LANSING 48917
(517) 323-8221
1064593
NASH, DANIEL OD
136 S MAIN ST
EATON RAPIDS 48827
(517) 663-2020
1106171
OLMSTEAD, ANGELA OD
123 LANSING ST
CHARLOTTE 48813
(517) 543-2020
202074
OLMSTEAD, DENNIS OD
123 LANSING ST
CHARLOTTE 48813
(517) 543-2020
203456
POPOWITZ, GREGORY OD
5403 W SAGINAW HWY
LANSING 48917
(517) 886-0222
1106057
POWELL, JULIE M OD
GRAND LEDGE 48837
(517) 627-3030
1024538
SCHMITZER, ANDREW OD
11973 SWEETWATER DR STE B
GRAND LEDGE 48837
(517) 622-2020
1009136
SOKOL, GARY OD
GRAND LEDGE 48837
(517) 627-3030
1026582
WILDERN, HARPER OD
123 LANSING ST
CHARLOTTE 48813
(517) 543-2020
1029785
WRUBEL, DANIEL N OD
136 S MAIN ST
EATON RAPIDS 48827
(517) 663-2020
ORTHOPEDIC SURGERY
1046975
COFFEY, KELLY P DO
123 LANSING RD
CHARLOTTE 48813
(517) 333-3777
1046976
HEISEY, MEREDITH C DO
123 LANSING RD
CHARLOTTE 48813
(517) 333-3777
1099063
CHARLOTTE 48813
(517) 337-3777
1123779
PASCOTTO, JEREMY DO
CHARLOTTE 48813
(517) 543-7976

Page 174
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Eaton County

1001061
THIEL, JOHN M DO
CHARLOTTE 48813
(517) 543-7976
PAIN MANAGEMENT
1106169
COHEN, MATTHEW DO
123 LANSING ST STE 3B
CHARLOTTE 48813
(517) 541-5944
1061820
STORM, SENECA A MD
CHARLOTTE 48813
(517) 541-5954
321 E HARRIS ST
CHARLOTTE 48813
(517) 543-1050
1089513
DYME, ZACHARY I MD

1003501
SHAH, BHAVNA R MD
1500 S MAIN ST
EATON RAPIDS 48827
(517) 663-9402
1061820
STORM, SENECA A MD
CHARLOTTE 48813
(517) 541-5954
123 LANSING ST
CHARLOTTE 48813
(517) 543-9500
PLASTIC SURGERY
1109904
CLARKSON, JAMES MD
PODIATRY
1022169
COLBERT, GREGORY DPM
436 W LAWRENCE ST
CHARLOTTE 48813
(517) 543-0505
1022881
GOOSEN, BRIAN S DPM
123 LANSING RD
CHARLOTTE 48813
(517) 543-9500
201749
GOOSEN, BRIAN S DPM
3802 W KALAMAZOO
LANSING 48917
(517) 485-7300
1001503
MEYER, JAY O DPM
912 CENTENNIAL WAY STE 380
LANSING 48917
(517) 321-3668
201752
MORAN, KEVIN M DPM
3802 W KALAMAZOO
LANSING 48917
(517) 485-7300
253141
NISHON, LARRY R DPM
LANSING 48917
(517) 321-3668
1003905
STERLING, HAROLD D JR DPM
11615 HARTEL RD STE 210
GRAND LEDGE 48837
(517) 627-7731
1003371
6452 MILLENIUM DR STE 130
LANSING 48917
(517) 321-1199
PROSTHETICS
1007736
FRONT ROOM UNDERFASHIONS
727 LINCOLN CT
LANSING 48917
(517) 332-3294
1073949
1015 CHARLEVOIX DR
GRAND LEDGE 48837
(517) 627-1670
302 S WAVERLY RD STE 1
LANSING 48917
(517) 321-5900
1033 HEALTHCARE DR
CHARLOTTE 48813
(517) 541-2672
PSYCHIATRY
1116207
D'MELLO, DALE A MD

1037867
BARRY EATON DIST HEALTH DEPT
RHEUMATOLOGY
203005
BEALS, CAROL A MD
4333 ST JOE HWY
LANSING 48917
(517) 321-1525
1075767
CAGNOLI, PATRICIA MD
4333 W ST JOE HWY
LANSING 48917
(517) 321-1525
1117832
DIAZ-ZAMORA, GIANCARLO MD
4333 W ST JOSEPH HWY
LANSING 48917
(517) 321-1525
1016749
THAKUR, NITI MD
123 LANSING ST
CHARLOTTE 48813
(517) 543-9500

1020419
DIMONDALE NURSING CARE CENTER
4000 N MICHIGAN RD
DIMONDALE 48821
(517) 646-6258
1003784
EATON COUNTY HEALTH & REHABILITATION
530 W BEECH ST
CHARLOTTE 48813
(517) 543-2940
1010011
TENDERCARE WEST
731 STARKWEATHER DR
LANSING 48917
(517) 323-9133
731 STARKWEATHER DR
LANSING 48917
(517) 323-9133
916 MALL DR
LANSING 48917
(517) 327-0386
SPEECH THERAPY
1127992
TENDERCARE WEST

1084395
COTRONEO, JOSEPH MD

Page 175
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Eaton County
THORACIC CARDIOVASCULAR SURGERY (CONTINUED)

1084394
DUDA, ANDREW MD
916 MALL DRIVE
LANSING 48917
(517) 327-0386
VASCULAR SURGERY
1085999
ABUSHMAIES, ABEDELKAR MD
916 MALL DR EAST
LANSING 48917
(517) 327-0386
1073918
MADALA, MOHAN MD
GRAND LEDGE 48837
(517) 347-3000
1073916
MADALA, MOHAN MD
321 E HARRIS ST
CHARLOTTE 48813
(517) 347-3000
1073919
MADALA, MOHAN MD
1500 S MAIN ST
EATON RAPIDS 48827
(517) 347-3000
1073921
SHAH, IBRAHIM MD
321 E HARRIS ST
CHARLOTTE 48813
(517) 347-3000
1073923
SHAH, IBRAHIM MD
GRAND LEDGE 48837
(517) 347-3000
1073913
ZACK, PAUL MD
GRAND LEDGE 48837
(517) 347-3000
1073911
ZACK, PAUL MD
321 E HARRIS ST
CHARLOTTE 48813
(517) 347-3000
Emmet County
EMMET COUNTY
1100345
GITCHEL, ANNE-MARIE NP
560 W MITCHELL STE 400
PETOSKEY 49770
(231) 487-2490
1092587
UNDERHILL, KAREN S ANP
2230 E MITCHELL ST
PETOSKEY 49770
(877) 595-1090
1080864
VAUGHN, RENAE NP
PETOSKEY 49770
(231) 487-3390
PETOSKEY 49770
(231) 347-9692

1028180
PLANNED PARENTHOOD OF WEST & NORTHERN MI, INC 1003 SPRING ST
CARDIOLOGY
1036213
CANNON, LOUIS A MD
PETOSKEY 49770
(231) 487-2490
1059563
COLFER, HARRY MD
PETOSKEY 49770
(231) 487-2490
1072346
CORTEVILLE, DAVID C MD
PETOSKEY 49770
(231) 487-2490
1104426
EARL, THOMAS MD
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-3031
1036210
GADOWSKI, GERALD A DO
PETOSKEY 49770
(231) 487-2490
1101722
GOSSETT, LINDA K MD
560 W MITCHELL SUITE 400
PETOSKEY 49770
(231) 487-2490
1036211
LEVANOVICH, PETER MD
PETOSKEY 49770
(231) 487-2490
1036205
MALONEY, PATRICK M MD
PETOSKEY 49770
(231) 487-2490
1036208
MEENGS, WILLIAM L MD
PETOSKEY 49770
(231) 487-2490
1119294
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-2490
1067608
PETOSKEY 49770
(231) 487-2490
1072351
NOLFF, DUANE R PA
PETOSKEY 49770
(231) 487-2490
1036206
OVERTON, NAOMI MD
PETOSKEY 49770
(231) 487-2490
1072352
RICCI, JASON MD
PETOSKEY 49770
(231) 487-2490
1036207
SCHUIL, DUANE W MD
PETOSKEY 49770
(231) 487-2490
1067962
TEKLINSKI, ANDREW H MD
PETOSKEY 49770
(231) 487-2490
DERMATOLOGY
1097266
COTTER, MURRAY A MD
4170 CEDAR BLUFF DR
PETOSKEY 49770
(231) 487-2230
1033239
COTTER, MURRAY A MD
2240 MITCHELL PARK DR
PETOSKEY 49770
(231) 487-2230
1097265
4170 CEDAR BLUFF DR
PETOSKEY 49770
(231) 487-2230
1098679
VAZALES, SHERRI A MD
4170 CEDAR BUFF DR
PETOSKEY 49770
(231) 487-2230
113 HOWARD ST
PETOSKEY 49770
(231) 348-6454
DIETARY MANAGEMENT
1094133
KNUDSON, MELISSA RD

Page 176
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Emmet County
DME - P&O
1079498
ACTIVE BRACE AND LIMB LLC
2780 CHARLEVOIX AVE
PETOSKEY 49770
(231) 487-0998
1037434
AIRWAY OXYGEN INC PETOSKEY
501 W MITCHELL ST
PETOSKEY 49770
(866) 402-2679
1095566
HAND THERAPY DME
4048 CEDAR BLUFF DR
PETOSKEY 49770
(231) 348-4005
1039249
LIFESTYLE OXYGEN
2379 CHARLEVOIX AVE
PETOSKEY 49770
(248) 887-5762
1016385
1415 KILBORN DR
PETOSKEY 49770
(231) 347-5510
1068932
VITALCARE HOME MEDICAL EQUIPMENT
2160 ANDERSON RD STE 140
PETOSKEY 49770
(231) 627-7157

1003294
N MI EMERGENCY PHYSICIANS
416 CONNABLE AVE
PETOSKEY 49770
(231) 439-9230
1035215
NORTHERN MICHIGAN MEDICAL MGT
416 CONNABLE
PETOSKEY 49770
(231) 487-7129
820 ARLINGTON AVE
PETOSKEY 49770
(231) 487-7778

1092782
NORTHERN MICHIGAN HOSPITAL DIALYSIS CTR
ENDOCRINOLOGY
1072318
KANE, LAURIE A MD
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4000
1057061
KANE, LAURIE A MD
560 W MITCHELL ST STE 360
PETOSKEY 49770
(231) 487-6070
GASTROENTEROLOGY
1030487
DOULL, JAMES A MD
560 W MITCHELL ST STE M 40
PETOSKEY 49770
(231) 487-2391
1127053
DOULL, JAMES A MD
560 W MITHCELL STE M 40
PETOSKEY 49770
(231) 487-2391
1037986
HUCK, HEIDI V MD
560 W MITCHELL STE M 40
PETOSKEY 49770
(231) 487-2391
1032214
KOZIARA, FRANK MD
560 W MITCHELL ST STE M 40
PETOSKEY 49770
(231) 487-2391
1127513
TIETJEN, THOMAS MD
267 CREEKSIDE DR STE 200
PETOSKEY 49770
(231) 753-2105
1038342
TIETJEN, THOMAS G MD
560 W MITCHELL ST STE M-40
PETOSKEY 49770
(231) 487-2391
GENERAL SURGERY
1072305
BAKER, RANDAL S MD
416 CONNABLE
PETOSKEY 49770
(231) 487-5700
1006441
BEAUDOIN, JEFFREY B MD
521 MONROE ST
PETOSKEY 49770
(231) 487-1900
1072306
BRADY, RANDALL L PA
820 ARLINGTON AVE
PETOSKEY 49770
(231) 487-5700
1072314
FOOTE, JAMES A MD
820 ARLINGTON AVE
PETOSKEY 49770
(231) 487-5700
1073426
HORTON, ZACHARY A MD
521 MONROE ST
PETOSKEY 49770
(231) 487-1900
1015064
JOHNSON, MICHAEL W MD
101 W MITCHELL ST
PETOSKEY 49770
(231) 487-1000
1072319
KEMMETER, PAUL R MD
820 ARLINGTON AVE
PETOSKEY 49770
(231) 487-5700
1002237
MARKHAM, KEVIN M MD
521 MONROE ST
PETOSKEY 49770
(231) 487-1900
1072323
NAGLE, DEREK T MD
820 ARLINGTON AVE
PETOSKEY 49770
(231) 487-5700
1000803
RYNBRANDT, DAVID J MD
521 MONROE ST
PETOSKEY 49770
(231) 487-1900
1084826
SHARAPOV, ANTON MD
521 MONROE ST
PETOSKEY 49770
(231) 487-1900
2810 CHARLEVOIX AVE STE 104
PETOSKEY 49770
(231) 487-0970
GYNECOLOGY
1016030
HEIDTKE, CLARE MD

1083243
HEAR USA
500 MADISON ST
PETOSKEY 49770
(231) 348-3666
1083242
HEARING LIFE USA INC
2325 SUMMIT PARK DR STE B
PETOSKEY 49770
(231) 347-1800
1096712
3890 CHARLEVOIX RD STE 235
PETOSKEY 49770
(989) 799-6603
1022185
PETOSKEY EAR NOSE AND THROAT SPEC
PETOSKEY 49770
(231) 487-3277
PETOSKEY 49770
(231) 487-3390
1094412
ABDEL-MAKSOUD, AHMED MD

Page 177
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Emmet County

HEMATOLOGY - ONCOLOGY (CONTINUED)
1103828
AMIN, SANGEETA MD
PETOSKEY 49770
(231) 487-3390
1095829
COX, TIMOTHY MD
PETOSKEY 49770
(231) 487-3390
1017264
GALLOWAY, LISA DO
PETOSKEY 49770
(231) 487-3390
1063572
HASSAN, SYED MD
PETOSKEY 49770
(231) 487-3390
1102855
KAMINENI, PADMA MD
PETOSKEY 49770
(231) 487-3390
1058364
KLAMERUS, JUSTIN F MD
PETOSKEY 49770
(231) 487-3390
1012202
SMITH, EDWARD F MD
PETOSKEY 49770
(231) 487-3390
ONE HIGHLAND COTTAGE
PETOSKEY 49770
(231) 627-7157
HOSPICE
1069502
VITALCARE HOSPICE OF LITTLE TRAVERSE BAY
INFECTIOUS DISEASES
1083838
COOKINHAM, SARAH MD
PETOSKEY 49770
(231) 487-3590
1072334
DEN BESTEN, KAREN E MD
PETOSKEY 49770
(231) 487-3590
1019311
SANGEORZAN, JON MD
PETOSKEY 49770
(231) 487-2296
INTERNAL MEDICINE
1107785
CONNOLLY, IRENE MD
PETOSKEY 49770
(231) 487-3390
1125364
COPPOLA, ELENA C DO
PETOSKEY 49770
(231) 487-3390
1072332
WHITE, DAWN K MD
820 ARLINGTON AVE
PETOSKEY 49770
(231) 487-5700
NEPHROLOGY
1102827
AJISE, ALFRED MD
820 ARLINGTON AVE
PETOSKEY 49770
(231) 487-4000
1100546
SHAW, GARY H MD
820 ARLINGTON AVE
PETOSKEY 49770
(231) 487-7303
1008207
SHAW, GARY H MD
PETOSKEY 49770
(231) 487-2100
NEURO SURGERY
1006601
CILLUFFO, JOHN M MD
PETOSKEY 49770
(231) 348-2811
1099614
COLEN, CHAIM MD
PETOSKEY 49770
(231) 487-3182
1118617
GEISLER, FRED H MD
PETOSKEY 49770
(231) 487-3182
1102882
MANON, JACINTO MD
PETOSKEY 49770
(231) 487-3182
1014719
MORRIS, DAVID L MD
515 JEFFERSON ST
PETOSKEY 49770
(231) 348-5622
1090826
RAWSON, R BLAINE MD
1114 CHARLEVOIX AVE
PETOSKEY 49770
(231) 439-9700
1076468
RAWSON, R BLAINE MD
4048 CEDAR BLUFF DR STE B
PETOSKEY 49770
(231) 487-5837
1031855
RAWSON, R BLAINE MD
PETOSKEY 49770
(231) 487-4950
NEUROLOGY
1105487
GIETZEN, ROGER C MD
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4000
1123329
JUOPPERI, NANCY DO
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4000
1096679
LEVY, ROBERT J MD
PETOSKEY 49770
(231) 487-2220
1010430
ROTH, DONALD B MD
PETOSKEY 49770
(231) 487-2220
1125260
SMYTH, PAUL G MD
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4000
1076356
SWEENEY, CHARLENE J MD
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4000
1123330
WASIELEWSKI, PAUL MD
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4000
3434 HARBOR PETOSKEY RD. STE A
HARBOR SPRINGS 49740
(231) 347-6014
1003 SPRING ST
PETOSKEY 49770
(231) 347-9692
NURSE MIDWIFE
1085815
PLUIM, DEBRA CNM
OBSTETRICS
1107623
NEWTON, CHARLES MD

Page 178
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Emmet County
1074033
COCKFIELD, KARA E MD
PETOSKEY 49770
(231) 487-2340
1122123
GRIFFITH, ANNA M MD
1003 SPRING ST
PETOSKEY 49770
(231) 347-9692
1106028
JOHNSON, KENDRA DO
PETOSKEY 49770
(231) 487-2340
1015267
RIDER, EVE M DO
PETOSKEY 49770
(231) 487-2260
1074735
SYPNIEWSKI, JOSEPH P DO
PETOSKEY 49770
(231) 487-2260
1119174
VERBURG, DANIEL J MD
1003 SPRING ST
PETOSKEY 49770
(231) 347-9692
1078374
PETOSKEY 49770
(231) 753-2105
1015749
WILCOX, TIMOTHY R MD
PETOSKEY 49770
(231) 487-2260
1007599
WILDER, JEFFREY MD
PETOSKEY 49770
(231) 487-2340
ONCOLOGY
1005980
BOLMER, AMY DO
PETOSKEY 49770
(231) 487-3390
1090807
HIRE, ERVIN A MD
PETOSKEY 49770
(231) 487-3390
1091106
RAFI, MUHAMMAD MD
PETOSKEY 49770
(231) 487-3390
1094353
URBANSKI, DAVID M MD
PETOSKEY 49770
(231) 487-3390
1091969
VEMURI, RADHAKRISHNA MD
PETOSKEY 49770
(231) 487-3390
OPHTHALMOLOGY
1071902
CAMPBELL, VERN J MD
932 SPRING ST STE 101
PETOSKEY 49770
(231) 487-5315
1089740
COVERT, DOUGLAS J MD
1301 US 131 S
PETOSKEY 49770
(231) 439-9230
1107771
LIU, JUDY C MD
1301 US 131 S
PETOSKEY 49770
(231) 439-9230
1104861
MADION, MATTHEW MD
2061 M119
PETOSKEY 49770
(231) 487-2020
1101789
MCMANUS, JOHN R MD
2061 M 119
PETOSKEY 49770
(231) 487-2020
1089744
OH, KEAN T MD
1301 US 131 S
PETOSKEY 49770
(231) 439-9230
1104849
SNEED, PETER J MD
2061 M119
PETOSKEY 49770
(231) 487-2020
1089736
SNEED, SCOTT R MD
1301 US 1315
PETOSKEY 49770
(231) 439-9230
1104860
THUENTE, DANIEL MD
2061 M119
PETOSKEY 49770
(231) 487-2020
1104856
VONKULAJTA, PETRA MD
2061 M119
PETOSKEY 49770
(231) 487-2020
1104845
2061 M119
PETOSKEY 49770
(231) 487-2020
OPTOMETRY
1104866
ABBOTT, RICHARD OD
2061 M119
PETOSKEY 49770
(231) 487-2020
1041074
ENGELMAN, MAX OD
PETOSKEY 49770
(231) 439-3937
1093410
HUFFORD, STEVEN OD
PETOSKEY 49770
(231) 582-9933
1104867
LINTZ, JENNIFER A OD
2061 M119
PETOSKEY 49770
(231) 487-2020
1036865
O'BRYAN, DENNIS OD
8422 M119 HARBOR PLAZA
(231) 348-1255
1104863
SKRZYPCZAK, CLAY G OD
2061 M119
PETOSKEY 49770
(231) 487-2020
1038710
GALLO, WILLIAM J DDS
322 BAY ST STE 2
PETOSKEY 49770
(231) 347-1601
1034456
OSETEK, JAMES J DMD
322 BAY ST STE 2
PETOSKEY 49770
(231) 347-1601
ORTHOPEDIC SURGERY
1089252
HANCE, JOSEPH W MD
4048 CEDAR BLUF DR
PETOSKEY 49770
(231) 347-5155
1096149
MCMURRAY, MARK R MD
4048 CEDAR BLUF DR
PETOSKEY 49770
(231) 347-5155
1089251
NEMEC, SCOTT A DO
4048 CEDAR BLUF DR
PETOSKEY 49770
(231) 347-5155
1095508
RONQUIST, RONALD MD
4048 CEDAR BLUFF DR STE 1
PETOSKEY 49770
(231) 347-5155
1096228
WILCOX, DANIEL K MD
4048 CEDAR BLUF DR
PETOSKEY 49770
(231) 347-5155

Page 179
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Emmet County

1086957
4048 CEDAR BLUF DR
PETOSKEY 49770
(231) 347-5155
1086864
4048 CEDAR BLUF DR
PETOSKEY 49770
(231) 347-5155

1020529
GIETZEN, KEVIN L DO
PETOSKEY 49770
(231) 487-3277
1071184
SLATER, JAMES J DO
2611 CHARLEVOIX AVE
PETOSKEY 49770
(231) 348-5900
1074584
SNYDER, ERIC R MD
PETOSKEY 49770
(231) 487-3277
1075373
PETOSKEY 49770
(231) 487-3277
1075493
SPOONER, THOMAS R MD
PETOSKEY 49770
(231) 487-3277
1082889
DICK, MACDONALD II MD
PETOSKEY 49770
(231) 487-2490
1100374
NORRIS, MARK MD
560 W MITCHELL STE. 400
PETOSKEY 49770
(231) 487-2490
1072355
WEBB, CATHERINE MD
PETOSKEY 49770
(231) 487-2490
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4000
172 PARK ST
PELLSTON 49769
(231) 539-8550
PEDIATRIC - NEUROSURGERY
1072310
DEROOS, STEVEN T MD
PEDIATRICS
1070401
MEYERSON, JOSHUA MD

1006423
GAST, DAVID MD
416 CONNABLE AVE
PETOSKEY 49770
(800) 248-6777
1125575
KARO, KATHERINE DO
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4000
1122448
KARO, KATHERINE DO
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4000
1021896
KLOOSTER, GERALD DO
2780 CHARLEVOIX STE 19
PETOSKEY 49770
(231) 347-9800
1123691
REDD, DEIDRE D MD
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4000
1034567
ROSE, KEITH D MD
3916 CHARLEVOIX AVE STE B
PETOSKEY 49770
(231) 348-1995
1123800
VISSER, BRYAN D MD
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4000
560 MITCHELL STE 360
PETOSKEY 49770
(231) 487-6070
PLASTIC SURGERY
1091654
KANE, WILLIAM J MD
PODIATRY
1075091
HUNTER, DAVID DPM
PETOSKEY 49770
(231) 347-3440
1070549
PETOSKEY 49770
(231) 347-3440
1076481
750 E MAIN ST
(231) 347-3440
PROSTHETICS
1079498
2780 CHARLEVOIX AVE
PETOSKEY 49770
(231) 487-0998
1016385
1415 KILBORN DR
PETOSKEY 49770
(231) 347-5510
7700 S US-31
ALANSON 49706
(231) 548-1333

1072088
LITTLE TRAVERSE PRIMARY CARE
PULMONOLOGY
1003047
GRIFFIN, DWAYNE M DO
PETOSKEY 49770
(231) 487-2100
1034570
KNITTER, DAVID S MD
PETOSKEY 49770
(231) 487-2100
1067989
MCDONNELL, DANIEL E MD
PETOSKEY 49770
(231) 487-2100
1036840
WASHINGTON, JEFFREY B MD
PETOSKEY 49770
(231) 487-2100

Page 180
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Emmet County

RADIATION ONCOLOGY
1093613
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4209
1093612
BOIKE, THOMAS P MD
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4209
1093610
BROWN, DOUGLAS M MD
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4209
1093615
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4209
1093614
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4209
1093611
PRUST, ROBERT M MD
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4209
RHEUMATOLOGY
1004296
HUEBNER, CHARLES J MD
PETOSKEY 49770
(231) 487-2150
1014249
KAZMERS, IRENE S MD
PETOSKEY 49770
(231) 487-2150
750 EAST MAIN ST
(231) 526-2161
2230 E MITCHELL ST STE A
PETOSKEY 49770
(877) 595-1090
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-7778

1096171
BAY BLUFFS-EMMET COUNTY MEDICAL CARE FACILITY
SLEEP STUDIES
1075732
MAMEDOV, OKTAI MD
SPEECH THERAPY
1092086
NORTHERN MICHIGAN HOSP PHYSICAL THERAPY

1072302
AKINS, CHRIS MD
PETOSKEY 49770
(231) 487-4950
1072330
TALBOTT, JOHN D DO
560 W MITHCHELL STE 125
PETOSKEY 49770
(231) 487-4950
UROLOGY
1006589
HOWARD, JAMES M MD
405 N DIVISION RD STE 2
PETOSKEY 49770
(231) 487-2270
1092190
409 N DIVISION STE 2
PETOSKEY 49770
(231) 487-2270
1067253
TOPLEY, HOWARD M MD
405 N DIVISION RD STE 2
PETOSKEY 49770
(231) 487-2270
521 MONROE ST
PETOSKEY 49770
(231) 487-1900
VASCULAR SURGERY
1004778
KAZMERS, ANDRIS MD
GENESEE COUNTY
Genesee County

1028408
5710 CLIO RD
FLINT 48504
(810) 787-4445
1007489
SAEED, ELMAHDI M MD
ONE HURLEY PLAZA
FLINT 48502
(810) 257-9953
1165 S LINDED RD
FLINT 48532
(810) 732-5400

1104190
CARR, STACEY J CNP

1015312
ABDELJABER, MUTEE H MD
8382 HOLLY RD STE 2
GRAND BLANC 48439
(989) 672-0092
1007861
ANNE, SURESH MD
TWO HURLEY PLAZA STE 109
FLINT 48503
(810) 262-7300
204026
ANNE, SURESH MD
5155 NORKO DR
FLINT 48507
(810) 720-6700
1010844
BOTTA, RAO S MD
FLINT 48503
(810) 262-7300
1008983
BOTTA, RAO S MD
5155 NORKO DR
FLINT 48507
(810) 720-6700
204111
ELAMROUSY-HASSAN, FIKRIA B MD
1146 S LINDEN RD
FLINT 48532
(810) 733-1550
204110
HASSAN, SHAWKY A MD
1146 S LINDEN RD
FLINT 48532
(810) 733-1550
204031
TANHEHCO, PACITA MD
5155 NORKO DR
FLINT 48507
(810) 720-6700

Page 181
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
AMBULANCE
1010962
PATRIOT AMBULANCE SERVICE
5189 COMMERCE RD
FLINT 48507
(810) 742-5391
1090720
PROFESSIONAL MED TRANSPORTATION SERVICES
2707 E COURT ST
FLINT 48503
(810) 412-0535
1000144
REGIONAL EMS
G 3082 N CENTER RD
FLINT 48506
(800) 549-2944

253101
PLANNED PARENTHOOD OF E CENT MI INC
G 1235 S CENTER UNIT 17
BURTON 48509
(810) 743-4490
1086727
PLANNED PARENTHOOD OF MID AND SOUTH
G1235 S CENTER RD UNIT 17
BURTON 48509
(810) 743-4490
1077802
PLANNED PARENTHOOD OF MID AND SOUTH MI
G3371 BEECHER RD
FLINT 48532
(810) 238-3631
1097537
HASSAN, MUSTAFA MD
401 BALLENGER HWY
FLINT 48532
(810) 342-2200
1033523
LIEBERMAN, RANDY MD
ONE HURLEY PLAZA STE 4A
FLINT 48503
(313) 993-2557
CARDIOLOGY
1065740
ABED, MADAR MD
5084 VILLA LINDE PKWY STE 6
FLINT 48532
(810) 600-3399
1017281
AHMED, SYED I MD
ONE HURLEY PLAZA
FLINT 48502
(810) 257-9283
1005649
AHMED, SYED I MD
FLINT 48503
(810) 262-7300
1011346
AHMED, SYED I MD
5100 GATEWAY CENTRE DRIVE
FLINT 48507
(810) 733-6480
1062222
ALAWWA, ABDUL K MD
8273 SOUTH SAGINAW STE D
GRAND BLANC 48439
(810) 606-0656
1020859
ALAWWA, ABDUL K MD
2222 S LINDEN RD STE A
FLINT 48532
(810) 733-0790
1127142
ALKIEK, ARDWAN MD
5097 MILLER RD
FLINT 48507
(810) 877-7130
1051588
ALKOTOB, MOHAMMAD L MD
FLINT 48532
(810) 600-3399
1039072
AMLANI, MOHAMADALI H MD
1165 S LINDEN RD
FLINT 48532
(810) 733-1453
1006492
AMLANI, MOHAMADALI H MD
FLINT 48503
(810) 262-7300
1022271
BRILL, DAVID A MD
FLINT 48532
(810) 733-0790
1011431
CHAMBERS, JAMES L DO
FLINT 48507
(810) 733-6480
1095264
CLEARY, ROBERT JR MD
401 S BALLENGER HWY
FLINT 48532
(810) 342-2000
1094975
CLEARY, ROBERT M MD
FLINT 48532
(810) 733-0790
1127074
DAVIS, THOMAS MD
401 S BALLENGER HWY
FLINT 48532
(810) 342-2590
1037286
DAWSON, GAIL MD
3399 POLLOCK RD
GRAND BLANC 48439
(810) 603-0170
1011439
DENARDO, SAMUEL R MD
FLINT 48507
(810) 733-6480
1012675
DOBIES, DAVID MD
3399 POLLOCK RD
GRAND BLANC 48439
(810) 603-0170
1018107
DUTHINH, VUONG MD
3399 POLLOCK RD
GRAND BLANC 48439
(810) 603-0170
1098371
EBINGER, MATTHEW DO
3399 POLLOCK RD
GRAND BLANC 48439
(810) 603-0170
1011674
ELIAN, SAMIR A MD
FLINT 48532
(810) 720-3891
1010846
ELIAN, SAMIR A MD
FLINT 48503
(810) 262-7300
1010990
ELIAN, SAMIR A MD
4455 TOWN CENTER PKWY STE A
FLINT 48532
(810) 720-3370
1024572
ELIAN, SAMIR A MD
4455 TOWN CENTER PKWY STE B
FLINT 48532
(810) 720-3369
1127273
ELIAN, SAMIR A MD
4272 W VIENNA RD
CLIO 48420
(810) 720-3370
1022272
HARRIS, JEFFREY L DO
FLINT 48532
(810) 733-0790
1011360
HASNIE, ABDUL M MD
FLINT 48507
(810) 733-6480
1074629
HASNIE, ABDUL M MD
401 S BALLENGER HWY
FLINT 48532
(810) 342-2000
1005648
HASNIE, ABDUL M MD
FLINT 48503
(810) 262-7300
1124861
HENNIG, RICHARD W DO
401 S BALLENGER HWY
FLINT 48532
(810) 342-2000
1000346
HENNIG, RICHARD W DO
1386 S LINDEN RD
FLINT 48532
(810) 720-7167
1116672
ILG, KARL J MD
3399 POLLOCK RD
GRAND BLANC 48439
(810) 603-0170
1062407
JAWAD, IBRAHIM MD
8273 S SAGINAW ST STE D
GRAND BLANC 48439
(810) 606-0656

Page 182
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
1124860
KASHLAN, OMAR R MD
401 S BALLENGER HWY
FLINT 48532
(810) 342-2000
1122045
KASHLAN, OMAR R MD
FLINT 48532
(810) 733-0790
1010311
KURE, JAMES E MD
3399 POLLOCK RD
GRAND BLANC 48439
(810) 603-0170
1001403
LAFIA, PAUL MD
3399 POLLOCK RD
GRAND BLANC 48439
(810) 603-0170
1079080
MCCLURE, JOHN II MD
2370 S LINDEN RD STE 300B
FLINT 48532
(810) 230-9833
1089834
MCCLURE, JOHN II MD
2370 S LINDEN RD STE 300
FLINT 48532
(989) 399-8380
1006329
MISRA, RAMESH MD
3399 POLLOCK RD
GRAND BLANC 48439
(810) 603-0170
1109774
MUNIR, AHMAD MD
FLINT 48532
(810) 733-1453
1124862
MUNIR, AHMAD MD
401 S BALLENGER HWY
FLINT 48532
(810) 342-2000
1086396
NOUNOU, MAJED MD
2342 STONEBRIDGE DR BLDG H
FLINT 48532
(810) 664-4531
1102298
NOUNOU, MAJED MD
401 S BALLENGER HWY
FLINT 48532
(810) 664-4531
1016358
PREDETEANU, GEORGE S MD
FLINT 48507
(810) 733-6480
1039073
RAJ, ETHIRAJ G MD
1165 S LINDEN RD
FLINT 48532
(810) 733-1453
1072844
RANESES, RAMON C MD
3399 POLLOCK RD
GRAND BLANC 48439
(810) 603-0170
1026109
RIVERA, WILFREDO MD
2335 S LINDEN RD
FLINT 48532
(810) 720-2400
1002172
WEBER, GARY DO
3399 POLLOCK RD
GRAND BLANC 48439
(810) 603-0170
1074213
CHANGEZI, HAMEEM MD
FLINT 48532
(810) 600-3399
1078978
ISSAWI, IMAD MD
401 S BALLENGER HWY
FLINT 48532
(810) 342-2000
1073816
ISSAWI, IMAD MD
FLINT 48532
(810) 600-3399
1105923
PHILLIPS, CHERI R MD
5151 GATEWAY CTR STE 400
FLINT 48507
(810) 232-3363
1105925
G5020 W BRISTOL RD
FLINT 48507
(810) 732-1620
1105926
G5202 MILLER RD
FLINT 48507
(810) 600-0560

1003991
MATTINGLY, MARK MD
G-4007 W COURT ST STE E
FLINT 48532
(810) 732-0908
1004889
TOOTLA, AMOD S MD
3605 GENESYS PKWY
GRAND BLANC 48439
(810) 606-7150
1004361
TOOTLA, FAROUK S MD
3605 GENESYS PKWY
GRAND BLANC 48439
(810) 606-7150
KLEIN, ALAN DDS
7227 FENTON RD
GRAND BLANC 48439
(810) 694-2770
DENTAL
1101698
DERMATOLOGY
1118821
BARASH, HELEN DO
305 N LEROY
FENTON 48430
(810) 629-9200
1032122
BARKEY, WALTER MD
2256 W HILL RD
FLINT 48507
(810) 249-7546
1065054
BUATTI, CHRISTOFER DO
305 N LEROY
FENTON 48430
(810) 629-9200
1073818
CETNER, AARON S MD
2256 W HILL RD
FLINT 48507
(810) 249-7546
1085529
LEGACY, MICHELLE DO
305 N LEROY ST
FENTON 48430
(810) 629-9200
1019272
SEIGER, ERIC S DO
305 N LEROY ST
FENTON 48430
(810) 629-9200
1056192
SODERSTROM, ROBERT MD
G 5131 W BRISTOL RD STE A
FLINT 48507
(810) 733-2090
8245 HOLLY RD STE 101
GRAND BLANC 48439
(810) 606-7500
12745 S SAGINAW RD STE 806-177
GRAND BLANC 48439
(810) 923-5600
DERMATOPATHOLOGY
252738
SILVERTON, KIMBALL W DO
DIETARY MANAGEMENT
1126536
RENU NUTRITION CONSULTANTS

Page 183
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
DME - P&O
1105454
1515 CAL DR
DAVISON 48423
(810) 496-8580
1105461
3033 GRAND BLANC RD
GRAND BLANC 48439
(810) 953-0760
1105464
8220 S SAGINAW RD STE 1000
GRAND BLANC 48439
(810) 694-4391
1105463
1000 HEALTHPARK BLVD
GRAND BLANC 48439
(810) 603-8900
1105458
2284-1 S BALLENGER HWY STE G
FLINT 48503
(810) 233-4900
1105459
401 S BALLENGER HWY
FLINT 48532
(810) 342-2880
1028670
HART REHAB SPECIALISTS
3033 GRAND BLANC RD
GRAND BLANC 48439
(866) 922-4278
1097961
HEALTH CARE SOLUTIONS AT HOME INC
8200 EMBURY RD STE 1B
GRAND BLANC 48439
(810) 603-0885
1004072
HURLEY BINSONS MED EQUIP
G-4433 MILLER RD
FLINT 48507
(810) 733-0280
1016106
HURLEY/BINSONS MED EQUIP-BALLENGER
G 1210 N BALLENGER HWY
FLINT 48504
(810) 235-1981
1015877
HURLEY/BINSONS MED EQUIP-DAVISON
9171 LAPEER RD STE 200
DAVISON 48423
(810) 653-9188
1039252
LIFESTYLE OXYGEN
1501 S CENTER BLDG B
BURTON 48509
(248) 887-5762
1055413
MEDOX INC
2237 S LINDEN RD
FLINT 48532
(810) 610-2331
1079184
MICHIGAN VASCULAR CENTER
G-5020 W BRISTOL RD
FLINT 48507
(810) 732-1620
1023806
NEEL ENTERPRISES
1431 N LEROY ST
FENTON 48430
(810) 750-6511
1026022
G 4180 PIER NORTH DR STE D
FLINT 48504
(810) 732-8305
1089649
UNION PRESCRIPTION CENTER AND MEDICAL SUPPLY
11830 N SAGINAW ST
MOUNT MORRIS 48458
(810) 686-2900
1001305
WILLIAMS ORTHOTIC SERVICES INC
G 4466 W BRISTOL RD
FLINT 48507
(810) 230-9400
1025594
G1101 N BALLENGER HWY
FLINT 48504
(810) 234-6582

1001789
AGABIGUM, MEHMET C MD
5040 VILLA LINDE PKWY STE A
FLINT 48532
(810) 732-4250
1104217
CHMIELEWSKA, MONIKA DO
3455 REGENCY PARK DR
GRAND BLANC 48439
(810) 694-0600
204039
MARCHETTA, STEVEN DO
GRAND BLANC 48439
(810) 694-0600
1009139
MUKKAMALA, SRINIVAS B MD
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9953
253232
MUKKAMALA, SRINIVAS B MD
1170 CHARTER DR STE F
FLINT 48532
(810) 244-8400
1037830
RESCHAK, STEVEN C DO
GRAND BLANC 48439
(810) 694-0600
204040
ROBBINS, WAYNE K DO
GRAND BLANC 48439
(810) 694-0600
1058311
SHUKAIRY, KHALED M MD
1501 S CENTER RD BLDG B
BURTON 48509
(810) 742-0225

1097561
EMERGENCY DEPT PHYSICIANS PC
401 S BALLENGER HWY ER
FLINT 48532
(810) 342-2308
1003097
HURLEY EMERGENCY PHYSICIANS
ONE HURLEY PLAZA
FLINT 48503
(810) 262-2720
1006436
MCLAREN EMERGENCY PHYSICIANS
401 S BALLENGER HWY
FLINT 48532
(586) 286-2600

1003256
GENESEE VALLEY DIALYSIS CENTER
2222 S LINDEN RD STE S
FLINT 48532
(810) 733-2283
1101342
RRC HOME
2031 FAIRWAY DR
DAVISON 48423
(810) 654-0138
1060345
RRC WEST FLINT
G4007 CORUNNA RD
FLINT 48532
(810) 877-6582
ENDOCRINOLOGY
1008999
BAKLEH, MUHAMMAD A MD
5040 VILLA LINDE PKWY
FLINT 48532
(810) 230-0788
204062
DLEWATI, ABDALLAH MD
FLINT 48532
(810) 230-0788
216256
HAMMOUD, JAMAL MD
FLINT 48532
(810) 230-0788
1074223
THAWANI, HEMANT T MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-7300
1016833
G 9450 S SAGINAW ST STE G
GRAND BLANC 48439
(810) 603-9391
1002440
FLINT 48503
(810) 762-7300
1103974
TOMYCZ, NESTOR MD
2900 N SAGINAW ST
FLINT 48505
(810) 789-9141

Page 184
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
ENDOCRINOLOGY (CONTINUED)
1006917
TOMYCZ, NESTOR B MD
FLINT 48532
(810) 230-0788
3249 S LINDEN RD
FLINT 48507
(810) 720-1300
EYEWARE SUPPLIER
1120813
AFFORDABLE EYE WEAR
GASTROENTEROLOGY
1008747
AL-MIDANI, MUHAMMAD H MD
1200 S LINDEN RD
FLINT 48532
(810) 732-6385
212241
AL-MIDANI, MUHAMMAD H MD
4050 WALLI STRASSE DR STE 1
BURTON 48509
(810) 743-0680
1001605
ALMOUNAJED, GHANEM MD
5059 VILLA LINDE STE 28
FLINT 48532
(810) 720-7600
1022110
9460 S SAGINAW STE B
GRAND BLANC 48439
(810) 603-0120
1071520
ALNOUNOU, MUSTAFA MD
8359 OFFICE PARK DR
GRAND BLANC 48439
(810) 720-1600
204003
DESAI, DILIP M MD
6240 RASHELLE STE 201
FLINT 48507
(810) 600-2888
1036735
DESAI, DILIP M MD
6240 RASHELLE DR
FLINT 48507
(810) 600-2888
1002402
DESAI, DILIP M MD
ONE HURLEY PLAZA
FLINT 48503
(810) 257-9000
204002
GANATRA, BALVANT K MD
5154 MILLER RD STE A & B
FLINT 48532
(810) 733-3570
204048
KAUSHAL, SUNIL MD
1100 S LINDEN RD STE B
FLINT 48532
(810) 733-3194
1017117
KORTE, DEREK DO
600 HEALTH PARK BLVD STE D
GRAND BLANC 48439
(810) 603-8400
1070372
LANDESMAN, NATHAN DO
GRAND BLANC 48439
(810) 603-8400
253228
MACKSOOD, JOHN DO
GRAND BLANC 48439
(810) 603-8400
1001635
MANNAM, SREENIVAS MD
1345 WILLOWDALE CT STE A
FLINT 48532
(810) 720-5130
1022120
MILLER, JUSTIN DO
GRAND BLANC 48439
(810) 603-8400
1085400
MINAUDO, MARK J DO
600 HEALTH PARK BLVD
GRAND BLANC 48439
(810) 603-8440
253313
NEUMANN, MICHAEL DO
GRAND BLANC 48439
(810) 603-8400
1026782
SALIMI, RABBI MD
6240 RASHELLE DR STE 101
FLINT 48507
(810) 600-2808
210701
SALIMI, RABBI MD
6240 RASHELLE DR STE 204
FLINT 48507
(810) 733-8350
253314
SMITH, RICHARD DO
GRAND BLANC 48439
(810) 603-8400
1122440
TABBAH, MOHAMMAD MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1121193
TABBAH, MOHAMMAD MD
G1125 S LINDEN RD STE 500
FLINT 48532
(810) 262-6141
1123679
THIGPIN, DEREK DO
GRAND BLANC 48439
(810) 603-8400
GENERAL SURGERY
1085426
ALMAROOF, BABTUNDE MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1122443
BERBIGLIA, LINDSAY DO
3500 CALKINS RD STE A
FLINT 48532
(810) 230-9600
1033573
CARR, JOHN A MD
FLINT 48503
(810) 262-7300
1033572
CARR, JOHN A MD
ONE HURLEY PLAZA 7B TRAUMA SERVICES
FLINT 48503
(810) 262-9355
1119415
CASIMIR, FITZGERALD J MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1001195
DABIDEEN, HARRIS MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1103180
DABIDEEN, HARRIS MD
1020 CHARTER DR STE A
FLINT 48532
(810) 239-8051
1011135
DOAN, KIET A DO
8384 HOLLY ROAD STE 1
GRAND BLANC 48439
(810) 733-8400
1118292
FARBER, MITCHELL MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1031632
FARES, ZOUHEIR DO
8384 HOLLY RD STE 1
GRAND BLANC 48439
(810) 733-8400
1024856
FARHAN, JAMAL D MD
2700 N ROBERT T LONGWAY BLVD STE H
FLINT 48503
(810) 235-1746
1071023
GAFFORD, PHILIP MD
401 S BALLENGER HWY
FLINT 48532
(810) 342-2000
1106789
GAGLIARDI, RAYMOND J MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-6341
1119585
GENTILELLO, LARRY M MD
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9355
1064173
GOLD, LINSEY DO
2486 NERREDIA ST STE A
FLINT 48532
(810) 720-9900
1123853
GONZALEZ, ERNEST MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9355

Page 185
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County

1075307
GONZALEZ, RAQUEL MD
FLINT 48532
(810) 262-2140
1125484
GREGORY, JAMES S MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9355
1121963
HERLITZ, GEORG MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9355
1119581
HILL, CAREY S MD
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9355
1058863
IDDINGS, DOUGLAS DO
302 KENSINGTON AVE
FLINT 48503
(810) 762-8092
1118734
IDDINGS, DOUGLAS DO
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1004316
JONDY, ABDELMAJID I MD
2700 ROBERT T LONGWAY BLVD STE H
FLINT 48503
(810) 235-1746
1002547
KANG, OK K MD
GRAND BLANC 48439
(810) 579-2600
1026558
KIA, MICHAEL DO
G 4007 W COURT ST STE E
FLINT 48532
(810) 732-0908
1068194
KRAATZ, JAMES J MD
ONE HURLEY PLAZA 7W
FLINT 48503
(810) 262-9355
1072837
KRANER, THOMAS MD
ONE HURLEY PLAZA 7W
FLINT 48503
(810) 262-9952
1085371
MARGNI, MOHAMMED MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9355
1126790
MARKOWSKI, HELEN MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9355
1003991
MATTINGLY, MARK MD
G-4007 W COURT ST STE E
FLINT 48532
(810) 732-0908
1104875
MAZLOUM, HUSSEIN MD
8382 HOLLY RD STE 2
GRAND BLANC 48439
(810) 603-7462
1045055
MAZLOUM, HUSSEIN MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1085370
MCCANN, MICHAEL DO
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9355
1125291
MERCER, LEO DO
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9355
1001825
MIKHAIL, RAOUF A MD
FLINT 48504
(810) 238-1118
1103997
MISSAVAGE, ANNE E MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9953
253104
MUELLER, MICHAEL J MD
G-3286 BEECHER RD
FLINT 48532
(810) 733-9760
1121815
NAHOURAII, RICHARD MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9355
1097084
NGUYEN, KHANGY DO
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9355
1001170
OHM, DONG WHA MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1060333
OHM, DONG WHA MD
FLINT 48532
(810) 262-2008
1092900
QUIROGA, MARTIN DO
8382 HOLLY RD
GRAND BLANC 48439
(810) 766-9561
203989
SAHA, SUKAMAL MD
3500 CALKINS RD STE A
FLINT 48532
(810) 230-9600
1127251
SCHOLTEN, DONALD MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-7300
1032511
SHAH, JAWAD MD
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9000
1121503
TODD, MICHAEL MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9355
1035025
WAGNER, JAMES W MD
2700 ROBERT T LONGWAY STE H
FLINT 48503
(810) 235-1746
1035023
WAGNER, JAMES W MD
7B TRAUMA SERVICES
FLINT 48503
(810) 762-7300
1035024
WAGNER, JAMES W MD
GROUND NORTH
FLINT 48503
(810) 257-9191
253113
WASFIE, TARIK J MD
1127 VILLA LINDE CT STE 41
FLINT 48532
(810) 720-2710
1093680
WASFIE, TARIK J MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1007216
WEASE, GARY L MD
G 3286 BEECHER RD
FLINT 48532
(810) 733-9760
1122223
WILSON, KENNETH MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9355
GERIATRICS
1002404
BACHUWA, GHASSAN I MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-7300
1002457
ISHAQUE, ASIF MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1009210
NAIK, PURUSHOTTAM N MD
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9953
GYN ONCOLOGY
1022803
BOIKE, GUY M MD
FLINT 48503
(810) 262-7300
1124851
HANNA, RABBIE MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9751
1007659
MEWADA, MANILAL O MD
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9953

Page 186
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
GYN ONCOLOGY (CONTINUED)

1001824
MEWADA, MANILAL O MD
4001 WALLI STRASSE DR STE C
BURTON 48509
(810) 743-5400
1117701
MORRIS, ROBERT T MD
FLINT 48532
(810) 342-1700
1124852
RASOOL, NABILA MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9751
1117703
SEWARD, SHELLY M MD
FLINT 48532
(810) 342-1700
1117702
SOLOMON, LEIGH A MD
FLINT 48532
(810) 342-1700
FLINT 48503
(810) 257-9714
GYNECOLOGY
1002515
ASHRAF, MOHAMMAD MD
HAND SURGERY
1039697
DASS, A GEORGE MD
4282 W VIENNA RD
CLIO 48420
(810) 564-2400
1077765
DASS, A GEORGE MD
17015 SILVER PARKWAY
FENTON 48430
(810) 593-0023
1026817
DASS, A GEORGE MD
1537 E HILL RD STE 400
GRAND BLANC 48439
(810) 603-1100

1065861
3413 S LINDEN RD
FLINT 48507
(810) 733-5300
1083215
HEAR USA
3027 E HILL RD
GRAND BLANC 48439
(810) 953-2900
1083196
HEAR USA
1501 S CENTER RD
BURTON 48509
(810) 743-8470
1083209
HEAR USA
6429 W PIERSON RD STE 14
FLUSHING 48433
(810) 605-0308
1083210
HEAR USA
G 4369 MILLER RD
FLINT 48507
(810) 733-1385
1083211
HOZERS HEARING CLINIC
3192 S LINDEN RD
FLINT 48507
(888) 784-3274
1125561
MIRACLE EAR
18010 SILVER PKWY
FENTON 48430
(810) 750-2626
1096709
3292 S LINDEN RD STE F
FLINT 48507
(989) 799-6603
1083197
PROFESSIONAL HEARING CLINIC INC
1235 S CENTER RD STE 7
BURTON 48509
(810) 744-9000
1011622
RIVERFRONT OPTICAL & HEARING
G 4325 MILLER RD
FLINT 48507
(810) 230-9180
1067447
ADAMS, PAUL T MD
ONE HURLEY PLAZA 7W
FLINT 48503
(810) 262-9432
1007859
ADAMS, PAUL T MD
302 KENSINGTON AVE STE B
FLINT 48503
(810) 762-8200
201868
ARORA, MADAN MD
4100 BEECHER RD STE B
FLINT 48532
(810) 235-8568
1000418
BLACK, ROGER L DO
FLINT 48503
(810) 762-8200
253346
DANISH, RIZWAN MD
FLINT 48503
(810) 762-8400
1033593
EILENDER, DAVID MD
FLINT 48532
(810) 235-8568
1009440
FAHRNER, JOYCE R MD
FLINT 48503
(810) 762-8400
1107050
GREWEL, SANDEEP MD
FLINT 48532
(810) 235-8568
1002461
KATATO, KHALIL A MD
FLINT 48503
(810) 762-8200
1003505
KHOULANI, M MONIR MD
FLINT 48532
(810) 720-5440
1037033
NAGPAL, SUNIL MD
4100 BEECHER RD
FLINT 48532
(810) 235-8568
1071580
NAYAK, JAY MD
FLINT 48503
(810) 762-8400
1091711
NAYAK, JAY MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
201869
SINGH, TREVOR MD
FLINT 48532
(810) 235-8568
HOME HEALTH CARE

1103027
ACHIEVE HOME HEALTH CARE
G5245 W PIERSON RD STE 1
FLUSHING 48433
(810) 230-9881
1034111
ADVANCED PROF HOME HEALTH CARE INC
2344 STONEBRIDGE DR
FLINT 48532
(810) 733-2883
1121987
ADVOCATES IN HOME HEALTH CARE PC
9448 DEAN RD
FENTON 48430
(810) 208-7310
1014405
AT HOME NETWORK CARE
1201 FLUSHING RD STE 4
FLINT 48504
(810) 233-7615
1058054
AZ HOME HEALTH CARE
1230 S LINDEN RD
FLINT 48532
(810) 742-7121

Page 187
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
HOME HEALTH CARE (CONTINUED)

1046723
GENESIS TOTAL HEALTHCARE LLC
3089 TRI PARK DR
GRAND BLANC 48439
(810) 742-4353
1095827
GUARDIAN ANGEL HOME CARE INC
FLINT 48532
(810) 732-9488
1096151
HEARTLAND HOME HEALTH CARE FLINT
6211 TAYLOR DR
FLINT 48507
(810) 732-0203
1028929
HELPING HANDS HOME HEALTHCARE
G 8305 S SAGINAW ST
GRAND BLANC 48439
(810) 606-1946
1063419
LOVING HANDS ADULT/SENIOR CARE SERVICES
G4488 W BRISTOL RD STE 210
FLINT 48507
(810) 720-5700
1042184
MAXIM HEALTHCARE SERVICES INC
4488 W BRISTOL RD
FLINT 48507
(810) 732-8087
1011312
1515 CAL DR
DAVISON 48423
(800) 862-3132
1102939
PROFESSIONAL NURSING SERVICES INC
2425 S LINDEN RD STE D-124
FLINT 48532
(810) 877-6460
1106391
REVERENCE HOME HEALTH AND HOSPICE
5445 ALI DR
GRAND BLANC 48439
(888) 246-6322
HOSPICE
1073053
HEART TO HEART HOSPICE OF FLINT LLC
1040 S STATE RD
DAVISON 48423
(810) 412-4477
1020756
1321 LINDEN RD STE B
FLINT 48532
(810) 230-1318
1035173
1515 CAL DR
DAVISON 48423
(810) 496-8855
1011312
1515 CAL DR
DAVISON 48423
(800) 862-3132
1122274
5445 ALI DR
GRAND BLANC 48439
(888) 246-6322
INFECTIOUS DISEASES
1056593
EL MORTADA, MOHAMAD MD
FLINT 48503
(810) 262-7300
1015627
FORSTALL, GREGORY J MD
G-3346 BEECHER RD STE B
FLINT 48532
(810) 720-0639
1002397
HALE, ELIZABETH B MD
FLINT 48503
(810) 262-7300
1002448
HASAN, SAQIB I MD
FLINT 48503
(810) 262-7300
1015537
LO, WILLIAM K MD
G 3317 BEECHER RD
FLINT 48532
(810) 733-3474
1019930
MRMC-WOUND CARE CENTER
G 3200 BEECHER RD STE O2
FLINT 48532
(810) 342-5500
1022748
NAJJAR, MAZEN MD
5031 VILLA LINDE STE 34
FLINT 48532
(810) 230-9717
1024975
NAJJAR, MAZEN MD
2342 STONEBRIDGE DR BLDG H
FLINT 48532
(810) 732-3812
1515 CAL DR
DAVISON 48423
(800) 774-6999
INFUSION SERVICES
1019546
MCLAREN HOME MEDICAL

1010874
HCARE INFUSION SERVICES
G-4433 MILLER RD
FLINT 48507
(810) 733-0280
1072139
RRC DAVISON
2031 FAIRWAY DR
DAVISON 48423
(810) 654-0138
INTERNAL MEDICINE
1078684
ABDELBASIT, NADA MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1089891
ARIF, AHMED MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9953
1127900
ARJA, MOHAMAD MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9191
1087011
ATAYA, HATEM MD
401 S BALLENGER HWY
FLINT 48532
(810) 653-9282
1006949
5710 CLIO RD
FLINT 48504
(810) 787-4445
1095638
DEWEESE, PAUL N MD
FLINT 48532
(810) 410-9021
1064175
EDWARDS-MILLER, MYRIAM MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9353
1004241
EUSTACE, MANOHARAN W MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9953
1123077
FIOR, DEAN DO
9448 DEAN RD
FENTON 48430
(810) 208-7310
1078989
HASHISH, YASEEN MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1076022
JAGGI, FRANZ DO
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9000
1103773
JONDY, ABDELMAJID MD
1020 CHARTER DR STE A
FLINT 48532
(810) 720-0368
1091653
KAATZ, SCOTT S DO
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000

Page 188
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County

1079938
KARAZIM, JOHN MD
2329 STONEBRIDGE DR BLDG E
FLINT 48532
(810) 471-4280
1058283
KATNENI, JITENDRA P MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1076582
MINASIAN, ARAM MD
ONE HURLEY PLAZA
FLINT 48503
(810) 257-9953
1001733
MOHAMED, MOUSA S MD
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9000
1070531
OSMAN-MALIK, YAHYA MOHAMED MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1008992
PANDRANGI, DAMAYANTHI V MD
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9953
1036447
RAIJI, TUSHAR MD
540 SUNNYSIDE DR
FLUSHING 48433
(810) 659-5695
1072175
SAHNI, VAIBHAV MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
252795
SMITH, SUSAN J MD
401 S BALLENGER HWY
FLINT 48532
(810) 342-1000
1091380
SYED, MOHAMMED MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1084868
VEERAPANENI, NARENDRA MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
MATERNAL FETAL MEDICINE

1070298
BORK, MICHAEL DO
ONE HURLEY PLAZA STE C
FLINT 48503
(810) 262-9751
1015412
VETTRAINO, IVANA M MD
ONE HURLEY PLAZA STE 3LOB
FLINT 48503
(810) 262-7077
1084229
VON OEYEN, PAUL MD
ONE HURLEY PLAZA STE 3WB
FLINT 48503
(810) 262-7077
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9353
2370 S LINDEN RD STE 300A
FLINT 48532
(810) 715-9915
MEDICAL SPECIALTY
1091453
HURLEY ASTHMA MANAGEMENT SERVICES
MRI CENTER
1079064
MID MICHIGAN IMAGING SERVICES
NEONATOLOGY
1121155
ALAMY, DANISH MD
ONE HURLEY PLAZA
FLINT 48503
(810) 233-7103
1000536
EPIFANIA ARANAS MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1076780
FLINT NEONATOLOGY
ONE HURLEY PLAZA 3W ROOM 332
FLINT 48503
(810) 232-5355
1076781
NEONATAL CARE SPECIALISTS PC
ONE HURLEY PLAZA NEONATOLOGY
FLINT 48503
(810) 257-9026
1068363
RASHED HASAN MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
NEPHROLOGY
1001680
GREWAL, MANJIT S MD
G 1071 N BALLENGER HWY STE 310
FLINT 48504
(810) 238-4172
1017309
GREWAL, MANJIT S MD
3615 GENESYS PKWY
GRAND BLANC 48439
(810) 606-6955
1030946
HASHISH, YASEEN A MD
FLINT 48504
(810) 238-4172
1030945
2610 GENESYS PKWY
GRAND BLANC 48439
(810) 606-6955
1058285
KUNADI, ARVIND MD
414 PERRY RD
GRAND BLANC 48439
(810) 694-8423
1007800
MIRCHANDANI, JAGDISH C MD
FLINT 48532
(810) 720-0162
1077596
MODAWI, IMAD MD
2387 S LINDEN RD STE
FLINT 48532
(810) 733-1700
1007783
MOHAMMED, ALI MD
FLINT 48504
(810) 238-4172
1016840
MOHAMMED, ALI MD
3615 GENESYS PKWY
GRAND BLANC 48439
(810) 606-6955
1022467
OSAMA, SAYED M MD
2486 NERREDIA DR STE E
FLINT 48532
(810) 230-9901
1064428
OWDA, ALI MD
FLINT 48532
(810) 733-1700
1062914
PALYA, ANIRUDDHA MD
2486 NEREDIA DR STE E
FLINT 48532
(810) 230-9901
1001587
PONZE, SERGIO A MD
FLINT 48504
(810) 238-4172
1016839
PONZE, SERGIO A MD
3615 GENESYS PKWY
GRAND BLANC 48439
(810) 606-6955
1091730
RAMAIYAH, SENTHIL P MD
2486 NERRIDIA DR STE E
FLINT 48532
(810) 230-9901
1025977
RAMANATHAN, SUNDAR MD
FLINT 48532
(810) 720-0162
1123550
SAHNI, VAIBHAV MD
3615 GENESYS PKWY
GRAND BLANC 48439
(810) 606-6955

Page 189
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
1071578
SAHNI, VAIBHAV MD
FLINT 48504
(810) 238-4172
1091040
SATTAR, JOANNA Q MD
6061 N SAGINAW ST
MOUNT MORRIS 48458
(810) 820-3861
1031937
SIERMINSKI, GENEVIEVE M MD
3615 GENESYS PKWY
GRAND BLANC 48439
(810) 606-6955
1007799
ZAKI, NABIL S MD
FLINT 48532
(810) 720-0162
NEURO SURGERY
1082650
ARANGUA, LUIS T MD
401 S BALLENGER HWY STE 3N
FLINT 48532
(810) 342-5700
1091610
EBENEZER, SUDESH J MD
4800 S SAGINAW ST STE 1800
FLINT 48507
(810) 732-8336
1009949
JACKSON, AVERY MD
4620 GENESYS PKWY
GRAND BLANC 48439
(810) 606-7200
1124005
KHAN, SHAH NAZ MD
FLINT 48507
(810) 732-8336
1000520
LOPEZ-NEGRETE, HUGO M MD
G3239 BEECHER RD STE D
FLINT 48532
(810) 733-7560
1075954
LOPEZ-NEGRETE, HUGO M MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9953
1002424
PALAVALI, VIVEKANAND MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1000417
PALAVALI, VIVEKANAND MD
G3239 BEECHER RD
FLINT 48532
(810) 733-7560
1079529
RASSAKAZOFF, SERGE MD
FLINT 48507
(810) 732-8336
1009491
SHAH, JAWAD MD
FLINT 48507
(810) 732-8336
NEUROLOGY
1026665
AHMAD, FAISAL MD
FLINT 48532
(810) 720-1335
1073524
ARANGUA, LUIS TORRES MD
FLINT 48532
(810) 342-5700
1000519
BALLESTEROS, JAIME T MD
G3239 BEECHER RD STE C
FLINT 48532
(810) 732-9222
204240
BHRANY, DEVINDER K MD
FLINT 48532
(810) 732-9222
1062509
BOIKE, WILBUR J MD
GRAND BLANC 48439
(810) 603-2000
1008455
BRODER, SIDNEY MD
4605 GENESYS PKWY
GRAND BLANC 48439
(810) 606-9393
1037567
GREEN, DAVID A DO
G 3230 BEECHER RD STE 1
FLINT 48532
(810) 342-5656
1010847
KADDURAH, AHMAD K MD
8023 S SAGINAW ST
GRAND BLANC 48439
(810) 953-1699
1010221
FLINT 48532
(810) 262-2140
1010222
806 TUURI PL
FLINT 48503
(810) 762-6138
1083584
MAJJHOO, ANIEL Q MD
FLINT 48532
(810) 342-5700
1095751
NARAVETLA, BHARATH REDDY MD
FLINT 48532
(810) 342-2591
1002532
PASUPULETI, DEVAKINANDA V MD
2370 S LINDEN RD
FLINT 48532
(810) 230-7770
1084226
8382 HOLLY RD
GRAND BLANC 48439
(810) 766-9561
1080226
G 3267 BEECHER RD
FLINT 48532
(810) 766-9561
1068417
RAYES, AYMAN MD
GRAND BLANC 48439
(810) 606-0656
1000825
SABBAGH, MOHAMMAD N MD
FLINT 48532
(810) 720-1335
1106255
SBEI, MOUAZ A MD
5082 VILLA LINDE CT
FLINT 48532
(810) 720-1335
1127272
SESI, VERONICA DO
4272 W VIENNA RD
CLIO 48420
(810) 720-3370
1078841
SESI, VERONICA DO
FLINT 48532
(810) 720-3370
1001229
TARAKJI, NAEL M MD
FLINT 48532
(810) 720-1335
1026042
TARAKJI, NAEL M MD
FLINT 48532
(810) 720-3891
1032367
TARAKJI, NAEL M MD
FLINT 48532
(810) 720-3891
1027837
TUMMALA, SUNITA MD
5084 W PIERSON RD
FLINT 48532
(810) 733-5700
1073122
XAVIER, ANDREW R MD
401 S BALENGER HWY STE 3N
FLINT 48532
(810) 342-5700
1015968
ZAHOOR, MOHAMMED I MD
2444 E HILL RD
GRAND BLANC 48439
(810) 695-9270
1068418
GRAND BLANC 48439
(810) 606-0656
1025999
FLINT 48532
(810) 720-3891
1009032
ZIMMERMAN, ERIC DO
FLINT 48532
(810) 732-9222

Page 190
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
NURSE MIDWIFE
1123919
ARRAND, DAWN CNM
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9751
1119942
G 3371 BEECHER RD
FLINT 48532
(810) 238-3631
1119939
G 1235 S CENTER RD UNIT 17
BURTON 48509
(810) 743-4490
1125939
FINK, MARGARET L CNM
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9751
1119925
GLENN, JESSICA CNM
G 3371 BEECHER RD
FLINT 48532
(810) 238-3631
1119922
GLENN, JESSICA CNM
BURTON 48509
(810) 743-4490
1102437
GLENN, LORI CNM
ONE HURLEY PLAZA 3 WEST
FLINT 48503
(810) 262-9751
1104287
GOODCHILD, MARY J CNM
FLINT 48503
(810) 262-9751
1119905
G 1265 S CENTER RD
BURTON 48509
(810) 743-4490
1119908
G 3371 BEECHER RD
FLINT 48532
(810) 238-3631
1127924
KITZMAN, MELISSA CNM
4520 LINDEN CREEK PKWY
FLINT 48507
(810) 733-8200
1104796
KUKLINSKY, JOANNA CNM
FLINT 48503
(810) 262-9751
1119874
G 3371 BEECHER RD
FLINT 48532
(810) 238-3631
1119871
BURTON 48509
(810) 743-4490
1104595
MUIR, MOLLY CNM
FLINT 48503
(810) 262-9751
1106234
PFUNDT, JEANINE CNM
FLINT 48503
(810) 262-9751
1104638
PHILLPOTTS, JEAN L NP
FLINT 48507
(810) 233-7410
1120244
BURTON 48509
(810) 743-4490
1120247
G 3371 BEECHER RD
FLINT 48532
(810) 238-3631
1117284
SCHURR, DANIELLE CNM
4520 LINDEN CREEK PKWY STE F
FLINT 48507
(810) 733-8200
1120261
SCOTT, MELISA N CNM
BURTON 48509
(810) 743-4490
1120264
SCOTT, MELISA N CNM
G 3371 BEECHER RD
FLINT 48532
(810) 238-3631
1120210
BURTON 48509
(810) 743-4490
1120213
G 3371 BEECHER RD
FLINT 48532
(810) 238-3631
1102436
VAUGHN, TANYA CNM
FLINT 48503
(810) 262-9751
1076599
WILLIAMSEN, JODI CNM
FLINT 48503
(810) 262-9751
1079981
AHMAD, SAQIB MD
1230 S LINDEN BLDG 2 STE 3
FLINT 48532
(810) 733-7791
1026918
AHMAD, SAQIB MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9953
1127743
ANDINO, RAUL MD
FLINT 48507
(810) 733-8200
1127744
ANDINO, RAUL MD
201 ADELAIDE ST STE D
FENTON 48430
(810) 733-8200
1091114
ANNAPURNA, VEERAYYAGARI MD
FLINT 48532
(810) 342-1700
1004672
ASHRAF, MOHAMMAD MD
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9953
1089658
BAIG, SABA MD
G3283 BEECHER RD
FLINT 48532
(810) 820-8923
1037739
BAIG, SABA MD
ONE HURLEY PLAZA 3C WEST
FLINT 48503
(810) 262-9751
1119837
BELL, CARRIE MD
BURTON 48509
(810) 743-4490
1119840
BELL, CARRIE MD
G 3371 BEECHER RD
FLINT 48532
(810) 238-3631
1119888
BELL, JASON D MD
BURTON 48509
(810) 743-4490
1119891
BELL, JASON D MD
G 3371 BEECHER RD
FLINT 48532
(810) 238-3631
1116653
BINKLEY, SHELLEY S MD
2487 N ELMS RD
FLUSHING 48433
(810) 487-3500
1101769
1235 S CENTER RD
BURTON 48509
(810) 743-4490
1101784
G3371 BEECHER RD
FLINT 48532
(810) 238-3631
1011935
CHERUKURI, LAVANYA A MD
G-1125 S LINDEN RD STE 900
FLINT 48532
(810) 733-7791
1049091
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1100990
8384 HOLLY RD STE 2
GRAND BLANC 48439
(810) 344-9073

Page 191
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County

1120312
G 1235 S CENTER RD
BURTON 48509
(810) 600-0053
1120315
G 3371 BEECHER RD
FLINT 48532
(810) 238-3631
1001780
DUTT, NEELAM MD
G-3535 BEECHER RD STE H
FLINT 48532
(810) 732-9000
1122053
ENGEL, MICHAEL DO
2487 N ELMS RD
FLUSHING 48433
(810) 487-3500
1035991
FELLENBAUM, THEODORE MD
FLINT 48507
(810) 733-8200
1124856
FELLENBAUM, THEODORE MD
ONE HURLEY PLAZA
FLINT 48502
(810) 262-6292
1119457
FRYE, IRA S MD
1314 S LINDEN RD
FLINT 48532
(810) 342-1700
1120227
HARRIS, LISA H MD
BURTON 48509
(810) 743-4490
1120230
HARRIS, LISA H MD
G 3371 BEECHER RD
FLINT 48532
(810) 238-3631
1003595
HEBERT, JOHN III MD
ONE HURLEY PLAZA 3A W BLDG
FLINT 48502
(810) 262-9634
1004093
HESLINGER, KEITH MD
1595 GENESYS PARKWAY
GRAND BLANC 48439
(810) 606-9190
1086333
HESLINGER, KEITH MD
10004 LIPPINCOTT STE 3
DAVISON 48423
(810) 652-0388
1002374
HOLMES, JAY C MD
FLINT 48503
(810) 239-9444
1012030
HOLMES, JAY C MD
102 ADELAIDE ST STE 1
FENTON 48430
(810) 750-1186
1017760
HOLMES, JAY C MD
ONE HURLEY PLAZA
FLINT 48503
(810) 762-7283
1012031
HOLMES, JAY C MD
G 1063 W HILL RD STE A
FLINT 48507
(810) 239-9444
1024922
HOLMES, JAY C MD
ONE HURLEY PLAZA 3W
FLINT 48532
(810) 262-9751
1122220
HOMA, LORI MD
G3371 BEECHER RD
FLINT 48532
(810) 238-3631
1122205
HOMA, LORI MD
1235 S CENTER RD
BURTON 48509
(810) 743-4490
1003614
JOSEPH, CELESTINE M MD
5710 CLIO RD
FLINT 48504
(810) 235-3600
1116754
G 1104 S LINDEN RD
FLINT 48532
(810) 733-6210
1003596
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9953
1119854
KAHN, CHAVA MD
BURTON 48509
(810) 743-4490
1119857
KAHN, CHAVA MD
G 3371 BEECHER RD
FLINT 48532
(810) 238-3631
1102148
KALRA, VEENA MD
401 S BALLENGER HWY
FLINT 48532
(810) 342-2000
1096369
KALRA, VEENA MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1064177
KALRA, VEENA MD
2235 S LINDEN RD
FLINT 48532
(810) 230-0492
1034770
KHEDR, MOHAMED A MD
ONE HURLEY PLAZA STE 3-C
FLINT 48503
(810) 424-4787
1077160
KLING, MARTINIQUE MD
2313 E HILL RD
GRAND BLANC 48439
(810) 953-6400
1077173
KLING, MARTINIQUE MD
2487 N ELMS RD
FLUSHING 48433
(810) 487-3500
1002929
KULKARNI, NITA M MD
1170 CHARTER DR STE F
FLINT 48532
(810) 244-8402
1086335
LAPA, MARTIN DO
17200 SILVER PKWY
FENTON 48430
(810) 714-5361
1086331
LAPA, MARTIN DO
DAVISON 48423
(810) 653-0388
1010364
LAPA, MARTIN DO
GRAND BLANC 48439
(810) 606-9190
1077164
LEVASHKEVICH, ALEXEY MD
1010 N LINDEN RD
FLINT 48532
(810) 732-3660
1102154
FLINT 48507
(810) 733-8200
1124855
ONE HURLEY PLAZA
FLINT 48502
(810) 262-6292
1123183
MCEWEN, STACEY DO
1595 GENESYS PKWY
GRAND BLANC 48439
(810) 606-9190
1121914
MCEWEN, STACEY DO
DAVISON 48423
(810) 653-0388
1030347
MELLO, VICKIE B DO
DAVISON 48423
(810) 653-1700
1030346
MELLO, VICKIE B DO
ONE HURLEY PLAZA 3-C WEST HURLEY OB/GYN FLINT 48503
(810) 262-9751
1077163
METZ, JOSEPH MD
1314 S LINDEN RD
FLINT 48532
(810) 342-1700
1100993
MORENO, EDILBERTO A MD
8384 HOLLY RD STE 2
GRAND BLANC 48439
(810) 344-9073
1002217
MORENO, EDILBERTO A MD
ONE HURLEY PLAZA
FLINT 48502
(810) 239-9444
1020216
MURPHY, LISA WYNETTE MD
3725 S SAGINAW ST
FLINT 48507
(810) 233-7410
1060366
MURPHY, LISA WYNETTE MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000

Page 192
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County

1017780
NEUBECK, JAMES M MD
ONE HURLEY PLAZA
FLINT 48503
(810) 424-4787
1005668
NEUBECK, JAMES M MD
ONE HURLEY PLAZA 3-C
FLINT 48532
(810) 424-4787
1125853
PYATT, DAVID H DO
FLINT 48503
(810) 262-6743
1127075
PYATT, DAVID H DO
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9751
1101976
REID, VIRGIL C MD
G3371 BEECHER RD
FLINT 48532
(810) 238-3631
1101961
REID, VIRGIL C MD
1235 S CENTER RD
BURTON 48509
(810) 743-4490
1006940
SCOTT, MATTIE M MD
8423 HOLLY RD STE B
GRAND BLANC 48439
(810) 694-7095
1008522
SCOTT, MATTIE M MD
ONE HURLEY PLAZA
FLINT 48502
(810) 257-9953
1101926
G3371 BEECHER RD
FLINT 48532
(810) 238-3631
1101911
1235 S CENTER RD
BURTON 48509
(810) 743-4490
1015412
ONE HURLEY PLAZA STE 3LOB
FLINT 48503
(810) 262-7077
1032533
8203 S SAGINAW ST
GRAND BLANC 48439
(810) 953-1699
1120298
WALLETT, SARAH M MD
G 3371 BEECHER RD
FLINT 48532
(810) 238-3631
1120295
WALLETT, SARAH M MD
BURTON 48509
(810) 600-0053
1006936
WIGGINS, SHAWN M MD
ONE HURLEY PLAZA
FLINT 48503
(810) 257-9634
1006937
WIGGINS, SHAWN M MD
5710 CLIO RD
FLINT 48504
(810) 787-4445
1056943
WIGGINS, SHAWN M MD
FLINT 48503
(810) 235-6743
1003965
WRIGHT, THOMAS C DO
GRAND BLANC 48439
(810) 606-9190
1086139
WRIGHT, THOMAS C DO
DAVISON 48423
(810) 653-0388
1020876
YOUNG, LARRY J MD
FLINT 48503
(810) 237-6743
1055000
YOUNG, LARRY J MD
FLINT 48503
(810) 237-6743
1004338
YOUNG, LARRY J MD
2900 N SAGINAW ST
FLINT 48505
(810) 789-9141
1120281
ZAPATA, MYA R MD
G 3371 BEECHER RD
FLINT 48532
(810) 238-3631
1120278
ZAPATA, MYA R MD
BURTON 48509
(810) 600-0053
ONCOLOGY
1019939
GREAT LAKES CANCER INSTITUTE, MCLAREN
4100 BEECHER RD
FLINT 48532
(810) 342-3800
1017244
PERAM, VENKATASAVIA MD
2222 S LINDEN RD STE G
FLINT 48532
(810) 720-0002
OPHTHALMOLOGY
1032361
ALRAWI, ATHEAR MD
5300 GATEWAY CENTRE
FLINT 48507
(810) 720-9111
1032535
BLACK, EVAN H MD
2353 S LINDEN RD STE C
FLINT 48532
(248) 357-5100
203820
BOSKOVICH, STEVEN A MD
1290 S LINDEN RD
FLINT 48532
(810) 732-6231
1001798
BRUENING, FREDERICK L MD
FLINT 48532
(810) 733-5450
1127192
COMER, GRANT MD
3181 E GRAND BLANC RD
GRAND BLANC 48439
(810) 694-6933
1094429
CUKROWSKI, CHRISTOPHER DO
701 S BALLENGER HWY
FLINT 48532
(810) 238-3603
1016870
CUKROWSKI, CHRISTOPHER F DO
701 S BALLENGER HWY
FLINT 48532
(810) 238-3603
1017795
CUKROWSKI, WALTER J MD
701 S BALLENGER HWY
FLINT 48532
(810) 238-3603
1017794
701 S BALLENGER HWY
FLINT 48532
(810) 238-3603
202119
DISKIN, DAVID MD
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1033674
DISKIN, DAVID MD
4499 TOWN CENTER PKWY
FLINT 48532
(810) 733-7111
1035391
DISKIN, DAVID MD
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
202126
DISKIN, DAVID MD
FLINT 48532
(810) 733-7111
1016238
DISKIN, DAVID MD
8275 HOLLY RD STE 3
GRAND BLANC 48439
(810) 694-8400
202127
DISKIN, JEFFREY MD
FLINT 48532
(810) 733-7111
1005646
DISKIN, JEFFREY MD
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9953
252496
DISKIN, JEFFREY MD
16255 SILVER PKWY
FENTON 48430
(810) 629-7900

Page 193
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
OPHTHALMOLOGY (CONTINUED)
1035388
DISKIN, JEFFREY MD
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1016239
DISKIN, JEFFREY MD
8275 HOLLY RD STE 3
GRAND BLANC 48439
(810) 694-8400
1035387
DISKIN, JEFFREY MD
FLINT 48532
(810) 733-7111
1008370
GLADSTONE, GEOFFREY J MD
FLINT 48532
(810) 733-3556
202130
HERZOG, CHRISTOPHER DO
9463 N HOLLY RD STE 101
GRAND BLANC 48439
(810) 603-2020
1127194
HOOD, CHRISTOPHER T MD
GRAND BLANC 48439
(810) 694-6933
1075295
JOHNSON, LEROY MD
2900 N SAGINAW ST
FLINT 48505
(810) 789-9141
1035383
KEOLEIAN, GARY MD
FLINT 48532
(810) 733-7111
202132
KEOLEIAN, GARY MD
FLINT 48532
(810) 733-7111
1005645
KEOLEIAN, GARY MD
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9953
202122
KEOLEIAN, GARY MD
102 N ADELAIDE STE B
FENTON 48430
(810) 629-7900
1035384
KEOLEIAN, GARY MD
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1016240
KEOLEIAN, GARY MD
8275 HOLLY RD STE 3
GRAND BLANC 48439
(810) 694-8400
1127193
LEE, PAUL P MD
GRAND BLANC 48439
(810) 694-6933
1002510
MCNALLY, TIMOTHY G DO
3364 S CENTER RD
BURTON 48519
(810) 743-3937
1127195
MOROI, SAYOKO E MD
GRAND BLANC 48439
(810) 694-6933
1035825
NESI-ELOFF, FRANCESCA D MD
FLINT 48532
(248) 357-5100
252520
ROSS, ROBIN DEMI MD
GRAND BLANC 48439
(810) 694-6933
1004688
RYAN, DANIEL J MD
1113 VILLA LINDE CT
FLINT 48532
(810) 733-1214
1107457
SHAW, MYLE MD
FLINT 48532
(810) 733-7111
1086626
SINGH, CHRISTOPHER MD
9400 S SAGINAW RD STE D
GRAND BLANC 48439
(810) 487-4500
1015959
STACK, EDWARD P MD
5300 GATEWAY CENTRE
FLINT 48507
(810) 720-9111
1056946
STACK, EDWARD P MD
17200 SILVER PKWY STE B
FENTON 48430
(810) 750-1975
1002980
WATERS, JOHN A MD
5055 W BRISTOL RD
FLINT 48507
(810) 732-2272
202136
ZENDLER, ROBERT J II DO
1335 S LINDEN RD STE E
FLINT 48532
(810) 733-5535
OPTOMETRY
1032274
ABDELLA, JOHN OD
1356 S LINDEN RD
FLINT 48532
(810) 732-0202
1013177
AGNONE, PETER M OD
11225 S SAGINAW ST
GRAND BLANC 48439
(810) 694-3937
1034209
ALARIE, STACEY OD
11225 S SAGINAW ST
GRAND BLANC 48439
(810) 694-3937
1017635
BEARER, JESSICA OD
12606 HOLLY RD
GRAND BLANC 48439
(810) 694-3652
1021181
BELILL, NICHOLAS M OD
5092 W VIENNA RD STE 1
CLIO 48420
(810) 564-2000
1125250
BROZZO, SARAH OD
3871 LAPEER RD
FLINT 48503
(810) 742-6733
202124
BURNS, CARDER OD
3385 S CENTER RD
BURTON 48519
(810) 244-3434
1062153
COUGHLIN-SHORES, MARY OD
4313 CORUNNA RD
FLINT 48532
(810) 733-5544
1080465
ENGLISH, JAMES H OD
8129 MILLER RD
SWARTZ CREEK 48473
(810) 635-8191
1058610
ENNIS-DECKER, TERESA OD
4313 CORUNNA RD
FLINT 48532
(810) 733-5544
1046853
FARRELL, ROBERT JR OD
FLINT 48507
(810) 230-9300
1004305
FOON, IRVING I OD
G3541 MILLER RD
FLINT 48507
(810) 732-8610
202137
FOOTE, HOWARD OD
1379 FLUSHING RD
FLUSHING 48433
(810) 659-3135
1061009
FRAZIER JR, RICHARD D OD
5096 CORUNNA RD
FLINT 48532
(810) 733-6460
1073830
GRABOWSKI, MARK OD
3192 S LINDEN STE B121
FLINT 48507
(810) 230-9300
1073831
GRABOWSKI, MARK OD
3871 LAPEER RD
FLINT 48503
(810) 742-6733
1000554
HABERMEHL, BRADLEY E OD
4091 RICHFIELD RD
FLINT 48506
(810) 736-0710
1011175
HALL, CHRIS E OD
G-3548 FLUSHING RD
FLINT 48504
(810) 733-2020
1059373
HARRIS, TIMOTHY OD
1016 S STATE RD
DAVISON 48423
(810) 653-3206

Page 194
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
1040821
HARRIS, TODD OD
4313 CORUNNA RD
FLINT 48532
(810) 733-5055
1108045
HARWOOD, KIRSTEN OD
FLINT 48532
(810) 733-7111
1108424
HARWOOD, KIRSTEN M OD
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1108426
8275 HOLLY RD
GRAND BLANC 48439
(810) 694-8400
1104646
8275 HOLLY RD
GRAND BLANC 48439
(810) 694-8400
1104643
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1104644
FLINT 48532
(810) 733-7111
1016871
HENBEST, JENNIFER L OD
701 S BALLENGER HWY
FLINT 48532
(810) 238-0631
1127845
HENTES, KATE OD
518 S SAGINAW ST
FLINT 48502
(810) 235-4607
1126650
HERRERA, EDWARD F OD
1348 E BRISTOL
BURTON 48529
(810) 743-3155
1046852
ICEBERG, JEFFERY OD
FLINT 48507
(810) 230-9300
1073847
ICEBERG, JEFFERY OD
3871 LAPEER RD
FLINT 48503
(810) 742-6733
1121993
JONCAS, LUC R OD
3192 S LINDEN B 121
FLINT 48507
(810) 230-9300
1121995
JONCAS, LUC R OD
3871 LAPEER ROAD
FLINT 48503
(810) 742-6733
1025897
KAUTZ, ANN MARIE OD
FLINT 48532
(810) 733-7111
1016242
KAUTZ, ANN MARIE OD
8275 HOLLY RD STE 3
GRAND BLANC 48439
(810) 694-8400
1008675
KAUTZ, ANN MARIE OD
FLINT 48532
(810) 733-7111
1035377
KAUTZ, ANN MARIE OD
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1016248
KAUTZ, ANN MARIE OD
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1053803
KING, SHANE OD
523 ML KING
FLINT 48502
(810) 744-1950
1073857
KNIGHT, JOSEPHUS OD
3871 LAPEER RD
FLINT 48503
(810) 742-6733
1096362
LABAZA, JOHN OD
5300 GATEWAY CENTRE
FLINT 48507
(810) 720-9111
1067473
LABAZA, JOHN F OD
6160 S SAGINAW
GRAND BLANC 48439
(810) 603-9567
1031620
LAMBARIA, ANDRES OD
1509 S STATE RD STE E
DAVISON 48423
(810) 658-2020
1105843
LEE, SARAH OD
4165 E COURT ST
BURTON 48509
(810) 743-1276
1058479
LEE, TODD OD
5323 E COURT ST N
BURTON 48509
(810) 744-9596
1058480
LEE, TODD OD
6170 S SAGINAW ST
GRAND BLANC 48439
(810) 603-9758
1008711
MARKLEY, DANIEL L OD
12606 HOLLY RD
GRAND BLANC 48439
(810) 694-3652
1017861
MOORE, SCOTT J OD
3140 SILVER LAKE RD
FENTON 48430
(810) 593-1000
1017860
MOORE, SCOTT J OD
BURTON 48509
(810) 744-1950
1017862
MOORE, SCOTT J OD
523 ML KING AVE
FLINT 48502
(810) 238-0925
1074118
MULANIX, GERIANNE OD
FLINT 48532
(810) 733-7111
1074119
102 N ADELAIDE
FENTON 48430
(810) 629-7900
1125791
PANCY, JAMIE L OD
3140 SILVER LAKE RD
FENTON 48430
(810) 593-1000
1125790
PANCY, JAMIE L OD
BURTON 48509
(810) 744-1950
1125792
PANCY, JAMIE L OD
523 ML KING AVE
FLINT 48502
(810) 238-0925
1107887
PHIPPS, KIMBERLY OD
3871 LAPEER RD
FLINT 48503
(810) 742-6733
1016243
PHIPPS, KIMBERLY OD
8275 HOLLY RD STE 3
GRAND BLANC 48439
(810) 694-8400
1107886
PHIPPS, KIMBERLY OD
3192 S LINDEN RD STE B121
FLINT 48507
(810) 230-9300
1012068
PHIPPS, KIMBERLY OD
FLINT 48532
(810) 733-7111
1035374
PHIPPS, KIMBERLY OD
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1017736
PHIPPS, KIMBERLY OD
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1018262
PHIPPS, KIMBERLY OD
FLINT 48532
(810) 733-7111
1073866
POPHAM, PHILLIP OD
3871 LAPEER RD
FLINT 48503
(810) 742-6733
1073865
POPHAM, PHILLIP OD
3192 S LINDEN RD STE B121
FLINT 48507
(810) 230-9300
1079714
SANITATE, MARK OD
3192 S LINDEN RD STE B-121
FLINT 48507
(810) 230-9300

Page 195
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
1006811
SCHWEIHOFER, ERIC L OD
12606 HOLLY RD
GRAND BLANC 48439
(810) 694-3652
1035380
SHEERE, DEBORAH A OD
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1002688
FLINT 48532
(810) 733-7111
1016241
8275 HOLLY RD STE 3
GRAND BLANC 48439
(810) 694-8400
1021807
FLINT 48532
(810) 733-7111
1017731
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1012016
STEINMAN, HAROLD V OD
1063 S STATE RD STE 3
DAVISON 48423
(810) 658-2456
1010350
STOLL, DAVID R OD
G3541 MILLER RD
FLINT 48507
(810) 732-8610
1031125
STONE, FRANCIS OD
518 S SAGINAW ST
FLINT 48502
(810) 235-4607
1035368
TEKIELE, BERNARD OD
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1032904
TEKIELE, BERNARD OD
8275 HOLLY RD STE 3
GRAND BLANC 48439
(810) 694-8400
1032906
TEKIELE, BERNARD OD
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1032903
TEKIELE, BERNARD OD
FLINT 48532
(810) 733-7111
1035367
TEKIELE, BERNARD OD
FLINT 48532
(810) 733-7111
1026669
TEKIELE, JENNIFER OD
FLINT 48532
(810) 733-7111
1035371
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1032898
8275 HOLLY RD STE 3
GRAND BLANC 48439
(810) 694-8400
1024630
FLINT 48532
(810) 733-7111
1032900
16255 SILVER PKWY
FENTON 48430
(810) 629-7900
1089972
TIERNEY, KELLY OD
5300 GATEWAY CENTRE
FLINT 48507
(810) 750-1975
1093267
TIERNEY, KELLY C OD
17200 SILVER PKWY STE B
FENTON 48430
(810) 750-1975
1034208
WALKER, ANN OD
11225 S SAGINAW ST
GRAND BLANC 48439
(810) 694-3937
1001153
WALLACE, MICHAEL G OD
1379 FLUSHING RD
FLUSHING 48433
(810) 659-3135
202115
WILLIAMS, MARK OD
4067 E COURT STE 10 & 11
BURTON 48509
(810) 715-2020
ORTHOPEDIC SURGERY
1010577
DASS, A GEORGE MD
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9953
1001232
DASS, A GEORGE MD
G4466 W BRISTOL
FLINT 48507
(810) 733-1200
1039700
FERNANDEZ, DAVID A MD
4282 W VIENNA RD
CLIO 48420
(810) 564-2400
1077764
FENTON 48430
(810) 593-0023
1026816
GRAND BLANC 48439
(810) 603-1100
1007479
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9953
1000525
G4466 W BRISTOL RD
FLINT 48507
(810) 733-1200
1104717
FRAS, ANDREW R MD
4466 W BRISTOL RD
FLINT 48507
(810) 733-1200
1106476
FRAS, ANDREW R MD
ONE HURLEY PLAZA
FLINT 48502
(810) 257-9953
1039707
MARTIN, SIDNEY N MD
4282 W VIENNA RD
CLIO 48420
(810) 564-2400
1026825
MARTIN, SIDNEY N MD
GRAND BLANC 48439
(810) 603-1100
1007379
MARTIN, SIDNEY N MD
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9953
1000524
MARTIN, SIDNEY N MD
G4466 W BRISTOL RD
FLINT 48507
(810) 733-1200
1077762
MCCLIMANS II, GORDON DO
FENTON 48430
(810) 593-0023
1077761
MOSIER-LACLAIR, SUSAN M MD
FENTON 48430
(810) 593-0023
1026824
GRAND BLANC 48439
(810) 603-1100
1039709
4282 W VIENNA RD
CLIO 48420
(810) 564-2400
1003922
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9953
1000574
G4466 W BRISTOL RD
FLINT 48507
(810) 733-1200
1077760
SAFLEY, CHARLES K MD
FENTON 48430
(810) 593-0023

Page 196
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County

1026822
GRAND BLANC 48439
(810) 603-1100
1039712
4282 W VIENNA RD
CLIO 48420
(810) 564-2400
1001074
G4466 W BRISTOL RD
FLINT 48507
(810) 733-1200
1006097
ONE HURLEY PLAZA 9W
FLINT 48502
(810) 262-9751
1064176
SAQQA, SAMER DO
ONE HURLEY PLAZA 9W
FLINT 48502
(810) 257-9953
1077759
SAQQA, SAMER DO
FENTON 48430
(810) 593-0023
1063120
SARDELLI, MATTHEW MD
4466 W BRISTOL RD
FLINT 48507
(810) 733-1200
1063121
2420 OWEN RD STE C
FENTON 48430
(810) 496-2424
1064495
ONE HURLEY PLAZA 9W
FLINT 48503
(810) 262-9953
1077758
FENTON 48430
(810) 593-0023
1062301
SRIVASTAVA, AJAY MD
4466 W. BRISTOL RD
FLINT 48507
(810) 733-1200
1064180
SRIVASTAVA, AJAY MD
ONE HURLEY PLAZA
FLINT 48502
(810) 257-9953
1077757
SRIVASTAVA, AJAY MD
FENTON 48430
(810) 593-0023
1015192
TELEHOWSKI, PAUL M MD
G4466 W BRISTOL RD
FLINT 48507
(810) 733-1200
1019946
ONE HURLEY PLAZA
FLINT 48503
(810) 257-9000
1077756
FENTON 48430
(810) 593-0023
1039713
4282 W VIENNA RD
CLIO 48420
(810) 564-2400
1026821
GRAND BLANC 48439
(810) 603-1100
1001198
WALTER, NORMAN E MD
G4466 W BRISTOL RD
FLINT 48507
(810) 733-1200
1077755
WALTER, NORMAN E MD
FENTON 48430
(810) 593-0023
1001518
WALTER, NORMAN E MD
ONE HURLEY PLAZA
FLINT 48502
(810) 257-9953
1039714
WALTER, NORMAN E MD
4282 W VIENNA RD
CLIO 48420
(810) 564-2400
1026820
WALTER, NORMAN E MD
GRAND BLANC 48439
(810) 603-1100
1034773
WILLSON, SEANN E W MD
G4466 W BRISTOL RD
FLINT 48507
(810) 733-1200
1077754
FENTON 48430
(810) 593-0023
1039690
4181 W VIENNA RD STE D
CLIO 48420
(810) 564-2400
1039715
YAP, JOHN J L MD
4282 W VIENNA RD
CLIO 48420
(810) 564-2400
1026812
YAP, JOHN J L MD
GRAND BLANC 48439
(810) 603-1100
1002497
YAP, JOHN J L MD
G4466 W BRISTOL RD
FLINT 48507
(810) 733-1200
1077753
YAP, JOHN J L MD
FENTON 48430
(810) 593-0023
5051 VILLA LINDE PARKWAY
FLINT 48532
(810) 732-4320

204021
DIAS, LEONARD MD
PAIN MANAGEMENT
1095732
CHAKRABORTTY, SHUSHOVAN MD
FLINT 48532
(810) 230-9833
1000801
CULVER, JAMES C MD
5202 MILLER RD
FLINT 48507
(810) 720-8900
1117877
HUSSAIN, MAZHER MD
1230 S LINDEN RD
FLINT 48532
(248) 856-6660
1055857
HUSSAIN, MAZHER MD
FLINT 48532
(810) 732-7077
1000800
KOHN JR, JOHN C DO
5202 MILLER RD
FLINT 48507
(810) 720-8900
1102887
KOTOB, FAYEZ MD
FLINT 48507
(810) 732-8336
1079079
NAIR, SANKAR MD
FLINT 48532
(810) 230-9833
1003696
RAO, RAMA D MD
G-4007 W COURT ST
FLINT 48532
(810) 732-8120
1076358
SRIPADA, SIVA DO
FLINT 48507
(810) 732-8336
1260 N IRISH RD
DAVISON 48423
(810) 648-4546
PEDIATRIC - ALLERGY & IMMUNOLOGY

1097254

Page 197
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
1098957
DYSART, JOHN MD
8273 S SAGINAW ST
GRAND BLANC 48439
(810) 953-5622
1107496
MATISOFF, DAVID MD
ONE HURLEY PLAZA
FLINT 48503
(810) 762-6138
1098952
MATISOFF, DAVID MD
8273 S SAGINAW ST
GRAND BLANC 48439
(810) 953-5622
1121003
RATNASAMY, CHRISTOPHER MD
8273 S SAGINAW ST
GRAND BLANC 48439
(810) 953-5622
1098948
STONE, DAVID DO
8273 S SAGINAW ST STE B
GRAND BLANC 48439
(810) 953-5622
1098947
STONE, DAVID DO
ONE HURLEY PLAZA
FLINT 48503
(810) 762-6138
PEDIATRIC - EMERGENCY MEDICINE

1002425
NOLAN, BRIAN M MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-7283
1001341
NOLAN, BRIAN M MD
FLINT 48503
(810) 762-7283
1010212
NOLAN, BRIAN M MD
FLINT 48532
(810) 262-2130
1010211
NOLAN, BRIAN M MD
806 TUURI PL
FLINT 48503
(810) 262-5773
1016221
SHARMAN, MAHESH MD
ONE HURLEY PLAZA STE 3 W
FLINT 48503
(810) 762-7283
1001526
ZUREIKAT, GEORGE Y MD
FLINT 48503
(810) 762-7283
1004343
ONE HURLEY PLAZA
FLINT 48502
(810) 762-7283
1018127
806 TUURI PLACE
FLINT 48503
(810) 762-7283
PEDIATRIC - ENDOCRINOLOGY
1039922
CHEN, MING MD
FLINT 48532
(810) 230-3940
1127605
JABBAR, MUHAMMAD A MD
ONE HURLEY PLAZA 3-A WEST
FLINT 48503
(810) 262-9734
1127604
806 TUURI PL
FLINT 48503
(810) 262-9773
1127602
FLINT 48532
(810) 262-2140
1127603
8203 S SAGINAW ST
GRAND BLANC 48439
(810) 953-1699
PEDIATRIC - GASTROENTEROLOGY
1021641
JIBALY, RIMA M MD
1123 VILLA LINDE CT STE 38
FLINT 48532
(810) 733-7221
1011932
JIBALY, RIMA M MD
ONE HURLEY PLAZA INPATIENT STAFF
FLINT 48503
(810) 262-9709
1080509
TABBAH, MOHAMMAD MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1000545
INOUE, SUSUMU MD
FLINT 48503
(810) 262-7303
1069821
ONWUZURIKE, NKECHI MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9283
1001235
ONWUZURIKE, NKECHI MD
ONE HURLEY PLAZA 3A WEST BLDG
FLINT 48502
(810) 262-9283
1084209
SAAH, ELNA N MD
ONE HURLEY PLAZA STE 3A-WB
FLINT 48503
(810) 262-7303
806 TUURI PL
FLINT 48503
(810) 262-9773
PEDIATRIC - INFECTIOUS DISEASE

1090107
RAFEE, YASEEN MD
PEDIATRIC - NEPHROLOGY
1123772
BARACCO-MAGGI, ROSSANA MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1124854
GREGORY, MELISSA J MD
806 TUURI PLACE
FLINT 48503
(810) 262-9773
1065241
JAIN, AMRISH MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1002443
MATTOO, TEJ K MD
806 TUURI PLACE
FLINT 48503
(810) 262-9773
1070366
SRIVASTAVA, SWEETY MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1002444
VALENTINI, RUDOLPH P MD
806 TUURI PLACE
FLINT 48503
(810) 257-9773
1016409
ALLARAKHIA, IQBAL N MD
G 1125 S LINDEN RD STE 300
FLINT 48532
(810) 262-2130
1016411
806 TUURI PLACE HMC NEUROLOGY CLINIC
FLINT 48503
(810) 262-9278

Page 198
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
PEDIATRIC - NEUROLOGY (CONTINUED)

1029831
CHHEDA, RAMESH MD
5154 MILLER RD STE I
FLINT 48507
(810) 720-7801
1122191
HUQ, A.H.M. M MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1015246
ONE HURLEY PLAZA
FLINT 48503
(810) 233-7103
PEDIATRIC - OPHTHALMOLOGY
1068551
BAKER, JOHN D MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1064497
RAO, RAJESH C MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1068406
ROARTY, JOHN D MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1068407
ROTBERG, LEEMOR MD
806 TUURI PL
FLINT 48503
(810) 262-9773
PEDIATRIC - ORTHOPEDIC SURGERY

1120919
FRYE, STACY A MD
2313 E HILL RD
GRAND BLANC 48439
(810) 953-6400
1034028
SETTECERRI, JEFFREY J MD
4466 W BRISTOL RD
FLINT 48507
(810) 733-1200
FLINT 48532
(810) 230-3370
PEDIATRIC - PSYCHIATRY
1004329
VORA, NIKHIL K MD
PEDIATRIC - PULMONOLOGY
1004792
ABDULHAMID, IBRAHIM MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1114511
GUGLANI, LOKESH MD
FLINT 48532
(810) 262-2130
1039960
NASR, SAMYA MD
FLINT 48532
(810) 230-3940
1039957
NASR, SAMYA MD
806 TUURI PL
FLINT 48503
(810) 262-7001
1127257
RAMIREZ, IXSY MD
G1125 S LINDEN RD
FLINT 48532
(810) 262-7035
1064096
SRIVASTAVA, RUMA MD
FLINT 48532
(810) 262-2130
FLINT 48532
(810) 230-3360
PEDIATRIC - REHABILITATION MEDICINE

1032326
DABROWSKI, EDWARD R MD
PEDIATRIC - SURGERY
1090210
KADER, MASIH A MD
FLINT 48532
(810) 262-2140
1059889
KLEIN, MICHAEL MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1059893
LANGENBURG, SCOTT MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1059890
LELLI, JOSEPH MD
806 TURRI PL
FLINT 48503
(810) 269-9773
1059891
SHANTI, CHRISTINA M MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1059888
STOCKMANN, PAUL MD
806 TUURI PL
FLINT 48503
(810) 262-9773
2900 N SAGINAW ST
FLINT 48505
(810) 789-9141
PEDIATRIC - UROLOGY
1102965
BLOOM, DAVID A MD
PEDIATRICS
1077089
AKPINAR, MUSTAFA G MD
806 TUURI PLACE
FLINT 48503
(810) 262-9773
1105889
ALAJAY, ABDELMOHDI MD
10118 CLIO RD
CLIO 48420
(810) 686-7310
1086145
ALAMY, DANISH MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-7077
1063262
ALI, NUZHAT MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1006949
5710 CLIO RD
FLINT 48504
(810) 787-4445
1090951
CHOUDHARY, SHIVANI MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9773
1057635
FLEISCHMANN, LARRY MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1070715
HADDAD, FAWAZ E MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1070301
HANNA-ATTISHA, MONA MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1070302
HANNA-ATTISHA, MONA MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9773

Page 199
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
1080257
KADER, MASIH A MD
1 HURLEY PLAZA
FLINT 48503
(810) 262-9953
1065636
KAPUR, GAURAV MD
806 TUURI PL
FLINT 48503
(810) 262-9773
1056968
OLDS, HARVEY MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1010214
FLINT 48532
(810) 257-9773
1010215
806 TUURI PL
FLINT 48503
(810) 257-5773
1007471
RUBINO, DON M MD
ONE HURLEY PLAZA
FLINT 48502
(810) 257-9953
1035644
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9953
1064496
806 TUURI PLACE
FLINT 48503
(810) 262-9773

1125597
ADAMS, CARLO E MD
3400 FLECKENSTEIN DR STE 1
FLINT 48507
(810) 877-7370
1077801
AGHA, ABID MD
FLINT 48532
(810) 720-3370
1127274
AGHA, ABID MD
4272 W VIENNA RD
CLIO 48420
(810) 720-3370
1078231
ALPINER, NEAL M MD
9100 LAPEER RD
DAVISON 48423
(877) 433-7767
1125598
ATTY, ED Y MD
FLINT 48507
(810) 877-7370
1064509
BETE, JOHN DO
3400 FLECKENSTEIN STE 1
FLINT 48507
(810) 877-7370
1093492
FELIX, RYAN DO
FLINT 48507
(810) 877-7370
1001530
HEADRICK, DARA DO
4632 GENESYS PKWY
GRAND BLANC 48439
(810) 606-7181
1002491
HETTLE, MATTHEW W MD
G4466 W BRISTOL RD
FLINT 48507
(810) 733-1200
1077763
FENTON 48430
(810) 593-0023
1026819
GRAND BLANC 48439
(810) 603-1100
1026813
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9739
1039703
4282 W VIENNA RD
CLIO 48420
(810) 564-2400
1101841
JAMIL, TAHA MD
4632 GENESYS PKWY
GRAND BLANC 48439
(810) 606-7181
1016928
PADILLA, CARLOS R DO
4632 GENESYS PKWY
GRAND BLANC 48439
(810) 606-7181
1031090
PELSHAW, CHARLES B MD
FLINT 48532
(810) 230-3360
1032339
REDDY, KAVITHA MD
G3239 BEECHER RD
FLINT 48532
(810) 733-7560
1125599
RIGUERAS, ANGEL J DO
3400 FLECKENSTEIN DR
FLINT 48507
(810) 877-7370
1032539
SCHULTZ, JOHN S MD
4632 GENESYS PKWY
GRAND BLANC 48439
(810) 606-7181
1014775
STATHAKIOS, JAMES MD
FLINT 48507
(810) 877-7370
1125600
STRATHAKIOS, JAMES MD
FLINT 48507
(810) 877-7370
PLASTIC SURGERY
1000311
ALGHANEM, ABD A MD
1020 CHARTER STE B
FLINT 48532
(810) 733-8300
1000350
HAFFAJEE, MUSA S MD
MCLAREN WOUND CARE CTR G3200 BEECHER
FLINT 48532
(810) 342-5500
1059892
MORRIS, STEPHEN MD
2700 ROBERT T LONGWAY BLVD STE H
FLINT 48503
(810) 235-1746
1037830
RESCHAK, STEVEN C DO
GRAND BLANC 48439
(810) 694-0600
1002505
SHAHEEN, KENNETH W MD
806 TUURI PLACE
FLINT 48503
(810) 762-6138
1001850
THOMPSON JR, WILLIAM E MD
2313 STONEBRIDGE DR
FLINT 48532
(810) 732-9410
PODIATRY
1105778
BARIL, REBECCA A DPM
14229 TORREY RD STE 1
FENTON 48430
(810) 629-3338
1100095
BYRON, SCOTT E DPM
4091 VIENNA RD
CLIO 48420
(810) 687-7350
1100096
BYRON, SCOTT E DPM
G 3302 BEECHER RD
FLINT 48532
(810) 230-9955
1117308
CHASE, MARK I DPM
4091 W VIENNA RD
CLIO 48420
(810) 687-7350
1117309
CHASE, MARK I DPM
G 3302 BEECHER RD
FLINT 48532
(810) 230-9955
1031895
DANIELS, KEITH B DPM
5710 CLIO RD
FLINT 48504
(810) 787-4445

Page 200
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
PODIATRY (CONTINUED)
1072236
DANIELS, KEITH B DPM
G 3375 S SAGINAW ST
BURTON 48529
(810) 743-6830
1032885
HIRT, JAMES DPM
14229 TORREY RD STE 1
FENTON 48430
(810) 629-3338
1021865
KALMUS, ALLAN L DPM
915 S DORT HWY
FLINT 48503
(810) 233-5950
1024325
KALMUS, ALLAN L DPM
102 N ADELAIDE
FENTON 48430
(810) 750-8300
1001813
KARR, STEVEN C DPM
11219 S SAGINAW ST
GRAND BLANC 48439
(810) 695-9090
1007771
KOWAL, DAVID DPM
G-3092 W PIERSON RD
FLINT 48504
(810) 784-3881
1100093
LUTZ, DONALD C DPM
G 3302 BEECHER RD
FLINT 48532
(810) 230-9955
1100090
MARTIN, RONALD A DPM
4091 VIENNA RD
CLIO 48420
(810) 687-7350
1100097
G 3302 BEECHER RD
FLINT 48532
(810) 230-9955
1024326
NOROYAN, JEFFREY C DPM
102 N ADELAIDE
FENTON 48430
(810) 750-8300
1001829
915 S DORT HWY STE D
FLINT 48503
(810) 233-5950
1106066
OSTROSKI, ANGELA M DPM
605 S STATE
DAVISON 48423
(810) 653-9060
1071045
POST-VASOLD, NICHOLAS DPM
605 S STATE
DAVISON 48423
(810) 653-9060
1021890
REISER, SHAWN L DPM
1303 S LINDEN RD STE D
FLINT 48532
(810) 230-0177
1066820
ROWLEY, DUANE A JR DPM
FLINT 48507
(810) 820-8121
204018
SINGER, DEAN W DPM
FLINT 48532
(810) 230-0177
1009803
SNYDER, TIMOTHY B DPM
915 S DORT HWY STE D
FLINT 48503
(810) 233-5950
1024327
102 N ADELAIDE
FENTON 48430
(810) 750-8300
1004635
STERNBERG, LAWRENCE T DPM
11219 S SAGINAW ST
GRAND BLANC 48439
(810) 695-9090
1109680
STEVELINCK, JOHN DPM
G 3302 BEECHER RD
FLINT 48532
(586) 580-3728
1109681
STEVELINCK, JOHN DPM
4091 VIENNA RD
CLIO 48420
(810) 687-7350
1004947
TAYLOR, DAVID T DPM
FLINT 48532
(810) 230-0177
1010988
WILLIAMS, MARK R DPM
605 S STATE
DAVISON 48423
(810) 653-9060
PROSTHETICS
1002937
BREMER PROSTHETIC DESIGN INC
G-3487 S LINDEN RD STE U
FLINT 48507
(810) 733-3375
1004072
HURLEY BINSONS MED EQUIP
G-4433 MILLER RD
FLINT 48507
(810) 733-0280
1016106
HURLEY/BINSONS MED EQUIP-BALLENGER
FLINT 48504
(810) 235-1981
1015877
HURLEY/BINSONS MED EQUIP-DAVISON
DAVISON 48423
(810) 653-9188
1001305
WILLIAMS ORTHOTIC SERVICES INC
G 4466 W BRISTOL RD
FLINT 48507
(810) 230-9400
1025594
FLINT 48504
(810) 234-6582
PSYCHIATRY
204022
AILLS, JAMES T MD
4448 OAK BRIDGE DR STE A
FLINT 48532
(810) 230-7905
1106426
BHRANY, ANJANA MD
2830 CORUNNA RD
FLINT 48503
(810) 234-7022
1097895
BHRANY, ANJANA MD
1110 ELDON BAKER DR
FLINT 48507
(810) 232-2766
1077682
BRUBAKER, RUSSEL MD
4400 SAGINAW ST STE 1400
FLINT 48507
(810) 391-0622
1077684
BRUBAKER, RUSSEL MD
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1122090
DHADLI, JASVEEN MD
401 S BALLENGERY HWY
FLINT 48532
(810) 342-2076
1127800
ELLIS, ANTHONY R MD
420 W 5TH AVE
FLINT 48503
(810) 257-3724
1101106
FAROOGI, SHAHZAD MD
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1101107
FAROOQI, SHAHZAD MD
1102 MACKIN RD
FLINT 48503
(810) 257-3736
1064091
GOTLIB, MICHAEL MD
FLINT 48532
(810) 262-7035
1098084
GOTLIB, MICHAEL MD
1110 ELDON BAKER DR
FLINT 48507
(810) 232-2766
1102638
GOTLIB, MICHAEL MD
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1102042
HILL, AUDREY MD
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1104202
HILL, AUDREY MD
1102 MACKIN RD
FLINT 48503
(810) 257-3736

Page 201
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
1083096
JOHNSON, ELLEN DO
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1097834
KHAN, HANIF A MD
FLINT 48507
(810) 391-0662
1000140
KWON, KANG MD
4448 OAKBRIDGE DR STE C
FLINT 48532
(810) 732-4560
1124859
MACAULEY, LESLIE MD
FLINT 48507
(810) 391-0662
1104268
MAGOON, DUNCAN J MD
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1104267
MAGOON, DUNCAN J MD
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803
204025
MATHEW, K V MD
FLINT 48532
(810) 230-7905
1002464
MCALLISTER, WILLIAM MD
FLINT 48532
(810) 230-3370
1001655
RHYEE, JAMES T MD
FLINT 48532
(810) 732-8451
1101112
ROSEN, TODD MD
1102 MACKIN RD
FLINT 48503
(810) 257-3736
1100692
ROSEN, TODD MD
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1057930
ROSEN, TODD MD
3600 S DORT HWY STE 44
FLINT 48507
(810) 744-3300
1101108
SHAH, ANANT MD
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1101109
SHAH, ANANT MD
1102 MACKIN RD
FLINT 48503
(810) 257-3736
1064135
SHAH, ANANT M MD
FLINT 48532
(810) 262-7035
1017783
SHAH, ANANT M MD
FLINT 48507
(810) 744-3300
1098085
SHAH, BELA MD
1110 ELDON BAKER DR
FLINT 48507
(810) 232-2766
1060387
SIEGEL, BARRY G MD
8382 HOLLY RD
GRAND BLANC 48439
(810) 771-4019
1001165
SMITH, RODERICK R MD
FLINT 48532
(810) 230-3370
1123480
SONI, PRAVIN MD
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1123481
SONI, PRAVIN MD
1110 ELDON BAKER DR
FLINT 48507
(810) 232-2766
1003041
VIDELA, FELIPE G MD
G-5154 MILLER RD STE C/N
FLINT 48507
(810) 733-0710
1039069
VORA, NIKHIL K MD
303 W WATER ST
FLINT 48503
(810) 424-5998
1039070
VORA, NIKHIL K MD
FLINT 48507
(810) 391-0662
1033416
VORA, NIKHIL K MD
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1094000
WALTERS, BRUCE MD
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1056626
WARNER, JANET MD
303 WATER ST STE 200
FLINT 48503
(810) 392-0662
1098522
WATTS, MICHAEL H MD
129 E THIRD ST
FLINT 48502
(810) 233-4031

1055845
GENESEE COUNTY HEALTH DEPT
630 S SAGINAW ST
FLINT 48502
(810) 257-3840
1096689
GENESEE COUNTY HEALTH DEPT
G3373 S SAGINAW ST
BURTON 48529
(810) 237-4539
1010999
HAMILTON COMM HEAL
2900 N SAGINAW ST
FLINT 48505
(810) 789-9141
1010998
NORTH POINT HEALTH CENTER
5710 CLIO RD
FLINT 48505
(810) 787-4445
PULMONOLOGY
1077600
ABADIAN SHARIFABAD, MANOOCHEHR MD
G 3252 BEECHER RD
FLINT 48532
(810) 230-6800
1036792
ABOUDAN, MUHAMMAD M MD
GRAND BLANC 48439
(810) 695-5864
1046965
ALATASSI, EMAD MD
G 3237 BEECHER RD STE M
FLINT 48532
(810) 733-8338
1127852
AL-JANABI, HASAN A MD
G3252 BEECHER RD
FLINT 48532
(810) 230-6800
1062225
BAYASI, GHIATH MD
8273 SOUTH SAGINAW STE D
GRAND BLANC 48439
(810) 606-0656
1003769
BAYASI, GHIATH H MD
GRAND BLANC 48439
(810) 695-5864
1000788
FILOS, ORLANDO A MD
G-3252 BEECHER RD
FLINT 48532
(810) 230-6800
1122293
GHATOL, ABHIJEET G MD
3500 CALKINS RD STE B
FLINT 48532
(810) 720-1144
1080546
HAMADE, SAM MD
G 3252 BEECHER RD
FLINT 48532
(810) 230-6800
1001810
HANNAN, AHMAD T MD
GRAND BLANC 48439
(810) 695-5864
1006395
KHORFAN, FAHIM M MD
GRAND BLANC 48439
(810) 695-5864

Page 202
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
1066316
KHORFAN, FAHIM M MD
8273 S SAGINAW STE D
GRAND BLANC 48439
(810) 606-0656
1034913
MACON, TIMOTHY DO
G 3255 BEECHER RD STE 100U
FLINT 48532
(810) 230-6400
1078683
PATEL, PIYUSH MD
2444 E HILL RD
GRAND BLANC 48439
(810) 695-9270
1008984
PATEL, PIYUSH C MD
G 3252 BEECHER RD
FLINT 48532
(810) 230-6800
1022134
RAO, VENKAT K MD
FLINT 48532
(810) 720-1144
1003553
RITTENGER, MARK S DO
9450 S SAGINAW RD STE E
GRAND BLANC 48439
(810) 695-4000
1089627
2241 S LINDEN RD
FLINT 48532
(810) 245-3446
1007911
RODE, GEETA D MD
1170 CHARTER DR STE D
FLINT 48532
(810) 732-9940
1073398
SANKRI-TARBICHI, ABDUL G MD
GRAND BLANC 48439
(810) 606-0656
1053810
SEEDAHMED, ELFATAH MD
G 3252 BEECHER RD
FLINT 48532
(810) 230-6800
1089626
STREFF, GREGORY DO
2241 S LINDEN RD
FLINT 48532
(810) 245-3446
1001849
THOMAS, M VARKEY MD
G-3252 BEECHER RD
FLINT 48532
(810) 230-6800
1001130
VARGHESE, JOSEPH K MD
401 S BALLENGER HWY
FLINT 48532
(810) 342-2000
1022321
VARGHESE, JOSEPH K MD
FLINT 48532
(810) 720-1144
1000789
VYSKOCIL, JAMES J MD
G 3252 BEECHER RD
FLINT 48532
(810) 230-6800
1000390
WADENSTORER, FRAZER A MD
401 S BALLENGER HWY
FLINT 48532
(810) 342-2000
1000792
WADENSTORER, FRAZER A MD
G 3252 BEECHER RD
FLINT 48532
(810) 230-6800
1085704
YOUSSEF, JOHN G MD
FLINT 48532
(810) 720-1144
RADIATION ONCOLOGY
1100638
AKL, AHMED M MD
302 KENSINGTON AVE STE A
FLINT 48503
(810) 762-8226
1010494
AKL, AHMED M MD
302 KENSINGTON AVE
FLINT 48503
(810) 762-8490
1085393
DEVISETTY, KIRAN MD
4100 BEECHER RD STE A
FLINT 48532
(810) 342-3800
201877
GAYAR, HESHAM MD
FLINT 48532
(810) 342-3800
1002562
KIM, HAESOOK S MD
302 KENSINGTON AVENUE
FLINT 48503
(810) 762-8490
1084890
KIM, HAESOOK S MD
FLINT 48503
(810) 762-8226
253356
NETTLETON, JACK MD
FLINT 48532
(810) 342-3800
1092072
OH, DONG WHAN MD
FLINT 48503
(810) 762-8226
1002520
OH, DONG WHAN MD
302 KENSINGTON AVE
FLINT 48503
(810) 762-8490
1122528
STURGEON, JARED MD
FLINT 48532
(810) 342-3800
2 HURLEY PLAZA STE 209
FLINT 48503
(810) 257-9714
REPRODUCTIVE ENDOCRINOLOGY
1002563
ABUZEID, MOSTAFA I M MD
RHEUMATOLOGY
1000868
KARRAR, ALI A MD
FLINT 48503
(810) 262-7300
1012027
KARRAR, ALI A MD
GRAND BLANC 48439
(810) 953-8700
1009986
MCINTOSH-MOORE, BARBARA A MD
GRAND BLANC 48439
(810) 953-8700
1007910
FLINT 48532
(810) 733-2011
204036
SOBOTKA CZARNECKI, JOLANTA MD
G 5085 W BRISTOL RD
FLINT 48507
(810) 230-2400
204038
TRUDELL, DIANNE K MD
G-5085 W BRISTOL RD
FLINT 48507
(810) 230-2400

1019660
CRESTMONT NURSING CARE CENTER
111 TREALOUT DR
FENTON 48430
(810) 629-4105
1023756
GRAND BLANC RNC(REHAB AND NURSING)
11941 BELSAY RD
GRAND BLANC 48439
(810) 694-1970
1031136
HEARTLAND HEALTH CARE CENTER- BRIARWOOD
3011 NORTH CENTER RD
FLINT 48506
(810) 736-0600
1038211
HEARTLAND HEALTH CARE CENTER- FOSTRIAN
540 SUNNYSIDE DR
FLUSHING 48433
(810) 659-5695
1020714
HERITAGE MANOR
G 3201 BEECHER RD
FLINT 48532
(810) 732-9200

Page 203
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
SKILLED NURSING FACILITY (CONTINUED)

1024452
KITH HAVEN ACQUISTION CO
G 1069 BALLENGER HWY
FLINT 48504
(810) 235-6676
1008091
MEDILODGE OF MONTROSE
9317 VIENNA RD
MONTROSE 48457
(810) 639-6171
1114395
REGENCY AT GRAND BLANC MD
1330 GRAND POINTE CT
GRAND BLANC 48439
(810) 695-8920
1019221
WILLOWBROOK MANOR
G4436 BEECHER RD
FLINT 48532
(810) 733-0290
SLEEP STUDIES
1044859
HANNAN, AHMAD MD
GRAND BLANC 48439
(810) 606-0656
1007911
RODE, GEETA D MD
1170 CHARTER DR STE D
FLINT 48532
(810) 732-9940
1078841
SESI, VERONICA DO
FLINT 48532
(810) 720-3370
1127272
SESI, VERONICA DO
4272 W VIENNA RD
CLIO 48420
(810) 720-3370
1009533
8203 S SAGINAW ST STE A
GRAND BLANC 48439
(810) 953-3600
SPEECH THERAPY
1022639
MAXWELL PHYSICAL THERAPY
414 PERRY RD
GRAND BLANC 48439
(810) 579-7184
1008285
FLINT 48532
(810) 230-9750
1040450
MRMC PHYSICAL THERAPY BRISTOL
G-4466 W BRISTOL RD
FLINT 48507
(810) 342-5350
1120960
PREMIER MEDICAL AND REHABILITATION
G8285 S SAGINAW ST
GRAND BLANC 48439
(810) 603-2200
1127726
THE CHILDRENS REHAB CLINIC
10182 E COLDWATER RD
DAVISON 48423
(810) 931-8689
1125632
THERAPY SUPPORT CENTER LLC
113 N RIVER ST
FENTON 48430
(810) 519-8227
2900 N SAGINAW ST
FLINT 48505
(810) 789-9141
SURGICAL ONCOLOGY
1106195
NEWMAN, LISA MD

1064510
ARCIDI, JOSEPH MD
401 S BALLENGER
FLINT 48532
(810) 342-2590
1006246
ARMENTI, FREDERICK R MD
G-3346 BEECHER RD STE A
FLINT 48532
(810) 733-6530
1095652
AZOURY, FOUAD MD
401 S BALLENGER
FLINT 48532
(810) 342-2590
1097659
BATRA, SANJAY MD
401 S BALLENGER HWY
FLINT 48532
(810) 342-2590
1094836
MARTIN, JAMES R MD
401 S BALLENGER HWY
FLINT 48532
(810) 342-4917
1093031
SUD, ANUP MD
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
1001071
SUD, ANUP MD
G-3346 BEECHER RD STE A
FLINT 48532
(810) 733-2481
UROLOGY
204061
BASATA, SAMIR MD
BURTON 48509
(810) 742-3400
1002446
BAUER, JOHN J MD
G-1121 W HILL RD
FLINT 48507
(810) 230-2280
204013
BEER, MICHAEL R MD
G-1121 W HILL RD
FLINT 48507
(810) 232-8888
1004892
EVANS, JASON M MD
G-1121 W HILL RD
FLINT 48507
(810) 232-8888
1123634
LUEA, ANDREW DO
G1121 W HILL RD
FLINT 48507
(810) 232-8888
204015
MACKSOOD, MICHAEL DO
G-1121 W HILL RD
FLINT 48507
(810) 232-8888
204014
MURPHY, BRADFORD E DO
G-1121 W HILL RD
FLINT 48507
(810) 232-8888
223542
RUTILA, HAROLD MD
G-1121 W HILL RD
FLINT 48507
(810) 232-8888
1127081
STOFFEL, JOHN T MD
2900 N SAGINAW ST
FLINT 48505
(810) 789-9141
1000416
TABBAA, ABDUL H MD
BURTON 48509
(810) 742-3400
204016
WANG, STEPHEN MD
G-1121 W HILL RD
FLINT 48507
(810) 232-8888
1127082
WEI, JOHN T MD
2900 N SAGINAW ST
FLINT 48505
(810) 789-9141
VASCULAR SURGERY
1011933
BECKER, RUSSELL W DO
G-5020 W BRISTOL RD
FLINT 48507
(810) 732-1620
1019588
DALL'OLMO, CARLO A MD
5151 GATEWAY CENTER STE 400
FLINT 48507
(810) 232-3363

Page 204
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Genesee County
VASCULAR SURGERY (CONTINUED)

1019592
G 5202 MILLER RD
FLINT 48507
(810) 600-0560
204103
G-5020 W BRISTOL RD
FLINT 48507
(810) 732-1620
204107
FORTIN, GREGORY J MD
G-5020 W BRISTOL RD
FLINT 48507
(810) 732-1620
1004503
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9953
1019599
G 5202 MILLER RD
FLINT 48507
(810) 600-0560
1019598
FLINT 48507
(810) 232-3363
204108
GARNER, SCOTT A MD
G-5020 W BRISTOL RD
FLINT 48507
(810) 732-1620
1019601
GARNER, SCOTT A MD
G 5202 MILLER RD
FLINT 48507
(810) 600-0560
1019600
GARNER, SCOTT A MD
FLINT 48507
(810) 232-3363
1019593
IPPOLITO, ALLAN L MD
G 5202 MILLER RD
FLINT 48507
(810) 600-0560
1019589
FLINT 48507
(810) 232-3363
204104
G-5020 W BRISTOL RD
FLINT 48507
(810) 732-1620
1019596
KINNING, WAYNE K MD
FLINT 48507
(810) 232-3363
1019749
KINNING, WAYNE K MD
G 5202 MILLER RD
FLINT 48507
(810) 600-0560
204106
KINNING, WAYNE K MD
G-5020 W BRISTOL RD
FLINT 48507
(810) 732-1620
1064202
MALHOTRA, NITIN MD
G-5202 MILLER ROAD
FLINT 48507
(810) 600-0560
1064201
MALHOTRA, NITIN MD
FLINT 48507
(810) 232-3363
1064204
MALHOTRA, NITIN MD
G5020 W BRISTOL RD
FLINT 48507
(810) 732-1620
1019594
MCILDUFF, JOHN M MD
FLINT 48507
(810) 232-3363
1019595
MCILDUFF, JOHN M MD
G 5202 MILLER RD
FLINT 48507
(810) 600-0560
204105
MCILDUFF, JOHN M MD
G-5020 W BRISTOL RD
FLINT 48507
(810) 732-1620
204109
MOLNAR, ROBERT G MD
G-5020 W BRISTOL RD
FLINT 48507
(810) 732-1620
1019602
MOLNAR, ROBERT G MD
FLINT 48507
(810) 232-3363
1019603
MOLNAR, ROBERT G MD
G 5202 MILLER RD
FLINT 48507
(810) 600-0560
2137 W M-61
GLADWIN 48624
(810) 648-4544
103 N BOWERY
GLADWIN 48624
(989) 426-9431
Gladwin County
GLADWIN COUNTY
1097255

1096669
CARDIOLOGY
1054978
LEE, DANIEL T MD
2137 W M-61
GLADWIN 48624
(989) 894-3278
1059182
669 E CEDAR
GLADWIN 48624
(989) 894-3278
1098142
MCGOWAN, CATHY M MD
609 QUARTER ST
GLADWIN 48624
(989) 246-0142
DME - P&O
1012887
ABC MEDICAL SUPPLY
307 W CEDAR AVE
GLADWIN 48624
(989) 426-1551
1026028
1565 CHAPPEL DAM RD
GLADWIN 48624
(989) 426-7866
2137 W M-61
GLADWIN 48624
(989) 426-9399
127 N ARCADE STE 2
GLADWIN 48624
(989) 799-6003
GENERAL SURGERY
1092898
QUIROGA, MARTIN DO

1096710

Page 205
February 19, 2015

PIN
Provider
Address
GLADWIN COUNTY (CONTINUED)
City and Zip
Phone
Gender
Gladwin County
1058074
609 QUARTER ST
GLADWIN 48624
(989) 631-3975
515 QUARTER ST
GLADWIN 48624
(989) 246-6000
INTERNAL MEDICINE
1127541
BENNETT, LARRY MD
NUCLEAR CARDIOLOGY
1059583
1207 N SPRING ST
GLADWIN 48624
(989) 426-5590
1059579
129 W BROWN ST
BEAVERTON 48612
(989) 435-7671
1101234
673 E CEDAR AVE
GLADWIN 48624
(989) 280-3583
OPTOMETRY
1061052
JOHNSON, DENNIS OD
300-3 CEDAR ST
GLADWIN 48624
(989) 426-4550
1047140
JOHNSON, TERRY K OD
300-3 CEDAR ST
GLADWIN 48624
(989) 426-4550
2137 W M-61
GLADWIN 48624
(810) 648-4544
1277 E CEDAR AVE
GLADWIN 48624
(989) 426-1100
307 W CEDAR AVE
GLADWIN 48624
(989) 426-1551
1277 E CEDAR AVE
GLADWIN 48624
(989) 426-1100
103 N BOWERY
GLADWIN 48624
(989) 426-9431
2137 W M-61
GLADWIN 48624
(989) 894-3278

1097255

1121735
AGHA, ABID MD
PROSTHETICS
1012887
ABC MEDICAL SUPPLY
PSYCHIATRY
1122568
MACAULEY, LESLIE MD

1096669

1054983
HOLMES, ROBERT J MD
Grand Traverse County

ALLERGY
1071158
LAZAR, ROBERT J MD
921 W FRONT
TRAVERSE CITY 49684
(231) 995-3657
1030987
447 MUNSON AVE
TRAVERSE CITY 49686
(231) 929-9090
1135 E 8TH
TRAVERSE CITY 49686
(231) 929-1844

1028178
PLANNED PARENTHOOD OF W & N MI INC
CARDIOLOGY
1127253
ALKIEK, RADWAN MD
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 934-5000
1022563
CORPUS, ROBERTO A MD
1221 SIXTH ST STE 204
TRAVERSE CITY 49684
(231) 935-5750
1014507
FOX, JAMES M MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5000
1070182
JAFFE, BRIAN D MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5000
1101791
KENNEDY, ROBERT O MD
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-0564
1081573
OCHOA, ANTHONY B MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5000
1037758
OCHOA, ANTHONY B MD
TRAVERSE CITY 49684
(231) 935-5750
1082242
SALACATA, ABRAHAM S MD
1221 6TH ST STE 204
TRAVERSE CITY 49684
(989) 356-0141
1081578
SMITH, MARK S MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5000

Page 206
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

1020327
SMITH, MARK S MD
1221 6TH ST STE 204
TRAVERSE CITY 49684
(231) 935-5750
1081577
VARNER, JOHN A DO
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5000
3930 CEDAR RUN RD
TRAVERSE CITY 49684
(231) 935-0390
999 6TH ST
TRAVERSE CITY 49684
(231) 941-4114
1086833
BOROS, MICHAEL J MD
DERMATOLOGY
1013410
SIMONS, JAMES MD
DME - P&O
1069302
5123 N ROYAL DRIVE
TRAVERSE CITY 49684
(231) 932-8702
1037429
AIRWAY OXYGEN INC TRAVERSE CITY
1364 TRADE CENTRE DR
TRAVERSE CITY 49686
(888) 596-8511
1010608
BAY HOME MEDICAL & REHAB
707 PARSONS RD
TRAVERSE CITY 49686
(231) 933-1200
1084480
HARBOR OXYGEN OF TRAVERSE CITY
3860-1 N LONG LAKE RD
TRAVERSE CITY 49684
(231) 946-0550
1122520
LINCARE INC
2827 CASS RD UNIT A3
TRAVERSE CITY 49684
(231) 932-5000
1071687
MCHC PHARMACY
550 MUNSON AVE STE G100
TRAVERSE CITY 49686
(231) 935-8730
1022545
MICHIGAN MEDICAL SUPPLY
2915 GARFIELD RD N #B
TRAVERSE CITY 49686
(231) 941-8480
1008388
MUNSON OXYGEN SERVICES
3816 W FRONT ST
TRAVERSE CITY 49684
(231) 935-0816
1009058
1225 W FRONT ST
TRAVERSE CITY 49684
(231) 947-5701
1084487
THE PRESCRIPTION SHOP
4000 EASTERN SKY DR STE 1
TRAVERSE CITY 49684
(231) 947-6921
1084488
THOMPSON PHARMACY
710 CENTRE ST
TRAVERSE CITY 49686
(231) 947-4212
ENDOCRINOLOGY
1023722
FAICHNEY, JOHN D MD
TRAVERSE CITY 49684
(231) 935-2045
1034064
VOLLBRECHT, JILL E MD
TRAVERSE CITY 49684
(231) 935-2045
GASTROENTEROLOGY
1041725
ANTINOZZI, REX D MD
4100 PARK FOREST DR STE 208
TRAVERSE CITY 49684
(231) 935-5710
1004955
BARNES, ROBERT E MD
TRAVERSE CITY 49684
(231) 935-5710
1065888
GALAN, MARK V MD
TRAVERSE CITY 49684
(231) 935-5710
1061458
GOLDMAN, JEFFREY H MD
TRAVERSE CITY 49684
(231) 935-5710
1016019
HEGEWALD, MONTGOMERY MD
TRAVERSE CITY 49684
(231) 935-5710
1074747
HENBEST, GLEN H DO
224 CIRCLE DR
TRAVERSE CITY 49684
(231) 935-0525
1013405
MILLIKEN, JOHN P MD
224 CIRCLE DR
TRAVERSE CITY 49684
(231) 935-0525
1076963
SANFORD, KURT A MD
TRAVERSE CITY 49684
(231) 935-5710
GENERAL SURGERY
1127051
DOTTERRER, ROBERT M MD
TRAVERSE CITY 49684
(231) 935-2191
1127052
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-2191
1014261
TRAVERSE CITY 49684
(231) 935-2191
1104314
SACHTLEBEN, ASHLEY N DO
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-5000
GYN ONCOLOGY
1081593
MICHELIN, DAVID P MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-6679
1069309
MICHELIN, DAVID P MD
315 N DIVISION ST STE 220
TRAVERSE CITY 49684
(231) 935-0971

1077566
4620 US HWY 31 N
TRAVERSE CITY 49686
(231) 938-3111
1095681
MUNSON HEARING CLINIC
TRAVERSE CITY 49684
(231) 935-6455

Page 207
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

1085243
GORDON, DAVID S MD
4960 SKYVIEW CT
TRAVERSE CITY 49684
(231) 947-3070
1095473
HUGHES, LISA A DO
5041 N ROYAL DR STE 2
TRAVERSE CITY 49684
(231) 935-7000
1085244
KOSINSKI, RICHARD P MD
TRAVERSE CITY 49684
(231) 935-0700
1085239
SCHWERT, ROBERT C DO
4960 SKYVIEW CT
TRAVERSE CITY 49684
(231) 947-3070
HOME HEALTH CARE

1096225
4020 COPPER VIEW STE 113
TRAVERSE CITY 49684
(231) 935-3089
1000927
MUNSON HOME HEALTH
1105 SIXTH ST
TRAVERSE CITY 49684
(800) 252-2065
1120609
MUNSON HOME HEALTH
550 MUNSON AVE
TRAVERSE CITY 49684
(231) 935-6520
INFECTIOUS DISEASES
1122447
ANDREI, ANCA MD
TRAVERSE CITY 49684
(231) 935-5090
1127086
CANNON, MARK MD
TRAVERSE CITY 49684
(231) 935-5090
1094746
LEDTKE, CHRISTOPHER S MD
1221 6TH ST STE 206
TRAVERSE CITY 49684
(231) 935-5090
1015487
MARTIN, DAVID B MD
TRAVERSE CITY 49684
(231) 935-5090
1019380
SPEIRS, KAREN M DO
TRAVERSE CITY 49684
(231) 935-5090
1081594
SULA, DENNIS S MD
1221 6TH ST STE 206
TRAVERSE CITY 49684
(231) 935-5090
1056062
TICHINDELEAN, CARMEN MD
1221 6TH ST STE 206
TRAVERSE CITY 49684
(231) 935-5090
INTERNAL MEDICINE
1092648
CRUDO OAKLEY, ERICA L DO
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-5000
1102879
HECTOR WORD, ZACHARY MD
4960 SKYVIEW CT
TRAVERSE CITY 49684
(231) 947-3070
1081597
LISHAWA, KRISTINA A MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5000
1081599
MACDOUGALL, DAVID B MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5000
1081605
MACNOWSKI, JOHN P III MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5000
1081608
MCELWEE, THOMAS L MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5000
1101934
RUCH, JOSHUA M MD
4690 SKYVIEW CT
TRAVERSE CITY 49684
(231) 947-3070
1081611
SALDANHA, WILFRED MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5000
1106382
VARMA, ROCHAK MD
4062 ROYAL DR
TRAVERSE CITY 49684
(231) 935-0338
NEONATOLOGY
1108298
MUNSON MEDICAL CENTER-NEONATOLOGY
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-5000
1108461
NORTHWESTERN MICHIGAN NEONATOLOGY PLC
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5522
NEPHROLOGY
1023763
SEVIMLI, AHMET MD
4062 W ROYAL DR
TRAVERSE CITY 49684
(231) 935-0338
1091046
SLOCUM, JESSICA L MD
4062 ROYAL DR
TRAVERSE CITY 49684
(231) 935-0338
NEURO SURGERY
1122164
CILLUFFO, JOHN M MD
TRAVERSE CITY 49684
(231) 935-5720
1020454
SCHERMERHORN, THOMAS C MD
TRAVERSE CITY 49684
(231) 932-0640
1081891
ZIMMERMAN, JOHN E MD
1221 6TH ST STE 303
TRAVERSE CITY 49684
(231) 941-7312
NEUROLOGY
1013154
BRUINING, KERSTI M MD
3537 W FRONT ST STE A
TRAVERSE CITY 49684
(231) 935-9700
1081579
BRUINING, KERSTI M MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5000
1124462
KUESEL, CRAIG T DO
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-5000
1068422
LEE, HEATHER K DO
TRAVERSE CITY 49684
(231) 935-9700
1014033
MOEN, MARGARET L MD
457 MUNSON AVE
TRAVERSE CITY 49686
(231) 935-8889

Page 208
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

NEUROLOGY (CONTINUED)
1016800
ROBENS, CORNELIUS MD
TRAVERSE CITY 49684
(231) 935-9700
NURSE MIDWIFE
1082783
DUNN, MARY M CNM
515 W 14TH ST STE D
TRAVERSE CITY 49684
(231) 941-5568
1098277
HART, MEGHAN CNM
1200 6TH ST STE 400
TRAVERSE CITY 49684
(231) 392-0650
1065136
MCALLISTER, JANICE L CNM
1200 6TH ST STE 400
TRAVERSE CITY 49684
(231) 392-0655
1082228
SCHMITTLING, ANN M CNM
3960 W ROYAL DR
TRAVERSE CITY 49684
(231) 947-0404
1106145
TORRES, SARAH NP
1200 6TH ST STE 400
TRAVERSE CITY 49684
(231) 392-0650

1104169
O'HAGAN, ALISSA MD
3960 W ROYAL DR
TRAVERSE CITY 49684
(231) 947-0404
1085365
ROSE, KATHRYN WHNP
TRAVERSE CITY 49684
(231) 392-0650
1135 E EIGHTH ST
TRAVERSE CITY 49686
(231) 929-1844
OBSTETRICS
1107625
NEWTON, CHARLES MD
1017259
BUMP, PETER MD
3960 W ROYAL DR
TRAVERSE CITY 49684
(231) 947-0404
1075057
DANZ, LAURA J MD
1200 6TH ST STE 400
TRAVERSE CITY 49684
(231) 392-0650
1075061
GOOD, DON A MD
TRAVERSE CITY 49684
(231) 392-0650
1122125
GRIFFITH, ANNA M MD
1135 E EIGHTH ST
TRAVERSE CITY 49686
(231) 929-1844
1077641
JELSEMA, RUSSEL D MD
1105 SIXTH ST
TRAVERSE CITY 49684
(236) 935-5500
1069095
KURTZ, DEBRA J MD
TRAVERSE CITY 49684
(231) 392-0650
1026327
MADION, TIMOTHY P MD
1200 6TH ST STE 400
TRAVERSE CITY 49684
(231) 392-0650
1010405
MCKAY, DOUGLAS L MD
1200 6TH ST STE 400
TRAVERSE CITY 49684
(231) 392-0650
1025898
MORREALE, STEPHANIE MD
3960 W ROYAL DR
TRAVERSE CITY 49684
(231) 947-0404
1034395
MYERS, DIANA L MD
3960 W ROYAL DR
TRAVERSE CITY 49684
(231) 947-0404
1082068
NOWAK, WILLIAM E DO
3990 M 72 E
WILLIAMSBURG 49690
(231) 938-2366
1119181
1135 E EIGHT ST
TRAVERSE CITY 49686
(231) 929-1844
1085364
VERPLANCK-KANITZ, MARCY DO
TRAVERSE CITY 49684
(231) 392-0650
1017258
WRIGHT, DAVID D MD
3960 W ROYAL DR
TRAVERSE CITY 49684
(231) 947-0404
1069107
WRIGHT, KURT A MD
1200 6TH ST STE 400
TRAVERSE CITY 49684
(231) 392-0650
ONCOLOGY
1081618
COLUCCI, PHILOMENA M DO
3537 W FRONT ST
TRAVERSE CITY 49684
(231) 935-8810
1085245
COLUCCI, PHILOMENA M DO
4960 SKYVIEW CT
TRAVERSE CITY 49684
(231) 947-3070
1085242
KOHLER, PETER C MD
TRAVERSE CITY 49684
(231) 935-0700
1091027
RIDDLE, ANDREW J DO
TRAVERSE CITY 49684
(231) 935-0700
OPHTHALMOLOGY
1082575
BUTRYN, ROBERT K MD
4033 EASTERN SKY DR
TRAVERSE CITY 49684
(231) 932-9000
1068076
860 E FRONT ST
TRAVERSE CITY 49686
(231) 938-0710
1082347
HANLEY, TIMOTHY B MD
3830 W FRONT ST
TRAVERSE CITY 49684
(231) 929-3888
1082348
HOCHSTETLER, BRADLEY MD
3830 W FRONT ST
TRAVERSE CITY 49684
(231) 929-3888
1107772
LIU, JUDY C MD
860 E FRONT ST
TRAVERSE CITY 49686
(231) 938-0710
1019328
MADION, MATTHEW P MD
929 BUSINESS PARK DR
TRAVERSE CITY 49686
(231) 947-6246
1101790
MCMANUS, JOHN R MD
929 BUSINESS PARK DR.
TRAVERSE CITY 49686
(231) 947-6246
1080360
MUSSON, KENNETH H MD
TRAVERSE CITY 49686
(231) 947-6246
1081742
NOFFKE, AMY S MD
860 E FRONT ST
TRAVERSE CITY 49686
(231) 938-0710

Page 209
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

1042867
OH, KEAN T MD
860 E FRONT ST
TRAVERSE CITY 49686
(231) 938-0710
1075800
SNEED, PETER J MD
TRAVERSE CITY 49686
(231) 947-6246
1076284
SNEED, SCOTT R MD
860 E FRONT ST
TRAVERSE CITY 49686
(231) 938-0710
1013403
THUENTE, DANIEL D MD
TRAVERSE CITY 49686
(231) 947-6246
1022655
VONKULAJTA, PETRA MD
TRAVERSE CITY 49686
(231) 947-6246
1078418
TRAVERSE CITY 49686
(231) 947-6246
OPTOMETRY
1016628
ABBOTT, RICHARD OD
TRAVERSE CITY 49686
(231) 947-6246
1097855
CONNICK, ERIC N OD
1545 S DIVISION STE 122
TRAVERSE CITY 49684
(231) 486-0580
1094129
GENTILE, RALPH OD
1545 S DIVISION ST STE 122
TRAVERSE CITY 49684
(231) 486-0580
1086232
LINTZ, JENNIFER A OD
TRAVERSE CITY 49686
(800) 968-6612
1022394
NOSS, MARK D OD
328 MUNSON AVE
TRAVERSE CITY 49686
(231) 946-8460
1086385
PIERCE, CAROLYN OD
872 MUNSON AVE STE B
TRAVERSE CITY 49686
(231) 947-1690
1045040
SCARBROUGH, EDWARD L OD
527 W FRONT ST
TRAVERSE CITY 49684
(231) 947-8667
1095651
SKARNULIS, LAUREN OD
12123 S AIRPORT RD
TRAVERSE CITY 49686
(231) 941-5806
1082938
SKRZYPCZAK, CLAY G OD
TRAVERSE CITY 49686
(231) 947-6246
1069271
STEWART, EDWARD OD
601 S GARFIELD AVE STE A
TRAVERSE CITY 49686
(231) 947-2020
1086388
TANKE, ANNA OD
872 MUNSON AVE STE B
TRAVERSE CITY 49686
(231) 947-1690
1125321
TROUPE, TIMOTHY OD
1545 S DIVISION STE 122
TRAVERSE CITY 49684
(231) 486-0580
1094130
WONG, KENNETH OD
1545 S DIVISION ST STE 122
TRAVERSE CITY 49684
(231) 486-0580
3537 FRONT ST STE H
TRAVERSE CITY 49684
(616) 267-2600
3529 W FRONT ST
TRAVERSE CITY 49684
(231) 346-1047
550 MUNSON AVE
TRAVERSE CITY 49686
(231) 935-8540
ORTHOPEDIC SURGERY
1121188
FORNESS, MICHAEL J DO

1125283
POLLEY, JOHN MD
PAIN CENTER
1109873
MUNSON SPINE AND NERVE PAIN TREATMENT CTR
PAIN MANAGEMENT
1065120
BECK, HOWARD
550 MUNSON AVE
TRAVERSE CITY 49686
(231) 935-8540
1081621
BURKE, RICHARD G MD
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-8540
1118076
BURKE, RICHARD G MD
550 MUNSON AVE
TRAVERSE CITY 49686
(231) 935-8540
1076298
WRIGHT, KAMALA A MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5000
1118077
WRIGHT, KAMALA A MD
550 MUNSON AVE
TRAVERSE CITY 49686
(231) 935-8540
1081574
GRIFKA, RONALD G MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5000
1081575
LACINA, SAMUEL J MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5800
3537 FRONT ST STE H
TRAVERSE CITY 49684
(616) 267-2100
1121189
HASHEMI, ISMAEEL B MD
1090114
ARNDT, DANIEL H MD
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-5000
1085909
SOYODE, OLUFEMI O MD
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-5000

Page 210
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

1021801
ANDRIESE, STEPHEN J MD
3988 W ROYAL DR
TRAVERSE CITY 49684
(231) 935-0860
1014289
AUGENSTEIN, KIMBERLY B MD
3988 W ROYAL DR
TRAVERSE CITY 49684
(231) 935-0860
1082593
BALL, RICHARD D MD
3988 W ROYAL DR
TRAVERSE CITY 49684
(231) 935-0860
1013467
GRONEK, JULIE A MD
3988 W ROYAL DR
TRAVERSE CITY 49684
(231) 935-0860
1003404
3988 W ROYAL DR
TRAVERSE CITY 49684
(231) 935-0860
1090010
POOLE, MARSHALL T DO
3988 W ROYAL DR
TRAVERSE CITY 49684
(231) 935-0860
1080494
3988 W ROYAL DR
TRAVERSE CITY 49684
(231) 935-0860
1080496
RIDDLE, TRACY DO
3988 W ROYAL DR
TRAVERSE CITY 49684
(231) 935-0860
PODIATRY
1105746
MOSSEL, JEFFREY DPM
3537 W FRONT ST STE C
TRAVERSE CITY 49684
(231) 935-8800
1014063
STYCH, WILLIAM C DPM
4001 W ROYAL DR
TRAVERSE CITY 49684
(231) 935-0666
1035108
SZCZEPANSKI, JEFFREY A DPM
3537 W FRONT ST STE C
TRAVERSE CITY 49684
(231) 935-8800
PROSTHETICS
1069302
5123 N ROYAL DRIVE
TRAVERSE CITY 49684
(231) 932-8702
1022545
2915 GARFIELD RD N #B
TRAVERSE CITY 49686
(231) 941-8480
1009058
1225 W FRONT ST
TRAVERSE CITY 49684
(231) 947-5701
PSYCHIATRY
1108634
AMEEL, BRIAN A MD
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1090966
GORAL, ZACHARY P DO
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-6382
1120578
HARDING, THOMAS H MD
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-6210
1121376
KUESEL, CRAIG T DO
TRAVERSE CITY 49684
(231) 935-9700
1100987
PALAMARA, JENNIFER A MD
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1100326
PLUM, RACHEL H MD
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-6210
1108732
PROBES, LAWRENCE M MD
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1091061
UMFLEET, JASON T MD
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-5000
1108702
WILKINSON, PETER D MD
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1034085
YOUNG, STEVEN J MD
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-6210
RADIATION ONCOLOGY
1083180
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-7100
1093078
2590 NEAHTAWANTA RD
TRAVERSE CITY 49686
(231) 935-7100
1078902
BOIKE, THOMAS P MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-7100
1093064
BOIKE, THOMAS P MD
2590 NEAHTAWANTA RD
TRAVERSE CITY 49686
(231) 935-7100
1014869
BROWN, DOUGLAS M MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-7100
1093067
BROWN, DOUGLAS M MD
2590 NEAHTAWANTA RD
TRAVERSE CITY 49686
(231) 935-7100
1093068
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-7100
1093071
2590 NEAHTAWANTA RD
TRAVERSE CITY 49686
(231) 935-7100
1093072
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-7100
1093075
2590 NEAHTAWANTA RD
TRAVERSE CITY 49686
(231) 935-7100
1078579
PRUST, ROBERT M MD
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-7100
1093061
PRUST, ROBERT M MD
2590 NEAHTAWANTA RD
TRAVERSE CITY 49686
(231) 935-7100
TRAVERSE CITY 49684
(231) 392-0210
RHEUMATOLOGY
1122065
GUNN, NICOLE MD

Page 211
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

1073091
TENDERCARE HEALTH CENTER BIRCHWOOD
2950 LAFRANIER RD
TRAVERSE CITY 49686
(231) 947-0506
1073093
TENDERCARE TRAVERSE CITY
2585 LAFRANIER RD
TRAVERSE CITY 49686
(231) 947-9511
SPEECH THERAPY
1078685
GREAT LAKES PHYSICAL THERAPY
224 CIRCLE DR STE A
TRAVERSE CITY 49684
(231) 941-8100
1127997
2950 LAFRANIER RD
TRAVERSE CITY 49686
(231) 947-0506
1127991
2585 LAFRANIER RD
TRAVERSE CITY 49686
(231) 947-9511
4020 COPPER VW STE 212
TRAVERSE CITY 49684
(231) 941-7500

1069537
AMALFITANO, DAVID J DO
UROLOGY
1126056
FLEWELLING, DANIEL T MD
3925 CEDAR RUN RD
TRAVERSE CITY 49684
(231) 935-0322
1126732
HALL, ROBERT M MD
3923 CEDAR RUN RD
TRAVERSE CITY 49684
(231) 935-0322
1126859
STARR, JAY A MD
3926 CEDAR RUN RD
TRAVERSE CITY 49684
(231) 935-0322
1125942
STEFANCIW, WAYNE K MD
3924 CEDAR RUN RD
TRAVERSE CITY 49684
(231) 935-0322
3930 CEDAR RUN RD
TRAVERSE CITY 49684
(231) 935-0390
150 W CENTER ST STE 1
ALMA 48801
(800) 991-2762
VASCULAR SURGERY
1031166
COLBURN, MICHAEL D MD
GRATIOT COUNTY
Gratiot County
ALLERGY
1023662
AVULA, RAMESH MD
CARDIOLOGY
1061781
DIEHL, RODNEY O DO
160 E WARWICK DR
ALMA 48801
(800) 897-8851
1099972
300 E WARWICK DR
ALMA 48801
(989) 463-1101
1117305
160 E WARWICK DR
ALMA 48801
(989) 289-5353
1125542
320 E WARWICK DR
ALMA 48801
(989) 466-7191
1127077
KREPOSTMAN, ABRAHAM MD
315 E WARWICK DR STE E
ALMA 48801
(989) 466-2877
1068112
ALMA 48801
(989) 466-2877
1095291
MCGOWAN, CATHY M MD
160 E WARWICK
ALMA 48801
(855) 258-5353
1096137
MCGOWAN, CATHY M MD
121 N PINE RIVER RD
ITHACA 48847
(989) 875-5111
1068114
MOHAN, SUDEEP MD
ALMA 48801
(989) 466-2877
1127079
MOHAN, SUDEEP MD
ALMA 48801
(989) 466-2877
DME - P&O
1007657
MID MICH VISITING NURSE SUPPORT SERV
175 E WARWICK
ALMA 48801
(800) 624-2082
1105904
MID MICHIGAN HOME CARE
175 E WARWICK DR
ALMA 48801
(989) 463-4121
1069632
1022 MICHIGAN AVE
ALMA 48801
(800) 858-7418
1016391
245 E WARWICK STE C
ALMA 48801
(989) 463-0951
311 E WARWICK DR
ALMA 48801
(989) 463-4976
GASTROENTEROLOGY
1123246
SAXENA, RAKESH N MD
GENERAL SURGERY
1054794
BONACCI, JEFFREY MD
315 WARWICK DR STE 3
ALMA 48801
(989) 463-6699
1009253
CUDJOE, ERNEST A MD
ALMA 48801
(989) 463-6699

Page 212
February 19, 2015

PIN
Provider
Address
GRATIOT COUNTY (CONTINUED)
City and Zip
Phone
Gender
Gratiot County

1072286
JENTZ, AMY B MD
114 N MAIN ST
ITHACA 48847
(989) 449-4034
1044341
PILKINGTON, JAMES D MD
315 E WARWICK STE 3
ALMA 48801
(989) 463-6699
1005768
SMITH, JEFFREY F MD
ALMA 48801
(989) 463-6699
116 W SUPERIOR STE 7
ALMA 48801
(989) 799-6603

1096705
1104835
315 E WARWICK STE C
ALMA 48801
(989) 463-9307
1033586
SAHAY, TANNU MD
647 W WARWICK DR
ALMA 48801
(989) 463-5400
320 E WARWICK DR
ALMA 48801
(989) 466-7020
INFECTIOUS DISEASES
1056185
RAYGADA, JOSE L MD
INTERNAL MEDICINE
1127542
BENNETT, LARRY MD
300 W WARWICK DR
ALMA 48801
(989) 466-3260
1091421
ERNEST, JEANINE MD
300 E WARWICK
ALMA 48801
(989) 466-7229
1080305
JANDWANI, PANKAJ MD
300 WARWICK
ALMA 48801
(989) 463-5740
1120750
KAPOOR, ATUL MD
300 E WARWICK
ALMA 48801
(989) 466-7229
1118277
RANDOLPH, DAVID E MD
300 E WARWICK DR
ALMA 48801
(989) 466-7229
1116388
RAYGADA, JOSE MD
320 E WARWICK
ALMA 48801
(989) 466-7229
1090244
RAYGADA, JOSE MD
200 E WARWICK
ALMA 48801
(989) 466-7229
1008708
300 E WARWICK DR
ALMA 48801
(989) 466-3234
1005924
SAXENA, RAKESH N MD
300 E WARWICK DR
ALMA 48801
(989) 463-4976
315 E WARWICK DR STE F-2
ALMA 48801
(989) 463-4805
200 E WARWICK DR
ALMA 48801
(989) 466-7468
NEPHROLOGY
1034330
FUENTE, JOSE MD
NEURO SURGERY
1022630
FIELD, E MALCOLM MD
NEUROLOGY
1011865
SHAIKH, ZUBAIR A MD
1200 WRIGHT AVE
ALMA 48801
(989) 463-0957
1056559
SHAIKH, ZUBAIR A MD
315 E WARWICK DR STE F-1
ALMA 48801
(989) 463-0957
315 E WARWICK DR STE D
ALMA 48801
(989) 466-5486
103 E CENTER ST STE H
ITHACA 48847
(989) 584-3107
NURSE MIDWIFE
1010151
CARY, DEBORAH CNM

1074236
RUSSELL, JANICE NP
1026995
ITHACA 48847
(989) 584-3107
1063466
LEGRAND, ERIN E DO
ITHACA 48847
(989) 584-3107
1006846
MASLOVICH, MARK MICHAEL E MD
ALMA 48801
(989) 466-5486
1105154
MOOSSAVI, LEYLA MD
121 N PINE RIVER
ITHACA 48847
(989) 875-2249
1006844
MOOSSAVI, LEYLA MD
121 N PINE RIVER
ITHACA 48847
(989) 875-5111
1123249
SAXENA, INDIRA R MD
311 E WARWICK DR
ALMA 48801
(989) 463-4976
1057125
TATAR, AHSEN MD
ALMA 48801
(989) 466-5486
1105157
TRAENKLE, DIANE DO
121 N PINE RIVER
ITHACA 48847
(989) 875-2249

Page 213
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Gratiot County
ONCOLOGY
1069960
SAHAY, TANNU MD
647 W WARWICK DR STE C
ALMA 48801
(989) 463-5400
OPHTHALMOLOGY
1006941
OGRADY, JOHN M MD
7328 N ALGER
ALMA 48801
(989) 463-1126
1019232
SAHOURI, MAJED MD
623 W WARWICK DR
ALMA 48801
(989) 463-1126
OPTOMETRY
1008445
BARTZ, TAD OD
1321 PINE AVE
ALMA 48801
(989) 463-1139
1036224
NEAR, STEPHEN K OD
235 N MILL ST
SAINT LOUIS 48880
(989) 681-2684
1008523
SEALS, JAMES H OD
1321 PINE AVE
ALMA 48801
(989) 463-1139
1008329
TACIA, PETER B OD
1321 PINE AVE
ALMA 48801
(989) 463-1139
1065621
WHITMORE, GARRETT W OD
1321 PINE AVE
ALMA 48801
(989) 463-1139
1105967
ZAINEA, JACOB OD
1321 PINE AVE
ALMA 48801
(989) 463-1139
ORTHOPEDIC SURGERY
1005739
HAVERBUSH, THOMAS J MD
315 E WARWICK DR STE A
ALMA 48801
(989) 463-6092
1094236
WARE, JAMES E DO
315 E WARWICK DR STE B
ALMA 48801
(989) 466-2663
1015176
YACISEN, JOSEPH R DO
ALMA 48801
(989) 466-2663
PAIN MANAGEMENT
1099054
GUNDAMRAJ, NARASIMHA R MD
300 E WARWICK AVE
ALMA 48801
(989) 466-3247
1099034
SILVERSTEIN, MARC MD
300 E WARWICK AVE
ALMA 48801
(989) 466-3247
1469 MARY COURT
ALMA 48801
(989) 463-2150
PODIATRY
1009196
HOLLAND, MICHAEL H DPM
PROSTHETICS
1069632
1022 MICHIGAN AVE
ALMA 48801
(800) 858-7418
1016391
245 E WARWICK STE C
ALMA 48801
(989) 463-0951
PSYCHIATRY
1057935
CHANDRASEKARAN, GEETHA MD
ALMA 48801
(989) 463-2779
1124628
PACOLD, CHRISTINE M MD
2025 W CHEESMAN RD
ALMA 48801
(989) 463-3451
1006842
RANGWANI, SUNIL R MD
317 E WARWICK STE B
ALMA 48801
(989) 463-2779
151 COMMERCE DR
ITHACA 48847
(989) 875-1032

204173
MID MICHIGAN DIST HEALTH DEPT
RADIATION ONCOLOGY
1124848
FIREMAN, MARK MD
315 E WARWICK STE C
ALMA 48801
(989) 463-9300
1010518
KOCHERIL, PAUL G MD
315 WARWICK DR STE C
ALMA 48801
(989) 463-9300
1010521
ALMA 48801
(989) 463-9300
1010523
LITTLES, JAMES F MD
ALMA 48801
(989) 463-9300

1080162
ASHLEY CARE CENTER
103 W WALLACE ST
ASHLEY 48806
(989) 847-2011
129548
LAURELS OF FULTON
4735 W RANGER RD
PERRINTON 48871
(989) 236-5433
1019993
MICHIGAN MASONIC HOME SNF
1200 WRIGHT AVE
ALMA 48801
(989) 463-3141
1125988
MICHIGAN MASONIC HOME SNF VENT DEPENDENT
1200 WRIGHT AVE
ALMA 48801
(989) 463-3141
1026621
SCHNEPP HEALTH CARE
427 E WASHINGTON ST
SAINT LOUIS 48880
(989) 681-5721

Page 214
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Gratiot County
UROLOGY
1006920
SAMHAN, TALAL O MD
1465 MARY CT
ALMA 48801
(989) 463-3746
1100065
SAMHAN, TALAL O MD
320 E WARWICK
ALMA 48801
(989) 466-7191
160 E WARWICK
ALMA 48801
(989) 466-5353
451 HIDDEN MEADOWS DR STE 210
HILLSDALE 49242
(517) 437-4820
VASCULAR SURGERY
1090351
HAQQANI, OMAR P MD
Hillsdale County
HILLSDALE COUNTY
1077350
CARDIOLOGY
1125622
BERNERO, JOHN R DO
61 W CARLETON RD
HILLSDALE 49242
(269) 226-5050
1104234
BERNERO, JOHN R DO
451 HIDDEN MEADOW DR STE 290
HILLSDALE 49242
(269) 226-5050
1072632
GUPTA, VISHAL MD
HILLSDALE 49242
(269) 226-5050
1125626
GUPTA, VISHAL MD
61 W CARLETON RD
HILLSDALE 49242
(269) 226-5050
1125621
61 W CARLETON RD
HILLSDALE 49242
(269) 226-5050
1072645
HILLSDALE 49242
(269) 226-5050
1072748
451 HIDDEN MEADOW DRIVE STE 290
HILLSDALE 49242
(269) 226-5050
1125620
61 W CARLETON RD
HILLSDALE 49242
(269) 226-5050
1036250
OWUSU, VICTOR MD
17 S MANNING
HILLSDALE 49242
(517) 439-1850
1072752
PECK, STEPHEN L MD
451 HIDDEN MEADOW DRIVE STE 290
HILLSDALE 49242
(269) 226-5050
DME - P&O
1069486
3228 W CARLTON
HILLSDALE 49242
(800) 752-3083
1090239
HILLSDALE HOME OXYGEN
451 HIDDEN MEADOWS
HILLSDALE 49242
(517) 437-8371
1068894
MEDWEST MEDICAL SUPPLY
40 MCCOLLUM ST
HILLSDALE 49242
(517) 437-2061
781 OLDS ST
JONESVILLE 49250
(517) 849-7474
30 S HOWELL ST
HILLSDALE 49242
(517) 437-7800

1095611
FRESENIUS MEDICAL CARE OF HILLSDALE
ENDOCRINOLOGY
1080843
BOAKYE, KWASI O MD
GASTROENTEROLOGY
1093855
MCCANCE, DAN E DO
1456 HUDSON RD
HILLSDALE 49242
(517) 439-0200
1107014
MCCANCE, DAN E DO
32 S BROAD ST
HILLSDALE 49242
(517) 439-0200
1082743
MCCANCE, DAN E DO
1456 HUDSON RD
HILLSDALE 49242
(517) 439-0200
GENERAL SURGERY
1099354
BAXTER, DANIEL DO
HILLSDALE 49242
(517) 437-5350
1094759
MARCH, NORRIS DO
HILLSDALE 49242
(517) 437-5350
1098318
MCCRIRIE, DALE DO
HILLSDALE 49242
(517) 437-5350

1083221
23 N BROAD ST
HILLSDALE 49242
(517) 439-5442
1083222
PROFESSIONAL HEARING SERVICES
67 E SAINT JOE ST
HILLSDALE 49242
(517) 439-1610
451 HIDDEN MEADOWS DR
HILLSDALE 49242
(517) 439-5740
HOME HEALTH CARE

1106240
HILLSDALE HOME CARE

Page 215
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Hillsdale County
NEPHROLOGY
1101388
OO, THAN N MD
3271 W CARLETON RD
HILLSDALE 49242
(517) 437-8367
1099582
OO, THAN N MD
3271 W CARLETON RD
HILLSDALE 49242
(269) 979-0409
NEUROLOGY
1085351
DAGLI, RAJESH D MD
168 S HOWELL ST
HILLSDALE 49242
(517) 437-5235
1100319
JANUSZ, ALEX DO
HILLSDALE 49242
(517) 437-8366
1711 S HILLSDALE RD
HILLSDALE 49242
(517) 437-5390
OBSTETRICS
1089967
BEDIAKO, ALFRED MD
1089967
BEDIAKO, ALFRED MD
1711 S HILLSDALE RD
HILLSDALE 49242
(517) 437-5390
1038500
DULA, VERONICA J MD
1711 S HILLSDALE RD
HILLSDALE 49242
(517) 437-5390
OPHTHALMOLOGY
1086256
GOSSAGE, DAVID DO
50 W CARLETON RD
HILLSDALE 49242
(517) 439-2020
1017234
LUPARELLO, KAREN M DO
50 W CARLETON RD
HILLSDALE 49242
(517) 439-2020
OPTOMETRY
1104738
AMBURGEY, CORBETT W OD
43 S HOWELL ST
HILLSDALE 49242
(517) 437-4465
1035623
KOSCIUSZKO, MARK E OD
50 W CARLETON
HILLSDALE 49242
(517) 439-2020
1102155
MCDANIEL, DENVER OD
855 OLDS ST
JONESVILLE 49250
(517) 849-2200
1085935
TAYLOR, JOHN OD
59 BARRY ST
HILLSDALE 49242
(517) 437-4300
ORTHOPEDIC SURGERY
1037159
ANDERSON, KEVIN DO
HILLSDALE 49242
(517) 437-2155
1099735
COLLINS, BARRY J DO
61 W CARLETON RD
HILLSDALE 49242
(517) 439-5411
PROSTHETICS
1069486
3228 W CARLTON
HILLSDALE 49242
(800) 752-3083
1068894
MEDWEST MEDICAL SUPPLY
40 MCCOLLUM ST
HILLSDALE 49242
(517) 437-2061
168 S HOWELL ST
HILLSDALE 49242
(517) 437-5363
PSYCHIATRY
1100342
SHARMA, RAVINDER MD
PULMONOLOGY
1091538
3271 W CARLETON RD
HILLSDALE 49242
(517) 437-3879
1109955
168 S HOWELL ST
HILLSDALE 49242
(517) 437-4451
451 HIDDEN MEADOWS DR # 290
HILLSDALE 49242
(517) 437-8383
168 S HOWELL ST
HILLSDALE 49242
(517) 437-5232
HOUGHTON 49931
(906) 482-3041
RHEUMATOLOGY
1011690
SOLANKI, SATISH MD

1106193
MCGUIRE SKILLED NURSING FACILITY
HOUGHTON COUNTY
Houghton County
DME - P&O
1066541
704 SHARON AVE

Page 216
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Huron County
HURON COUNTY
1093686
1040 S VAN DYKE
BAD AXE 48413
(989) 672-0092
170 N CASEVILLE RD
PIGEON 48755
(989) 453-3223
AMBULANCE
1119001
SCHEURER HOSPITAL AMBULANCE
CARDIOLOGY
1072057
ANWAR, SAROSH MD
1117 S VAN DYKE STE 300
BAD AXE 48413
(989) 269-9615
1063398
JOSEPH, JAPHET G MD
170 N CASEVILLE RD
PIGEON 48755
(989) 453-3223
1084319
MCCLURE, JOHN II MD
1100 S VAN DYKE
BAD AXE 48413
(989) 269-9521
1073019
YUNUS, ASIM MD
BAD AXE 48413
(989) 269-9615
BAD AXE 48413
(989) 269-9615
170 N CASEVILLE RD
PIGEON 48755
(989) 453-3223
1073007
KHETARPAL, VIPIN MD

1117679
SENAGORE, ANTHONY MD
DME - P&O
1040802
NARAYAN MEDTECH EQUIPMENT LLC
968 S VANDYKE RD
BAD AXE 48413
(989) 269-8700
1046903
OAKLAND ORTHOPEDICS
743 N VANDYKE
BAD AXE 48413
(989) 269-9373
1011616
SHELDON MEDICAL SUPPLY
836 S VAN DYKE
BAD AXE 48413
(800) 386-6469
1025581
1060 S VAN DYKE
BAD AXE 48413
(989) 269-7995
1100 S VAN DYKE
BAD AXE 48413
(989) 264-9521

1109840
HURON MEMORIAL HOSPITAL
GENERAL SURGERY
1117678
BISTOLARIDES, PETER MD
170 N CASEVILLE RD
PIGEON 48755
(989) 453-3223
1093371
CHRISTIAN, HORACE D MD
1060 S VAN DYKE
BAD AXE 48413
(989) 269-8701
1043516
GONG, CHRISTOPHER MD
BAD AXE 48413
(989) 269-8701
1064681
HOUGH, BLAIR MD
135 N CASEVILLE RD
PIGEON 48755
(989) 453-3798
1098581
SHALABI, AHMED MD
BAD AXE 48413
(810) 269-8701
1092966
TONSEKAR, KISHORE MD
1060 S VAN DYKE
BAD AXE 48413
(989) 269-8701

1023301
HEARING SERVICES OF BAD AXE
1252 SAND BEACH RD
BAD AXE 48413
(810) 648-4565
1096715
585 N PORT CRESCENT
BAD AXE 48413
(989) 799-6603
1107072
BARTNIK, JOHN K MD
170 N CASEVILLE RD
PIGEON 48755
(989) 453-3223
1084318
HUGHES, JOHN C MD
1100 S VAN DYKE
BAD AXE 48413
(989) 269-5786
1084320
NINAN, JACOB MD
1100 S VAN DYKE
BAD AXE 48413
(989) 269-5786
1171 S VAN DYKE STE C & D
BAD AXE 48413
(989) 269-2522
1100 S VAN DYKE
BAD AXE 48413
(989) 269-9521
1040 S VAN DYKE
BAD AXE 48413
(989) 269-5152
HOSPICE
1096310
INTERNAL MEDICINE
1022846
MCCOMB, TRACY R MD
NEPHROLOGY
1093144
SHAIKH, MALIHA N MD

Page 217
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Huron County
NEURO SURGERY
1117692
GATES, TIMOTHY A MD
1040 S VAN DYKE
BAD AXE 48413
(989) 667-3400
1117 S VAN DYKE RD
BAD AXE 48413
(989) 269-2597
NEUROLOGY
1016887
KALA, JOANNA A DO
1127085
1011 S VAN DYKE
BAD AXE 48413
(989) 269-6990
1125232
BIRBECK, TAMMY DO
1011 S VAN DYKE
BAD AXE 48413
(989) 269-6990
1063244
BOGNER, CHRISTIAN MD
1011 S VAN DYKE
BAD AXE 48413
(989) 269-3923
1123099
IVANOV, GENNADIY V MD
1011 S VAN DYKE
BAD AXE 48413
(989) 269-6990
1012285
MACCHIARELLA, NANCY B DO
1005 SOUTH VAN DYKE
BAD AXE 48413
(989) 269-3923
1079530
MUTCH, ROBERT DO
1011 S VAN DYKE
BAD AXE 48413
(989) 269-3923
1118081
STRYKER, AUDREY MD
1100 S VAN DYKE
BAD AXE 48413
(989) 269-6990
BAD AXE 48413
(989) 269-9855
OPHTHALMOLOGY
1016286
ROBINSON, JEFFREY D MD
OPTOMETRY
1039978
ATKINS, GREGORY A OD
1266 SAND BEACH RD
BAD AXE 48413
(989) 269-5393
1119541
BUEHLER, DOUGLAS OD
7484 W MICHIGAN AVE
PIGEON 48755
(989) 453-2025
1126558
JOHNSTON, JEFFREY OD
119 N HANSELMAN
BAD AXE 48413
(989) 269-3937
1126562
SCHULZE, ELYSIA OD
119 N HANSELMAN
BAD AXE 48413
(989) 269-3937
1126553
WATSON, CRAIG OD
119 N HANSELMAN
BAD AXE 48413
(989) 269-3937
1100 S VAN DYKE RD
BAD AXE 48413
(810) 269-9521
ORTHOPEDIC SURGERY
1103011
MCMANAMAN, CRAIG DO

1084321
PERRY, BRIAN F MD
1100 S VAN DYKE
BAD AXE 48413
(989) 269-9521
1117675
PERRY, BRIAN F MD
170 N CASEVILLE RD
PIGEON 48755
(989) 453-3223
1100 S VAN DYKE
BAD AXE 48413
(989) 269-9521
1040 S VAN DYKE
BAD AXE 48413
(989) 672-0092
PAIN MANAGEMENT
1091100
HAIDER, NAEEM MD

1093686

1103822
JILANI, MUHAMMAD S MD
1100 S VAN DYKE
BAD AXE 48413
(989) 269-9521
1016420
210 S FIRST ST
HARBOR BEACH 48441
(800) 842-1829
1040 S VAN DYKE STE A
BAD AXE 48413
(888) 893-9393
1060 S VAN DYKE RD
BAD AXE 48413
(989) 269-5152
PLASTIC SURGERY
1066238
KOMOROWSKI, MARK C MD
PODIATRY
1082909
STOUTENBURG, ANGELA DPM
PROSTHETICS
1046903
OAKLAND ORTHOPEDICS
743 N VANDYKE
BAD AXE 48413
(989) 269-9373
1011616
836 S VAN DYKE
BAD AXE 48413
(800) 386-6469
1025581
1060 S VAN DYKE
BAD AXE 48413
(989) 269-7995

Page 218
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Huron County

1010008
HURON COUNTY HEALTH DEPT
1142 S VAN DYKE
BAD AXE 48413
(989) 269-9721
PULMONOLOGY
1097978
AHMAD, SAAD MD
1100 S VAN DYKE
BAD AXE 48413
(989) 269-9521
1117676
AHMAD, SAAD S MD
170 N CASEVILLE RD
PIGEON 48755
(989) 453-3233
1097979
MANAWAR, SHAHZAD MD
1100 S VAN DYKE
BAD AXE 48413
(989) 269-9521
1117677
MANAWAR, SHAHZAD MD
170 N CASEVILLE RD
PIGEON 48755
(989) 453-3223
1074655
RITTENGER, MARK MD
1100 S VAN DYKE
BAD AXE 48413
(989) 269-9521
1116316
SOUEIDAN, ALI S MD
1100 S VAN DYKE
BAD AXE 48413
(989) 269-7252
1070219
STREFF, GREGORY
1100 S VAN DYKE
BAD AXE 48413
(989) 269-9521
1040 S VAN DYKE RD
BAD AXE 48413
(989) 672-2500
RHEUMATOLOGY
1093637
ANWAR, FARRUKH MD

1090318
COURTNEY MANOR
1167 EAST HOPSON ST
BAD AXE 48413
(989) 269-9983
1106345
HURON COUNTY MCF
1116 S VAN DYKE RD
BAD AXE 48413
(989) 269-6425
1060 S VAN DYKE
BAD AXE 48413
(989) 269-6651
1100 VAN DYKE
BAD AXE 48413
(989) 269-8933
UROLOGY
1091456
JENSEN, STEVEN L MD
VASCULAR SURGERY
1069396
ALAOUIE, GASSAN DO
Ingham County
INGHAM COUNTY
1031055
EGELAND, DENISE M NP
1215 E MICHIGAN AVE
LANSING 48909
(517) 364-2050
1095331
FITZPATRICK, MEGAN J NP
1200 E MICHIGAN AVE STE 340
LANSING 48912
(517) 364-5955
1067579
SPINDLER, ANNETTE NP
1200 E MICHIGAN AVE LOWER LEVEL
LANSING 48912
(517) 364-5330

1001471
AVULA, RAMESH MD
1515 LAKE LANSING RD STE G-1
LANSING 48912
(517) 484-3966
1007615
BURTON, RIDHU C MD
4169 LEGACY PKWY
LANSING 48911
(517) 394-6500
1058595
DEMORE, JENNIFER P MD
4169 LEGACY PKWY
LANSING 48911
(517) 394-6500
1118281
GUPTA, DAVE MD
1100 W SAGINAW ST STE 620
LANSING 48915
(517) 484-2261
1118280
GUPTA, SATISH MD
LANSING 48915
(517) 484-2261
1015151
HENNESSEY, LAWRENCE R MD
3955 OKEMOS RD STE A1
OKEMOS 48864
(517) 349-0027
1033740
KALFA, VASIF MD
612 W LAKE LANSING RD STE 100
EAST LANSING 48823
(517) 324-7020
1015150
MOHAN, KAMAL MD
OKEMOS 48864
(517) 349-0027
1053656
MOHAN, MANOJ DO
OKEMOS 48864
(517) 349-0027
1210 W SAGINAW BLDG 2
LANSING 48915
(517) 364-7282
AMBULANCE
1000168
SPARROW GROUND SUPPORT

253315
ICHD FAMILY PLANNING
5303 S CEDAR ST PO BOX 30161
LANSING 48911
(517) 887-4302
1003317
INGHAM COMM HEALTH-SPARROW CHILD
1115 S PENNSYLVANIA AVE
LANSING 48912
(517) 244-8060
1000349
300 N CLIPPERT STE 6
LANSING 48912
(517) 351-0550

Page 219
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
1073030
RHINE, DAVID MD
LANSING 48912
(517) 483-7591
CARDIOLOGY
1026377
ABELA, GEORGE MD
3960 PATIENT CARE DR STE 109
LANSING 48911
(517) 853-9124
201589
ABELA, GEORGE MD
804 SERVICE RD CLINICAL CENTER RM A205C
EAST LANSING 48824
(517) 353-4830
1065998
BAKR, OMAR MD
2134 HAMPTON PL
OKEMOS 48864
(517) 347-3000
1057714
BANDI, APPA MD
405 W GREENLAWN AVE STE 400
LANSING 48910
(517) 483-7550
1057715
BANDI, APPA MD
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057718
BROWN, THOMAS DO
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057717
BROWN, THOMAS DO
LANSING 48910
(517) 483-7550
1127119
BURKE, PETER MD
1540 LAKE LANSING RD STE G02
LANSING 48912
(517) 913-6650
1057719
CASTELLANI, MARK MD
LANSING 48910
(517) 483-7550
1057720
CASTELLANI, MARK MD
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057721
CHO, NAM DO
LANSING 48910
(517) 483-7550
1057722
CHO, NAM DO
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1001249
CHOO, EUGENE B MD
3413 WOODS EDGE DR
OKEMOS 48864
(517) 349-3303
1057724
COHN, JOEL MD
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057723
COHN, JOEL MD
LANSING 48912
(517) 485-0546
1057726
DHAEM, CHRISTOPHER DO
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057725
DHAEM, CHRISTOPHER DO
LANSING 48910
(517) 483-7550
1057727
DHAR, GAURAV MD
LANSING 48910
(517) 483-7550
1127203
EISENBERG, JOEL MD
LANSING 48912
(517) 913-6650
1071259
FERNANDEZ, CARLOS G DO
LANSING 48912
(517) 483-7500
203581
GOLDSHLACK, PAUL A DO
LANSING 48912
(517) 484-4095
1006266
GOLDSHLACK, PAUL A DO
1433 E MICHIGAN AVE
LANSING 48912
(517) 482-2020
1000628
GRIMM, MICHAEL F MD
3413 WOODS EDGE DR
OKEMOS 48864
(517) 349-3303
1057733
HELBLE, EDWARD DO
LANSING 48910
(517) 483-7550
1057734
HELBLE, EDWARD DO
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057736
HERNANDEZ, JUAN MD
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057737
HICKOX, TODD DO
LANSING 48910
(517) 483-7550
1057738
HICKOX, TODD DO
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057740
IP, JOHN MD
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057739
IP, JOHN MD
LANSING 48910
(517) 483-7550
1057741
JAMES, MICHAEL DO
LANSING 48910
(517) 483-7550
1057742
JAMES, MICHAEL DO
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
252762
JANI, HARESH V MD
1433 E MICHIGAN AVE
LANSING 48912
(517) 482-2020
1023946
KARVE, MILIND MD
LANSING 48912
(517) 364-5599
1057746
KLEIBER, GEORGE DO
LANSING 48910
(517) 483-7550
1057747
KLEIBER, GEORGE DO
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057774
LAMAN, KIRK B DO
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057748
LAMAN, KIRK B DO
LANSING 48910
(517) 483-7550
1057749
LAMAN, KIRK B DO
LANSING 48912
(517) 485-0548
1057752
LEFFLER, DALE DO
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057751
LEFFLER, DALE DO
LANSING 48910
(517) 483-7550
1057754
LINK, CHAD DO
LANSING 48910
(517) 483-7550
1065707
MADALA, MOHAN MD
2134 HAMPTON PL
OKEMOS 48864
(517) 347-3000

Page 220
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
1069003
MAHJOUB, ZAKWAN MD
401 W GREENLAWN AVE
LANSING 48910
(517) 975-9500
1057755
MELVIN, DARYL MD
LANSING 48910
(517) 483-7550
1057756
MELVIN, DARYL MD
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1084861
MUGHAL, MAJID
LANSING 48910
(517) 267-2236
1127108
PACIS, RONALD DO
LANSING 48912
(517) 913-6650
1057758
PINKE, RICHARD DO
LANSING 48910
(517) 483-7550
1057759
PINKE, RICHARD DO
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
235140
PRASAD, JWALA MD
5848 EXECUTIVE DRIVE
LANSING 48911
(517) 882-8222
1057761
SCHAFER, JAMES MD
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057760
SCHAFER, JAMES MD
LANSING 48910
(517) 483-7550
1026378
SHAH, IBRAHIM MD
LANSING 48911
(517) 853-9124
1057763
STROBL, DAVID DO
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057762
STROBL, DAVID DO
405 W GREENLAWN STE 400
LANSING 48910
(517) 483-7550
1057765
SUMMITT, JONI DO
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057764
SUMMITT, JONI DO
LANSING 48910
(517) 483-7550
1057767
THAKUR, RANJAN MD
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057766
THAKUR, RANJAN MD
LANSING 48910
(517) 483-7550
1057769
VOICE, RONALD MD
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057768
VOICE, RONALD MD
LANSING 48912
(517) 485-0546
1057770
WILCOX, MATTHEW DO
LANSING 48910
(517) 483-7550
1057771
WILCOX, MATTHEW DO
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057772
YOO, PETER MD
LANSING 48910
(517) 483-7550
1057773
YOO, PETER MD
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1065709
ZACK, PAUL MD
2134 HAMPTON PL
OKEMOS 48864
(517) 347-3000
LANSING 48912
(517) 364-5440
CLINICAL GENETICS
1123049
SIDHU, ALPA MD

1001681
BRICKNER, ROBERT J JR MD
737 N GRAND AVE
LANSING 48906
(517) 372-0500
1015431
COFFEY, DANIEL C MD
737 N GRAND AVE
LANSING 48906
(517) 372-0500
1109413
GIAMMAR, DAVID MD
LANSING 48912
(517) 267-2460
1072025
JULIEN, LUCAS A MD
737 N GRAND AVE
LANSING 48906
(517) 372-0500
1001277
MENNING, MARK I MD
737 N GRAND AVE
LANSING 48906
(517) 372-0500
204297
MOELLER, ALBERT C MD
737 N GRAND AVE
LANSING 48906
(517) 372-0500
DERMATOLOGY
1118781
BROSCHART, REBECCA DO
1515 LAKE LANSING RD STE A
LANSING 48912
(517) 487-0128
1118784
ENGLISH, KATHERINE DO
LANSING 48912
(517) 487-0128
1028247
GREKIN, STEVEN DO
1500 EUREKA
LANSING 48912
(734) 282-2500
1118788
MESSENGER, GREGORY MD
LANSING 48912
(517) 487-0128
1034817
MESSING, ROBYN DO
2815 S PENNSYLVANIA AVE STE 107
LANSING 48910
(517) 372-2253
1118791
WU, JAN MD
LANSING 48912
(517) 487-0128
1118792
XU, YUELIN MD
LANSING 48912
(517) 487-0128
DIETARY MANAGEMENT
1057638
BRADD, CHRISTINE RD
4660 S HAGADORN RD STE 420
EAST LANSING 48823
(517) 554-6100
1055643
NOEL, MARY M RD
138 SERVICE RD A142
EAST LANSING 48824
(517) 353-3050

Page 221
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
DIETARY MANAGEMENT (CONTINUED)

1036233
PARK, ESTHER RD
2875 NORTHWIND DR STE 110
EAST LANSING 48823
(517) 332-3105
DME - P&O
1037422
AIRWAY OXYGEN INC LANSING
1035 MAK-TECH DR
LANSING 48906
(800) 365-1006
1002069
CARELINC MEDICAL EQUIPMENT AND SUPPLY CO LLC
1717 E MICHIGAN AVE
LANSING 48912
(800) 331-1730
1020239
COMPRESSION THERAPY SERVICES
EAST LANSING 48823
(517) 333-3820
1037684
DJO LLC
4125 OKEMOS RD STE 22
OKEMOS 48864
(800) 328-2536
1003442
DURAMED SUPPLY COMPANY
EAST LANSING 48823
(517) 882-5711
1074146
3100 WEST RD BLDG 1 STE 100
EAST LANSING 48823
(800) 379-1600
1001386
GREATER LANSING ORTHOTIC
200 N HOMER
LANSING 48912
(517) 337-0300
1005640
LANSING 48910
(517) 394-5850
1105457
6250 S CEDAR ST
LANSING 48911
(517) 346-4777
1036704
LINCARE INC
4180 KELLER RD
HOLT 48842
(517) 699-8526
1040622
MIOTECH ORTHOPEDIC SALES
2373 CEDAR PARK DR
HOLT 48842
(517) 347-0220
1055434
NATIONAL SEATING & MOBILITY INC
2495 CEDAR ST STE B-15
HOLT 48842
(517) 694-9056
1024604
PHARMACY PLUS #1
1100 W SAGINAW
LANSING 48915
(517) 364-7474
1024600
PHARMACY PLUS #10
915 E MICHIGAN AVE
LANSING 48912
(517) 364-3079
1024597
PHARMACY PLUS #11
LANSING 48912
(517) 364-5380
1024603
PHARMACY PLUS #2
129 S PUTNAM
WILLIAMSTON 48895
(517) 655-2420
1000321
RS MEDICAL
EAST LANSING 48823
(855) 503-4030
1026026
5700 AURELIUS RD STE 200
LANSING 48910
(517) 394-0514
1073948
129 S PUTNAM ST
WILLIAMSTON 48895
(517) 655-1015
1069629
SPARROW REGIONAL MEDICAL SUPPLY
915 E MICHIGAN AVE
LANSING 48912
(877) 205-3500
204060
SPRINGER PROSTHETICS & ORTHOTICS
200 N HOMER
LANSING 48912
(517) 337-0300
1021658
THE APOTHECARY SHOP
737 N GRAND AVE
LANSING 48906
(517) 482-0882
1001665
1438 E MICHIGAN AVE
LANSING 48912
(517) 484-2624

1104713
COMPTON, ANDREW M MD
1500 ABBOTS RD STE 400
EAST LANSING 48823
(517) 332-0100
202903
GILROY, GERALD L DO
231 W LAKE LANSING RD STE 500 ASHER CT
EAST LANSING 48823
(517) 324-3278
253053
GOEBEL, ERIC A MD
1500 ABBOT RD STE 400
EAST LANSING 48823
(517) 332-0100
1116252
HENNESSEY, PATRICK T MD
EAST LANSING 48823
(517) 332-0100
1095856
JOSEPH, DAVID L MD
EAST LANSING 48823
(517) 332-0100
204124
LEBEDA, MARK D MD
EAST LANSING 48823
(517) 332-0100
204121
RICHARDSON, KURT A MD
EAST LANSING 48823
(517) 332-0100
204129
SMITH, DUANE M MD
EAST LANSING 48823
(517) 332-0100

1097563
401 W GREENLAWN AVE ER
LANSING 48910
(517) 975-7500
1076583
EMERGENCY MEDICAL ASSOC
1210 W SAGINAW ST
LANSING 48915
(517) 364-1000
1003128
EMERGENCY MEDICAL ASSOC
1215 E MICHIGAN AVE
LANSING 48909
(517) 364-1000
1086953
MEDICAL OBSERVATION SERVICES PLLC
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-1000
1095720
MSU HEALTHTEAM-EMERGENCY MED
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-1000
1002898
PHYSICIANS ASSOCIATES PC
401 W GREENLAWN
LANSING 48910
(517) 975-7509

1020685
RCG EAST LANSING
2601 COOLIDGE RD STE A
EAST LANSING 48823
(517) 333-9400
1015438
RCG LANSING
LANSING 48911
(517) 393-0352

Page 222
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
ENDOCRINOLOGY
1014850
AL DASOUQI, SALEH MD
EAST LANSING 48824
(517) 353-4830
1062992
463 EAST CIRCLE DR ROOM 102
EAST LANSING 48824
(517) 884-6546
1022939
LANSING 48912
(517) 364-5955
1127120
CARELLA, MICHAEL J MD
1540 LAKE LANSING RD STE 201
LANSING 48912
(517) 913-3900
1001383
CARELLA, MICHAEL J MD
LANSING 48912
(517) 487-8200
1099968
FLETCHER, DANA G DO
LANSING 48912
(517) 364-5955
201627
GOSSAIN, VED V MD
EAST LANSING 48824
(517) 353-4830
1000770
GOSSAIN, VED V MD
LANSING 48912
(517) 364-5955
1045062
HEBDON, GEORGE MD
804 SERVICE RD CLINICAL CENTER rm a205c
EAST LANSING 48824
(517) 353-4830
1045616
HEBDON, GEORGE MD
LANSING 48912
(517) 364-5955
1054419
HOISINGTON, KARA DO
LANSING 48912
(517) 913-3820
1107555
KAKUMANU, NAVEEN MD
804 SERVICE RD RM A205
EAST LANSING 48824
(517) 353-4941
1009130
KAUFMAN, LARYSSA N MD
EAST LANSING 48824
(517) 353-8122
GASTROENTEROLOGY
202978
AHMAD, IFTIKER MD
1650 RAMBLEWOOD DR STE 100
EAST LANSING 48823
(517) 332-1200
1124751
COLESKI, RADOSLAV MD
1650 RAMBLEWOOD DR
EAST LANSING 48823
(517) 332-1200
1053895
MAYLE, JAMES E MD
LANSING 48912
(517) 267-2460
1005468
OLIVERI, LISA J DO
EAST LANSING 48823
(517) 332-1200
202980
PLAEHN, SCOTT A DO
EAST LANSING 48823
(517) 332-1200
201634
ROSE, ROBERT P DO
EAST LANSING 48823
(517) 332-1200
202976
ROSS, ALBERT B MD
EAST LANSING 48823
(517) 332-1200
1077601
SAFDAR, KAMRAN MD
EAST LANSING 48823
(517) 332-1220
204054
WALLING JR, JOHN F DO
EAST LANSING 48823
(517) 332-1200
203600
WEATHERHEAD, WILLIAM F DO
EAST LANSING 48823
(517) 332-1200
202977
WIEDEMER, DAVID H MD
EAST LANSING 48823
(517) 332-1200
1098304
WISSER, KATHRYN DO
EAST LANSING 48823
(517) 332-1200
253344
YUSUF, SIAKA I MD
EAST LANSING 48823
(517) 332-1200
GENERAL SURGERY
1096303
ANSARI, LARRY MD
LANSING 48912
(517) 267-2460
1086400
BARDARO, SERGIO MD
LANSING 48912
(517) 267-2460
1090124
BARDARO, SERGIO MD
SPARROW WOUND CLINIC 1210 W SAGINAW
LANSING 48915
(517) 364-7750
1045611
BASSON, MARC MD
LANSING 48912
(517) 267-2460
1074010
BASSON, MARC MD
1210 W SAGINAW
LANSING 48912
(517) 364-7750
1033407
DEPPEN, JEFFREY G DO
LANSING 48910
(517) 487-8255
1106303
EIGENBERG, MICHAEL A MD
LANSING 48912
(517) 267-2460
1103071
FERGUSON, TROY DO
LANSING 48910
(517) 487-8255
203811
HAGAN, DAVID E MD
1675 WATERTOWER PL STE 100
EAST LANSING 48823
(517) 332-0200
1070527
HANSES, SUZANNE DO
2727 PENNSYLVANIA AVE MULTI SPECIALTY
LANSING 48910
(517) 975-3750
1074005
HYDE, RONALD A DO
1210 W SAGINAW
LANSING 48912
(517) 364-7750
1059706
HYDE, RONALD A DO
LANSING 48912
(517) 267-2460
1074006
ITO, HIROMICHI MD
1210 W SAGINAW
LANSING 48912
(517) 364-7750
1061102
ITO, HIROMICHI MD
LANSING 48912
(517) 267-2460
1074007
JENTZ, AMY B MD
1210 W SAGINAW
LANSING 48912
(517) 364-7750
1056096
JENTZ, AMY B MD
LANSING 48912
(517) 267-2460
203813
JOHNSON, JEFFREY R MD
EAST LANSING 48823
(517) 332-0200

Page 223
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County

1020399
JONES, MARK WAYNE DO
LANSING 48910
(517) 487-8255
1107822
KAZMERS, MARIS MD
401 W GREENLAWN AVE
LANSING 48910
(517) 975-6000
1012469
KAZMERS, MARIS MD
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-1000
1014886
KEPROS, JOHN P MD
LANSING 48912
(517) 267-2460
1074008
KEPROS, JOHN P MD
1210 W SAGINAW
LANSING 48912
(517) 364-7750
1076241
LANE, MINDY K DO
2900 HANNAH BLVD STE 216
EAST LANSING 48823
(517) 364-8080
1037522
LINDSEY, HUGH J MD
LANSING 48912
(517) 267-2460
1074021
LINDSEY, HUGH J MD
1210 W SAGINAW
LANSING 48912
(517) 364-7750
201650
MCGILLICUDDY, JAMES E MD
901 E MT HOPE RD
LANSING 48910
(517) 372-9880
1010761
MCKENNA, TIMOTHY DO
EAST LANSING 48823
(517) 332-0200
1074011
MCLEOD, MICHAEL MD
1210 W SAGINAW
LANSING 48912
(517) 364-7750
1048289
MCLEOD, MICHAEL MD
LANSING 48912
(517) 267-2460
1091338
MINNICK, DAVID B DO
LANSING 48912
(517) 267-2460
1077820
2111 MERRITT RD STE 101
EAST LANSING 48823
(517) 332-4263
1074013
MOSHER, BENJAMIN D MD
1210 W SAGINAW
LANSING 48912
(517) 364-7750
1016416
MOSHER, BENJAMIN D MD
LANSING 48912
(517) 267-2460
1124512
MUNOZ, LYNN MD
LANSING 48912
(517) 267-2460
1107846
OBINWANNE, KOSISOCHI MD
EAST LANSING 48823
(517) 364-8100
1097795
OSMER, ROBERT L MD
LANSING 48912
(517) 267-2460
1104424
OSMER, ROBERT L MD
1210 W SAGINAW
LANSING 48915
(517) 364-7750
204323
OSUCH, JANET R MD
LANSING 48912
(517) 267-2460
1026748
SAXE, ANDREW MD
LANSING 48912
(517) 267-2460
1074015
SAXE, ANDREW MD
1210 W SAGINAW
LANSING 48912
(517) 364-7750
1025523
SCHNEIDER, PAUL MD
LANSING 48912
(517) 267-2460
1074016
SCHNEIDER, PAUL MD
1210 W SAGINAW
LANSING 48912
(517) 364-7750
1033859
SCHOLTEN, DONALD MD
LANSING 48912
(517) 237-2460
1071587
VYAS, DINESH MD
LANSING 48912
(517) 267-2460
1036086
WALSH, JON MD
LANSING 48912
(517) 267-2460
1074018
WALSH, JON MD
1210 W SAGINAW
LANSING 48912
(517) 364-7750
GENETICS
1021835
13750 S SEDONA PKWY STE 2
LANSING 48906
(517) 669-9758
1021837
1600 W GRAND RIVER AVE STE 2
OKEMOS 48864
(517) 349-6560
1119586
BADER, PATRICIA I MD
LANSING 48912
(517) 364-5440
1003833
NETZLOFF, MICHAEL MD
LANSING 48912
(517) 364-5440
GERIATRICS
1073532
5091 WILLOUGHBY RD
HOLT 48842
(517) 694-2144
1073530
2700 BURCHAM DR
EAST LANSING 48823
(517) 827-2944
1059700
ENSBERG, MARK MD
3860 DOBIE RD
OKEMOS 48864
(517) 381-6100
1019718
ENSBERG, MARK MD
1210 W SAGINAW
LANSING 48915
(517) 364-7575
1055817
FOLEY, KEVIN T MD
1210 W SAGINAW ST
LANSING 48912
(517) 364-7575
1056313
FOLEY, KEVIN T MD
1210 W SAGINAW
LANSING 48915
(517) 364-7575
1027049
GAUMER, KRISTIN DO
1210 W SAGINAW ST 2ND FL
LANSING 48915
(517) 364-7575
1059699
HAQUE, RAZA MD
3860 DOBIE RD
OKEMOS 48864
(517) 381-6100
1028712
HAQUE, RAZA MD
1210 W SAGINAW
LANSING 48915
(517) 364-7575
1062292
MAYLE, JAMES E MD
1210 W SAGINAW
LANSING 48915
(517) 364-7575

Page 224
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
GERIATRICS (CONTINUED)
1077422
SARZYNSKI, ERIN MD
BURCHAM HILLS RETIREMENT CTR 2700
EAST LANSING 48823
(517) 827-1044
GYN ONCOLOGY
1000362
MEUNIER, JOSEPH K DO
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-2890
1091026
RAKOWSKI, JOSEPH A DO
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-2809
HAND SURGERY
1063850
CLARKSON, JAMES MD
LANSING 48912
(517) 267-2460
1074003
CLARKSON, JAMES MD
1210 W SAGINAW
LANSING 48912
(517) 364-7750
1063042
HUETTNER, WILLIAM C MD
EAST LANSING 48823
(517) 332-4263
1035034
EAST LANSING 48823
(517) 332-4263
1017937
STEPHENS, KENNETH DO
EAST LANSING 48823
(517) 333-3777
1054006
TRULUCK, WILLIAM II DO
1841 NEWMAN RD
OKEMOS 48864
(517) 908-3360

1033399
724 N CLIPPERT ST
LANSING 48912
(517) 333-0830
1083206
HEAR USA
705 W LAKE LANSING RD
EAST LANSING 48823
(517) 337-2411
1017996
HEARING HEALTH CENTER INC PC
LANSING 48912
(517) 364-5678
1006652
MID MICHIGAN EAR NOSE AND THROAT
EAST LANSING 48823
(517) 332-0100
1062229
SONUS LANSING
310 N CLIPPERT ST STE 4
LANSING 48912
(517) 332-1691
1062227
SONUS OKEMOS
3945 OKEMOS RD STE B1
OKEMOS 48864
(517) 349-0200
1064003
AL-JANADI, ANAS MD
LANSING 48912
(517) 975-9500
1021453
AL-JANADI, ANAS MD
401 W GREENLAWN AVE
LANSING 48910
(517) 334-2337
1029946
HAMDAN, MUHAMMAD Y MD
1215 E MICHIGAN AVE
LANSING 48909
(517) 364-2890
1057520
HRINCZENKO, BORYS W MD
401 W GREENLAWN AVE
LANSING 48910
(517) 975-9500
1041544
KALUZA, VESNA MD
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-2890
1127202
KAWAUCHI, RONALD H MD
LANSING 48912
(517) 913-3890
253238
KULKARNI, ROSHNI MD
LANSING 48912
(517) 364-5440
203602
LAYHE, ELIZABETH M DO
2901 STABLER ST
LANSING 48910
(517) 272-1950
1127117
MAHMOOD, TALLAT MD
LANSING 48912
(517) 913-3890
201665
PENNER, JOHN MD
804 SERVICE RD CLINICAL CENTER
EAST LANSING 48824
(517) 353-9385
1000285
RAPSON, CAROL MD
EAST LANSING 48823
(517) 333-6060
201666
SCHWARTZ, KENNETH A MD
401 W GREENLAWN
LANSING 48910
(517) 975-9500
1010370
SRKALOVIC, GORDAN MD
1215 E MICHIGAN AVE
LANSING 48909
(517) 364-2890
1021866
TAMKUS, DEIMANTE M MD
401 W GREENLAWN AVE
LANSING 48910
(517) 975-9500
1240 MIZZEN DR
HOME HEALTH CARE

1090937
AMERICARE HOME HEALTH SERVICES
OKEMOS 48864
(517) 324-1115
1101650
CARING & COMPASSIONATE HEALTH CARE AGENCY LLC 1200 E GRAND RIVER AVE
LANSING 48906
(517) 580-7619
1074145
EAST LANSING 48823
(800) 379-1600
1096348
HEARTLAND HOME HEALTH CARE MASON
865 S CEDAR ST
MASON 48854
(517) 676-0412
1002816
2316 S CEDAR ST STE 600
LANSING 48910
(800) 722-9449
HOSPICE
1074147
EAST LANSING 48823
(800) 379-1600
1022525
HEARTLAND HOME HEALTH CARE AND HOSPICE MASO
865 S CEDAR ST
MASON 48854
(517) 244-0404
1015369
HOSPICE OF LANSING
4052 LEGACY PKWY STE 200
LANSING 48911
(517) 882-4500

Page 225
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
HOSPICE (CONTINUED)
1011311
LANSING 48910
(800) 722-9449
1003201
SPARROW HOSPICE SERVICES
1210 W SAGINAW ST
LANSING 48915
(517) 364-7200
1056122
SPARROW HOSPICE SERVICES HOSPICE HOUSE OF MI
1210 W SAGINAW ST
LANSING 48915
(888) 636-8236
1085363
STONELEIGH RESIDENCE CENTER
3411 STONELEIGH DR
LANSING 48910
(517) 882-1620
INFECTIOUS DISEASES
1027145
GULICK, PETER G DO
5303 S CEDAR ST
LANSING 48911
(517) 887-4302
201671
HAVLICHEK, DANIEL H JR MD
EAST LANSING 48824
(517) 353-4941
1019933
INGHAM CENTER FOR WOUND HEALING
LANSING 48910
(517) 975-9800
1034975
KALRA, APOORV MD
EAST LANSING 48824
(517) 353-4941
1083852
MITRA, SUBHASHIS MD
804 SERVICE RD STE A 205C
EAST LANSING 48824
(517) 353-4941
1035806
TRAN, MARY ANN MD
EAST LANSING 48824
(517) 353-4760
LANSING 48911
(517) 694-0900

1014839
ADVANCED INFUSION SPECIALISTS
INTERNAL MEDICINE
1105900
ABBASI, SHAHZAMAN MD
2727 S PENNSYLVANIA AVE MULTI-SPECIALTY
LANSING 48910
(517) 975-3750
1061299
ABDULLAH, ASHRAF MD
5525 S MLK BLVD
LANSING 48911
(517) 913-3888
1103675
ABDULLAH, ASHRAF MD
LANSING 48910
(517) 975-3750
1072855
ALVARADO, CHRISTOPHER DO
1650 HASLETT RD STE 1
HASLETT 48840
(517) 339-3200
1120868
ARMSTRONG, JOHN MD
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-2789
1100690
BASIC, EDIN DO
401 W GREENLAWN AVE
LANSING 48910
(517) 485-8217
1127104
BASIC, EDIN DO
LANSING 48910
(517) 485-8217
1095674
CHAO, MARY DO
LANSING 48910
(517) 975-3750
1016289
DEWEESE, PAUL N MD
3370 E JOLLY RD
LANSING 48910
(517) 332-7246
1102544
ENTLER, PAUL M DO
SPARROW WOUND AND HYPERBARIC CLINIC
LANSING 48915
(517) 364-7750
1104441
ENTLER, PAUL M DO
2900 HANNAH BLVD STE B107
EAST LANSING 48823
(517) 364-8080
1104547
ENTLER, PAUL M DO
SPARROW DIABETES CENTER 1200 E
LANSING 48912
(517) 364-5955
1118287
GERRISH, CHAD DO
LANSING 48910
(517) 975-3750
1127349
GHOSE, AMIT MD
2727 PENNSYLVANIA AVE
LANSING 48910
(517) 975-3750
1015714
GUPTA, ASHOK K MD
LANSING 48911
(517) 887-6733
1083439
KARAZIM, JOHN MD
LANSING 48912
(517) 489-4470
1017654
KASHYAP, SUMAN MD
463 E CIRCLE DR RM 102
EAST LANSING 48824
(517) 884-6546
1107580
KLEFSTAD, KAREN E MD
2900 HANNAH BLVD STE B107
EAST LANSING 48823
(517) 364-8080
1103770
MICHELENA, MIA F DO
LANSING 48910
(517) 975-3750
1095673
NGUYEN, TOLAM T DO
LANSING 48910
(517) 975-3750
1122173
PURETZ, LESTER M DO
LANSING 48910
(517) 975-1500
1092450
SEARLS, LESLIE R DO
LANSING 48910
(517) 975-1500
1000919
STRANDMARK, JOHN F MD
LANSING 48910
(517) 487-8500
1095670
SYED, SADIQ A MD
LANSING 48910
(517) 975-3750
1095672
THIEDE, RICHARD MD
LANSING 48910
(517) 975-3750
1095671
LANSING 48910
(517) 975-3750

1084860
CAZAN-LONDON, GIANINA MD
LANSING 48912
(517) 364-5610
1084411
1560 TURF LN
EAST LANSING 48823
(517) 484-3000
1000370
ROTH, STEVEN M MD
LANSING 48912
(517) 364-5610

Page 226
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
MRI CENTER
1024057
GENESIS DIAGNOSTIC CENTER INC
3960 PATIENT CARE DR STE 109A
LANSING 48911
(517) 853-9124
1059897
MSU MAGNETIC RESONANCE IMAGING
EAST LANSING 48824
(517) 353-5053
1215 E MICHIGAN AVE
LANSING 48912
(517) 353-2032
NEONATOLOGY
1076779
MSU HEALTHTEAM PEDS HUMAN DV
NEPHROLOGY
1127094
BHUPALAM, SHYAM S MD
LANSING 48912
(517) 253-3960
1001247
BROVIAC, JOHN W MD
2601 COOLIDGE RD STE B
EAST LANSING 48823
(517) 913-4050
1127103
DUDASH-MION, CARLA DO
LANSING 48910
(517) 485-8217
1127092
ELIA-JACUSIEL, GABRIEL E MD
1703 E MICHIGAN AVE
LANSING 48912
(517) 253-3860
1029219
FRESENIUS MEDICAL CARE LANSING CENTRAL
LANSING 48911
(517) 272-1380
1127102
HOURANI, MICHAEL R MD
LANSING 48910
(517) 485-8217
1127091
JAVIER, RAFAEL A MD
1703 E MICHIGAN AVE
LANSING 48912
(517) 253-3860
1127217
KAW, BEENU MD
EAST LANSING 48823
(517) 253-4050
1127101
MISKELL-SIMMONS, CAROL Z MD
LANSING 48910
(517) 485-8217
1127100
MITCHELL, JILL M DO
LANSING 48910
(517) 485-8217
1127099
NEYAZ, MOHAMMED DO
LANSING 48910
(517) 485-8217
1106107
SHARMA, NEETU MD
LANSING 48912
(517) 913-3960
1127215
TIKARIA, ANURAG MD
EAST LANSING 48823
(517) 253-4050
1127098
WOLTMANN, DAVID J DO
LANSING 48910
(517) 485-8217
NEURO SURGERY
1118799
ABOOD, CHRISTOPHER MD
EAST LANSING 48823
(517) 827-1800
1118800
BILL, CHARLES MD
EAST LANSING 48823
(517) 827-1800
1118802
ELNABTITY, MOHAMED MD
EAST LANSING 48823
(517) 827-1800
1118803
HEDSTROM-LARA, HEATHER MD
EAST LANSING 48823
(517) 827-1800
1118804
HEILMAN, TIMOTHY DO
EAST LANSING 48823
(517) 827-1800
NEUROLOGY
1062760
ABURASHED, RANY DO
EAST LANSING 48824
(517) 353-8122
1003164
ACKERMAN, GLEN MD
EAST LANSING 48824
(517) 353-8122
1085298
AUSTIN, ERICA DO
804 SERVICE RD STE A217
EAST LANSING 48824
(517) 353-8122
1121191
AUSTIN, ERICA DO
LANSING 48912
(517) 364-5258
1086399
BANSAL, VIBHAV MD
EAST LANSING 48824
(517) 353-8122
1035882
BOZOKI, ANDREA C MD
790 E COLUMBIA
MASON 48854
(517) 244-0120
1035881
BOZOKI, ANDREA C MD
LANSING 48911
(517) 887-5922
1085296
BURGHARDT, TYSON MD
EAST LANSING 48824
(517) 353-8122
1091337
BURGHARDT, TYSON MD
LANSING 48912
(517) 364-5258
1014154
BURTON, STEPHEN MD
4169 LEGACY PKWY
LANSING 48911
(517) 393-4200
1051616
BURTON, STEPHEN MD
LANSING 48912
(517) 364-5258
253312
DHALIWAL, GURMAIL S MD
EAST LANSING 48824
(517) 353-8122
201683
EGGENBERGER, ERIC R DO
EAST LANSING 48824
(517) 353-8122
1085297
ENDURI, SAILAJA MD
EAST LANSING 48824
(517) 353-8122
1070415
FLINK, MICHAEL DO
EAST LANSING 48824
(517) 353-8122
1094489
FREY, MARGARET DO
EAST LANSING 48824
(517) 353-8122
1069470
GELINAS, DEBORAH MD
138 SERVICE RD A217
EAST LANSING 48823
(517) 353-8122
1004548
GOUDREAU, JOHN DO
EAST LANSING 48824
(517) 353-8122

Page 227
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
1053645
HUSSAIN, SYED MD
EAST LANSING 48824
(517) 353-8122
201684
KAUFMAN, DAVID I DO
EAST LANSING 48824
(517) 353-8122
1074205
KING, TAAS N DO
3955 PATIENT CARE DR STE A
LANSING 48911
(517) 374-7600
1104098
KVALSUND, MICHELLE P DO
EAST LANSING 48824
(517) 353-8122
1071586
LEAHY, CARA DO
EAST LANSING 48824
(517) 353-8122
1126661
MACERONI, PETER DO
EAST LANSING 48824
(517) 353-8122
1060880
MASIH, AMIT K MD
EAST LANSING 48824
(517) 353-8122
204419
PATEL, NARENDRA R MD
LANSING 48911
(517) 394-9864
1101664
PHILLIPS, YANNY DO
EAST LANSING 48824
(517) 353-8122
1061850
POSTELS, DOUGLAS MD
EAST LANSING 48824
(517) 353-8122
201678
PYSH, JOSEPH J DO
EAST LANSING 48824
(517) 353-8122
1101711
RAO, MALATHI DO
EAST LANSING 48824
(517) 353-8122
1074201
RAZAK, ANMAR MD
EAST LANSING 48824
(517) 353-8122
1116209
RAZAK, ANMAR MD
LANSING 48912
(517) 364-5258
1069213
SAFDAR, ADNAN MD
1210 W SAGINAW
LANSING 48915
(517) 364-7700
1034980
SAFDAR, ADNAN MD
EAST LANSING 48824
(517) 353-8122
1040497
SAFDAR, ADNAN MD
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-6237
1118810
VINCENT, FREDERICK MD
250 E SAGINAW ST
EAST LANSING 48823
(517) 337-3080
253134
WARD, JAYNE H DO
EAST LANSING 48824
(517) 353-8122
1019618
1200 E MICHIGAN AVE LL
LANSING 48912
(517) 364-5258
1015892
EAST LANSING 48824
(517) 353-8122
3413 WOODS EDGE DR
OKEMOS 48864
(517) 349-3303
NUCLEAR MEDICINE
253135
PARIKH, SMRUTI S MD
NURSE MIDWIFE
1119945
LANSING 48912
(517) 351-0550
1104714
BROWN, ABBY E CNM
1560 TURF LN
EAST LANSING 48823
(517) 484-3000
1119928
GLENN, JESSICA CNM
LANSING 48912
(517) 351-0550
1119911
LANSING 48912
(517) 351-0550
1119877
LANSING 48912
(517) 351-0550
1127207
POWE-WATTS, CONSTANCE NP
LANSING 48912
(517) 253-3910
1120250
LANSING 48912
(517) 351-0550
1120267
SCOTT, MELISA N CNM
LANSING 48912
(517) 351-0550
252801
SHAREEF, SAMEERAH CNM
2104 JOLLY RD STE 220
OKEMOS 48864
(517) 975-1400
1120216
LANSING 48912
(517) 351-0550

1127214
BAKER, IRENE T NP
LANSING 48912
(571) 253-3910
1007246
BALANDER, DANA P NP
5303 S CEDAR ST
LANSING 48909
(517) 887-4302
1101978
BURNS, BRIDGET H NP
5303 S CEDAR ST
LANSING 48913
(517) 887-4320
1035758
CROSS, M ELIZABETH CNM
1560 TURF LN
EAST LANSING 48823
(517) 484-3000
1024641
EVANS, KATHLEEN K NP
LANSING 48912
(517) 364-5210
1064948
GAUDET, GINA NP
5303 S CEDAR ST
LANSING 48911
(517) 887-4320
1026125
KARBER, SHARON NP
5303 S CEDAR ST
LANSING 48911
(517) 887-4302
1010196
KEELER, MARGARET NP
5303 S CEDAR ST
LANSING 48909
(517) 887-4320
1104420
LAKE, KAREN NP
LANSING 48912
(517) 364-5888

Page 228
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
OB GYN NURSE PRACTITIONER (CONTINUED)

1066050
LAKE, KAREN NP
5303 S CEDAR ST
LANSING 48911
(517) 887-4320
1107154
LANDER, ELLEN NP
WOMENS HEALTH CENTER 5303 S CEDAR ST
LANSING 48911
(517) 887-4320
1024639
MCCLURE, BONNIE M NP
LANSING 48912
(517) 364-5210
1024640
MCCLURE, BONNIE M NP
1600 W GRAND RIVER STE 1
OKEMOS 48864
(517) 381-6870
1024238
METZGER, SANDRA J NP
LANSING 48912
(517) 913-3910
1006720
ROOT, ELIZABETH A NP
OKEMOS 48864
(517) 381-2700
1026374
STRACHAN, DIANE L NP
LANSING 48912
(517) 364-5160
1003594
ALLSWEDE, MATTHEW MD
LANSING 48912
(517) 364-5210
1026142
OKEMOS 48864
(517) 381-6870
1100072
5303 S CEDAR ST
LANSING 48911
(517) 887-4320
1084145
ALSAMSAM, ADHAM MD
LANSING 48912
(517) 364-5210
1123714
AVERY, ANITA R MD
LANSING 48912
(517) 364-5888
1123722
BACON, MELISSA DO
LANSING 48912
(517) 364-2570
1123723
BACON, MELISSA DO
5303 S CEDAR ST
LANSING 48911
(517) 887-7320
1056411
BARBER, TABATHA J DO
LANSING 48915
(517) 364-6363
1003740
BARTON II, JAMES S MD
LANSING 48912
(517) 364-5210
1123624
BEHRING, LEIGH E MD
1560 TURF LN
EAST LANSING 48823
(517) 484-3000
1119843
BELL, CARRIE MD
LANSING 48912
(517) 351-0550
1119894
BELL, JASON D MD
LANSING 48912
(517) 351-0550
1101777
LANSING 48912
(517) 351-0550
1107806
CAZAN-LONDON, KEVIN M MD
1560 TURF LN
EAST LANSING 48823
(517) 484-3000
1040928
CRAMTON, SARA N MD
1560 TURF LANE
EAST LANSING 48823
(517) 484-3000
1068034
CRAMTON, SARA N MD
LANSING 48912
(517) 364-2570
1054351
CYR, RONALD MD
LANSING 48912
(517) 364-5888
1120318
LANSING 48912
(734) 929-0035
1127212
DUPLESSIS, ELAINE MD
LANSING 48912
(517) 253-3910
1065692
FERIK, ELIZABETH S DO
LANSING 48910
(517) 975-3750
1017954
FLEMING, STEPHANIE MD
1560 TURF LANE
EAST LANSING 48823
(517) 484-3000
1020336
GIBBS, GRACE A DO
OKEMOS 48864
(517) 975-1400
1065691
GIBBS, GRACE A DO
LANSING 48910
(517) 975-3750
1003896
GONZALEZ, LUIS A MD
LANSING 48915
(517) 364-6363
1016066
GRIFFIN, ANGELA MD
LANSING 48912
(517) 364-5210
1026252
GRIFFIN, ANGELA MD
OKEMOS 48864
(517) 381-6870
1035878
GUERIN, MAUDE S MD
LANSING 48911
(517) 887-5922
1035879
GUERIN, MAUDE S MD
790 E COLUMBIA
MASON 48854
(517) 244-0120
1009412
GUERIN, MAUDE S MD
1560 TURF LANE
EAST LANSING 48823
(517) 484-3000
1016279
HALVORSON, MELISSA F MD
1560 TURF LANE
EAST LANSING 48823
(517) 484-3000
1102981
HARMS, BROOKE DO
LANSING 48912
(517) 364-2570
1102982
HARMS, BROOKE DO
5303 S CEDAR ST
LANSING 48911
(517) 887-4320
1120233
HARRIS, LISA H MD
LANSING 48912
(517) 351-0550
1065005
HAWKINS, JENNIFER N DO
LANSING 48912
(517) 364-2570
1053662
LANSING 48912
(517) 364-5210
1053663
OKEMOS 48864
(517) 381-6870
1021345
HERTA, NANCY L MD
LANSING 48912
(517) 913-3910

Page 229
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County

1123437
HERTA, NANCY L MD
LANSING 48912
(517) 364-5888
1101376
HERTA, NANCY L MD
5303 S CEDAR ST
LANSING 48911
(517) 887-4320
1122213
HOMA, LORI MD
LANSING 48912
(517) 351-0550
1119860
KAHN, CHAVA MD
LANSING 48912
(517) 351-0550
1011404
KELLEY, SHARON S MD
1560 TURF LANE
EAST LANSING 48823
(517) 484-3000
1018597
LAWS-BARKER, ALANE M MD
LANSING 48915
(517) 364-6363
1059670
LEACH, RICHARD MD
5303 S CEDAR ST
LANSING 48911
(517) 887-4320
1027048
LEVITT, VALERIE MD
LANSING 48912
(517) 364-5210
1100071
LEWIS, MARK DO
5303 S CEDAR ST
LANSING 48911
(517) 887-4320
1089226
LEWIS, MARK DO
LANSING 48912
(517) 364-2570
1127211
MANEY, RHONDA S MD
LANSING 48912
(517) 253-3910
1061087
MARTIN, DENNY DO
5303 S CEDAR ST
LANSING 48911
(517) 887-4320
1099047
MARTIN, DENNY DO
LANSING 48912
(517) 364-2570
1060878
MARTIN, DENNY DO
LANSING 48912
(517) 364-5888
1037576
MASER, MICHAEL H DO
HASLETT 48840
(517) 853-5576
1018417
MAURER, JOEL E MD
LANSING 48912
(517) 364-5888
1059667
MAURER, JOEL E MD
5303 S CEDAR ST
LANSING 48911
(517) 887-4320
1065690
MAYHARTLE, THERESA L DO
LANSING 48910
(517) 975-3750
1065689
MCKEEL, DONALD DO
LANSING 48910
(517) 975-3750
1057476
MCKEEL, DONALD J DO
OKEMOS 48864
(517) 975-1400
1127209
MCLEAN, AMBER L DO
LANSING 48912
(517) 253-3910
1060929
MCLEAN, AMBER L DO
LANSING 48912
(517) 364-2570
1119954
MIRATE, JACQUELINE DO
LANSING 48910
(517) 975-3750
1107427
MIRATE, JACQUELINE DO
HASLETT 48840
(517) 853-5576
1011190
MOYERBRAILEAN, TODD A DO
1560 TURF LANE
EAST LANSING 48823
(517) 484-3000
1035875
790 E COLUMBIA
MASON 48854
(517) 244-0120
1035874
LANSING 48911
(517) 887-5922
1026326
PUGMIRE, MARY E DO
LANSING 48912
(517) 364-5210
1003741
PUGMIRE, MARY E DO
OKEMOS 48864
(517) 381-6870
1000583
RAJAN, JAIRAM MD
1433 E MICHIGAN AVE STE C
LANSING 48912
(517) 484-9050
1003742
REGAL, CLARA M MD
LANSING 48912
(517) 364-5210
1026330
REGAL, CLARA M MD
OKEMOS 48864
(517) 381-6870
1101969
REID, VIRGIL C MD
LANSING 48912
(517) 351-0550
1070500
ROLLISON, CHARLES DO
LANSING 48912
(517) 364-2570
1006244
OKEMOS 48864
(517) 975-1400
1065688
LANSING 48910
(517) 975-3750
1026334
SCHLUCKEBIER, PAUL M MD
OKEMOS 48864
(517) 381-6870
1003739
LANSING 48912
(517) 364-5210
1026339
SCHOENMAKER, MARTIN MD
LANSING 48912
(517) 364-5210
1003593
OKEMOS 48864
(517) 381-6870
1093108
SEILER, ROBERT J DO
HASLETT 48840
(517) 853-5576
1065687
SEILER, ROBERT J DO
LANSING 48910
(517) 975-3750
1065686
SHAH, UPENDRA M MD
LANSING 48910
(517) 975-3750
1127205
TAKYI, FRANK K MD
LANSING 48912
(517) 253-3910
1083873
THOMAS, ELIZABETH MD
1560 TURF LANE
EAST LANSING 48823
(517) 484-3000
1065685
TREMP, STACEY S DO
LANSING 48910
(517) 975-3750

Page 230
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County

1099051
TREMP, STACEY S DO
HASLETT 48840
(517) 853-5576
1101919
LANSING 48912
(517) 351-0550
1006153
TUCKER, LAKEEYA K DO
1560 TURF LANE
EAST LANSING 48823
(517) 484-3000
1120301
WALLETT, SARAH M MD
LANSING 48912
(517) 351-0550
1120284
ZAPATA, MYA R MD
LANSING 48912
(517) 351-0550
1065684
ZINK, ANDREW DO
LANSING 48910
(517) 975-3750
1036204
ZINK, ANDREW DO
2316 S CEDAR STE 400
LANSING 48910
(517) 975-9875
EAST LANSING 48824
(517) 353-4941
201504
ROSENMAN, KENNETH D MD
ONCOLOGY
1014214
CHAMARTHY, USHASREE MD
1215 E MICHIGAN AVE
LANSING 48909
(517) 364-2890
201688
DIMITROV, NIKOLAY V MD
EAST LANSING 48824
(517) 884-6100
201686
DIMITROV, NIKOLAY V MD
401 W GREENLAWN AVE
LANSING 48910
(517) 334-2337
1019977
GREAT LAKES CANCER INSTITUTE, MSU BRESLIN CENT
401 W GREENLAWN AVE
LANSING 48910
(517) 334-2909
1090930
KOVALSKI, CHERYL L DO
2901 STABLER ST
LANSING 48910
(517) 272-1950
1100318
MESSMANN, RICHARD A MD
790 E COLUMBIA
MASON 48854
(517) 244-0120
1127114
WILLIAMS, DANIEL E MD
LANSING 48912
(517) 913-3890
OPHTHALMOLOGY
1002115
ADAM, GIORA MD
702 ABBOTT RD
EAST LANSING 48823
(517) 351-2300
1033585
1515 LAKE LANSING RD STE H
LANSING 48912
(517) 487-6511
1043864
AGGARWAL, ASHIM MD
EAST LANSING 48823
(517) 574-5850
1034188
BISCETTE, O'NEIL M MD
EAST LANSING 48823
(517) 332-6523
1034191
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
202992
BUECHE, MICHAEL J MD
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
1124767
COLEMAN, MICHAEL MD
3390 E JOLLY RD
LANSING 48910
(517) 393-2020
1003626
DASS, ASHVANI B MD
3390 E JOLLY RD
LANSING 48910
(517) 393-2020
253235
DOSHI, JAMES B MD
2001 COOLDIGE RD
EAST LANSING 48823
(517) 337-1668
1011462
DOSHI, JAMES B MD
LANSING 48912
(517) 364-5875
1069471
EL-SANHOURI, AHMED MD
702 W LAKE LANSING RD STE F
EAST LANSING 48823
(517) 332-6523
1072061
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
1007320
ERNEST, PAUL H MD
1515 LAKE LANSING RD
LANSING 48912
(517) 487-6511
1027850
GLISSON, CHRISTOPHER C DO
EAST LANSING 48824
(517) 353-8122
1040738
GORDON, CARMELINA MD
LANSING 48912
(877) 852-8463
1085387
HSU, ANTHONY DO
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
1085383
HSU, ANTHONY T DO
EAST LANSING 48823
(517) 332-6523
201692
KLUNZINGER, BRUCE A MD
LANSING 48910
(517) 372-7987
202994
LANDAY, STUART P MD
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
202848
LAVERY, KEVIN MD
LANSING 48912
(517) 487-6511
1043233
LAVERY, KEVIN MD
LANSING 48912
(517) 487-6511
253403
LEMON, LANCE C MD
3390 E JOLLY RD
LANSING 48910
(517) 393-2020
1061775
LEWIS, CRAIG D MD
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
1068716
LIU, JENN Y DO
EAST LANSING 48823
(517) 332-6523
1034200
EAST LANSING 48823
(517) 332-6523
1034198
LANSING 48912
(517) 364-5875

Page 231
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
1034197
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
202995
MOORE, THOMAS K MD
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
202990
PEARLMAN, MARTIN E MD
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
1045639
PUROHIT, SUJATA MD
LANSING 48912
(877) 852-8463
1000775
RHEM, MARCUS N MD
LANSING 48912
(517) 487-6511
202987
RICE, CHARLES D MD
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
201693
ROSENBAUM, FRANK A MD
3390 E JOLLY RD
LANSING 48910
(517) 393-2020
1031176
ROSS, ROBIN DEMI MD
LANSING 48912
(517) 364-5490
1107434
SIMPSON, CLINT D MD
LANSING 48912
(517) 487-6511
204295
WILHELM, JOSEPH L MD
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
1095405
WOLFE, JEREMY D MD
3390 E JOLLY RD
LANSING 48910
(517) 393-2020
253088
YEDAVALLY, SUNITA DO
EAST LANSING 48824
(517) 353-8122
1011463
LANSING 48912
(517) 364-5875
202991
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
1009474
YOU, XIAOKUI M MD
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
1015822
YOU, XIAOKUI M MD
LANSING 48912
(517) 369-5875
OPTOMETRY
1122042
4930 MARSH RD SPACE 5
OKEMOS 48864
(517) 709-8010
1114530
4930 MARSH RD STE 5
OKEMOS 48864
(517) 709-8010
1034890
BOSAK, DAVID OD
LANSING 48911
(517) 393-2660
1125251
BROZZO, SARAH OD
4930 MARSH RD
OKEMOS 48864
(517) 709-8010
1068782
BUDGE, JAMES E OD
EAST LANSING 48823
(517) 332-6523
1016807
BURNETT, DAVID OD
2001 COOLIDGE RD
EAST LANSING 48823
(517) 627-3030
1059807
CAMBURN, SARA A OD
2080 HAMILTON RD
OKEMOS 48864
(517) 349-8888
202084
CARRIGAN, RICHARD OD
2117 E GRAND RIVER
LANSING 48912
(517) 485-2213
1002631
LANSING 48912
(517) 364-5875
1016809
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
1017188
COUSINEAU, AMY OD
2040 N AURELIUS RD STE 20
HOLT 48842
(517) 699-3937
1064194
LANSING 48912
(877) 852-8463
1034460
DOBRZELEWSKI, MITCHELL OD
LANSING 48910
(517) 887-5922
1061078
DOHR, ELLEN OD
2333 JOLLY RD
OKEMOS 48864
(517) 381-2000
1000629
EBERT, PATRICK OD
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
202926
ESTES, SAMUEL OD
2117 E GRAND RIVER AVE
LANSING 48912
(517) 485-2213
1017669
GORSLINE, AMANDA B OD
1669 HAMILTON RD STE 200
OKEMOS 48864
(517) 349-4743
1123849
GOULD, COLLEEN OD
LANSING 48912
(517) 487-6511
1123850
GOULD, COLLEEN OD
EAST LANSING 48823
(517) 337-8182
1101391
GRABOWSKI, MARK OD
4930 MARSH RD STE 5
OKEMOS 48864
(517) 709-8010
1017670
HANLIN, ASHLEIGH A OD
OKEMOS 48864
(517) 349-4743
1016811
HEMMING, JOHN OD
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
1065932
HIBLER, JOSEPH OD
2285 W GRAND RIVER AVE
OKEMOS 48864
(517) 349-9944
1101390
HONHOLT, BRUCE OD
4930 MARSH RD STE 5
OKEMOS 48864
(517) 709-8010
1016773
HOUSER, BRIAN J OD
HOLT 48842
(517) 699-3937
1019456
JACOBS, KEVIN OD
EAST LANSING 48823
(517) 337-1832
1121997
JONCAS, LUC R OD
4930 MARSH RD STE 5
OKEMOS 48864
(517) 709-8010
1020800
JONES, RAMONA HINZ OD
1515 LAKE LANSING RD STE G
LANSING 48912
(517) 332-2233

Page 232
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
1020801
JONES, ROBERT ALAN OD
1515 LAKE LANSING RD STE G
LANSING 48912
(517) 332-2233
1054666
KEMPF, KRYSTAL OD
2040 N AURELIUS STE 20
HOLT 48842
(517) 699-3937
1101393
KENNEDY, PAUL OD
4930 MARSH RD STE 5
OKEMOS 48864
(517) 709-8010
1076240
KOETS, JEFFREY OD
LANSING 48910
(517) 887-5922
1027421
KOWALSKI, PATRICIA OD
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
1017189
KRAMER, CHRIS M OD
HOLT 48842
(517) 699-3937
1125391
KRIER, JOSHUA DO
230 TEMPLE ST
MASON 48854
(517) 676-9066
1058792
LANG, PAUL T OD
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
1043231
LANG, PAUL T OD
LANSING 48912
(800) 679-9434
1063381
LEMON, K LEE OD
WILLIAMSTON 48895
(517) 655-2037
1015830
LETARTE, MICHELLE K OD
LANSING 48912
(517) 364-5875
1000640
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
1063341
LINSLEY, CHAD OD
109 E MAPLE ST
MASON 48854
(517) 676-4499
1014269
LINSLEY, GLEN A OD
109 E MAPLE ST
MASON 48854
(517) 676-4499
202089
MARTON, KENNETH OD
2117 E GRAND RIVER
LANSING 48912
(517) 485-2213
1024560
MATSON, MARVIN J OD
5224 S CEDAR ST
LANSING 48911
(517) 882-0202
1091696
MEISSNER, MATTHEW M OD
EAST LANSING 48823
(517) 337-8182
1116969
NASH, DANIEL OD
LANSING 48911
(517) 882-2016
253413
NEWMAN KNAPP, SARAH OD
EAST LANSING 48823
(517) 337-8182
1121783
NORTON, JAMIE OD
EAST LANSING 48823
(517) 336-4545
1109543
OLMSTEAD, ANGELA OD
EAST LANSING 48823
(517) 337-8182
1085032
PAIROLERO, ROBBIE J OD
1536 HASLETT RD
HASLETT 48840
(517) 339-4100
1017331
PHILLIPS, COLLEEN OD
1865 W GRAND RIVER
OKEMOS 48864
(517) 349-2393
1101392
POPHAM, PHILLIP OD
4930 MARSH RD STE 5
OKEMOS 48864
(517) 709-8010
253368
POPOWITZ, GREGORY OD
2333 JOLLY RD
OKEMOS 48864
(517) 381-2000
1091729
RADEMACHER, DONALD W OD
HOLT 48842
(517) 699-3937
1064195
SHAY, JAMIE OD
LANSING 48912
(877) 852-8463
253363
SILVERMAN, LEONARD OD
2080 HAMILTON RD
OKEMOS 48864
(517) 349-8888
1035872
SILVERMAN, LEONARD OD
LANSING 48910
(517) 887-5922
1012779
SIMS, RICHARD J OD
MASON 48854
(517) 676-9350
1016817
SOKOL, GARY OD
2001 COOLIDGE RD
EAST LANSING 48823
(517) 337-1668
1023455
SWARTZ, HOLLY D OD
MASON 48854
(517) 676-9350
1068944
THOMPSON, STEPHEN P OD
2200 COOLIDGE RD STE 15
EAST LANSING 48823
(517) 977-1598
1091799
TO, THU T OD
EAST LANSING 48823
(517) 337-8182
202078
VINCENT-RIEMER, CHERYL OD
EAST LANSING 48823
(517) 337-8182
1038912
WHITNEY, DAVID B OD
LANSING 48912
(517) 364-5875
202092
WOLF, TERRI A OD
OKEMOS 48864
(517) 349-4743
ORTHOPEDIC SURGERY
203003
AUSTIN, MICHAEL D DO
EAST LANSING 48823
(517) 333-7005
1012333
COCHRAN, JASON DO
LANSING 48910
(517) 975-3750
1034886
COCHRAN, JASON DO
2815 S PENNSYLVANIA STE 204
LANSING 48910
(517) 267-0200
1021611
COFFEY, KELLY P DO
EAST LANSING 48823
(517) 333-3777
1046884
COFFEY, KELLY P DO
LANSING 48910
(517) 975-8500
1017936
DAVIS, MARK L DO
EAST LANSING 48823
(517) 333-3777
1127129
DAVIS, MARK L DO
1515 LAKE LANSING RD STE B1
LANSING 48912
(517) 371-3407

Page 233
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County

253096
DAVIS, MARK L DO
LANSING 48910
(517) 975-3750
203608
DIETZEL, DOUGLAS P DO
EAST LANSING 48823
(517) 884-6100
203087
DIETZEL, DOUGLAS P DO
LANSING 48910
(517) 975-3750
1117279
DOBRASEVIC, NIKOLA MD
LANSING 48910
(517) 267-0200
203076
DODDS, JULIE A MD
LANSING 48910
(517) 975-8500
1127121
DODDS, JULIE A MD
EAST LANSING 48823
(517) 319-1831
203000
FLOOD, JOHN N DO
LANSING 48910
(517) 975-3750
204162
FLOOD, JOHN N DO
3370 E JOLLY RD STE A
LANSING 48910
(517) 487-3717
1116183
GOLDEN, WILLIAM DO
3370 E JOLLY RD
LANSING 48910
(517) 487-3717
202998
GOODMAN, FLOYD G MD
LANSING 48911
(517) 702-3200
1062987
HARBURN, TODD E DO
1841 NEWMAN RD
OKEMOS 48864
(517) 908-3360
204163
HARBURN, TODD E DO
3370 E JOLLY RD STE 1
LANSING 48910
(517) 487-3717
203004
HARBURN, TODD E DO
LANSING 48910
(517) 975-3750
1027106
EAST LANSING 48823
(517) 333-3777
1026655
LANSING 48910
(517) 975-3750
1057126
HORNBACH, ERICH MD
LANSING 48910
(517) 975-3750
1007790
HOWARD, KEVIN L DO
LANSING 48910
(517) 975-8500
1051586
MCDERMOTT, MICHAEL MD
LANSING 48910
(517) 975-3750
1022108
MESKO, J WESLEY MD
LANSING 48910
(517) 267-0200
1000079
MYSLIWIEC, LAWRENCE W DO
LANSING 48910
(517) 975-3750
1015697
MYSLIWIEC, LAWRENCE W DO
EAST LANSING 48823
(517) 884-4554
1026654
NORRIS, ROBERT E MD
LANSING 48910
(517) 975-8500
1119957
NOUD, PATRICK MD
LANSING 48910
(517) 975-3750
1127107
NOUD, PATRICK MD
EAST LANSING 48823
(517) 319-1831
1003444
PUTZ, JOHN C MD
LANSING 48912
(517) 482-1391
201700
PUTZ, JOHN C MD
LANSING 48912
(517) 482-1391
1004298
ROSS, HERBERT E DO
LANSING 48911
(517) 702-3200
203086
ROSS, HERBERT E DO
LANSING 48910
(517) 975-3750
1017933
SAUCHAK, JOHN A DO
EAST LANSING 48823
(517) 333-3777
201703
SAUCHAK, JOHN A DO
LANSING 48910
(517) 975-3750
1026653
SCHORFHAAR, ANDREW DO
EAST LANSING 48823
(517) 884-6100
1005867
SHINGLES, MICHAEL DO
EAST LANSING 48823
(517) 884-6100
1008866
SHINGLES, MICHAEL DO
LANSING 48910
(517) 975-3750
1017934
SHNEIDER, DAVID MD
EAST LANSING 48823
(517) 333-3777
204274
SHNEIDER, DAVID MD
LANSING 48910
(517) 975-3750
1000608
SLADEK, EDWARD C MD
1000 N HOMER ST
LANSING 48912
(517) 374-7022
1011760
STEPHENS, KENNETH DO
LANSING 48910
(517) 975-3750
1012334
SWORDS, MICHAEL P DO
LANSING 48910
(517) 975-8500
1017938
SWORDS, MICHAEL P DO
EAST LANSING 48823
(517) 333-3777
1022109
TAUNT, CHARLES J JR DO
LANSING 48910
(517) 267-0200
1036172
TAUNT, CHARLES J JR DO
LANSING 48910
(517) 975-3750
252756
THIEL, JOHN M DO
LANSING 48912
(517) 975-3750
1008558
TRULUCK, WILLIAM DO
MULTI SPECIALTY CLINIC 2ND FL 2727 S
LANSING 48910
(517) 975-3750
1035885
UITVLUGT, GREGORY M MD
LANSING 48911
(517) 887-5922
1035886
790 E COLUMBIA
MASON 48854
(517) 244-0120
253097
LANSING 48910
(517) 975-3750

Page 234
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County

247965
WATERBROOK, KENTON L DO
3370 E JOLLY RD STE A
LANSING 48910
(517) 487-3717
1102928
WILCOX, CHRISTOPHER L DO
EAST LANSING 48823
(517) 884-6100
1027872
WINKELPLECK, MICHAEL D DO
EAST LANSING 48823
(517) 884-4554
1018409
WINKELPLECK, MICHAEL D DO
LANSING 48910
(517) 975-3750
LANSING 48910
(517) 267-0200
ORTHOPEDIC SURGERY-FOOT AND ANKLE

1121506
SWORDS, MICHAEL DO
OSTEOPATHIC MANIPULATIVE MEDICINE

1070297
BLAKEMORE, PETER DO
EAST LANSING 48823
(517) 432-6144
1048247
BRUNER, JONATHAN N DO
EAST LANSING 48823
(517) 432-6144
1014925
CIPOLLA, VINCENT R DO
EAST LANSING 48823
(517) 432-6144
1001934
DESTEFANO, LISA DO
46605 HAGADORN RD STE 500
EAST LANSING 48823
(517) 432-6144
1032491
FRANCISCO, TIMOTHY J DO
EAST LANSING 48823
(517) 432-6144
1008353
GILMORE, JENNIFER DO
EAST LANSING 48823
(517) 432-6144
1119959
GORBIS, SHERMAN DO
2727 S PENNSYLVANIA AVE MULT SPECIALTY
LANSING 48910
(517) 975-3750
1000668
GORBIS, SHERMAN DO
EAST LANSING 48823
(517) 432-6144
1002593
GUGEL, MARK R DO
EAST LANSING 48823
(517) 432-6144
1034968
PINTAL, WILLIAM DO
EAST LANSING 48823
(517) 432-6144
1119958
PINTAL, WILLIAM DO
LANSING 48910
(517) 975-3750
1103007
ZATKIN, MATHEW DO
4660 S HADAGORN RD STE 500
EAST LANSING 48823
(517) 432-6144

1104713
COMPTON, ANDREW M MD
EAST LANSING 48823
(517) 332-0100
1127501
SUFYAN, AHMED MD
LANSING 48912
(517) 487-0128
1123855
SUFYAN, AHMED MD
EAST LANSING 48823
(517) 332-0100
PAIN MANAGEMENT
1034242
ANDARY, MICHAEL MD
LANSING 48910
(517) 975-6625
1114517
BEZ, DOUGLAS M DO
LANSING 48910
(517) 349-5103
1114519
BEZ, DOUGLAS M DO
401 W GREENLAWN
LANSING 48910
(517) 975-6625
1114518
BEZ, DOUGLAS M DO
LANSING 48910
(517) 975-6625
1033564
EVANS, JAMES C DO
LANSING 48910
(517) 975-6625
1062250
LANSING 48912
(517) 364-5330
1074922
1540 LAKE LANSING RD STE G-06
LANSING 48912
(517) 482-7246
1099052
GUPTA, SUBHASH MD
LANSING 48912
(517) 482-7246
1030341
GUPTA, SUBHASH MD
LANSING 48912
(517) 364-5330
1033922
INGHAM PAIN MANAGEMENT CENTER
LANSING 48910
(517) 334-2606
1009334
LEE, YI SHIUAN JUDY MD PHD
2169 JOLLY RD STE 2
OKEMOS 48864
(517) 347-8228
1063459
MASIH, AMIT K MD
1200 E MICHIGAN AVE
LANSING 48912
(517) 364-5330
1056762
NAIR, SANKAR MD
LANSING 48912
(517) 364-5330
1030339
NAIR, SANKAR MD
1540 LAKE LANSING STE G06
LANSING 48912
(517) 482-7246
1031179
RIESSINGER, CAMALA PHD
LANSING 48909
(517) 364-5330
1056763
RUDMAN, KENNETH MD
1540 LAKE LANSING STE G06
LANSING 48912
(517) 482-7246
1030342
RUDMAN, KENNETH MD
LANSING 48912
(517) 364-5330
1030340
LANSING 48912
(517) 364-5330
1099053
LANSING 48912
(517) 482-7246

Page 235
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County

1107848
EKHANDE, AMOL S MD
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-2050
1079544
NAZ, FAREEHA MD
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-2050
1067454
WATKINS, LYDIA NP
1215 E MICHIGAN AVE
LANSING 48909
(517) 364-2050
PALLIATIVE MEDICINE - INTERNAL MEDICINE

1075293
MAYLE, JAMES E MD
1210 W SAGINAW
LANSING 48915
(517) 364-7218
1031814
SCOT, CAROL L MD
1210 W SAGINAW 2ND FL
LANSING 48915
(517) 364-7200
1110795
BRADLEY, DAVID J MD
LANSING 48912
(517) 364-5599
1111337
COTTS, TIMOTHY B MD
LANSING 48912
(517) 364-5599
1098958
DYSART, JOHN MD
1514 E MICHIGAN AVE
LANSING 48912
(517) 484-0004
1111005
GAIES, MICHAEL G MD
LANSING 48912
(517) 364-5599
1113051
GAJARSKI, ROBERT J MD
LANSING 48912
(517) 364-5599
1040338
GOBLE, MONICA M MD
LANSING 48912
(517) 364-5599
1098953
MATISOFF, DAVID MD
1514 E MICHIGAN AVE
LANSING 48912
(517) 484-0004
1112744
OWENS, GABE E MD
LANSING 48912
(517) 364-5599
1121002
1514 E MICHIGAN AVE
LANSING 48912
(517) 484-0004
1110381
RUSSELL, MARK W MD
LANSING 48912
(517) 364-5599
1098949
STONE, DAVID DO
1514 E MICHIGAN AVE
LANSING 48912
(517) 484-0004
1075978
THORSSON, THOR MD
LANSING 48912
(517) 364-5599
LANSING 48912
(517) 487-0128
PEDIATRIC - DERMATOLOGY
1118786
GALLAGHER, MICHELLE DO

1036427
CHORAZY, PAULA MD
LANSING 48912
(517) 364-3691
1053665
MARTIN, STEVEN W MD
LANSING 48912
(517) 364-3691
1097194
CHEN, MING MD
LANSING 48912
(517) 364-5490
1109249
KASA VUVU, JOSEPHINE Z MD
LANSING 48912
(517) 364-5490
1097539
MENON, RAM K MD
LANSING 48912
(517) 364-5490
1096740
THOMAS, INAS H MD
LANSING 48912
(517) 364-5490
1072174
VYAS, ARPITA MD
LANSING 48912
(517) 364-5490
1099379
WOOD, MICHAEL A MD
LANSING 48912
(517) 364-5490
1101691
BITAR, ANAS MD
LANSING 48912
(517) 364-5258
1101692
BITAR, ANAS MD
LANSING 48912
(517) 364-5490
1000356
MALAS, SAFWAN MD
LANSING 48912
(517) 364-5490
1127508
CHAMDIN, AGHIAD MD
LANSING 48912
(517) 364-5440
1041355
GERA, RENUKA MD
LANSING 48912
(517) 364-5440
201714
GERA, RENUKA MD
EAST LANSING 48824
(517) 353-9385
1091638
HEMKER, BRADD MD
LANSING 48912
(517) 364-5440
201719
KULKARNI, ROSHNI MD
EAST LANSING 48824
(517) 353-9385
201729
SCOTT-EMUAKPOR, AJOVI B MD
EAST LANSING 48824
(517) 353-9385

Page 236
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County

1109391
ENGLISH, B K MD
LANSING 48912
(517) 364-5440
1026658
ROSENBERG, MELISSA B MD
EAST LANSING 48824
(517) 364-5440
LANSING 48912
(517) 364-5490
EAST LANSING 48824
(517) 353-3003
804 SERVICE RD ROOM A217
EAST LANSING 48824
(517) 353-8122
401 W GREENLAWN AVE
LANSING 48910
(517) 975-6475
EAST LANSING 48823
(517) 884-4554
1000355
GEVA, PINHAS MD
PEDIATRIC - NEURODEVELOPMENTAL DISABILITIES

1003336
RAPPLEY, MARSHA MD
1068032
DYME, ZACHARY I MD

1097159
CLARK, SUSAN L NP

1091606
DEWITT, JOSEPH E DO
1065844
HOMA, ANDREW J MD
EAST LANSING 48824
(517) 353-3003
1094141
HOMA, ANDREW J MD
LANSING 48912
(517) 364-5440
1127956
KENT, MARCIA MD
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1017410
WARREN, MARLA J MD
LANSING 48911
(517) 887-9801
1046801
ELY, JENNIFER R DO
LANSING 48912
(517) 364-5440
1043601
GOBEL, JOHN W DO
LANSING 48912
(517) 364-5440
1107852
HOMNICK, DOUGLAS N MD
LANSING 48912
(517) 364-5440
201717
HONICKY, RICHARD E MD
LANSING 48912
(517) 364-5440
1035877
790 E COLUMBIA
MASON 48854
(517) 244-0120
1035876
LANSING 48911
(517) 887-5922
1071589
PANGAN, MELISSA MD
LANSING 48912
(517) 364-5440
1043602
ROSENMAN, KENNETH D MD
LANSING 48912
(517) 364-5440
PEDIATRIC - SPORTS MEDICINE

1044991
LANSING 48910
(517) 975-8500
1043084
EAST LANSING 48823
(517) 884-6100
PEDIATRIC - SURGERY
1100089
ARNOLD, MEGHAN A MD
LANSING 48912
(517) 364-5490
1008162
BRUCH, STEVEN W MD
LANSING 48912
(517) 364-5490
1020438
EHRLICH, PETER F MD
LANSING 48912
(517) 364-5490
1059901
GEIGER, JAMES D MD
LANSING 48912
(517) 364-5490
1000360
HIRSCHL, RONALD B MD
LANSING 48912
(517) 364-6240
1062506
JARBOE, MARCUS D MD
LANSING 48912
(517) 364-5490
1053642
JONA, JUDA Z MD
LANSING 48912
(517) 364-5490
1066160
KUNISAKI, SHAUN M MD
LANSING 48912
(517) 364-5490
1068886
LESSIN, MARC S MD
LANSING 48912
(517) 364-5490
1015153
MYCHALISKA, GEORGE B MD
LANSING 48912
(517) 364-5490
1062507
TEITELBAUM, DANIEL H MD
LANSING 48912
(517) 364-5490

Page 237
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
PEDIATRIC - UROLOGY
1000284
BARTKOWSKI, DONALD P DO
EAST LANSING 48823
(517) 364-8118
PEDIATRICS
1045221
ANDREWS, SUSAN G MD
LANSING 48912
(517) 364-5490
1070797
BOOTE, JENNIFER DO
901 E MT HOPE AVE STE 3
LANSING 48910
(517) 267-3400
1070798
BOOTE, JENNIFER DO
CHILD HEALTH 5303 S CEDAR ST
LANSING 48909
(517) 887-4305
253123
DOUMA, MARI E DO
LANSING 48909
(517) 887-4305
1061819
DOUMA, MARI E DO
LANSING 48910
(517) 267-3400
1018870
GOLD, JONATHAN G MD
LANSING 48910
(517) 267-3400
1066365
LANSING 48912
(517) 364-5490
1026069
LANSING 48910
(517) 267-3400
1018871
LANSING 48910
(517) 267-3400
1018868
LANSING 48909
(517) 887-4305
1095561
KAUL, SHAKTI MD
LANSING 48911
(517) 887-5922
1072294
MCGLEW, MARY MD
LANSING 48912
(517) 244-8060
1016960
LANSING 48910
(517) 267-3400
1008962
LANSING 48911
(517) 887-4305
204140
MORATH, MARGARET DO
LANSING 48909
(517) 887-4305
1016957
MORATH, MARGARET DO
LANSING 48910
(517) 267-3400
1116599
MYSORE VENKATESH, BHAGYA MD
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-2789
1048145
PAWAR, SHIWAJI MD
LANSING 48910
(517) 267-3400
1048148
PAWAR, SHIWAJI MD
LANSING 48909
(517) 887-4305
1085129
RESNICK, LEWIS MD
3400 PINE TREE RD STE 102
LANSING 48911
(517) 887-3000
1070801
ROOT, ROBERT DO
5303 S CEDAR ST CHILD HEALTH
LANSING 48909
(517) 887-4305
1070800
ROOT, ROBERT DO
LANSING 48910
(517) 267-3400
1059687
LANSING 48910
(517) 267-3400
1030949
SUDHANTHAR, SATHYANARAYAN MD
LANSING 48910
(517) 267-3400
1018873
TURNER, JANE L MD
LANSING 48910
(517) 267-3400

1000080
ANDARY, MICHAEL MD
LANSING 48912
(517) 364-5260
201734
ANDARY, MICHAEL MD
LANSING 48910
(517) 377-8294
1102335
BURLINGAME, BRET L DO
EAST LANSING 48823
(517) 884-4554
1127122
DUCOMMUN, EDMOND J MD
LANSING 48912
(517) 913-3810
201735
FANKHAUSER, MARGARET J DO
LANSING 48912
(517) 364-5260
1055968
FANKHAUSER, MARGARET J DO
EAST LANSING 48824
(517) 355-7648
1122107
GEBARA, RANI DO
LANSING 48912
(517) 364-5260
1012621
LANSING SPINE AND EXTREMITY REHAB
LANSING 48910
(517) 364-0125
1014674
O'CONNOR, RYAN DO
LANSING 48910
(517) 364-0125
1101364
O'CONNOR, RYAN DO
EAST LANSING 48823
(517) 884-4554
1004970
O'CONNOR, RYAN DO
3370 E JOLLY RD
LANSING 48910
(517) 487-3717
1101365
O'CONNOR, RYAN DO
LANSING 48912
(517) 364-5260
1019527
O'CONNOR, RYAN DO
4052 LEGACY PKWY
LANSING 48910
(517) 364-0125
1015735
PROKOP, LAWRENCE L DO
2815 S PENNSYLVANIA STE 102
LANSING 48910
(517) 351-8888
1008314
PROKOP, LAWRENCE L DO
LANSING 48912
(517) 364-5260
1006918
RECHTIEN, JAMES J DO
1200 E MICHIGAN STE 520
LANSING 48912
(517) 364-5260
1016237
ROWAN, JACOB J DO
LANSING 48910
(517) 351-8888

Page 238
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
PHYSICAL MEDICINE AND REHABILITATION (CONTINUED)

1015340
ROWAN, JACOB J DO
EAST LANSING 48823
(517) 432-6144
1127510
SAFFARIAN, MATHEW DO
EAST LANSING 48823
(517) 884-4554
1122047
SAFFARIAN, MATHEW DO
LANSING 48912
(517) 364-5260
1009116
SCHLINGER, MARCY C DO
4655 DOBIE RD STE 270
OKEMOS 48864
(517) 381-5360
1025031
STORM, SENECA A MD
LANSING 48911
(517) 364-0125
1043172
SYLVAIN, JIM DO
LANSING 48912
(517) 364-5260
1043580
SYLVAIN, JIM DO
LANSING 48910
(517) 351-8888
1118809
TOPHAM, RYAN MD
250 E SAGINAW ST
EAST LANSING 48823
(517) 337-3080
201743
VENTOCILLA, CARMEN R MD
LANSING 48911
(517) 351-8123
1118811
WHEELER, MICHAEL DO
250 E SAGINAW ST
EAST LANSING 48823
(517) 337-3080
1118812
WINNIE, CURT MD
250 E SAGINAW ST
EAST LANSING 48823
(517) 337-3080
1085299
WYATT, REBECCA DO
LANSING 48912
(517) 364-5260
PLASTIC SURGERY
1074009
LANIGAN, EDWARD D MD
1210 W SAGINAW
LANSING 48912
(517) 364-7750
204325
LANSING 48912
(517) 267-2460
1118790
POLETES, GEORGE MD
LANSING 48912
(517) 487-0128
203610
SMITH, RICK J MD
1504 E GRAND RIVER AVE STE 100
EAST LANSING 48823
(517) 908-3040
201748
SUPANWANID, PREECHA MD
921 ABBOT RD
EAST LANSING 48823
(517) 336-6950
1061277
ZWYGHUIZEN, ANDREW MD
LANSING 48912
(517) 267-2460
1074012
1210 W SAGINAW
LANSING 48912
(517) 364-7750
PODIATRY
1118783
CESAR, GARY DPM
LANSING 48912
(517) 487-0128
1102832
CHAHAL, RUBY DPM
EAST LANSING 48823
(517) 884-4554
1122178
DESWAL, MANINDER S DPM
EAST LANSING 48823
(517) 351-7640
1009135
GONZALEZ, JOSEPH DPM
2270 JOLLY OAK RD STE 1
OKEMOS 48864
(517) 853-8951
1010339
JOHNSON, DOUGLAS DPM
EAST LANSING 48823
(517) 351-7640
1011728
JOHNSON, JOHN D DPM
EAST LANSING 48823
(517) 351-7640
201751
MEYER, JAY O DPM
2158 COMMONS PKWY
OKEMOS 48864
(517) 349-6855
1001334
MORIN, JEFFREY R DPM
3370 E JOLLY RD
LANSING 48910
(517) 487-3717
1107148
MORIN, JEFFREY R DPM
EAST LANSING 48823
(517) 884-4554
201753
NISHON, LARRY R DPM
2158 COMMONS PARKWAY
OKEMOS 48864
(517) 349-6855
1078732
PAPSON, MICHAEL DPM
612 W LAKE LANSING RD #700
EAST LANSING 48823
(517) 853-7500
1092371
1210 W SAGINAW ST
LANSING 48915
(517) 321-1199
1087182
STINES, INGRID DPM
1650 HASLETT RD
HASLETT 48840
(517) 339-3200
1044141
THOMSON, MATTHEW DPM
3390 E JOLLY RD
LANSING 48910
(517) 882-8673
PROSTHETICS
1002069
1717 E MICHIGAN AVE
LANSING 48912
(800) 331-1730
1001386
GREATER LANSING ORTHOTIC
200 N HOMER
LANSING 48912
(517) 337-0300
1005640
LANSING 48910
(517) 394-5850
1070730
PROSTHETIC CENTER INC
LANSING 48910
(517) 372-7007
1073948
129 S PUTNAM ST
WILLIAMSTON 48895
(517) 655-1015
1069629
SPARROW REGIONAL MEDICAL SUPPLY
915 E MICHIGAN AVE
LANSING 48912
(877) 205-3500
204060
SPRINGER PROSTHETICS & ORTHOTICS
200 N HOMER
LANSING 48912
(517) 337-0300

Page 239
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
PSYCHIATRY
1063372
ABBASI, FARHA Z MD
EAST LANSING 48824
(517) 884-6546
1118828
ABBASI, FARHA Z MD
1210 W SAGINAW
LANSING 48915
(517) 364-7700
1109689
ABBASI, FARHA Z MD
909 FEE RD RM B119
EAST LANSING 48824
(517) 353-3070
1070294
ADIL, NAZIA MD
401 W GREENLAWN AVE STE W218
LANSING 48910
(517) 975-6475
1068101
AHMED, ZULFIQAR MD
EAST LANSING 48823
(517) 333-7113
1036563
AHMED, ZULFIQAR MD
LANSING 48911
(517) 887-9801
1023108
ANSTETT, LOUIS MD
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1003255
BAKER, JOHN A III MD
1210 W SAGINAW ST
LANSING 48915
(517) 364-7700
1002729
BANAZAK WAGENAAR, DEBORAH B DO
909 FEE RD ROOM B119
EAST LANSING 48824
(517) 353-3070
1026371
LANSING 48912
(517) 364-7601
1008296
BARBERIO, DOMINIC DO
LANSING 48915
(517) 364-7700
1037536
BARNES, MICHAEL DO
3960 PATIENT CARE WAY STE 104
LANSING 48911
(517) 887-9801
1125230
BEASLEY, MARIE DO
463 EAST CIRCLE DR
EAST LANSING 48824
(517) 884-6546
1018909
BLACKMAN, KAREN MD
EAST LANSING 48824
(517) 884-6546
1019288
BLACKMAN, KAREN MD
800 E COLUMBIA AVE
MASON 48854
(517) 244-8940
1058794
BLACKMAN, KAREN MD
EAST LANSING 48824
(517) 353-3050
1026227
BLACKMAN, KAREN MD
1200 E MICHGAIN AVE STE 245A
LANSING 48912
(517) 364-5710
1097072
BRADLEY, RONALD H DO PHD
401 W GREENLAW AVE STE W218
LANSING 48910
(517) 975-6475
1114429
BROWN, LAUREN F MD
3475 BELLE CHASE WAY
LANSING 48911
(517) 882-3732
1127914
BROWN, PAYTON G MD
401 W GREENLAWN AVE
LANSING 48910
(517) 975-7568
1077680
BRUBAKER, RUSSEL MD
585 JEWETT RD
MASON 48854
(517) 833-8100
1107702
CHALLA, ANU MD
1210 W SAGINAW ST
LANSING 48915
(517) 364-7700
1057661
COMMINGS, STEPHANIE MD
LANSING 48911
(517) 887-9801
1036428
LANSING 48915
(517) 364-7601
1118274
DEMPSEY, ROBERT DO
585 JEWETT RD
MASON 48854
(517) 676-5405
1100105
D'MELLO, DALE A MD
909 FEE RD RM B119
EAST LANSING 48824
(517) 353-3070
1026391
D'MELLO, DALE A MD
LANSING 48915
(517) 364-7601
1026243
DOMINO, LAURENCE MD
1210 W SAGINAW 2ND FLOOR
LANSING 48915
(517) 364-7700
1000369
DOMINO, VALORIE MD
1210 W SAGINAW
LANSING 48915
(517) 364-7700
1037051
DUXBURY, DEBRA MD
EAST LANSING 48824
(517) 884-6546
1000756
FIELD, DANIEL T MD
OKEMOS 48864
(517) 347-6944
1085390
FREY, JEFFREY DO
909 FEE RD STE B119
EAST LANSING 48824
(517) 353-3070
1091495
FREY, JEFFREY DO
1210 W SAGINAW
LANSING 48915
(517) 364-7700
1065065
HAERING, MARY A DO
LANSING 48911
(517) 882-3732
1026259
HARRIS, JIMMIE L DO
LANSING 48912
(517) 364-7700
1091334
HERRERA, JOSE MD
EAST LANSING 48824
(517) 353-3070
1116667
HERRERA, JOSE MD
1210 W SAGINAW ST
LANSING 48915
(517) 364-7700
1059689
HINGWE, SWAPNA DO
463 EAST CIRCLE DR EAST CIRCLE DR
EAST LANSING 48824
(517) 884-6546
1062919
HOMA, ANDREW J MD
901 E MT HOPE RD
LANSING 48910
(517) 267-3400
1003772
HOMA, ANDREW J MD
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1048889
HOOGTERP, ANGELA A DO
EAST LANSING 48823
(517) 337-1774
1042515
HUNT, MICHAEL E MD
LANSING 48915
(517) 364-7700
1063024
HUSSAIN, SYED MD
LANSING 48915
(517) 364-7700
1101363
JASTY, VENKATA MD
1210 W SAGINAW
LANSING 48915
(517) 364-7700
1026386
JUPALLI, RAJASEKHAR MD
LANSING 48915
(517) 364-7700
1038325
LEY, ALYSE F DO
LANSING 48915
(517) 364-7700

Page 240
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
1036429
LEY, ALYSE F DO
EAST LANSING 48824
(517) 353-3070
1097489
LISZEWSKI, CHRISTINE MD
909 FEE RD RM B119
EAST LANSING 48824
(517) 353-3070
1086599
OLIN HEALTH CENTER 463 E CIRCLE DR
EAST LANSING 48824
(517) 884-6546
1022125
LIU, PAUL DO
EAST LANSING 48823
(517) 336-4335
1126633
LU, DUNYUE MD
LANSING 48915
(517) 364-7700
1124858
MACAULEY, LESLIE MD
585 JEWETT RD
MASON 48854
(517) 676-5405
1011892
MACAULEY, LESLIE MD
EAST LANSING 48823
(517) 333-7115
1011724
MACK, DAVID DO
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1001280
MAGEN, JED G DO
EAST LANSING 48824
(517) 353-3070
1026271
MAGEN, JED G DO
LANSING 48912
(517) 364-7601
1101377
MAHABIR, RISHI DO
LANSING 48911
(517) 882-3732
1059336
MAHABIR, RISHI DO
4660 MARSH RD
OKEMOS 48864
(517) 349-5675
1065064
MELAND, ROY DO
LANSING 48911
(517) 882-3732
1055543
MELAND, ROY DO
1210 W SAGINAW
LANSING 48915
(517) 364-7700
1086574
MILLER, NORMAN MD
LANSING 48911
(517) 887-9801
1091161
MUNDRA, SHWETA MD
1210 W SAGINAW ST
LANSING 48915
(517) 364-7700
1120860
MURANJAN, SUNITA MD
4084 OKEMOS RD
OKEMOS 48864
(517) 676-9788
1074203
ONWERE, CHINEDU PRINCEWELL DO
1210 W SAGINAW ST
LANSING 48912
(517) 364-7700
1074204
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1085445
ONWERE, PRINCEWELL DO
401 W GREENLAWN AVE
LANSING 48910
(517) 364-7700
201758
PETERSON, LINDA M MD
401 W GREENLAWN AVE
LANSING 48910
(517) 975-6475
1026325
PICONE, DAVID A DO
LANSING 48915
(517) 364-7601
1065062
PICONE, DAVID A DO
LANSING 48911
(517) 882-3732
1026329
QUINLAN, PAUL E DO
LANSING 48915
(517) 364-7601
1037028
QUINLAN, PAUL E DO
EAST LANSING 48824
(517) 353-3070
1011612
RICHARDS, MADHVI P MD
EAST LANSING 48824
(517) 353-3070
1026331
LANSING 48912
(517) 364-7601
1011723
234 MICHIGAN AVE
EAST LANSING 48823
(517) 353-6545
1100122
RIOLO, STEPHANIE A MD
401 W GREENLAWN AVE
LANSING 48910
(517) 975-6475
1066723
ROMAN, ARLENE Z MD
LANSING 48915
(517) 364-7700
1016858
ROMAN, ARLENE Z MD
4084 OKEMOS RD
OKEMOS 48864
(517) 347-4844
1010288
ROSEN, LIONEL W MD
EAST LANSING 48824
(517) 353-3070
1026380
ROSEN, LIONEL W MD
LANSING 48912
(517) 364-7601
1123920
RUEKBERG, BRUCE MD
463 E CIRCLE DR
EAST LANSING 48824
(517) 884-6546
1091749
SANCHEZ, JOEL M MD
LANSING 48911
(517) 887-9801
1124750
SANDERSFELD, NICHOLAS R DO
401 W GREENLAWN AVE
LANSING 48910
(517) 975-7568
1026333
SCHEID, JEANETTE M MD
LANSING 48912
(517) 364-7601
1003523
EAST LANSING 48824
(517) 353-3070
1085139
SCHNURR, EMILY DO
EAST LANSING 48824
(517) 353-3070
1071590
SCHNURR, EMILY DO
EAST LANSING 48824
(517) 884-6546
1026341
SHAFER, CHRISTINE L MD
LANSING 48915
(517) 364-7601
1012635
EAST LANSING 48824
(517) 353-3070
1006360
SIGAL, TATYANA MD
1210 W SAGINAW HWY
LANSING 48915
(517) 364-7700
1037683
SIGAL, TATYANA MD
4084 OKEMOS RD
OKEMOS 48864
(517) 347-4848
1116966
SINGH, RAVINDERJIT MD
LANSING 48915
(517) 364-7700
1026376
SMITH, BRIAN D MD
LANSING 48915
(517) 364-7601

Page 241
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
1011122
SMITH, BRIAN D MD
EAST LANSING 48824
(517) 353-3070
1097807
SMITH, REBECCA M MD
463 EAST CIRCLE DR OLIN HEALTH CENTER
EAST LANSING 48824
(517) 884-6456
1049077
TOKHIE, SARABJIT MD
4084 OKEMOS RD
OKEMOS 48864
(517) 347-4848
1065061
UNDERWOOD, SHEREEN M DO
LANSING 48911
(517) 882-3732
1041222
VORA, NIKHIL K MD
585 JEWETT RD
MASON 48854
(517) 833-8100
1018910
WANG, LEE M MD
EAST LANSING 48824
(517) 884-6546
1017410
WARREN, MARLA J MD
LANSING 48911
(517) 887-9801
1017661
WHITE, LEIGH MD
EAST LANSING 48824
(517) 884-6546
1102889
YANG, KIMBERLY MD
463 EAST CIRCLE DR
EAST LANSING 48824
(517) 884-6546
1094491
ZAK, DANIAL J DO
901 E MT HOPE RD STE 3
LANSING 48910
(517) 372-9175
1094492
ZAK, DANIAL J DO
5303 S CEDAR ST
LANSING 48909
(517) 887-4305
1024500
ZHAO, SHUMIN MD
4660 MARSH RD
OKEMOS 48864
(517) 347-2126
1001091
ZHAO, SHUMIN MD
1210 W SAGINAW HWY
LANSING 48915
(517) 364-7700

1096100
COUNTY OF INGHAM PHS
5303 S CEDAR ST
LANSING 48911
(517) 887-4311
204172
ICHD ISS PUBLIC HEALTH NURSING
5303 S CEDAR ST PO BOX 30161
LANSING 48911
(517) 887-4302
1001644
ICHD YOUTH CENTER
700 E JOLLY RD
LANSING 48911
(517) 887-4330
1002684
INFANT SUPPORT SERVICES LANSING
5303 S CEDAR ST
LANSING 48909
(517) 887-4306
1124329
INGHAM COMMUNITY HEALTH CENTER
LANSING 48912
(517) 887-4647
1005844
INGHAM COUNTY HEALTH DEPARTMENT
5303 S CEDAR
LANSING 48911
(517) 887-4345
1000281
MATERNAL SUPPORT SERVICES
5303 S CEDAR ST
LANSING 48911
(517) 887-4320
1001038
OTTO HEALTH AND WELLNESS CENTER
500 E THOMAS
LANSING 48906
(517) 702-3555
1001651
VISION AND HEARING CLINIC
5303 S CEDAR ST
LANSING 48911
(517) 887-4500
1001041
WILLOW PLAZA TEEN SERVICES
306 W WILLOW
LANSING 48906
(517) 702-3500
PULMONOLOGY
1126532
ABOUBAKR, SALAH MD
LANSING 48910
(517) 975-8010
203622
GERA, CHANDRA M MD
LANSING 48911
(517) 346-5000
1015712
GERA, CHANDRA M MD
LANSING 48911
(517) 887-6733
1104404
GERA, CHANDRA M MD
LANSING 48912
(517) 913-3800
201760
GOBEL, JOHN W DO
LANSING 48912
(517) 482-6011
1104403
KASHYAP, GAURESH H MD
LANSING 48912
(517) 913-3800
203623
LANSING 48911
(517) 346-5000
253399
2525 JOLLY RD
OKEMOS 48864
(517) 381-1374
RADIATION ONCOLOGY
1000769
DICARLO, LUCIANO DO
1215 E MICHIGAN AVE
LANSING 48909
(517) 364-2287
1090249
DRAGOVIC, ALEKSANDAR F MD
401 W GREENLAWN AVE
LANSING 48910
(517) 975-7800
203624
EISBRUCH, AVRAHAM MD
401 W GREENLAWN AVE
LANSING 48910
(517) 975-7800
1119129
ESPINOZA, SALVADOR MD
2175 COOLIDGE RD
EAST LANSING 48823
(517) 999-5900
203626
HAYMAN, JAMES A MD
401 W GREENLAWN AVE
LANSING 48910
(517) 975-7800
1001237
HERMAN, JAMES MD
1215 E MICHIGAN AVE
LANSING 48909
(517) 364-2318
1119627
LEE, EDWARD K DO
2175 COOLIDGE RD
EAST LANSING 48823
(517) 999-5900
1089249
WEBB, JENNIFER MD
401 W GREENLAWN AVE
LANSING 48910
(517) 975-7800
LANSING 48912
(517) 364-5888
1034978
LEACH, RICHARD MD

Page 242
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
RHEUMATOLOGY
1023580
BERGER, SUSAN M MD
3394 E JOLLY RD STE C
LANSING 48910
(517) 272-9700
1023579
FIECHTNER, JUSTUS J MD
LANSING 48910
(517) 272-9700
1004432
GUGGENHEIM, CARLA DO
1106 N CEDAR ST STE 2A
LANSING 48906
(517) 267-0107
1065767
MOHAN, MONIKA MD
4202 COLLINS RD STE 115
LANSING 48910
(517) 908-3600
1018878
THAKUR, NITI MD
6200 PINE HOLLOW DR STE 400
EAST LANSING 48823
(517) 339-1676

1073079
CAPITAL AREA HEALTH AND REHABILITATION
2100 E PROVINCIAL HOUSE DR
LANSING 48910
(517) 272-4029
1071003
HOLT SENIOR CARE AND REHAB CENTER
5091 WILLOUGHBY RD
HOLT 48842
(517) 694-2144
1026219
INGHAM CO MEDICAL CARE FACILITY
3860 DOBIE RD
OKEMOS 48864
(517) 381-6100
1065350
OKEMOS HEALTH AND REHAB CNTR
5211 MARSH RD
OKEMOS 48864
(517) 319-1400
1057581
THE PINES REHABILITATION AND HEALTH CARE CENTER 707 ARMSTRONG RD
LANSING 48911
(517) 393-5680
LANSING 48911
(517) 488-0133

1067481
SPARROW HOSPITAL TCI
SLEEP STUDIES
1057728
GERA, CHANDRA M MD
LANSING 48911
(517) 488-0133
1057729
GERA, CHANDRA M MD
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057732
GUPTA, ASHOK K MD
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1057730
GUPTA, ASHOK K MD
LANSING 48911
(517) 488-0133
1057744
839 PUTNAM ST
WILLIAMSTON 48895
(800) 722-7540
1015711
LANSING 48911
(517) 887-6733
1057743
LANSING 48911
(517) 488-0133
1071262
MAMEDOV, OKTAI MD
2525 JOLLY RD
OKEMOS 48864
(877) 595-1090
SPEECH THERAPY
1009260
AMERICARE REHABILITATION
4600 DUNCKEL RD STE 2
LANSING 48910
(517) 272-5100
1127977
LANSING 48910
(517) 272-4029
1022188
CAPITOL PHYSICAL THERAPY-EAST LANSING
EAST LANSING 48823
(517) 333-8533
1116761
2775 E LANSING DR
EAST LANSING 48823
(855) 407-7575
1006014
MSU DEPT OF PHYS MED AND REHAB
EAST LANSING 48823
(517) 355-7648
1127994
5211 MARSH RD
OKEMOS 48864
(517) 319-1400
1019897
SPEECH-LANGUAGE PATHOLOGY
LANSING 48910
(517) 377-8333
1015349
YOUNG REHAB CO PC
OKEMOS 48864
(517) 349-4268
SPORTS MEDICINE
1026656
KOVAN, JEFFREY R DO
LANSING 48910
(517) 975-8500
1000926
KOVAN, JEFFREY R DO
EAST LANSING 48823
(517) 884-6100
1102743
LEMMEN, BROOKE DO
463 EAST CIRCLE DR
EAST LANSING 48824
(517) 884-6546
1060930
LEMMEN, BROOKE DO
EAST LANSING 48823
(517) 884-6100
1016601
NASSAR, LAWRENCE G DO
LANSING 48910
(517) 975-8500
1003916
NASSAR, LAWRENCE G DO
EAST LANSING 48823
(517) 884-6100
1008490
NORRIS, ROBERT E MD
EAST LANSING 48823
(517) 884-6100
1026654
NORRIS, ROBERT E MD
LANSING 48910
(517) 975-8500
1026657
LANSING 48910
(517) 975-3750
1026653
EAST LANSING 48823
(517) 884-6100
1127112
WATERSON, DAVID C DO
EAST LANSING 48823
(517) 319-1831

Page 243
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ingham County
SURGICAL ONCOLOGY
1074462
BUMPERS, HARVEY MD
LANSING 48912
(517) 267-2460
1075306
BUMPERS, HARVEY MD
1210 W SAGINAW
LANSING 48912
(517) 364-7750
1085294
CHING, KAREN MD
LANSING 48912
(517) 267-2460
1074196
KAVUTURU, SRINIVAS MD
1210 W SAGINAW
LANSING 48912
(517) 364-7750
1074195
KAVUTURU, SRINIVAS MD
LANSING 48912
(517) 267-2460

1078634
BAUMGARTNER, NORBERT MD
LANSING 48912
(517) 364-5200
1070541
COLLAR, ALONSO MD
LANSING 48912
(517) 364-5200
1018867
COTRONEO, JOSEPH V MD
LANSING 48910
(517) 483-4780
1018414
DUDA, ANDREW M MD
LANSING 48910
(517) 483-4780
1018866
GANDHI, DIVYAKANT MD
LANSING 48910
(517) 483-4780
1024776
JUNG, JIA YING MD
LANSING 48912
(517) 364-5200
1022257
LANDIS, GREGORY H DO
EAST LANSING 48823
(517) 999-3930
1018413
ROTH, GARY L DO
LANSING 48910
(517) 483-4780
1020721
TALBOTT, JOHN D DO
LANSING 48912
(517) 364-5200
UROLOGY
1048248
DAVIS, DAMON E MD
EAST LANSING 48823
(517) 364-8118
1099050
FRANK, TERRENCE R DO
LANSING 48910
(517) 487-3655
1040588
HARDING, SHIRLEY A DO
LANSING 48911
(517) 374-7600
1003382
HARDING, SHIRLEY A DO
EAST LANSING 48823
(517) 364-8118
1118776
JOHNSON, DAVID MD
1625 RAMBLEWOOD DR
EAST LANSING 48823
(517) 324-3700
1118778
MASHNI, JOSEPH MD
1625 RAMBLEWOOD DR
EAST LANSING 48823
(517) 324-3700
1021829
RIZER, MAX S DO
EAST LANSING 48823
(517) 364-8118
1040590
RIZER, MAX S DO
3955 PATIENT CARE DR STE A
LANSING 48911
(517) 374-7600
1118798
STOCKALL, ERIC MD
OKEMOS 48864
(517) 349-3900
1119261
STOCKALL, ERIC MD
401 W GREENLAWN
LANSING 48910
(517) 349-3900
1118779
YOUSIF, RAFID MD
1625 RAMBLEWOOD DR
EAST LANSING 48823
(517) 324-3700
1118780
ZUCKERMAN, LEONARD MD
1625 RAMBLEWOOD DR
EAST LANSING 48823
(517) 324-3700
VASCULAR SURGERY
1018415
CARTER, KURT M MD
LANSING 48910
(517) 483-4780
1020672
PRIDJIAN, ARA K MD
LANSING 48912
(517) 364-5200
1008731
SHAH, IBRAHIM MD
2134 HAMPTON PL
OKEMOS 48864
(517) 347-3000
1018416
ZITO, JAMES G MD
LANSING 48910
(517) 483-4780
IONIA 48846
(888) 517-0077
IONIA 48846
(616) 527-3340
Ionia County
IONIA COUNTY
1055799
KALFA, VASIF MD
848 E LINCOLN AVE

1024188
PLANNED PARENTHOOD OF WEST & NORTHERN MICHIG 175 E ADAMS
CARDIOLOGY
1073907
BAKR, OMAR MD
550 E WASHINGTON ST
IONIA 48846
(517) 347-3000
1057716
BROWN, THOMAS DO
550 E WASHINGTON ST
IONIA 48846
(616) 527-7232

Page 244
February 19, 2015

PIN
Provider
IONIA COUNTY (CONTINUED)
Address
City and Zip
Phone
Gender
Ionia County
1055798
KARVE, MILIND MD
520 E WASHINGTON
IONIA 48846
(517) 364-5599
1057753
LINK, CHAD DO
520 E WASHINGTON ST
IONIA 48846
(919) 523-1490
1057757
PINKE, RICHARD DO
550 E WASHINGTON ST
IONIA 48846
(616) 527-7232
1073912
ZACK, PAUL MD
550 E WASHINGTON ST
IONIA 48846
(517) 347-3000
3192 COMMERCE LN STE C-4
IONIA 48846
(616) 522-0515
848 E LINCOLN AVE
IONIA 48846
(616) 249-8000
DME - P&O
1069631

1100147
RAKOWSKI, MELISSA DO

1092232
EDWARD W SPARROW HOSPITAL
479 LAFAYETTE ST
IONIA 48846
(616) 527-4200
1049102
IONIA COUNTY MEMORIAL HOSPITAL EM
479 LAFAYETTE ST
IONIA 48846
(616) 527-4200
2622 HEARTLAND BLVD
IONIA 48846
(616) 752-6235
537 W MAIN
IONIA 48846
(616) 523-2020

1005616
RENAL ASSOCIATES OF WEST MICHIGAN
EYEWARE SUPPLIER
1022320
GRO OPTICAL LLC
GENERAL SURGERY
1046906
HYDE, RONALD A DO
550 E WASHINGTON ST
IONIA 48846
(616) 523-1630
1016881
JENTZ, AMY B MD
550 E WASHINGTON ST
IONIA 48846
(616) 523-1630
550 E WASHINGTON ST
IONIA 48846
(616) 523-1660
GYN ONCOLOGY
1101072
MEUNIER, JOSEPH K DO

1065860
131 KENT ST
PORTLAND 48875
(517) 336-1940
1075151
GRAND HEARING CENTER
1330 E GRAND RIVER AVE STE B
PORTLAND 48875
(517) 647-4327
1026889
WESTERN MICHIGAN HEARING SERVICES
537 W MAIN ST
IONIA 48846
(800) 875-6567
525 LAFAYETTE ST
IONIA 48846
(616) 527-7060
601 E WASHINGTON PO BOX 124
IONIA 48846
(616) 527-0681
HOME HEALTH CARE

1024679
IONIA CO MEM HOSP-HOME CARE
HOSPICE
1021188
IONIA AREA HOSPICE
NEPHROLOGY
1094352
SLATON, BYRON T MD
2622 HEARTLAND BLVD
IONIA 48846
(616) 752-6235
1094351
VISSER, JAMES A MD
2622 HEARTLAND BLVD
IONIA 48846
(616) 752-6235
NEUROLOGY
1109544
AUSTIN, ERICA DO
550 E WASHINGTON ST
IONIA 48846
(616) 523-1640
1074782
LEAHY, CARA DO
550 E WASHINGTON ST
IONIA 48846
(616) 523-1640
1089509
POSTELS, DOUGLAS MD
479 LAFAYETTE ST
IONIA 48846
(616) 523-1400
1089600
479 LAFAYETTE ST
IONIA 48846
(616) 523-1400
550 E WASHINGTON ST
IONIA 48846
(616) 522-1123

1074237
RUSSELL, JANICE NP

Page 245
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ionia County
OBSTETRICS
1107627
NEWTON, CHARLES MD
175 E ADAMS ST
IONIA 48846
(616) 527-3340
1076256
550 E WASHINGTON ST
IONIA 48846
(616) 523-1630
1085831
ALSAMSAM, ADHAM MD
550 E WASHINGTON
IONIA 48846
(616) 523-1630
1076255
BARTON II, JAMES S MD
550 E WASHINGTON ST
IONIA 48846
(616) 523-1630
1026997
550 E WASHINGTON ST
IONIA 48846
(616) 522-1123
1076254
GRIFFIN, ANGELA MD
550 E WASHINGTON ST
IONIA 48846
(616) 523-1630
1122127
GRIFFITH, ANNA M MD
175 E ADAMS ST
IONIA 48846
(616) 527-3340
1076253
550 E WASHINGTON ST
IONIA 48846
(616) 523-1630
1063468
LEGRAND, ERIN E DO
550 E WASHINGTON ST
IONIA 48846
(616) 522-1123
1076252
LEVITT, VALERIE MD
550 E WASHINGTON ST
IONIA 48846
(616) 523-1630
1076251
PUGMIRE, MARY E DO
550 E WASHINGTON ST
IONIA 48846
(616) 523-1630
1076250
REGAL, CLARA M MD
550 E WASHINGTON ST
IONIA 48846
(616) 523-1630
1076249
550 E WASHINGTON ST
IONIA 48846
(616) 523-1630
1076248
550 E WASHINGTON ST
IONIA 48846
(616) 523-1630
1119177
175 E ADAMS ST
IONIA 48846
(616) 527-3340
520 E WASHINGTON ST
IONIA 48846
(616) 523-1501
ONCOLOGY
1036564
OPHTHALMOLOGY
1034224
BARRETT, DAVID J MD
537 W MAIN ST
IONIA 48846
(616) 949-2600
1037070
BOYLE, MICHAEL MD
537 W MAIN ST
IONIA 48846
(616) 949-2600
1034218
COWDEN, THOMAS P MD
537 W MAIN ST
IONIA 48846
(616) 949-2600
1061092
FLOHR, MICHAEL J MD
2001 E BLUEWATER HWY
IONIA 48846
(616) 522-1000
1035993
KENDALL, KENYON S DO
537 W MAIN ST
IONIA 48846
(616) 527-1640
OPTOMETRY
1062871
BASLER, LINDSAY M OD
537 W MAIN ST
IONIA 48846
(616) 949-2600
1011455
BURNETT, DAVID OD
1170 JORDAN LAKE ST
LAKE ODESSA 48849
(616) 374-3284
1072924
DEKUIPER, LEWIS OD
405 W MAIN ST
BELDING 48809
(616) 794-2510
1072920
DEKUIPER, LEWIS OD
537 W MAIN ST
IONIA 48846
(616) 949-2600
1035994
DENBRABER, DAVID M OD
537 W MAIN ST
IONIA 48846
(616) 527-1640
1094112
EAVEY, SHERAH OD
3125 S STATE ST
IONIA 48846
(616) 527-9279
1072906
GDOWSKI, NICOLE OD
537 W MAIN ST
IONIA 48846
(616) 949-2600
1072910
GDOWSKI, NICOLE OD
405 W MAIN ST
BELDING 48809
(616) 794-2510
1117977
HELMS, STEVEN OD
3125 S STATE RD
IONIA 48846
(269) 342-0003
1009158
HEMMING, JOHN OD
1170 JORDAN LAKE ST
LAKE ODESSA 48849
(616) 374-3284
1061089
KRESNAK, CHAD M OD
IONIA 48846
(616) 522-1000
1078310
MOULDS, KEITH OD
405 W MAIN ST
BELDING 48809
(616) 794-9088
1033499
PATERA, GREGORY L OD
537 W MAIN ST
IONIA 48846
(616) 949-2600
1072913
PRUIS, ROSANNE OD
537 W MAIN ST
IONIA 48846
(616) 949-2600
1072917
PRUIS, ROSANNE OD
405 W MAIN ST
BELDING 48809
(616) 794-2510
1013061
RIEMER, RANDALL J OD
207 E BRIDGE ST
PORTLAND 48875
(517) 647-2020
1107044
SCHAD, JENNIFER OD
IONIA 48846
(616) 522-1000

Page 246
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ionia County

ORTHOPEDIC SURGERY
1100256
DRAYER, STEVEN L MD
550 E WASHINGTON ST
IONIA 48846
(616) 523-1630
1064489
PUTZ, JOHN C MD
550 E WASHINGTON ST
IONIA 48846
(616) 523-1630
431 SWARTZ CT STE 200
IONIA 48846
(616) 841-2615
479 LAFAYETTE ST
IONIA 48846
(616) 523-1400
PAIN MANAGEMENT
1119025
CAMP, ADAM MD
1089512
DYME, ZACHARY I MD
PODIATRY
1022880
GOOSEN, BRIAN S DPM
848 E LINCOLN AVE
IONIA 48846
(616) 522-0143
1022882
MORAN, KEVIN M DPM
848 E LINCOLN AVE
IONIA 48846
(616) 522-0143
3192 COMMERCE LN STE C-4
IONIA 48846
(616) 522-0515
814 EAST LINCOLN AVE
IONIA 48846
(616) 527-0080
PROSTHETICS
1069631

1034589
HEARTLAND HEALTH CARE CENTER- IONIA
VASCULAR SURGERY
1073917
MADALA, MOHAN MD
550 E WASHINGTON ST
IONIA 48846
(517) 347-3000
1073922
SHAH, IBRAHIM MD
550 E WASHINGTON ST
IONIA 48846
(517) 347-3000
5671 N SKEEL AVE STE 8
OSCODA 48750
(989) 739-2550
295 MAPLE ST
TAWAS CITY 48763
(248) 620-1900
420 W LAKE ST
TAWAS CITY 48764
(989) 362-6183
Iosco County
IOSCO COUNTY
1075286
STANDEN, CARRIE A NP

1019726
HARRISON, DUANE D MD

1122412
CARDIOLOGY
1093633
CANNON, LOUIS A MD
5671 N SKEEL AVE
OSCODA 48750
(231) 487-2490
1093625
CANNON, LOUIS A MD
312 M-55
TAWAS CITY 48763
(231) 487-2490
1072997
FATTAL, PETER G MD
5214 N US 23
OSCODA 48750
(989) 739-1441
1059186
LEE, DANIEL T MD
213 N WASHINGTON
HALE 48739
(989) 894-3278
1059180
213 N WASHINGTON
HALE 48739
(989) 894-3278
1073021
ZAMAN, LIAQAT MD
200 HEMLOCK
TAWAS CITY 48764
(989) 754-3000
1072992
COLLINS, JOHN MD
200 HEMLOCK
TAWAS CITY 48764
(989) 754-3000
1073001
GUDIPATI, RAO VC MD
200 HEMLOCK
TAWAS CITY 48764
(989) 754-3000
DME - P&O
1117950
ALPENA OXYGEN & EQUIPMENT
109 EVERGREEN
OSCODA 48750
(989) 739-3591
1016109
ST JOSEPH HEALTH ENTERPRISES
321 S STATE ST
OSCODA 48750
(989) 739-1147
1073244
TAWAS FOOT CLINIC PC
166 M 55
TAWAS CITY 48763
(989) 362-6558
1032744
1691 N US-23 STE 4
EAST TAWAS 48730
(989) 362-2897

Page 247
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Iosco County

1071993
ST JOSEPH HEALTH SYSTEM INC
200 HEMLOCK
TAWAS CITY 48764
(989) 362-9350
1698 E HURON RD
EAST TAWAS 48730
(989) 362-5267

1036819
FMC DIALYSIS SERVICES TAWAS BAY
GENERAL SURGERY
1119563
COURTNEY, JAMES T MD
295 MAPLE STE 200
TAWAS CITY 48763
(989) 984-3788
1119380
295 MAPLE ST
TAWAS CITY 48763
(989) 894-3788
1055818
GALLAGHER, MARK DO
295 MAPLE ST STE 200
TAWAS CITY 48763
(989) 984-3788
1103935
MALDONADO, ARTURO MD
TAWAS CITY 48763
(989) 984-3788
1033360
SCHULZ, RICHARD DO
TAWAS CITY 48763
(989) 984-3788

1083241
HEAR USA
5939 N HURON RD
OSCODA 48750
(989) 362-8196
1083255
HEAR USA
110 BEECH ST STE C
TAWAS CITY 48764
(989) 362-8196
1096706
1691 N US 23 STE 4
EAST TAWAS 48730
(989) 799-6603
716 GERMAN ST
TAWAS CITY 48764
(888) 246-6322
HOME HEALTH CARE

1105971
HOSPICE
1080083
HOSPICE ANGELIC CARE INC
314 M-55
TAWAS CITY 48763
(989) 362-6600
1106214
716 GERMAN ST
TAWAS CITY 48764
(888) 246-6322
NUCLEAR CARDIOLOGY
1059580
312 M-55
TAWAS CITY 48763
(989) 361-9551
1059582
213 N WASHINGTON
HALE 48739
(989) 728-6000
1001100
ELOWSKY, EARL F MD
25 E M-55
TAWAS CITY 48763
(989) 362-2540
1038665
LANDREY, CHRISTOPHER R DO
25 W M-55
TAWAS CITY 48764
(989) 362-2540
ONCOLOGY
1022628
DONNELL, ROBERT MD
200 HEMLOCK
TAWAS CITY 48763
(989) 356-7353
1127939
TAJ, ASMA MD
200 HEMLOCK
TAWAS CITY 48763
(989) 362-9831
1042880
URBANSKI, DAVID M MD
200 HEMLOCK
TAWAS CITY 48763
(989) 362-9454
1671 E US HIGHWAY 23
EAST TAWAS 48730
(989) 362-4401
OPHTHALMOLOGY
1041990
KAISERMAN, RICHARD MD
OPTOMETRY
1059349
DARNELL, DONALD OD
1671 E US HIGHWAY 23
EAST TAWAS 48730
(989) 362-4401
1101869
STEFANI, MARK OD
211 N STAT ST
OSCODA 48750
(989) 739-2020
ORTHOPEDIC SURGERY
1123555
BLOCKSOM, JOHN DO
TAWAS CITY 48763
(989) 820-7339
1001043
BLOCKSOM, JOHN DO
110 BEECH ST STE B
TAWAS CITY 48763
(989) 362-1015
1073526
DARWICHE, HUSSEIN F MD
110 BEECH ST STE B
TAWAS CITY 48763
(989) 362-1015
1019629
ENNES, DIANA MD
110 BEECH ST STE B
TAWAS CITY 48763
(989) 362-1015
TAWAS CITY 48763
(989) 362-0188

1067949
PERRY, BRIAN F MD
295 MAPLE STE 201

Page 248
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Iosco County
OTOLARYNGOLOGY - FACIAL PASTIC SURGERY (CONTINUED)

1069264
SCHARF, KEITH MD
200 HEMLOCK STE 201
TAWAS CITY 48763
(989) 362-0188
PODIATRY
1017690
200 HEMLOCK ST STE 201
TAWAS CITY 48764
(989) 362-7862
1022318
200 HEMLOCK ST STE 201
TAWAS CITY 48764
(989) 362-7862
1086280
4656 F-41
OSCODA 48750
(989) 739-9805
1017699
SHINK, JILL L DPM
200 HEMLOCK STE 201
TAWAS CITY 48764
(989) 362-7862
1086218
4656 F-41
OSCODA 48750
(989) 739-9805
252733
WRIGHT, ROD DPM
166 M-55
TAWAS CITY 48764
(989) 362-6558
1086220
4656 F-41
OSCODA 48750
(989) 739-9805
1691 N US-23 STE 4
EAST TAWAS 48730
(989) 362-2897
OSCODA 48750
(989) 739-2550
420 W LAKE ST PO BOX 98
TAWAS CITY 48764
(989) 362-6183
295 MAPLE DR STE 202
TAWAS CITY 48763
(989) 362-6108
PROSTHETICS
1032744
PSYCHIATRY
1078161
ALMAAT, HASSAN MD

1032100
PULMONOLOGY
1102623
PAIDIPATY, BUTCHI BABU MD

1097282
IOSCO MEDICAL CARE FACILITY
1201 HARRIS AVE
TAWAS CITY 48763
(989) 362-4424
1090380
LAKEVIEW MANOR HEALTHCARE CENTER
408 NORTH FIFTH AVE
TAWAS CITY 48763
(989) 362-2211
1063790
TENDERCARE TAWAS CITY
400 W NORTH ST
TAWAS CITY 48763
(989) 362-8645
SPEECH THERAPY
1045684
TAWAS ST JOSEPH REHAB SERVICES
5939 N HURON RD
OSCODA 48750
(989) 739-6040
1045682
116 S CHURCH ST
HALE 48739
(989) 728-3672
1045686
200 HEMLOCK
TAWAS CITY 48763
(989) 362-0195
1045685
110 BEECH ST
TAWAS CITY 48763
(989) 362-0195
1127990
400 W NORTH ST
TAWAS CITY 48763
(989) 362-8645

1059195
213 N WASHINGTON
HALE 48739
(989) 894-3278
1059192
HOLMES, ROBERT J MD
213 N WASHINGTON
HALE 48739
(989) 894-3278
1073010
MARESCA, LUIGI MD
200 HEMLOCK
TAWAS CITY 48764
(989) 754-3000
1234 E BROOMFIELD
MOUNT PLEASANT 48858
(800) 991-2762
1970 ASHLUND
(989) 672-0092
2012 E PRESTON AVE
(989) 773-5921
Isabella County
ISABELLA COUNTY
ALLERGY
1023663
AVULA, RAMESH MD

1015198

204170

Page 249
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Isabella County
CARDIOLOGY
1075704
DIEHL, RODNEY O DO
4851 PICKARD
(800) 897-8851
1068342
GENOVESE, ROBERT A MD
4851 E PICKARD ST
(989) 832-0900
1068699
KEHOE, ELLEN L DO
1205 S MISSION STE 4
(989) 773-2626
1076669
KEHOE, ELLEN L DO
5115 E PICKARD ST
(989) 956-4111
1127078
5115 E PICKARD
(989) 956-4100
1068111
4851 E PICKARD
(989) 956-4100
1068702
5115 E PICKARD
(989) 956-4100
1096138
MCGOWAN, CATHY M MD
4851 E PICKARD
(989) 775-1610
1068113
MOHAN, SUDEEP MD
5115 E PICKARD
(989) 956-4100
1127080
MOHAN, SUDEEP MD
5115 E PICKARD
(989) 956-4100
DERMATOLOGY
1118782
BROSCHART, REBECCA DO
2207 S MISSION
(989) 773-0096
1118785
ENGLISH, KATHERINE DO
2207 S MISSION
(989) 773-0096
1118789
MESSENGER, GREGORY MD
2207 S MISSION
(989) 773-0096
1118793
XU, YUELIN MD
2207 S MISSION
(989) 773-0096
DME - P&O
1037431
AIRWAY OXYGEN INC MT PLEASANT
2895 S ISABELLA RD
(866) 772-9885
1046902
OAKLAND ORTHOPEDICS
314 S BROWN ST
(989) 775-7320
1011619
913 E PICKARD STE N
(800) 922-5101
1069633
922 E MISSION ST
(877) 253-2244
1023787
2480 W CAMPUS DR BLDG A STE 500
(989) 463-0951
211 S CRAPO STE M
(989) 773-0028

1010333
CHASE, STEPHEN MD

1037509
CMCH EMERGENCY PHY
1221 SOUTH DR
(586) 296-2700
1097562
1221 SOUTH DR ER
(989) 772-6700
ENDOCRINOLOGY
1005766
GUYTINGCO, RICARDO R MD
2480 W CAMPUS DR BLDG B STE 300
(989) 779-7200
1126016
KRIVOSPITSKAYA, OLESYA MD
4851 E PICKARD ST
(989) 775-1610
GASTROENTEROLOGY
1123247
SAXENA, RAKESH N MD
1750 E BELLOWS STE B
(989) 463-4976
1021481
VEDULA, VANDANA MD
2940 HEALTH PKWY
(989) 772-8050
1074259
VEDULA, VANDANA MD
1201 SOUTH DR
(989) 772-8050
GENERAL SURGERY
1048245
BONACCI, JEFFREY MD
1201 SOUTH DR STE 352
(989) 779-5686
1077846
HOWELL, SANDRA MD
2981 HEALTH PARKWAY STE B
(989) 772-6880
1012577
HOWELL, SANDRA L MD
2981 HEALTH PKWY STE B
(989) 772-6880
1046802
PILKINGTON, JAMES D MD
(989) 779-5686
1047431
SMITH, JEFFREY F MD
(989) 779-5686
211 S CRAPO STE L
(989) 772-1213
GYNECOLOGY
1012750
ALLAN, CHRISTIAN MD

Page 250
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Isabella County

1008591
CENTRAL MICHIGAN UNIVERSITY
1101 HEALTH PROFESSIONS BLDG
(989) 774-3904
1123478
MIDMICHIGAN AUDIOLOGY SERVICES
2981 HEALTH PKWY STE C
(989) 772-6848
1096703
314 S BROWN ST
(989) 799-6603
4851 E PICKARD ST
(989) 463-9307
1104834
HOME HEALTH CARE

1066131
A AND D HEALTHCARE PROFESSIONALS
2100 E REMUS RD STE B
(989) 775-5500
1024797
CENTRAL MI HOME CARE
1221 SOUTH DR
(989) 772-6785
1096355
1625 E BROOMFIELD ST
(989) 772-2541
1017239
HOSPICE OF CENTRAL MICHIGAN INC
2597 S MERIDIAN RD
(989) 773-6137
1114387
LAKESHORE HOME CARE SERVICES INC MD
1105 S MISSION ST
(989) 772-5000
(989) 772-2541
HOSPICE
1096312
NEPHROLOGY
1057679
FUENTE, JOSE MD
4851 E PICKARD
(989) 775-1600
1123093
SALAMEH, MUWAFFAQ MD
1221 SOUTH DR
(989) 772-6700
NEUROLOGY
1033511
KHAN, IFTIKHAR A MD
1205 S MISSION ST
(989) 775-0205
1056560
SHAIKH, ZUBAIR A MD
4595 JENNIFER LANE
(989) 772-0453
1010088
ZHAO, WEIGUO MD
1234 E BROOMFIELD RD STE 2
(989) 779-5260
NUCLEAR CARDIOLOGY
1059594
217 W WRIGHT AVE
SHEPHERD 48883
(989) 828-6691
1059598
520 MISSION
(989) 772-9300
1059584
1111 S MISSION
(989) 773-3789
1097228
1750 E BELLOWS ST STE F
(989) 584-3107
1009980
DWYER, CHERYL DO
4851 E PICKARD ST
(989) 837-9400
1012751
ELLIOT, JERRY MD
(989) 773-3411
1105155
MOOSSAVI, LEYLA MD
1621 E BROOMFIELD RD STE A
(989) 775-7492
1018695
O'DELL, ROBIN L DO
(989) 773-3411
1003497
PODOLSKY, STEVEN MD
(989) 773-3411
1107924
SANDERS, MICHELLE K DO
(989) 356-5228
1123250
SAXENA, INDIRA R MD
1750 E BELLOWS STE B
(989) 463-4976
1012752
SWIRTZ, MICHAEL MD
(989) 773-3411
1105156
TRAENKLE, DIANE DO
1621 E BROOMFIELD STE A&B
(989) 772-3009
1221 SOUTH DR
(989) 772-6811
ONCOLOGY
1012753
ROY, SOMDEV MD
OPHTHALMOLOGY
1043863
AGGARWAL, ASHIM MD
1107 S MISSION
(989) 317-3555
1100697
BARNES, JEFFREY J MD
1535 E BROOMFIELD STE A
(989) 772-3339
1034189
1535 BROOMFIELD
(989) 772-3339

Page 251
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Isabella County
1072060
1535 E BROOMFIELD RD
(989) 772-3339
1104519
EVANS, LAWRENCE M DO
1203 E MISSION ST
(989) 775-3937
1085386
HSU, ANTHONY DO
1535 BROOMFIELD
(989) 772-3339
1091172
RICE, CHARLES D MD
(989) 772-3339
OPTOMETRY
1012896
BARTZ, TAD OD
500 S MISSION
(989) 772-1192
1065626
DAWS, LISA A OD
500 S MISSION
(989) 772-1192
1011459
HOLMES, JULIA OD
1535 E BROOMFIELD RD STE A
(989) 772-0272
1046738
SEALS, JAMES H OD
500 S MISSION
(989) 772-1192
1012897
TACIA, PETER B OD
500 S MISSION
(989) 773-7747
1065623
500 S MISSION
(989) 772-1192
1040882
WHITNEY, DAVID B OD
1535 E BROOMFIELD
(989) 772-0272
1105968
ZAINEA, JACOB OD
500 S MISSION
(989) 772-1192
ORTHOPEDIC SURGERY
1007397
KEATING, THOMAS M MD
2890 HEALTH PARKWAY
(989) 772-0923
1007125
LILLY, CHARLES J MD
2890 HEALTH PARKWAY
(989) 772-3886
1019781
MOUTSATSON, MICHAEL DO
2890 HEALTH PARKWAY
(989) 953-9777
1095735
WARE, JAMES E DO
4851 E PICKARD ST
(989) 463-2333
1033848
1750 E BELLOWS STE F
(989) 772-7788
(989) 772-6848
1970 ASHLUND
(989) 672-0092

1071406
CHOMCHAI, JOE S MD

1015198
1098956
DYSART, JOHN MD
(800) 523-1014
1098951
MATISOFF, DAVID MD
(800) 523-1014
1121001
(800) 523-1014
1098950
STONE, DAVID DO
(800) 523-1014

1121736
AGHA, ABID MD
1111 S MISSION ST
(989) 773-9701
1011224
BLEIBERG, MARVIN N MD
2480 W CAMPUS BLDG A STE 500
(989) 772-1609
1079657
BRUMA, LARISA MD
1111 S MISSION ST
(989) 773-9700
1011285
RUIZ, HERMAN B MD
2480 W CAMPUS DR STE 500
(989) 772-1609
(989) 497-3157
405 S MISSION STE 2
(989) 772-3588
PLASTIC SURGERY
1100818
PITTAS, WILLIAM DO
PODIATRY
1012758
YOUNG, MARK D DPM
PROSTHETICS
1046902
OAKLAND ORTHOPEDICS
314 S BROWN ST
(989) 775-7320
1011619
913 E PICKARD STE N
(800) 922-5101
1069633
922 E MISSION ST
(877) 253-2244

Page 252
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Isabella County
PROSTHETICS (CONTINUED)
1023787
2480 W CAMPUS DR BLDG A STE 500
(989) 463-0951
PSYCHIATRY
1119444
ADAM, RAZVAN MD
1627 E BROOMFIELD
(989) 779-9988
1122569
MACAULEY, LESLIE MD
1111 S MISSION ST
(989) 773-9700
1120976
PICONE, DAVID DO
301 S CRAPO
(989) 839-6427
1125191
PLATH, DIANNE L MD
CENTRAL MICHIGAN UNIVERSITY 202 FOUST
(989) 583-6800
1072135
RALPH, GARY K DO
218 S WASHINGTON ST
(989) 779-9449
1015897
TALASILA, VENKAT MD
210 COURT ST STE A
(989) 772-6263
2012 E PRESTON AVE
(989) 773-5921

204170
PULMONOLOGY
1075738
1111 N MISSION
(877) 595-1090
1073225
OBEID, ELIE M MD
211 S CRAPO STE J
(989) 773-0623
1118082
OBEID, ELIE M MD
211 S CRAPO ST STE J
(989) 773-0623
1072273
PARODI, FRANCO MD
(989) 953-4169
RADIATION ONCOLOGY
1092492
NAILL, WILLIAM MD
1221 SOUTH DR
(989) 772-6811
1101407
NAILL, WILLIAM E MD
1221 SOUTH DR
(989) 775-7360
(989) 779-7200
RHEUMATOLOGY
1013331
LAYNES, MARIA L MD

1015285
TENDERCARE MT PLEASANT
1524 PORTABELLA RD
(989) 772-2967
1011176
THE LAURELS OF MT PLEASANT
400 S CRAPO ST
(989) 773-5918
SPEECH THERAPY
1116758
(989) 779-9988
1127986
1524 PORTABELLA RD
(989) 772-2967
4599 JENNIFER LANE
(989) 317-4762
1221 SOUTH DR
(989) 773-1700
UROLOGY
1064352
KIRBY, KENT MD
VASCULAR SURGERY
1072271
GHOSH, AMITAVA MD
Jackson County
JACKSON COUNTY
1084616
833 LAURENCE
JACKSON 49202
(517) 782-1700
1069698
833 LAURENCE AVE
JACKSON 49202
(517) 782-1700
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
2575 SPRING ARBOR RD
JACKSON 49203
(517) 787-7844

1041794
CARDIOLOGY
1023945
JANI, HARESH V MD

Page 253
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Jackson County
1006512
MUZQUIZ JR, MOSES MD
1041 LAURENCE AVE
JACKSON 49202
(517) 787-4111
DME - P&O
1011255
BIOMEDICAL DESIGNS INC
JACKSON 49201
(517) 784-6617
1005836
BROWN'S ADVANCED CARE MEDICAL SUPP
1015 W MICHIGAN
JACKSON 49202
(517) 789-7302
1069488
CARELINC MEDICAL EQUIPMENT AND SUPPLY CO
606 E MICHIGAN AVE
JACKSON 49201
(866) 333-0880
1074135
900 COOPER ST
JACKSON 49202
(800) 379-1600
1122514
2282 SPRINGPORT RD STE D
JACKSON 49203
(517) 782-3528
1026025
118 ROSHILL STE 2
JACKSON 49202
(517) 780-9931
128 N ELM AVE
JACKSON 49202
(517) 787-1893
720 W FRANKLIN ST
JACKSON 49201
(517) 768-1225

1095617
FRESENIUS MEDICAL CARE JACKSON OAKS
GASTROENTEROLOGY
1060229
ULLAH, NADEEM MD

1030048
BELTONE HEARING AID CENTER
2404 WILDWOOD AVE
JACKSON 49202
(517) 788-7677
1065858
2397 SHIRLEY DR
JACKSON 49202
(517) 783-5853
1083223
2257 WILDWOOD AVE
JACKSON 49202
(517) 782-4185
1083224
PROFESSIONAL HEARING SERVICES
824 N WISNER ST
JACKSON 49202
(517) 782-6422
900 COOPER ST
JACKSON 49202
(800) 379-1600
900 COOPER ST
JACKSON 49202
(800) 379-1600
HOME HEALTH CARE

1056813
HOSPICE
1074136
NEPHROLOGY
1118554
BEHREND, GEORGE MD
234 W LOUIS GLICK HWY STE 200
JACKSON 49201
(734) 712-3470
1109452
BERKOWITZ, PAUL A MD
JACKSON 49201
(734) 712-3470
1104099
DANCEY, ERIC MD
JACKSON 49201
(734) 712-3470
1104140
KARIM, JARIATUL MD
JACKSON 49201
(734) 712-3470
1104299
MARU, VIDOOSHI MD
JACKSON 49201
(734) 712-3470
1104117
MAYER, JUDITH MD
JACKSON 49201
(734) 712-3470
1104147
PANDRANGI, SUSHMA MD
JACKSON 49201
(734) 712-3470
1104254
REHAN, AHMED MD
JACKSON 49201
(734) 712-3470
NURSE MIDWIFE
1119943
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1119926
GLENN, JESSICA CNM
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1119909
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1119875
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1120248
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1120265
SCOTT, MELISA N CNM
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1120214
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1082399
TRENT, JODY M CNP
505 N JACKSON ST
JACKSON 49201
(517) 748-5500
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1119841
BELL, CARRIE MD

Page 254
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Jackson County

1119892
BELL, JASON D MD
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1035505
BERG, CHIQUITA L MD
505 N JACKSON ST
JACKSON 49201
(517) 448-5500
1101770
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1120316
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1120231
HARRIS, LISA H MD
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1090060
HILL, MONICA MD
505 N JACKSON ST
JACKSON 49201
(517) 748-5500
1122207
HOMA, LORI MD
205 N HINTZ RD
JACKSON 49202
(989) 723-6420
1122206
HOMA, LORI MD
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1119858
KAHN, CHAVA MD
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1101962
REID, VIRGIL C MD
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1082394
SINHA, SANGEETA MD
505 N JACKSON ST
JACKSON 49201
(517) 748-5500
1101912
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1034710
VIRGO, DANA MD
505 N JACKSON ST
JACKSON 49201
(517) 748-5500
1120299
WALLETT, SARAH M MD
2009 W MICHIGAN AVE
JACKSON 49202
(517) 784-1700
1032961
WILLIAMS, JAMES R MD
505 N JACKSON ST
JACKSON 49201
(517) 748-5500
1120282
ZAPATA, MYA R MD
2009 W JACKSON AVE
JACKSON 49202
(517) 784-1700
OPHTHALMOLOGY
1033584
1116 W GANSON ST
JACKSON 49202
(877) 852-8463
1009172
CHAMES, MICHAEL A MD
1015 LAURENCE AVE
JACKSON 49202
(517) 787-0364
1024561
ERNEST, PAUL H MD
1116 W GANSON ST
JACKSON 49202
(877) 852-8463
1040736
GAGO, LUIS MD
1116 W GANSON ST
JACKSON 49202
(877) 852-8463
1009407
GORDON, CARMELINA MD
1116 W GANSON ST
JACKSON 49202
(877) 852-8463
202088
LAVERY, KEVIN MD
1116 W GANSON ST
JACKSON 49202
(877) 852-8463
1090216
PERSON, ERICA A MD
1116 W GANSON ST
JACKSON 49202
(517) 782-9436
1045638
PUROHIT, SUJATA MD
1116 W GANSON ST
JACKSON 49202
(877) 852-8463
1024539
1116 W GANSON ST
JACKSON 49202
(877) 852-8463
202090
RHEM, MARCUS N MD
1116 W GANSON ST
JACKSON 49202
(877) 852-8463
OPTOMETRY
1061239
1116 W GANSON ST
JACKSON 49202
(877) 852-8463
1060039
GOEMAN, LYNDA OD
1617 N WEST AVE
JACKSON 49202
(517) 780-3828
1060038
GOEMAN, LYNDA OD
3132 E MICHIGAN AVE
JACKSON 49202
(517) 783-9000
1123848
GOULD, COLLEEN OD
1116 W GANSON AVE
JACKSON 49202
(517) 482-9436
1117637
KORDYZON, JODI OD
147 S MAIN ST
BROOKLYN 49230
(517) 592-6452
1117543
RICHARDS, CHELSEA OD
147 S MAIN ST
BROOKLYN 49230
(517) 592-6452
1064185
SHAY, JAMIE OD
1116 W GANSON ST
JACKSON 49202
(877) 852-8463
1117641
SNOW, RICK OD
147 S MAIN ST
BROOKLYN 49230
(517) 592-6452
ORTHOPEDIC SURGERY
1015448
IKRAM, K NIMR DO
200 SUMMIT AVE STE A
JACKSON 49201
(517) 784-5651
1006534
IKRAM, KHAWAJA H DO
200 SUMMIT AVE STE A
JACKSON 49201
(517) 764-1495
JACKSON 49201
(517) 788-4841
205 N EAST AVE CARDIO DEPT
JACKSON 49201
(517) 788-4897
PAIN CENTER
1118688
MICHIGAN PAIN INSTITUTE PC

1053847
SHAH, BHAVNA R MD

Page 255
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Jackson County
PODIATRY
1109727
MARTINS, DARRYL DPM
875 LAURENCE AVE
JACKSON 49202
(517) 879-4241
PROSTHETICS
1084476
ASC ORTHOTICS & PROSTHETICS
1407 E MICHIGAN AVE
JACKSON 49202
(517) 784-1142
1011255
BIOMEDICAL DESIGNS INC
JACKSON 49201
(517) 784-6617
1069488
606 E MICHIGAN AVE
JACKSON 49201
(866) 333-0880
1076224
1005 E MICHIGAN AVE
JACKSON 49201
(517) 783-1313
3901 WALTER P CHRYSLER SERVICE
JACKSON 49201
(313) 993-3434
1331 HORTON RD STE B
JACKSON 49201
(269) 969-6099
PSYCHIATRY
1095688
MORREALE, MARY K MD
PULMONOLOGY
1094824
RADIATION ONCOLOGY
1111782
ABU-ISA, EYAD MD
1102 EAST MICHIGAN AVE
JACKSON 49201
(517) 780-7299
1116874
BOTT-KOTHARI, TERRI MD
1102 E MICHIGAN AVE
JACKSON 49201
(517) 780-7299
1113364
CUNEO, KYLE C MD
JACKSON 49201
(517) 780-7299
1116872
1102 E MICHIGAN AVE
JACKSON 49201
(517) 780-7299
1076380
JACKSON 49201
(517) 780-7299
1112138
FENG, FELIX Y MD
JACKSON 49201
(517) 780-7299
1113203
FENG, MARY U MD
JACKSON 49201
(517) 780-7299
1111691
HAMSTRA, DANIEL A MD
JACKSON 49201
(517) 780-7299
1116908
HAYMAN, JAMES A MD
JACKSON 49201
(517) 780-7299
1111659
JAGSI, RESHMA MD
JACKSON 49201
(517) 780-7299
1113625
JOLLY, SHRUTI MD
JACKSON 49201
(517) 780-7299
1113525
KIM, MICHELLE M MD
JACKSON 49201
(517) 780-7299
1113793
KRETZLER, ANNETTE E MD
JACKSON 49201
(517) 780-7299
1110694
LAWRENCE, THEODORE S MD
JACKSON 49201
(517) 780-7299
1114175
MCLAUGHLIN, PATRICK W MD
JACKSON 49201
(517) 780-7299
1113636
OWEN, DAWN MD
JACKSON 49201
(517) 780-7299
1110773
PIERCE, LORI J MD
JACKSON 49201
(517) 780-7299
1028185
SORIANO, JULIE A MD
JACKSON 49201
(517) 780-7299
1114154
STENMARK, MATTHEW H MD
JACKSON 49201
(517) 780-7299
1110969
TROTTER, BROOKE L MD
JACKSON 49201
(517) 780-7299
1116876
WEBB, JENNIFER L MD
1102 E MICHIGAN AVE
JACKSON 49201
(517) 780-7299

1103285
FAITH HAVEN SENIOR CARE CENTER LLC
6531 W MICHIGAN AVE
JACKSON 49201
(517) 745-2692
1036820
HEARTLAND HEALTH CARE CENTER- JACKSON
434 WEST NORTH ST
JACKSON 49202
(517) 787-3250
1046351
JACKSON COUNTY MCF
524 LANSING AVE
JACKSON 49201
(517) 782-8500
JACKSON 49201
(517) 768-0600
UROLOGY
1081092
PINSON, TONY E MD

Page 256
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
KALAMAZOO COUNTY
1123926
ALLAN, STEVEN NP
601 JOHN ST STE M 206A
KALAMAZOO 49007
(269) 488-8355
1072356
BAKER, LINDA L NP
1521 GULL RD
KALAMAZOO 49048
(269) 226-5165
1072366
BAKER, LINDA L NP
1701 GULL RD
KALAMAZOO 49048
(269) 226-5290
1095713
BUITENWERF, ANITA NP
601 JOHN ST STE M-124
KALAMAZOO 49007
(269) 341-7500
1094642
ENGSTER, SARAH NP
601 JOHN ST STE. 100
KALAMAZOO 49007
(269) 373-1222
1072368
NELSON, SUSAN K NP
1701 GULL RD
KALAMAZOO 49048
(269) 226-5290
1122624
NELSON, SUSAN K NP
1521 GULL RD STE 146E
KALAMAZOO 49048
(269) 552-2970
1122623
NOTEBOOM, JULIE ANN NP
KALAMAZOO 49048
(269) 552-2970
1072370
NOTEBOOM, JULIE ANN NP
1701 GULL RD
KALAMAZOO 49048
(269) 226-5290
1072811
TISRON, ROSS E NP
1521 GULL RD
KALAMAZOO 49048
(269) 226-5165
1072813
TISRON, ROSS E NP
1701 GULL RD
KALAMAZOO 49048
(269) 226-5290
1126349
TISRON, ROSS E NP
200 N PARK ST
KALAMAZOO 49007
(269) 382-2500
1072372
VANDERSTELT, TAMMY J NP
1701 GULL RD
KALAMAZOO 49048
(269) 226-5290
1072374
YANCEY, ROSEANNE L NP
1701 GULL RD
KALAMAZOO 49048
(269) 226-5290

1084615
6565 W MAIN STE 220
KALAMAZOO 49009
(269) 375-7603
1084618
1324 W MILHAM RD
PORTAGE 49024
(269) 342-0196
1077351
5555 GULL RD STE 209
KALAMAZOO 49048
(269) 382-1370
1077341
6565 W MAIN ST
KALAMAZOO 49048
(269) 375-7603
1005306
1324 W MILHAM AVE STE 1
PORTAGE 49024
(888) 533-7177
1077352
KALAMAZOO 49048
(269) 382-1370
1084663
PARK, MICHAEL MD
430 W CENTRE
PORTAGE 49024
(269) 321-6673
1077339
PORTAGE 49024
(269) 342-0196
1024080
REDDY, BYRA M MD
PORTAGE 49024
(269) 342-0196
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200

1117775
PLANNED PARENTHOOD OF MID & SOUTH MI
1122663
1722 SHAFFER ST STE 1
KALAMAZOO 49048
(269) 381-3963
1122661
7901 S 12TH ST
PORTAGE 49024
(269) 375-4214
1080872
7901 S 12TH ST STE 201
PORTAGE 49024
(269) 375-4214
1072642
KABELL, G GLENN MD
3025 GULL RD
KALAMAZOO 49048
(269) 381-3963
1072640
KABELL, G GLENN MD
1722 SHAFFER STREET STE 1
KALAMAZOO 49048
(269) 381-3963
1072668
LIU, XIAOKE K MD
3025 GULL RD
KALAMAZOO 49048
(269) 381-3963
1072662
LIU, XIAOKE K MD
KALAMAZOO 49048
(269) 381-3963
CARDIOLOGY
1125811
AGGARWAL, SHWETA MD
KALAMAZOO 49048
(269) 226-5050
1125812
AGGARWAL, SHWETA MD
KALAMAZOO 49048
(269) 381-3963
1081385
AYERDI, EVALT J MD
1521 GULL RD
KALAMAZOO 49048
(269) 381-3963
1104233
BERNERO, JOHN R DO
KALAMAZOO 49048
(269) 226-5050
1072562
3025 GULL RD
KALAMAZOO 49048
(269) 381-3963
1072560
KALAMAZOO 49048
(269) 381-3963
1082703
ELIUK, BRETT DO
KALAMAZOO 49007
(269) 373-1222
1100401
ELIUK, BRETT DO
6565 WEST MAIN STREET
KALAMAZOO 49009
(269) 373-1222
1072617
FISCHELL, TIM A MD
3025 GULL RD
KALAMAZOO 49048
(269) 381-3963

Page 257
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
1072616
FISCHELL, TIM A MD
KALAMAZOO 49048
(269) 381-3963
1072625
GELLERT, JANOS R MD
3025 GULL RD
KALAMAZOO 49048
(269) 381-3963
1072624
GELLERT, JANOS R MD
KALAMAZOO 49048
(269) 381-3963
1124578
GERA, NITIN MD
1722 SHAFFER ST
KALAMAZOO 49048
(269) 226-5181
1124577
GERA, NITIN MD
KALAMAZOO 49048
(269) 381-3963
1072628
GUPTA, VISHAL MD
KALAMAZOO 49048
(269) 226-5050
1094170
GUPTA, VISHAL MD
1717 SHAFFER ST
KALAMAZOO 49048
(269) 226-5050
1072634
GUSTAFSON, JOHN GARY MD
KALAMAZOO 49048
(269) 381-3963
1072636
3025 GULL RD
KALAMAZOO 49048
(269) 381-3963
1072651
3025 GULL ROAD
KALAMAZOO 49048
(269) 381-3963
1072646
KALAMAZOO 49048
(269) 381-3963
1086830
KELLER, THOMAS MD
KALAMAZOO 49007
(269) 373-1222
1072696
KING, ANTHONY MD
1722 SHAFFER STREET
KALAMAZOO 49048
(269) 381-3963
1072699
KING, ANTHONY MD
3025 GULL ROAD
KALAMAZOO 49048
(269) 381-3963
1070962
LAPENNA, NICHOLAS S PA
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1072757
1717 SCHAFFER STREET STE 232
KALAMAZOO 49048
(269) 226-5050
1072736
KALAMAZOO 49048
(269) 226-5050
1072777
KALAMAZOO 49048
(269) 381-3963
1072633
3025 GULL ROAD
KALAMAZOO 49048
(269) 381-3963
1099584
PACK, MICHAEL DO
1717 SHAFFER ST 105 NORTH PROFESSIONAL
KALAMAZOO 49048
(269) 373-1222
1085454
PACK, MICHAEL DO
601 JOHN ST
KALAMAZOO 49007
(269) 373-1222
1098279
PAWLIK, MICHAEL DO
601 JOHN ST STE 100
KALAMAZOO 49007
(269) 373-1222
1103827
PECK, STEPHEN L MD
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1068539
PECK, STEPHEN L MD
KALAMAZOO 49048
(269) 226-5050
1072785
3025 GULL ROAD
KALAMAZOO 49048
(269) 381-3963
1072770
KALAMAZOO 49048
(269) 381-3963
1085969
REINOEHL, JOEL MD
601 JOHN ST STE 100
KALAMAZOO 49007
(269) 373-1222
1090023
ROGERS, CHRISTOPHER DO
601 JOHN ST
KALAMAZOO 49007
(269) 373-1222
1071371
SALTIEL, FRANK S MD
3025 GULL RD
KALAMAZOO 49048
(269) 381-3963
1072810
SALTIEL, FRANK S MD
KALAMAZOO 49048
(269) 381-3963
1087225
SCHONDER, JOHN MD
601 JOHN ST
KALAMAZOO 49007
(269) 373-1222
1071416
TAN, GREGORIO U MD
KALAMAZOO 49048
(269) 381-3963
1072803
TAN, GREGORIO U MD
3025 GULL RD
KALAMAZOO 49048
(269) 381-3963
1122564
WILIAMS, ROBERT DO
13322 N BOULEVARD
VICKSBURG 49097
(269) 373-1222
1072705
KALAMAZOO 49048
(269) 381-3963
1071985
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1072706
3025 GULL ROAD
KALAMAZOO 49048
(269) 381-3963
1087227
WILLIAMS, ROBERT DO
601 JOHN ST STE 100
KALAMAZOO 49007
(269) 373-1222
1095144
ZAYED, FARID F MD
KALAMAZOO 49048
(269) 381-3963
1072740
3025 GULL RD
KALAMAZOO 49048
(269) 381-3963
1072735
KALAMAZOO 49048
(269) 381-3963
1072743
601 JOHN ST STE M325
KALAMAZOO 49007
(269) 345-9606
1815 HENSON AVE
KALAMAZOO 49048
(269) 492-6500
1101845
ALAM, SYED MD

Page 258
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
1087019
601 JOHN ST STE M 455
KALAMAZOO 49007
(269) 345-9100
1081225
CHEN, MICHAEL F MD
KALAMAZOO 49007
(269) 341-4890
1072707
HOUSE, MARIA WILLIAMSON MD
KALAMAZOO 49048
(269) 226-6917
1081226
ITAWI, ED A MD
KALAMAZOO 49007
(269) 341-4890
1087016
KALAMAZOO 49007
(269) 345-9100
DERMATOLOGY
1084646
LIGGETT, JESSICA E MD
3000 OLD CENTRE RD
PORTAGE 49024
(269) 321-7546
1016171
MOHNEY, CRAIG A MD
3000 OLD CENTRE RD
PORTAGE 49024
(269) 321-7546
1082432
SEMLER, DAVID C MD
3000 OLD CENTRE RD
PORTAGE 49024
(269) 321-7546
DME - P&O
1022720
ACCESS MEDICAL LLC
1717 SHAFFER ST
KALAMAZOO 49048
(800) 615-9380
1030373
AIRLINK HOMECARE LLC
1532 GULL RD
KALAMAZOO 49048
(269) 382-3715
1037426
AIRWAY OXYGEN INC KALAMAZOO
4120 STADIUM DR
KALAMAZOO 49008
(800) 700-4022
1037427
AIRWAY OXYGEN INC PARK CIRCLE
3789 PARK CIRCLE DR
KALAMAZOO 49048
(800) 700-4022
1085125
AMERICAN LIMB & ORTHOPEDIC
4029 W MAIN ST
KALAMAZOO 49006
(269) 381-8670
1016349
5234 AZO COURT
KALAMAZOO 49048
(269) 342-0022
1069489
7017 S WESTNEDGE AVE
PORTAGE 49002
(800) 236-9528
1074151
6120 STADIUM DR STE 100
KALAMAZOO 49009
(800) 379-1600
1097977
LINCARE INC
2600 MILLCORK ST
KALAMAZOO 49001
(269) 345-2011
1025007
PRO2 KALAMAZOO LLC
3325 RAVINE RD
KALAMAZOO 49006
(269) 553-7762
1026023
2968 BUSINESS ONE DR
KALAMAZOO 49001
(269) 344-2620
1016450
1516 TRIMBLE AVE
KALAMAZOO 49048
(269) 349-4412
1025598
212 W MILHAM AVE
PORTAGE 49024
(269) 226-2617

1109768
ASHBY, CASEY DO
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1094162
ASHBY, CASEY DO
1535 GULL RD STE 205B
KALAMAZOO 49048
(269) 343-1296
1084599
ASHBY, CASEY DO
501 S DRAKE RD
KALAMAZOO 49009
(269) 343-1296
1101957
GRAVES, CECLLIA MD
KALAMAZOO 49007
(269) 381-0180
1075030
SHAPIRO, ELY MD
501 S DRAKE RD
KALAMAZOO 49009
(269) 343-1296
1094168
SHAPIRO, ELY MD
KALAMAZOO 49048
(269) 343-1296
1084735
SMITH, CHRISTOPHER P MD
501 S DRAKE RD
KALAMAZOO 49009
(269) 343-1296
1094167
KALAMAZOO 49048
(269) 343-1296
1101889
SZELES, L S MD
KALAMAZOO 49007
(269) 381-0180

1090664
BRONSON METHODIST HOSPITAL
601 JOHN ST
KALAMAZOO 49007
(269) 353-9898
1119116
820 JOHN ST STE 102
KALAMAZOO 49007
(269) 276-4900

1095544
FRESENIUS MEDICAL CARE GULL ROAD
5010 GULL RD
KALAMAZOO 49048
(269) 382-3012
1089926
FRESENIUS MEDICAL CARE KALAMAZOO EAST
2901 E KILGORE RD
KALAMAZOO 49001
(269) 345-1660
1121494
LIBERTY DIALYSIS AT LAKELAND BENTON HARBOR
338 8TH ST
PORTAGE 49002
(269) 605-0135
1020729
RCG KALAMAZOO
521 E MICHIGAN AVE
KALAMAZOO 49007
(269) 384-6180
1095624
RCG KALAMAZOO HOME PROGRAM
527 E MICHIGAN AVE
KALAMAZOO 49007
(269) 384-6191
1095625
RCG OSHTEMO
6739 SEECO DR
KALAMAZOO 49009
(269) 375-5815

Page 259
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
ENDOCRINOLOGY
1091879
BRICKER, LEE A MD
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-6300
1122668
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1101728
1722 SHAFFER ST
KALAMAZOO 49048
(269) 226-8321
1122666
7901 ANGLING RD
PORTAGE 49024
(269) 226-8321
1122669
1722 SHAFFER ST
KALAMAZOO 49048
(269) 226-8321
1091919
WIITA, PATRICIA S NP
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-6430
GASTROENTEROLOGY
1004533
BEYER, KEVIN L DO
KALAMAZOO 49048
(269) 385-9900
1084620
DEWAN, BRIJ M MD
6565 W MAIN STE C
KALAMAZOO 49009
(269) 385-9900
1082433
DEWAN, BRIJ M MD
KALAMAZOO 49048
(269) 385-9900
1108296
FALK, JERROLD S MD
KALAMAZOO 49007
(269) 276-0000
1116393
FALK, JERROLD S MD
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1085247
GJERSOE, HEIDI S MD
3304 COOLEY CT
PORTAGE 49024
(269) 349-2266
1085248
GUSHURST, THOMAS P MD
3304 COOLEY CT
PORTAGE 49024
(269) 349-2266
1085246
HANAVAN, WILLIAM MD
3304 COOLEY CT
PORTAGE 49024
(269) 349-2266
1117571
HIDA, SVEN MD
601 JOHN STREET STE M302
KALAMAZOO 49007
(269) 276-0000
1117570
HIDA, SVEN MD
3304 COOLEY CT
PORTAGE 49024
(269) 349-2266
1097051
QUERTERMUS, JOHN F MD
601 JOHN ST STE M45
KALAMAZOO 49007
(269) 276-0000
1126770
RADAWSKI, CHRISTOPHER C MD
3304 COOLEY CT
PORTAGE 49024
(269) 349-2266
1084727
SHARMA, TARUN K MD
6565 W MAIN STE C
KALAMAZOO 49009
(269) 385-9900
1026169
SHARMA, TARUN K MD
KALAMAZOO 49048
(269) 385-9900
1104309
SHUSTINA, ALEXANDRA DO
3304 COOLEY CT
PORTAGE 49024
(269) 349-2266
1084746
TURK, AIJAZ H MD
6565 W MAIN STE C
KALAMAZOO 49009
(269) 385-9900
1077842
TURK, AIJAZ H MD
KALAMAZOO 49048
(269) 969-6217
1085249
WEBB, WILLIAM W MD
3304 COOLEY CT
PORTAGE 49024
(269) 349-2266
1096306
YOO, HWAN MD
KALAMAZOO 49007
(269) 276-0000
GENERAL SURGERY
1084758
BABEL, JAMES B MD
1717 SHAFFER ST
KALAMAZOO 49048
(269) 343-9113
1084759
BARNAS, DANIEL F MD
1717 SHAFFER ST
KALAMAZOO 49048
(269) 343-9113
1099162
BARNAS, DANIEL F MD
7901 S 12TH ST
PORTAGE 49024
(269) 372-3000
1081242
BOROZAN, PHILIP G MD
KALAMAZOO 49007
(269) 341-7140
1099440
BOROZAN, PHILLIP G MD
KALAMAZOO 49007
(269) 349-7696
1070814
CAPIZZANI, TONY RICHARD MD
KALAMAZOO 49048
(269) 226-6917
1070813
CAPIZZANI, TONY RICHARD MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1082096
COLLINS, JOHN T MD
KALAMAZOO 49048
(269) 381-4577
1101828
CURTISS, WILLIAM J MD
KALAMAZOO 49048
(269) 226-6917
1101827
CURTISS, WILLIAM J MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1081251
DAVIDSON, SCOTT B MD
KALAMAZOO 49007
(269) 341-6022
1099436
DITTENBIR, MARK MD
KALAMAZOO 49007
(269) 349-7696
1081247
DITTENBIR, MARK MD
KALAMAZOO 49007
(269) 341-7140
1091888
ERTL, CHRISTIAN W MD
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-6230
1081239
ERTL, CHRISTIAN W MD
KALAMAZOO 49007
(269) 341-7140
1070934
GILMORE, ROBERT W MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1032211
GILMORE, ROBERT W MD
1535 GULL RD
KALAMAZOO 49048
(269) 226-6917
1104958
GRAY, LISA DO
KALAMAZOO 49007
(269) 341-7145

Page 260
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
1122182
HOCKENBERRY, SCOTT MD
1717 SHAFFER ST
KALAMAZOO 49048
(269) 226-5456
1070948
HOUSE, MARIA WILLIAMSON MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1103023
JEFSON, RICHARD T MD
6565 W MAIN ST STE 205
KALAMAZOO 49009
(269) 353-1783
1081397
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1082025
KALINOWSKI, NANCY J MD
KALAMAZOO 49048
(616) 343-9113
1033680
KALAMAZOO 49048
(269) 343-9113
1100194
601 JOHN ST N515-115
KALAMAZOO 49007
(269) 341-7145
1081863
KOSTIN, JOHN S MD
6010 GULL RD
KALAMAZOO 49048
(269) 381-6157
1081245
KRAATZ, JAMES J MD
KALAMAZOO 49007
(269) 341-6022
1126363
KRAATZ, JAMES J MD
601 JOHN ST STE W308
KALAMAZOO 49007
(269) 341-8827
1081246
LUBAVS, KONRADS V MD
601 JOHN ST
KALAMAZOO 49007
(269) 341-8827
1110053
MAGEE, JOHN C MD
5010 GULL RD
KALAMAZOO 49048
(269) 349-6759
1081399
MALIAN, MICHAEL S MD
1535 GULL RD STE 5
KALAMAZOO 49048
(269) 226-6917
1081252
MALTZ, SHELDON B MD
601 JOHN ST STE 452
KALAMAZOO 49007
(269) 341-7140
1126364
MALTZ, SHELDON B MD
KALAMAZOO 49007
(269) 341-8827
1082095
MCLAREN, JAMES T MD
KALAMAZOO 49048
(269) 381-4577
1081398
MCLAREN, JAMES T MD
1717 SHAFFER ST
KALAMAZOO 49048
(269) 226-5198
1104451
MILLER, LISA A MD
KALAMAZOO 49007
(269) 341-7140
1091901
MILLER, LISA A MD
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-6230
1126643
MOLLBERG, NATHAN M DO
KALAMAZOO 49007
(269) 341-7333
1091904
NORMAN, EARL M MD
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-6230
1081248
NORMAN, EARL M MD
601 JOHN ST
KALAMAZOO 49007
(269) 741-7140
1110599
PUNCH, JEFFREY D MD
5010 GULL RD
KALAMAZOO 49048
(269) 349-6759
1070949
ROHS, THOMAS J MD
1521 GULL ROAD
KALAMAZOO 49048
(269) 226-7000
1070950
ROHS, THOMAS J MD
1535 GULL ROAD STE 005
KALAMAZOO 49048
(269) 226-6917
1081243
SHEBRAIN, SAAD A MD
KALAMAZOO 49007
(269) 341-7140
1091911
SHEBRAIN, SAAD A MD
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-6230
1118458
STEENSMA, ELIZABETH A MD
601 JOHN ST M 283
KALAMAZOO 49007
(269) 349-7696
1082023
KALAMAZOO 49048
(269) 343-9113
1034416
KALAMAZOO 49048
(269) 343-9113
1084779
1717 SHAFFER ST
KALAMAZOO 49048
(269) 343-9113
1113069
SUNG, RANDALL S MD
5010 GULL RD
KALAMAZOO 49048
(269) 349-6759
1070873
SWANIKER, FRESCA C MD
1521 GULL ROAD
KALAMAZOO 49048
(269) 226-7000
1070875
SWANIKER, FRESCA C MD
KALAMAZOO 49048
(269) 226-6917
1125118
SWANKIER, FRESCA MD
1521 GULL RD
KALAMAZOO 49048
(269) 552-2800
1105281
THORESON, REBECCA L MD
KALAMAZOO 49007
(269) 341-7145
1081977
VANDER VELDE JR, KENNETH M MD
7775 ANGLING RD
PORTAGE 49024
(616) 321-9970
1082316
KALAMAZOO 49048
(269) 343-9113
1084786
1717 SHAFFER ST
KALAMAZOO 49048
(269) 343-9113
1081240
WALSH, JON C MD
601 JOHN ST STE 452
KALAMAZOO 49007
(269) 341-7140
1099441
WEAVER, KIBWE A MD
KALAMAZOO 49007
(269) 488-1524
1081241
WEAVER, KIBWE A MD
KALAMAZOO 49007
(269) 488-1524
1124569
WILLIAMS, MALLORY MD
KALAMAZOO 49007
(269) 341-6022
1126751
WOODSIDE, KENNETH J MD
5010 GULL RD
KALAMAZOO 49048
(269) 349-6759
1099412
WYSONG, STEPHEN T MD
KALAMAZOO 49007
(269) 349-7696
1081244
WYSONG, STEPHEN T MD
601 JOHN ST M 283
KALAMAZOO 49007
(269) 341-6350

Page 261
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
GERIATRICS
1107137
HOFFMAN, MARTIN F MD
535 S BURDICK ST STE 256
KALAMAZOO 49007
(269) 341-7518
1082364
KANAPARTI, VENKATARAMANARA MD
1701 GULL RD
KALAMAZOO 49048
(269) 226-5290
1091357
1701 GULL RD
KALAMAZOO 49048
(269) 226-5290
1105431
KALAMAZOO 49048
(269) 226-5050
1072756
1521 GULL RD
KALAMAZOO 49048
(269) 226-5165
GYN ONCOLOGY
1099619
MCGHEE, KANIA G MD
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1087157
MCGHEE, KANIA G MD
KALAMAZOO 49048
(269) 226-5927
1087159
MCGHEE, KANIA G MD
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
GYNECOLOGY
1084676
PIERESON, SCOTT D MD
1700 GULL RD
KALAMAZOO 49048
(269) 388-6350
1084671
7901 ANGLING RD
PORTAGE 49024
(269) 324-8418
1084679
KALAMAZOO 49048
(269) 388-6350
1084665
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1072797
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
HAND SURGERY
1102789
RUITER, TODD C DO
2490 S 11TH ST STE 201
KALAMAZOO 49009
(269) 343-1535
1087155
WALTON, LARRY R MD
2490 S 11TH ST STE 201
KALAMAZOO 49009
(269) 343-1535

1104453
BRONSON HEALTHCARE MIDWEST OTOLARNGOLOGY
KALAMAZOO 49007
(269) 381-0180
1004700
HAC OF AMERICA INC
350 WEST CENTRE AVE STE 105
PORTAGE 49024
(269) 324-0301
1067907
SONUS KALAMAZOO
1803 WHITES RD STE 1-B
KALAMAZOO 49008
(269) 373-7585
1082281
CHANDANA, SREENIVASA R MD PHD
200 N PARK ST
KALAMAZOO 49007
(269) 382-2500
1087160
KALUZA, SANJA MD
200 N PARK ST
KALAMAZOO 49007
(269) 382-2500
1082283
LIEPMAN, MARCIA K MD
200 N PARK ST
KALAMAZOO 49007
(269) 382-2500
1084651
MIRRO, JOSEPH MD
200 N PARK ST
KALAMAZOO 49007
(269) 382-2500
1102123
NAGPAL, SUNIL MD
200 N PARK ST
KALAMAZOO 49007
(269) 382-2500
1101797
TUNCER, TOLGA MD
200 N PARK
KALAMAZOO 49007
(269) 382-2500
HOME HEALTH CARE

1012025
BORGESS VISITING NURSE AND HOSPICE
348 N BURDICK
KALAMAZOO 49007
(269) 343-1396
1126410
BRONSON HOME HEALTH CARE
6938 ELM VALLEY DR
KALAMAZOO 49009
(269) 341-7272
1074150
KALAMAZOO 49009
(800) 379-1600
1105970
348 N BURDICK ST
KALAMAZOO 49007
(888) 246-6322
HOSPICE
1012025
BORGESS VISITING NURSE AND HOSPICE
348 N BURDICK
KALAMAZOO 49007
(269) 343-1396
1074152
KALAMAZOO 49009
(800) 379-1600
1096302
PORTAGE 49024
(269) 324-5705
1102844
HOSPICE CARE OF SOUTH WEST MICHIGAN
5473 CROYDEN AVE
KALAMAZOO 49009
(269) 345-0273
1100757
222 N KALAMAZOO STE 100
KALAMAZOO 49007
(269) 345-0273
1105938
348 N BURDICK ST
KALAMAZOO 49007
(888) 246-6322

Page 262
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
INFECTIOUS DISEASES
1091877
BOAPIMP, PIMPAWAN MD
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-4300
1082366
DAVENPORT, DAVID S MD
1717 SHAFFER ST
KALAMAZOO 49048
(269) 226-5290
1127385
DAVENPORT, DAVID S MD
1701 GULL RD
KALAMAZOO 49048
(269) 226-5290
1106966
GARG, DEEPAK MD
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-4300
1109370
LUTWICK, LARRY I MD
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-4300
KALAMAZOO 49007
(269) 341-8550

1109497
BRONSON INFUSION SERVICES
INTERNAL MEDICINE
1118038
AKL, HUSSEIN MD
601 JOHN ST
KALAMAZOO 49007
(269) 276-4900
1081420
BLOK, THOMAS M MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1081402
BRADTKE, JOHN L MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1101930
CARLSON, SUSAN MD
601 JOHN ST STE M170A
KALAMAZOO 49007
(269) 381-5060
1081270
CAVANAGH, ANNE MARIE MD
KALAMAZOO 49007
(269) 341-8481
1081269
CHANG, YOON HEE A MD
601 JOHN ST
KALAMAZOO 49007
(269) 341-8481
1081261
CROOKS, M JONATHAN MD
KALAMAZOO 49007
(269) 381-5060
1099437
CROOKS, M JONATHAN MD
601 JOHN ST STE M 170A
KALAMAZOO 49007
(269) 381-5060
1084698
DELEON, JOSE A MD
601 JOHN ST
KALAMAZOO 49007
(269) 341-8481
1081411
DIELEMAN, PETER W MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1101868
DOTSON, LORI MD
13326 NORTH BLVD
VICKSBURG 49097
(269) 649-2321
1081415
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1127285
EPSTEIN, JONATHAN H MD
535 BURDICK STE 256
KALAMAZOO 49007
(269) 341-8822
1124487
EPSTEIN, JONATHAN H MD
601 JOHN ST
KALAMAZOO 49007
(269) 341-8481
1081410
FALK, JERROLD S MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1101742
FRIEDMAN, GERALD MD
13326 NORTH BLVD
VICKSBURG 49097
(269) 649-2321
1071084
GELLERT, JANOS R MD
1521 GULL RD
KALAMAZOO 49048
(586) 753-0165
1118628
GLOYSTEIN, KIM J MD
13326 NORTH BLVD
VICKSBURG 49097
(269) 649-2321
1081409
HANDRO, HABTAMU P MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1081272
HAYS, BRIAN S DO
KALAMAZOO 49007
(269) 341-8481
1072664
KANAPARTHI, APARNA MD
1701 GULL ROAD
KALAMAZOO 49048
(269) 226-5290
1072665
KANAPARTHI, APARNA MD
KALAMAZOO 49048
(269) 226-5290
1107736
KANE, EMILY G DO
1701 GULL RD
KALAMAZOO 49048
(269) 226-5290
1122629
KANE, EMILY G DO
KALAMAZOO 49048
(269) 552-2970
1082744
KELLY, KEVIN J MD
8145 VALLEYWOOD LN STE B
PORTAGE 49024
(269) 324-9162
1081414
KHAN, WAJID Y MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1099419
LAWLOR, JOHN R MD
KALAMAZOO 49007
(269) 381-5060
1081259
LAWLOR, JOHN R MD
KALAMAZOO 49007
(269) 381-5060
1081266
LEFEVRE, ROBERT E MD
KALAMAZOO 49007
(269) 381-5060
1099418
LEFEVRE, ROBERT E MD
KALAMAZOO 49007
(269) 381-5060
1081273
MERATI, CAMELIA A DO
601 JOHN ST # W011
KALAMAZOO 49007
(269) 341-8481
1081413
NAIK, SHANTANU S MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1076227
NEHME, NADINE MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1081278
NIEC, LUKASZ MD
KALAMAZOO 49007
(269) 353-9898
1081416
OLKEN, MELISSA H MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1124915
OMAIRA, MOHAMMAD MD
200 N PARK ST
KALAMAZOO 49007
(269) 373-7488
1081418
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000

Page 263
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
1090428
RAMOS, MARCO MD
601 JOHN ST
KALAMAZOO 49007
(239) 341-8481
1082369
RILEY SR, ALVIN DO
KALAMAZOO 49048
(269) 381-7380
1124557
SCHAUER, MARK MD
KALAMAZOO 49007
(269) 341-6161
1081423
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1081256
SCIUCA, MONICA I MD
KALAMAZOO 49007
(269) 341-8481
1096509
SIWIK, JAROSLAW MD
2600 WEST CENTRE
PORTAGE 49024
(269) 324-4141
1081412
TEHRANI, REZA M MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1081263
TERRANELLA, MARILYN R MD
KALAMAZOO 49007
(269) 341-8400
1102145
TONDA, RICHARD MD
KALAMAZOO 49007
(269) 381-5060
1081424
TSHILILIWA, STERNLATE MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1070785
1722 SHAFFER ST
KALAMAZOO 49048
(269) 226-8321
1121187
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1082370
5943 STADIUM DR
KALAMAZOO 49009
(269) 226-8321
1070788
7901 ANGLING RD
PORTAGE 49024
(269) 226-8321
1070786
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1072648
1722 SHAFFER ST
KALAMAZOO 49048
(269) 226-8321
1126798
VALLEY, THOMAS S MD
KALAMAZOO 49007
(269) 341-7762
1081257
WARNER, ELIZABETH J MD
5629 STADIUM DR STE B
KALAMAZOO 49009
(269) 544-3270
1072538
WORTZ, TERRY L MD
KALAMAZOO 49048
(269) 226-5965
1081264
ZACCHEO, MATTHEW V DO
KALAMAZOO 49007
(269) 341-7500
1081401
ZAYED, HYTHEM R MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1081281
ZAYZAFOON, SHAZA MD
KALAMAZOO 49007
(269) 341-8481

1081284
AUSTIN, ROBERT J MD
601 JOHN ST STE 1200 B
KALAMAZOO 49007
(269) 341-7887
1100909
BORK, MICHAEL D DO
601 JOHN ST N1200
KALAMAZOO 49007
(269) 341-7887
1084699
FARB, HARRY MD
601 JOHN ST STE N1200
KALAMAZOO 49007
(269) 341-7979
1102836
UTTER, GREGORY MD
601 JOHN STREET STE N1200
KALAMAZOO 49007
(269) 341-7887
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
NEONATOLOGY
1105078
BORGESS HOSPITAL NEONATAL SERV
NEPHROLOGY
1021127
AQEEL, AHMED MD
KALAMAZOO 49007
(269) 349-6759
1082434
BHATT, AASH MD
KALAMAZOO 49007
(269) 349-6759
1112207
CIBRIK, DIANE M MD
5010 GULL RD
KALAMAZOO 49048
(269) 349-6759
1058977
DALAL, SANJAY P MD
KALAMAZOO 49007
(269) 349-6759
1084623
DUHN, VALERIE S MD
KALAMAZOO 49007
(269) 349-6759
1112924
HUANG, YIHUNG MD
5010 GULL RD
KALAMAZOO 49048
(269) 349-6759
1110584
LEICHTMAN, ALAN B MD
5010 GULL RD
KALAMAZOO 49048
(269) 349-6759
1041372
MANRING, PETER G MD
KALAMAZOO 49007
(269) 349-6759
1112493
NORMAN, SILAS P MD
5010 GULL RD
KALAMAZOO 49048
(269) 349-6759
1084657
OO, THAN N MD
KALAMAZOO 49007
(269) 349-6759
1084661
PARK, JOON SUNG MD
KALAMAZOO 49007
(269) 349-6759
1058976
QURESHI, AHSAN A MD
KALAMAZOO 49007
(269) 347-6759
1101389
QURESHI, AHSAN A MD
KALAMAZOO 49007
(269) 349-6759
1113686
SAMANIEGO-PICOTA, MILAGROS D MD
5010 GULL RD
KALAMAZOO 49048
(269) 349-6759

Page 264
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
1113805
SHAHINIAN, VSPAKN B MD
5010 GULL RD
KALAMAZOO 49048
(269) 349-6759
1022558
SIDHU, PRINCE MD
KALAMAZOO 49007
(269) 349-6759
NEURO SURGERY
1082372
AL-ALI, FIRAS MD
KALAMAZOO 49048
(269) 343-1264
1081426
ARANGUA, LUIS T MD
KALAMAZOO 49048
(269) 343-1264
1072548
KALAMAZOO 49048
(269) 343-1264
1070812
KALAMAZOO 49048
(269) 343-1264
1072549
200 N PARK ST
KALAMAZOO 49007
(269) 343-1264
1072555
6565 WEST MAIN ST STE 205
KALAMAZOO 49009
(269) 343-1264
1035963
KALAMAZOO 49048
(269) 343-1264
1070822
KALAMAZOO 49009
(269) 372-8490
1070823
200 N PARK ST
KALAMAZOO 49007
(269) 382-2500
1072615
EDEN, SONIA V MD
KALAMAZOO 49009
(269) 343-1264
1070830
EDEN, SONIA V MD
KALAMAZOO 49048
(269) 343-1264
1072610
EDEN, SONIA V MD
200 N PARK
KALAMAZOO 49007
(269) 343-1264
1081285
FABI, ALAIN Y MD
KALAMAZOO 49007
(269) 341-7500
1106109
FLETCHER, JEFFREY MD
601 JOHN STREET M 124
KALAMAZOO 49007
(269) 341-7500
1072714
KRINOCK, MARK J MD
KALAMAZOO 49048
(269) 343-1264
1035782
KRINOCK, MARK J MD
KALAMAZOO 49048
(269) 343-1264
1072716
KRINOCK, MARK J MD
200 N PARK STREET
KALAMAZOO 49007
(269) 343-1264
1072729
KRINOCK, MARK J MD
6565 WEST MAIN STREET STE 205
KALAMAZOO 49009
(269) 343-1264
1084594
LUSIS, ERIKS MD
KALAMAZOO 49048
(269) 343-1264
1035964
MEYER, MARK E MD
KALAMAZOO 49048
(269) 343-1264
1072689
MEYER, MARK E MD
200 N PARK ST
KALAMAZOO 49007
(269) 343-1264
1072687
MEYER, MARK E MD
KALAMAZOO 49048
(269) 343-1264
1072755
MEYER, MARK E MD
6565 WEST MAIN ST STE 205
KALAMAZOO 49009
(269) 343-1264
1105222
MILLER, JEFFREY MD
KALAMAZOO 49007
(269) 341-7500
1070945
ROGERS, ABBY J PA
KALAMAZOO 49048
(269) 343-1264
1081286
SLOFFER, CHRIS A MD
KALAMAZOO 49007
(269) 341-7500
1022261
WARDER, DARYL E MD
601 JOHN ST # M124
KALAMAZOO 49007
(269) 341-7500
NEUROLOGY
1085421
ASHMAN, ERIC MD
KALAMAZOO 49007
(269) 341-7500
1117405
ASHMAN, ERIC MD
3200 CENTRE AVE
PORTAGE 49024
(269) 324-0799
1072578
KALAMAZOO 49048
(269) 381-7380
1072576
1521 GULL RD
KALAMAZOO 49048
(269) 381-7380
1081392
CAMPBELL, BYRON DOUGLAS MD
1521 GULL RD
KALAMAZOO 49048
(269) 381-7380
1101745
CROOKS, MICHELLE MD
KALAMAZOO 49007
(269) 488-8440
1082393
DAGLI, RAJESH D MD
KALAMAZOO 49048
(269) 381-0764
1085350
DAGLI, RAJESH D MD
6565 MAIN
KALAMAZOO 49009
(269) 372-7459
1072604
DIZON, RODERICK V MD
1521 GULL RD
KALAMAZOO 49048
(269) 381-7380
1099416
DUNNE, THOMAS C MD
291 W CENTRE AVE
PORTAGE 49024
(269) 488-8430
1070916
GIETZEN, ROGER C MD
KALAMAZOO 49048
(269) 226-5637
1082357
GIETZEN, ROGER C MD
1521 GULL RD
KALAMAZOO 49048
(269) 381-7380
1070915
GIETZEN, ROGER C MD
1541 GULL RD
KALAMAZOO 49048
(269) 381-7380
1127228
GREEN, PHILLIP M MD
KALAMAZOO 49048
(269) 226-5290

Page 265
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
1072697
HOOD, DANIEL C MD
1521 GULL RD
KALAMAZOO 49048
(269) 381-7380
1072703
HOOD, DANIEL C MD
KALAMAZOO 49048
(269) 381-7380
1022463
JEWETT, DENNIS A MD
KALAMAZOO 49007
(269) 341-7500
1072738
JONES, JEFFREY M MD
1521 GULL RD
KALAMAZOO 49048
(269) 381-7380
1072637
JONES, JEFFREY M MD
KALAMAZOO 49048
(269) 381-7380
1034430
KAPS, IGOR G MD
KALAMAZOO 49048
(269) 226-5637
1105446
KAPS, IGOR G MD
1541 GULL RD
KALAMAZOO 49048
(269) 381-7380
1072670
KAPS, IGOR G MD
KALAMAZOO 49048
(269) 381-7380
1081222
KINDLER, DEAN D MD
KALAMAZOO 49007
(269) 341-7500
1084593
LEE, ANTHONY MD
KALAMAZOO 49048
(269) 381-7380
1084765
LEE, ANTHONY MD
KALAMAZOO 49048
(269) 226-5637
1105444
LEE, ANTHONY MD
1541 GULL RD
KALAMAZOO 49048
(269) 381-7380
1072671
MAHMOOD, FAYYAZ MD
KALAMAZOO 49048
(269) 381-7380
1028172
MAHMOOD, FAYYAZ MD
KALAMAZOO 49048
(269) 226-5637
1072676
MAHMOOD, FAYYAZ MD
6565 WEST MAIN ST
KALAMAZOO 49009
(269) 381-7380
1105445
MAHMOOD, FAYYAZ MD
1541 GULL RD
KALAMAZOO 49048
(269) 381-7380
1081220
MALONE, TOYA V MD
KALAMAZOO 49007
(269) 341-7500
1125821
MANGLA, ATUL MD
1541 GULL RD
KALAMAZOO 49048
(269) 226-5637
1125819
MANGLA, ATUL MD
1521 GULL RD
KALAMAZOO 49048
(269) 381-7380
1125818
MANGLA, ATUL MD
KALAMAZOO 49048
(269) 226-5637
1125820
MANGLA, ATUL MD
1541 GULL RD
KALAMAZOO 49048
(269) 381-7380
1124132
PHILLIPS, YANNY DO
KALAMAZOO 49007
(269) 341-7500
1082359
ROBBINS, GERALD F DO
KALAMAZOO 49048
(269) 381-7380
1072789
KALAMAZOO 49048
(269) 381-7380
1028171
KALAMAZOO 49048
(269) 552-2810
1070860
1541 GULL ROAD
KALAMAZOO 49048
(269) 226-5637
1126343
SWEET, KELLIE S DO
KALAMAZOO 49007
(269) 341-2383
1081224
SWEET, KELLIE S DO
KALAMAZOO 49007
(269) 341-8383
1126840
VANDOORNIK, STEVEN J MD
KALAMAZOO 49007
(269) 341-7500
1087153
WASIELEWSKI, PAUL G MD
KALAMAZOO 49048
(269) 381-7380
1087154
WASIELEWSKI, PAUL G MD
1541 GULL RD
KALAMAZOO 49048
(269) 226-5637
1081223
WIGGINS, GREGORY MD
KALAMAZOO 49007
(269) 341-7500
1020673
YBEMA, KELLY D MD
601 JOHN ST # M124
KALAMAZOO 49007
(269) 341-7500
1126353
YODER, RYAN L MD
KALAMAZOO 49007
(269) 341-7500
1016374
ZAFAR, MOHAMMED J MD
KALAMAZOO 49048
(269) 388-6350
1104060
ZOU, SIMEON MD
KALAMAZOO 49007
(269) 341-7500
NURSE MIDWIFE
1080650
ALLGOR, JANIE B CNM
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1095636
ANSON, RUTH A CNM
601 JOHN ST STE N 1200 A
KALAMAZOO 49007
(269) 341-7979
1119944
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200
1092085
CHAMBLESS, JENNA CNM
601 JOHN ST STE N1200 A
KALAMAZOO 49007
(269) 341-7979
1080653
DEIBEL, MEGAN G CNM
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1021526
DEIBEL, MEGAN G CNM
KALAMAZOO 49048
(269) 226-5927
1072462
DEIBEL, MEGAN G CNM
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1120828
DONEWALD, KRISTI CNM
3300 W CENTRE ST
PORTAGE 49024
(269) 327-2211

Page 266
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
NURSE MIDWIFE (CONTINUED)
1100355
KALAMAZOO 49007
(269) 341-7979
1118669
FREEMAN, JENNIFER CNM
KALAMAZOO 49007
(269) 341-7979
1119927
GLENN, JESSICA CNM
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200
1101818
HARDY, NORA CNM
KALAMAZOO 49007
(269) 341-7979
1084762
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1084763
KALAMAZOO 49048
(269) 226-5927
1023242
IMANSE, SUSAN CNM
KALAMAZOO 49007
(269) 341-7979
1104965
IMANSE, SUSAN CNM
3300 W CENTRE ST
PORTAGE 49024
(269) 327-2211
1119910
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200
1072465
KELLOGG, LORI L CNM
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1080652
KELLOGG, LORI L CNM
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1024741
KELLOGG, LORI L CNM
KALAMAZOO 49048
(269) 226-5927
1100301
KENNEDY, LORI CNM
KALAMAZOO 49007
(269) 341-7979
1119876
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200
1107640
LAVERY, KATHLEEN CNM
KALAMAZOO 49007
(269) 341-7979
1081289
LYNNE, SANDRA L CNM
KALAMAZOO 49007
(269) 341-7979
1072466
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1036690
KALAMAZOO 49048
(269) 226-5927
1080649
MAJSZAK, CHRISTINA M CNM
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1082966
MARTIN, MARY A CNM
KALAMAZOO 49007
(269) 341-7979
1106043
MARTIN, MARY A CNM
3300 W CENTRE ST
PORTAGE 49024
(269) 327-2211
1026093
MILLER, SUSAN M CNM
KALAMAZOO 49048
(269) 226-5927
1080655
MILLER, SUSAN M CNM
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1072467
MILLER, SUSAN M CNM
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1024733
KALAMAZOO 49048
(269) 226-5927
1072469
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1080656
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1033797
OLSEN, WENDY R CNM
KALAMAZOO 49048
(269) 226-5927
1120249
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200
1120266
SCOTT, MELISA N CNM
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200
1096547
SLAGER, JOAN CNM
KALAMAZOO 49007
(269) 341-7979
1081288
SLATIN, SUSAN M CNM
KALAMAZOO 49007
(269) 341-7979
1120215
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200
1098790
TYLER, DIANA CNM
KALAMAZOO 49007
(269) 341-7979
1072470
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1026094
KALAMAZOO 49048
(269) 226-5927
1080651
VANDERPLOEG, KATHERINE A CNM
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1098894
VEACH, MARY CNM
601 JOHN ST STE N-1200
KALAMAZOO 49007
(269) 341-7979
1082373
WILLIAMS, JULIE L CNM
7895 CURRIER DR
PORTAGE 49002
(269) 321-7000
1034563
KALAMAZOO 49048
(269) 226-5927
1072473
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1081287
ZULL, PATRICIA R CNM
KALAMAZOO 49007
(269) 343-4609
1108372
ALLEN, TEMPEST MD
3300 W CENTRE ST
PORTAGE 49024
(269) 655-3070
1081214
ALLEN, TEMPEST A MD
KALAMAZOO 49007
(269) 341-7979

Page 267
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
1081207
ALLEN, TEMPEST A MD
3300 W CENTRE AVE
PORTAGE 49024
(269) 327-2211
1084277
ALLEN, WILLIAM MD
117 W PATTERSON ST
KALAMAZOO 49007
(269) 349-2641
1119842
BELL, CARRIE MD
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200
1119893
BELL, JASON D MD
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200
1022910
BERKOWITZ, PAUL I MD
KALAMAZOO 49007
(269) 341-7979
1082263
BEYER, ROGER D MD
7110 STADIUM DR
KALAMAZOO 49009
(269) 372-7600
1098766
CARMAN, JENNIFER MD
601 JOHN ST STE N-1200
KALAMAZOO 49007
(269) 341-7979
1098764
CARMAN, JENNIFER MD
3300 WEST CENTRE
PORTAGE 49024
(269) 327-2211
1101780
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1205
1120317
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200
1082354
DEMPSTER, DORENE E MD
7895 CURRIER DR
PORTAGE 49002
(269) 321-7000
1072620
FRINK, JENNIFER L DO
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1084627
KALAMAZOO 49048
(269) 388-6350
1072619
7895 CURRIER DR
PORTAGE 49002
(269) 321-7000
1102613
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1072618
KALAMAZOO 49048
(269) 226-5927
1123784
GOODSPEED, JAMES D MD
3300 W CENTRE AVE
PORTAGE 49024
(269) 327-2211
1087212
KALAMAZOO 49007
(269) 341-7979
1081213
HAMILTON, MALCOLM R MD
KALAMAZOO 49007
(269) 341-7979
1010185
KALAMAZOO 49048
(269) 226-5927
1072653
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1084629
KALAMAZOO 49048
(269) 388-6350
1120232
HARRIS, LISA H MD
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200
1082275
HOEKSTRA, ANNA V MD
200 N PARK ST
KALAMAZOO 49007
(269) 382-2500
1072809
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1099618
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1045583
KALAMAZOO 49048
(269) 226-5927
1122216
HOMA, LORI MD
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1279
1072723
JOHANTGEN, KIRSTEN M MD
7895 CURRIER DR
PORTAGE 49002
(269) 321-7000
1072713
KALAMAZOO 49048
(269) 226-5927
1100144
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1007710
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1084640
JOHNATGEN, KIRSTEN M MD
KALAMAZOO 49048
(269) 388-6350
1119859
KAHN, CHAVA MD
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200
1104325
KLOSS, KATHRYN R DO
3300 W CENTRE ST
PORTAGE 49024
(269) 327-2211
1106330
MOSER, STEVEN G MD
KALAMAZOO 49048
(269) 226-5927
1117345
KALAMAZOO 49048
(269) 226-5927
1117347
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1091206
PETERSON, SCOTT MD
3300 WEST CENTRE
PORTAGE 49024
(269) 327-2211
1104452
PETERSON, SCOTT M MD
601 JOHN STREET STE N 1200
KALAMAZOO 49007
(269) 341-7979
1092902
6565 W MAIN
KALAMAZOO 49009
(269) 372-7459
1072790
KALAMAZOO 49048
(269) 226-5927
1072792
7895 CURRIER DR
PORTAGE 49002
(269) 321-7000
1021256
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1084694
RANGRASS, RAJIV MD
KALAMAZOO 49048
(269) 388-6350
1072800
RANGRASS, RAJIV MD
7895 CURRIER DR
PORTAGE 49002
(269) 321-7000

Page 268
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
1012277
RANGRASS, RAJIV MD
KALAMAZOO 49048
(269) 226-5927
1101972
REID, VIRGIL C MD
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1205
1084595
ROBINSON, DAWN MD
KALAMAZOO 49048
(269) 226-5927
1084597
ROBINSON, DAWN MD
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1081212
RODRIGUEZ JR, GONZALO J MD
KALAMAZOO 49007
(269) 341-7979
1098618
RODRIGUEZ, GONZALO MD
KALAMAZOO 49007
(269) 341-7979
1021056
RODRIGUEZ, ZYLKIA M MD
KALAMAZOO 49007
(269) 341-7979
1038281
KALAMAZOO 49048
(269) 226-5927
1084742
THOME HOFFMAN, JENNIFER L MD
KALAMAZOO 49048
(269) 388-6350
1104444
3300 W CENTRE
PORTAGE 49024
(269) 327-2211
1101922
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1205
1081206
3300 W CENTRE AVE
PORTAGE 49024
(269) 327-2211
1104443
KALAMAZOO 49007
(269) 341-7979
1081208
VANDENBRINK-WEBB, SUZANNE E MD
3300 W CENTRE AVE
PORTAGE 49024
(269) 327-2211
1105922
WALKER, AMANDA K DO
KALAMAZOO 49007
(269) 341-7979
1120300
WALLETT, SARAH M MD
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200
1084753
WINTER, ROBERT N MD
KALAMAZOO 49048
(269) 388-6350
1021019
WINTER, ROBERT N MD
KALAMAZOO 49048
(269) 226-5927
1072717
WINTER, ROBERT N MD
7895 CURRIER DR
PORTAGE 49002
(269) 321-7080
1120283
ZAPATA, MYA R MD
4201 W MICHIGAN AVE
KALAMAZOO 49006
(269) 372-1200
ONCOLOGY
1082280
BAILEY, KEITH D MD
200 N PARK ST
KALAMAZOO 49007
(269) 382-2500
1126819
HAMEED, MUHAMMAD MD
200 N PARK ST
KALAMAZOO 49007
(269) 373-7488
1082765
1634 GULL RD UPPR 103
KALAMAZOO 49048
(269) 341-9200
1081846
PAYNE, SAMUEL K MD
200 N PARK ST
KALAMAZOO 49007
(269) 382-2500
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-6200
ONCOLOGY - ORTHOPEDIC SURGERY

1091883
CHESS, JOSEPH L MD
OPHTHALMOLOGY
1080825
ABDULHAK, MUNZER MD
123 S WESTNEDGE AVE
KALAMAZOO 49007
(269) 343-0377
1082309
DOE IV, JOSEPH W MD
4016 W MAIN ST
KALAMAZOO 49006
(269) 344-3366
1082430
DOE, JOSEPH W MD
1052 GULL RD
KALAMAZOO 49048
(269) 343-1684
1040735
ERNEST, PAUL H MD
1350 W CENTRE ST STE 110
PORTAGE 49024
(877) 852-8463
1092095
GLAZER, LOUIS C MD
1080 N 10TH ST STE 100
KALAMAZOO 49009
(269) 353-9700
1016195
HALLER, KURT A MD
1052 GULL RD
KALAMAZOO 49048
(269) 343-1684
1016380
HAVILAND, JAMES E MD
1052 GULL RD
KALAMAZOO 49048
(269) 343-1684
1126354
HENDRICKS, JOHN C MD
601 JOHN ST STE E352
KALAMAZOO 49007
(269) 341-6469
1099425
KALAMAZOO 49007
(269) 488-2626
1081218
KALAMAZOO 49007
(269) 341-6469
1082101
HENRY, ELIZABETH H MD
123 S WESTNEDGE STE 120
KALAMAZOO 49007
(269) 343-0377
1082592
HOSNER, JOSEPH W MD
333 TURWILL LN
KALAMAZOO 49006
(269) 373-3937
1104095
KESZEI, VINCENT A MD
4016 W MAIN ST
KALAMAZOO 49006
(269) 344-3366
1082431
ROWE, JONATHAN A MD
1052 GULL RD
KALAMAZOO 49048
(269) 343-1684
1119188
SWENDRIS, RONALD MD
4016 W MAIN ST
KALAMAZOO 49006
(269) 344-3366
1084745
TRITTSCHUH, JOHN R MD
4016 W MAIN ST
KALAMAZOO 49006
(269) 344-3366

Page 269
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
1082204
VANDERLUGT, RONALD L MD
KALAMAZOO 49048
(616) 383-1110
1077620
ZHEUTLIN, JEFFREY D MD
1080 N 10TH ST STE 100
KALAMAZOO 49009
(269) 353-9700
OPTOMETRY
1126797
AVERY, KRYSTEN L OD
7901 ANGLING RD STE B 201
PORTAGE 49024
(269) 324-8600
1098670
CONNOLLY, SUSAN OD
4425 W MAIN ST
KALAMAZOO 49006
(269) 345-4425
1118441
FLYNN, KEVIN M OD
8085 N 32ND ST
RICHLAND 49083
(269) 629-2020
1123852
GOULD, COLLEEN OD
410 E CENTRE AVE
PORTAGE 49002
(269) 329-1003
1059651
HANNA, GERALD OD
1700 S PARK ST
KALAMAZOO 49001
(269) 342-3910
1118522
HARVEY, ANGELA M OD
8085 N 32ND ST
RICHLAND 49083
(269) 629-2020
1005305
KRYMIS, AUGUST OD
4425 W MAIN ST
KALAMAZOO 49006
(269) 345-4425
1095239
MAIER, STACY OD
5349 W MAIN ST
KALAMAZOO 49009
(269) 349-7627
1125398
MARSMAN, CHRISTINA OD
4425 WEST MAIN ST
KALAMAZOO 49006
(269) 345-4428
1095240
MCCLINTIC, DAVID OD
5349 W MAIN ST
KALAMAZOO 49009
(269) 349-7627
1084650
MCMULLEN, JULIE OD
1052 GULL RD
KALAMAZOO 49048
(269) 343-1684
1095241
PARKER, MATTHEW OD
5465 GULL RD
KALAMAZOO 49004
(269) 349-7631
1087177
PASSMORE, KIMBERLY OD
4016 W MAIN ST
KALAMAZOO 49006
(269) 344-3366
1098423
SANDIFER, BRUCE OD
5349 W MAIN ST
KALAMAZOO 49009
(269) 349-7627
1091187
WELLER, BRIAN OD
125 S KALAMAZOO MALL
KALAMAZOO 49007
(269) 342-0134
1095251
WELLER, BRIAN OD
KALAMAZOO 49007
(269) 553-1848
1095250
WELLER, BRIAN OD
5465 GULL RD
KALAMAZOO 49004
(269) 349-7631
1060041
WHITSETT, AARON OD
5349 WEST MAIN ST
KALAMAZOO 49009
(269) 349-7627
1060042
WHITSETT, AARON OD
5465 GULL RD
KALAMAZOO 49004
(269) 349-7631
1060044
WHITSETT, AARON OD
3013 OAKLAND DR
KALAMAZOO 49008
(269) 382-3453
ORTHOPEDIC SURGERY
1103062
BOVID, KAREN M MD
1000 OAKLAND DRIVE ORTHOPEDIC SURGERY
KALAMAZOO 49008
(269) 337-6200
1106300
BOWMAN, GRANT N MD
315 TURWILL LAND
KALAMAZOO 49006
(269) 343-8170
1081310
BURNETT II, QUINTER M MD
315 TURWILL LN
KALAMAZOO 49006
(269) 343-8170
1099434
BURNETT, QUINTER M II MD
315 TURWILL LN
KALAMAZOO 49006
(269) 343-8170
1099439
CHRIST, DAVID J MD
KALAMAZOO 49007
(269) 349-3350
1081302
CHRIST, DAVID J MD
KALAMAZOO 49007
(269) 349-3350
1099415
ELLWITZ, JOSHUA P MD
KALAMAZOO 49007
(269) 488-8355
1081298
ELLWITZ, JOSHUA P MD
601 JOHN ST STE M-206A
KALAMAZOO 49007
(269) 488-8355
1099432
FREE, SCOTT A MD
315 TURWILL LN
KALAMAZOO 49006
(269) 343-8170
1104974
FREE, SCOTT A MD
KALAMAZOO 49007
(269) 349-3350
1081313
FREE, SCOTT A MD
315 TURWILL LN
KALAMAZOO 49006
(269) 343-8170
1099428
KALAMAZOO 49007
(269) 349-8601
1081301
KALAMAZOO 49007
(269) 349-8601
1072626
GILBERT, JAMES D MD
2490 SOUTH 11TH ST STE 201
KALAMAZOO 49009
(269) 343-1535
1081311
GORMAN III, ROBERT R MD
KALAMAZOO 49007
(269) 349-3350
1104027
GORMAN, ROBERT R III MD
KALAMAZOO 49007
(269) 349-3350
1090565
HIGHHOUSE, KENNETH MD
601 JOHN ST M-2068
KALAMAZOO 49007
(269) 488-8350
1101099
315 TURWILL LN
KALAMAZOO 49006
(269) 343-8170
1099424
HIGHHOUSE, ROBERT L MD
601 JOHN ST STE M206B
KALAMAZOO 49007
(269) 488-8350
1101100
315 TURWILL LN
KALAMAZOO 49006
(269) 343-8170
1122181
JASTIFER, JAMES MD
2490 S 11TH ST STE 201
KALAMAZOO 49009
(269) 343-1535

Page 270
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
1099422
KASTEN, MICHAEL D MD
KALAMAZOO 49007
(269) 488-8355
1081309
KASTEN, MICHAEL D MD
KALAMAZOO 49007
(269) 488-8355
1081305
KING, JEFFREY C MD
KALAMAZOO 49007
(269) 349-8601
1099421
KING, JEFFREY C MD
KALAMAZOO 49007
(269) 349-8601
1099420
KINNELL, KYLE PA
KALAMAZOO 49007
(269) 349-3350
1098716
KINNELL, KYLE PA
KALAMAZOO 49007
(269) 349-3350
1099443
KOKMEYER, STEVEN F MD
315 TURWILL LN
KALAMAZOO 49006
(269) 343-8170
1081314
KOKMEYER, STEVEN F MD
315 TURWILL LN
KALAMAZOO 49006
(269) 343-8170
1099390
MORREN, ROBERT D MD
315 TURWILL LN
KALAMAZOO 49006
(269) 343-8170
1099391
NELSON, TERRY L MD
315 TURWILL LN
KALAMAZOO 49006
(269) 343-8170
1081427
NOFFSINGER, MARK A MD
2490 S 11TH ST STE 201
KALAMAZOO 49009
(269) 343-1535
1072773
NOFFSINGER, MARK A MD
KALAMAZOO 49009
(269) 343-1535
1124124
POSTMA, JEFFERY DO
7901 S 12TH ST STE 10
PORTAGE 49024
(269) 978-0444
1072801
REAM, TODD LESTER MD
KALAMAZOO 49009
(269) 343-1535
1081733
REINECK, FRANCIS T MD
315 TURWILL LN
KALAMAZOO 49006
(269) 343-6170
1099389
ROBERTS, JASON MD
KALAMAZOO 49007
(269) 349-3350
1099392
ROEHR, BERNARD A MD
KALAMAZOO 49007
(269) 349-3350
1099393
ROWE, BRUCE A MD
KALAMAZOO 49007
(269) 349-3350
1072808
RYAN, THOMAS GREGORY MD
KALAMAZOO 49009
(269) 343-1535
1081841
SABESAN, VANI J MD
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-6200
1082870
7901 S 12TH ST STE 10
PORTAGE 49024
(269) 978-0444
1099399
SMITH, JAMES R MD
KALAMAZOO 49007
(269) 341-8601
1069177
SYBESMA, JUSTIN T MD
601 JOHN ST M-206B
KALAMAZOO 49007
(269) 488-8350
1099401
SYTSMA, MARK J MD
315 TURWILL LN
KALAMAZOO 49006
(269) 343-8170
1054010
UGGEN, CHRISTOPHER W MD
2490 S 11TH ST STE 201
KALAMAZOO 49009
(269) 343-1535
1084782
VANLANINGHAM, CAMERON J MD
2490 S 11TH ST STE 201
KALAMAZOO 49009
(269) 343-1535
1099406
VEENSTRA, MARK A MD
315 TURWILL LN
KALAMAZOO 49006
(269) 343-8170
1099410
WILLMENG, THOMAS G MD
13320 N BOULEVARD
VICKSBURG 49097
(269) 349-3350
1099411
WOZNICK, AMY R MD
KALAMAZOO 49007
(269) 349-8601
PAIN MANAGEMENT
1081689
CHAFTY, MICHAEL D MD
7920 KIRKLAND CT
PORTAGE 49024
(269) 345-0669
1081690
REDDAN, PATRICK R MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000

1105133
JOHNSON, ROBERT F MD
7895 CURRIER DR
PORTAGE 49002
(269) 226-5165
1072685
PAYNE, SAMUEL KIRK MD
1521 GULL ROAD
KALAMAZOO 49048
(269) 226-5165
1075320
REESE, TRACY A PA
1521 GULL RD
KALAMAZOO 49048
(269) 226-5165
1072820
1521 GULL RD
KALAMAZOO 49048
(269) 226-5165
1126347
FOUNTAIN DOMMER, ROBIN R MD
KALAMAZOO 49007
(269) 341-8786
1020238
FOUNTAIN DOMMER, ROBIN R MD
601 JOHN ST # W308
KALAMAZOO 49007
(269) 341-8786
1067329
LOKER, JAMES L MD
KALAMAZOO 49007
(269) 341-8786
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-6430
1091886
DRAZNIN, MARTIN B MD

Page 271
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
1107720
BOYD, JOANNA PA
KALAMAZOO 49007
(269) 341-7784
1104162
CAMERON, RUSSELL MD
601 JOHN ST STE 351
KALAMAZOO 49007
(269) 341-7784
KALAMAZOO 49007
(269) 341-6350
1106153
SCOTT, KATHERINE M MD

1081255
FLYNN, THOMAS E MD
KALAMAZOO 49007
(269) 341-8481
1091889
FLYNN, THOMAS E MD
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-4300
1107579
KERSHAW, DAVID MD
KALAMAZOO 49007
(269) 341-8986
1109361
LUCKRITZ, KERA DO
KALAMAZOO 49007
(269) 341-8986
KALAMAZOO 49007
(269) 341-7500
1104252
NOWACEK, DUSTIN G MD

1072490
8001 ANGLING RD
PORTAGE 49024
(269) 329-0944
1072513
8450 NORTH 32ND ST
RICHLAND 49083
(269) 226-2500
1101842
FIFELSKI, KRISTI NP
5629 STADIUM DR
KALAMAZOO 49009
(269) 372-1000
1072492
FOLEY, MEGAN D NP
8001 ANGLING RD
PORTAGE 49024
(269) 329-0944
1072516
FOLEY, MEGAN D NP
8450 NORTH 32ND ST
RICHLAND 49083
(269) 226-2500
1126352
GROENEVELD, CAITLIN NP
KALAMAZOO 49007
(269) 341-8383
1102823
GROENEVELD, CAITLIN NP
601 JOHN STREET STE M351
KALAMAZOO 49007
(269) 341-8383
1072499
KUIPER, ANGELA L NP
8001 ANGLING RD
PORTAGE 49024
(269) 329-0944
1072521
KUIPER, ANGELA L NP
8450 NORTH 32ND ST
RICHLAND 49083
(269) 226-2500
1072523
LEADLEY, JEANNE M NP
8450 NORTH 32ND ST
RICHLAND 49083
(269) 226-2500
1072503
LEADLEY, JEANNE M NP
8001 ANGLING RD
PORTAGE 49024
(269) 329-0944
1127147
MULLINS, LAURA NP
200 N PARK ST
KALAMAZOO 49007
(269) 341-6350
1095712
MULLINS, LAURA NP
KALAMAZOO 49007
(269) 341-6350
1126348
MULLINS, LAURA NP
200 N PARK
KALAMAZOO 49007
(269) 373-7442
1072507
REFFITT, MELISSA NP
8001 ANGLING RD
PORTAGE 49024
(269) 329-0944
1072526
REFFITT, MELISSA NP
8450 NORTH 32ND ST
RICHLAND 49083
(269) 226-2500
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-6430
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-6400
1107678
GREGOIRE-BOTTEX, MARIE M MD
PEDIATRIC - RHEUMATOLOGY
1091902
MOORE, MARY D MD
PEDIATRIC - SURGERY
1081249
DOWNING, MARC T MD
KALAMAZOO 49007
(616) 341-6900
1080156
DOWNING, MARC T MD
KALAMAZOO 49007
(269) 341-6900
1081250
LEINWAND, MICHAEL J MD
601 JOHN ST M351
KALAMAZOO 49007
(269) 341-6900
1124492
O'CONNOR, ANN MD
KALAMAZOO 49007
(269) 341-6900
1095092
SAXTON, MARK MD
KALAMAZOO 49007
(269) 341-6900
KALAMAZOO 49007
(269) 341-6900
PEDIATRIC - UROLOGY
1098392
PARK, JOHN MD

Page 272
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
PEDIATRICS
1084945
BUSH, JELANIE R MD
KALAMAZOO 49007
(269) 341-8986
1084611
CAREY, COLLEEN M MD
714 NORTH 9TH ST
KALAMAZOO 49009
(269) 372-3700
1126355
GARCIA, KAREN DO
601 JOHN ST STE F352
KALAMAZOO 49007
(269) 341-8986
1082968
HICKS-FOX, SYLVIA
714 N 9TH ST
KALAMAZOO 49009
(269) 372-3700
1084631
HILLEREN, NANCY J MD
714 NORTH 9TH ST
KALAMAZOO 49009
(269) 372-3700
1124913
HOMNICK, DOUGLAS N MD
3299 GULL RD
KALAMAZOO 49048
(269) 373-5259
1082026
LEWIS, ELENA MD
1324 W MILHAM AVE
PORTAGE 49024
(269) 342-0196
1104221
LONG, ALLISON M MD
KALAMAZOO 49007
(269) 341-8986

1072547
3025 GULL RD
KALAMAZOO 49048
(269) 552-2225
1081319
KILMER-ERNST, PAULA K MD
KALAMAZOO 49007
(269) 341-7500
1117145
MITHAL, MANOJ MD
576 ROMENCE RD STE 226
PORTAGE 49024
(269) 329-2980
1091024
RADAWSKI, MELISSA MD
KALAMAZOO 49007
(269) 341-7500
1072728
YU, GENE C DO
3025 GULL ROAD
KALAMAZOO 49048
(269) 552-2225
PODIATRY
1082197
KEYTE, STEVEN L DPM
4415 DUKE ST # 2
KALAMAZOO 49008
(269) 342-0201
1082869
7901 S 12TH ST STE 10
PORTAGE 49024
(269) 978-0444
1124916
MIRANPURI, SARNARENDRA DPM
7901 ANGLING RD STE B201
PORTAGE 49024
(269) 324-8600
1124917
GALESBURG 49053
(269) 665-7092
1081763
SIMONDS, JAMES H DPM
126 E KILGORE RD
PORTAGE 49002
(269) 381-9060
1082098
VANDER BIE, DAVID A DPM
1508 W CENTRE AVE
PORTAGE 49024
(616) 782-8681
PROSTHETICS
1069489
PORTAGE 49002
(800) 236-9528
1095258
HANGER PROSTHETICS & ORTHOTICS E
2318 GULL RD STE A
KALAMAZOO 49048
(269) 345-1117
1016450
1516 TRIMBLE AVE
KALAMAZOO 49048
(269) 349-4412
1025598
212 W MILHAM AVE
PORTAGE 49024
(269) 226-2617
PSYCHIATRY
1123727
AILABOUNI, JULIA MD
418 W KALAMAZOO AVE
KALAMAZOO 49007
(269) 373-6000
1121738
BEDI, GOPAL MD
418 W KALAMAZOO AVE
KALAMAZOO 49007
(269) 373-6000
1123757
HEARD, STEPHANIE MD
418 W KALAMAZOO AVE
KALAMAZOO 49007
(269) 373-6000
1090363
HUSSAIN, IQBAL MD
7895 CURRIER DR
PORTAGE 49002
(269) 321-7090
1072760
MOHAMMAD, NIAZ MD
7895 CURRIER DR
PORTAGE 49002
(269) 321-7090
1123880
OLKEN, NORMAN MD
418 W KALAMAZOO AVE
KALAMAZOO 49007
(269) 373-6000
1108725
1530 NICHOLS RD
KALAMAZOO 49006
(269) 343-6700
1123620
VERMA, MAULI MD
418 W KALAMAZOO AVE
KALAMAZOO 49007
(269) 373-6000
3299 GULL RD
KALAMAZOO 49048
(269) 373-5259

1009389
KALAMAZOO COUNTY HCS
PULMONOLOGY
1124629
ABDOH, MAMOUN MD
KALAMAZOO 49048
(269) 345-1161
1084600
KALAMAZOO 49048
(269) 226-5239
1072557
BRUSH, ROBERT E JR MD
KALAMAZOO 49048
(269) 345-1161
1094825
6565 W MAIN STE 210
KALAMAZOO 49001
(269) 969-6099
1127289
DYKSTRA, BRIAN J MD
535 S BURDICK STE 160
KALAMAZOO 49007
(269) 388-5864

Page 273
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
1124586
601 JOHN ST
KALAMAZOO 49007
(269) 341-8481
1099444
GRAMBAU, GEOFFREY R MD
KALAMAZOO 49007
(269) 388-5864
1126365
GRAMBAU, GEOFFREY R MD
535 S BURDICK ST STE 160
KALAMAZOO 49007
(269) 388-5864
1022007
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1072710
KALAMAZOO 49048
(269) 345-1161
1099160
KATZ, WILLIAM M MD
8001 ANGLING RD
PORTAGE 49024
(269) 345-1161
1072682
KATZ, WILLIAM M MD
KALAMAZOO 49048
(269) 345-1161
1125227
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1037352
LADWIG, JASON R MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1072733
LADWIG, JASON R MD
KALAMAZOO 49048
(269) 345-1161
1096241
LOVY, RICHARD DO
KALAMAZOO 49048
(269) 345-1161
1094821
POTEMPA, NADINE F MD
KALAMAZOO 49001
(269) 969-6099
1072780
SNYDER, RONALD G MD
KALAMAZOO 49048
(269) 345-1161
1084739
TEHRANI, REZA M MD
KALAMAZOO 49048
(269) 226-5239
1072663
WARLICK, MICHAEL A MD
KALAMAZOO 49048
(269) 345-1161
RADIATION ONCOLOGY
1125419
DOGGETT, STEPHEN W MD
3000 OLD CENTRE AVE.
PORTAGE 49024
(269) 321-7546
1082289
GROSSHEIM, LINDA D MD
200 N PARK ST
KALAMAZOO 49007
(269) 382-2500
1087156
RADAWSKI, JEFFREY D MD
200 N PARK ST
KALAMAZOO 49007
(269) 382-2500
1125350
SCHROYER, DANIEL MD
200 N PARK
KALAMAZOO 49007
(269) 382-2500
RHEUMATOLOGY
1107650
BOZAITE GLUOSNIENE, RASA MD
KALAMAZOO 49007
(269) 343-3939
1101809
KOCHARLA, LAKSHMI MD
KALAMAZOO 49007
(269) 349-3350
1072762
MOORMAN, HAYDON A MD
2889 S 11TH ST
KALAMAZOO 49009
(269) 343-1247
1123732
SA LEITAO, DAVI MD
2889 S 11TH ST
KALAMAZOO 49009
(269) 343-1247
1102890
VELDERMAN, PHILIP MD
601 JOHN STREET STE M170B
KALAMAZOO 49007
(269) 343-3939

1066311
HEARTLAND HEALTH CARE CENTER- KALAMAZOO
3625 WEST MICHIGAN AVE
KALAMAZOO 49006
(269) 375-4550
1066712
TENDERCARE OF KALAMAZOO
1701 S ELEVENTH ST
KALAMAZOO 49009
(269) 375-2020
1066709
TENDERCARE OF WESTWOOD
2575 N DRAKE RD
KALAMAZOO 49007
(269) 342-0206
1066710
TENDERCARE PORTAGE
7855 CURRIER DR
PORTAGE 49002
(269) 323-7748
1091794
THE LAURELS OF GALESBURG
1080 NORTH 35TH ST
GALESBURG 49053
(616) 665-7043
SLEEP STUDIES
1102935
DIEMER, DOUG PA
3200 CENTRE AVE STE 203
PORTAGE 49024
(269) 324-0799
1101155
DOE, ALICE F MD
KALAMAZOO 49048
(269) 345-1161
1099161
DOE, ALICE F MD
8001 ANGLING RD
PORTAGE 49024
(269) 345-1161
1099445
GOETTING, MARK G MD
3200 W CENTRE AVE STE 203
PORTAGE 49024
(269) 324-0799
SPEECH THERAPY
1116756
5990 VENTURE PARK DR
KALAMAZOO 49009
(269) 532-1470
1075348
PHYSIOTHERAPPY ASSOCIATES INC
5659 STADIUM DR UNIT 1
KALAMAZOO 49009
(269) 372-0436
1080114
REHABILITATION SERVICES
1521 GULL RD
KALAMAZOO 49048
(269) 226-7265
1127989
2575 N DRAKE RD
KALAMAZOO 49007
(269) 342-0206
1127988
TENDERCARE PORTAGE
7855 CURRIER DR
PORTAGE 49002
(269) 323-7748

Page 274
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalamazoo County
SPORTS MEDICINE
1099435
BAKER, ROBERT J MD
315 TURWILL LN
KALAMAZOO 49006
(269) 343-8170
1081321
BAKER, ROBERT J MD
315 TURWILL LN
KALAMAZOO 49006
(269) 343-8170
1072418
2490 S 11TH ST STE 201
KALAMAZOO 49009
(269) 343-1535
1072641
VAJGRT, MARY E MD
2490 SOUTH 11TH STREET STE 201
KALAMAZOO 49009
(269) 343-1535
1119948
VANHUYSEN, JAMES T DO
315 TURWILL LANE
KALAMAZOO 49006
(269) 343-8170
1081320
KALAMAZOO 49007
(269) 349-3350
1099983
KALAMAZOO 49007
(269) 349-3350

1026789
DELUCIA, ALPHONSE III MD
KALAMAZOO 49048
(269) 343-1555
1125342
KANAAN, SAMER A MD
1722 SHAFFER ST
KALAMAZOO 49048
(269) 343-1555
1072683
MARTIN, DAVID E MD
1722 SHAFFER ST
KALAMAZOO 49048
(269) 343-1555
1082886
PRATT, JERRY MD
1722 SHAFFER ST
KALAMAZOO 49048
(269) 343-1555
UROLOGY
1101716
BLIX, GREGOR MD
601 JOHN ST STE M206C
KALAMAZOO 49007
(269) 349-9745
1101678
BOUR, JAMES MD
KALAMAZOO 49007
(269) 349-9745
1090306
BREWTON, KEVIN A MD
KALAMAZOO 49048
(269) 226-6757
1126356
KALAMAZOO 49007
(269) 349-9745
1099431
KALAMAZOO 49048
(269) 349-9745
1101987
ISACKSEN, ROBERT MD
KALAMAZOO 49007
(269) 349-9745
1101763
LUCAS, MARK MD
KALAMAZOO 49007
(269) 349-9745
1126357
POTLURI, SURESH MD
KALAMAZOO 49007
(269) 349-9745
1101958
POTLURI, SURESH MD
KALAMAZOO 49048
(269) 349-9648
1090434
REMYNSE, LOUIS C MD
KALAMAZOO 49048
(269) 226-6757
1101668
RUBENS, BRANDON MD
KALAMAZOO 49048
(269) 349-9648
1090460
SWEENEY, PATRICK J MD
KALAMAZOO 49048
(269) 226-6757
VASCULAR SURGERY
1021818
JAIN, KRISHNA M MD
1815 HENSON AVE
KALAMAZOO 49048
(269) 492-6500
1081432
JAIN, KRISHNA M MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1059014
1815 HENSON AVE
KALAMAZOO 49048
(269) 492-6500
1105241
601 JOHN ST
KALAMAZOO 49007
(269) 341-8481
1125192
KANG, WADE W MD
601 JOHN ST
KALAMAZOO 49007
(269) 341-8481
1081430
MCLAREN, JAMES T MD
1717 SHAFFER ST NORTH PROFESSIONAL #229 KALAMAZOO 49048
(269) 226-5198
1095655
MUNN, JOHN S MD
601 JOHN ST
KALAMAZOO 49007
(269) 341-8481
1020550
MUNN, JOHN S MD
1815 HENSON AVE
KALAMAZOO 49048
(269) 492-6500
1081431
MUNN, JOHN S MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1082097
O'BRIEN, SEAN P MD
KALAMAZOO 49048
(269) 381-4577
1081433
RUMMEL, MARK C MD
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1021368
RUMMEL, MARK C MD
1815 HENSON AVE
KALAMAZOO 49048
(269) 492-6500
1099404
VADDINENI, SARAT K MD
KALAMAZOO 49007
(269) 349-7696
KALKASKA 49646
(231) 929-9090
KALKASKA COUNTY
Kalkaska County

1034321
419 S CORAL ST

Page 275
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kalkaska County
KALKASKA COUNTY (CONTINUED)
1063635
BOROVIK, HARRY R MD
419 S CORAL ST
KALKASKA 49646
(231) 258-7500
419 S CORAL ST
KALKASKA 49646
(231) 258-7500

1100511
KALKASKA MEMORIAL HEALTH CENTER
GASTROENTEROLOGY
1076895
HENBEST, GLEN DO
419 S CORAL ST
KALKASKA 49646
(231) 258-7500
1082840
MILLIKEN, JOHN P MD
419 S CORAL ST
KALKASKA 49646
(231) 258-7500
419 S CORAL ST
KALKASKA 49646
(231) 258-7749
INTERNAL MEDICINE
1125884
BREWSTER, MARK E MD
NURSE MIDWIFE
1016893
MCALLISTER, JANICE L CNM
419 S CORAL ST
KALKASKA 49646
(231) 258-7548
1107535
625 COURTHOUSE DR
KALKASKA 49646
(231) 258-8669
1077901
BUMP, PETER T MD
419 S CORAL ST
KALKASKA 49646
(231) 258-7500
1082839
MADION, TIMOTHY P MD
419 S CORAL ST
KALKASKA 49646
(231) 258-7500
1077903
MCKAY, DOUGLAS L MD
419 S CORAL ST
KALKASKA 49646
(231) 258-7500
OPTOMETRY
1090165
MOLTER, KIMBERLY S OD
882 M 72 NW
KALKASKA 49646
(231) 258-9781
1086086
MOLTER, ROBERT OD
882 M 72 NW
KALKASKA 49646
(231) 258-9781
1089476
VANWAGNEN, JON CHRISTOPHER OD
882 M 72 NW
KALKASKA 49646
(231) 258-9781

1075849
MEYER, KAREN L DO
419 S CORAL ST
KALKASKA 49646
(231) 258-7749
1118313
POOLE, MARSHALL T DO
419 S CORAL ST
KALKASKA 49646
(800) 770-8109
1118314
419 S CORAL ST
KALKASKA 49646
(800) 770-8109
625 COURTHOUSE DR
KALKASKA 49646
(231) 258-8669
330 BARCLAY NE STE 300
GRAND RAPIDS 49503
(616) 391-8810

1106432
Kent County
KENT COUNTY
ADOLESCENT MEDICINE
1039313
LOWERY, LISA M MD
ALLERGY
1006013
MILLAR, MARK M MD
1179 EAST PARIS AVE SE STE 150
GRAND RAPIDS 49546
(616) 957-1912
1082292
MILLER, THOMAS P MD
3185 MACATAWA DR SW STE B
GRANDVILLE 49418
(616) 631-6900
1082291
TOWNLEY, RICHARD R MD
3185 MACATAWA DR SW STE B
GRANDVILLE 49418
(616) 531-6900

1011123
DUBRAVEC, VINCENT A MD
5055 PLAINFIELD AVE NE STE C
GRAND RAPIDS 49525
(616) 988-8515
1082060
STERN, EDWARD T MD
2120 43RD ST SE
GRAND RAPIDS 49508
(616) 455-6700

1003972
PLANNED PARENTHOOD OF WEST & NORTHERN MICHIG 425 CHERRY ST SE
GRAND RAPIDS 49503
(616) 459-3101
1028177
PLANNED PARENTHOOD OF WEST & NORTHERN MICHIG 3641 BYRON CENTER SW
GRAND RAPIDS 49519
(616) 531-3070

Page 276
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County
1022221
ELMOUCHI, DARRYL A MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 752-5000
CARDIOLOGY
1125153
ABDALLAH, WISSAM MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1061537
ALGUIRE, CRAIG T MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1074272
BERKOMPAS, DUANE C MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 267-7060
1101686
BERKOMPAS, DUANE C MD
100 MICHIGAN ST NE STE 8860
GRAND RAPIDS 49503
(616) 391-9415
1076065
BESLEY, DENNIS C MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1073605
CHALFOUN, NAGIB T MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1074275
COLLINS, JAMES S MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1092223
DAVIDSON, ROBERT MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1709
1094143
DICKINSON, MICHAEL G MD
330 BARCLAY AVE NE STE 200
GRAND RAPIDS 49503
(616) 391-2802
1022205
DICKINSON, MICHAEL G MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1108237
FERMIN, DAVID R MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1108308
FERMIN, DAVID R MD
GRAND RAPIDS 49503
(616) 391-2802
1074588
FINTA, BOHUSLAV MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 459-4345
1081879
FRAUENHEIM, WILLIAM A MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1005569
FRITZ, TIMOTHY D MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1073675
GAURI, ANDRE J MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 752-5000
1005559
GROVE, J. ROBERT MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1048225
JACOBY, MARK E MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1118550
JOVINGE, STEFAN V MD
GRAND RAPIDS 49503
(616) 391-5726
1080684
KHURANA, SANDEEP MD
3181 PRAIRIE ST SW STE 112
GRANDVILLE 49418
(616) 780-7015
1081884
LANGHOLZ, DAVID E MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1094142
LANGHOLZ, DAVID E MD
GRAND RAPIDS 49503
(616) 391-2802
1123568
LEE, SANGJIN MD
GRAND RAPIDS 49503
(616) 391-2802
1006575
LOJEK, MICHAEL A MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1117713
MADDER, RYAN D MD
6105 WILSON AVE SW STE 101
GRANDVILLE 49418
(616) 608-8300
1076000
MADDER, RYAN D MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1081880
MAHAJERIN, ALI MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1060863
MANDER, TEJINDER S MD
743 E BELTLINE NE
GRAND RAPIDS 49525
(616) 456-9553
1080624
MANOHAR, PRERANA A MD
5043 CASCADE RD SE
GRAND RAPIDS 49546
(616) 719-5939
1101738
MCNAMARA, MICHAEL W MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 608-8300
1101739
MCNAMARA, MICHAEL W MD
6105 WILSON SW STE 101
GRANDVILLE 49418
(616) 608-8300
1005587
MCNAMARA, RICHARD F MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1060861
MERHI, WILLIAM M DO
743 E BELTLINE NE
GRAND RAPIDS 49525
(616) 456-9553
1109550
MERHI, WILLIAM M DO
100 MICHIGAN ST NE MC 8860
GRAND RAPIDS 49503
(616) 391-9415
1005589
MULLIGAN, J CRAIG DO
5900 BYRON CENTER AVE
GRAND RAPIDS 49519
(616) 885-5000
1081882
MULLIGAN, JOHN C DO
6105 WILSON AVE SW STE 101
GRANDVILLE 49418
(616) 885-5042
1007047
NORMAN, MAURICE J MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1123565
PATEL, MEHUL B MD
100 MICHIGAN ST NE 10TH FL MC 248
GRAND RAPIDS 49503
(616) 267-9150
1005568
RODEN, RAYMOND A MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1097729
SCHMITTNER, JOHN P MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1081122
SHERMAN, HELAYNE L MD
GRAND RAPIDS 49503
(616) 459-8247
1081876
SHERMAN, HELAYNE L MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1109690
SINGH, HARVINDER P MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-9415

Page 277
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County

1060862
743 E BELTLINE NE
GRAND RAPIDS 49525
(616) 456-9553
1081878
VREDENBURG, MICHAEL C DO
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1005517
WOELFEL, ALAN K MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1075090
WOHNS, DAVID H MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1076066
WOLSCHLEGER, KEVIN G MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
CLINICAL GENETICS
1119128
MARK, PAUL R MD
GRAND RAPIDS 49503
(616) 486-6218
1074568
MARK, PAUL R MD
GRAND RAPIDS 49503
(616) 391-2700
GRAND RAPIDS 49503
(616) 486-6218

1092226
DUJOVNY, NADAV MD
DERMATOLOGY
1082094
ANG, GINA C MD
4285 PARKWAY PL SW
GRANDVILLE 49418
(616) 257-3344
1008118
DEKKINGA, JACK A MD
4285 PARKWAY PL SW
GRANDVILLE 49418
(616) 257-3344
1080579
PATEL, DIPA S MD
GRAND RAPIDS 49503
(616) 459-1361
1060140
SANCHEZ, SUZETTE DO
1505 44TH ST
GRAND RAPIDS 49519
(616) 399-9040
1014400
STAWISKI, MAREK A MD
GRAND RAPIDS 49503
(616) 459-1361
1101673
VASQUEZ, J G MD
4285 PARKWAY PL SW
GRANDVILLE 49418
(616) 257-3344
1121983
WAHLGREN, CHRISTINA MD
GRAND RAPIDS 49503
(616) 459-1361
DME - P&O
1001677
AIRWAY OXYGEN INC CLYDON
2955 CLYDON AVE SW
WYOMING 49509
(616) 247-3900
1037508
AIRWAY OXYGEN INC KENTWOOD
2935 MADISON AVE SE
KENTWOOD 49548
(800) 632-0730
1118028
AIRWAY OXYGEN INC PLAINFIELD
5150 PLAINFIELD NE
GRAND RAPIDS 49525
(616) 364-4044
1016344
4513 BROADMOOR AVE SE STE C & D
GRAND RAPIDS 49512
(616) 698-9119
1006651
3125 28TH ST SW
GRANDVILLE 49418
(888) 810-5462
1021315
89 54TH ST SW
KENTWOOD 49548
(888) 810-5462
1122516
3755 BROADMOOR SE STE B
GRAND RAPIDS 49512
(616) 743-0007
1121078
HOME CARE OF MICHIGAN INC
1255 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 486-2950
1116597
LAKE DRIVE DME SLEEP CENTER
4100 LAKE DR STE 100
GRAND RAPIDS 49546
(616) 391-7875
1122517
LINCARE INC
4665 BROADMOOR AVE SE STE 125
GRAND RAPIDS 49512
(616) 656-1458
1074778
METRON HEALTHCARE PRODUCTS
8232 GRAPHIC DR NE
BELMONT 49306
(616) 866-9585
1093881
8113 BELMONT STE A
BELMONT 49306
(616) 863-8908
1017119
MTG MOBILITY
6950 HAMMOND RD SE
CALEDONIA 49316
(616) 698-9910
1095633
7355 CLYDE PARK AVE SW STE 8-I
BYRON CENTER 49315
(800) 736-8276
1084810
PEDIATRIC ORTHOTIC SPECIALISTS
781 KENMOOR AVE SE STE A
GRAND RAPIDS 49546
(616) 956-5556
1023765
PULMONARY HOME CARE-FREMONT
5150 PLAINFIELD NE
GRAND RAPIDS 49525
(616) 364-4044
1026024
3516 ROGER B CHAFFEE
KENTWOOD 49548
(616) 452-8481
1022279
ST MARY'S HOME INFUSION PROGRAM
360 DIVISION AVE S SUITE 1D
GRAND RAPIDS 49503
(616) 685-1111
1016451
4024 PARK EAST CT STE B1
GRAND RAPIDS 49506
(616) 949-4050
1005351
WE CARE MEDICAL INC
1580 LEONARD NW
GRAND RAPIDS 49504
(616) 453-7820
1025597
1021 28TH STREET SW
WYOMING 49509
(616) 531-1340
1032745
2225 MAIN ST STE 150
GRAND RAPIDS 49519
(616) 249-1807
1073048
ZYLSTRA MEDICAL SUPPLY INC
1998 44TH ST SE
GRAND RAPIDS 49508
(616) 827-9290

Page 278
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County

1069819
COX, CLAUDELL MD
1555 44TH ST SW
WYOMING 49509
(616) 249-8000
1069820
COX, CLAUDELL MD
1425 MICHIGAN ST NE STE A
GRAND RAPIDS 49503
(616) 459-4514
1120743
HEAFORD, ANDREW C MD
4069 LAKE DR SE STE 315
GRAND RAPIDS 49546
(616) 267-7758
1019359
MELECA, ROBERT J MD
1555 44TH ST SW STE 200
WYOMING 49509
(616) 249-8000
1069817
MELECA, ROBERT J MD
GRAND RAPIDS 49503
(616) 459-4514
1069815
PFENNIG, THOMAS W DO
GRAND RAPIDS 49503
(616) 459-4514
1068030
PFENNING, THOMAS W DO
1555 44TH ST SW STE 200
WYOMING 49509
(616) 249-8000
1100146
1555 44TH ST SW STE 200
WYOMING 49509
(616) 249-8000
1100148
1425 MICHIGAN NE STE A
GRAND RAPIDS 49503
(616) 249-8000
1068029
TAYLOR, JOSEPH C MD
1555 44TH ST SW
WYOMING 49509
(616) 249-8000
1069813
TAYLOR, JOSEPH C MD
GRAND RAPIDS 49503
(616) 459-4514

1127549
FRESENIUS MEDICAL CARE KENTWOOD
4300 CALLENDAR DR SE
GRAND RAPIDS 49508
(616) 454-1051
1024758
RAI CLYDE PARK WYOMING
4893 CLYDE PARK AVE SW
WYOMING 49509
(616) 531-5353
1095621
RAI ROCKFORD PARK ROCKFORD
311 ROCKFORD DR NE
ROCKFORD 49341
(616) 863-6214
EYEWARE SUPPLIER
1037690
GRO OPTICAL LLC
750 E BELTLINE AVE NE
GRAND RAPIDS 49525
(616) 942-1350
1037687
GRO OPTICAL LLC
80 68TH ST SE SPECTRUM SOUTH
KENTWOOD 49548
(616) 827-0003
1037691
GRO OPTICAL LLC
3300 WALKER VIEW DR
GRAND RAPIDS 49544
(616) 776-7979
1120200
GRO OPTICAL LLC
10047 CROSSROADS CT SE
CALEDONIA 49316
(616) 588-6556
1037689
GRO OPTICAL LLC
4475 WILSON AVE SW
GRANDVILLE 49418
(616) 249-0100
1124997
GRO OPTICAL LLC
6050 NORTHLAND DR NE STE 100
ROCKFORD 49341
(616) 588-6582
GASTROENTEROLOGY
1036861
AZEEM, ASIF MD
1200 E PARIS STE 8
GRAND RAPIDS 49546
(616) 942-6230
1067261
CAMMELL, GREGORY MD
2093 HEALTH DR SW STE 301
GRAND RAPIDS 49519
(616) 241-6380
1021457
COATES, ALLAN G DO
GRAND RAPIDS 49519
(616) 452-7099
1044087
TABOR, DAVID C DO
GRAND RAPIDS 49519
(616) 452-7099
GENERAL SURGERY
1082063
BEANE, JARET A DO
245 CHERRY ST SE STE 102
GRAND RAPIDS 49503
(616) 456-5311
1081519
BLISS, GARY H MD
80 68TH ST SE
KENTWOOD 49548
(616) 391-6220
1055277
BONNELL, BRUCE W MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 394-6488
1081515
FLETTER, BRUCE M MD
GRAND RAPIDS 49503
(616) 391-6243
1081520
FOOTE, JAMES MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-6243
1081514
FOSTER, ANTHONY J MD
GRAND RAPIDS 49503
(616) 391-6243
1081155
GAWEL, JEFFREY C MD
GRAND RAPIDS 49546
(616) 459-4601
1081522
GAWEL, JEFFREY C MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 267-7601
1076083
HAGELBERG, RICHARD S MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1774
1068990
HANF, CHARLES D MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1774
1081526
HOEKSEMA, MARC A MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 394-6488
1080564
MELNIK, MARIANNE K MD
1000 E PARIS AVE SE STE 150
GRAND RAPIDS 49546
(616) 977-6243
1081524
MINKS, KENNETH D MD
GRAND RAPIDS 49503
(616) 391-6243
1081525
OOSTENDORP, LEON D MD
GRAND RAPIDS 49503
(616) 391-6243
1081517
SCHEERES, DAVID E MD
GRAND RAPIDS 49503
(616) 391-6243
1126535
SCHNICKEL, GABRIEL MD
GRAND RAPIDS 49503
(616) 267-2100

Page 279
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County

1054245
SCHOLTEN, DONALD J MD
GRAND RAPIDS 49546
(616) 977-6243
1081518
SCHOLTEN, DONALD J MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 394-6488
1097639
SCHRAM, JON L MD
4100 LAKE DR SE
GRAND RAPIDS 49546
(616) 267-7400
1097638
SCHRAM, JON L MD
GRAND RAPIDS 49503
(616) 391-7999
1093564
SMITH, DEAN MD
GRAND RAPIDS 49503
(616) 391-8635
1075409
VISSER, THOMAS J MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 394-6488
1081528
WILCOX, RICHARD M MD
GRAND RAPIDS 49503
(616) 391-6243
GENETICS
1122190
BUPP, CALEB MD
GRAND RAPIDS 49503
(616) 391-2700
1122189
BUPP, CALEB MD
GRAND RAPIDS 49503
(616) 486-6218
1081544
HIEMENGA, JUDITH A MD
GRAND RAPIDS 49503
(616) 391-2700
1090591
MARK, PAUL MD
GRAND RAPIDS 49503
(616) 267-2601
GYN ONCOLOGY
1125183
SCHINK, JULIAN C MD
GRAND RAPIDS 49503
(616) 486-6218
1125377
SEAMON, LEIGH M DO MPH
GRAND RAPIDS 49503
(616) 486-6218
HAND SURGERY
1076287
CONDIT, DONALD P MD
GRAND RAPIDS 49503
(616) 391-6243
1090549
LIVINGSTON, ANDREW MD
GRAND RAPIDS 49503
(616) 391-6243
1093549
MEAD, MARILEE MD
GRAND RAPIDS 49503
(616) 391-6243

1023739
ADVANCED AUDIOLOGY HEARING
2020 RAYBROOK AVE SE STE 206
GRAND RAPIDS 49546
(616) 977-0379
1083216
HEAR USA
751B KENMOOR SE
GRAND RAPIDS 49546
(616) 942-1660
1067908
SONUS CEDAR SPRINGS
44 N PARK ST
CEDAR SPRINGS 49319
(616) 866-1909
1067905
SONUS GRAND RAPIDS EAST
4081 CASCADE RD SE STE 200
GRAND RAPIDS 49546
(616) 957-1856
1067906
SONUS GRAND RAPIDS WEST
2660 44TH ST STE 400
GRAND RAPIDS 49519
(616) 530-8100
1083217
THE HEARING CLINIC
4301 CANAL SW
GRANDVILLE 49418
(616) 257-7880
1026888
WESTERN MICHIGAN HEARING SERVICES
4232 29TH ST SE
GRAND RAPIDS 49512
(800) 875-6567
1120560
AL-HOMSI, AHMAD MD
GRAND RAPIDS 49503
(616) 486-5933
1076966
CAMPBELL, ALAN D MD
GRAND RAPIDS 49503
(616) 954-9800
1124758
CHEN, YUANBIN MD
GRAND RAPIDS 49503
(616) 954-9800
1074080
GRIBBIN, THOMAS MD
145 MICHIGAN NE SUITE 3100
GRAND RAPIDS 49503
(616) 954-9800
1109710
KAKARALA, MADHURI MD
GRAND RAPIDS 49503
(616) 685-5600
1123635
KRAJEWSKI, KENNETH MD
GRAND RAPIDS 49503
(616) 685-5600
1077991
LAKHANI, NEHAL J MD
GRAND RAPIDS 49503
(616) 954-9800
1091020
POLAVARAM, LATHA S MD
GRAND RAPIDS 49503
(616) 685-5600
1091021
POLAVARAM, LATHA S MD
GRAND RAPIDS 49503
(616) 954-9800
1109708
SANTOS, ERIC C MD
GRAND RAPIDS 49503
(616) 685-5600
1092502
SANTOS, ERIC C MD
145 MICHIGAN NE STE 3100
GRAND RAPIDS 49503
(616) 954-9800
1082159
VANDER WOUDE, AMY C MD
GRAND RAPIDS 49503
(616) 954-9800
HOME HEALTH CARE

1078129
4437 BYRON CENTER RD SW
GRAND RAPIDS 49519
(616) 261-5189
1074148
4069 LAKE DR SE STE B11
GRAND RAPIDS 49546
(800) 379-1600

Page 280
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County

1095828
3280 BELTLINE COURT NE STE 200
GRAND RAPIDS 49525
(616) 361-3940
1002812
HEARTLAND HOME HEALTH CARE GRAND RAPIDS
3230 EAGLE PARK DR NE STE 200
GRAND RAPIDS 49525
(616) 942-7733
HOSPICE
1074149
4069 LAKE DR SE STE B11
GRAND RAPIDS 49546
(800) 379-1600
1096301
GRAND RAPIDS 49525
(616) 956-0636
1102988
HOSPICE OF MICHIGAN
989 SPAULDING AVE SE
ADA 49301
(888) 247-5701

1009957
CORAM ALTERNATE SITE SERVICES
4334 BROCKTON DR SE STE D
GRAND RAPIDS 49512
(616) 698-0272
1121076
1255 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 486-2950
1109487
LINCARE INC
3631 44TH ST N STE C
GRAND RAPIDS 49512
(616) 554-3530
INTERNAL MEDICINE
1081165
ARBOLEDA, IANTHE A MD
1840 WEALTHY ST SE
GRAND RAPIDS 49506
(616) 486-6771
1122978
BOYDEN, THOMAS MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1092589
CAMPBELL, JOHN N MD
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1081885
DECKER, JEFFREY M MD
2900 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 885-5000
1095637
DEWEESE, PAUL N MD
358 68TH ST SW
KENTWOOD 49548
(616) 773-7246
1076121
EISENGA, BERNARD H MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-9098
1081532
EISENGA, BERNARD H MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-9098
1081167
HAMMOUD, RAMADAN A MD
1840 WEALTHY ST SE
GRAND RAPIDS 49506
(616) 486-6771
1081538
KNIBBE, JEFFRY D MD
1840 WEALTHY ST SE MC 423
GRAND RAPIDS 49506
(616) 774-1613
1081536
LANGDON, CHARLES M MD
2332 ALPINE AVE NW
GRAND RAPIDS 49544
(616) 391-6220
1034786
MCCARTHY, ANNE M MD
GRAND RAPIDS 49503
(616) 391-8810
1117645
OMAIRA, MOHAMMAD MD
GRAND RAPIDS 49503
(616) 486-5933
1117644
OMAIRA, MOHAMMAD MD
GRAND RAPIDS 49503
(616) 486-5933
1124734
POLAND, CARA MD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1093558
QADIR, SOHAIL MD
GRAND RAPIDS 49503
(616) 391-3777
1081169
RIZWAN, ATIF MD
1840 WEALTHY ST SE
GRAND RAPIDS 49506
(616) 486-6771
1096367
SCHMITTNER, JOHN MD
GRAND RAPIDS 49503
(616) 391-2802
1067567
SHAH, RIMA MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-3785
1035072
SUBRAMANIAN, JEEVARATHNA MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-3785
1081533
TAVERA, CARLOS E MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-3785
1081171
VASANTHAN, MALAR MD
1840 WEALTHY ST SE
GRAND RAPIDS 49506
(616) 486-6771
GRAND RAPIDS 49546
(616) 285-3310

1061912
CUMMISKEY, KAREN C MD
MRI CENTER
1099576
SPECTRUM HEALTH MEDICAL GROUP
GRAND RAPIDS 49546
(616) 267-7800
1099575
GRAND RAPIDS 49546
(616) 267-2626
100 MICHIGAN ST NE 3W
GRAND RAPIDS 49503
(616) 391-1714
NEONATOLOGY
1086988
HDCH NEONATOLOGY
NEPHROLOGY
1038384
BOELKINS, MARK R MD
330 E BELTLINE AVE NE STE 100
GRAND RAPIDS 49506
(616) 752-6235
1066580
FILIPPOVA, KSENIYA V MD
GRAND RAPIDS 49506
(616) 752-6235

Page 281
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County
1041307
GARBACCIO, ALBERTA A MD
GRAND RAPIDS 49506
(616) 752-6235
1091621
GOEL, SAURABH K MD
GRAND RAPIDS 49506
(616) 752-6235
1061955
GOUSHAW, PHILIP J MD
GRAND RAPIDS 49506
(616) 752-6235
1066270
GRATIOT-DEANS, JEANNE M MD
GRAND RAPIDS 49506
(616) 752-6235
1101718
HOFMANN, RONALD M MD
GRAND RAPIDS 49506
(616) 752-6235
1046353
KRUTUL, ANDREW J MD
GRAND RAPIDS 49506
(616) 752-6235
1069120
LEGAULT, DANIEL J MD
GRAND RAPIDS 49506
(616) 752-6235
1082072
SANTHANA KRISHNAN, SRIVILLIPUTTUR G MD
GRAND RAPIDS 49506
(616) 752-6235
1082069
SLATON, BYRON T MD
GRAND RAPIDS 49506
(616) 752-6235
1082071
TINAWI, MOHAMMAD MD
GRAND RAPIDS 49506
(616) 752-6235
1082070
UNRUH, MICHAEL J MD
GRAND RAPIDS 49506
(616) 752-6235
1064675
VISSER, JAMES A MD
GRAND RAPIDS 49506
(616) 752-6235
NEURO SURGERY
1101644
ASADI MOGHADDAM, KAVEH MD PHD
35 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 267-2500
1116967
FOODY, LAWRENCE T MD
GRAND RAPIDS 49503
(616) 267-7900
1062851
FOODY, LAWRENCE T MD
GRAND RAPIDS 49503
(616) 267-2570
1060400
SKARLI, STANLEY MD
412 PLYMOUTH NE
GRAND RAPIDS 49505
(616) 454-3465
1118603
SZYMCZAK, ARTUR MD
GRAND RAPIDS 49503
(616) 267-7900
1118604
SZYMCZAK, ARTUR MD
GRAND RAPIDS 49503
(616) 267-2570
NEUROLOGY
1080822
BUTZER, JOHN F MD
235 WEALTHY ST SE STE 100
GRAND RAPIDS 49503
(616) 493-9724
1081129
DEROOS, STEVEN T MD
GRAND RAPIDS 49503
(616) 267-2500
1081128
DODGE, NANCY N MD
GRAND RAPIDS 49503
(616) 267-2009
1089076
HINGTGEN, CYNTHIA MD
GRAND RAPIDS 49503
(616) 391-8810
1006661
MILLER, GARY L DO
2000 BURTON SE
GRAND RAPIDS 49506
(616) 241-1122
1106837
RAPP, STANFORD DO
551 36TH ST SE UNIT D
KENTWOOD 49548
(616) 431-2001
1062631
UMFLEET, JASON T MD
GRAND RAPIDS 49503
(616) 267-2500
NURSE MIDWIFE
1106758
DANIELS, BRENDA M CNM
GRAND RAPIDS 49503
(616) 458-7591
1093399
550 CHERRY ST SE
GRAND RAPIDS 49503
(616) 235-7272
1106759
80 68TH ST SE
KENTWOOD 49548
(616) 532-1410
1082162
KOOPMAN, WENDY J CNP
GRAND RAPIDS 49503
(616) 954-9800
1100810
RENN, NANCY K CNM
669 STOCKING AVE
GRAND RAPIDS 49504
(616) 235-1480
1082224
RENN, NANCY K CNM
1215 FULTON ST E
GRAND RAPIDS 49503
(616) 459-9468

1096213
O'BRIEN, HOLLY NP
80 68TH ST SE STE 301
KENTWOOD 49548
(616) 532-1410
1096212
O'BRIEN, HOLLY NP
GRAND RAPIDS 49503
(616) 458-7591
1095079
ROSSMAN, CAROL NP
1215 FULTON ST E
GRAND RAPIDS 49503
(616) 459-9468
1096297
TAYLOR, MARJORIE NP
KENTWOOD 49548
(616) 532-1410
1096296
TAYLOR, MARJORIE NP
GRAND RAPIDS 49503
(616) 458-7591
OBSTETRICS
1046326
BALASKAS, THOMAS N MD
GRAND RAPIDS 49546
(616) 285-3310
1107630
NEWTON, CHARLES MD
425 CHERRY ST SE
GRAND RAPIDS 49503
(616) 459-3101

Page 282
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County
OBSTETRICS (CONTINUED)
1107629
NEWTON, CHARLES MD
3641 BYRON CENTER SW
GRAND RAPIDS 49519
(616) 531-3070
1104411
WISEBAKER, SANDRA MD
425 CHERRY ST SE
GRAND RAPIDS 49503
(616) 459-3101
1097624
ANDERSSON-ZETYE, LISA A MD
KENTWOOD 49548
(616) 532-1410
1069615
BACKUS WALZER, MICHELLE A MD
GRAND RAPIDS 49503
(616) 391-2160
1125315
BOWES, ROBERT MD
GRAND RAPIDS 49503
(616) 391-2160
1025953
BRADLEY, BARBARA J MD
GRAND RAPIDS 49503
(616) 391-2160
1109338
BROWN, ADRIENNE MD
80 69TH SE STE 301
KENTWOOD 49548
(616) 532-1410
1109337
BROWN, ADRIENNE MD
GRAND RAPIDS 49503
(616) 458-7591
1081472
CALDWELL, REBECCA MD
GRAND RAPIDS 49503
(616) 391-2160
1082202
CALDWELL, REBECCA MD
80 68TH ST SE # 301
KENTWOOD 49548
(616) 532-1410
1082200
CHESHIER-ALVARADO, JEANNE E MD
80 68TH ST SE # 301
KENTWOOD 49548
(616) 532-1410
1055329
COTTINGHAM, JANE K MD
4249 PARKWAY PL SW
GRANDVILLE 49418
(616) 774-7035
1042769
CRAIG, JEAN A MD
GRAND RAPIDS 49503
(616) 391-2160
1081779
DIETRICH, EMILY E MD
GRAND RAPIDS 49503
(616) 774-7035
1081781
DOOD, JEFFREY J MD
GRAND RAPIDS 49503
(616) 774-7035
1081784
ELDERKIN, RENEE J MD
221 MICHIGAN NE STE 600
GRAND RAPIDS 49503
(616) 774-7035
1048231
FREEBURGER, LARA A MD
GRAND RAPIDS 49503
(616) 391-2160
1122129
GRIFFITH, ANNA M MD
3641 BYRON CENTER AVE SW
GRAND RAPIDS 49519
(616) 531-3070
1122130
GRIFFITH, ANNA M MD
425 CHERRY ST SE
GRAND RAPIDS 49503
(616) 459-3101
1081787
HICKS, SUSAN K DO
GRAND RAPIDS 49503
(616) 774-7035
1048155
JELSEMA, RUSSEL D MD
GRAND RAPIDS 49503
(616) 774-7035
1040796
JOHNSON, MELINDA E MD
4249 PARKWAY PL SW
GRANDVILLE 49418
(616) 774-7035
1081473
JOHNSON, MELINDA E MD
GRAND RAPIDS 49503
(616) 391-2160
1016617
KREUZE, DAVID A MD
GRAND RAPIDS 49503
(616) 774-7035
1126844
LAGRAND, JOHN P MD
GRAND RAPIDS 49503
(616) 391-2160
1096327
LIGON, DORSEY MD
GRAND RAPIDS 49503
(616) 458-7591
1042550
LIGON, DORSEY MD
KENTWOOD 49548
(616) 532-1410
1082203
LIM, SOMI MD
KENTWOOD 49548
(616) 532-1410
1096337
LIM, SOMI MD
GRAND RAPIDS 49503
(616) 458-7591
1077852
OLDENBERG, KRISTIN S MD
GRAND RAPIDS 49503
(616) 391-2160
1068018
OLSON, DARLA M MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1730
1028006
OLSON, DARLA M MD
GRAND RAPIDS 49503
(616) 774-7035
1081476
OLSON, DARLA M MD
330 BARLCAY AVE NE STE 304
GRAND RAPIDS 49503
(616) 391-2160
1076608
PRANGER, NANCY MD
550 CHERRY ST SE
GRAND RAPIDS 49503
(616) 235-7272
1081785
RECHNER, STEPHEN F MD
GRAND RAPIDS 49503
(616) 774-7035
1081478
GRAND RAPIDS 49503
(616) 391-2160
1057346
ROBERTS, ROBERT JR MD
GRAND RAPIDS 49503
(616) 391-2160
1020128
ROBERTS, ROBERT P JR MD
781 KENMOOR SE
GRAND RAPIDS 49546
(616) 726-1300
1081780
ROHN, FRED A III MD
4249 PARKWAY PLACE
GRANDVILLE 49418
(616) 774-7035
1082199
SCHEXNAYDRE, EVON L MD
KENTWOOD 49548
(616) 532-1410
1125298
SNYDER, LINDSAY MD
GRAND RAPIDS 49503
(616) 391-2160
1081782
STEENSMA, MARKA MD
GRAND RAPIDS 49503
(616) 774-7035
1081474
TABER, RODMAN M MD
GRAND RAPIDS 49503
(616) 391-2160
1016618
VAN SLOOTEN, ANDREW J MD
GRAND RAPIDS 49503
(616) 774-7035

Page 283
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County

1081786
VANDENBOSCH, SUSAN L MD
GRAND RAPIDS 49503
(616) 774-7035
1096164
VANVALKENBURG, REBECCA DO
GRAND RAPIDS 49503
(616) 458-7591
1082201
VANVALKENBURG, REBECCA DO
KENTWOOD 49548
(616) 532-1410
1119178
425 CHERRY ST SE
GRAND RAPIDS 49503
(616) 459-3101
1119179
GRAND RAPIDS 49519
(616) 531-3070
1081783
WERKEMA, MICHAEL S MD
GRAND RAPIDS 49503
(616) 774-7035
1093580
WISEBAKER, SANDRA MD
GRAND RAPIDS 49503
(616) 391-2160
2303 KALAMAZOO
GRAND RAPIDS 49507
(616) 965-8390
1102954
ZUIDGEST, PAMELA MD
ONCOLOGY
1082168
BRINKER, BRETT T MD
GRAND RAPIDS 49503
(616) 954-9800
1082172
BURY, MARTIN J MD
GRAND RAPIDS 49503
(616) 954-9800
1081098
BURY, MARTIN J MD
5950 METRO WAY SW
GRAND RAPIDS 49519
(616) 252-8100
1041801
CAMPBELL, MARK MD
GRAND RAPIDS 49503
(616) 954-9800
1109692
GRIBBIN, THOMAS E MD
GRAND RAPIDS 49503
(616) 685-5600
1067987
O'ROURKE, TIMOTHY J MD
GRAND RAPIDS 49503
(616) 954-9800
1007454
PAWL, LAWRENCE E MD
233 FULTON ST E STE 226
GRAND RAPIDS 49503
(616) 456-8115
1082174
ROTMAN, RICHARD K MD
GRAND RAPIDS 49503
(616) 954-9800
1082177
SCOTT, WILLIAM L MD
GRAND RAPIDS 49503
(616) 685-5600
1120537
WILLIAMS, STEPHANIE F MD
GRAND RAPIDS 49503
(616) 486-5933
1082170
YOST, KATHLEEN J MD
GRAND RAPIDS 49503
(616) 954-9800
1082173
ZAKEM, MICHAEL H DO
GRAND RAPIDS 49503
(616) 954-9800
1081099
ZAKEM, MICHAEL H DO
5950 METRO WAY SW
GRAND RAPIDS 49519
(616) 252-8100
OPHTHALMOLOGY
1041072
AABERG, THOMAS M JR MD
2757 LEONARD ST NE STE 200
GRAND RAPIDS 49525
(616) 954-2020
1034223
BARRETT, DAVID J MD
80 68TH ST SE
KENTWOOD 49548
(616) 949-2600
1034222
BARRETT, DAVID J MD
4475 WILSON AVE SW
GRANDVILLE 49418
(616) 949-2600
1007098
BARRETT, DAVID J MD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1034221
BARRETT, DAVID J MD
3300 WALKER VIEW DR NW
GRAND RAPIDS 49525
(616) 949-2600
1011416
BENNINGER, RICHARD H MD
GRAND RAPIDS 49503
(616) 459-3713
1035486
BOYLE, MICHAEL MD
GRAND RAPIDS 49544
(616) 949-2600
1035995
BOYLE, MICHAEL MD
4475 WILSON AVE SW
GRANDVILLE 49418
(616) 949-2600
1037068
BOYLE, MICHAEL MD
GRAND RAPIDS 49525
(616) 949-2600
1037069
BOYLE, MICHAEL MD
80 68TH ST SE
KENTWOOD 49548
(616) 949-2600
1034217
COWDEN, THOMAS P MD
80 68TH ST SE
KENTWOOD 49548
(616) 949-2600
1013358
COWDEN, THOMAS P MD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1034216
COWDEN, THOMAS P MD
4475 WILSON AVE SW
GRANDVILLE 49418
(616) 949-2600
1006705
COWDEN, THOMAS P MD
GRAND RAPIDS 49544
(616) 949-2600
1058267
CRAWFORD, MICHAEL J MD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1061091
FLOHR, MICHAEL J MD
1335 W MAIN ST STE A
LOWELL 49331
(616) 897-7000
1027708
GARBER, FRANK W MD
2505 E PARIS AVE STE 100
GRAND RAPIDS 49546
(616) 285-1200
1068319
GEDDIE, BROOKE E DO
35 MICHIGAN ST NE SE 5101
GRAND RAPIDS 49503
(616) 267-2605
1006054
GINDZIN, YOSEF MD
GRAND RAPIDS 49544
(616) 949-2600
1027707
GLAZER, LOUIS C MD
GRAND RAPIDS 49546
(616) 285-1200

Page 284
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County
1005577
HARRISON, MICHAEL D MD
435 CHERRY ST SE
GRAND RAPIDS 49503
(616) 776-0016
1007408
KENDALL, KENYON S DO
GRAND RAPIDS 49525
(616) 949-2600
1074722
MARGHERIO, ALAN R MD
GRAND RAPIDS 49546
(616) 942-2406
1027031
MUALLEM, MARCUS S MD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1033483
GRAND RAPIDS 49544
(616) 949-2600
1033481
4475 WILSON AVE SW
GRANDVILLE 49418
(616) 949-2600
1033479
PIIPPO, LAURA J MD
4475 WILSON AVE SW
GRANDVILLE 49418
(616) 949-2600
1008385
PIIPPO, LAURA J MD
80 68TH ST SE
KENTWOOD 49548
(616) 949-2600
1081743
RAPHAELIAN, PAUL V MD
GRAND RAPIDS 49546
(616) 942-2406
1043366
RENUCCI, ANN M MD
GRAND RAPIDS 49546
(616) 949-2001
1033478
ROOSENBERG, ROBERT J MD
GRAND RAPIDS 49544
(616) 949-2600
1006465
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1033477
4475 WILSON AVE SW
GRANDVILLE 49418
(616) 949-2600
1005615
SHELDON, MARK E MD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1043704
SIEBERT, KARL J MD
GRAND RAPIDS 49546
(616) 949-2001
1005734
VANDERVEEN, GILBERT J MD
GRAND RAPIDS 49544
(616) 949-2600
1044297
VERDIER, DAVID D MD
GRAND RAPIDS 49546
(616) 949-2001
1033475
WEBER, RUSSELL SCOTT MD
4475 WILSON AVE SW
GRANDVILLE 49418
(616) 949-2600
1005574
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1033474
GRAND RAPIDS 49544
(616) 949-2600
1077087
WESTHOUSE, SCOTT J DO
2757 LEONARD ST NE STE 200
GRAND RAPIDS 49525
(616) 954-2020
1082241
ZHEUTLIN, JEFFREY D MD
GRAND RAPIDS 49546
(616) 285-1200
OPTOMETRY
1104836
ANDRUS, SHAWN M OD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1078242
BAKER, MEAGAN OD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1062870
GRAND RAPIDS 49525
(616) 949-2600
1062868
80 68TH ST SE
KENTWOOD 49548
(616) 949-2600
1062866
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1122039
2500 E BELTLINE SE
GRAND RAPIDS 49546
(616) 245-6300
1122040
3150 ALPINE AVE NW
GRAND RAPIDS 49544
(616) 363-9831
1122043
5150 NORTHLAND DR NE
GRAND RAPIDS 49525
(616) 364-4099
1122038
1829 MARKETPLACE DR
CALEDONIA 49316
(616) 541-2111
1114528
3150 ALPINE AVE NW UNIT C
GRAND RAPIDS 49544
(616) 363-9831
1114524
1829 MARKETPLACE DR
CALEDONIA 49316
(616) 541-2111
1104340
BOS, KEVIN OD
1720 PLAINFIELD NE
GRAND RAPIDS 49505
(616) 776-5120
1104342
BOS, KEVIN OD
2055 ROSEWOOD AVE SE
GRAND RAPIDS 49506
(616) 776-5110
1104341
BOS, KEVIN OD
1800 TREMONT BLVD NW
GRAND RAPIDS 49504
(616) 791-6593
1098325
CARLSON, ADAM OD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1033498
CHORYAN, GERARD OD
4475 WILSON AVE SW
GRANDVILLE 49418
(616) 949-2600
1086245
COON, KIERSTEN OD
144 MONROE CENTER NW
GRAND RAPIDS 49503
(616) 459-0641
1033493
CRANK, JAY OD
80 68TH ST SE
KENTWOOD 49548
(616) 949-2600
1059633
DANKO, ANTHONY OD
GRAND RAPIDS 49525
(616) 365-7600
1059632
DANKO, ANTHONY OD
507 E DIVISION
ROCKFORD 49341
(616) 866-3933
1095233
DANKO, ANTHONY OD
6749 CASCADE RD
GRAND RAPIDS 49546
(616) 957-3099
1072923
DEKUIPER, LEWIS OD
GRAND RAPIDS 49544
(616) 949-2600

Page 285
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County
1072919
DEKUIPER, LEWIS OD
4475 WILSON AVE SW
GRANDVILLE 49418
(616) 949-2600
1072918
DEKUIPER, LEWIS OD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1007279
DENBRABER, DAVID M OD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1033494
DUNNING, THOMAS OD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1059635
EAVEY, SHERAH OD
4191 PLAINFIELD
GRAND RAPIDS 49525
(616) 364-8144
1059634
EAVEY, SHERAH OD
3083 28TH ST SE
GRAND RAPIDS 49508
(616) 949-8974
1093444
EHLE, KELLY OD
2500 E BELTLINE SE
GRAND RAPIDS 49546
(616) 245-6300
1093443
EHLE, KELLY OD
1829 MARKETPLACE DR
CALEDONIA 49316
(616) 538-6511
1093442
EHLE, KELLY OD
3150 ALPINE AVE NW UNIT F
GRAND RAPIDS 49544
(616) 363-9831
1093445
EHLE, KELLY OD
GRAND RAPIDS 49525
(616) 364-4099
1095234
FITZGIBBON, AMY OD
3083 28TH ST SE
GRAND RAPIDS 49512
(616) 949-8974
1060036
FITZGIBBON, AMY OD
4565 WILSON AVE SW
GRANDVILLE 49418
(616) 249-8490
1060035
FITZGIBBON, AMY OD
2350 44TH ST SE
GRAND RAPIDS 49508
(616) 281-1011
1086179
FONGER, GENE OD
GRAND RAPIDS 49503
(616) 459-0641
1085523
FOWLE, GARY J OD
120 MARCELL DR STE A
ROCKFORD 49341
(616) 866-0140
1104707
FOX, ANNAH OD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1072905
GDOWSKI, NICOLE OD
4475 WILSON AVE SW
GRANDVILLE 49418
(616) 949-2600
1072909
GDOWSKI, NICOLE OD
GRAND RAPIDS 49544
(616) 949-2600
1072904
GDOWSKI, NICOLE OD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1086244
GORDON, HEIDI OD
GRAND RAPIDS 49503
(616) 459-0641
1008632
HAMILTON, CHARLENE I OD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1033497
80 68TH ST SE
KENTWOOD 49548
(616) 949-2600
1033496
GRAND RAPIDS 49544
(616) 949-2600
1096216
HELMS, STEVEN OD
4191 PLAINFIELD
GRAND RAPIDS 49525
(616) 364-8144
1096215
HELMS, STEVEN OD
4022 PLAINFIELD AVE NE
GRAND RAPIDS 49525
(616) 363-1868
1096217
HELMS, STEVEN OD
6749 CASCADE RD
GRAND RAPIDS 49546
(616) 957-3099
1059631
HIGLEY, DAVID OD
4482 LAKE MICHIGAN DR
GRAND RAPIDS 49534
(616) 791-6944
1059630
HIGLEY, DAVID OD
3576 ALPINE AVE NW
GRAND RAPIDS 49504
(616) 784-4999
1033500
HOLLENBECK, RACHEL OD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1055233
HONHOLT, BRUCE OD
2500 E BELTLINE RD SE
GRAND RAPIDS 49546
(616) 245-6300
1055234
HONHOLT, BRUCE OD
5150 NORTHLAND DR NE STE B
GRAND RAPIDS 49525
(616) 364-4099
1055236
HONHOLT, BRUCE OD
3150 ALPINE AVE NE UNIT F
GRAND RAPIDS 49544
(616) 363-9831
1073842
HONHOLT, BRUCE OD
1829 MARKETPLACE DR
CALEDONIA 49316
(616) 538-6511
1101335
HUIZENGA, ANGELA OD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1095237
JACQUEMIN, MICHAEL OD
3576 ALPINE AVE NW
GRAND RAPIDS 49504
(616) 784-4999
1095236
3083 28TH ST SE
GRAND RAPIDS 49512
(616) 949-8974
1095238
JAMMER, ANGELA OD
GRAND RAPIDS 49534
(616) 791-6944
1083812
KALACZINSKI, LILLIAN THORP OD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1098449
KAYNER, JILL OD
GRAND RAPIDS 49525
(616) 364-4099
1098440
KAYNER, JILL OD
3150 ALPINE AVE NW UNIT C
GRAND RAPIDS 49544
(616) 363-9831
1098435
KAYNER, JILL OD
GRAND RAPIDS 49546
(616) 245-6300
1073849
KENNEDY, PAUL OD
1829 MARKETPLACE DR
CALEDONIA 49316
(616) 538-6511
1095686
KENNEDY, PAUL OD
GRAND RAPIDS 49544
(616) 363-9831
1061088
KRESNAK, CHAD M OD
LOWELL 49331
(616) 897-7000
1086355
LEBARON, TROY OD
6750 KALAMAZOO AVE SE
GRAND RAPIDS 49508
(616) 656-0505
1059639
MAIER, STACY OD
1717 28TH ST SE
WYOMING 49509
(616) 531-4370

Page 286
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County

1078244
MIKA, RENEE OD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1097804
MORGAN, GREGORY R OD
GRAND RAPIDS 49506
(616) 554-7775
1097802
1888 BRETON RD SE
GRAND RAPIDS 49506
(616) 949-9660
1097803
GRAND RAPIDS 49525
(616) 363-1868
1117976
2350 44TH ST SE
GRAND RAPIDS 49508
(269) 342-0003
1078311
MOULDS, KEITH OD
4643 ALPINE AVE NW
COMSTOCK PARK 49321
(616) 784-8700
1023984
PATERA, GREGORY L OD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1072912
PRUIS, ROSANNE OD
4475 WILSON AVE SW
GRANDVILLE 49418
(616) 949-2600
1072916
PRUIS, ROSANNE OD
GRAND RAPIDS 49544
(616) 949-2600
1072911
PRUIS, ROSANNE OD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 588-6506
1059646
ROMANYK, MARTHA OD
6749 CASCADE RD
GRAND RAPIDS 49546
(616) 957-3099
1084230
RUSSELL, MANDY OD
120 MARCELL DR STE A
ROCKFORD 49341
(616) 866-0140
1098422
SANDIFER, BRUCE OD
3576 ALPINE AVE NW
GRAND RAPIDS 49504
(616) 784-4999
1078838
SCHAD, JENNIFER OD
LOWELL 49331
(616) 897-7000
1055232
SCHULTZ, WILLIAM OD
5428 S DIVISION
KENTWOOD 49548
(616) 538-6511
1073877
SCHULTZ, WILLIAM OD
1829 MARKETPLACE DR
CALEDONIA 49316
(616) 538-6511
1073876
SCHULTZ, WILLIAM OD
5150 NORTHLAND DR NE STE B
GRAND RAPIDS 49525
(616) 364-4099
1073874
SCHULTZ, WILLIAM OD
GRAND RAPIDS 49546
(616) 245-6300
1073875
SCHULTZ, WILLIAM OD
GRAND RAPIDS 49544
(616) 363-9831
1106073
STANEK, SHANNON OD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1086404
SWAN, MARK OD
25 N MAIN ST
ROCKFORD 49341
(616) 866-3077
1033485
VANDERLUGT, PHILIP OD
GRAND RAPIDS 49544
(616) 949-2600
1033492
VANDERLUGT, PHILIP OD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1106344
VELDKAMP, ABIGAIL OD
750 E BELTLINE NE
GRAND RAPIDS 49525
(616) 949-2600
1095136
WILLIAMS, RENEE L OD
GRAND RAPIDS 49546
(616) 285-1200
ORTHOPEDIC SURGERY
1092207
BEREZA, RICHARD A MD
GRAND RAPIDS 49503
(616) 391-6243
1081177
FORNESS, MICHAEL J DO
GRAND RAPIDS 49503
(616) 267-2600
1089550
GOLLADAY, GREGORY MD
GRAND RAPIDS 49503
(616) 391-6243
1074755
JABARA, MICHAEL MD
GRAND RAPIDS 49503
(616) 391-6243
1119236
KAMPS, BRYAN S MD
GRAND RAPIDS 49503
(616) 391-6243
1101694
KEMPPAINEN, JOHN W MD
GRAND RAPIDS 49503
(616) 267-2600
1081547
LOVELL III, RANDY F MD
2332 ALPINE AVE NW
GRAND RAPIDS 49544
(616) 391-6220
1062733
MAPLES, DAYLE L MD
GRAND RAPIDS 49503
(616) 267-2600
1081549
MASKILL, JOHN D MD
2332 ALPINE AVE NW
GRAND RAPIDS 49544
(616) 391-6220
1081176
MASKILL, LISA MD
GRAND RAPIDS 49503
(616) 267-2600
1075858
RISPLER, DAVID T MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-6243
1093324
ROBERTS, KARL C MD
GRAND RAPIDS 49503
(616) 391-6243
1081546
SHERRY, CHARLES C DO
GRAND RAPIDS 49503
(616) 391-6243
1081548
SQUIRES, JASON A DO
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-6243
1081764
TAN, GISELLE J MD
1111 LEFFINGWELL AVE NE
GRAND RAPIDS 49525
(616) 459-7101
1080215
ZIETZ, PATRICK M MD
GRAND RAPIDS 49503
(616) 391-6243

1092197
ANDERSON, JOHN MD
GRAND RAPIDS 49503
(616) 391-6243
1092201
ASPERHEIM, MARK MD
GRAND RAPIDS 49503
(616) 391-6243

Page 287
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County
ORTHOPEDIC SURGERY-FOOT AND ANKLE (CONTINUED)

1092202
BAKEMAN, JAMES MD
GRAND RAPIDS 49503
(616) 391-6243
1092207
BEREZA, RICHARD A MD
GRAND RAPIDS 49503
(616) 391-6243
1092208
BIELEMA, DAVID MD
GRAND RAPIDS 49503
(616) 391-6243
1096331
BOHAY, DONALD MD
GRAND RAPIDS 49503
(616) 391-6243
1092210
BROWN, JOSEPH DO
GRAND RAPIDS 49503
(616) 391-6243
1092215
BURGESS, SCOTT MD
GRAND RAPIDS 49503
(616) 391-6243
1089993
DAY, SUSAN MD
GRAND RAPIDS 49503
(616) 391-6243
1037983
DEMAAGD, ROBERT MD
GRAND RAPIDS 49503
(616) 391-6243
1092224
DENIEL, MELISSA MD
GRAND RAPIDS 49503
(616) 391-6243
1092227
EASTON, KENNETH MD
GRAND RAPIDS 49503
(616) 391-6243
1093529
ENDRES, TERRENCE MD
GRAND RAPIDS 49503
(616) 391-6243
1089550
GOLLADAY, GREGORY MD
GRAND RAPIDS 49503
(616) 391-6243
1074755
JABARA, MICHAEL MD
GRAND RAPIDS 49503
(616) 391-6243
1093541
JONES, CLIFFORD MD
GRAND RAPIDS 49503
(616) 391-6243
1093547
MALVITZ, THOMAS MD
GRAND RAPIDS 49503
(616) 391-6243
1093548
MATELIC, THOMAS MD
GRAND RAPIDS 49503
(616) 391-6243
1093561
RINGLER, JAMES MD
GRAND RAPIDS 49503
(616) 391-6243
1093526
SCHWAB, WILLIAM MD
GRAND RAPIDS 49503
(616) 391-6243
1093566
STUBBART, JAMES MD
GRAND RAPIDS 49503
(616) 391-6243
1093568
THEUT, PETER MD
GRAND RAPIDS 49503
(616) 391-6243
1093569
UGOLINI, PETER MD
GRAND RAPIDS 49503
(616) 391-6243
1125157
AL KHATIB, YASSER MD
100 MICHIGAN ST NE 10TH FL MC248
GRAND RAPIDS 49503
(616) 267-9150
1098955
DYSART, JOHN MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(517) 484-0004
1081120
FLORENTINE, MICHAEL S MD
GRAND RAPIDS 49503
(616) 267-9150
1101835
JOHANSEN, MICHAEL W DO
100 MICHIGAN ST NE 10TH FLOOR MC248
GRAND RAPIDS 49503
(616) 267-9150
1081121
LACINA, SAMUEL J MD
GRAND RAPIDS 49503
(616) 267-9150
1062709
LEE, KIM G MD
100 MICHIGAN ST NE 10TH FL
GRAND RAPIDS 49503
(616) 267-9150
1098954
MATISOFF, DAVID MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1774
1109464
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 267-9150
1081119
SCHNEIDER, JEFFREY R MD
100 MICHIGAN ST NE 10TH FLR MC 248
GRAND RAPIDS 49503
(616) 267-9150
1100751
VETTUKATTIL, JOSEPH J MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 267-9150
1101854
VETTUKATTIL, JOSEPH J MD
330 BARCLAY AVE STE 200
GRAND RAPIDS 49503
(616) 391-2802
PEDIATRIC - CRITICAL CARE

1121557
BOVILLE, BRIAN MD
GRAND RAPIDS 49503
(616) 267-0116
1121558
BOVILLE, BRIAN MD
100 MICHIGAN ST NE STE D9220 MC117
GRAND RAPIDS 49503
(616) 267-0116
1090707
BOVILLE, BRIAN MD
GRAND RAPIDS 49503
(616) 267-0090
1064075
CURTIS, SCOTT E MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-2084
1063627
HACKBARTH, RICHARD M MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-2084
1121555
HASSAN, NABIL E MD
GRAND RAPIDS 49503
(616) 267-0116
1062805
HASSAN, NABIL E MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-2084
1121556
HASSAN, NABIL E MD
GRAND RAPIDS 49503
(616) 267-0116
1074056
KOPEC, JOHN S MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-2084
1063625
KRISHNAN, JAMBUNATHAN MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1861
1089575
OLIVERO, ANTHONY D MD
GRAND RAPIDS 49503
(616) 267-0090

Page 288
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County

PEDIATRIC - CRITICAL CARE (CONTINUED)
1064082
RAJASEKARAN, SURENDER MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-2084
1121560
SANFILIPPO, DOMINIC J MD
GRAND RAPIDS 49503
(616) 267-0116
1063298
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-2084
1121559
GRAND RAPIDS 49503
(616) 267-0116
1121989
WHITTAKER, BRENT MD
GRAND RAPIDS 49503
(616) 267-0118
1081112
WINTERHALTER, KIM M MD
100 MICHIGAN NE PICU MC-117
GRAND RAPIDS 49503
(616) 267-0118
1063626
WINTERS, JOHN W MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-2084
1064067
APPIAGYEI-DANKAH, YAW MD
GRAND RAPIDS 49503
(616) 391-3933
1063300
CEMEROGLU, AYSE PINAR MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-2122
1064064
DANIEL, MAALA S MD
GRAND RAPIDS 49503
(616) 391-3933
1098496
ENG, DONNA S MD
GRAND RAPIDS 49503
(616) 391-3933
1064047
RACINE, MICHAEL S MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-3933
1127928
SHAH, ARTI P MD
230 MICHIGAN ST NE STE 101 MC 077
GRAND RAPIDS 49503
(616) 391-3933
1062630
CLONEY, DEBORAH L MD
GRAND RAPIDS 49503
(616) 267-2100
1062708
CONRAD, HAROLD JR A MD
GRAND RAPIDS 49503
(616) 267-2100
1121956
COX, RYAN MD
GRAND RAPIDS 49503
(616) 267-2100
1103058
HASHEMI, ISMAEEL B MD
35 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 267-2100
1073339
KUNDE, SACHIN S MD
GRAND RAPIDS 49503
(616) 267-2100
1127503
ZOUBI, NAJEEB FAWWAZ MD
GRAND RAPIDS 49503
(616) 267-2100
1081481
ABDEL-MAGEED, ALY S MD
GRAND RAPIDS 49503
(616) 267-9125
1030200
AXTELL, RICHARD A MD
GRAND RAPIDS 49503
(616) 267-1925
1081482
BRAUNREITER, CHI L MD
GRAND RAPIDS 49503
(616) 267-1925
1003327
CORNELIUS, ALBERT S MD
GRAND RAPIDS 49503
(616) 267-1925
1028772
DICKENS, DAVID S MD
GRAND RAPIDS 49503
(616) 267-1925
1081486
DUFFNER, ULRICH A MD
GRAND RAPIDS 49503
(616) 267-9125
1081484
FAHNER, JAMES B MD
GRAND RAPIDS 49503
(616) 267-1925
1122944
FOLEY, JESSICA MD
GRAND RAPIDS 49503
(616) 267-1925
1091637
HEMKER, BRADD MD
100 MICHIGAN ST NE 10TH FLR
GRAND RAPIDS 49503
(616) 267-1925
1081480
KURT, BETH A MD
GRAND RAPIDS 49503
(616) 267-1925
1102648
KURT, BETH A MD
1200 6TH ST STE 100
GRAND RAPIDS 49501
(616) 391-1730
1045647
MITCHELL, DEANNA S MD
GRAND RAPIDS 49503
(616) 267-1925
1081483
SAULNIER SHOLLER, GISELLE L MD
GRAND RAPIDS 49503
(616) 267-1925
1058618
SMITH, SHARON MD
100 MICHIGAN ST NE 10TH FLOOR
GRAND RAPIDS 49503
(616) 267-1925

1066425
FOGG, GEORGE C MD
GRAND RAPIDS 49503
(616) 267-2300
1092193
OLIVERO, ROSEMARY MD
GRAND RAPIDS 49503
(616) 267-2300
1065966
CAI, YI MD
GRAND RAPIDS 49503
(616) 267-2400
1078578
QUIROGA, ALEJANDRO MD
GRAND RAPIDS 49503
(616) 267-2400
1063624
STEINKE, JULIA M MD
35 MICHIGAN ST NE 3RD FLOOR
GRAND RAPIDS 49503
(616) 267-2400

Page 289
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County

PEDIATRIC - NEPHROLOGY (CONTINUED)
1106403
VAN VENROOIJ, NATALIE A MD
35 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 267-2400

1092192
GAGIN, LANA K MD
GRAND RAPIDS 49503
(616) 391-2505
1080275
RICHTSMEIER, ANTHONY J MD
GRAND RAPIDS 49503
(616) 267-2850
1101813
BALUJA, VIVEK MD
GRAND RAPIDS 49503
(616) 391-2957
1101814
BALUJA, VIVEK MD
360 LAFAYETTE SE STE 400
GRAND RAPIDS 49503
(616) 486-6870
1101815
BALUJA, VIVEK MD
GRAND RAPIDS 49503
(616) 267-2500
1125293
DEVRIES, SETH MD
35 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 267-2500
1122570
FAIN, DANIEL R MD
35 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 267-2500
1121739
SOYODE, OLUFEMI MD
422 PLYMOUTH AVE STE 7G
GRAND RAPIDS 49505
(616) 294-0010

1108110
BROUWER, JANE NP
GRAND RAPIDS 49503
(616) 267-2009
1124619
BROUWER, JANE NP
GRAND RAPIDS 49503
(616) 391-2242
1125162
FAGERMAN, LYNN NP
GRAND RAPIDS 49503
(616) 391-2957
1103654
GEARY, REBECCA S NP
GRAND RAPIDS 49503
(616) 267-2009
1095927
MEYER-HOWE, KAREN NP
GRAND RAPIDS 49503
(616) 391-3933
1123795
STERKEN, DAVID J NP
GRAND RAPIDS 49503
(616) 267-0116
1104360
STERKEN, DAVID J NP
100 MICHIGAN ST NE STE D9220 MC 117
GRAND RAPIDS 49503
(616) 267-0116
1033479
PIIPPO, LAURA J MD
4475 WILSON AVE SW
GRANDVILLE 49418
(616) 949-2600
1008385
PIIPPO, LAURA J MD
80 68TH ST SE
KENTWOOD 49548
(616) 949-2600

1063278
CASSIDY, JEFFREY A MD
GRAND RAPIDS 49503
(616) 267-2600
1089994
MAPLES, DAYLE MD
235 WEALTHY ST SE
GRAND RAPIDS 49503
(616) 493-9724
1089548
NOWICKI, PHILIP MD
GRAND RAPIDS 49503
(616) 267-2601
1101817
MCCASLIN, CHARLES A MD
GRAND RAPIDS 49503
(616) 267-2200
1063301
MILLARD, SUSAN L MD
GRAND RAPIDS 49503
(616) 267-2200
1081179
SCHUEN, JOHN N MD
GRAND RAPIDS 49503
(616) 267-2200
1062806
THOMPSON, KAREN K MD
GRAND RAPIDS 49503
(616) 267-2200
GRAND RAPIDS 49503
(616) 267-2700
1062818
BIRMINGHAM, JAMES MD
PEDIATRIC - SURGERY
1017154
CONNORS, ROBERT H MD
GRAND RAPIDS 49503
(616) 458-1722
1011451
DECOU, JAMES M MD
GRAND RAPIDS 49503
(616) 458-1722
1102896
DURKIN, EMILY T MD
330 BARCLAY ST NE STE 202
GRAND RAPIDS 49503
(616) 458-1722
1022265
ROBERTSON, DANIEL J MD
GRAND RAPIDS 49503
(616) 458-1722
1004563
SCHLATTER, MARC G MD
GRAND RAPIDS 49503
(616) 458-1722
1014234
UITVLUGT, NEAL D MD
GRAND RAPIDS 49503
(616) 458-1722

Page 290
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County
PEDIATRIC - UROLOGY
1106279
MELDRUM, KIRSTAN K MD
GRAND RAPIDS 49503
(616) 459-4171
PEDIATRICS
1092196
ADDY, AKUORKOR MD
GRAND RAPIDS 49503
(616) 391-8810
1081107
BROWN, SARAH J DO
CENTER FOR CHILD PROTECTION 545
GRAND RAPIDS 49503
(616) 391-1242
1092216
BUSH, WILLIAM L MD
GRAND RAPIDS 49503
(616) 391-8810
1092217
CAIN-RINCKEY, NICKI MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1709
1118943
CAIN-RINCKEY, NICKI MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1709
1092219
CLARK, MEGAN MD
330 BARCALY NE STE 300
GRAND RAPIDS 49503
(616) 391-8810
1099048
CONROY, TIMOTHY J MD
GRAND RAPIDS 49503
(616) 391-2957
1099049
CONROY, TIMOTHY J MD
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS 49503
(616) 486-6870
1081442
COOK, DWAYNE L MD
GRAND RAPIDS 49503
(616) 391-1709
1122013
DAVIS, MELISSA MD
GRAND RAPIDS 49503
(616) 391-8810
1092225
DOWNS, JOAN MD
GRAND RAPIDS 49503
(616) 391-8810
1092192
GAGIN, LANA K MD
GRAND RAPIDS 49503
(616) 391-2505
1081441
HAROLD, DONNA M MD
GRAND RAPIDS 49503
(616) 391-8810
1120957
JAWORKSI, HANNA MD
GRAND RAPIDS 49503
(616) 391-1730
1105143
JAWORSKI, HANNA MD
GRAND RAPIDS 49503
(616) 391-8810
1107615
JEREB, GREGORY J MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 267-0015
1098940
KORT, ERIC MD
GRAND RAPIDS 49503
(616) 391-8810
1121006
KUIPER, MARK D MD
GRAND RAPIDS 49503
(616) 391-8810
1093543
LAKE, DENNIS L MD
GRAND RAPIDS 49503
(616) 391-8810
1093544
LARSON, MARCY MD
330 BARCLAY AVE SE STE 300
GRAND RAPIDS 49503
(616) 391-8840
1101940
LEINGANG, BRETT R MD
GRAND RAPIDS 49503
(616) 267-2500
1093316
LIRIO, RUEL R MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1709
1083827
LOWERY, LISA MD
UNION HS HEALTH CENTER 1800 TREMONT
GRAND RAPIDS 49504
(616) 791-6593
1083825
LOWERY, LISA MD
OTTAWA HILLS HS HEALTH CENTER 2055
GRAND RAPIDS 49506
(616) 776-5110
1083826
LOWERY, LISA MD
CRESTON HS HEALTH CENTER 1720
GRAND RAPIDS 49505
(616) 776-5120
1081436
MACEDO, STEPHEN J MD
GRAND RAPIDS 49503
(616) 391-1709
1081435
MACKINDER, ROBERT MD
GRAND RAPIDS 49503
(616) 391-1709
1093318
MANTIA, JEFFREY S MD
GRAND RAPIDS 49503
(616) 391-8810
1101699
MAY, ANGELA C MD
GRAND RAPIDS 49503
(616) 391-1242
1081455
MCCUNE, SARA H MD
GRAND RAPIDS 49503
(616) 391-1719
1018947
MCGEE, DANIEL P MD
GRAND RAPIDS 49503
(616) 391-8810
1093550
MEINDERTSMA, MICHAEL MD
GRAND RAPIDS 49503
(616) 391-8810
1039190
METZ, MICHAEL A MD
GRAND RAPIDS 49503
(616) 391-8810
1093552
MOGOR, JOHN R MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1709
1093320
OLGREN, CLAIRE D MD
GRAND RAPIDS 49503
(616) 391-8810
1089575
OLIVERO, ANTHONY D MD
GRAND RAPIDS 49503
(616) 267-0090
1093557
PERIARD, BARBARA MD
GRAND RAPIDS 49503
(616) 391-8810
1107619
PRIDGEON, MATTHEW MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 267-0015
1081450
RICHARDSON, KELLY A MD
GRAND RAPIDS 49503
(616) 391-1709
1086212
SADHISHKUMAR, POOMATHI MD
1215 E FULTON NE
GRAND RAPIDS 49503
(616) 459-9468
1018987
SARVER, BENJAMIN G MD
GRAND RAPIDS 49503
(616) 391-8810
1083823
SHATZ, EUGENE MD
CRESTON HS HEALTH CENTER 1720
GRAND RAPIDS 49505
(616) 773-5120
1083822
SHATZ, EUGENE MD
OTTAWA HILL HS HEALTH CENTER 2055
GRAND RAPIDS 49506
(616) 776-5110

Page 291
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County
1083824
SHATZ, EUGENE MD
UNION HS HEALTH CENTER 1800 TREMONT
GRAND RAPIDS 49504
(616) 791-6593
1065548
SIMMS, N DEBRA MD
GRAND RAPIDS 49503
(616) 391-3206
1092194
SMITH-KING, CANDACE MD
GRAND RAPIDS 49503
(616) 391-8750
1069614
STRATBUCKER, WILLIAM B MD
PEDS HEALTHY WEIGHT CENTER 330 BARCLAY GRAND RAPIDS 49503
(616) 391-7999
1026195
TROWBRIDGE, GREGORY L MD
GRAND RAPIDS 49503
(616) 391-8810
1081106
VANDERLAAN, KAREN S MD
GRAND RAPIDS 49503
(616) 391-8810
1093574
VANZEE, JENNIFER MD
GRAND RAPIDS 49503
(616) 391-8810
1093576
WALEN, ANNETTE MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-8810
1123040
WALTER, STEPHANIE DO
GRAND RAPIDS 49503
(616) 391-1719
1093578
WEYHER-KESSENICH, JERI MD
GRAND RAPIDS 49503
(616) 391-8810
1081447
WEYHER-KESSENICH, JERI A MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-8810
1093581
WOOD, RICHARD MD
GRAND RAPIDS 49503
(616) 391-8810

1106414
AYALA, AMANDA C MD
GRAND RAPIDS 49503
(616) 493-9724
1091966
BLOOM, STEPHEN C DO
235 WEALTHY ST STE 100
GRAND RAPIDS 49503
(616) 493-9724
1094182
BRUINSMA, BENJAMIN J MD
GRAND RAPIDS 49503
(616) 493-9724
1100328
FECHTNER, DANIEL C MD
GRAND RAPIDS 49503
(616) 493-9724
1095969
GIERSCH, BRIAN P MD
GRAND RAPIDS 49525
(616) 458-1088
1102101
HO, SAMPSON MD
GRAND RAPIDS 49503
(616) 493-9724
1081562
HO, SAMPSON W MD
1840 WEALTHY ST SE 2B 124
GRAND RAPIDS 49506
(616) 774-7695
1117220
JAKUBOWSKI, MICHAEL S MD
GRAND RAPIDS 49503
(616) 493-9724
1106838
KARO, KATHERINE DO
551 36TH ST UNIT D
KENTWOOD 49548
(616) 431-2001
1077636
KRAMER, JEFFREY H MD
1840 WEALTHY ST SE STE 2B-124
GRAND RAPIDS 49506
(616) 774-7695
1096736
KRAMER, JEFFREY H MD
GRAND RAPIDS 49503
(616) 493-9724
1097654
KULDANEK, ANDREA S MD
GRAND RAPIDS 49525
(616) 458-1088
1081561
MADDEN, FRANCES S MD
1840 WEALTHY ST SE STE 2B 124
GRAND RAPIDS 49506
(616) 774-7695
1121965
MORELLI, CHRISTOPHER DO
GRAND RAPIDS 49503
(616) 493-9724
1091119
RUSH, ADAM J MD
GRAND RAPIDS 49503
(616) 493-9724
1117557
VANDENBERG, W C MD
GRAND RAPIDS 49503
(616) 493-9724
1107849
ZUZELSKI, ANNE E MD
GRAND RAPIDS 49503
(616) 493-9724
PLASTIC SURGERY
1081566
AITKEN, MARGUERITE E MD
GRAND RAPIDS 49503
(616) 391-6243
1042771
ALFONSO, DAVID MD
GRAND RAPIDS 49503
(616) 391-6243
1098683
ARMSTRONG, SHANNON D MD
GRAND RAPIDS 49503
(616) 391-6243
1092206
BENGTSON, BRADLEY MD
GRAND RAPIDS 49503
(616) 391-6243
1081567
BRUNDAGE, SCOTT R MD
GRAND RAPIDS 49503
(616) 391-6243
1092222
CULLEN, WILLIAM T MD
GRAND RAPIDS 49503
(616) 391-6243
1109691
DO, VIET H MD
1111 LEFFINGWELL AVE NE
GRAND RAPIDS 49525
(616) 459-7101
1100232
DO, VIET H MD
GRAND RAPIDS 49503
(616) 391-6243
1093532
FORD, RONALD MD
GRAND RAPIDS 49503
(616) 391-6243
1122917
GIROTTO, JOHN MD
GRAND RAPIDS 49503
(616) 486-5885
1093315
HAMMOND, DENNIS C MD
GRAND RAPIDS 49503
(616) 391-6243
1093539
IACOBUCCI, JOHN MD
GRAND RAPIDS 49503
(616) 391-6243
1081192
KISLOV, DANIEL E MD
GRAND RAPIDS 49503
(616) 454-3536
1081565
KOMOROWSKA-TIMEK, EWA D MD
GRAND RAPIDS 49503
(616) 391-6243

Page 292
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County

PLASTIC SURGERY (CONTINUED)
1093546
LEPPINK, DOUGLAS MD
GRAND RAPIDS 49503
(616) 391-6243
1093317
LUCE, PAUL A MD
GRAND RAPIDS 49503
(616) 391-6243
1081191
MANN, ROBERT J MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-7624
1063874
MANN, ROBERT J MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-7624
1093551
MISHRA, MITHILESH MD
GRAND RAPIDS 49503
(616) 391-6243
1093553
NAUM, STEVEN MD
GRAND RAPIDS 49503
(616) 391-6243
1081563
URBANIAK, RODERICK M MD
GRAND RAPIDS 49503
(616) 391-6243
1081564
VAN PELT, ANDREA MD
GRAND RAPIDS 49503
(616) 391-6243
PODIATRY
1097793
BERGSMA, CORWYN B DPM
1195 WILSON AVE NW
GRAND RAPIDS 49534
(616) 453-8277
1033723
DAVID, MICHAEL DPM
4540 KALAMAZOO SE
GRAND RAPIDS 49508
(616) 281-0666
1097628
DECKER, WILLIAM R DPM
1195 WILSON AVE NW
GRAND RAPIDS 49534
(616) 453-8277
1125354
EMILEY, MICHAEL DPM
1238 FULLER NE
GRAND RAPIDS 49505
(616) 452-0467
1125355
EMILEY, MICHAEL DPM
9809 CHERRY VALLEY
CALEDONIA 49316
(616) 891-9133
1123485
EMILEY, TERRENCE DPM
9809 CHERRY VALLEY AVE SE
CALEDONIA 49316
(616) 452-0467
1123483
EMILEY, TERRENCE DPM
1238 FULLER AVE NE
GRAND RAPIDS 49505
(616) 452-0467
1028010
HULST, TIMOTHY J DPM
GRAND RAPIDS 49508
(616) 281-0666
1024956
MANSKY, DAVID W DPM
9385 CHERRY VALLEY AVE
CALEDONIA 49316
(616) 891-2577
1057462
MEYER, PATRICK DPM
GRAND RAPIDS 49525
(616) 363-9833
1106005
MEYERS, MICHAEL G DPM
680 THREE MILE RD NW
GRAND RAPIDS 49544
(616) 785-8707
1043439
ROZELLE, RICHARD W DPM
GRAND RAPIDS 49525
(616) 363-9833
PROSTHETICS
1006651
3125 28TH ST SW
GRANDVILLE 49418
(888) 810-5462
1021315
89 54TH ST SW
KENTWOOD 49548
(888) 810-5462
1095261
1111 LEFFINGWELL NE STE 100
GRAND RAPIDS 49525
(616) 949-0075
1095262
GRAND RAPIDS 49503
(616) 458-8080
1076226
5005 CASCADE RD SE STE C
GRAND RAPIDS 49546
(616) 940-0878
1121077
1255 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 486-2950
1006556
MARY FREE BED ORTHOTICS AND PR
235 WEALTHY ST SE
GRAND RAPIDS 49503
(616) 242-0315
1093881
8113 BELMONT STE A
BELMONT 49306
(616) 863-8908
1084810
PEDIATRIC ORTHOTIC SPECIALISTS
781 KENMOOR AVE SE STE A
GRAND RAPIDS 49546
(616) 956-5556
1016451
4024 PARK EAST CT STE B1
GRAND RAPIDS 49506
(616) 949-4050
1025597
1021 28TH STREET SW
WYOMING 49509
(616) 531-1340
1032745
GRAND RAPIDS 49519
(616) 249-1807
PSYCHIATRY
1083979
ACHYTES, ERIC D MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1127534
ALEXANDER, KENYA MD
3225 N EVERGREEN DR NE
GRAND RAPIDS 49525
(616) 364-1500
1123915
BRONSON, NATALYA MD
507 36TH ST SE
KENTWOOD 49548
(616) 247-4580
1105821
BUTLER, BARIKA M MD
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1083820
CAMPBELL, JOHN MD
2303 KALAMAZOO SE
GRAND RAPIDS 49507
(616) 965-8390
1097727
CEUS, FAIDHERBE MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8283
1098614
CREPS, PHILIP L DO
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1098615
CREPS, PHILIP L DO
1400 LEONARD ST NE
GRAND RAPIDS 49505
(616) 954-1991
1125356
EERDMANS, INGRID MD
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110

Page 293
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County
1123086
EICHER, JAMES MD
300 68TH ST
KENTWOOD 49548
(616) 455-5000
1122961
FAROOQ, UMER MD
300 68TH ST
KENTWOOD 49548
(616) 455-5000
1119505
GRABOWSKI, JOHN MD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1083972
HAITH, L'TANYA A MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1118465
HOLWERDA, ROBERT D DO
1490 E BELTLINE SE
GRAND RAPIDS 49506
(616) 940-0040
1098335
JACOBS, ANGELA M MD
507 36TH ST SE
KENTWOOD 49548
(616) 247-4580
1127854
KOWAL, ELIZABETH MD
35 MICHIGAN ST NE STE 4150 MC262
GRAND RAPIDS 49503
(616) 267-2850
1106395
LAMAN, DAVID PHD
2323 E PARIS AVE SE
GRAND RAPIDS 49546
(616) 667-9551
1117282
LONGSTREET, PETER L MD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1086661
MAHESH, DHANASHREE MD
901 EASTERN AVE NE
GRAND RAPIDS 49503
(616) 224-7617
1124730
MARIC, TATJANA MD
GRAND RAPIDS 49525
(616) 364-1600
1124729
MARIC, TATJANA MD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1126804
MAUGER, THEODORE F MD
1490 E BELTINE SE
GRAND RAPIDS 49506
(616) 940-0040
1084052
MCLEAN, JAMIE S MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1118697
MICHELAKIS, MICHAEL A MD
320 COMMERCE AVE SW
GRAND RAPIDS 49503
(616) 258-7599
1119139
MUNIR, MAZHAR MD
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1123684
NAGALLA, MADHAVI-LATHA MD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1108616
NYKAMP, LOUIS MD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1064390
ORELLANA, ELBIN MD
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1125872
PATTISON, NANCY MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1125873
PATTISON, NANCY MD
1400 LEONARD ST SE
GRAND RAPIDS 49505
(616) 954-1991
1126646
PETERS, JAYANTHI MD
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1122050
PICKENS, NAUDIA MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1108953
POULOSE, MON C MD
GRAND RAPIDS 49525
(616) 364-1500
1108726
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1121029
ROSS, JEAN M MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1126114
ROSS, JEAN M MD
1400 LEONARD ST SE
GRAND RAPIDS 49505
(616) 954-1991
1108832
SHAH, SHRISTI MD
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1127528
SINGLA, BIBHAS MD
200 JEFFERSON ST SE
GRAND RAPIDS 49503
(616) 685-3035
1083993
STANTON, CASSIE JO DO
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1108949
STOYANOV, RADOSVETA I MD
GRAND RAPIDS 49525
(616) 364-1500
1108888
THEBERT, MICHAEL M MD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1108887
2118 3 MILE RD NW
GRAND RAPIDS 49544
(616) 222-3720
1108890
9090 S RODGERS CT
CALEDONIA 49316
(616) 891-8770
1108889
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1106451
TODD, TIMOTHY L MD
GRAND RAPIDS 49525
(616) 364-1500
1117289
VANDERVELDE, DAVID D DO
GRAND RAPIDS 49525
(616) 364-1500
1097917
VIENS, BONNIE L MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1117012
WALLACE, NATALIE M MD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1116351
200 JEFFERSON ST SE
GRAND RAPIDS 49503
(616) 685-3035
1117555
WALTERS, WILLIAM J DO
GRAND RAPIDS 49525
(616) 364-1500
1108703
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1092586
ZAK, DANIAL J DO
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200

1004998
CHERRY STREET HEALTH SER

Page 294
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County

PULMONOLOGY
1066752
BERJAOUI, WAEL K MD
1545 68TH ST SE STE 200
GRAND RAPIDS 49508
(616) 267-8244
1068516
KARULF, MATTHEW R MD
GRAND RAPIDS 49546
(616) 267-8244
1081091
WILT, JEFFREY L MD
2902 BRADFORD ST NE
GRAND RAPIDS 49525
(616) 486-6550
RADIATION ONCOLOGY
1082304
BUTH, ERIC P MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1830
1082306
FABRIZIO, PATRICK MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1830
1100905
FORSTNER, JULIE M MD
5950 METRO WAY SW
GRAND RAPIDS 49519
(616) 252-8180
1082302
KASTNER, BRIAN D MD
1840 WEALTHY ST SE
GRAND RAPIDS 49506
(616) 774-7845
1082307
MAHACEK, MICHAEL L MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1830
1124525
PACKARD, MATTHEW MD
GRAND RAPIDS 49503
(616) 486-5750

1093773
HEARTLAND HEALTH CARE CENTER- CRESTVIEW
625 36TH ST SW
WYOMING 49509
(616) 531-0200
1038208
HEARTLAND HEALTH CARE CENTER- GRAND RAPIDS
2320 EAST BELTLINE SE
GRAND RAPIDS 49546
(616) 949-3000
1093770
HEARTLAND HEALTH CARE CENTER- GREENVIEW
1700 LEONARD ST NE
GRAND RAPIDS 49505
(616) 456-7243
1060202
LAURELS OF KENT
350 N CENTER ST
LOWELL 49331
(616) 897-8473
1066707
TENDERCARE HEALTH AND REHABILITATION CENTER O
2786 56TH ST SW
GRANDVILLE 49418
(616) 261-3960
SLEEP STUDIES
1089459
BOSS, NATHAN MD
6265 W RIVER DR NE STE B
BELMONT 49306
(616) 363-8670
1081193
COLES, JASON P MD
GRAND RAPIDS 49503
(616) 391-3759
SPEECH THERAPY
1116759
1490 E BELTLINE AVE SE
GRAND RAPIDS 49506
(616) 940-0040
1127981
TENDERCARE HEALTH AND REHABILITATION
2786 56TH ST SW
GRANDVILLE 49418
(616) 261-3960
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-8624
SURGICAL ONCOLOGY
1028736
CHUNG, MATHEW H MD

1096252
DOWNEY, RICHARD MD
GRAND RAPIDS 49503
(616) 459-7215
1081757
FANNING, JUSTIN S MD
GRAND RAPIDS 49503
(616) 459-7258
1089399
HAW, MARCUS MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 267-9150
1099101
HEISER, JOHN C MD
GRAND RAPIDS 49503
(616) 391-9415
1081756
HEISER, JOHN C MD
GRAND RAPIDS 49503
(616) 459-7258
1081194
HILLMAN, NEAL D MD
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-8707
1103074
MELDRUM, DANIEL R MD
GRAND RAPIDS 49503
(616) 459-7258
1079374
MURPHY, EDWARD T MD
GRAND RAPIDS 49503
(616) 459-7258
1100382
PATZELT, LAWRENCE H MD
GRAND RAPIDS 49503
(616) 391-9415
1036830
PATZELT, LAWRENCE H MD
GRAND RAPIDS 49501
(616) 459-7258
1081761
TIMEK, TOMASZ A MD
GRAND RAPIDS 49503
(616) 459-7258
1090876
WILLEKES, CHARLES MD
GRAND RAPIDS 49503
(616) 459-7258
TRANSPLANT SURGERY
1081569
KHAGHANI, ASGHAR MD
GRAND RAPIDS 49503
(616) 391-2802
1127937
STRUEBER, MARTIN MD
330 BARCLAY AVE NE
GRAND RAPIDS 49503
(616) 391-2802
GRAND RAPIDS 49503
(616) 391-8635
UNDERSEA AND HYPERBARIC MEDICINE

1063629
HODGSON, RICHARD J MD

Page 295
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Kent County
UROLOGY
1016610
CAROTHERS, GEORGE G DO
4047 SALADIN DR SE
GRAND RAPIDS 49546
(616) 956-9577
1034566
MAATMAN, THOMAS J DO
4047 SALADIN DR SE
GRAND RAPIDS 49546
(616) 956-9577
1010335
SHOCKLEY, KENNETH F DO
4047 SALADIN DR SE
GRAND RAPIDS 49546
(616) 956-9577
1101 WASHINGTON AVE
BALDWIN 49304
(231) 745-2020
5681 S M37
BALDWIN 49304
(231) 745-4663
LAKE COUNTY
Lake County

1095539
FRESENIUS MEDICAL CARE BALDWIN
NURSE MIDWIFE
1107533
1101189
BORGES, TERRANCE L PAC
1615 MICHIGAN AVE
BALDWIN 49304
(231) 745-4625
1025556
GENTRY, DANNIE J MD
1615 MICHIGAN AVE
BALDWIN 49304
(231) 745-4624
5681 S M-37
BALDWIN 49304
(231) 745-4663
600 DENMARK ST
BALDWIN 49304
(231) 745-4648

1106433

1097651
GRAND OAKS NURSING CENTER
LAPEER COUNTY
Lapeer County

204252
971 BALDWIN RD
LAPEER 48446
(989) 672-0092
1063608
ANNE, SURESH MD
1254 N MAIN ST
LAPEER 48446
(810) 245-8259
1063616
BOTTA, RAO S MD
1254 N MAIN ST
LAPEER 48446
(810) 245-8259
1018954
TANHEHCO, PACITA MD
1254 N MAIN ST
LAPEER 48446
(810) 245-8259
CARDIOLOGY
1020858
ALAWWA, ABDUL K MD
1031 SUNCREST DR
LAPEER 48446
(810) 664-4870
1020809
BRILL, DAVID A MD
1031 SUNCREST DR
LAPEER 48446
(810) 664-4870
1107077
CLEARY, ROBERT M MD
1031 SUNCREST DR
LAPEER 48446
(810) 664-4870
1020861
1031 SUNCREST DR
LAPEER 48446
(810) 664-4870
1073279
KAZZIHA, SAMER MD
1083 SUNCREST DR STE B
LAPEER 48446
(586) 698-1200
1073278
MADRAZO, ARMANDO MD
LAPEER 48446
(586) 698-1200
1086398
NOUNOU, MAJED MD
1075 SUNCREST DR
LAPEER 48446
(810) 667-7333
1120333
REDDY, CHANDRA S MD
LAPEER 48446
(810) 245-5390
1073275
SCHREIBER, THEODORE L MD
LAPEER 48446
(586) 698-1200
DERMATOLOGY
1083132
MOIIN, ALI MD
1333 IMLAY CITY RD
LAPEER 48446
(810) 245-9380
1004500
ROBERTS, FREDERICK W DO
3273 DAVISON RD STE 5
LAPEER 48446
(810) 245-7766
1080188
ZARKA, MOHAMMAD DO
1333 IMLAY CITY RD
LAPEER 48446
(810) 245-9380
655A MCCORMICK DR
LAPEER 48446
(810) 667-6962
DME - P&O
1008230
ACTIVE HOME MEDICAL SUPPLY

Page 296
February 19, 2015

PIN
Provider
LAPEER COUNTY (CONTINUED)
Address
City and Zip
Phone
Gender
Lapeer County

1055693
BMCD SPORTS LLC
3675 WILLIAMS RD
COLUMBIAVILLE 48421
(810) 793-2400
1105456
1254 N MAIN ST
LAPEER 48446
(810) 664-7242
1092558
NARAYAN MEDTECH EQUIPMENT LLC
6800 NEWARK RD
IMLAY CITY 48444
(810) 721-8700
1025600
1370 N MAIN ST
LAPEER 48446
(810) 664-1101

1030606
DOWNS, ASHA J DO
809 W DRYDEN RD
METAMORA 48455
(810) 678-8185
252751
HEGYI, DOUGLAS F DO
951 S MAIN ST STE 2
LAPEER 48446
(810) 664-7640
1057642
KWARTOWITZ, GARY DO
809 W DRYDEN RD
METAMORA 48455
(810) 678-8185
1030607
SHERMETARO, CARL B DO
809 W DRYDEN RD
METAMORA 48455
(810) 678-8125
1125421
WALKER, TRAVIS D DO
1254 N MAIN ST
LAPEER 48446
(810) 664-4531
1375 N MAIN ST
LAPEER 48446
(810) 667-5500
1375 N MAIN ST
LAPEER 48446
(810) 667-5940
1254 N MAIN
LAPEER 48446
(810) 245-7059
125 W THIRD ST
IMLAY CITY 48444
(810) 724-6155

1058652
DEGARA PLLC

1031451
RELIANT RENAL CARE LAPEER LLC
ENDOCRINOLOGY
1002403
HAMMOUD, JAMAL MD
EYEWARE SUPPLIER
1003127
IMLAY CITY OPTICAL
GASTROENTEROLOGY
1077138
BALUCH, MEHDI MD
1254 N MAIN ST
LAPEER 48446
(810) 664-4531
201560
REDDY, GUNDA S MD
LAPEER 48446
(810) 245-3188
1085417
SAEED, AALIA MD
1254 N MAIN ST
LAPEER 48446
(810) 664-4531
1125535
TABBAH, MOHAMMAD MD
1794 N LAPEER RD
LAPEER 48446
(810) 245-1800
1125539
TABBAH, MOHAMMAD MD
1546 CALLIS RD
LAPEER 48446
(810) 667-4000
GENERAL SURGERY
1097723
APELGREN, KEITH N MD
1375 N MAIN ST
LAPEER 48446
(810) 667-5500
1123479
BENITEZ, LEONARD D MD
1295 BARRY DR STE C
LAPEER 48446
(810) 667-5575
1077141
FARBER, MITCHELL MD
1254 N MAIN ST
LAPEER 48446
(810) 664-4531
1118288
KAMINSKY, ANTHONY D DO
1254 N MAIN ST
LAPEER 48446
(810) 664-4531
1119382
NUNNALLY, NICHOLAS DO
1254 N MAIN ST
LAPEER 48446
(810) 664-4531
201909
RAJANI, RATAN MD
844 S MAIN ST
LAPEER 48446
(810) 664-4100
1123828
REDDY, PRABHAKER N MD
1375 N MAIN ST
LAPEER 48446
(810) 667-5500
201907
STENZ, ROBERT DO
LAPEER 48446
(810) 667-5150
1119486
TODD, MICHAEL MD
1375 N MAIN ST
LAPEER 48446
(810) 667-5500
1103656
TORIBIO, RUBEN MD
1375 N MAIN ST
LAPEER 48446
(810) 664-4531
1077139
TORIBIO, RUBEN MD
1254 N MAIN ST
LAPEER 48446
(810) 664-4531
201908
ZEMNICKAS, WILLIAM DO
844 S MAIN ST
LAPEER 48446
(810) 664-4100

1083226
HEAR USA
1836 DEMILLE RD
LAPEER 48446
(810) 664-1141
1096716
5830 N LAPEER RD STE A
NORTH BRANCH 48461
(989) 799-6603

Page 297
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Lapeer County

1071689
BIKKINA, SAI MD
1295 BARRY DR STE B
LAPEER 48446
(810) 667-4994
1105194
MAUNGLAY, SOE TIN MD
1295 BARRY DR STE B
LAPEER 48446
(810) 667-4994
1124375
VOELPEL, MARY JO DO
1295 BARRY DR STE B
LAPEER 48446
(248) 338-5000
HOME HEALTH CARE

1117441
HOMETOWN HOME HEALTH CARE
1681 WOODBRIDGE PKWY
LAPEER 48446
(810) 245-3300
1069822
SUNRISE HHC INC
200 E GENESEE ST
LAPEER 48446
(810) 245-1900
1040983
SUNSHINE HOME CARE OF MICHIGAN
404 W NEPESSING ST STE C
LAPEER 48446
(810) 667-9600
HOSPICE
1096222
700 S MAIN ST
LAPEER 48446
(810) 245-7689
1114521
HOMETOWN HOME HEALTH CARE
1681 WOODBRIDGE PKWY AVE
LAPEER 48446
(810) 245-3300
INFECTIOUS DISEASES
1078680
ABTER, ELFATIH MD
1295 BARRY DR
LAPEER 48446
(810) 667-5574
1063692
ABTER, ELFATIH MD
1375 N MAIN STREET 1W
LAPEER 48446
(810) 667-5647
1375 N MAIN ST 1W
LAPEER 48446
(810) 667-5585
INTERNAL MEDICINE
1059311
SALEM, GARY DO
NEPHROLOGY
1028599
MIRCHANDANI, JAGDISH C MD
1083 SUNCREST DR STE A
LAPEER 48446
(810) 720-0162
1025978
RAMANATHAN, SUNDAR MD
LAPEER 48446
(810) 720-0162
1028600
ZAKI, NABIL S MD
LAPEER 48446
(810) 720-0162
1254 N MAIN ST
LAPEER 48446
(810) 664-4532
NEURO SURGERY
1117348
JONES, MOSES C MD
NEUROLOGY
253367
EL-NACHEF, AMMAR MD
4053 S LAPEER RD STE D
METAMORA 48455
(810) 667-6411
1074840
FRAM, KARIM M MD
237 DAVIS LAKE RD STE B
LAPEER 48446
(810) 667-9132
1065049
SESI, VERONICA DO
2401 W GENESEE ST STE C
LAPEER 48446
(810) 245-6965
1116169
SESI, VERONICA K DO
544 N MAIN ST
LAPEER 48446
(810) 245-3446
203017
ALLEN, LISA M DO
LAPEER 48446
(810) 245-8620
1077140
ANDREI, RAMONA MD
1254 N MAIN ST
LAPEER 48446
(810) 664-4531
252744
DALY, DARLENE F DO
809 W DRYDEN RD
METAMORA 48455
(810) 678-8807
1086332
HESLINGER, KEITH MD
944 BALDWIN RD STE G
LAPEER 48446
(810) 606-9190
1123235
KOBOLD, RHONDA L DO
1794 N LAPEER RD
LAPEER 48446
(810) 969-4501
1086334
LAPA, MARTIN DO
LAPEER 48446
(810) 606-9190
1123126
MCEWEN, STACEY DO
LAPEER 48446
(810) 660-9190
1086138
WRIGHT, THOMAS C DO
LAPEER 48446
(810) 606-9190
OPHTHALMOLOGY
1010896
CHUNG, MOONYOUNG MD
1005 S LAPEER RD
LAPEER 48446
(810) 664-9945
1035392
DISKIN, DAVID MD
1005 S LAPEER RD
LAPEER 48446
(810) 664-5458
202143
DISKIN, DAVID MD
129 W NEPESSING
LAPEER 48446
(810) 664-5458
202144
DISKIN, JEFFREY MD
129 W NEPESSING
LAPEER 48446
(810) 664-5458
202145
KEOLEIAN, GARY MD
129 W NEPESSING
LAPEER 48446
(810) 664-5458

Page 298
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Lapeer County
1035385
KEOLEIAN, GARY MD
1005 S LAPEER RD
LAPEER 48446
(810) 664-5458
1011535
TATGE, ARTHUR J DO
944 BALDWIN RD STE H
LAPEER 48446
(810) 667-6408
OPTOMETRY
1104176
ADKINS, TERRY OD
1813 S VAN DYKE
IMLAY CITY 48444
(810) 721-9411
1125247
BROZZO, SARAH OD
1813 S VAN DYKE
IMLAY CITY 48444
(810) 721-9411
1105162
CALISTERIO, CORDELL OD
1813 S VAN DYKE
IMLAY CITY 48444
(810) 721-9411
1085174
GAY, RICHARD OD
1813 S VAN DYKE
IMLAY CITY 48444
(810) 721-9411
1040822
HARRIS, TODD OD
555 E GENESEE
LAPEER 48446
(810) 245-3653
1108423
1005 S LAPEER RD
LAPEER 48446
(810) 664-5458
1104642
1005 S LAPEER RD
LAPEER 48446
(810) 664-5458
1122526
HENDRICKS, MICHAEL OD
76 W NEPESSING ST
LAPEER 48446
(810) 664-5929
1073845
ICEBERG, JEFFERY OD
1813 S VAN DYKE
IMLAY CITY 48444
(810) 721-9411
1126554
518 S CEDAR ST
IMLAY CITY 48444
(810) 724-3937
1126559
JOHNSTON, MELISSA OD
700 S MAIN ST STE 113
LAPEER 48446
(810) 664-1329
1121991
JONCAS, LUC R OD
1813 S VAN DYKE
IMLAY CITY 48444
(810) 721-9411
1016249
KAUTZ, ANN MARIE OD
129 W NEPESSING
LAPEER 48446
(810) 664-5458
1035378
KAUTZ, ANN MARIE OD
1005 S LAPEER RD
LAPEER 48446
(810) 664-5458
1098429
KAYNER, JILL OD
1813 S VAN DYKE
IMLAY CITY 48444
(810) 721-9411
1073856
KNIGHT, JOSEPHUS OD
1813 S VAN DYKE
IMLAY CITY 48444
(810) 721-9411
1034107
LABAZA, JOHN F OD
897 BALDWIN RD STE A
LAPEER 48446
(810) 667-9210
1091683
MALONEY, CHAD OD
1813 S VAN DYKE
IMLAY CITY 48444
(810) 721-9411
1074120
1005 S LAPEER RD
LAPEER 48446
(810) 664-5458
1107888
PHIPPS, KIMBERLY OD
1813 S VAN DYKE
IMLAY CITY 48444
(810) 721-9411
1035375
PHIPPS, KIMBERLY OD
1005 S LAPEER RD
LAPEER 48446
(810) 664-5458
1017735
PHIPPS, KIMBERLY OD
129 W NEPPESING
LAPEER 48446
(810) 664-5458
1046839
SANITATE, MARK OD
1813 S VAN DYKE
IMLAY CITY 48444
(810) 721-9411
1035381
1005 S LAPEER RD
LAPEER 48446
(810) 664-5458
1017730
129 W NEPESSING
LAPEER 48446
(810) 664-5458
1062316
SPITLER, ANTHONY OD
125 W THIRD ST
IMLAY CITY 48444
(810) 724-6155
1122527
STONE, FRANCIS OD
76 W NEPESSING ST
LAPEER 48446
(810) 664-5929
1035369
TEKIELE, BERNARD OD
1005 S LAPEER RD
LAPEER 48446
(810) 664-5458
1032905
TEKIELE, BERNARD OD
129 W NEPESSING
LAPEER 48446
(810) 664-5458
1032899
129 W NEPESSING
LAPEER 48446
(810) 664-5458
1035372
1005 S LAPEER RD
LAPEER 48446
(810) 664-5458
1126555
WATSON, CRAIG OD
518 S CEDAR ST
IMLAY CITY 48444
(810) 724-3937
1119546
ZEIDERS, ERICA OD
1813 S VAN DYKE
IMLAY CITY 48444
(810) 721-9411
ORTHOPEDIC SURGERY
202909
CHAPMAN, BARBARA DO
1257 N MAIN ST
LAPEER 48446
(810) 664-4526
1024033
MCCLIMANS II, GORDON DO
307 S COURT ST
LAPEER 48446
(810) 667-6110
1002507
307 S COURT ST
LAPEER 48446
(810) 667-6110
1121504
MOYER, RICHARD DO
307 S COURT ST
LAPEER 48446
(810) 667-6110
1066258
OLENYN, JOHN R MD
1254 N MAIN ST
LAPEER 48446
(810) 664-4532
1080252
OLENYN, JOHN R MD
1254 N MAIN ST
LAPEER 48446
(810) 664-4532
1108422
PATEL, JIGNESH DO
1254 N MAIN ST
LAPEER 48446
(810) 664-4532
1063119
SAQQA, SAMER DO
307 S COURT ST
LAPEER 48446
(810) 667-6110

Page 299
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Lapeer County

1015343
307 S COURT ST
LAPEER 48446
(810) 667-6110
1123822
TRAVIS, ROBERT D MD
1254 N MAIN ST
LAPEER 48446
(810) 664-4531
1000419
YAP, JOHN J L MD
307 S COURT ST
LAPEER 48446
(810) 667-6110
PAIN MANAGEMENT
1091561
BOCTOR, BAHER K MD
1375 N MAIN ST
LAPEER 48446
(810) 667-5717
1091573
BUE-NIDERHAUSER, MAY-EILEEN DO
1375 N MAIN ST
LAPEER 48446
(810) 667-5717
1091577
CHAKRABORTTY, SHUSHOVAN MD
1375 N MAIN ST
LAPEER 48446
(810) 667-5500
1091578
CHENG, HAO MD
1375 N MAIN ST
LAPEER 48446
(810) 667-5717
1060525
KIM, HI JOO MD
1375 N MAIN ST
LAPEER 48446
(810) 667-5574
1091677
LIU, JOE Z MD
1375 N MAIN ST
LAPEER 48446
(810) 667-5717
1117263
MARJANOVIC, MILOS MD
1375 N MAIN ST
LAPEER 48446
(810) 667-5717
1091728
PSIMOULIS, DEMETRIOUS MD
1375 N MAIN ST
LAPEER 48446
(810) 667-5717
1091741
ROBERTS, JEREMY DO
1375 N MAIN ST
LAPEER 48446
(810) 667-5717
1091754
SCHEER, SUSAN DO
1375 N MAIN ST
LAPEER 48446
(810) 667-5717
1091773
SOSKIN, VITALY MD
1375 N MAIN ST
LAPEER 48446
(810) 667-5717
1091792
TERAIKIAN, GREGORY H DO
1375 N MAIN ST
LAPEER 48446
(810) 667-5717
1091839
ZAMAN, MOHAMMED A MD
1375 N MAIN ST
LAPEER 48446
(810) 667-5717

204252
971 BALDWIN RD
LAPEER 48446
(989) 672-0092
1059398
BADR, ITEMAD MD
LAPEER 48446
(810) 667-3111
944 BALDWIN RD STE F
LAPEER 48446
(810) 245-7812
307 S COURT ST
LAPEER 48446
(810) 667-6110
951 S MAIN ST STE 2
LAPEER 48446
(810) 664-7640
PEDIATRICS
1121214
BRANIECKI, MARK DO

1011419
PLASTIC SURGERY
252751
HEGYI, DOUGLAS F DO
PODIATRY
1100143
LEFEVER, ERNEST W DPM
1390 N MAIN ST
LAPEER 48446
(810) 664-1250
1106065
OSTROSKI, ANGELA M DPM
1390 N MAIN ST
LAPEER 48446
(810) 664-1250
1094505
1390 N MAIN ST
LAPEER 48446
(810) 664-1250
1100142
1390 N MAIN ST
LAPEER 48446
(810) 664-1250
1096365
ROWLEY, DUANE A JR DPM
LAPEER 48446
(810) 969-4016
1010989
WILLIAMS, MARK R DPM
1390 N MAIN
LAPEER 48446
(810) 664-1250
1370 N MAIN ST
LAPEER 48446
(810) 664-1101
PROSTHETICS
1025600
PSYCHIATRY
1011605
KIMPO, LETICIA G MD
624 W NEPESSING ST STE 300
LAPEER 48446
(810) 667-4500
1100945
MERCADO, ERLINDA MD
LAPEER 48446
(810) 664-4546
1050388
SHERBIN-SHER, JULIE DO
LAPEER 48446
(810) 664-4557
150 S ALMONT
IMLAY CITY 48444
(810) 724-3201

1011004
HEALTH DELIVERY INC

Page 300
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Lapeer County

PUBLIC HEALTH CLINIC (CONTINUED)
202972
LAPEER CO HEALTH DEPARTMENT
1800 IMLAY CITY RD
LAPEER 48446
(510) 245-5581
PULMONOLOGY
1032538
AL-AMERI, MOHAMMED W MD
LAPEER 48446
(810) 667-3111
1064102
GHABSHA, AHMAD A MD
LAPEER 48446
(810) 667-3111
1064954
GHABSHA, AHMAD A MD
1375 N MAIN STREET
LAPEER 48446
(248) 651-6430
1000648
KASHLAN, MUHAMMAD MD
LAPEER 48446
(810) 667-3111
1078826
544 N MAIN
LAPEER 48446
(810) 245-3446
1022493
SABBAQ, MAZEN MD
LAPEER 48446
(810) 667-1883
1057451
STREFF, GREGORY J DO
544 N MAIN ST
LAPEER 48446
(810) 245-3446
RADIATION ONCOLOGY
1085395
DEVISETTY, KIRAN MD
1295 BARRY DR
LAPEER 48446
(810) 245-5300
1030313
GAYAR, HESHAM MD
1295 BARRY DR
LAPEER 48446
(810) 245-5300
1030312
NETTLETON, JACK MD
1295 BARRY DR
LAPEER 48446
(810) 245-5300
1122529
STURGEON, JARED MD
1295 BARRY DR
LAPEER 48446
(810) 245-5300
RHEUMATOLOGY
1012028
KARRAR, ALI A MD
1254 N MAIN ST
LAPEER 48446
(810) 667-0067
1011945
1254 N MAIN ST
LAPEER 48446
(810) 667-0067

1057654
LAPEER COUNTY MCF
1455 SUNCREST DR
LAPEER 48446
(810) 664-8571
1042123
TCU LAPEER REGIONAL
1375 N MAIN ST
LAPEER 48446
(810) 667-5500
2401 W GENESEE ST STE C
LAPEER 48446
(810) 245-6965
1795 S CEDAR ST
IMLAY CITY 48444
(810) 724-6963
SLEEP STUDIES
1065049
SESI, VERONICA DO
SPEECH THERAPY
1036795
WELLNESS CARE INC
UROLOGY
1075366
MANSOUR, SABRY G MD
25 MILLVILLE RD
LAPEER 48446
(810) 538-2020
1127898
MIRAKA, ALTIN DO
25 MILLVILLE RD
LAPEER 48446
(810) 538-2020
1002080
RAMANA, DINDIGALLA V MD
1500 N MAIN ST
LAPEER 48446
(810) 667-9390
7401 E DUCK LAKE RD STE 100
LAKE LEELANAU 49653
(231) 256-0200
7401 DUCK LAKE RD STE 100
LAKE LEELANAU 49653
(231) 256-0200
200 S CEDAR ST
SUTTONS BAY 49682
(231) 271-4544
7401 E DUCK LAKE RD STE 100
LAKE LEELANAU 49653
(231) 256-0200
Leelanau County
LEELANAU COUNTY
1122324
1119609
COLLINS, MICHAEL MD
OPTOMETRY
1078603
U'REN, RANDY S OD

1122324

Page 301
February 19, 2015

PIN
Provider
Address
LEELANAU COUNTY (CONTINUED)
City and Zip
Phone
Gender
Leelanau County

1073061
TENDERCARE HEALTH CENTER OF LEELANAU
124 W FOURTH ST
SUTTONS BAY 49682
(231) 271-1200
124 W FOURTH ST
SUTTONS BAY 49682
(231) 271-1200
602 N EVANS ST
TECUMSEH 49286
(517) 423-4946
602 N EVANS ST
TECUMSEH 49286
(517) 423-4946
SPEECH THERAPY
1127982
Lenawee County
LENAWEE COUNTY
ALLERGY
1107005
REHMAN, SYED M MD

1104703
UZZAMAN, ASHRAF MD
DME - P&O
1031810
CHRISTIAN DME
107 S BROAD ST STE 1
ADRIAN 49221
(517) 266-6472
1074138
730 RIVERSIDE AVE
ADRIAN 49221
(800) 379-1600
715 LAKESHIRE TRAIL
ADRIAN 49221
(517) 263-5384

1095538
FRESENIUS MEDICAL CARE ADRIAN

1083184
HEAR USA
777 KIMOLE LANE STE 120
ADRIAN 49221
(517) 264-0711
1083185
415 MILL RD
ADRIAN 49221
(517) 263-1354
730 RIVERSIDE AVE
ADRIAN 49221
(800) 379-1600
730 RIVERSIDE AVE
ADRIAN 49221
(800) 379-1600
HOME HEALTH CARE

1074137
HOSPICE
1074139
NEPHROLOGY
1118558
BEHREND, GEORGE MD
715 LAKESHIRE TR
ADRIAN 49221
(734) 712-3470
1109456
715 LAKESHIRE TR
ADRIAN 49221
(734) 712-3470
1104103
DANCEY, ERIC MD
715 LAKESHIRE TR
ADRIAN 49221
(734) 712-3470
1104144
KARIM, JARIATUL MD
715 LAKESHIRE TR
ADRIAN 49221
(734) 712-3470
1104303
MARU, VIDOOSHI MD
715 LAKESHIRE TR
ADRIAN 49221
(734) 712-3470
1104121
MAYER, JUDITH MD
715 LAKESHIRE TR
ADRIAN 49221
(734) 712-3470
1104151
715 LAKESHIRE TR STE 202
ADRIAN 49221
(734) 712-3470
1104257
REHAN, AHMED MD
715 LAKESHIRE TR
ADRIAN 49221
(734) 712-3470
OPHTHALMOLOGY
1117911
BERNSTEIN, JONATHAN M MD
580 RIVERSIDE AVE
ADRIAN 49221
(517) 265-6131
1117910
TOLCHIN, NEAL A MD
580 RIVERSIDE AVE
ADRIAN 49221
(517) 265-6131
OPTOMETRY
1114523
1416 S MAIN
ADRIAN 49221
(517) 265-8086
1104269
KAUR, SARABJIT OD
1416 S MAIN STE 380
ADRIAN 49221
(517) 265-8086
1123057
KOCEMBO, ROBERT T OD
1416 S MAIN STE 380
ADRIAN 49221
(517) 265-8086
1117636
KORDYZON, JODI OD
1400 W MAUMEE ST
ADRIAN 49221
(517) 265-5444
1117542
RICHARDS, CHELSEA OD
1400 W MAUMEE ST
ADRIAN 49221
(517) 265-5444

Page 302
February 19, 2015

PIN
Provider
Address
LENAWEE COUNTY (CONTINUED)
City and Zip
Phone
Gender
Lenawee County
1070377
RIVERA, AXEL OD
ADRIAN 49221
(517) 265-8086
1117640
SNOW, RICK OD
1400 W MAUMEE ST
ADRIAN 49221
(517) 265-5444
1125332
TRUJILLO, DAVID P OD
580 RIVERSIDE AVE
ADRIAN 49221
(517) 265-6131
1093475
WHITE, WHITNEY H OD
1416 S MAIN STE 380
ADRIAN 49221
(517) 265-8086
1085218
WONG, KENNETH OD
ADRIAN 49221
(517) 265-8086
324 E MAUMEE ST
ADRIAN 49221
(517) 265-3307
1040 S WINTER ST
ADRIAN 49221
(517) 264-5226
PODIATRY
1081870
KEYS, MARC S DPM
PREVENTATIVE MEDICINE
1127921
CHERNIN, DENNIS K MD
PSYCHIATRY
1085669
ABEDI, AURIF MD
199 N BROAD ST
ADRIAN 49221
(517) 263-0191
1109446
CHANDRAMOULI, SUSHMA MD
818 RIVERSIDE AVE
ADRIAN 49221
(517) 265-0411
1109445
502 E CUMMINS ST
TECUMSEH 49286
(517) 423-3887
1106804
500 E POTTAWATAMIE ST
TECUMSEH 49286
(517) 423-8396
1075342
ITTIARA, THEETHAYE L MD
142 E MAUMEE ST STE 3
ADRIAN 49221
(517) 263-5810
1109159
JAMES, JOY MD
502 E CUMMINS ST
TECUMSEH 49286
(517) 423-3887
1105069
JAMES, JOY MD
818 RIVERSIDE AVE
ADRIAN 49221
(517) 265-0411
1109158
JAMES, JOY MD
TECUMSEH 49286
(517) 423-8396
1107266
SYED, MURTAZA MD
TECUMSEH 49286
(517) 423-8396
1040 S WINTER ST STE 2328
ADRIAN 49221
(517) 264-5207

1010171
LENAWEE COUNTY HEALTH DEPART
RADIATION ONCOLOGY
1082754
FORQUER, JEFFREY A MD
777 KIMOLE LN STE 130
ADRIAN 49221
(517) 265-0292
1082755
HERTZFELD, KARA E MD
ADRIAN 49221
(517) 265-0292
1082756
JAGGERNAUTH, WAINWRIGHT A MD
ADRIAN 49221
(517) 265-0292
1082750
KUCWAY, ROGER T MD
777 KIMOLE LN
ADRIAN 49221
(517) 265-0292
130 SANDCREEK HWY
ADRIAN 49221
(517) 265-6554
8619 W GRAND RIVER AVE STE J
BRIGHTON 48116
(810) 227-6793
2300 GENOA BUSINESS PARK DR STE 150
BRIGHTON 48114
(810) 227-6793

1101741
MAGNUM CARE OF ADRIAN
LIVINGSTON COUNTY
Livingston County
ALLERGY
1093905
ZACKS, MARK N MD

1100341
ALPERT, EDWARD MD
1112585
BOGUN, FRANK M MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113410
CHUGH, AMAN MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1110277
CRAWFORD, THOMAS C MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1114327
GHANBARI, HAMID MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1122834
GOEL, RAMIL MBBS
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510

Page 303
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Livingston County
CARDIAC ELECTROPHYSIOLOGY (CONTINUED)
1112461
GOOD, ERIC D DO
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1110553
JONGNARANGSIN, KRIT MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1123001
KIM, EDWARD T MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113486
LATCHAMSETTY, RAKESH MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112920
MORADY, FRED MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1114249
ORAL, HAKAN MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112184
PELOSI, FRANK MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1123095
SAUNDERS, JUSTIN T MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
CARDIOLOGY
1110689
AARONSON, KEITH D MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112091
ARMSTRONG, WILLIAM F MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113920
BACH, DAVID S MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1122923
BARNES, GEOFFREY D MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112689
BATES, ERIC R MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112384
BENSON, MARK R MD PHD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113317
BHAVE, NICOLE M MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112793
BYRD, JAMES B MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1111997
CHETCUTI, STANLEY J MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1127893
COLVIN, MONICA M MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1111638
DAS, SUNIL K MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1111315
DAVIS, MELINDA B MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1110671
DAY, SHARLENE M MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113745
DUVERNOY, CLAIRE S MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1111517
DYKE, DAVID B MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112969
EAGLE, KIM A MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1110369
EITZMAN, DANIEL T MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113304
FARREHI, PETER M MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1114611
FROEHLICH, JAMES B MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112848
GOONEWARDENA, SASCHA N MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113249
GROSSMAN, PAUL M MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1114077
GURM, HITINDER S MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1111602
HAGAN, PETER G MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113806
HASAN, REEMA MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1111421
HELMS, ADAM S MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1110104
HUMMEL, SCOTT L MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113909
JACKSON, ELIZABETH A MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1122882
KANTHI, YOGENDRA MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1122960
KENAAN, MOHAMAD A MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1111582
KHAJA, FAREED U MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1114638
KOELLING, TODD M MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112202
KOLIAS, THEODORE J MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112735
LABOUNTY, TROY M MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113028
LEHMANN, MICHAEL H MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112520
LEJA, MONIKA J MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1110933
MCLAUGHLIN, VALLERIE V MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510

Page 304
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Livingston County
1110230
MENEES, DANIEL S MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112655
MURTHY, VENKATESH L MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112410
NALLAMOTHU, BRAHMAJEE K MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113886
NICKLAS, JOHN M MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1110380
PALARDY, MARYSE MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1111029
PINSKY, DAVID J MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1114668
RUBENFIRE, MELVYN MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1110399
SABERI, SARA MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112813
SHEA, MICHAEL J MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1111000
STEIN, ADAM B MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113767
THOMAS, MICHAEL P MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1017693
TOBIN, KENNETH J DO
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1111544
VISOVATTI, SCOTT H MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1114046
WU, AUDREY H MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113955
YAMADA, ELINA MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
CLINICAL GENETICS
1113681
STERN, RALPH H MD
DME - P&O
1004464
ADVANCED MEDICAL SOLUTIONS
106 W GRAND RIVER RD
HOWELL 48843
(517) 548-0186
1094444
7575 GRAND RIVER AVE STE 160
BRIGHTON 48116
(810) 225-7701
1094445
FOWLERVILLE 48836
(517) 223-8243
1074142
7927 NEMCO WAY STE 275
BRIGHTON 48116
(800) 379-1600
1060233
HELLNER & ASSOCIATES INC
2233 EULER RD
BRIGHTON 48114
(810) 220-3472
1098154
HOME HEALTH DEPOT INC
7717 KENSINGTON CT
BRIGHTON 48116
(248) 264-7099
1013013
MITCHELL HOME MEDICAL INC
455 E GRAND RIVER STE 20
BRIGHTON 48116
(810) 229-9200
820 BYRON RD STE 500
HOWELL 48843
(517) 548-5900
315 W NORTH ST STE C
BRIGHTON 48116
(810) 225-1790
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510

1031759
WANDZEL, RICHARD A DO

1035554
BRIGHTON DIALYSIS CENTER
ENDOCRINOLOGY
1043841
ESFANDIARI, NAZANENE H MD
GASTROENTEROLOGY
1112074
CHEY, WILLIAM D MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1106872
CUTLER, ALAN F MD
BRIGHTON 48116
(248) 662-4300
1106668
GAMARRA, ROBERTO M MD
BRIGHTON 48116
(248) 662-4300
1106575
GOLDMEIER, PHILLIP A MD
BRIGHTON 48116
(248) 662-4300
1111460
KWON, HELLAN K MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1106501
LEVINSON, JAY R MD
BRIGHTON 48116
(248) 662-4300
1112168
MENEES, STACY B MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112757
NGUYEN, DIANE MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1106481
PIPER, MICHAEL H MD
BRIGHTON 48116
(248) 662-4300
1117957
RAPHAEL, MICHAEL R DO
BRIGHTON 48116
(248) 662-4300
1112892
RICE, MICHAEL D MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510

Page 305
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Livingston County
GASTROENTEROLOGY (CONTINUED)
1112623
RIZK, RAFAT S MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113007
VOLK, MICHAEL L MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
GENERAL SURGERY
1097889
GERKEN, JEFFREY R DO
BRIGHTON 48116
(248) 471-8030
1111076
NEWMAN, ERIKA A MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1097939
REBOCK, MICHAEL D DO
BRIGHTON 48116
(248) 471-8030

1083194
ADVANCED HEARING CARE INC
BRIGHTON 48114
(810) 494-4327
1065854
BRIGHTON 48116
(810) 494-1700
1083195
THE HEARING CLINIC
2300 GENOA BUSINESS LN
BRIGHTON 48114
(810) 225-2205
BRIGHTON 48116
(800) 379-1600
BRIGHTON 48116
(800) 379-1600
HOME HEALTH CARE

1074141
HOSPICE
1074143
INTERNAL MEDICINE
1109179
BONAWITZ DODI, ANNE MAIRE MD
12851 EAST GRAND RIVER
BRIGHTON 48116
(810) 227-1211
1113231
BROOK, ROBERT D MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1095639
DEWEESE, PAUL N MD
BRIGHTON 48116
(810) 355-0000
1073813
GEORGE, IMAD M MD
12851 E GRAND RIVE
BRIGHTON 48116
(810) 227-1211
1111281
JAMERSON, KENNETH A MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1110853
JIANG, MIN MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112221
KHATEEB, RAFINA R MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113446
LEVINE, DEBORSP A MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1111159
MACK, MEGAN R MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1073809
MCGOEY, CLAUDETTE MD
12851 GRAND RIVER
BRIGHTON 48116
(810) 225-2552
1103621
PATEL, VIPUL R MD
BRIGHTON 48116
(810) 225-2552
1073805
SIDDIQUI, SULEMAN DO
12851 E GRAND RIVER
BRIGHTON 48116
(810) 227-1211
1110561
STEPHENSON, DAVID A MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112930
VREDEVELD, JENNIFER L MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1073803
WILLIAMS, MARILYN B MD
12851 GRAND RIVER
BRIGHTON 48116
(810) 225-2552
NEPHROLOGY
1118557
BEHREND, GEORGE MD
HOWELL 48843
(734) 712-3470
1118559
BEHREND, GEORGE MD
BRIGHTON 48114
(734) 712-3470
1109455
HOWELL 48843
(734) 712-3470
1109457
BRIGHTON 48114
(734) 712-3470
1104102
DANCEY, ERIC MD
HOWELL 48843
(734) 712-3470
1104104
DANCEY, ERIC MD
BRIGHTON 48114
(734) 712-3470
1104143
KARIM, JARIATUL MD
HOWELL 48843
(734) 712-3470
1104145
KARIM, JARIATUL MD
BRIGHTON 48114
(734) 712-3470
1104302
MARU, VIDOOSHI MD
HOWELL 48843
(734) 712-3470
1104304
MARU, VIDOOSHI MD
BRIGHTON 48114
(734) 712-3470
1104122
MAYER, JUDITH MD
BRIGHTON 48114
(734) 712-3470
1104152
BRIGHTON 48114
(734) 712-3470

Page 306
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Livingston County
1104150
HOWELL 48843
(734) 712-3470
1104256
REHAN, AHMED MD
HOWELL 48843
(734) 712-3470
1104258
REHAN, AHMED MD
BRIGHTON 48114
(734) 712-3470
NEUROLOGY
1113329
CHARLESTON, LARRY MD
8001 CHALLIS RD
BRIGHTON 48116
(734) 763-5459
1043769
COOPER, WADE M DO
8001 CHALLIS RD
BRIGHTON 48116
(734) 763-5459
1125858
ROSSKNECHT, MOLLY G DO
8001 CHALLIS RD
BRIGHTON 48116
(734) 998-1513
NURSE MIDWIFE
1119938
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035
1111456
BRIGHAM, JANE M CNM
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1119921
GLENN, JESSICA CNM
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035
1119904
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035
1119870
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035
1112251
MILKEY, MARY M CNM
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1118873
8001 CHALLIS RD
BRIGHTON 48116
(810) 225-8677
1120243
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035
1118874
SCOTT, MELISA N CNM
8001 CHALLIS RD
BRIGHTON 48116
(810) 225-8677
1120260
SCOTT, MELISA N CNM
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035
1120209
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035
1116919
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1119836
BELL, CARRIE MD
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035
1119887
BELL, JASON D MD
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035
1101782
7900 GRAND RIVER RD
BRIGHTON 48114
(810) 220-4513
1114589
CURRAN, DIANA MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1120311
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035
1077688
DEIGHTON-COLLINS, SARAH MD
BRIGHTON 48116
(810) 225-6101
1112224
FROST, SARA C MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1120226
HARRIS, LISA H MD
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035
1122218
HOMA, LORI MD
7900 GRAND RIVER RD
BRIGHTON 48114
(810) 220-4513
1123955
HOVELSON, SONIA A MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1119853
KAHN, CHAVA MD
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035
1112642
LIANG, ANGELA C MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113170
MONIZ, MICHELLE H MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1101974
REID, VIRGIL C MD
7900 GRAND RIVER RD
BRIGHTON 48114
(810) 220-4513
1078912
SIBSON, TROY L MD
11166 HIGHLAND RD
HARTLAND 48353
(810) 632-0092
1101924
7900 GRAND RIVER RD
BRIGHTON 48114
(810) 220-4513
1120294
WALLETT, SARAH M MD
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035
1113847
YOUNG, STEPHANIE K MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1120277
ZAPATA, MYA R MD
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035
OPHTHALMOLOGY
1111976
BESER, DONALD S MD
5728 WHITMORE LAKE RD
BRIGHTON 48116
(810) 227-2357
1019753
CLARK, ROBERT T MD
7575 GRAND RIVER RD STE 111
BRIGHTON 48114
(810) 844-7744
1116880
COMER, GRANT MD
BRIGHTON 48116
(810) 227-2357

Page 307
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Livingston County
1072059
HOWELL 48843
(517) 548-3571
1011458
ESTON, AMY MD
2790 W GRAND RIVER
HOWELL 48843
(517) 548-3571
1111846
GAPPY, CHRISTOPHER MD
BRIGHTON 48116
(810) 227-2357
1085384
HSU, ANTHONY DO
HOWELL 48843
(517) 548-3571
1124726
KRESCH, ZVI MD
39901 TRADITIONS DR STE 230
PINCKNEY 48169
(734) 432-7811
1111238
MIAN, SHAHZAD I MD
BRIGHTON 48116
(810) 227-2357
1098938
PEARLMAN, MARTIN E MD
HOWELL 48843
(517) 548-3571
1124503
SCHUMACHER, MARIAH A MD
BRIGHTON 48116
(810) 227-2357
1113164
SHSP, ANJALI R MD
BRIGHTON 48116
(810) 227-2357
1112268
WEST, ADRIENNE L MD
BRIGHTON 48116
(810) 227-2357
OPTOMETRY
1122041
455 E GRAND RIVER
BRIGHTON 48116
(810) 227-2376
1114529
455 E GRAND RIVER
BRIGHTON 48116
(810) 227-2376
1073789
BRATT, RICHARD OD
455 E GRAND RIVER
BRIGHTON 48116
(810) 227-2376
1124206
DAY, SHERRY H OD
BRIGHTON 48116
(810) 227-2357
1111489
DEWEY, COURTNEY A OD
BRIGHTON 48116
(810) 227-2357
1105175
GENTILE, RALPH OD
455 E GRAND RIVER
BRIGHTON 48116
(810) 227-2376
1046836
GRABOWSKI, MARK OD
455 E GRAND RIVER
BRIGHTON 48116
(810) 227-2376
1111684
GRENIER, PAUL J OD
BRIGHTON 48116
(810) 227-2357
1079470
JACOBS, KEVIN OD
HOWELL 48843
(517) 548-3571
1121996
JONCAS, LUC R OD
455 E GRAND RIVER
BRIGHTON 48116
(810) 227-2376
1073848
KENNEDY, PAUL OD
455 E GRAND RIVER
BRIGHTON 48116
(810) 227-2376
1073854
KIEFIUK, WILLIAM OD
455 E GRAND RIVER
BRIGHTON 48116
(810) 227-2376
1059838
KOWALSKI, PATRICIA OD
136 E GRAND RIVER AVE PO BOX 618
FOWLERVILLE 48836
(517) 223-9988
1114460
LALIBERTE, RENEE OD
1245 E MAIN ST
PINCKNEY 48169
(734) 878-7444
1059840
LANG, PAUL T OD
FOWLERVILLE 48836
(517) 223-9988
1011460
2790 W GRAND RIVER
HOWELL 48843
(517) 548-3571
1111651
LEUNG, HELIOS T OD
BRIGHTON 48116
(810) 227-2357
1108413
MUIR, JOHN OD
HOWELL 48843
(517) 545-2020
1126028
PATTERSON, MARIKA OD
455 E GRAND BLVD
BRIGHTON 48116
(810) 227-2376
1107891
PHIPPS, KIMBERLY OD
BRIGHTON 48116
(810) 227-2376
1083451
POPHAM, PHILLIP OD
455 E GRAND RIVER
BRIGHTON 48116
(810) 227-2376
1106058
POWELL, JULIE M OD
FOWLERVILLE 48836
(517) 223-9988
1085161
RIVERA, AXEL OD
455 E GRAND RIVER
BRIGHTON 48116
(810) 227-2376
1110339
TAYLOR, BRADLEY W OD
BRIGHTON 48116
(810) 227-2357
1059839
WHITNEY, DAVID B OD
FOWLERVILLE 48836
(517) 223-9988
1038914
WHITNEY, DAVID B OD
HOWELL 48843
(517) 548-3571
1110338
WICKER, DONNA M OD
BRIGHTON 48116
(810) 227-2357
1075070
WONG, KENNETH OD
455 E GRAND RIVER
BRIGHTON 48116
(810) 227-2376
1119548
ZEIDERS, ERICA OD
455 E GRAND RIVER
BRIGHTON 48116
(810) 227-2376
ORTHOPEDIC SURGERY
1112156
BEDI, ASHEESH MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 225-8677
1018632
CAIRD, MICHELLE S MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 225-8677
1000477
CRAIG, CLIFFORD L MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 225-8677
1112652
HALLSTROM, BRIAN R MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 225-8677

Page 308
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Livingston County
1113752
LI, GERTRUDE Y MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 225-8677
1123598
MARATT, JOSEPH D MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 225-8677
1113326
URQUHART, ANDREW G MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 225-8677
BRIGHTON 48114
(810) 844-7703
PAIN CENTER
1096826
PAIN MANAGEMENT
1111442
BRUMMETT, CHAD M MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113988
CHIRAVURI, SRINIVAS MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1110569
HILLIARD, PAUL E MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112244
RASTOGI, MOHIT MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113666
WASSERMAN, RONALD A MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1110618
BOCKS, MARTIN L MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1111355
COTTS, TIMOTHY B MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1116884
DICK, MACDONALD MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1116909
DICK, MACDONALD MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1118876
FRIEDLAND-LITTLE, JOSHUA M MD
711 BYRON RD
HOWELL 48843
(517) 548-1020
1116991
LAPAGE, MARTIN J MD
711 BYRON RD
HOWELL 48843
(517) 548-1020
1116907
NORRIS, MARK D MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1124165
SCHUMACHER, KURT R MD
711 BYRON RD
HOWELL 48843
(517) 548-1020
HOWELL 48843
(517) 545-5944
1120784
WALTERS, BRUCE MD
PEDIATRIC - SURGERY
1116933
ARNOLD, MEGHAN MD
8001 CHALLIS
BRIGHTON 48116
(810) 227-9510
1116945
BRUCH, STEVEN W MD
8001 CHALLIS
BRIGHTON 48116
(810) 227-9510
1116962
EHRLICH, PETER F MD
8001 CHALLIS
BRIGHTON 48116
(810) 227-9510
1116943
GADEPALLI, SAMIR MD
8001 CHALLIS
BRIGHTON 48116
(810) 227-9510
1116939
GEIGER, JAMES MD
8001 CHALLIS
BRIGHTON 48116
(810) 227-9510
1116950
8001 CHALLIS
BRIGHTON 48116
(810) 227-9510
1116951
JARBOE, MARCUS MD
8001 CHALLIS
BRIGHTON 48116
(810) 227-9510
1116956
8001 CHALLIS
BRIGHTON 48116
(810) 227-9510
1116960
8001 CHALLIS
BRIGHTON 48116
(810) 227-9510
1116938
8001 CHALLIS
BRIGHTON 48116
(810) 227-9510
PEDIATRICS
1111755
AUWARTER, KRISTEN E MD
711 BYRON
HOWELL 48843
(517) 548-1020
1111756
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112060
BUCHI, ANDREA B MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1112059
BUCHI, ANDREA B MD
711 BYRON
HOWELL 48843
(517) 548-1020
1110079
CIVIL, YOLAINE A MD
711 BYRON
HOWELL 48843
(517) 548-1020
1110080
CIVIL, YOLAINE A MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1123123
FREUNDLICH, KATHERINE L MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1123122
711 BYRON
HOWELL 48843
(517) 548-1020
1112605
LAULE, SARA M MD
711 BYRON
HOWELL 48843
(517) 548-1020

Page 309
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Livingston County
1112606
LAULE, SARA M MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1122806
LONG, LINDSEY A MD
711 BYRON
HOWELL 48843
(517) 548-1020
1122807
LONG, LINDSEY A MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1123017
LOPEZ, CHRISSY A MD
711 BYRON
HOWELL 48843
(517) 548-1020
1123018
LOPEZ, CHRISSY A MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1122820
RIEDERER, MARK F MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 225-8677
1111747
SKOCZYLAS, MARIA S MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1111746
711 BYRON
HOWELL 48843
(517) 548-1020
1122934
WALLACE, DAVID M MD
711 BYRON
HOWELL 48843
(517) 548-1020
1122935
WALLACE, DAVID M MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510

1110852
ISSER SAX, MARA M DO
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1126079
PARKE, SUSANNAH DO
8001 CHALLIS RD
BRIGHTON 48116
(877) 879-9898
PODIATRY
1015953
BYRON, SCOTT E DPM
11518 HIGHLAND RD
HARTLAND 48353
(810) 632-7800
1053829
COLBERT, GREGORY DPM
1020 E GRAND RIVER
BRIGHTON 48116
(810) 227-7007
2233 EULER RD
BRIGHTON 48114
(810) 220-3472
PROSTHETICS
1060233
HELLNER & ASSOCIATES INC
PSYCHIATRY
1032968
BROOKS, MICHAEL DO
12851 E GRAND RIVER
BRIGHTON 48116
(810) 227-1211
1066322
DANDAMUDI, VISALA MD
12851 E GRAND RIVER
BRIGHTON 48116
(810) 225-2552
1073811
KANE, THOMAS DO
12851 GRAND RIVER
BRIGHTON 48116
(810) 225-2552
7900 GRAND RIVER RD
BRIGHTON 48114
(734) 929-0035

1078510
PLANNED PARENTHOOD MID AND SO
PULMONOLOGY
1113458
CHAN, KEVIN M MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1002994
FLAHERTY, KEVIN R MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1113349
GAY, STEVEN E MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1058061
GERA, CHANDRA M MD
BRIGHTON 48116
(810) 225-7595
1058062
GUPTA, ASHOK K MD
BRIGHTON 48116
(810) 225-7595
1111885
HYZY, ROBERT C MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1007603
MACON, TIMOTHY DO
BRIGHTON 48116
(810) 220-5400
1032479
MACON, TIMOTHY DO
BRIGHTON 48116
(810) 220-5400
1094137
SESI, VERONICA K DO
BRIGHTON 48116
(810) 220-5400
RHEUMATOLOGY
1124553
KADO, RUBA B MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 494-2500
1092672
KOCHERIL, SOSA V MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 494-2500
1040683
MARDER, WENDY MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 494-2500

1126630
HOWELL NURSING LLC
HOWELL 48843
(517) 543-4210
1108396
HOWELL NURSING LLC
HOWELL 48843
(517) 546-4210
1099726
MEDILODGE OF HOWELL
1333 W GRAND RIVER
HOWELL 48843
(517) 548-1900

Page 310
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Livingston County
SPEECH THERAPY
1094136
BRIGHTON PHYSICAL THERAPY
1099964
CHILDRENS CENTER FOR GROWTH AND DEVELOPMENT 12319 HIGHLAND RD STE 501
740 WEST GRAND RIVER
BRIGHTON 48116
(810) 227-3588
HARTLAND 48353
(810) 991-1211
BRIGHTON 48116
(800) 200-7212

1027057
UROLOGY
1122755
AMBANI, SAPAN N MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1111654
KRAFT, KATE H MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1002190
PARK, JOHN M MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1118948
SIDDIQI, KASHIF MD
BRIGHTON 48114
(734) 595-1166
1118796
STOCKALL, ERIC MD
BRIGHTON 48116
(888) 584-9371
1110935
WEI, JOHN T MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1110118
WOLF, J STUART S MD
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
502 W HARRIE ST
NEWBERRY 49868
(231) 487-2490
LUCE COUNTY
Luce County
CARDIOLOGY
1093627
PODIATRY
1075264
HUNTER, DAVID DPM
502 WEST HARRIE STREET
NEWBERRY 49868
(231) 347-3440
1083599
502 W HARRIE ST
NEWBERRY 49868
(231) 347-3440
MACKINAC COUNTY
Mackinac County
CARDIOLOGY
1093624
220 BURDETTE ST
SAINT IGNACE 49781
(231) 487-2490
1093623
220 BURDETTE ST
SAINT IGNACE 49781
(231) 487-2490
220 BURDETT ST
SAINT IGNACE 49781
(231) 487-2230
220 BURDETTE ST
SAINT IGNACE 49781
(231) 347-5510
220 BURDETTE ST
SAINT IGNACE 49781
(906) 643-0400
1140 N STATE ST
SAINT IGNACE 49781
(906) 643-0466
1140 N STATE ST
SAINT IGNACE 49781
(906) 643-0405
220 BURDETTE ST
SAINT IGNACE 49781
(906) 643-8585
1140 N STATE ST
SAINT IGNACE 49781
(906) 643-0466
DERMATOLOGY
1093486
COTTER, MURRAY A MD
DME - P&O
1016389

1064198
MACKINAC STRAITS HOSPITAL
GASTROENTEROLOGY
1127276
TIETJEN, THOMAS MD
1121744
SMITH, EDWARD F MD
INTERNAL MEDICINE
1096858
SMITH, EDWARD F MD
NEUROLOGY
1119226
SWEENEY, CHARLENE MD

Page 311
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Mackinac County
MACKINAC COUNTY (CONTINUED)
ONCOLOGY
1125000
BOLMER, AMY MD
1140 N STATE ST
SAINT IGNACE 49781
(906) 643-0405
ORTHOPEDIC SURGERY
1125001
HARBURN, TODD E DO
1140 N STATE ST
SAINT IGNACE 49781
(906) 643-8585
1096227
WILCOX, DANIEL K MD
1140 NORTH STATE ST
SAINT IGNACE 49781
(906) 643-0414
1096205
1140 NORTH STATE ST
SAINT IGNACE 49781
(906) 643-0414
220 BURDETTE ST
SAINT IGNACE 49781
(231) 347-9800
7474 MARKET ST
MACKINAC ISLAND 49757
(989) 348-3090
220 BURDETTE ST
SAINT IGNACE 49781
(231) 347-5510
3058 METROPOLITAN PKWY STE 208
STERLING HEIGHTS 48310
(855) 874-7876
28573 SCHOENHERR RD
WARREN 48088
(586) 558-5700

1093282
KLOOSTER, GERALD DO
PODIATRY
1108447
DAY, GEOFFREY M DPM
PROSTHETICS
1016389
Macomb County
MACOMB COUNTY
1078260
JONES, MAGGIE F CNP
ALLERGY
1093906
ZACKS, MARK N MD

1100340
ALPERT, EDWARD MD
28573 SCHOENHERR RD
WARREN 48088
(586) 558-5700
1077607
APPLEYARD, JENNIFER MD
21000 12 MILE RD STE 111
SAINT CLAIR SHORES 48081
(586) 779-7610
1078870
17900 23 MILE RD STE 205
MACOMB 48044
(586) 286-6500
1109499
BAHRAINWALA, ABDUL H MD
43200 DEQUINDRE RD STE 101
(586) 323-2600
1030676
KRASNICK, JANE E MD
31730 HOOVER STE A
WARREN 48088
(586) 268-9222
1064952
LINDEN, CAREY C MD
31730 HOOVER STE A
WARREN 48093
(586) 268-9222
1033049
PATEL, BHAVIN P MD
43200 DEQUINDRE STE 101
(586) 323-2600
1069717
PATEL, PULIN P DO
1030 HARRINGTON BLVD STE 301
MOUNT CLEMENS 48043
(586) 961-6060
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101

1090500
PLANNED PARENTHOOD OF MID MI
1041694
AJLUNI, STEVEN C MD
18223 10 MILE RD STE 300
ROSEVILLE 48066
(800) 346-5837
1046876
ALMANY, STEVEN L MD
18223 E TEN MILE RD STE 300
ROSEVILLE 48066
(800) 346-5837
1046873
BOWERS, TERRY MD
18233 TEN MILE RD STE 300
ROSEVILLE 48066
(800) 346-5837
1046871
CHERNICK, ALLAN MD
ROSEVILLE 48066
(800) 346-5837
1046874
CRAGG, DAVID R MD
ROSEVILLE 48066
(800) 346-5837
1046870
DEMETRIOU, DEMETRIS M MD
ROSEVILLE 48066
(800) 346-5837
1125605
GANGASANI, ASHISH MD
25195 KELLY RD
ROSEVILLE 48066
(586) 775-4594
1046869
GOLDBERG, MARK J MD
ROSEVILLE 48066
(800) 346-5837
1046868
GOLDMAN, LARY S MD
ROSEVILLE 48066
(800) 346-5837
1125604
HASSAN, SOHAIL MD
25779 KELLY ROAD
ROSEVILLE 48066
(586) 777-7772
1046875
KAHN, JOEL MD
ROSEVILLE 48066
(800) 346-5837

Page 312
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County

1046872
KUTINSKY, ILANA DO
ROSEVILLE 48066
(800) 346-5837
1046867
MILLER, LYNN K MD
ROSEVILLE 48066
(800) 346-5837
1085369
MOORE, DOUGLAS DO
24211 LITTLE MACK AVE
(586) 498-0440
1071942
NORI, DAVID MD
(586) 731-6777
1109800
PIRES, LUIS A MD
25195 KELLY RD STE A
ROSEVILLE 48066
(586) 775-4594
1046866
SILVERMAN, ALAN J DO
ROSEVILLE 48066
(800) 346-5837
1046865
STEVENS, MELISSA A MD
ROSEVILLE 48066
(800) 346-5837
1046877
WILLIAMSON, BRIAN D MD
ROSEVILLE 48066
(800) 346-5837
CARDIOLOGY
1071911
ABBAS, AMR E MD
(586) 731-6777
1042651
AGGARWAL, INDERJIT MD
29610 RYAN RD
WARREN 48092
(586) 751-6270
1035117
BENADERET, DAVID H MD
44850 MOUND RD
(586) 731-7000
1071912
BERMAN, AARON D MD
(586) 731-6777
1083040
BOWERS, TERRY R MD
15959 HALL RD STE 204
MACOMB 48044
(248) 267-5050
1083043
BOWERS, TERRY R MD
43455 SCHOENHERR RD STE 2
(248) 267-5050
1105890
BOWLING, BETH MD
1030 HARRINGTON STE 101
MOUNT CLEMENS 48043
(586) 464-4010
1105888
BOWLING, BETH MD
16151 NINETEEN MILE RD
CLINTON TOWNSHIP 48038
(586) 263-5700
1073043
CARRILLO, ANTONIO P MD
(586) 731-6777
1027715
CASTILLO, MICHAEL MD
UTICA 48315
(586) 580-3062
1027716
CASTILLO, MICHAEL MD
25910 KELLY RD STE B
ROSEVILLE 48066
(586) 772-3366
1123648
COWAN, SIMONE DO
24211 LITTLE MACK
(586) 498-0440
1083062
CRAGG, DAVID R MD
MACOMB 48044
(248) 267-5050
1024522
CRAWFORD, JOAN DO
24211 LITTLE MACK
(586) 498-0440
1024521
CUSHING, WILLIAM MD
24211 LITTLE MACK
(586) 498-0440
1024520
DAHER, EDOUARD MD
24211 LITTLE MACK
(586) 498-0440
1107447
DARDA, SABA MD
57850 VAN DYKE RD STE 400
WASHINGTON 48094
(586) 677-4606
1119498
DARDA, SABA MD
(586) 698-1200
1024519
DAVIS, THOMAS MD
24211 LITTLE MACK
(586) 498-0400
1040424
DEVIREDDY, LING MD
11900 E 12 MILE RD STE 103
WARREN 48093
(586) 574-0890
1105891
DEYOUNG, MICHAEL B DO
MOUNT CLEMENS 48043
(586) 464-4010
1024517
DUDAR, BASIL MD
24211 LITTLE MACK
(586) 498-0440
1083077
GALLAGHER, MICHAEL J MD
MACOMB 48044
(248) 267-5050
1035241
GHAFARI, GEORGES B MD
24211 LITTLE MACK
(586) 498-0440
1036455
GHANEM, GEORGE B MD
24211 LITTLE MACK
(586) 498-0440
1030452
GOMEZ, GINETTE DO
25631 LITTLE MACK AVE STE 201
(586) 443-2930
1071921
GORDON, RICHARD E DO
(586) 731-6777
1024516
GOSSELIN, MARC DO
24211 LITTLE MACK
(586) 498-0440
1089135
GOSSELIN, MARC DO
46591 ROMEO PLANK
MACOMB 48044
(586) 228-4550
1062121
GUDUGUNTLA, VAMSHIDHAR MD
11900 E 12 MILE RD STE 103
WARREN 48093
(586) 574-0890
1023545
GUDUGUNTLA, VAMSHIDHAR MD
25195 KELLY ROAD STE A
ROSEVILLE 48066
(586) 776-4594
1125604
HASSAN, SOHAIL MD
25779 KELLY ROAD
ROSEVILLE 48066
(586) 777-7772
1071927
HAUSER, ANDREW M MD
(586) 731-6777
1073034
JASTI, KISHAN MD
ROSEVILLE 48066
(586) 775-4594
1125043
JAZRAWI, AYAD S MD
1380 COOLIDGE HWY STE 250
NEW HAVEN 48048
(248) 288-1117
1102952
JIDDOU, RENEE R MD
27070 HOOVER RD
WARREN 48093
(586) 427-7300

Page 313
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
1122480
JIDDOU, RENEE R MD
(586) 447-8021
1027712
JOUMAA, MOUHAMMED MD
UTICA 48315
(586) 783-1111
1026794
ROSEVILLE 48066
(586) 772-3366
1092581
KAKI, AMIR MD
8545 COMMON RD STE 150
WARREN 48093
(586) 573-7971
1024515
KAWA, ANTHONY DO
24211 LITTLE MACK
(586) 498-0440
1105893
KAZMIERSKI, JOHN DO
(586) 263-5700
1105892
KAZMIERSKI, JOHN DO
MOUNT CLEMENS 48043
(586) 464-4010
1033031
KAZZIHA, SAMER MD
WARREN 48093
(586) 573-7971
1055377
KAZZIHA, SAMER MD
57850 VAN DYKE STE 400
WASHINGTON 48094
(586) 677-4606
1024696
KAZZIHA, SAMER MD
37771 SCHOENHERR STE 101
(586) 698-1200
1023543
KIM, KYUNG SOO MD
ROSEVILLE 48066
(586) 775-4594
1116489
KONERU, SRINIVAS MD
(586) 574-0890
1062493
KONERU, SRINIVAS MD
11900 E 12 MILE RD STE 103
WARREN 48093
(586) 574-0890
1073406
KONERU, SRINIVAS MD
17900 23 MILE RD STE 304
MACOMB 48044
(586) 868-9120
1024514
LALONDE, THOMAS MD
24211 LITTLE MACK
(586) 498-0440
1105895
LITCH, BRIAN DO
1030 HARRINTON STE 101
MOUNT CLEMENS 48043
(586) 464-4010
1105894
LITCH, BRIAN DO
(586) 263-5700
1105896
LOGAN, TIMOTHY DO
MOUNT CLEMENS 48043
(586) 464-4010
1105897
LOGAN, TIMOTHY DO
16151 NINETEEN MILE STE 301
(586) 263-5700
1024692
MADRAZO, ARMANDO MD
(586) 698-1200
1089316
MADRAZO, ARMANDO MD
11900 E 12 MILE RD STE 300
WARREN 48093
(586) 751-7515
1024694
MADRAZO, ARMANDO MD
60005 CAMPGROUND RD STE 600
WASHINGTON 48094
(586) 274-2450
1024693
MADRAZO, ARMANDO MD
WARREN 48093
(586) 573-7971
1071934
MAN, KIM DO
(586) 731-6777
1071938
MARSALESE, DOMINIC L MD
(586) 731-6777
1026795
MESIHA, NANCY MD
ROSEVILLE 48066
(586) 772-3366
1027713
MESIHA, NANCY MD
UTICA 48315
(586) 580-3062
1024513
MOJARES, BRILIO MD
24211 LITTLE MACK
(586) 498-0440
1085369
MOORE, DOUGLAS DO
(586) 498-0440
1013302
NARLA, DURGADAS MD
44850 MOUND RD
(586) 731-7000
1121951
OSTERBERGER, LUIS E MD
14049 13 MILE RD STE 1
WARREN 48088
(586) 415-0100
1085368
PALANICHAMY, NANTHINI MD
(586) 498-0440
1122070
PEREZ-SEGURA, LEANDRO MD
WARREN 48088
(586) 415-0100
1109816
PIRES, LUIS A MD
21550 HARRINGTON BLVD
(810) 342-1000
1023539
RAVI, SRIHARI MD
ROSEVILLE 48066
(586) 775-4594
1098639
REDDY, BANDA P MD
ROSEVILLE 48066
(586) 775-4594
1085367
RODRIGUEZ, DAVID MD
(586) 498-0440
1097169
RODRIGUEZ, DAVID MD
46591 ROMEO PLANK STE 133
MACOMB 48044
(586) 226-6700
1122186
ROJAS, JUAN C MD
WARREN 48088
(586) 415-0100
1056143
ROSMAN, HOWARD S MD
24211 LITTLE MACK
(586) 498-0440
1105899
ROTHSTEIN, LARRY DO
MOUNT CLEMENS 48043
(586) 464-4010
1105898
ROTHSTEIN, LARRY DO
(586) 263-5700
1125322
RUDRAIAH, LALITHA MD
11800 E 12 MILE RD
WARREN 48093
(586) 573-5000
1030204
SALAHI, FAROUK MD
WASHINGTON 48095
(586) 752-7575
1085807
SALAZAR, MIGUEL A MD
(586) 731-6777
1124014
SAYED, LUAY MD
11800 E 12 MILE RD
WARREN 48093
(586) 573-5000

Page 314
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
1055374
WASHINGTON 48094
(586) 677-4606
1031068
WARREN 48093
(586) 573-7971
1031070
(586) 698-1200
1098378
SCHWARTZ, DAVID A DO
ROSEVILLE 48066
(586) 775-4594
1055678
SHAHBANDAR, AHMAD B MD
57850 VAN DYKE AVE STE 100
WASHINGTON 48094
(586) 540-4000
1100141
27550 HOOVER RD
WARREN 48093
(586) 215-9378
1107141
27550 HOOVER RD
WARREN 48093
(586) 215-9378
1071954
SHOUKFEH, MAZEN MD
(586) 731-6777
1066757
SOMOGYI, JOHN MD
ROSEVILLE 48066
(586) 775-4594
1033926
STEWART, RONALD J DO
(586) 254-1177
1071956
TIMMIS, STEVEN B MD
(586) 731-6777
1123310
TUCCIARONE, MICHAEL MD
46591 ROMEO PLANK RD STE 137
MACOMB 48044
(586) 226-6226
1085366
(586) 498-0440
1071961
WESTVEER, DOUGLAS C MD
(586) 731-6777
1124337
YAZIGI, FIRAS MD
UTICA 48315
(586) 580-3062
1053885
ZAINEA, MARK A MD
UTICA 48315
(586) 580-3062
1027714
ZAINEA, MARK A MD
ROSEVILLE 48066
(586) 772-3366
UTICA 48315
(586) 263-1234
CLINICAL NEUROPHYSIOLOGY
1097724
QADIR, FARIHA MD

1066362
BARK, KENNETH S MD
UTICA 48317
(586) 739-5220
1030534
HAIN, JON M MD
11051 HALL RD STE 210 WASHINGTON CENTER
UTICA 48317
(586) 739-5220
1030703
LANDES, RAYMOND V MD
11051 HALL RD STE 210 WASHINGTON CTR
UTICA 48317
(586) 739-5220
1030765
LYNCH, JAMES P MD
UTICA 48317
(586) 739-5220
1030880
MOSED-VOGEL, LYNDA M MD
UTICA 48317
(586) 739-5220
DERMATOLOGY
1101008
BRUNER, MICHELLE K DO
13450 E 12 MILE RD
WARREN 48088
(586) 759-5525
1065055
44056 MOUND RD STE 101
(586) 314-1400
1029702
DIGREGORIO, FIORINO M MD
16520 19 MILE RD
(586) 263-7200
1032141
30795 23 MILE RD STE 206
NEW BALTIMORE 48047
(586) 421-3174
1101786
GOLDSMITH, ARATHI DO
32901 23 MILE RD STE 190
NEW BALTIMORE 48047
(586) 716-1291
1028246
GREKIN, STEVEN DO
13450 E 12 MILE RD
WARREN 48088
(586) 759-5525
1032166
IACOBELLI, DAVIDE MD
30795 23 MILE RD STE 206
NEW BALTIMORE 48047
(586) 421-3174
1032165
16510 19 MILE RD
(586) 263-7200
1085534
LEGACY, MICHELLE DO
(586) 314-1400
1032170
POMANN, JOHN J MD
16510 19 MILE RD
(586) 263-7200
1023015
SANDLER, BRIAN G MD
50182 SCHOENHERR RD
UTICA 48315
(586) 997-9700
1023257
SEIGER, ERIC S DO
44056 MOUND ROAD #101
(586) 314-1400
1107995
SHUMER, STEVEN M MD
13450 E 12 MILE RD
WARREN 48088
(248) 353-0818
1122845
SOOD, USHA R MD
18285 10 MILE RD STE 130
ROSEVILLE 48066
(586) 776-7546
1056101
WATSON, ALICE CHENG MD
(586) 939-6400
42469 GARFIELD RD
(586) 690-8983
DERMATOPATHOLOGY
1075309
MANGINI, JANINE MD

Page 315
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
DIETARY MANAGEMENT
1097326
LOVASCO, JEANNE M MS RD
34301 23 MILE RD
NEW BALTIMORE 48047
(313) 378-1477
DME - P&O
1020083
ADVANCED THERAPEUTICS INC
44235 N GROESBECK HEY
(800) 929-1867
1109571
ALL AMERICAN MEDICAL SUPPLIES INC
23247 PINEWOOD ST
WARREN 48091
(586) 501-1000
1035760
AMERICAN HOME MEDICAL LLC
24912 HARPER AVE
(586) 775-1111
1075567
BEAUMONT HOME MED EQUIPMENT
MACOMB 48044
(248) 743-9200
1037490
BINSONS HOME HEALTH CARE CENTER
26834 LAWRENCE
CENTER LINE 48015
(586) 755-2300
1036953
BINSONS HOME HEALTH CARE CENTERS
43900 SCHOENHERR RD
(586) 737-2323
1038532
21571 KELLY RD
EASTPOINTE 48021
(586) 779-7770
1016608
BREAK THRU HOME MEDICAL EQUIPMENT
350 CHURCH ST
MOUNT CLEMENS 48043
(586) 469-1700
1002936
BRIGHT SKY
23247 PINEWOOD ST
WARREN 48091
(586) 501-1000
1024906
COMFORT PROSTHETICS
276 SOUTHBOUND GRATIOT
MOUNT CLEMENS 48043
(586) 468-4600
1009569
DETROIT OXYGEN & MED EQUIP CO
24560 FORTERRA DR
WARREN 48089
(586) 756-1400
1107877
DIRECT DME INC
15244 COMMON RD STE B
ROSEVILLE 48066
(855) 777-4510
1048350
FRANKS PHARMACY ADVANCED CARE
39023 HARPER AVE
(586) 464-2000
1119389
14500 HALL RD
(586) 247-3953
1119388
(586) 203-1040
1105462
1030 HARRINGTON ST STE 106
MOUNT CLEMENS 48043
(586) 493-3464
1075632
LINCARE INC
55951 GRATIOT AVE
NEW BALTIMORE 48051
(586) 749-7811
1035761
MME & SUPPLIES
3731 E 10 MILE RD
WARREN 48091
(800) 250-3885
1005940
PERSONAL HOME CARE SERVICES INC
1456 S GRATIOT
MOUNT CLEMENS 48043
(800) 241-3434
1083966
PROS-TECH INC
13850 E 12 MILE RD STE 2B
WARREN 48088
(586) 541-1040
1045370
REDEMPTIVE MEDICAL EQUIPMENT
30550 GRATIOT AVE #247
ROSEVILLE 48066
(877) 218-4462
1109885
37650 GARFIELD RD
(888) 246-6322
1026021
35011 AUTOMATION DR
(586) 792-6843
1031631
SHAN MEDICAL EQUIPMENT INC
35818 DEQUINDRE RD
(586) 268-4100
1021564
SIG MEDICAL EQUIPMENT & SUPPLIES
39771 GARFIELD RD
(586) 226-2233
1032668
SIGNATURE MEDICAL EQUIPMENT
23543 LAKEPOINTE DR
(800) 419-0010
1073203
SURE MEDICAL EQUIPMENT LLC
41150 TECHNOLOGY PARK DR STE 106A
(586) 323-0903
1037484
(586) 777-5409
1025587
21192 HALL RD
(586) 468-8289
1025614
11570 E ELEVEN MILE RD
WARREN 48089
(586) 756-4020

1076903
ARDEN, RICHARD L MD
11080 HALL RD STE A
(583) 254-7200
1076901
BECKER, JOHN W MD
11080 HALL RD STE A
(586) 254-7200
1076203
BRAMMER, ROBERT MD
21000 12 MILE RD STE 111
(586) 779-7610
1089849
BRAMMER, ROBERT MD
17900 23 MILE RD STE 205
MACOMB 48044
(586) 286-6500
1092400
BRANDES, WARREN DO
28295 SCHOENHERR STE B
WARREN 48088
(586) 751-6990
1035207
DICKSON, CLARK B MD
21603 11 MILE RD
(248) 569-5985
1076202
DZUL, ANDREW MD
21000 12 MILE RD STE 111
(586) 779-7610
1078859
DZUL, ANDREW MD
17900 23 MILE RD STE 205
MACOMB 48044
(586) 286-6500
1076200
FISHMAN, ROBERT MD
21000 12 MILE RD STE 111
(586) 779-7610
1078860
FISHMAN, ROBERT MD
17900 23 MILE RD STE 205
MACOMB 48044
(586) 286-6500
1104075
FOZO, MICHAEL S MD
(586) 263-7400
1104073
FOZO, MICHAEL S MD
21000 TWELEVE MILE RD STE 111
(586) 779-7610

Page 316
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
EAR - NOSE - THROAT (ENT) (CONTINUED)

1090576
FOZO, MICHAEL S MD
17900 23 MILE ROAD STE 205
MACOMB 48044
(586) 286-6500
1030531
GWINN, KENNETH L MD
15959 HALL RD #104LL
MACOMB 48044
(586) 799-1212
1086658
HANDZO, DEREK DO
21000 12 MILE RD STE 111
(586) 779-7610
1092913
HANDZO, DEREK J DO
11080 HALL RD STE A
(586) 254-7200
1092914
HANDZO, DEREK J DO
17900 23 MILE RD STE 205
MACOMB 48044
(586) 286-6500
1077243
KUBEK, DOUGLAS DO
21000 12 MILE RD STE 111
(586) 779-7610
1078861
KUBEK, DOUGLAS DO
17900 23 MILE RD STE 205
MACOMB 48044
(586) 286-6500
1076199
MEGLER, DANIEL MD
21000 12 MILE RD STE 111
(586) 779-7610
1078862
MEGLER, DANIEL MD
17900 23 MILE RD STE 205
MACOMB 48044
(586) 286-6500
1092403
MILEWSKI, JEFFREY DO
WARREN 48088
(586) 751-6990
1076198
RUBIN, ADAM MD
21000 12 MILE RD STE 111
(586) 779-7610
1078863
RUBIN, ADAM MD
17900 23 MILE RD STE 205
MACOMB 48044
(586) 286-6500
1076197
SARGENT, ERIC W MD
21000 12 MILE RD STE 111
(586) 779-7610
1076900
SCAPINI, DAVID A MD
11080 HALL RD STE A
(586) 254-7200
1092406
SCHWARTZENFELD, TED H DO
WARREN 48088
(586) 751-6990
1028922
SHERBIN, MICHAEL DO
309 N GRATIOT AVE
MOUNT CLEMENS 48043
(586) 463-5831
1028923
SHERBIN, MICHAEL DO
WARREN 48089
(586) 758-5051
1076196
TOOLE, AMANDA MD
21000 12 MILE RD STE 111
(586) 779-7610
1078864
TOOLE, AMANDA MD
17900 23 MILE RD STE 205
MACOMB 48044
(586) 286-6500
1033959
WEINGARTEN, JEFFREY S MD
21603 11 MILE RD
(248) 569-5985

1097559
11800 E 12 MILE RD ER
WARREN 48093
(586) 573-5000
1097557
17700 23 MILE RD ER
MACOMB 48044
(586) 416-7500
1084529
JULIE M LATA DO PC
1000 HARRINGTON ST
MOUNT CLEMENS 48043
(586) 493-8000
1065258
MT CLEMENS REGIONAL EMERG PHYS
MOUNT CLEMENS 48043
(586) 493-8000
1097554
OBSERVATION EMERGENCY PHYSICIANS
11800 E 12 MILE RD ER
WARREN 48093
(586) 573-5000
1011482
ST JOHN MACOMB ER PHYSICIANS
12000 E 12 MILE RD
WARREN 48093
(800) 540-8739

1060591
BEAUMONT DIALYSIS-STERLING HEIGHTS
44300 DEQUINDRE RD
(248) 964-0100
1095534
FMC DIALYSIS SERVICES ROMEO PLANK
MACOMB 48044
(586) 226-6150
1095536
FMC DIALYSIS SERVICES WARREN
30300 HOOVER RD STE 100
WARREN 48093
(586) 558-8890
1032656
FRESENIUS DIALYSIS SERVICES OF CHESTERFIELD
48656 GRATIOT AVE
NEW BALTIMORE 48051
(586) 949-0329
1074288
FRESENIUS MEDICAL CARE OF ST CLAIR SHORES
26210 HARPER AVE STE 200
(586) 771-4868
ENDOCRINOLOGY
1077919
AHMED, SAADIAH DO
MACOMB 48044
(586) 226-6080
1089681
BRENNAN, MICHAEL R DO
29751 LITTLE MACK STE A
ROSEVILLE 48066
(586) 447-4000
1116794
DAWOOD-FARAH, FARAH MD
44645 MOUND RD
(586) 580-0280
1077918
FADANELLI, MARGARET E MD
MACOMB 48044
(586) 226-6080
1122017
HAMMOUDE, MOHAMMAD A MD
29111 HARPER AVE
(586) 771-2097
1122016
HAMMOUDE, MOHAMMAD A MD
27560 HOOVER
WARREN 48093
(586) 757-6400
1077920
KURIAN, REGINA T MD
MACOMB 48044
(586) 226-6080
1045658
SCROGIN, ANDREW D MD
MACOMB 48044
(586) 566-4522
20919 GRATIOT
EASTPOINTE 48021
(586) 774-2626
EYEWARE SUPPLIER
1065171
OXFORD OPTICAL

Page 317
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
GASTROENTEROLOGY
1121775
BAKKEN, ANEZI MD
MACOMB 48044
(586) 726-8436
1121767
BEWICK, KERRI DO
MACOMB 48044
(586) 726-8436
1118155
BEWICK, KERRI A DO
MACOMB 48044
(248) 844-9710
1121774
BOLOGNA, SANTE MD
MACOMB 48044
(586) 726-8436
1106874
CUTLER, ALAN F MD
11900 E 12 MILE RD STE 307
WARREN 48093
(586) 573-8380
1007298
DAHLSTEDT, DENNIS A MD
(586) 254-7955
1121773
DONAT, MEHMET MD
MACOMB 48044
(586) 726-8436
1106782
FIELDS, JANICE M MD
11900 E 12 MILE RD STE 307
WARREN 48093
(586) 573-8380
1064250
11900 E 12 MILE RD STE 307
WARREN 48093
(586) 573-8380
1106593
11900 E 12 MILE RD STE 307
WARREN 48093
(586) 573-8380
1093296
IBRAHIM, GHAITH M MD
27560 HOOVER RD
WARREN 48093
(586) 757-6400
1106526
JACOBS, RANDALL S MD
11900 E 12 MILE RD STE 307
WARREN 48093
(586) 573-8380
1106506
LEVINSON, JAY R MD
11900 E 12 MILE RD STE 307
WARREN 48093
(586) 573-8380
1121772
NANDI, PARTHA MD
MACOMB 48044
(586) 726-8436
1106483
PIPER, MICHAEL H MD
11900 E 12 MILE RD STE 307
WARREN 48093
(586) 573-8380
1121771
QUALLICH, LEONARD MD
MACOMB 48044
(586) 726-8436
1117959
11900 E 12 MILE RD STE 307
WARREN 48093
(586) 573-8380
1121766
REFAI, WAEL MD
MACOMB 48044
(586) 726-8436
1058122
TAYEB, GHIATH MD
(248) 651-0800
1063446
TAYEB, GHIATH MD
42755 MOUND RD
(586) 323-0400
1121769
WEBER, JOHN JR MD
MACOMB 48044
(586) 726-8436
1118160
WEBER, JOHN R MD
MACOMB 48044
(248) 844-9710
1121768
WILLIE, RICHARD MD
MACOMB 48044
(586) 726-8436
1106867
YOUSIF, EDWARD A MD
11900 E 12 MILE RD STE 307
WARREN 48093
(586) 573-8380
GENERAL SURGERY
1108295
ALAME, AMER MD
29519 HARPER AVE
(313) 671-7353
1032489
ALBARAN, RENATO G MD
MACOMB 48044
(586) 566-4400
1032490
(586) 731-5700
1121157
ALMAHMEED, TAGHREED MD
24911 LITTLE MACK AVE STE B
(586) 774-8811
1036666
ATWAL, MANDIP S DO
1000 HARRINGTON BLVD TRAUMA SVCS
MOUNT CLEMENS 48043
(586) 493-8000
1021773
ATWAL, MANDIP S DO
36500 GRATIOT STE 102
(586) 790-9003
1102060
BARBE, LUIS MD
25990 KELLY RD STE 1
ROSEVILLE 48066
(586) 445-0950
1068950
BERRI, RICHARD MD
(586) 774-8811
1119727
CAHILL, STEPHEN DO
MOUNT CLEMENS 48043
(586) 493-8000
1023483
CAHILL, STEPHEN D DO
43900 GARFIELD STE 130
(586) 412-5180
1021775
(586) 790-9003
1036662
MOUNT CLEMENS 48043
(586) 493-8000
1041629
MOUNT CLEMENS 48043
(586) 466-6230
1021777
D'ALMEIDA, MICHAEL J DO
(586) 790-9003
1036661
D'ALMEIDA, MICHAEL J DO
MOUNT CLEMENS 48043
(586) 493-8000
1036179
EDHAYAN, ELANGO MD
11670 MARTIN RD
WARREN 48093
(586) 754-3830
1024311
GABOREK, GREGORY DO
(586) 228-3800
1036664
GABOREK, GREGORY DO
MOUNT CLEMENS 48043
(586) 493-8000
1024310
GILIBERTO JR, JAMES J DO
(586) 228-3800
1036663
GILIBERTO, JAMES J JR DO
MOUNT CLEMENS 48043
(586) 493-8000

Page 318
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County

1032888
GROSS, ROBERT DO
(586) 978-2951
1102252
HALL, JEFFREY M MD
18245 10 MILE RD STE 130
ROSEVILLE 48066
(586) 774-4200
1048887
HALL, JEFFREY M MD
11012 THIRTEEN MILE RD STE 112
WARREN 48093
(586) 751-3380
1036659
HANKS, ROY DO
MOUNT CLEMENS 48043
(586) 493-8000
1021782
HANKS, ROY DO
(586) 790-9003
1121158
HARE, BRADLEY D MD
(586) 774-8811
1121159
HAWASLI, ABDELKADER MD
24911 LITTLE MACK STE B
(586) 774-8811
1021784
JOHNSON, JAMES DO
(586) 790-9003
1036658
JOHNSON, JAMES DO
MOUNT CLEMENS 48043
(586) 493-8000
1024309
JOHNSON, JAMES DO
(586) 228-3800
1101991
JOHNSTON, GREGORY R DO
17375 HALL RD
MACOMB 48044
(586) 228-0550
1083834
KNUTH, THOMAS MD
17900 23 MILE RD STE 306
MACOMB 48044
(313) 885-1520
1054944
KOWYNIA, PETER D MD
43211 DALCOMA DR STE 4
(586) 286-8800
1034868
MATHIA, LYNN L DO
(586) 421-4204
1022693
MATHIA, LYNN L DO
(586) 790-9003
1036667
MATHIA, LYNN L DO
MOUNT CLEMENS 48043
(586) 493-8000
1021790
MC QUISTON, JAMES H DO
(586) 790-9003
1036665
MC QUISTON, JAMES H DO
MOUNT CLEMENS 48043
(586) 493-8000
1121160
MEGUID, AHMED MD
(586) 774-8811
1063448
MISRA, DWIJEN C MD
42755 MOUND RD
(586) 323-0400
1072843
PAOLUCCI, BENJAMIN J DO
28800 RYAN RD STE 120
WARREN 48092
(586) 558-2860
1021791
PAULK, DOUGLAS G DO
(586) 790-9003
1036668
PAULK, DOUGLAS G DO
MOUNT CLEMENS 48043
(586) 493-8000
1036669
PESTA JR, CARL DO
MOUNT CLEMENS 48043
(586) 493-8000
1021792
PESTA, CARL JR DO
(586) 790-9003
1023006
PESTA, CARL JR DO
1030 HARRINGTON BLVD STE 302A
MOUNT CLEMENS 48043
(586) 759-2005
1082407
PRAKASH, SHIVANA N MD
43311 COMMONS DR
(586) 263-8555
1065407
SCHRODER, DONN M MD
17900 23 MILE RD STE 306
MACOMB 48044
(586) 868-9150
1121161
SHABAN, JAMAL H DO
(586) 774-8811
1031218
SULLIVAN, DANIEL M MD
MACOMB 48044
(586) 566-4400
1123627
TAYLOR, MICHAEL G MD
22646 NINE MILE STE C
(586) 443-5400
GERIATRICS
1123824
CHELLADURAI, CHRISTINE P DO
(586) 447-8021
1096720
JAYAKAR, SHAUN M MD
31150 HOOVER RD STE B
WARREN 48093
(586) 983-3666
MOUNT CLEMENS 48043
(586) 493-7590
34025 HARPER AVE
(586) 445-9900
GYN ONCOLOGY
1032260
HICKS, MICHAEL L MD
GYNECOLOGY
1097047
SCHUCHMAN, DOV MD
HAND SURGERY
1054643
BARBOSA, ROBERT DO
WARREN 48093
(586) 751-3380
1003760
BURKE, EDWARD DO
WARREN 48093
(586) 751-3380
1043762
HAASS, EDWARD DO
WARREN 48093
(586) 751-3380
1025525
MEHTA, MEHUL M MD
11012 E 13 MILE RD STE 112
WARREN 48093
(586) 751-3380
1097324
OLSON, MARK MD
18245 10 MILE STE 130
ROSEVILLE 48066
(586) 774-4200

Page 319
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
HAND SURGERY (CONTINUED)

1051620
OLSON, MARK MD
WARREN 48093
(586) 751-3380
1030998
REHMAN, UZMA H DO
43417 SCHOENHERR RD
(586) 532-0803
1054644
SAMUEL, SAMSON P MD
11012 13 MILE RD STE 112
WARREN 48093
(586) 751-3380
1031445
SINGER, RICHARD M MD
11012 13 MILE RD STE 112
WARREN 48093
(586) 751-3380
1051619
VILLAFANE, CARLOS M MD
11012 13 MILE RD STE 112
WARREN 48093
(586) 751-3380
1102141
YOUSIF, ZENA MD
WARREN 48093
(586) 751-3380
1102140
YOUSIF, ZENA MD
18245 10 MILE RD STE 130
ROSEVILLE 48066
(576) 774-4200

1083250
HEAR USA
30045 HARPER AVE STE B
(586) 498-9133
1083253
HEARING CONSULTANTS INC
8617 15 MILE RD
(586) 558-7477
1083240
MICHIGAN AUDIOLOGY & HEARING CENTER
35054 23 MILE RD STE 104
NEW BALTIMORE 48047
(586) 716-0500
1096714
30659 HOOVER RD
WARREN 48093
(989) 799-6603
1114548
BILBEISI, RANA DO
11900 E 12 MILE RD STE 210
WARREN 48093
(586) 558-4700
1083867
FATEH, SALMAN A DO
MOUNT CLEMENS 48043
(586) 493-3440
1122333
HADID, TARIK H MD
11900 E 12 MILE RD STE 308
WARREN 48093
(586) 582-7965
1126423
HANNA, YOUSSEF MD
(248) 964-1460
1062065
HOWARD, GEORGE MD
(586) 323-1500
1038293
JAIN, JITENDER K MD
ROSEVILLE 48066
(586) 774-9010
1071692
KNECHTL, FRANK A DO
MOUNT CLEMENS 48043
(586) 493-3440
1127596
LAL, ANUP MD
(248) 964-1460
1030854
MOMIN, FEROZE A MD
(586) 446-5400
1033979
MOMIN, FEROZE A MD
(586) 446-5400
1093311
NAGORI, LOKESH MD
11900 E 12 MILE RD STE 210
WARREN 48093
(586) 558-4700
1038592
SCHOCK, MARTIN I MD
WARREN 48093
(586) 276-8131
1092081
TAPAZOGLOU, EFSTATHIOS MD
11900 EAST 12 MILE RD STE 210
WARREN 48093
(586) 558-4700
1064936
ZAPPA, PATRICIA MD
(586) 323-1500
HOME HEALTH CARE

1089113
ABF HOME HEALTH SERVICES LLC
198 S MAIN ST STE 1
MOUNT CLEMENS 48043
(586) 477-1402
1119579
FAMILY FIRST HOME CARE LLC
WARREN 48088
(313) 640-9015
1045085
32743 23 MILE RD
NEW BALTIMORE 48047
(586) 725-3322
1126057
QUALITY REHABILITATION SERVICES LLC
42536 HAYES RD STE 600
(586) 978-2359
1126738
REFLEX HOME CARE LLC
29400 VAN DYKE AVE
WARREN 48093
(586) 486-5974
1035295
37650 GARFIELD
(800) 248-2298
1117195
SIERRA PRIDE
29550 RYAN RD STE A
WARREN 48092
(586) 576-1930
1123874
SPHINX HOME HEALTH CARE LLC
4415 METRO PKWY STE 200
(586) 264-2400
HOSPICE
1074144
23885 DENTON ST STE A
(586) 468-8580
1068711
37650 GARFIELD
(888) 246-6322
INFECTIOUS DISEASES
1109401
ABDUL JAUWAD, HEND S MD
5280 METROPOLITAN PKWY
(586) 446-8688
1028429
AL-UJAYLI, BISHR MD
21420 HARPER STE 3
(586) 776-7950
1100901
ANDREI, ANCA E MD
(586) 446-8688

Page 320
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
INFECTIOUS DISEASES (CONTINUED)

1086598
FLIEGELMAN, ROBERT DO
(586) 446-8688
1122481
GILPIN, NICHOLAS E DO
(586) 447-8021
1084589
GRANADOS, ALISON MD
(586) 446-8688
1035699
HANNA, MICHEL MD
MACOMB 48044
(586) 566-0620
1063604
JOSE, JINSON MD
21420 HARPER STE 3
(586) 776-7950
1089400
KRISHNAN-NATESAN, SUGANTHINI MD
15855 19 MILE RD
(248) 615-0889
1089403
13355 E 10 MILE RD
WARREN 48089
(248) 615-0889
1089423
MOUNT CLEMENS 48043
(248) 615-0889
1089425
11800 E 12 MILE RD
WARREN 48093
(248) 615-0889
1026882
KUMAR, UDAY MD
(586) 446-8688
1084587
MADHAVEN, TOM MD
(586) 446-8688
1106178
MOVVA, KALYANI T MD
(586) 446-8688
1095515
OGNJAN, ANTHONY DO
(586) 446-8688
1086594
PETRAK, RUSSELL MD
(586) 446-8688
1090419
PIRZADA, YASMIN D MD
13355 E 10 MILE RD
WARREN 48089
(248) 615-0889
1090420
15855 19 MILE RD
(248) 615-0889
1046719
REDONDO, VICENTE MD
27101 SCHOENHERR
WARREN 48088
(586) 758-2667
1124396
REDONDO, VICENTE MD
(586) 446-8688
1106014
SHOYINKA, ADENIKE T MD
(586) 446-8688
1084586
SILVERMAN, JAN DO
(586) 446-8688
1090472
WESTON, COLLEEN S DO
15855 19 MILE RD
(248) 615-0889
1090471
13355 E 10 MILE RD
WARREN 48089
(248) 615-0889

1001293
ADVANCED CARE INFUSION
50680 CORPORATE DR
UTICA 48315
(586) 323-8280
1063271
MCLAREN HOME MEDICAL
32743 23 MILE RD
NEW BALTIMORE 48047
(586) 725-3322
1109886
37650 GARFIELD RD
(888) 246-6322
1040625
TRI-UNITY INFUSION SERVICES
28653 HOOVER RD
WARREN 48093
(586) 486-5278
INTERNAL MEDICINE
1103661
AGUILAR ARAGON, JAVIER MD
MOUNT CLEMENS 48043
(248) 615-0889
1098462
AGUILAR ARAGON, JAVIER A MD
(586) 446-8688
1117765
ALCHAKAKI, ABDULRAZAK F MD
215 NORTH AVE
MOUNT CLEMENS 48043
(586) 307-9900
1118495
APPLEFIELD, MICHAEL L DO
28755 SCHOENHERR RD
WARREN 48088
(586) 920-2546
1083051
CHAHIN, LOURIN N MD
44250 DEQUINDRE RD
(248) 964-6101
1125297
DAKROUB, HASSAN N MD
4301 E 14 MILE RD
(586) 722-6036
1119516
DANESHVAR, GERALD MD
28755 SCHOENHERR RD
WARREN 48088
(586) 920-2546
1123902
DAVIS, MICHAEL C MD
4050 E 12 MILE RD
WARREN 48092
(586) 261-2266
1125034
DAVIS, MICHAEL C MD
4050 E 12 MILE RD
WARREN 48092
(586) 261-2266
1066734
DIONNE, MICHAEL MD
22646 NINE MILE RD STE A
(586) 498-4800
1095918
GHABSHA, AHMAD MD
WASHINGTON 48094
(586) 207-1247
1070237
HANNA, RAIED MD
18263 10 MILE RD STE D
ROSEVILLE 48066
(586) 778-4950
1107674
HOFFMAN, DANIEL DO
WARREN 48093
(586) 757-5557
1079553
ISSA, NADHEER MD
44250 DEQUINDRE RD
(248) 964-6101
1090986
JAYAKAR, SHAUN M MD
31150 HOOVER STE B
WARREN 48093
(586) 983-3666
1101727
JIDDOU-PATROS, MONICA R MD
(586) 731-6777
1074336
KANNEGANTI, MADHAVI MD
11670 MARTIN RD
WARREN 48093
(586) 754-3830

Page 321
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County

1027783
KOSAL, LINDA L DO
(586) 790-9003
1106739
KPADENOU, SAMSON K MD
(586) 731-8200
1124765
KULAIRI, ZAIN I MD
(248) 601-4805
1122497
KUMAR, ANJAN MD
(586) 772-5550
1079555
LANGNAS, GARY B DO
44250 DEQUINDRE RD
(248) 964-6101
1120773
NAIM, RITA W MD
4301 E 14 MILE RD
(586) 722-6036
1091327
NEELAM, SARABJT MD
29111 HARPER AVE
(586) 771-2097
1091326
NEELAM, SARABJT MD
27560 HOOVER RD
WARREN 48093
(586) 757-6400
1091328
NEELAM, SARABJT MD
27540 HOOVER RD
WARREN 48093
(586) 754-6797
1066721
PADUVANA, MAJEED A MD
18263 E 10 MILE RD STE E
ROSEVILLE 48066
(586) 552-8696
1092239
PULS, MARY DO
(586) 790-9003
1089234
RAHBAR, MOHAMAD MD
11800 E 12 MILE RD
WARREN 48093
(586) 573-5000
1117716
REDONDO, VICENTE MD
WARREN 48088
(586) 754-7533
1062519
SHAH, NIPURN MD
15760 19 MILE RD STE F
(586) 416-2550
1119469
SIDDIQUI, VAQAR K MD
WARREN 48088
(586) 754-7533
1117907
WHATELEY, JASON DO
(586) 790-9003
1124337
YAZIGI, FIRAS MD
UTICA 48315
(586) 580-3062
MRI CENTER
1073680
NORTH MACOMB MRT CENTER LLC
17900 23 MILE RD
MACOMB 48044
(586) 868-9060
1075354
WARREN RADIOLOGY PC
27075 SCHOENHERR RD
WARREN 48088
(586) 758-5030
NEONATOLOGY
1098145
MT CLEMENS REGIONAL MED CTR
MOUNT CLEMENS 48043
(586) 493-8000
1105603
ST JOHN MACOMB NEONATAL
11800 E 12 MILE RD
WARREN 48093
(248) 967-7000
NEPHROLOGY
1066164
ALAVALAPATI, RAMA K MD
11900 E 12 MILE RD STE 200
WARREN 48093
(586) 558-9033
1077611
BRAR, NAVKIRANJOT MD
17900 23 MILE RD STE 404
MACOMB 48044
(586) 286-7800
1077610
WARREN 48093
(586) 573-7100
1023581
DADO, HISHAM MD
11900 E 12 MILE STE 250
WARREN 48093
(586) 573-7100
1076056
EFFENDI, ABDUL R MD
42755 MOUND RD
(586) 323-0400
1070329
EFFENDI, ABDUL R MD
ROSEVILLE 48066
(586) 772-2600
1035559
FMC DIALYSIS CENTER OF CLINTON
35351-A GRATIOT AVE
(586) 791-6203
1066163
FORSAC, NKIE MD
11900 E 12 MILE RD STE 200
WARREN 48093
(586) 558-9033
1030045
FRESENIUS DIALYSIS SERVICES OF SHELBY
56065 VAN DYKE
SHELBY TOWNSHIP 48316
(586) 677-2008
1023488
KAISER, JOSEPH W DO
15520 19 MILE RD STE 480
(586) 228-1010
1027166
KAISER, JOSEPH W DO
15520 19 MILE RD STE 480
(586) 228-1010
1106098
MANN, SUNPREET MD
17900 23 MILE RD STE 404
MACOMB 48044
(586) 286-7800
1095040
MATHEW, JEAN MD
15520 19 MILE RD STE 480
(586) 228-1010
1096897
MATHEW, JEAN K MD
15520 19 MILE RD STE 480
(586) 228-1010
1023494
NORRIS, CRAIG N DO
1 STE 480
(586) 228-1010
1066165
PENUMALEE, SREELATHA MD
11900 E 12 MILE RD STE 200
WARREN 48093
(586) 558-9033
1078137
PROVENZANO, CHRISTOPHER MD
WARREN 48093
(586) 573-7100
1078138
17900 23 MILE RD STE 404
MACOMB 48044
(586) 286-7800
1066166
SARAIYA, KIRAN DO
11900 E 12 MILE RD STE 200
WARREN 48093
(586) 558-9033
1070037
STAMAT, HEATHER DO
17900 23 MILE RD STE 404
MACOMB 48044
(586) 286-7800

Page 322
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
1070039
STAMAT, HEATHER DO
11900 E 12 MILE RD STE 205
WARREN 48093
(586) 573-7100
1023672
TAYEB, JUKAKU MD
17900 23 MILE RD STE 404
MACOMB 48044
(586) 286-7800
NEURO SURGERY
1055383
GUTHIKONDA, MURALI MD
43650 GARFIELD RD
(313) 831-0777
1055401
HORNYAK, MARK J MD
43650 GARFIELD RD
(313) 831-0777
1067422
JAGANNATHAN, JAYANT MD
43650 GARFIELD RD
(877) 486-7978
1121756
2011 MIDDLEBELT RD
UTICA 48315
(734) 522-9800
NEUROLOGY
1095677
ABOUKASM, AMER G MD
25631 LITTLE MACK
(888) 717-5337
1068304
AGNER, CELSO MD
35429 SCHOENHERR RD
(586) 445-9900
1068305
AGNER, CELSO MD
11051 UTICA RD STE 240
UTICA 48317
(586) 323-9900
1074395
ALMSADDI, MALAZ MD
(248) 451-1466
1033425
BOTTESI, KENNETH J MD
45634 SCHOENHERR RD
UTICA 48315
(586) 566-3000
1117545
BURDETTE, DAVID E MD
25100 KELLY RD
ROSEVILLE 48066
(586) 771-7440
1117547
UTICA 48315
(586) 771-7440
1123604
DELLY, FADI MD
2011 MIDDLEBELT
UTICA 48315
(734) 522-9800
1120197
FLETCHER, DECONTEE J MD
34025 HARPER
(586) 445-9900
1024498
GIANCARLO, THOMAS DO
35429 SCHOENHERR RD
(586) 445-9900
1122323
34025 HARPER
(586) 859-0632
1067434
HANKS, ROBIN A PHD
(313) 745-9763
1108167
HANKS, ROBIN ANN PHD
(313) 745-9763
1061059
JUOPPERI, NANCY DO
UTICA 48317
(586) 323-9900
1061058
JUOPPERI, NANCY DO
35429 SCHOENHERR RD
(586) 445-9900
1024497
KONST, LAWRENCE DO
35429 SCHOENHERR RD
(586) 445-9900
1085907
MAJJHOO, ANIEL Q MD
(855) 874-7876
1062773
MAZHARI, ASSADOLLAH MD
43650 GARFIELD RD
(313) 831-0777
1061068
MORSON, TRACEY MD
UTICA 48317
(586) 323-9900
1096722
MORSON, TRACEY MD
25631 LITTLE MACK
(888) 717-5337
1061067
MORSON, TRACEY MD
35429 SCHOENHERR RD
(586) 445-9900
1086546
(855) 874-7876
1055933
NARAYANAN, SANDRA MD
43650 GARFIELD RD
(313) 831-0777
1038680
POLICHERLA, HARANATH MD
WARREN 48093
(586) 393-3001
1097535
RANAWAT, NISHANT MD
35429 SCHOENHERR RD
(586) 445-9900
1071217
RAPP, STANFORD DO
UTICA 48317
(586) 323-9900
1071216
RAPP, STANFORD DO
35429 SCHOENHERR RD
(586) 445-9900
1031033
SANGAL, R B MD
(586) 254-0707
1122335
STEINBOCK, ALEX M DO
MOUNT CLEMENS 48043
(586) 493-3297
1125770
TAYLOR, DANETTE C DO
44250 DEQUINDRE RD
(248) 964-0400
1030426
TUMMALA, SUNITA MD
(586) 274-0123
1033093
VERMA, NARAYAN P MD
WARREN 48093
(586) 983-3666
1024495
VOCI, JAMES MD
35429 SCHOENHERR RD
(586) 445-9900
1085932
XAVIER, ANDREW T MD
(855) 874-7876
1068302
ZAFAR, MOHAMMED MD
UTICA 48317
(586) 323-9900
1068301
ZAFAR, MOHAMMED MD
35429 SCHOENHERR RD
(586) 445-9900
1124010
ZIMMERMAN, ERIC DO
MOUNT CLEMENS 48043
(586) 493-3297

Page 323
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
NURSE MIDWIFE
1119931
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101
1082140
EDWARDS, LISA CNM
4669 E 8 MILE RD
WARREN 48091
(313) 416-6200
1119914
GLENN, JESSICA CNM
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101
1119897
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101
1119863
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101
1120236
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101
1120253
SCOTT, MELISA N CNM
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101
1120203
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101
OBSTETRICS
1120757
ALFIERI, CRISTINA MD
WARREN 48092
(586) 558-1110
1120680
ASAAD, RADWAN MD
WARREN 48092
(586) 558-1110
1120618
BALLON-HENNINGS, HELARD MD
WARREN 48092
(586) 558-1110
1120547
BILLIS-GERGICS, LORI MD
WARREN 48092
(586) 558-1110
1120641
BOBO, ANDRE MD
WARREN 48092
(586) 558-1110
1120591
VISTA-DECK, DIANE MD
4727 SAINT ANTOINE ST STE 304
WARREN 48092
(313) 745-0499
1120592
9015 JOSEPH CAMPAU
WARREN 48092
(313) 664-0777
1049492
ABESSINIO, CARMELA DO
21400 ELEVEN MILE RD
(586) 498-4400
1108015
AGOSTA, ANDREW M MD
51221 SHOENHERR
UTICA 48317
(586) 254-3545
1021753
ALDERSON, THOMAS DO
(586) 493-3740
1119828
BELL, CARRIE MD
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101
1119880
BELL, JASON D MD
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101
1029769
BLAKE, ANDREA MD
WASHINGTON 48094
(586) 992-9567
1083837
BONNEFIL, WILLIAM MD
11885 E 12 MILE RD
WARREN 48093
(586) 582-7060
1030155
BONNEFIL, WILLIAM A MD
11012 E 13 MILE RD STE 212
WARREN 48093
(586) 582-7150
1036738
BOYD, KATHERINE MD
28755 SCHOENHERR
WARREN 48088
(586) 573-7222
1106370
BURKE, KELLY A MD
44250 DEQUINDRE RD
(248) 964-0400
1101776
29350 VAN DYKE AVE
WARREN 48093
(586) 558-0101
1070321
CHARI-HEDNI, VEENA MD
21000 12 MILE RD STE 102
(586) 447-5100
1077053
CHEN, MIMI DO
(586) 412-5117
1086892
COLMAN, RICHARD J DO
11885 E 12 MILE RD STE 202A
WARREN 48093
(586) 582-7090
1120304
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101
1096214
ELHUSEIN, SARA T DO
(586) 412-5117
1105769
ELHUSEIN, SARA T DO
MOUNT CLEMENS 48043
(248) 891-0238
1032120
FISCHER, CAROL M DO
MOUNT CLEMENS 48043
(586) 493-3881
1099066
FRANZ, PATRICIA MD
WARREN 48093
(586) 578-0086
1045669
GHUZNAVI, JASMIN MD
(586) 262-5060
1030449
GOLUSIN, MILLARD R MD
13467 23 MILE RD
UTICA 48315
(248) 267-5040
1085389
GORDON, SEYMOUR MD
WARREN 48093
(586) 582-7060
1030455
GORDON, SEYMOUR V MD
11012 E 13 MILE RD STE 212
WARREN 48093
(586) 582-7150
1035835
GOULDING, DAWN M MD
WASHINGTON 48094
(586) 992-9567
1054806
GOYMERAC, PATRICIA L MD
44250 DEQUINDRE RD
(248) 964-0400
1030502
WASHINGTON 48094
(248) 997-5805
1105638
GRAHAM, THEODORE K MD
4669 E 8 MILE RD
WARREN 48091
(313) 416-6200
1035837
GREENE, DANIEL J MD
WASHINGTON 48094
(586) 992-9567

Page 324
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County

1069642
GUMBRECHT, KELLY MD
38200 GARFIELD RD STE B
(586) 286-6060
1069641
GUMBRECHT, KELLY MD
30030 23 MILE RD
NEW BALTIMORE 48047
(586) 948-5900
1120219
HARRIS, LISA H MD
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101
1030547
HARTMANN WOLFE, DEBORAH MD
WARREN 48088
(586) 574-1313
1032666
HARTZELL, THOMAS MD
21000 12 MILE RD STE 102
(586) 447-5100
1106144
HEERINGA, AMY B MD
44250 DEQUINDRE RD
(248) 964-0400
1098019
HERTZ, MICHAEL MD
(586) 268-1700
1122212
HOMA, LORI MD
29350 VAN DYKE AVE
WARREN 48093
(586) 558-0101
1077056
JONES, SARAH DO
39373 GARFIELD
(586) 286-4880
1119846
KAHN, CHAVA MD
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101
1099763
KALO, JACOB MD
11474 E 15 MILE RD
(586) 979-2341
1059914
KALO, JACOB MD
28477 HOOVER RD
WARREN 48093
(586) 751-7070
1058076
KARADSHEH, LINDA DO
36500 S GRATIOT STE 202
(586) 493-3740
1077059
KARADSHEH, LINDA DO
39373 GARFIELD RD
(586) 286-4880
1122153
KMAK, DAVID C MD
WARREN 48092
(586) 558-1110
1124703
KOBOLD, RHONDA L DO
WASHINGTON 48094
(586) 786-4427
1068311
KOBOLD, RHONDA L DO
MACOMB 48044
(586) 247-8609
1035747
KONIECZNY, MICHELLE A MD
27070 HOOVER RD STE A
WARREN 48093
(586) 427-7370
1070241
KUZEL, JENNIFER MD
21000 12 MILE RD STE 102
(586) 447-5100
1085388
LEE, SANG MD
WARREN 48093
(586) 582-7060
1030708
LEE, SANG C MD
11012 E 13 MILE RD STE 212
WARREN 48093
(586) 582-7150
1125706
LEE, SANG C MD
11012 E 13 MILE RD STE 212
WARREN 48093
(586) 582-7150
1045670
LINGAM, DEEPTHI MD
(586) 262-5060
1083836
LOCKHART, LAMEITRE MD
WARREN 48093
(586) 582-7060
1054768
LOVE, JOSEPH J MD
44250 DEQUINDRE RD
(248) 964-0400
1030760
LOVE, JOSEPH J MD
WASHINGTON 48094
(248) 997-5805
1054805
MC BRIDE, JAMES P MD
44250 DEQUINDRE RD
(248) 964-0400
1030829
MC GRAIL, CAPRICE MD
WARREN 48088
(586) 574-1313
1056351
MCREYNOLDS, ANN R MD
21000 12 MILE RD STE 102
(586) 447-5100
1036952
MESSINA, ANGELA MD
30030 23 MILE RD
NEW BALTIMORE 48047
(586) 948-5900
1069646
MESSINA, ANGELA MD
(586) 286-6060
1076814
MLADIC, JULIE DO
WARREN 48093
(586) 582-7060
1078848
MLADIC, JULIE DO
11900 E 12 MILE RD STE 210
WARREN 48093
(586) 582-7060
1054807
MORGAN, SANDRA L MD
44250 DEQUINDRE RD
(248) 964-0400
1117766
NOWASIELSKI, JENNIFER DO
11900 E 12 MILE RD STE 210
WARREN 48093
(586) 582-7060
1085141
NOWASIELSKI, JENNIFER DO
WARREN 48093
(586) 582-7060
1070244
OCAMPO, MANUELA MD
21000 12 MILE RD STE 102
(586) 447-5100
1021759
OLSON, STEPHEN DO
32901 23 MILE RD STE 120
NEW BALTIMORE 48047
(586) 725-4604
1077048
OLSON, STEPHEN DO
32901 23 MILE RD STE 120
NEW BALTIMORE 48047
(586) 725-4604
1030907
PAGE, JILL M MD
WARREN 48088
(586) 574-1313
1124867
PALADINO, PAIGE E DO
11012 E 13 MILE RD STE 212
WARREN 48093
(586) 582-7150
1030912
PALUDA, STEPHANIE M MD
WARREN 48088
(586) 574-1313
1077599
PAYE, STACEY DO
WARREN 48093
(586) 582-7060
1118069
PAYE, STACY DO
11900 E 12 MILE RD STE 210
WARREN 48093
(586) 582-7060
1090169
PAYE, STACY DO
11800 E 12 MILE RD
WARREN 48093
(586) 582-7060
1106835
PIMPUTKAR, GOURI DO
WASHINGTON 48094
(586) 992-9567

Page 325
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County

1055466
PURAKAL, JOYCE C MD
30030 23 MILE RD
NEW BALTIMORE 48047
(586) 948-5900
1069644
PURAKAL, JOYCE C MD
(586) 286-6060
1069648
QUASARANO, RAYMOND MD
30030 23 MILE RD
NEW BALTIMORE 48047
(586) 948-5900
1036951
39200 GARFIELD STE B
(586) 286-6060
1035896
REEDY, BRIAN K MD
WASHINGTON 48094
(586) 992-9567
1101968
REID, VIRGIL C MD
29350 VAN DYKE AVE
WARREN 48093
(586) 558-0101
1031914
ROBERTS, ENID A MD
33497 23 MILE RD STE 160
NEW BALTIMORE 48047
(586) 716-1702
1083835
RODRIGUEZ, JACQUELYN MD
WARREN 48093
(586) 582-7060
1038736
RODRIGUEZ, JACQUELYN N MD
11012 E 13 MILE RD STE 212
WARREN 48093
(586) 582-7150
1060330
ROGERS, EUGENE MD
38856 HILLDALE
(586) 468-0650
1124516
RUDDOCK, MARTIN MD
(586) 268-1700
1085140
SANTIVIAGO, ANDRES MD
WARREN 48093
(586) 582-7060
1085120
SMITH, BECKY J DO
MACOMB 48044
(586) 566-9300
1123781
SMITH, JENNIFER K MD
(586) 268-1700
1054775
STARK, CATHERINE M MD
44250 DEQUINDRE RD
(248) 964-0400
1101918
29350 VAN DYKE AVE
WARREN 48093
(586) 558-0101
1077055
VYSKOCIL, SARAH DO
39373 GARFIELD
(586) 286-4880
1024135
VYSKOCIL, SARAH DO
(586) 286-4880
1077049
VYSKOCIL, SARAH DO
32901 23 MILE RD STE 102
NEW BALTIMORE 48047
(586) 725-4604
1127471
WALKER, ANGELA DO
58144 GRATIOT AVE
NEW HAVEN 48048
(586) 749-5197
1054777
WALLACE, ELISE F MD
44250 DEQUINDRE RD
(248) 964-0400
1120287
WALLETT, SARAH M MD
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101
1023703
WHITE, CHAD R MD
39200 GARFIELD STE B
(586) 286-6060
1069650
WHITE, CHAD R MD
30030 23 MILE RD
NEW BALTIMORE 48047
(586) 948-5900
1070258
WHITE, NATHAN MD
21000 12 MILE RD STE 102
(586) 447-5100
1031374
WUCKERT, KRISTEN E MD
WARREN 48088
(586) 574-1313
1076436
YENCHICK, MARY MD
18285 10 MILE RD STE 150
ROSEVILLE 48066
(586) 778-1900
1053619
ZAJDEL, GRAZYNA K MD
(586) 498-4400
1120270
ZAPATA, MYA R MD
29350 VAN DYKE RD
WARREN 48093
(586) 558-0101
1124872
ZIMA, THOMAS E DO
36500 GRATIOT RD STE 202
(586) 493-3740
11012 13 MILE RD
WARREN 48093
(586) 751-3380
1117904
MICHIGAN HAND AND SPORTS REHAB
ONCOLOGY
1019666
AKHTAR, ADIL MD
(586) 323-1500
1071696
PORTER, PAUL MD
MOUNT CLEMENS 48043
(586) 493-3440
OPHTHALMOLOGY
1076803
AKLER, MICHELLE MD
36838 RYAN RD
(586) 480-2101
1017958
ALBERT, WILLIAM MD
28627 HOOVER RD
WARREN 48093
(586) 573-7555
1126685
APKARIAN, ALEXANDRA O MD
(586) 532-3380
1054550
BARTON, SCOTT DO
33080 UTICA RD
FRASER 48026
(586) 296-7250
1105537
BASHA, MAHDI DO
33080 UTICA RD STE B
FRASER 48026
(586) 296-7250
1070328
BENKOFF, ADREA MD
29753 HOOVER RD
WARREN 48093
(586) 573-2149
1070048
BLODGETT, DAVID W MD
WARREN 48088
(586) 582-7860
1033458
CAPONE, ANTONIO JR MD
25631 LITTLE MACK STE 201
(586) 552-2092

Page 326
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
1055892
CHEYER, CHRISTOPHER J MD
28800 RYAN STE 100
WARREN 48092
(586) 573-0248
1030175
CHOW, CHRISTOPHER Y MD
21000 12 MILE RD STE 103
(586) 447-8939
1038672
CITRON, MATTHEW E DO
21000 12 MILE RD STE 108
(586) 445-1170
1118742
WARREN 48088
(586) 268-4400
1125376
CZAJKOWSKI, NORBERT P MD
FRASER 48026
(586) 296-7250
1030271
DUNN, STEVEN P MD
11250 E 13 MILE RD STE 2-A
WARREN 48093
(586) 576-0487
1079254
FAIA, LISA J MD
20952 12 MILE RD STE 140
(586) 552-2092
1095406
FAIA, LISA J MD
(586) 552-2092
1076755
GIANFERMI, ELENA MD
(586) 532-3380
1055048
GILES, CONRAD L MD
28800 RYAN STE 100
WARREN 48092
(586) 573-0248
1023112
21000 W 12 MILE RD STE 108
(586) 447-5570
1012856
GOLDSTEIN, WILLIAM S MD
47670 VAN DYKE
UTICA 48317
(586) 323-2020
1020950
GONTE, SHELDON L MD
(586) 268-4400
1125795
GUPTA, CHIRAG MD
WARREN 48093
(248) 350-1130
1124909
GUPTA, CHIRAG MD
WARREN 48093
(586) 576-0487
1030538
HANDLER, LAWRENCE F MD
43421 GARFIELD TD STE 7
(586) 286-3400
1030551
HEIDEMANN, DAVID G MD
21000 12 MILE RD STE 103
(586) 447-8939
1055503
JUZYCH, MARK S MD
28800 RYAN STE 100
WARREN 48092
(586) 573-0248
1036141
KHAMBATI, SHABBIR F MD
35776 HARPER AVE
(586) 792-3891
1085339
KIM, JOHNSTONE MINSOK MD
35776 HARPER RD
(586) 792-3891
1030714
LEVIN, DARRIN S MD
WARREN 48093
(586) 756-3800
1070052
LIN, DANIEL MD
WARREN 48088
(586) 582-7860
1030803
MALINOWSKI, SUSAN M MD
WARREN 48093
(586) 756-3800
1102762
MEHTA, ANKUR N MD
35776 HARPER AVE
(586) 792-3891
1043307
MILLER, JOEL A MD
WARREN 48093
(586) 756-3800
1041379
MUENK, DONALD B MD
WARREN 48093
(586) 573-2149
1070331
MUENK-GOLD, SARAH MD
29753 HOOVER RD
WARREN 48093
(586) 573-4333
1046436
MURPHY, PATRICK L MD
WARREN 48092
(586) 573-0248
1035584
NESI, FRANK A MD
21000 W 12 MILE RD
(586) 447-5570
1060475
OBERTYNSKI, TOM G MD
25350 KELLY RD
ROSEVILLE 48066
(586) 772-1990
1031257
PARENT, ALAN C MD
WARREN 48093
(586) 573-2149
1074174
RASANSKY, MICHAEL J DO
25350 KELLY RD
ROSEVILLE 48066
(586) 772-1990
1018791
ROTBERG, LEEMOR MD
(586) 532-3380
1018789
ROTBERG, LEEMOR MD
(586) 532-3380
1029777
SCHARTENBERG, JUDITH MD
FRASER 48026
(586) 296-7250
1105901
SHAH, RAJIV E MD
35776 HARPER RD
(586) 792-3891
1031140
SIEGEL, LES I MD
21000 12 MILE RD STE 108
(586) 445-1170
1031141
SIEGEL, MARC J MD
21000 12 MILE RD STE 108
(586) 445-1170
1114539
SOLOMON, MICHAEL S DO
21000 E 12 MILE RD STE 100
(586) 447-5055
1070059
SPOOR, THOMAS MD
WARREN 48088
(586) 582-7860
1070335
SULTANA-GALLICK, MARILYNN MD
29753 HOOVER RD
WARREN 48093
(586) 573-2149
1033932
TRESE, MICHAEL T MD
(586) 552-2092
1117103
VALICE, JAMES R MD
FRASER 48026
(586) 296-7250
1059993
VIPOND, WILLIAM FRASER MD
20919 GRATIOT AVE
EASTPOINTE 48021
(586) 774-2626
1083444
WEISS, HAROLD MD
WARREN 48093
(586) 756-3800
1095403
WOLFE, JEREMY D MD
(586) 552-2092

Page 327
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
1095402
(586) 552-2092
OPTOMETRY
1104178
ADKINS, TERRY OD
28624 HARPER
(586) 778-7542
1104183
ADKINS, TERRY OD
5761 E TWELVE MILE RD
WARREN 48092
(586) 468-7612
1104175
ADKINS, TERRY OD
140 MACOMB
MOUNT CLEMENS 48043
(586) 468-7612
1104180
ADKINS, TERRY OD
34505 UTICA RD
FRASER 48026
(586) 293-4198
1106595
ADKINS, TERRY OD
22561 GRATIOT AVE
EASTPOINTE 48021
(586) 350-2100
1104181
ADKINS, TERRY OD
37120 DEQUINDRE
(586) 979-6260
1104182
ADKINS, TERRY OD
52799 HAYES RD
UTICA 48315
(586) 247-2652
1125994
BALCUEVA, DANIEL OD
140 MACOMB
MOUNT CLEMENS 48043
(586) 468-7612
1125996
BALCUEVA, DANIEL OD
22561 GRATIOT AVE
EASTPOINTE 48021
(586) 350-2100
1126000
BALCUEVA, DANIEL OD
52799 HAYES ROAD
UTICA 48315
(586) 247-2652
1125997
BALCUEVA, DANIEL OD
28624 HARPER
(586) 778-7542
1125999
BALCUEVA, DANIEL OD
37120 DEQUINDRE
(586) 979-6260
1080451
BLAZIUS, GERALD J OD
24307 HARPER AVE
(586) 775-6733
1080454
47093 HAYES RD
UTICA 48315
(586) 737-4733
1080458
36838 RYAN RD
(586) 978-7232
1106601
BRADEN, ANDREA OD
22561 GRATIOT AVE
EASTPOINTE 48021
(586) 350-2100
1073787
BRATT, RICHARD OD
37120 DEQUINDRE RD
(586) 979-6260
1073785
BRATT, RICHARD OD
140 MACOMB
MOUNT CLEMENS 48043
(586) 468-7612
1073786
BRATT, RICHARD OD
28624 HARPER
(586) 778-7542
1046838
BRATT, RICHARD OD
34505 UTICA RD
FRASER 48026
(586) 293-4198
1120539
BREZA, MICHAEL OD
(586) 263-9708
1085061
BREZA, MICHAEL OD
21701 KELLY RD
(586) 779-4200
1120540
BREZA, MICHAEL OD
57970 VAN DYKE
WASHINGTON 48094
(586) 677-6384
1125253
BROZZO, SARAH OD
52799 HAYES RD
UTICA 48315
(586) 247-2652
1083455
37120 DEQUINDRE RD
(586) 979-6260
1083454
5761 E 12 MILE RD
WARREN 48092
(586) 468-7612
1125983
DANESHVAR, ELHAM OD
37120 DEQUINDRE
(586) 788-7542
1125982
DANESHVAR, ELHAM OD
28624 HARPER
(586) 788-7542
1125984
DANESHVAR, ELHAM OD
WARREN 48092
(586) 619-3600
1048345
DAWIDOWICZ, HEATHER OD
140 MACOMB
MOUNT CLEMENS 48043
(586) 468-7612
1073796
34505 UTICA RD
FRASER 48026
(586) 293-4198
1105169
5761 E 12 MILE RD
WARREN 48092
(586) 468-7612
1073797
52799 HAYES RD
UTICA 48315
(586) 247-2652
1105167
DEFEVER, ALBERT OD
5761 E 12 MILE RD
WARREN 48092
(586) 468-7612
1083869
DEFEVER, ALBERT OD
140 MACOMB
MOUNT CLEMENS 48043
(586) 464-1479
1083871
DEFEVER, ALBERT OD
37120 DEQUINDRE RD
(586) 979-6260
1083870
DEFEVER, ALBERT OD
28624 HARPER AVE
(586) 778-7542
1057299
DUDOVITZ, JEFFREY OD
28655 HOOVER RD
WARREN 48093
(586) 751-0400
1106594
GAY, RICHARD OD
22561 GRATIOT AVE
EASTPOINTE 48021
(586) 350-2100
1046850
GAY, RICHARD OD
140 MACOMB
MOUNT CLEMENS 48043
(586) 468-7612
1073829
GAY, RICHARD OD
37120 DEQUINDRE
(586) 979-6260
1085178
GAY, RICHARD OD
28624 HARPER
(586) 778-7542
1073828
GAY, RICHARD OD
34505 UTICA RD
FRASER 48026
(586) 293-4198

Page 328
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
1085185
GAY, RICHARD OD
52799 HAYES RD
UTICA 48315
(586) 247-2652
1085186
GAY, RICHARD OD
WARREN 48092
(586) 619-3600
1079251
GENTILE, RALPH OD
140 MACOMB PLACE
MOUNT CLEMENS 48043
(248) 468-7612
1089754
GENTILE, RALPH OD
52799 HAYES RD
UTICA 48315
(586) 247-2652
1032936
HORN, BARBARA OD
8703 26 MILE RD
WASHINGTON 48094
(586) 992-3700
1073844
ICEBERG, JEFFERY OD
140 MACOMB
MOUNT CLEMENS 48043
(586) 468-7612
1077916
ICEBERG, JEFFERY OD
52799 HAYER RD
UTICA 48315
(586) 247-2652
1121998
JONCAS, LUC R OD
52799 HAYES RD
UTICA 48315
(586) 247-2652
1064620
JUNKER, CHERYL OD
(586) 263-9708
1120541
JUNKER, CHERYL OD
57970 VAN DYKE
MACOMB 48044
(586) 677-9256
1120707
KALKOFEN, GREGORY OD
(586) 263-9708
1098986
KALKOFEN, GREGORY OD
57970 VAN DYKE
WASHINGTON 48094
(586) 677-6384
1098437
KAYNER, JILL OD
28624 HARPER
(586) 778-7542
1098426
KAYNER, JILL OD
140 MACOMB
MOUNT CLEMENS 48043
(586) 468-7612
1098443
KAYNER, JILL OD
34505 UTICA RD
FRASER 48026
(586) 293-4198
1098444
KAYNER, JILL OD
37120 DEQUINDRE
(586) 979-6260
1098450
KAYNER, JILL OD
52799 HAYES RD
UTICA 48315
(586) 247-2652
1098451
KAYNER, JILL OD
WARREN 48092
(586) 468-7612
1106597
KAYNER, JILL OD
22561 GRATIOT AVE
EASTPOINTE 48021
(586) 350-2100
1065753
KNIGHT, JOSEPHUS OD
140 MACOMB
MOUNT CLEMENS 48043
(586) 468-7612
1080450
KOEHLER, THOMAS OD
24307 HARPER AVE
(586) 775-6733
1080453
KOEHLER, THOMAS OD
47093 HAYES RD
UTICA 48315
(586) 737-4733
1080457
KOEHLER, THOMAS OD
36838 RYAN RD
(586) 978-7232
1091406
KOSTESICH, JOSEPH OD
51950 VAN DYKE AVE
(586) 254-9030
1120542
LAKIN, DONALD OD
21701 KELLY RD
EASTPOINTE 48021
(586) 779-4200
1071717
LAKIN, DONALD OD
(586) 263-9708
1120543
LAKIN, DONALD OD
57970 VAN DYKE
WASHINGTON 48094
(586) 677-6384
1105181
MALONEY, CHAD OD
34505 UTICA RD
FRASER 48026
(586) 293-4198
1091685
MALONEY, CHAD OD
37120 DEQUINDRE
(586) 979-6260
1105168
MALONEY, CHAD OD
5761 E 12 MILE RD
WARREN 48092
(586) 468-7612
1105182
MALONEY, CHAD OD
28624 HARPER
(586) 778-7542
1091682
MALONEY, CHAD OD
140 MACOMB
MOUNT CLEMENS 48043
(586) 468-7612
1091686
MALONEY, CHAD OD
52799 HAYES RD
UTICA 48315
(586) 247-2652
1036897
MONTELLA, ANTHONY OD
15324 E 10 MILE RD
EASTPOINTE 48021
(586) 777-9100
1048344
PAVEGLIO, ANTHONY OD
52799 HAYES
UTICA 48315
(586) 247-2652
1089815
PEIFFER, PAUL M OD
52799 HAYES RD
UTICA 48315
(586) 247-2652
1106602
PEIFFER, PAUL M OD
22561 GRATIOT AVE
EASTPOINTE 48021
(586) 350-2100
1079047
PEIFFER, PAUL M OD
5761 E 12 MILE RD
WARREN 48092
(586) 619-3600
1073862
PEIFFER, PAUL M OD
140 MACOMB
MOUNT CLEMENS 48043
(586) 468-7612
1107894
PHIPPS, KIMBERLY OD
52799 HAYES RD
UTICA 48315
(586) 247-2652
1117271
POGGIOLO, CARL V OD
28532 SCHOENHERR RD
WARREN 48088
(586) 777-0060
1118583
POGGIOLO, JOHN C OD
28532 SCHOENHERR RD
WARREN 48088
(586) 777-0060
1117276
POGGIOLO, JOHN C OD
28532 SCHOENHERR RD
WARREN 48088
(586) 777-0060
1089460
POPHAM, PHILLIP OD
52799 HAYES RD
UTICA 48315
(586) 247-2652
1069957
RIVERA, AXEL OD
140 MACOMB
MOUNT CLEMENS 48043
(586) 468-7612
1085163
RIVERA, AXEL OD
WARREN 48092
(586) 619-3600

Page 329
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
1119593
ROOSE, RICHARD OD
WARREN 48092
(586) 619-3600
1119591
ROOSE, RICHARD OD
22561 GRATIOT AVE
EASTPOINTE 48021
(586) 350-2100
1119592
ROOSE, RICHARD OD
52799 HAYES RD
UTICA 48315
(586) 247-2652
1120693
SHICK, ROBERT OD
21701 KELLY RD
EASTPOINTE 48021
(586) 779-4200
1096621
SHICK, ROBERT OD
(586) 263-9708
1125305
SMITH, SHELDON L OD
140 MACOMB
MOUNT CLEMENS 48043
(586) 468-7612
1125308
SMITH, SHELDON L OD
22561 GRATIOT AVE
EASTPOINTE 48021
(586) 350-2100
1125310
SMITH, SHELDON L OD
34505 UTICA RD
FRASER 48026
(586) 293-4198
1125311
SMITH, SHELDON L OD
37120 DEQUINDRE
(586) 979-6260
1125312
SMITH, SHELDON L OD
WARREN 48092
(586) 619-3600
1079068
SPITLER, ANTHONY OD
13675 23 MILE RD
UTICA 48315
(586) 532-1600
1101874
STEFANI, MARK OD
71150 N VAN DYKE
ROMEO 48065
(586) 752-9898
1101873
STEFANI, MARK OD
66751 GRATIOT AVE
RICHMOND 48062
(586) 727-7555
1101872
STEFANI, MARK OD
51026 VAN DYKE
(586) 254-9620
1101871
STEFANI, MARK OD
3602 15 MILE RD
(586) 977-9010
1101870
STEFANI, MARK OD
32925 GROESBECK HWY
FRASER 48026
(586) 293-8888
1123961
THEODOROFF, CHRISTOPHER D OD
28825 RYAN RD
WARREN 48092
(586) 573-0470
1125390
TUCHOWSKI, JASON G OD
FRASER 48026
(586) 296-7250
1073598
WALSH, DAWN OD
43560 VAN DYKE
(586) 254-9600
1073596
WALSH, DAWN OD
67960 VAN DYKE
ROMEO 48065
(586) 254-9600
1106599
WALTERS, MARIE OD
22561 GRATIOT AVE
EASTPOINTE 48021
(586) 350-2100
1079048
WALTERS, MARIE OD
5761 E 12 MILE RD
WARREN 48092
(586) 619-3600
1073882
WALTERS, MARIE OD
28624 HARPER
(586) 778-7542
1073883
WALTERS, MARIE OD
34505 UTICA RD
FRASER 48026
(586) 293-4198
1109351
WILLIAMSON, ALEXANDRA K OD
(586) 532-3380
1085230
WONG, KENNETH OD
34505 UTICA RD
FRASER 48026
(586) 293-4198
1077911
WONG, KENNETH OD
37120 DEQUINDRE RD
(586) 979-6260
1075071
WONG, KENNETH OD
140 MACOMB ST
MOUNT CLEMENS 48043
(586) 468-7612
1079050
WONG, KENNETH OD
5761 E 12 MILE RD
WARREN 48092
(586) 619-3600
1085225
WONG, KENNETH OD
28624 HARPER
(586) 778-7542
1036275
WOYTTA, THOMAS OD
35445 23 MILE RD
NEW BALTIMORE 48047
(586) 716-9101
1046834
WOZNIAK, AMY OD
28624 HARPER
(586) 778-7542
1079049
WOZNIAK, AMY OD
5761 E 12 MILE RD
WARREN 48092
(586) 619-3600
1073853
WOZNIAK, AMY OD
34505 UTICA RD
FRASER 48026
(586) 293-4198
1106600
WOZNIAK, AMY OD
22561 GRATIOT AVE
EASTPOINTE 48021
(586) 350-2100
1117548
ZAIR, TIFFANY K OD
UTICA 48315
(586) 803-3152
1119549
ZEIDERS, ERICA OD
52799 HAYES RD
UTICA 48315
(586) 247-2652
1124453
RAMIREZ-NEYRA, CARLOS A MD
17900 23 MILE RD STE 203
MACOMB 48044
(586) 263-7400
1124454
21000 12 MILE RD STE 111
(586) 779-7610
1105940
11900 E 12 MILE RD STE 308
WARREN 48093
(586) 582-7100
1066428
YAPA, JEEVAKA DDS
1000 HARRIGNTON BLVD
MOUNT CLEMENS 48043
(586) 493-8000
ORTHOPEDIC SURGERY
1104386
AJLUNI, ANDREW DO
(586) 790-9003
1057595
BALAZSY, JEFFREY MD
MOUNT CLEMENS 48043
(800) 341-7931

Page 330
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County

1070278
BISHAI, SHARIFF DO
(586) 779-7970
1121156
BISHAI, SHARIFF DO
(586) 790-9003
1092488
BISHAI, SHARIFF DO
66440 GRATIOT AVE
NEW HAVEN 48050
(586) 779-7970
1070279
BISHAI, SHARIFF DO
UTICA 48315
(586) 412-1411
1021776
CARROLL, JEFFREY J DO
(586) 790-9003
1108162
DARWICHE, HUSSEIN FADL MD
WARREN 48092
(586) 558-2860
1083496
GILYARD, GARY MD
WARREN 48092
(586) 575-9444
1079732
GOITZ, HENRY T MD
WARREN 48092
(586) 558-2860
1021783
HANLON, KEVIN DO
(586) 790-9003
1096333
HILL, DEREK L DO
28001 SCHOENHERR
WARREN 48088
(586) 588-9500
1108205
JONES, ERIC THEODORE MD
(313) 745-5227
1021786
KEHOE, JAMES DO
(586) 790-9003
1103454
LEMOS, STEPHEN E MD
WARREN 48092
(586) 558-2860
1038677
MEISEL, RONALD DO
(586) 790-9003
1103231
MICHAELSON, JEFFEREY E MD
WARREN 48092
(586) 558-2860
1033924
NICHOLAS, CHRISTOPHER R DO
36500 GRATIOT
(586) 790-9003
1126155
46857 GARFIELD
MACOMB 48044
(586) 532-5438
1122551
PELLERITO, BENEDETTO MD
UTICA 48315
(586) 412-1411
1012215
PELLERITO, BENEDETTO MD
80650 VAN DYKE
ROMEO 48065
(586) 412-1411
1117251
PLOMARITIS, STEVEN T DO
WARREN 48088
(586) 558-9500
1106653
POLUDNIANYK, KIM N DO
MOUNT CLEMENS 48043
(586) 493-3890
1124326
RENTFROW, BENJAMIN E DO
21550 HARRINGTON BLVD STE A
(586) 627-1100
1051617
ROOK, RONALD DO
WARREN 48093
(586) 582-0760
1051618
RYAN, JOHN MD
WARREN 48093
(586) 751-3380
1124452
SAQQA, SAMER MD
66440 GRATIOT AVE
NEW HAVEN 48050
(586) 779-7970
1110015
SAQQA, SAMER MD
(586) 779-7970
1021795
SCHOCH, NICHOLAS DO
(586) 790-9003
1097633
TOFTELAND, MICHAEL E MD
43251 COMMON DR
(586) 286-0610
1073393
VAUPEL, ZACHARY M MD
(248) 280-8550
1058069
VIVIANO, DAVID MD
8545 COMMON RD
WARREN 48093
(586) 393-3009
1107713
WALCZAK, BRIAN E DO
MOUNT CLEMENS 48043
(586) 493-7575
1021797
WIND, MICHAEL DO
(586) 790-9003
1021798
YAISH, AMJAD DO
(586) 790-9003
1071339
ZACHARIAS, JEFFREY MD
(586) 774-5336

1021769
DILLARD, LORI DO
MOUNT CLEMENS 48043
(586) 493-3260
1121552
FEINSTEIN, ADAM DO
45676 LOOKOUT DR
MACOMB 48044
(248) 425-8652
1064965
FEINSTEIN, ADAM DO
MOUNT CLEMENS 48043
(586) 496-3260
1021770
GRIFFIN, GEORGIA DO
MOUNT CLEMENS 48043
(586) 493-3260
1066353
MAAZ, BASSAM MD
13753 19 MILE RD
(586) 566-8680

1092761
KUBEK, DOUGLAS C DO
17900 23 MILE RD
MACOMB 48044
(800) 355-9577
1028923
SHERBIN, MICHAEL DO
WARREN 48089
(586) 758-5051

Page 331
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
PAIN MANAGEMENT
1116678
ABRAHAM, BACHU MD
34025 HARPER RD
(586) 445-9900
1090794
CHUA-MANALO, INGRID MD
32500 23 MILE RD
NEW BALTIMORE 48047
(877) 784-3667
1094925
CLEMANS, REBECCA R MD
(586) 228-5300
1094927
21711 GREATER MACK AVE
(586) 774-0393
1094917
44201 DEQUINDRE RD
(248) 964-3000
1094924
15959 HALL RD
MACOMB 48044
(586) 247-5300
1097670
CONROY, SEAN M MD
44201 DEQUINDRE RD
(248) 964-3000
1097669
CONROY, SEAN M MD
(586) 228-5300
1097666
CONROY, SEAN M MD
(586) 774-0393
1097665
CONROY, SEAN M MD
15959 HALL RD
MACOMB 48044
(586) 247-5300
1097784
DIMON, CAIN E MD
44201 DEQUINDRE RD
(248) 964-3000
1097783
DIMON, CAIN E MD
(586) 228-5300
1097780
DIMON, CAIN E MD
(586) 774-0393
1097779
DIMON, CAIN E MD
15959 HALL RD
MACOMB 48044
(586) 247-5300
1120519
DRELLES, MICHAEL DO
(248) 581-5369
1090962
GAJIPARA, JEMIN N MD
2243 E 12 MILE RD
WARREN 48092
(586) 573-8100
1066317
GREJDA, STEVEN D DO
1000 HARRINGTON
MOUNT CLEMENS 48043
(586) 493-8175
1097761
HASS, DANIEL L MD
15959 HALL RD
MACOMB 48044
(586) 247-5300
1097762
HASS, DANIEL L MD
(586) 774-0393
1097765
HASS, DANIEL L MD
(586) 228-5300
1097766
HASS, DANIEL L MD
44201 DEQUINDRE RD
(248) 964-3000
1094608
HUSSAIN, MAZHER MD
UTICA 48315
(586) 263-1234
1094609
HUSSAIN, MAZHER MD
(586) 795-0569
1097860
JAFFER, ALIRAZA G MD
15959 HALL RD
MACOMB 48044
(586) 247-5300
1097864
(586) 228-5300
1097865
44201 DEQUINDRE RD
(248) 964-3000
1097861
(586) 774-0393
1104080
KHAN, SAYEED MD
12434 E 12 MILE RD STE 203
WARREN 48093
(586) 755-4333
1097748
MACON, MYRTICE E MD
44201 DEQUINDRE RD
(248) 964-3000
1097743
MACON, MYRTICE E MD
15959 HALL RD
MACOMB 48044
(586) 247-5300
1097747
MACON, MYRTICE E MD
(586) 228-5300
1097744
MACON, MYRTICE E MD
(586) 774-0393
1098702
MCCARDELL, CRAIG S MD
(586) 228-5300
1098699
(586) 774-0393
1098698
15959 HALL RD
MACOMB 48044
(586) 247-5300
1098703
44201 DEQUINDRE RD
(248) 964-3000
1077598
NAKHLEH, TAWFIQ DO
(586) 286-0639
1097925
PAPPAS, JOHN L MD
(586) 774-0393
1097929
PAPPAS, JOHN L MD
44201 DEQUINDRE RD
(248) 964-3000
1097928
PAPPAS, JOHN L MD
(586) 228-5300
1097924
PAPPAS, JOHN L MD
15959 HALL RD
MACOMB 48044
(586) 247-5300
1097844
SIKORSKY, MICHAEL H DO
(586) 228-5300
1097840
15959 HALL RD
MACOMB 48044
(586) 247-5300
1097841
(586) 774-0393
1097845
44201 DEQUINDRE RD
(248) 964-3000
1097898
SKOLNIK, BRUCE J MD
15959 HALL RD
MACOMB 48044
(586) 247-5300

Page 332
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
PAIN MANAGEMENT (CONTINUED)

1097902
SKOLNIK, BRUCE J MD
(586) 228-5300
1097903
SKOLNIK, BRUCE J MD
44201 DEQUINDRE RD
(248) 964-3000
1097899
SKOLNIK, BRUCE J MD
(586) 774-0393
1067346
THAKUR, ANAND MD
15945 19 MILE RD STE 202
(586) 286-7246
1123317
EL-BABA, MOHAMMAD F MD
(586) 532-3350
1123315
MADANI, SHAILENDER V MD
(586) 532-3350
1118991
ZAGHLOUL, HAZIM I MD
(586) 532-3350
1123314
KAPUR, GAURAV MD
(586) 532-3350
1123316
(586) 532-3350
1099065
17900 23 MILE RD STE 304
MACOMB 48044
(586) 868-9030
1065997
AL-ZOUHAYLI, MOHAMMAD KHEIR MD
43650 GARFIELD
(248) 720-2470
(586) 532-3350

1126545
MCDONALD, MELORI CNP
1034966
BAKER, JOHN D MD
(586) 532-3380
1018790
BOHRA, LISA I MD
(586) 532-3380
1023199
RAO, RAJESH C MD
(586) 532-3380
1009479
ROARTY, JOHN D MD
(586) 532-3380
PEDIATRIC - OTOLARYNGOLOGY
1054791
BELENKY, WALTER MD
(586) 532-3444
1030549
HAUPERT, MICHAEL S DO
(586) 532-3444
1103793
(586) 532-3444
1054788
JAGINI, JANARDHAN MD
(586) 532-3444
1031516
MADGY, DAVID DO
(586) 532-3444
42700 GARFIELD
(586) 532-3350
1086098
ADAMS, MATTHEW D MD
PEDIATRIC - SURGERY
1058583
KLEIN, MICHAEL MD
(313) 831-3220
1058575
(313) 831-3220
1058571
LELLI, JOSEPH MD
(313) 831-3220
1058579
STOCKMANN, PAUL MD
(313) 831-3220
PEDIATRIC - UROLOGY
1073687
FEBER, KEVIN M MD
18325 10 MILE RD STE 200
ROSEVILLE 48066
(248) 851-1430
1073696
FEBER, KEVIN M MD
(586) 997-3530
1073695
KASS, EVAN J MD
(586) 997-3530
PEDIATRICS
1026588
AL-NAJIM, JULIE A MD
MOUNT CLEMENS 48043
(586) 493-8548
1121020
BANKS, CRYSTAL MD
(586) 532-3410

Page 333
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
1117938
(586) 532-3410
1032779
CATALAN, MARISSA MD
MOUNT CLEMENS 48043
(586) 493-8000
1117932
CHAKRAVARTHY, NALINI MD
(586) 532-3410
1123312
FLEISCHMANN, LARRY E MD
(586) 532-3350
1085102
GABBARA, SAM S MD
(248) 603-2410
1117933
HADDAD, LORETTE N MD
(586) 432-3410
1021728
HASABA, HASAN MD
MOUNT CLEMENS 48043
(586) 493-8298
1123313
JIANG, HUIYUAN MD
(586) 532-3350
1117934
KOHLI, HARJIT K MD
(586) 532-3410
1104241
KUTSKILL, KEVIN MD
35054 23 MILE RD STE 101
NEW BALTIMORE 48047
(586) 725-2670
1117935
LAGROU, SUSAN A MD
(586) 532-3410
1117936
MCDONALD, MARIE ANN MD
(586) 532-3410
1092885
MULLER, PETER T MD
(586) 532-3410
1074292
NAIR, GEETHA M MD
(586) 532-3410
1032778
OLSON, LUCILA W MD
MOUNT CLEMENS 48043
(586) 493-8000
1093234
ROXAS, RENATO JR MD
(586) 532-3410
1118562
RUMMANI-ASKAR, SUNDUS F MD
26440 HOOVER RD STE C
WARREN 48089
(586) 427-1337
1121027
SLOAN SCHAFER, KATHERINE E DO
(586) 532-3410
1117937
TICE, SHARON L MD
(586) 532-3410
1108196
(313) 745-5585
PHLEBOLOGY
1083859
MESLEMANI, ALI MD
(248) 855-5355
1083860
WAZNI, GAMAL MD
(248) 855-5355

1078233
ALPINER, NEAL M MD
51850 DEQUINDRE RD
(877) 433-7767
1050762
BAUER, RAYMOND T MD
UTICA 48315
(586) 884-6681
1033442
BAUER, RAYMOND T MD
(586) 498-2400
1101945
BIGLIN, PETER E DO
2243 E 12 MILE RD
WARREN 48092
(586) 573-8100
1074023
BRADLEY, MICHELLE L DO
UTICA 48315
(586) 884-6681
1074022
BRADLEY, MICHELLE L DO
(586) 498-2400
1063449
BRENNAN, MARK J MD
42755 MOUND RD
(586) 323-0400
1030168
CHAMBERLAIN, CHRISTINE C MD
MACOMB 48044
(248) 852-0860
1038285
COMPLETE CARE REHAB LLC
WARREN 48089
(586) 756-7500
1033767
FEMMININEO, ANTHONY F MD
(248) 898-5000
1033766
FEMMININEO, ANTHONY F MD
UTICA 48315
(586) 884-6681
1030328
FEMMININEO, JOSEPH P MD
(586) 498-2400
1050764
FEMMININEO, JOSEPH P MD
UTICA 48315
(586) 884-6681
1030505
GRANT, LISA B MD
MACOMB 48044
(248) 852-0860
1030582
IYER, RAJESH V MD
MACOMB 48044
(248) 852-0860
1033550
KARAZIM, JOHN MD
42450 S HAYES
(586) 412-2225
1030697
LA BAN, MYRON M MD
MACOMB 48044
(248) 852-0860
1030806
MALTESE, JOHN T MD
MACOMB 48044
(248) 852-0860
1063526
MOOSAVI, SYED MD
UTICA 48317
(586) 323-9900
1063524
MOOSAVI, SYED MD
35429 SCHOENHERR RD
(586) 445-9900
1102164
NAAMAN, SAAD MD
28567 RYAN RD
WARREN 48092
(586) 558-7700

Page 334
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County

1061062
NABITY, THOMAS MD
UTICA 48317
(586) 323-9900
1061061
NABITY, THOMAS MD
35429 SCHOENHERR RD
(586) 445-9900
1109256
ONEY-MARLOW, THERESA M MD
22631 GREATER MACK AVE STE 100
(586) 771-0100
1033856
PAPALEKAS, PANO L MD
UTICA 48315
(586) 884-6681
1123311
PELSHAW, CHARLES B MD
(586) 532-3350
1050763
POLLINA, FRANK S MD
UTICA 48315
(586) 884-6681
1030944
POLLINA, FRANK S MD
(586) 498-2400
1033866
POLLINA, JOHN C MD
UTICA 48315
(586) 884-6681
1033867
POLLINA, JOHN C MD
(586) 498-2400
1031005
RIUTTA, JUSTIN C MD
MACOMB 48044
(248) 852-0860
1120600
SANTA ANA, JOHN R DO
34025 HARPER
(586) 445-9900
1031079
SESSA, GINO R MD
MACOMB 48044
(248) 852-0860
1031183
SPITERI, DAVID J MD
MACOMB 48044
(248) 852-0860
1031230
TAMLER, MARTIN S MD
MACOMB 48044
(248) 852-0860
1123747
TOMA, REEM MD
34025 HARPER
(586) 445-9900
1031344
WEIR, SUSAN E MD
MACOMB 48044
(248) 852-0860
PLASTIC SURGERY
1106221
ALNAJJAR, SAMER MD
20225 E NINE MILE RD
(586) 779-8700
1118491
ATANASOVSKI, MARIANA D MD
8180 26 MILE RD STE 300
(586) 992-8300
1126433
25531 SCHOENHERR RD
WARREN 48089
(586) 992-8300
1120396
AVILES, ALBERTO J MD
11900 E 12 MILE RD STE 308
WARREN 48093
(586) 582-6145
1074197
GEORGESON, ANDREW DO
8180 26 MILE RD STE 300
(586) 992-8300
1126443
25531 SCHOENHERR RD
WARREN 48089
(586) 992-8300
1126432
HOPE, JAMIE MD
25531 SCHOENHERR RD
WARREN 48089
(586) 992-8300
1073519
HOPE, JAMIE MD
8180 26 MILE RD STE 300
(586) 992-8300
1031050
KOTLUS, BRETT MD
8180 26 MILE RD STE 300
(586) 992-8300
1126431
KOTLUS, BRETT MD
25531 SCHOENHERR RD
WARREN 48089
(586) 992-8300
1084496
MAKHENE, RAMOTSUMI MD
WARREN 48092
(586) 558-2860
1119557
MCCRARY, RUTHIE T MD
8180 26 MILE RD STE 300
(586) 992-8300
1126434
25531 SCHOENHERR RD
WARREN 48089
(586) 992-8300
1031051
MOK, CHARLES D DO
8180 26 MILE RD STE 300
(586) 992-8300
1028922
SHERBIN, MICHAEL DO
309 N GRATIOT AVE
MOUNT CLEMENS 48043
(586) 463-5831
1118577
TRUPIANO, JOHN M MD
8180 26 MILE RD STE 300
(586) 992-8300
1126435
TRUPIANO, JOHN M MD
25531 SCHOENHERR RD
WARREN 48089
(586) 992-8300
PODIATRY
1125235
ANDREWS, MATTHEW DPM
9001E 15 MILE RD SUITE A
(586) 979-0560
1082066
BASCH, DAVID R DPM
39601 VAN DYKE AVE
(586) 979-7502
1019464
BENENATI, ANTHONY V DPM
27593 HARPER
(586) 779-6140
1032080
26440 HOOVER STE B
WARREN 48093
(586) 779-6140
1032081
MACOMB 48044
(586) 416-3668
1082116
BENESON, DAVID E DPM
43330 MOUND RD
(586) 323-3668
1082117
BROWN, LAWRENCE S DPM
43330 MOUND RD
(586) 323-3668
1078356
BURHANI, HATIM TAHIR
(313) 884-7566
1065777
BUTLER, BRETT DPM
15055 22 MILE RD
UTICA 48315
(586) 247-2050
1065775
BUTLER, BRETT DPM
64580 VAN DYKE RD
WASHINGTON 48095
(586) 752-3519

Page 335
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
1065776
BUTLER, BRETT DPM
36640 HERITAGE DR
RICHMOND 48062
(586) 752-3519
1100094
BYRON, SCOTT E DPM
UTICA 48315
(586) 580-3728
1008201
CAICCO, GENE DPM
11900 12 MILE RD STE 102
WARREN 48093
(586) 573-7470
1070486
CALDERONE, DAVID R DPM
30795 23 MILE RD STE 207
NEW BALTIMORE 48047
(586) 421-3177
1031471
20905 12 MILE RD STE 109
ROSEVILLE 48066
(586) 772-3500
1031472
MACOMB 48044
(586) 566-4881
1024221
COLEMAN, WALTER DPM
9001 15 MILE RD
(586) 979-0560
1030233
DEYOUNG, MICHELLE M DPM
30795 23 MILE RD STE 207
NEW BALTIMORE 48047
(586) 421-3177
1030232
20905 12 MILE RD STE 109
ROSEVILLE 48066
(586) 772-3500
1030234
13467 23 MILE RD
UTICA 48315
(586) 323-2641
1024592
FRASCONE, STEPHEN T DPM
36622 GREEN ST
NEW BALTIMORE 48047
(586) 725-3444
1032486
15520 NINETEEN MILE RD STE 450
(586) 228-1370
1030409
GERBER, MICHAEL L DPM
(586) 731-7873
1082700
GHANI, SYED M DPM
23700 GRATIOT AVE
EASTPOINTE 48021
(586) 779-1160
1074701
GIORDANO, ANTHONY DPM
UTICA 48315
(586) 580-3728
1024591
HANSEN, MATTHEW DPM
15520 19 MILE RD STE 450
(586) 228-1370
1024590
HANSEN, MATTHEW DPM
36622 GREEN ST
NEW BALTIMORE 48047
(586) 725-3444
1023012
HOSEY, THOMAS DPM
(586) 263-4411
1023011
HOSEY, THOMAS DPM
253 S GRATIOT
MOUNT CLEMENS 48043
(586) 468-5445
1038892
HOSEY, THOMAS DPM
(586) 263-4411
1030574
HUSAIN, ZEESHAN S DPM
29433 RYAN RD
WARREN 48092
(586) 574-0500
1117559
JACOB, BRUCE M DPM
29433 RYAN RD
WARREN 48092
(586) 574-0500
1023985
KAPLAN, DALE DPM
40522 HAYES STE 300
(586) 263-0910
1100678
KING, JONATHAN DPM
36622 GREEN ST
NEW BALTIMORE 48047
(586) 725-3444
1108544
KING, SUSAN P DPM
WARREN 48093
(586) 755-4242
1030635
KISSEL, CHARLES G DPM
29433 RYAN RD
WARREN 48092
(586) 574-0500
1122859
KISSEL, ERIK DPM
29433 RYAN RD
WARREN 48092
(586) 574-0500
1081094
KLIMECKI, RICHARD S DPM
30205 SCHOENHERR RD STE A
WARREN 48088
(586) 751-1288
1023331
KOWALCHICK, EDMUND J DPM
(586) 228-2255
1023332
KOWALCHICK, EDMUND J DPM
15717 15 MILE RD
(586) 228-2255
1030679
KREITMAN, KEVAN R DPM
MACOMB 48044
(586) 566-4881
1030678
20905 12 MILE RD STE 109
ROSEVILLE 48066
(586) 772-3500
1070485
30795 23 MILE RD STE 207
NEW BALTIMORE 48047
(586) 421-3177
1024587
LAMAR, LAURA DPM
15520 19 MILE RD STE 450
(586) 228-1370
1024586
LAMAR, LAURA DPM
36622 GREEN ST
NEW BALTIMORE 48047
(586) 725-3444
1048154
LODER, BRIAN G DPM
43391 COMMONS DR
(586) 329-3895
1100091
LUTZ, DONALD C DPM
UTICA 48315
(586) 580-3728
1074847
UTICA 48315
(586) 580-3728
1023329
MILLER, STACEY DPM
(586) 228-2255
1078915
29433 RYAN RD
(586) 574-0500
1089458
MONTUFAR, HENGELBERTH DPM
36640 HERITAGE DR
RICHMOND 48062
(586) 727-7867
1092840
MURPHY, RYAN M DPM
(586) 263-4411
1095049
MURPHY, RYAN M DPM
253 S GRATIOT
MOUNT CLEMENS 48043
(586) 468-5445
1095409
MURPHY, RYAN M DPM
(586) 263-4411
1091015
PANAGOPOULOS, DIMITRIOS DPM
(313) 884-7566
1123808
PATOUHAS, JOYCE E DPM
(586) 286-8660

Page 336
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
1062207
REPITOR, STEVEN DPM
21327 HARPER AVE STE C
(586) 445-1990
1031061
SCHEY, MICHAEL S DPM
29433 RYAN RD
WARREN 48092
(586) 574-0500
1031062
WARREN 48093
(586) 826-8686
1082599
SILVER, JOSEPH E DPM
8306 E 12 MILE RD
WARREN 48093
(586) 573-4880
1108545
SOLOMON, MARSHALL G DPM
WARREN 48093
(586) 755-4242
1082406
SOLWAY, JEFFREY A DPM
43330 MOUND RD
(586) 323-3668
1024681
SOMERS, JENNIFER DPM
(586) 263-4411
1024682
253 E GRATIOT
MOUNT CLEMENS 48043
(586) 468-5445
1038891
UTICA 48315
(586) 263-4411
1065779
STIEBEL, ALAN DPM
36640 HERITAGE DR
RICHMOND 48062
(586) 752-3519
1065780
STIEBEL, ALAN DPM
15055 22 MILE RD
UTICA 48315
(586) 247-2050
1065778
STIEBEL, ALAN DPM
64580 VAN DYKE RD
WASHINGTON 48095
(586) 752-3519
1024220
SUNDBLAD, KYLE DPM
9001 15 MILE RD
(586) 979-0560
1035680
SUNDBLAD, KYLE DPM
21230 DEQUINDRE RD
WARREN 48091
(586) 880-2451
1098141
WARREN, ALAN DPM
24836 HARPER AVE
(586) 778-0400
1116196
WEITZMAN, MARC DPM
29433 RYAN RD
WARREN 48092
(586) 574-0500
1096237
WEST, BRYAN C DPM
MACOMB 48044
(586) 566-4881
1096240
WEST, BRYAN C DPM
30795 23 MILE RD STE 207
NEW BALTIMORE 48047
(586) 421-3177
1096238
WEST, BRYAN C DPM
20905 12 MILE RD STE 100
ROSEVILLE 48066
(586) 772-3500
1032240
WOLF, ARNOLD DPM
(586) 247-0840
1108546
YOUNG, CHARLES R DPM
WARREN 48093
(586) 755-4242
1107835
YOUNG, LAWRENCE DPM
3058 METRO PKWY STE 206
(586) 977-7200
1108547
YUNG, JEFFREY Y DPM
WARREN 48093
(586) 755-4242
PROSTHETICS
1024906
COMFORT PROSTHETICS
MOUNT CLEMENS 48043
(586) 468-4600
1083966
PROS-TECH INC
WARREN 48088
(586) 541-1040
1037484
(586) 777-5409
1025614
11570 E ELEVEN MILE RD
WARREN 48089
(586) 756-4020
1025587
21192 HALL RD
(586) 468-8289
PSYCHIATRY
1108060
ADIL, NAZIA MD
WARREN 48092
(586) 620-8100
1107997
ADIL, NAZIA MD
WARREN 48092
(586) 620-8100
1094959
BADDIGAM, PRAMEELA D MD
(586) 268-6312
1034340
BAUER, ROBERT DO
24401 CAPITAL BLVD
(586) 783-2950
1090300
BAUTISTA, MARIETA P MD
25401 HARPER
(586) 466-6912
1048287
BONUCCHI MAZZARA, CHERYL MD
24401 CAPITAL BLVD
(586) 783-2950
1034493
50630 CHESTERFIELD RD
NEW BALTIMORE 48051
(586) 949-7680
1103857
BUTLER, BARIKA M MD
6900 E 10 MILE RD
CENTER LINE 48015
(586) 501-3070
1125033
DABBAGH, MAMOUN MD
4050 E 12 MILE RD
WARREN 48092
(586) 261-2266
1096116
DABBAGH, MAMOUN MD
42669 GARFIELD
(248) 412-5321
1096349
DABBAGH, MAMOUN MD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1101989
DALATI, SARIH MD
27560 HOOVER RD
WARREN 48093
(586) 757-6400
1102980
DEL BUSTO, NORA MD
3701 13 MILE RD STE B
WARREN 48092
(586) 274-0200
1100362
DEMCZUK, ROSE MD
35000 DIVISION STE 2
RICHMOND 48062
(586) 727-5529
1096248
FAROOQI, SHAHZAD A MD
(586) 795-0569

Page 337
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
1109396
FIKSMAN, IRINA MD
WARREN 48092
(856) 620-8100
1061174
GARWOOD, ROBERT MD
42669 GARFIELD
(248) 412-5321
1106428
GOTLIB, MICHAEL MD
175 N GROESBECK HWY
MOUNT CLEMENS 48043
(586) 627-0024
1119155
HADDAD, LUAY MD
(586) 939-5016
1126076
HANSON, SYLVIA MD
43740 GROESBECK
(586) 469-7629
1120715
HEMACHANDRA, SARATH MD
43740 GROESBECK
(586) 469-7629
1090153
JASTY, VENKATA MD
25401 HARPER
(586) 466-6912
1125032
JASTY, VENKATA MD
4050 E 12 MILE RD
WARREN 48092
(586) 261-2266
1066341
KANNEGANTI, RAJENDRA MD
(586) 795-3232
1093274
KHAN, ABDUL A MD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1125035
KHEIR, NAGY MD
4050 E 12 MILE RD
WARREN 48092
(586) 261-2266
1048183
LACOSTE, ROBERT MD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1120674
MACMILLAN, DANA E MD
WARREN 48093
(586) 558-6868
1109865
MAGOON, DUNCAN J MD
175 N GROSBECK HWY
MOUNT CLEMENS 48043
(586) 627-0024
1059929
MEKHAEL, HANY Y MD
UTICA 48317
(586) 997-3153
1100951
MERCADO, ERLINDA MD
15645 CANAL RD
(586) 416-2300
1105605
MERCADO, ERLINDA MD
15945 CANAL RD
(586) 416-2300
1122878
MURTHI, NAGAPRASAD MD
43740 GROESBECK
(586) 469-7629
1125036
NAVULURI, SOMESWARA N MD
4050 E 12 MILE RD
WARREN 48092
(586) 261-2233
1069886
NUCUM, ANTONIO DO
(586) 795-3232
1063565
NUZZARELLO, ANGELA MD
44250 DEQUINDRE RD FMC
(248) 964-0400
1095057
O'NEIL, THOMAS DO
27560 HOOVER RD
WARREN 48093
(586) 757-6400
1098405
PADLA, DENNIS P MD
WARREN 48092
(586) 620-8100
1102931
PATEL, HETAL MD
NEW BALTIMORE 48051
(586) 949-7680
1091724
PEDRAZA, EDGARD MD
43740 GROESBECK
(586) 469-7629
1090154
PEZHMAN, MAJID MD
43740 GROESBECK
(586) 469-7629
1091727
POWITZ, JACK N MD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1091731
RAMAKRISHNA, CHALAKUDY MD
WARREN 48093
(586) 558-6000
1114503
ROTAR, ANA M MD
WARREN 48092
(856) 620-8100
1123745
ROTBLATT, ELLEN MD
(586) 263-8700
1061158
SARVANANDA, SARVA MD
42669 GARFIELD
(248) 412-5321
1061153
SENDI, ISMAIL B MD
42669 GARFIELD
(248) 412-5321
1107996
SHEIKH, SHABNUM MD
WARREN 48092
(586) 620-8100
1037523
15945 CANAL RD
(586) 416-2300
1090827
SMITH, PETER MD
WARREN 48092
(586) 620-8100
1101807
SONI, PRAVIN MD
175 N GROESBECK HWY
MOUNT CLEMENS 48043
(586) 627-0024
1095113
TAHIR, KISHWAR MD
(586) 795-0569
1095114
TAHIR, KISHWAR MD
UTICA 48315
(586) 263-1234
1125883
VINCH, JENNIFER MD
33146 RYAN RD
(586) 983-9280
1077609
YERAGANI, VIKRAM MD
24401 CAPITAL BLVD
(586) 783-2950
1097141
YERAGANI, VIKRAM K MD
35455 GARFIELD STE C
(586) 792-5335
1091838
YUZON, RICARDO A MD
WARREN 48092
(586) 274-0200
1061169
ZAK, DANIAL DO
42669 GARFIELD
(248) 412-5321
43525 ELIZABETH RD
MOUNT CLEMENS 48043
(586) 469-5512

1006825
MACOMB COUNTY HEALTH DEPARTM

Page 338
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
PUBLIC HEALTH CLINIC (CONTINUED)

1107980
MACOMB COUNTY HEALTH DEPT
25401 HARPER AVE
(586) 466-6800
1107981
MACOMB COUNTY HEALTH DEPT
27690 VAN DYKE AVE STE B
WARREN 48093
(586) 465-8090
PULMONOLOGY
1106751
WASHINGTON 48094
(586) 207-1247
1028809
ALATASSI, EMAD MD
13251 E TENMILE RD STE 800
WARREN 48089
(586) 759-7461
1095676
ALATASSI, EMAD MD
25631 LITTLE MACK
(888) 717-5337
1089308
ALATASSI, EMAD MD
WARREN 48092
(586) 576-0106
1054837
ALI, SYED MD
(586) 416-2550
1062522
ALI, SYED MD
(586) 416-2550
1024005
ALLEN, SAMUEL DO
UTICA 48315
(586) 314-0080
1050789
ALLEN, SAMUEL DO
(586) 772-5500
1046412
BARNOSKY, BRYAN DO
UTICA 48315
(586) 314-0080
1026585
BARNOSKY, BRYAN DO
(586) 772-5550
1118621
DOGRA, SANJAY MD
44250 DEQUINDRE RD 3RD FL
(248) 964-2693
1050938
GALENS, STEPHEN MD
(586) 772-5500
1046423
GALENS, STEPHEN MD
UTICA 48315
(586) 314-0080
1024004
GALENS, STEPHEN MD
(586) 262-5100
1064105
GHABSHA, AHMAD A MD
WASHINGTON 48094
(248) 651-6430
1106749
GO, ROBERT O MD
WASHINGTON 48094
(586) 207-1247
1024003
GRADY, KEVIN MD
(586) 772-5550
1046415
GRADY, KEVIN MD
UTICA 48315
(586) 772-5550
1057182
GREENBERGER, MARC MD
(586) 774-3090
1024002
HUGHES, CHRISTOPHER MD
(586) 772-5550
1122497
KUMAR, ANJAN MD
(586) 772-5550
1056905
KYLE, KEVIN MD
15930 19 MILE RD STE 140
(586) 263-8144
1016297
LEE, JOHN W MD
(586) 772-5550
1046419
LEE, JOHN W MD
UTICA 48315
(586) 314-0080
1046856
MACON, TIMOTHY DO
(586) 772-5550
1022879
MACON, TIMOTHY DO
15959HALL RD STE 100LL
MACOMB 48044
(586) 416-5920
1043302
MARDELLI, JOSEPH MD
ROSEVILLE 48066
(586) 445-5955
1043300
MARDELLI, JOSEPH MD
15959 HALL RD STE LL100
MACOMB 48044
(586) 416-5920
1050790
MARDELLI, JOSEPH MD
MACOMB 48044
(586) 416-5920
1078537
MOHAMMED, ASADULLA S MD
(586) 263-3033
1123760
NIKOLIC, DAVORKA MD
UTICA 48315
(586) 314-0080
1096615
SABBAQ, MAZEN MD
WASHINGTON 48094
(586) 207-1247
1069477
SCHENDEL, SHELLEY DO
UTICA 48315
(586) 314-0080
1124864
SESI, VERONICA K DO
UTICA 48315
(586) 314-0080
1046414
SIKAND, RAJINDAR MD
UTICA 48315
(586) 314-0080
1023992
SIKAND, RAJINDAR MD
(586) 772-5550
1020206
STARICCO, ANDREW MD
(586) 772-5550
1046420
STARICCO, ANDREW MD
UTICA 48315
(586) 314-0080
1046421
STEVENS, KEITH M DO
UTICA 48315
(586) 314-0080
1023998
STEVENS, KEITH M DO
(586) 262-5100
1050926
STEVENS, KEITH M DO
(586) 772-5550
1050945
TRUNSKY, MATTHEW MD
(586) 772-5550

Page 339
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
1046422
TRUNSKY, MATTHEW MD
UTICA 48315
(586) 314-0080
1023997
TRUNSKY, MATTHEW MD
(586) 262-5100
1046416
VENTIMIGLIA, WILLIAM MD
UTICA 48315
(586) 314-0080
1020209
VENTIMIGLIA, WILLIAM MD
(586) 772-5550
1116847
ZALT, MOHAMMAD B MD
(586) 772-5550
RADIATION ONCOLOGY
1077560
ANTONUCCI, JOHN V MD
17435 HALL RD
MACOMB 48044
(586) 228-0299
1078643
18325 E 10 MILE RD
ROSEVILLE 48066
(586) 228-0299
1100924
EZZ, AHMED E MD
18325 E 10 MILE RD STE 200
ROSEVILLE 48066
(586) 773-6300
1100927
EZZ, AHMED E MD
17435 HALL RD
MACOMB 48044
(586) 228-0299
1079984
FONTANESI, JAMES MD
18325 E 10 MILE RD
ROSEVILLE 48066
(586) 228-0299
1079985
FONTANESI, JAMES MD
17435 HALL RD
MACOMB 48044
(586) 228-0299
1076730
FORMAN, JEFFREY D MD
17435 HALL ROAD
MACOMB 48044
(586) 228-0299
1101600
18325 E 10 MILE RD STE 200
ROSEVILLE 48066
(586) 773-6300
1056845
FRANKLIN, STEPHEN D MD
MOUNT CLEMENS 48043
(586) 493-7510
1103660
FRAZIER, ARTHUR MD
MOUNT CLEMENS 48043
(586) 493-7510
1024222
FRAZIER, ARTHUR MD
MOUNT CLEMENS 48043
(586) 493-7510
1078639
GHILEZAN, MICHAEL IAN MD
18325 E 10 MILE RD
ROSEVILLE 48066
(586) 228-0299
1077562
17435 HALL RD
MACOMB 48044
(586) 228-0299
1076919
KESTIN, LARRY L MD
17435 HALL RD
MACOMB 48044
(586) 228-0299
1077575
KESTIN, LARRY L MD
17435 HALL RD
MACOMB 48044
(586) 228-0299
1078640
KESTIN, LARRY L MD
18325 E 10 MILE RD
ROSEVILLE 48066
(586) 228-0299
1077576
MARTINEZ, ALVARO A MD
17435 HALL RD
MACOMB 48044
(586) 228-2099
1078641
18325 E 10 MILE RD
ROSEVILLE 48066
(586) 228-0299
1100910
MILLER, KAY MD
17435 HALL RD
MACOMB 48044
(586) 228-0299
1100914
MILLER, KAY MD
18325 E 10 MILE RD STE 200
ROSEVILLE 48066
(586) 773-6300
1076733
PATEL, MADHUBALA C MD
17435 HALL RD
MACOMB 48044
(586) 228-0299
1038789
RADIATION ONCOLOGY SPECIALISTS
11800 E 12 MILE RD
WARREN 48093
(586) 412-4450
1100916
VAISHAMPAYAN, NITIN GANGADHAR MD
17435 HALL RD
MACOMB 48044
(586) 228-0299
1100922
18325 E 10 MILE RD STE 200
ROSEVILLE 48066
(586) 773-6300
1078642
VICINI, FRANK A MD
18325 E 10 MILE RD
ROSEVILLE 48066
(586) 228-0299
1077578
VICINI, FRANK A MD
17435 HALL RD
MACOMB 48044
(586) 228-0299
1084939
ALDERSON, THOMAS
(586) 493-3740
1021753
ALDERSON, THOMAS DO
(586) 493-3740
RHEUMATOLOGY
1092725
BARON, ANTHONY P MD
11900 E 12 MILE RD STE 300
WARREN 48093
(586) 751-2072
1030921
HENEIN, VIOLETTE MD
39621 GARFIELD
(586) 226-5555
1035743
SOARES, SURAYYA MD
29751 LITTLE MACK STE A
ROSEVILLE 48066
(586) 447-4000
1070163
VANDELLEN, SUSAN DO
17900 23 MILE RD STE 303
MACOMB 48044
(586) 868-9020

1090316
CHURCH OF CHRIST CARE CENTER
23575 FIFTEEN MILE RD
(586) 285-7124
1059048
CLINTON-AIRE HEALTH CARE CENTER
17001 17 MILE RD
(586) 286-7100
1092495
FATHER MURRAY NURSING AND REHABILITAITON CENT
8444 ENGLEMAN
CENTER LINE 48015
(586) 755-2400

Page 340
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County

1069656
LAKEPOINTE SENIOR CARE AND REHAB CENTER LLC
37700 HARPER AVE
(586) 468-0827
1119401
MEDILODGE OF RICHMOND
34901 DIVISION RD
RICHMOND 48062
(586) 727-7562
1122187
MEDILODGE OF STERLING HEIGHTS
14151 15 MILE RD
(586) 939-0200
1090454
ST ANTHONY HEALTHCARE CENTER
31830 RYAN RD
WARREN 48092
(586) 977-6700
1095107
ST MARY'S NURSING & REHAB CENTER
22601 EAST NINE MILE
(586) 772-4300
1054963
WARREN WOODS HEALTH AND REHABILITATION CENTE 11525 E TEN MILE RD
WARREN 48089
(586) 795-0700
29245 RYAN RD
WARREN 48092
(248) 544-9050

1058221
OAKLAND IMAGING DIAGNOSTIC CENTER
SLEEP STUDIES
1038605
CHARLES, PATRICK A MD
24916 HARPER AVE
(586) 552-8384
1106750
WASHINGTON 48094
(586) 207-1247
1033029
WASHINGTON 48095
(586) 752-9560
1046417
MACON, TIMOTHY DO
UTICA 48315
(586) 314-0080
1020210
MACON, TIMOTHY DO
MACOMB 48044
(586) 416-5920
1118092
MACON, TIMOTHY DO
MACOMB 48044
(586) 416-5940
1096682
MACON, TIMOTHY DO
ROSEVILLE 48066
(586) 445-5995
1118093
MARDELLI, JOSEPH MD
15979 HALL RD
MACOMB 48044
(586) 416-5940
1050790
MARDELLI, JOSEPH MD
MACOMB 48044
(586) 416-5920
1068634
44250 DEQUINDRE RD 3RD FLOOR
(248) 964-2693
1071698
SABBAQ, MAZEN MD
8244 METROPOLITAN PKWY STE C
(248) 795-4060
1031033
SANGAL, R B MD
(586) 254-0707
1060079
STEFADU, YEVGENIY MD
(586) 268-0100
1062521
(586) 416-2550
SPEECH THERAPY
1067101
DMC REHABILITATION INSTITUTE OF MI
(586) 264-1043
1066209
29350 NORTHWESTERN HWY
(313) 966-2390
1096481
GOOD HOPE REHAB SERVICES INC
39150 DEQUINDRE RD STE 400B
(248) 825-8483
1040447
MCRMC NORTHPOINTE-OUTPATIENT REHABILITATION
37055 S GRATIOT
(586) 783-9581
1039238
MORC REHAB SERVICES
16200 19 MILE RD
(586) 416-2065
1042070
QUALITY CARE REHABILITATION PROF
(586) 286-9644
1117386
THERA-PEDS LLC
14153 RICK
UTICA 48315
(586) 566-0326

1054939
BACIEWICZ, FRANK A MD
33875 KIELY DR
NEW BALTIMORE 48047
(586) 725-6030
1125802
CAMERO, LUIS G MD
(586) 447-8021
1124187
COELLO, MICHAEL C MD
23715 LITTLE MACK
(586) 447-8021
1024023
GOODMAN, GARY R MD
MOUNT CLEMENS 48043
(586) 493-9229
1070242
MARTIN, JAMES MD
11900 E 12 MILE RD STE 205
WARREN 48093
(586) 576-4907
1024019
MINANOV, KRISTIJAN MD
MOUNT CLEMENS 48043
(586) 493-9229
1024017
MINANOV, OKTAVIJAN MD
MOUNT CLEMENS 48043
(586) 493-9229
UROLOGY
1118980
ARETAKIS, KARI MD
33200 14 MILE RD STE 260
(248) 539-8931
1120746
ARETAKIS, KARI MD
44344 DEQINDRE RD STE 310
(586) 997-3530
1123382
BARTLEY, JAMIE DO
(586) 790-9003

Page 341
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
UROLOGY (CONTINUED)
1118976
BARTLEY, JAMIE M DO
17965 HALL RD
MACOMB 48044
(586) 913-8233
1067835
BRODE, AMY DO
20952 12 MILE RD STE 200
(586) 771-4820
1067830
BRODE, AMY DO
UTICA 48317
(586) 254-5759
1123379
BRODE, AMY DO
(586) 790-9003
1126504
BRODE, AMY DO
MACOMB 48044
(586) 228-0150
1067518
BRODE, AMY DO
13251 E 10 MILE RD STE 200
WARREN 48090
(586) 758-0123
1067522
BRODE, AMY DO
MACOMB 48044
(586) 412-5700
1067523
BRODE, AMY DO
(586) 323-4200
1067516
BRODE, AMY DO
17405 HALL RD
MACOMB 48044
(586) 228-0150
1118964
CAMPBELL, TODD MD
(586) 773-6300
1117066
CAMPBELL, TODD MD
18325 E 10 MILE RD STE 200
ROSEVILLE 48066
(586) 773-6300
1123385
CHUDLER, RANDY M MD
(586) 790-9003
1067296
DEPOLO, ALBERT DO
17965 HALL RD
MACOMB 48044
(586) 228-0150
1067298
DEPOLO, ALBERT DO
13251 E 10 MILE RD STE 200
WARREN 48090
(586) 758-0123
1067302
DEPOLO, ALBERT DO
MACOMB 48044
(586) 412-5700
1067303
DEPOLO, ALBERT DO
(586) 323-4200
1067735
DEPOLO, ALBERT DO
20952 12 MILE RD STE 200
(586) 771-4820
1067730
DEPOLO, ALBERT DO
UTICA 48317
(586) 254-5759
1093255
DEPOLO, ALBERT A DO
28565 SCHOENHERR RD
WARREN 48088
(586) 558-3000
1118960
DEPOLO, ALBERT A DO
17965 HALL RD
MACOMB 48044
(586) 913-8233
1056298
FISCHER, MELISSA C MD
UTICA 48317
(586) 254-5759
1066891
13251 E 10 MILE RD STE 200
WARREN 48090
(586) 758-0123
1066889
17405 HALL RD
MACOMB 48044
(586) 228-0150
1056712
20952 12 MILE RD STE 200
(586) 771-4820
1056305
(586) 323-4200
1123376
GEORGE, VALAL K MD
(586) 790-9003
1118968
GILLERAN, JASON P MD
(586) 997-3530
1067505
HOFF, MICHAEL DO
(586) 323-4200
1067500
HOFF, MICHAEL DO
13251 E 10 MILE RD STE 200
WARREN 48090
(586) 758-0123
1067790
HOFF, MICHAEL DO
UTICA 48317
(586) 254-5759
1067498
HOFF, MICHAEL DO
17405 HALL RD
MACOMB 48044
(586) 228-0150
1067504
HOFF, MICHAEL DO
MACOMB 48044
(586) 412-5700
1067795
HOFF, MICHAEL DO
20952 12 MILE RD STE 200
(586) 771-4820
1126505
HOFF, MICHAEL DO
MACOMB 48044
(586) 228-0150
1108212
LAKSHMANAN, YEGAPPAN MD
(313) 745-5588
1067751
LANESKY, JOHN DO
UTICA 48317
(586) 254-5759
1067756
LANESKY, JOHN DO
20952 12 MILE RD STE 200
(586) 771-4820
1067312
LANESKY, JOHN DO
(586) 323-4200
1067305
LANESKY, JOHN DO
17405 HALL RD
MACOMB 48044
(586) 228-0150
1067311
LANESKY, JOHN DO
MACOMB 48044
(586) 412-5700
1067307
LANESKY, JOHN DO
13251 E 10 MILE RD STE 200
WARREN 48090
(586) 758-0123
1127143
LANESKY, JOHN DO
MACOMB 48044
(586) 228-0150
1067753
LANESKY, JOHN DO
6900 ORCHARD LAKE RD STE 200
(586) 771-4820
1073694
MACDONALD, MICHAEL F MD
(586) 997-3530
1067514
MCINTOSH, GREGORY DO
(586) 323-4200
1067817
UTICA 48317
(586) 254-5759

Page 342
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
UROLOGY (CONTINUED)
1126506
MACOMB 48044
(586) 228-0150
1067509
13251 E 10 MILE RD STE 200
WARREN 48090
(586) 758-0123
1067513
MACOMB 48044
(586) 412-5700
1067507
17405 HALL RD
MACOMB 48044
(586) 228-0150
1123381
(586) 790-9003
1067822
20952 12 MILE RD STE 200
(586) 771-4820
1118966
MERTZ, THOMAS J MD
(586) 773-6300
1067496
REAUME, DARRYL DO
(586) 323-4200
1067491
REAUME, DARRYL DO
13251 E 10 MILE RD STE 200
WARREN 48090
(586) 758-0123
1067489
REAUME, DARRYL DO
17405 HALL RD
MACOMB 48044
(586) 228-0150
1067777
REAUME, DARRYL DO
11051 HALL ROAD STE 200
(586) 254-5759
1067782
REAUME, DARRYL DO
20952 12 MILE RD STE 200
(586) 771-4820
1067495
REAUME, DARRYL DO
MACOMB 48044
(586) 412-5700
1118967
REAUME, DARRYL R DO
17965 HALL RD
MACOMB 48044
(586) 913-8233
1093256
REAUME, DARRYL R DO
28565 SCHOENHERR RD
WARREN 48088
(586) 558-3000
1067234
ROTH, STEVEN DO
(586) 323-4200
1067229
ROTH, STEVEN DO
13251 E 10 MILE RD STE 200
WARREN 48090
(586) 758-0123
1067233
ROTH, STEVEN DO
MACOMB 48044
(586) 412-5700
1067227
ROTH, STEVEN DO
17405 HALL RD
MACOMB 48044
(586) 228-0150
1067243
ROTH, STEVEN DO
(586) 254-5759
1067248
ROTH, STEVEN DO
20952 12 MILE RD STE 200
(586) 771-4820
1073693
RUBENSTEIN, RONALD A MD
(586) 997-3530
1123380
SARLE, RICHARD MD
(586) 790-9003
1123383
SIRCUS, SCOTT MD
(586) 790-9003
1067764
SULESKEY, JON DO
UTICA 48317
(586) 254-5759
1067769
SULESKEY, JON DO
20952 12 MILE RD STE 200
(586) 771-4820
1123386
SULESKEY, JON DO
(586) 790-9003
1067314
SULESKEY, JON DO
17405 HALL RD
MACOMB 48044
(586) 228-0150
1067482
SULESKEY, JON DO
13251 E 10 MILE RD STE 200
WARREN 48090
(586) 758-0123
1067486
SULESKEY, JON DO
MACOMB 48044
(586) 412-5700
1067487
SULESKEY, JON DO
(586) 323-4200
1090798
SULESKEY, JON DO
17965 HALL RD
MACOMB 48044
(586) 913-8233
1093257
SULESKEY, JON F DO
28565 SCHOENHERR RD
WARREN 48088
(586) 558-3000
1118963
TELANG, DINESH J MD
(586) 773-6300
1099749
TELANG, DINESH J MD
18325 E 10 MILE RD STE 200
ROSEVILLE 48066
(586) 773-6300
1120651
TOTONCHI, SAMER K DO
WARREN 48089
(586) 323-4200
1123384
(586) 790-9003
1126507
MACOMB 48044
(586) 228-0150
1067226
WADLE, RONALD DO
20952 12 MILE RD STE 200
(586) 771-4820
1073697
WEINGARTEN, JEFFREY L MD
(586) 997-3530
1126500
WILKINSON, SCOTT DO
MACOMB 48044
(586) 228-0150
1123378
WILKINSON, SCOTT DO
(586) 790-9003
1118965
YEAMANS, JEFFREY C MD
(586) 773-6300
1103159
YEAMANS, JEFFREY C MD
18325 E 10 MILE RD STE 200
ROSEVILLE 48066
(586) 773-6300

Page 343
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Macomb County
VASCULAR SURGERY
1024226
BERG, RICHARD MD
(586) 772-4444
1126416
DEOL, ZOE MD
25531 SCHOENHERR RD
WARREN 48089
(586) 992-8300
1021779
GABOREK, GREGORY DO
(586) 790-9003
1021780
(586) 790-9003
1096443
MOUNT CLEMENS 48043
(586) 493-8000
1032112
HANS, SACHINDER S MD
43211 DALCOMA DR NORTHWING STE 9
(586) 573-8030
1013414
HANS, SACHINDER S MD
28411 HOOVER RD
WARREN 48093
(586) 573-8030
1024016
LEE, MICHAEL W MD
MOUNT CLEMENS 48043
(586) 493-9229
1095228
LEES, CLAUDE DOUGLAS MD
ROSEVILLE 48066
(586) 772-6000
1023352
MARTIN, JAMES MD
ROSEVILLE 48066
(586) 772-6000
1027976
MATTA, ADNAN H MD
(586) 275-0102
1024225
RAMA, KUMARA MD
(586) 772-4444
1083861
WAZNI, ALI MD
(248) 855-5355
Manistee County
MANISTEE COUNTY
DME - P&O
1069491
84 DIVISION ST
MANISTEE 49660
(800) 747-6598
1093882
60 DIVISION ST
MANISTEE 49660
(231) 723-3559
1016388
1400 E PARKDALE STE 1
MANISTEE 49660
(231) 398-9430
1465 E PARKDALE AVE
MANISTEE 49660
(231) 398-1000
1293 E PARKDALE AVE
MANISTEE 49660
(231) 398-1790

1094239
WEST SHORE MEDICAL CENTER

1095609
FRESENIUS MEDICAL CARE MANISTEE
GENERAL SURGERY
1119455
BOHN, GREGORY MD
1293 E PARKDALE AVE STE 2300
MANISTEE 49660
(231) 398-1740
1069947
KUTSCHKE, KLAUS MD
1293 E PARKDALE AVE
MANISTEE 49660
(231) 398-1740
1076893
ULEP, VINSON DO
1293 W PARKDALE AVE
MANISTEE 49660
(231) 398-1740
1293 E PARKDALE AVE
MANISTEE 49660
(231) 398-1830
385 THIRD ST
MANISTEE 49660
(231) 723-3595
NEUROLOGY
1076678
BUSWINKA, JAMES DO
NURSE MIDWIFE
1107528
1070743
FITZGERALD, STEPHANIE DO
1293 E PARKDALE AVE
MANISTEE 49660
(231) 398-1550
1070470
FULLER, MARIAN MD
1293 E PARKDALE AVE
MANISTEE 49660
(231) 398-1550
1070744
JOANETTE, RONALD MD
1293 E PARKDALE AVE
MANISTEE 49660
(231) 398-1550
OPHTHALMOLOGY
1091028
RIEMER, ANDREW S DO
1352 E PARKDALE
MANISTEE 49660
(231) 723-8363
1071345
WILBERG, CARL W DO
1352 E PARKDALE AVE
MANISTEE 49660
(231) 723-8363
1091079
WU, DEBORAH R MD
1352 E PARKDALE
MANISTEE 49660
(231) 723-8363

Page 344
February 19, 2015

PIN
Provider
Address
MANISTEE COUNTY (CONTINUED)
City and Zip
Phone
Gender
Manistee County
OPTOMETRY
1078469
GOULD, STEVEN M OD
1352 E PARKDALE AVE
MANISTEE 49660
(231) 723-8363
1078468
HAYES, COREEN L OD
1352 E PARKDALE AVE
MANISTEE 49660
(231) 723-8363
1086640
LANG, AMANDA L OD
1352 E PARKDALE
MANISTEE 49660
(231) 723-8363
1078379
NOAH, GREG M OD
1352 E PARKDALE AVE
MANISTEE 49660
(231) 723-8363
1086637
RITTER, JULIE OD
1352 E PARKDALE
MANISTEE 49660
(231) 723-8363
ORTHOPEDIC SURGERY
1032126
BARRY, ROBERT L MD
1293 E PARKDALE AVE STE 2300B
MANISTEE 49660
(231) 398-1735
1076960
BARRY, ROBERT L MD
1293 E PARKDALE AVE
MANISTEE 49660
(231) 398-1735
1035978
GATES, JAMES R MD
MANISTEE 49660
(231) 398-1750
1076288
GATES, JAMES R MD
1293 E PARKDALE AVE
MANISTEE 49660
(231) 398-1735
1081077
GATES, JAMES R MD
MANISTEE 49660
(231) 398-1750
PODIATRY
1103920
JEYNES, ARTHUR R DPM
1806 E PARKDALE AVE #3
MANISTEE 49660
(231) 309-3668
1103924
KRANNITZ, KRISTOPHER W DPM
MANISTEE 49660
(231) 309-3668
1103925
RIALSON, JOHN A DPM
MANISTEE 49660
(231) 309-3668
PROSTHETICS
1069491
84 DIVISION ST
MANISTEE 49660
(800) 747-6598
1093882
60 DIVISION ST
MANISTEE 49660
(231) 723-3559
1016388
MANISTEE 49660
(231) 398-9430
385 THIRD ST
MANISTEE 49660
(231) 723-3595
1465 E PARKDALE AVE
MANISTEE 49660
(231) 398-1000
1505 E PARKDALE AVE
MANISTEE 49660
(231) 723-2543
50 FILER ST STE 224
MANISTEE 49660
(231) 398-0835
1219 N 3RD ST
MARQUETTE 49855
(906) 225-5070

1106435
RADIATION ONCOLOGY
1068183
RAYMOND, JOHN MD

1105969
MANISTEE COUNTY MEDICAL CARE FACILITY
UROLOGY
1102424
KEOLEIAN, CHARLES MD
Marquette County
MARQUETTE COUNTY
1026857
PLANNED PARENTHOOD OF WEST AND N MI
DME - P&O
1066543
989 W WASHINGTON ST STE 105
MARQUETTE 49855
(906) 228-2230
1068891
GREAT LAKES HOME MEDICAL
256 US 41 E
NEGAUNEE 49866
(906) 475-0401
1008776
1125 W RIDGE ST
MARQUETTE 49855
(906) 228-6930
580 W COLLEGE AVE
MARQUETTE 49855
(906) 225-3266
515 W WASHINGTON ST
MARQUETTE 49855
(906) 225-0923

1095610
FRESENIUS MEDICAL CARE MARQUETTE

1083230
SUPERIOR HEARING AID CENTER

Page 345
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Marquette County
MARQUETTE COUNTY (CONTINUED)
NURSE MIDWIFE
1106186
KITCHEL, JAMIE CNM
1219 N THIRD ST
MARQUETTE 49855
(906) 225-5070
1219 N THIRD ST
MARQUETTE 49855
(906) 225-5070
OBSTETRICS
1107626
NEWTON, CHARLES MD
1122126
GRIFFITH, ANNA M MD
1219 N THIRD ST
MARQUETTE 49855
(906) 225-5070
1119176
1219 N THIRD ST
MARQUETTE 49855
(906) 225-5070
PROSTHETICS
1068891
256 US 41 E
NEGAUNEE 49866
(906) 475-0401
1008776
1125 W RIDGE ST
MARQUETTE 49855
(906) 228-6930
Mason County
MASON COUNTY
DME - P&O
1069490
5750 WEST US 10
LUDINGTON 49431
(800) 280-8889
1117085
LINCARE INC
4924 W US HWY 10 STE C
LUDINGTON 49431
(231) 843-9780
1016444
5177 W US 10
LUDINGTON 49431
(231) 398-9430
ONE ATKINSON DR
LUDINGTON 49431
(231) 843-2591

1117407
SPECTRUM HEALTH LUDINGTON HOSPITAL

1120199
SONUS LUDINGTON
7 N ATKINSON DR STE 115
LUDINGTON 49431
(231) 924-7944
1063123
SONUS LUDINGTON
5750 E LUDINGTON AVE
LUDINGTON 49431
(231) 843-7915
7 ATKINSON DR STE 110
LUDINGTON 49431
(231) 845-5085
ONE ATKINSON DR
LUDINGTON 49431
(231) 845-2270
1092167
PETERSON, CAROL MD
HOME HEALTH CARE

1119230
SPECTRUM HEALTH LUDINGTON HOME CARE
INTERNAL MEDICINE
1089856
HENRY, SUSAN MD
LUDINGTON 49431
(231) 845-5085
1092167
PETERSON, CAROL MD
LUDINGTON 49431
(231) 845-5085
916 DIANNA ST
LUDINGTON 49431
(231) 845-7381
NURSE MIDWIFE
1107536

1123712
GENTRY, MICHELLE NP
LUDINGTON 49431
(231) 845-5992
1071185
GENTRY, MICHELLE NP
250 N NELSON RD
LUDINGTON 49431
(231) 843-6767
913 E LUDINGTON AVE
LUDINGTON 49431
(231) 425-4747
OBSTETRICS
1087001
MURPHY, TIMOTHY MD
1082610
GENTRY, DANNIE J MD
250 NELSON RD STE 1
LUDINGTON 49431
(231) 843-6767
1015297
GUSTAFSON, MARGARET E MD
LUDINGTON 49431
(231) 845-5992

Page 346
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Mason County
MASON COUNTY (CONTINUED)

OPHTHALMOLOGY
1013152
RIEMER, ANDREW S DO
5959 LAWNDALE ST
LUDINGTON 49431
(231) 845-6261
1091075
WILBERG, CARL W DO
5959 LAWNDALE
LUDINGTON 49431
(231) 845-6261
1077989
WU, DEBORAH R MD
5959 LAWNDALE ST
LUDINGTON 49431
(231) 845-6261
OPTOMETRY
1086633
GOULD, STEVEN M OD
5959 LAWNDALE
LUDINGTON 49431
(231) 845-6261
1086627
HAYES, COREEN L OD
5959 LAWNDALE
LUDINGTON 49431
(231) 845-6261
1068622
LANG, AMANDA L OD
5959 LAWNDALE ST
LUDINGTON 49431
(231) 845-6261
1086630
NOAH, GREG M OD
5959 LAWNDALE
LUDINGTON 49431
(231) 845-6261
1086636
RITTER, JULIE OD
5959 LAWNDALE
LUDINGTON 49431
(231) 845-6261
5511 W US HWY 10
LUDINGTON 49431
(231) 843-1553

1085514
MITHAL, MANOJ MD
PROSTHETICS
1069490
5750 WEST US 10
LUDINGTON 49431
(800) 280-8889
1016444
5177 W US 10
LUDINGTON 49431
(231) 398-9430
PSYCHIATRY
1117475
HUFFSTUTTER, SUE MD
LUDINGTON 49431
(231) 845-3615
1117476
SEUFERER, STANLEY L DO
LUDINGTON 49431
(231) 845-3615
916 DIANNA ST
LUDINGTON 49431
(231) 845-7381
1000 E TINKHAM AVE
LUDINGTON 49431
(231) 845-6291
1000 E TINKHAM AVE
LUDINGTON 49431
(231) 845-6291
110 SANBORN AVE STE B
BIG RAPIDS 49307
(231) 796-8612

1106436

1066711
TENDERCARE OF LUDINGTON
SPEECH THERAPY
1127987
Mecosta County
MECOSTA COUNTY
1028174
PLANNED PARENTHOOD OF WEST AND NORTHERN MI
DERMATOLOGY
1060139
SANCHEZ, SUZETTE DO
8354 100TH AVE
STANWOOD 49346
(616) 399-9040
1060138
SANCHEZ, SUZETTE DO
705 OAK AVE STE 1
BIG RAPIDS 49307
(616) 399-9040
DME - P&O
1069481
705 OAK ST BLDG 1 STE 2
BIG RAPIDS 49307
(800) 360-7014
1040701
LINCARE INC
605 S THIRD AVE
BIG RAPIDS 49307
(231) 796-6598
1016446
201 LINDEN ST
BIG RAPIDS 49307
(231) 796-4403

1100149
705 OAK ST STE 1
BIG RAPIDS 49307
(616) 459-4514
1069814
TAYLOR, JOSEPH C MD
705 OAK ST STE 1
BIG RAPIDS 49307
(616) 459-4514
14307 NORTHLAND DR
BIG RAPIDS 49307
(231) 527-1622

1095540
FRESENIUS MEDICAL CARE BIG RAPIDS

Page 347
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Mecosta County
GENERAL SURGERY
1118827
705 OAK ST STE 12
BIG RAPIDS 49307
(231) 796-7607
1072133
PEARSON, JERRY MD
705 OAK ST STE 12
BIG RAPIDS 49307
(231) 796-7607
1076280
PRICE, LISA DO
705 OAK ST STE 12
BIG RAPIDS 49307
(231) 796-7607
705 OAK ST STE 1
BIG RAPIDS 49307
(231) 592-4440
400 PERRY AVE
BIG RAPIDS 49307
(888) 247-5701
605 OAK ST
BIG RAPIDS 49307
(231) 796-8691
14485 NORTHLAND DR
BIG RAPIDS 49307
(231) 592-0130

1083193
THE HEARING CLINIC
HOSPICE
1102986
HOSPICE OF MICHIGAN
INTERNAL MEDICINE
1105829
BARRON, JAMES MD
NURSE MIDWIFE
1107527
OBSTETRICS
1010744
DESNOYERS, GAIL A MD
705 OAK ST STE 7
BIG RAPIDS 49307
(231) 796-8665
1014929
GUENTHER, FREDERICK C MD
705 OAK ST STE 7
BIG RAPIDS 49307
(231) 796-8865
1107624
NEWTON, CHARLES MD
BIG RAPIDS 49307
(231) 796-8612
1107196
GIBSON, SHARRELL MD
722 LOCUST ST
BIG RAPIDS 49307
(231) 592-4200
1122124
GRIFFITH, ANNA M MD
BIG RAPIDS 49307
(231) 796-8612
1014929
GUENTHER, FREDERICK C MD
705 OAK ST STE 7
BIG RAPIDS 49307
(231) 796-8865
1013064
MEKARU, KATHRYN L MD
705 OAK ST STE 7
BIG RAPIDS 49307
(231) 796-8665
1072126
PARKS, JACK MD
722 LOCUST ST STE 2
BIG RAPIDS 49307
(231) 592-4200
1072127
SCHUGARS, SARA MD
722 LOCUST ST STE 2
BIG RAPIDS 49307
(231) 592-4200
1119180
110 SANBORN AVE STE
BIG RAPIDS 49307
(231) 796-8612
OPHTHALMOLOGY
1092592
BARRETT, DAVID J MD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1019947
BOSS, JULIE A DO
650 LINDEN ST STE 5
BIG RAPIDS 49307
(231) 796-0010
1069480
CREW, RALPH P DO
650 LINDEN ST STE 5
BIG RAPIDS 49307
(231) 796-0010
OPTOMETRY
1091082
ANDRUS, SHAWN M OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1090939
ARIS, TERESA M OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1126065
BAUER, ADELINE OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1086902
BRONSON, AIMEE OD
1128 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1125927
BROWN, CYNTHIA M OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1090949
BUCKINGHAM, ROBERT S OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1090309
CARTER, ROBERT L OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1090313
CHELSKY, MARY P OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1090952
COLES, EMILY A OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1124925
CRANK, JAY OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1070084
DINARDO, AMY E OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1090954
DURKEE, DAVID G OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1090960
FOOTE, ROBERT A OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1066592
HINKLEY, SARAH B OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020

Page 348
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Mecosta County
1090357
HITZELBURGER, ERIN N OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1090368
JENEROU, ALISON M OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1086912
LINTZ, JENNIFER OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1096221
LOTOCZKY, JOSHUA T OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1090998
LUPLOW, DEAN L OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1091688
MCDOWELL, BRIAN D OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1091001
MCDOWELL, PAULA S OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1091083
METZGER, JOSHUA D OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1090398
MILLER, JAMES R OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1071089
MILLER, MARY E OD
10085 BUCHANAN RD
STANWOOD 49346
(231) 972-3937
1094490
MILLER, MARY E OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1091005
MORGAN, BRUCE W OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1091007
NISTA, FREDERICK M OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1119448
NORDWALL, RAEANN M OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1086910
OOSTING, DAVID OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1091014
PACE, DENNIS E OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1091016
PAVLIK, SARA R OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1091022
POLE, JOHN J OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1091086
RAGHUNANDAN, AVESH OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1091025
RAJARAM, VANDANA OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1120554
RAMDASS, STEPHANIE OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1127903
ROSEN, CHAD OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1097886
SCHAD, JENNIFER G OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1091087
SCHLOTTHAUER, NATHAN T OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1091041
SCHOMAKER, SCOTT L OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1091043
SEWELL, ANDREA T OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1086362
SWAN, MARK OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1092591
TOTTEN, DOUGLAS L OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1120725
TROY, ALEXANDRA OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1090465
VANCE, JOHN R OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1091067
WALLING, PHILIP E OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1090479
WILLIAMS, DAVID P OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
1092593
WRUBEL, DANIEL N OD
1124 S STATE ST
BIG RAPIDS 49307
(231) 591-2020
110 SANBORN AVE STE A
BIG RAPIDS 49307
(231) 592-4700
201 N LINDEN
BIG RAPIDS 49307
(231) 796-2801
PAIN MANAGEMENT
1070731
KURT, TOLGA MD

1085880
AGHA, ABID MD
PODIATRY
1080845
DECKER, JOSHUA R DPM
115 LINDEN ST
BIG RAPIDS 49307
(231) 796-4522
1008424
MOSSEL, JEFFREY R DPM
115 LINDEN ST
BIG RAPIDS 49307
(231) 796-4522
705 OAK ST BLDG 1 STE 2
BIG RAPIDS 49307
(800) 360-7014
PROSTHETICS
1069481

Page 349
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Mecosta County

1106438
MENOMINEE COUNTY
14485 NORTHLAND DR
BIG RAPIDS 49307
(231) 592-0130
Menominee County
DME - P&O
1066544
2011 10TH ST
MENOMINEE 49858
(906) 863-4481
1068892
1309 8TH AVE
MENOMINEE 49858
(906) 863-1148
705 10TH AVE
MENOMINEE 49858
(906) 864-2945
1309 8TH AVE
MENOMINEE 49858
(906) 863-1148
555 W WACKERLY ST STE 2675
MIDLAND 48640
(989) 631-1010

1083233
HERITAGE HEARING CARE
PROSTHETICS
1068892
MIDLAND COUNTY
Midland County
ALLERGY
203484
HORBAL, RICHARD J MD

1061001
ANNE, SURESH MD
2621 W WACKERLY STE A
MIDLAND 48640
(989) 631-6125
1061002
BOTTA, RAO S MD
2621 W WACKERLY STE A
MIDLAND 48640
(989) 631-6125
1125961
HORBAL, JONATHAN M DO
MIDLAND 48640
(989) 631-1010
AMBULANCE
1011984
MID MICHIGAN MIDLAND EMS
4005 ORCHARD DR
MIDLAND 48670
(989) 839-3366
1021244
MIDMICH MID-GLADWIN EMS
4005 ORCHARD DR
MIDLAND 48670
(989) 839-3366
CARDIOLOGY
1094537
BOGUSZEWSKI, ANDRZEJ MD
301 W WACKERLY ST
MIDLAND 48640
(989) 832-0900
1121530
4000 WELLNESS DR
MIDLAND 48670
(989) 839-3200
1102652
DIEHL, RODNEY O DO
40 W SAGINAW RD
SANFORD 48657
(989) 687-9940
1102651
DIEHL, RODNEY O DO
4401 CAMPUS RIDGE DR #D2100
MIDLAND 48640
(989) 837-9300
1102650
DIEHL, RODNEY O DO
3009 N SAGINAW
MIDLAND 48640
(989) 633-1350
1090130
DIEHL, RODNEY O DO
301 W WACKERLY ST
MIDLAND 48640
(800) 897-8851
1109761
DIEHL, RODNEY O DO
4401 CAMPUS RIDGE DR STE C2100
MIDLAND 48640
(989) 837-9200
1060702
ISLAM, NILOFAR H MD
4011 ORCHARD DR STE 3004
MIDLAND 48640
(989) 488-5470
1092645
LAUER, MICHAEL MD
301 W WACKERLY ST
MIDLAND 48640
(989) 832-0900
1099152
MCGOWAN, CATHY M MD
4000 WELLNESS DR
MIDLAND 48670
(989) 839-1644
1109760
MCGOWAN, CATHY M MD
4401 CAMPUS RIDGE DR STE C2100
MIDLAND 48640
(989) 837-9200
1082439
RIZK, MAGED M MD
301 W WACKERLY ST
MIDLAND 48640
(989) 832-0900
1011916
FUENTES, FAITH MD
4011 ORCHARD DR #4012
MIDLAND 48640
(989) 839-2855
1059229
FUENTES, FAITH MD
4011 ORCHARD DR #4012
MIDLAND 48640
(989) 839-3221
MIDLAND 48640
(989) 839-1795

1069941
ZAINEA, GEORGE G MD

Page 350
February 19, 2015

PIN
Provider
Address
MIDLAND COUNTY (CONTINUED)
City and Zip
Phone
Gender
Midland County
DERMATOLOGY
1075439
NASH, JENNIFER MD
MIDLAND 48640
(989) 837-6868
DME - P&O
1064787
IMPACT MEDICAL SUPPLY
1160 JAMES SAVAGE STE F
MIDLAND 48640
(989) 486-3668
1016220
MIDLAND OXYGEN & MEDICAL SUPPLY
3415 ISABELLA ST
MIDLAND 48640
(989) 631-7990
1102022
MIDLAND SLEEP CENTRAL
2910 N SAGINAW RD
MIDLAND 48640
(989) 486-3040
1007669
MIDMICHIGAN VISITING NURSE
3007 N SAGINAW
MIDLAND 48640
(989) 839-1773
1070028
MY OXYGEN COMPANY
713 ASHMAN ST STE 2
MIDLAND 48640
(989) 835-6646
1046900
OAKLAND ORTHOPEDICS
422 W WACKERLY
MIDLAND 48640
(989) 839-9241

1053666
CHASE, STEPHEN MD
328 W WACKERLY
MIDLAND 48640
(989) 633-3277
1109910
HARRIS, PHILIP MD
2520 MCCANDLESS DR
MIDLAND 48640
(989) 839-6201
1069943
RODEN, DAVID M MD
2520 MCCANDLESS DR
MIDLAND 48640
(989) 839-6201
4000 WELLNESS DRIVE
MIDLAND 48670
(989) 839-3366
4401 CAMPUS RIDGE STE C2200
MIDLAND 48640
(989) 837-9008

1074649
MID MICH MED CENTR MIDLAND
ENDOCRINOLOGY
1077847
AMIRI, LOABAT MD
GASTROENTEROLOGY
1000831
HOLTZ, TODD K MD
4230 BAY CITY RD
MIDLAND 48642
(989) 839-0750
1059794
HUANG, KAREN DO
4230 BAY CITY RD
MIDLAND 48642
(989) 839-0750
1016745
MURPHY, CHRISTINA L DO
4230 BAY CITY RD
MIDLAND 48642
(989) 839-0750
1011065
OFORI DARKO, ERNEST MD
4230 BAY CITY RD
MIDLAND 48642
(989) 839-0750
GENERAL SURGERY
1009912
HORNESS, MARK D MD
4007 ORCHARD DR # 2003
MIDLAND 48640
(989) 631-1221
1110052
MAGEE, JOHN C MD
415 W WACKERLY
MIDLAND 48640
(734) 647-9506
1110598
PUNCH, JEFFREY D MD
415 W WACKERLY
MIDLAND 48640
(734) 647-9506
1082444
REIF, JAMES E MD
2600 MCCANDLESS DR
MIDLAND 48640
(989) 837-9075
1113068
SUNG, RANDALL S MD
415 W WACKERLY
MIDLAND 48640
(734) 647-9506
1126750
415 W WACKERLY
MIDLAND 48640
(734) 647-9506
3007 N SAGINAW RD
MIDLAND 48640
(989) 633-1400
GERIATRICS
1018338
POTNIS, AMARISH S MD

1066167
AUDIO AID RX
6855 EASTMAN AVE
MIDLAND 48642
(989) 835-1219
1083234
AUDIO-AID RX OF MIDLAND
6855 N EASTMAN AVE
MIDLAND 48642
(989) 835-1219
1092622
MIDMICHIGAN AUDIOLOGY SERVICES
2520 MCCANDLESS DR
MIDLAND 48640
(989) 839-6211
1096702
6810 EASTMAN RD
MIDLAND 48640
(989) 837-2056
3007 N SAGINAW
MIDLAND 48640
(989) 839-1773
4401 CAMPUS RIDGE DR
MIDLAND 48640
(989) 837-9200
HOME HEALTH CARE

1024626
MID MICHIGAN HOME CARE
INFECTIOUS DISEASES
1075946
SUBHI, AHMAD L MD

Page 351
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Midland County

1121210
MI IV RX LLC
4008 W WACKERLY RD STE 108
MIDLAND 48640
(989) 631-3636
4000 WELLNESS DR
MIDLAND 48670
(989) 839-1644
INTERNAL MEDICINE
1118278
RANDOLPH, DAVID E MD
NEPHROLOGY
1112206
CIBRIK, DIANE M MD
415 W WACKERLY
MIDLAND 48640
(734) 647-9506
1112923
HUANG, YIHUNG MD
415 W WACKERLY
MIDLAND 48640
(734) 647-9506
1032653
KHAN, ADEEL MD
415 W WACKERLY
MIDLAND 48640
(989) 837-6505
1112492
NORMAN, SILAS P MD
415 W WACKERLY
MIDLAND 48640
(734) 647-9506
1106518
RAZA, SYED M MD
415 W WACKERLY
MIDLAND 48640
(989) 837-6505
1113683
415 W WACKERLY
MIDLAND 48640
(734) 647-9506
NEURO SURGERY
1057666
ADAMS, MARK MD
MIDLAND 48670
(989) 753-4000
1007857
JONES, MARK W MD
4005 ORCHARD DR
MIDLAND 48670
(989) 698-3033
NEUROLOGY
1082441
DARDAS, GREGORY J MD
MIDLAND 48640
(989) 839-3060
1003511
KAUL, SURENDRA H MD
MIDLAND 48640
(989) 835-8625
1081100
MA, MEIHUI MD
4000 WELLNESS DR
MIDLAND 48670
(989) 839-3000
1043557
SADJADPOUR, KAMAL MD
MIDLAND 48640
(989) 835-8625
NUCLEAR CARDIOLOGY
1059597
26 E SAGINAW RD STE 4
SANFORD 48657
(989) 687-7812
1059587
111 E WACKERLY STE D
MIDLAND 48642
(989) 832-0100
1082438
HAMILTON, KELLY M MD
4401 CAMPUS RIDGE DR STE B2200
MIDLAND 48640
(989) 837-9400
1016659
JOHNSON, THOMAS W MD
419 W WACKERLY ST
MIDLAND 48640
(989) 631-5721
1064858
JOSHUA, AYODEJI O MD
4401 N CAMPUS RIDGE DR STE B2200
MIDLAND 48640
(989) 837-9400
1061780
LIEBERMAN, JOHN A DO
MIDLAND 48640
(989) 837-9400
1082437
O'BRIEN, ELIVRA MD
MIDLAND 48640
(989) 837-9400
1078629
RAO, SANDEEP MD
MIDLAND 48640
(989) 837-9400
1018946
WATSON, LYDIA A MD
2600 MCCANDLESS DR
MIDLAND 48640
(989) 839-3170
OPHTHALMOLOGY
1038558
CHUNG, MOONYOUNG MD
407 WACKERLY
MIDLAND 48640
(989) 631-1345
1090931
GRAHAM, ROBERT W DO
1715 E ASHMAN
MIDLAND 48641
(989) 631-9140
1076236
LIN, DANIEL MD
407 W WACKERLY STE 1
MIDLAND 48640
(989) 631-1345
1022664
MESAROS, MICHAEL P MD
MIDLAND 48640
(989) 631-1345
1055813
NORRIS, LESLIE DO
1715 E ASHMAN
MIDLAND 48641
(989) 631-9140
1004159
SHOKOOHI, FARHAD K MD
MIDLAND 48640
(989) 631-1345
OPTOMETRY
1125256
BROZZO, SARAH OD
7207 EASTMAN AVE
MIDLAND 48642
(989) 488-1866
1089816
ICEBERG, JEFFERY OD
7207 EASTMAN AVE
MIDLAND 48642
(989) 488-1866
1061053
JOHNSON, DENNIS OD
5908 EASTMAN AVE
MIDLAND 48640
(989) 636-7200
1061054
JOHNSON, TERRY K OD
5908 EASTMAN AVE
MIDLAND 48640
(989) 636-7200
1098457
KAYNER, JILL OD
7207 EASTMAN AVE
MIDLAND 48642
(989) 488-1866

Page 352
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Midland County
1089149
KIMBALL, PAUL A OD
217 N SAGINAW RD
MIDLAND 48640
(989) 631-2653
1073860
KNIGHT, JOSEPHUS OD
7207 EASTMAN AVE
MIDLAND 48642
(989) 488-1866
1107890
PHIPPS, KIMBERLY OD
7207 EASTMAN AVE
MIDLAND 48642
(989) 488-1866
1073867
POPHAM, PHILLIP OD
7207 EASTMAN AVE
MIDLAND 48642
(989) 488-1866
1071562
ZEMANEK, BRIAN OD
7207 EASTMAN AVE
MIDLAND 48642
(989) 488-1866
ORTHOPEDIC SURGERY
1073256
GOETHE, MARK J MD
7101 W WACKERLY
MIDLAND 48640
(989) 832-0323
1109795
LINEHAN, COLLEEN MD
1549 WASHINGTON ST
MIDLAND 48640
(989) 837-2647
1073217
MIDDLETON, DANIEL L MD
7101 W WACKERLY ST
MIDLAND 48642
(989) 839-9925
1071135
MURPHY, JOHN V DO
4401 CAMPUS RIDGE DR STE D2000
MIDLAND 48640
(989) 837-9280
1018062
STADELMAIER, DENISE M DO
4401 CAMPUS RIDGE DR STE D2000
MIDLAND 48640
(989) 837-9280
PAIN MANAGEMENT
1125583
BEARER, RYAN W DO
4302 BAY CITY RD
MIDLAND 48642
(989) 495-0866
1125585
KUHNERT, SCOTT MD
4302 BAY CITY RD
MIDLAND 48642
(989) 495-0866
1125581
PAPENFUSE, MICHAEL D DO
4302 BAY CITY RD
MIDLAND 48642
(989) 495-0866
PODIATRY
1021585
STERNBERG, LAWRENCE T DPM
2924 MANOR DR
MIDLAND 48640
(989) 631-0200
1100069
YOUNG, MARK D DPM
225 N SAGINAW RD
MIDLAND 48640
(989) 832-5114
PROSTHETICS
1016220
MIDLAND OXYGEN & MEDICAL SUPPLY
3415 ISABELLA ST
MIDLAND 48640
(989) 631-7990
1046900
OAKLAND ORTHOPEDICS
422 W WACKERLY
MIDLAND 48640
(989) 839-9241
PULMONOLOGY
1077786
BLAMOUN, JOHN MD
MIDLAND 48640
(989) 488-5450
1077410
YADAM, SUBRAMANYAM MD
MIDLAND 48640
(989) 488-5450
RADIATION ONCOLOGY
1124847
FIREMAN, MARK MD
4000 WELLNESS DR
MIDLAND 48670
(989) 839-3450
1005983
KOCHERIL, PAUL G MD
4005 ORCHARD DR
MIDLAND 48670
(989) 583-5250
1005982
4000 WELLNESS DR
MIDLAND 48670
(989) 839-3450
1006128
LITTLES, JAMES F MD
4005 ORCHARD DR
MIDLAND 48670
(989) 667-6670
1005986
MEHTA, RAJNIKANT H MD
4000 WELLNESS DR
MIDLAND 48670
(989) 836-3450

1090307
BRITTANY MANOR
3615 E ASHMAN ST
MIDLAND 48642
(989) 631-0460
1036451
TENDERCARE MIDLAND
4900 HEDGEWOOD DR
MIDLAND 48640
(989) 631-9670
MIDLAND 48640
(866) 792-2792
MIDLAND 48640
(866) 625-3570
MIDLAND 48640
(989) 839-3805

1072077
SOUND ASLEEP PLC
SPEECH THERAPY
1047049
MIDMICHIGAN PHYSICAL THERAPY
UROLOGY
1018343
TEKCHANDANI, ANITA MD

Page 353
February 19, 2015

PIN
Provider
MISSAUKEE COUNTY
Address
City and Zip
Phone
Gender
Missaukee County
NURSE MIDWIFE
1107534
6180 W SANBORN RD STE 1
LAKE CITY 49651
(231) 839-7167
6180 W SANBORN RD STE 1
LAKE CITY 49651
(231) 839-7167
220 HUGHSTON ST
MC BAIN 49657
(231) 825-2990
15500 S TELEGRAPH RD
MONROE 48161
(734) 457-5666
MONROE 48161
(734) 457-5666

1106441

1090294
AUTUMNWOOD OF MCBAIN
MONROE COUNTY
Monroe County
ALLERGY
1107006
REHMAN, SYED M MD

1082794
UZZAMAN, ASHRAF MD
CARDIOLOGY
1080836
AMIN, JATIN D MD
730 N MACOMB ST STE 429
MONROE 48162
(734) 242-7060
1096118
GHAI, PREM C MD
1414 STEWART RD
MONROE 48162
(734) 252-8880
1080966
KASPER, GREGORY C MD
730 N MACOMB STE 415
MONROE 48162
(419) 251-3112
1101820
MORRIS, MARVIN E MD
MONROE 48162
(419) 251-3112
1098332
WALKER, GREGORY W DO
MONROE 48162
(419) 251-3112
DERMATOLOGY
1071012
KADO, JESSICA A MD
1310 N MACOMB ST
MONROE 48162
(734) 457-4055
1054731
MEHREGAN, DARIUS R MD
1310 N MACOMB ST
MONROE 48162
(734) 457-4055
1054732
MEHREGAN, DAVID A MD
1310 N MACOMB ST
MONROE 48162
(734) 457-4055
DERMATOPATHOLOGY
1057939
GONCHARUK, VIKTOR MD
1314 N MACOMB ST
MONROE 48162
(734) 242-6870
1057940
1314 N MACOMB ST
MONROE 48161
(734) 242-6870
1003496
1314 N MACOMB
MONROE 48162
(734) 242-6870
8765 LEWIS AVE
TEMPERANCE 48182
(734) 847-3802
DIETARY MANAGEMENT
1086731
LONG, LAURA L RD
DME - P&O
1097279
LANDRA PROSTHETICS AND ORTHOTICS
526 N TELEGRAPH RD
MONROE 48162
(734) 242-4050
1084485
PROFESSIONAL VILLAGE PHARMACY
15521 S DIXIE HWY
MONROE 48161
(734) 243-5656

1037300
BAE, HAN-SOO MD
321 STEWARD RD
MONROE 48162
(734) 243-5020
1020645
KARPENKO, ANDREW MD
321 STEWARD RD
MONROE 48162
(734) 243-5020
1055174
LEVY, HORACE G MD
309 STEWART RD
MONROE 48162
(734) 384-3922
1090229
LEVY, HORACE G MD
2246 N MONROE ST
MONROE 48162
(734) 243-0220

1095542
FRESENIUS MEDICAL CARE DUNDEE
129 HELLE BLVD
DUNDEE 48131
(734) 529-3406
1095616
GREAT LAKES DIALYSIS CENTER
992 S MONROE ST
MONROE 48161
(734) 457-4189

Page 354
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Monroe County
ENDOCRINOLOGY
1082978
MOOSA, MAHMOOD F MD
MONROE 48161
(734) 682-5243
GASTROENTEROLOGY
1109339
CHOPRA, LESA R DO
1042 N MONROE ST
MONROE 48162
(734) 240-4870
1097837
DHAR, RAVI MD
MONROE 48162
(734) 457-5120
1091984
MADHIRA, MURTHY S MD
1042 N MONROE ST
MONROE 48162
(734) 240-4870
GENERAL SURGERY
1090283
CHARBONEAU, MICHAEL DO
MONROE 48162
(734) 240-5860
1024789
FELLER, GRETCHEN M MD
333 STEWART RD
MONROE 48162
(734) 384-1660
1106124
GUSTAD, KRISTA DO
730 N MACOMB ST SUITE 329
MONROE 48162
(734) 240-5860

1083236
AUDIOLOGY ASSOCIATES INC
214 E ELM AVE STE 11
MONROE 48162
(734) 241-4080
1121510
PHYSICIANS CHOICE HEARING CENTER PLLC
3366 W STEARNS RD STE 2A
LAMBERTVILLE 48144
(419) 474-9324
HOME HEALTH CARE

1099610
HOME CARE CONNECTION
1070 N MONROE ST STE A
MONROE 48162
(734) 240-1717
1035306
MERCY MEMOR HOME RESP CARE
718 N MACOMB ST
MONROE 48162
(734) 770-4627
1070 N MONROE ST STE B
MONROE 48162
(734) 240-8940
1414 STEWART RD
MONROE 48162
(734) 242-8880
HOSPICE
1099609
MERCY MEMORIAL HOSPICE OF MONROE
INTERNAL MEDICINE
1082436
GHAI, PREM C MD
NEPHROLOGY
1118560
BEHREND, GEORGE MD
992 S MONROE RD
MONROE 48161
(734) 712-3470
1109458
932 S MONROE RD
MONROE 48161
(734) 712-3470
1104105
DANCEY, ERIC MD
992 S MONROE RD
MONROE 48161
(734) 712-3470
1104146
KARIM, JARIATUL MD
992 S MONROE RD
MONROE 48161
(734) 712-3470
1104305
MARU, VIDOOSHI MD
992 S MONROE RD
MONROE 48161
(734) 712-3470
1104123
MAYER, JUDITH MD
992 S MONROE RD
MONROE 48161
(734) 712-3470
1104153
992 S MONROE RD
MONROE 48161
(734) 712-3470
1104259
REHAN, AHMED MD
992 S MONROE RD
MONROE 48161
(734) 712-3470
NEUROLOGY
1118540
AHMAD, OMAR I MD
MONROE 48162
(734) 374-1112
1118546
MURSHED, NAWAF H MD
MONROE 48162
(734) 374-1112
1046 N MONROE
MONROE 48162
(734) 457-9034
OBSTETRICS
1023711
KHAGHANY, KIANOUSH MD
1086729
AHADI, SOUDABEH MD
905 N MACOMB ST
MONROE 48162
(734) 240-4851
1118879
CRAIG, MARVIN D MD
MONROE 48162
(734) 240-4240
1106348
CRAIG, MARVIN D MD
4220 LUNA PIER RD
LUNA PIER 48157
(734) 457-9400
1023711
1046 N MONROE
MONROE 48162
(734) 457-9034
1092430
905 N MACOMB ST
MONROE 48162
(734) 240-4851
1023042
MOSSALLAM, SAMER DO
1046 N MONROE
MONROE 48162
(734) 457-9034
1090873
MOSSALLAM, SAMER MD
905 N MACOMB
MONROE 48162
(734) 240-4851

Page 355
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Monroe County

1105126
PAKIDEH, MARTIN S DO
650 STEWART
MONROE 48162
(734) 240-8430
1086730
905 N MACOMB ST
MONROE 48162
(734) 240-4851
1107614
14930 LAPLAISANCE RD STE 118
MONROE 48161
(734) 240-2892
1071368
SMITH, SIDNEY J MD
1086 N MONROE ST
MONROE 48162
(734) 457-3340
1105570
SMITH, SIDNEY J MD
650 STEWART RD
MONROE 48162
(734) 240-8430
1081966
SMITH, SIDNEY J MD
8765 LEWIS AVE
TEMPERANCE 48182
(734) 847-3802
OPHTHALMOLOGY
1080964
DABBS, CHARLES K MD
725 N MONROE ST
MONROE 48162
(419) 517-6599
1080965
KOZY, DAVID W MD
725 N MONROE ST
MONROE 48162
(419) 517-6599
1031686
NELSEN, PHILIP T JR MD
725 N MONROE ST
MONROE 48162
(419) 517-6599
1022804
PERACHA, MOHAMMAD H MD
725 N MONROE ST
MONROE 48162
(734) 242-2727
1064925
REED, STEPHEN Y MD
1180 N MONROE ST
MONROE 48162
(734) 243-5300
1080875
SCHMIDT, CLAIR J H DO
1180 N MONROE ST
MONROE 48162
(734) 243-5300
1020539
SIDDIQUI, MEIRAJ A MD
725 N MONROE ST
MONROE 48162
(734) 242-2727
1114443
SWITCH, JEROME DO
1218 S TELEGRAPH RD
MONROE 48161
(734) 457-4393
1080877
TAO, STANLEY L MD
1180 N MONROE ST
MONROE 48162
(734) 243-5300
OPTOMETRY
1120754
ANKLIN, ERIC OD
1349 TELEGRAPH RD
MONROE 48162
(734) 243-0960
1120756
ANKLIN, ERIC OD
2884 WASHTENAW AVE
MONROE 48162
(734) 572-8822
1114522
1349 TELEGRAGH RD
MONROE 48162
(734) 243-0960
1093449
HAMER, JONATHAN D OD
1349 TELEGRAGH RD
MONROE 48162
(734) 243-0960
1046841
IRWIN, DANIEL OD
1349 TELEGRAPH RD
MONROE 48162
(734) 243-0960
1098425
KAYNER, JILL OD
1349 TELEGRAGH RD
MONROE 48162
(734) 243-0960
1097156
KIEFIUK, WILLIAM OD
1349 N TELEGRAPH RD
MONROE 48162
(734) 243-0960
1123056
1349 TELEGRAGH RD
MONROE 48162
(734) 243-0960
1126023
1349 TELEGRAGH RD
MONROE 48162
(734) 243-0960
1073868
RIVERA, AXEL OD
1349 TELEGRAPH RD
MONROE 48162
(734) 243-0960
ORTHOPEDIC SURGERY
1122143
MELONAKOS, ANTHONY MD
MONROE 48162
(734) 240-4290
1122141
100 POWELL DR STE 2
DUNDEE 48131
(734) 529-5900
1122144
7470 SECOR RD
LAMBERTVILLE 48144
(734) 856-4586
1082083
1420 N MONROE ST
MONROE 48162
(734) 241-0042
1122142
14930 LAPLAISANCE RD STE 118
MONROE 48161
(734) 240-2892
1122145
7825 N DIXIE HWY STE 101G
NEWPORT 48166
(734) 240-4580
1081776
OLENCHAK, DANIEL W DO
MONROE 48162
(734) 240-4290
1109801
PROCHNOW, TODD D DO
100 POWELL DR STE 2
DUNDEE 48131
(734) 240-4290
1081777
PROCHNOW, TODD D DO
MONROE 48162
(734) 240-4290

1055174
LEVY, HORACE G MD
309 STEWART RD
MONROE 48162
(734) 384-3922
1090229
LEVY, HORACE G MD
2246 N MONROE ST
MONROE 48162
(734) 243-0220
1124784
TOMA, VINCENT MD
3366 W STERNS RD STE 2A
LAMBERTVILLE 48144
(419) 474-9324
700 STEWARD RD STE 105
MONROE 48162
(734) 240-1760
1093384
HARRIS, RENEE MD

Page 356
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Monroe County

1019309
MACY, JUDY A MD
167 COLE RD
MONROE 48162
(734) 457-0455
1125201
REHMAN, ATEEQ MD
1420 N MONROE ST
MONROE 48162
(734) 241-0042
PODIATRY
1019291
HUGHES, SCOTT E DPM
1060 N MONROE ST
MONROE 48162
(734) 241-0200
1082233
RINKER, ANDREA R DPM
MONROE 48162
(734) 241-1222
526 N TELEGRAPH RD
MONROE 48162
(734) 242-4050
PROSTHETICS
1097279
PSYCHIATRY
1126647
JOSHI, SHOBHANA S MD
718 N MACOMB ST
MONROE 48162
(734) 240-5350
1087100
MEMON, MUBEEN MD
8765 LEWIS AVE
TEMPERANCE 48182
(734) 240-4851
1093386
MEMON, MUBEEN A MD
MONROE 48162
(734) 240-1760
1100947
MERCADO, ERLINDA MD
1070 SOUTH TELEGRAPH RD
MONROE 48161
(734) 240-3840
1126818
RAJPUT, MANZAR Y MD
718 N MACOMB ST
MONROE 48162
(734) 240-5350
1118584
SARAN, NIHAL MD
718 N MACOMB ST
MONROE 48162
(734) 240-8400
1102833
STEPHENS, JOSIE LLP
MONROE 48161
(734) 240-3840
RADIATION ONCOLOGY
1067425
CHANG, JUNG HOON MD
800 STEWART RD
MONROE 48162
(734) 240-1800
1067427
KIM, HAROLD E MD
800 STEWART RD
MONROE 48162
(734) 240-1800
1067429
LEE, CHOON K MD
800 STEWART RD
MONROE 48162
(734) 240-1800
1067430
MAIER, JORDAN M MD
800 STEWART RD
MONROE 48162
(734) 240-1800
1067431
MAYER, ERIC G MD
800 STEWART RD
MONROE 48162
(734) 240-1800
1067432
MILLER, STEVEN R MD
800 STEWART RD
MONROE 48162
(734) 240-1800
1089344
1085 N MACOMB ST
MONROE 48162
(734) 241-1900
1125443
PAXIMADIS, PETER MD
800 STEWART RD
MONROE 48162
(734) 240-1800
1067424
800 STEWART RD
MONROE 48162
(734) 240-1800
1067423
WEBB, JENNIFER L MD
800 STEWART RD
MONROE 48162
(734) 240-1800

1090342
FOUNTAIN VIEW OF MONROE
1971 NORTH MONROE ST
MONROE 48162
(734) 243-8800
1090356
HICKORY RIDGE OF TEMPERANCE
951 HICKORY CREEK RD
TEMPERANCE 48182
(734) 206-8200
1118995
MAGNUM CARE OF MONROE
1215 N TELEGRAPH RD
MONROE 48162
(734) 242-4848
1084469
MEDILODGE OF MONROE LLC
481 VILLAGE GREEN LN
MONROE 48162
(734) 242-6282
1089441
MERCY MEMORIAL NURSING CENTER
700 STEWART RD
MONROE 48162
(734) 240-1820
UROLOGY
1019165
NAIR, SRAMACHANDRAN J MD
MONROE 48162
(734) 243-9620
1018056
SHAH, ASHWIN H MD
MONROE 48162
(734) 241-3900
MONTCALM COUNTY
Montcalm County
CARDIOLOGY
1120580
HAJJAR, VICTOR MD
615 S BOWER ST
GREENVILLE 48838
(616) 754-3880
1003113
705 S GREENVILLE WEST DR STE 101
GREENVILLE 48838
(616) 754-9146
1097037
420 S LINCOLN AVE
LAKEVIEW 48850
(616) 754-9146

Page 357
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Montcalm County
1045375
MERHI, WILLIAM M DO
GREENVILLE 48838
(888) 259-8043
1041264
705 GREENVILLE STE 101
GREENVILLE 48838
(888) 259-8043
1053859
GREENVILLE 48838
(888) 259-8043
919 W WASHINGTON
GREENVILLE 48838
(800) 454-3497
DME - P&O
1069484

1093596
MARKIEWICZ, KENNETH H DO
401 E ELM ST
CARSON CITY 48811
(989) 584-6217
1093597
MARKIEWICZ, KENNETH H DO
1014 E WASHINGTON ST
GREENVILLE 48838
(616) 754-7145
1069818
MELECA, ROBERT J MD
705 S GREENVILLE WEST DR
GREENVILLE 48838
(616) 249-8000
1069816
PFENNIG, THOMAS W DO
GREENVILLE 48838
(616) 249-8000

1026982
CARSON CITY HOSPITAL ER PHYSICIANS
406 E ELM ST
CARSON CITY 48811
(989) 584-3971
1026902
SCH ER PHYSICIANS
301 N MAIN ST
SHERIDAN 48884
(989) 291-3261
112 S CLAY ST
GREENVILLE 48838
(616) 754-5667
EYEWARE SUPPLIER
1037688
GRO OPTICAL LLC
GASTROENTEROLOGY
1102740
COATES, ALLAN G CO
301 N MAIN ST
SHERIDAN 48884
(616) 452-7099
1102742
COATES, ALLAN G DO
420 LINCOLN AVE
LAKEVIEW 48850
(616) 452-7099
1104749
TABOR, DAVID C DO
GREENVILLE 48838
(616) 452-7099
GENERAL SURGERY
1073262
GAFFNEY, WILLIS F DO
301 N MAIN ST
SHERIDAN 48884
(989) 291-3269
1072285
JENTZ, AMY B MD
423 E MAIN ST STE B PO BOX 326
CARSON CITY 48811
(989) 584-6266
1015344
OCONNOR, KEVIN T DO
423 E MAIN ST
CARSON CITY 48811
(989) 584-6801
1106049
TAVARONE, THOMAS N MD
1208 W OAK ST
GREENVILLE 48838
(616) 225-6990
1109627
615 S BOWER ST
GREENVILLE 48838
(231) 832-8555
1127198
418 WASHINGTON ST
LAKEVIEW 48850
(989) 352-8452
301 N MAIN ST
SHERIDAN 48884
(517) 332-4263
HAND SURGERY
1117712

1002647
AUDIO AID RX
322 S LAFAYETTE ST STE D
GREENVILLE 48838
(616) 225-9892
1126488
HEAR USA
401 E ELM ST
CARSON CITY 48811
(989) 584-6721
1062231
SONUS CARSON CITY
401 E ELM ST
CARSON CITY 48811
(989) 584-6721
1100819
SONUS GREENVILLE
1014 E WASHINGTON ST
GREENVILLE 48838
(989) 584-6721
1100009
BRINKER, BRETT T MD
615 S BOWER ST
GREENVILLE 48838
(616) 225-6830
1120835
401 E ELM ST
CARSON CITY 48811
(989) 584-6217
1104832
123 LINDEN ST
CARSON CITY 48811
(989) 584-6871
1105700
POLAVARAM, LATHA MD
615 S BOWER ST
GREENVILLE 48838
(616) 225-6830
1127199
VANDERWOUDE, AMY C MD
615 S BOWER ST
GREENVILLE 48838
(616) 225-6830
239 S ENSLEY ST
HOWARD CITY 49329
(231) 937-4514
HOME HEALTH CARE

1038214
A C E HOME HEALTH CARE

Page 358
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Montcalm County
1014316
CARSON HOME CARE NETWORK
406 E ELM ST
CARSON CITY 48811
(989) 584-3971
SPARROW HOSPICE SERVICES CARSON HOME HOSPIC 406 E ELM ST
CARSON CITY 48811
(888) 636-8236
620 W MAIN ST
STANTON 48888
(989) 291-6400
406 E ELM ST
CARSON CITY 48811
(989) 584-3131
1380 E MAIN ST
EDMORE 48829
(989) 427-3511
639 E MAIN ST
CARSON CITY 48811
(989) 584-3107
HOSPICE
1061281
INTERNAL MEDICINE
1076076
NEONATOLOGY
1106965
CARSON CITY HOSP MED SVCS GROUP
NUCLEAR CARDIOLOGY
1059589

1070508
RUSSELL, JANICE NP
1026996
403 S NELSON ST
GREENVILLE 48838
(989) 584-3107
1017280
639 E MAIN STREET
CARSON CITY 48811
(989) 584-3107
1107158
406 E ELM ST
CARSON CITY 48811
(989) 584-3107
1127106
BOWES, ROBERT MD
1202 W OAK ST
GREENVILLE 48838
(616) 754-2944
1086329
BRUCE, RUTH DO
639 E MAIN ST
CARSON CITY 48811
(989) 584-3107
1087226
BRUCE, RUTH DO
639 E MAIN ST
CARSON CITY 48811
(989) 584-3107
1063467
LEGRAND, ERIN E DO
403 S NELSON ST
GREENVILLE 48838
(989) 584-3107
1107159
LEGRAND, ERIN E DO
406 E ELM ST
CARSON CITY 48811
(989) 584-3107
1063465
LEGRAND, ERIN E DO
639 E MAIN ST
CARSON CITY 48811
(989) 584-3107
1127200
1202 W OAK ST
GREENVILLE 48838
(616) 754-2944
401 E ELM ST
CARSON CITY 48811
(989) 584-6217
ONCOLOGY
1091332
CHAMARTHY, USHASREE MD
OPHTHALMOLOGY
1034226
BARRETT, DAVID J MD
112 S CLAY
GREENVILLE 48838
(616) 949-2600
1102633
BOSS, JULIE DO
491 W SHAW STE A
HOWARD CITY 49329
(231) 937-8206
1037072
BOYLE, MICHAEL MD
112S CLAY
GREENVILLE 48838
(616) 949-2600
1094460
COOK, BRANDY DO
102 S THIRD ST STE 400
CARSON CITY 48811
(989) 224-1452
1034220
COWDEN, THOMAS P MD
112 S CLAY
GREENVILLE 48838
(616) 754-5667
1104230
CREW, RALPH DO
491 W SHAW STE A
HOWARD CITY 49329
(231) 937-8206
1033476
112 S CLAY
GREENVILLE 48838
(616) 754-5667
OPTOMETRY
1031787
BARTZ, TAD OD
CARSON CITY 48811
(989) 584-6868
1062867
112 S CLAY
GREENVILLE 48838
(616) 949-2500
1065625
DAWS, LISA A OD
CARSON CITY 48811
(989) 584-6868
1072922
DEKUIPER, LEWIS OD
112 S CLAY ST
GREENVILLE 48838
(616) 949-2600
1072908
GDOWSKI, NICOLE OD
112 S CLAY ST
GREENVILLE 48838
(616) 949-2600
1033501
HOLLENBECK, RACHEL OD
112 S CLAY
GREENVILLE 48838
(616) 754-5667
1083813
KALACZINSKI, LILLIAN THORP OD
306 S MAPLEWOOD ST
GREENVILLE 48838
(616) 225-9650
1072915
PRUIS, ROSANNE OD
112 S CLAY ST
GREENVILLE 48838
(616) 949-2600

Page 359
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Montcalm County
1008328
SEALS, JAMES H OD
CARSON CITY 48811
(989) 584-6868
1065622
CARSON CITY 48811
(989) 584-6868
ORTHOPEDIC SURGERY
1069212
ALLARD, RAYMOND P DO
423 E MAIN ST STE A
CARSON CITY 48811
(989) 584-6320
1068875
COTE, ADAM DO
423 E MAIN ST
CARSON CITY 48811
(989) 584-6801
1074194
WHITE, JOSEPH B MD
423 E MAIN STE A
CARSON CITY 48811
(989) 584-6320
CARSON CITY 48811
(989) 584-1308
406 E ELM ST
CARSON CITY 48811
(989) 584-3131
1441 S ENSLEY ST STE 2
HOWARD CITY 49329
(231) 843-1553

1023936
POFF, HAROLD K DO
PAIN MANAGEMENT
1068658
BHIMALLI, PARUT MD

1085860
MITHAL, MANOJ MD
PODIATRY
1058143
DECKER, JOSHUA R DPM
1810 W WASHINGTON ST STE 3
GREENVILLE 48838
(877) 823-1063
1098295
UEBELE, STACY A DPM
CARSON CITY 48811
(989) 584-3916
1005732
WEBBER, FRANK P DPM
917 N LAFAYETTE ST
GREENVILLE 48838
(616) 754-9580
919 W WASHINGTON
GREENVILLE 48838
(800) 454-3497
PROSTHETICS
1069484

1026536
GRAHAM, ROBERT DO
615 N STATE ST
STANTON 48888
(989) 831-3623
1070529
MID MICHIGAN DIST HEALTH DEPT
615 N STATE ST
STANTON 48888
(989) 831-5237
406 E ELM ST
CARSON CITY 48811
(517) 267-0107
620 N SECOND ST
CARSON CITY 48811
(989) 584-6100
7762 N FEDERAL RD PO BOX 256
HOWARD CITY 49329
(231) 937-8485
CARSON CITY 48811
(800) 200-7212
406 E ELM ST
CARSON CITY 48811
(989) 548-3131
RHEUMATOLOGY
1027294
GUGGENHEIM, CARLA DO

1061076
THE LAURELS OF CARSON CITY
SPEECH THERAPY
1022314
SELECT CARE PHYSICAL THERAPY INC

1027058
UROLOGY
1118797
STOCKALL, ERIC MD
MONTMORENCY COUNTY
Montmorency County
DME - P&O
1016218
ABC MEDICAL SUPPLY
12519 STATE ST
ATLANTA 49709
(989) 785-2296
1065958
ALPENA OXYGEN & EQUIPMENT
12674 JEROME ST
ATLANTA 49709
(989) 785-5771
12519 STATE ST STE 0200
ATLANTA 49709
(989) 785-4428
PEDIATRICS
1118350
MEYERSON, JOSHUA MD

Page 360
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Montmorency County
PROSTHETICS
1016218
ABC MEDICAL SUPPLY
12519 STATE ST
ATLANTA 49709
(989) 785-2296
PSYCHIATRY
1078163
15774 STATE ST
HILLMAN 49746
(989) 354-2197
1078164
11899 M-32
ATLANTA 49709
(989) 785-4855

1118347
12519 STATE ST
ATLANTA 49709
(989) 785-4428
1009290
THUNDER BAY COMMUNITY HEALTH SERVICES
15774 STATE ST
HILLMAN 49746
(989) 742-4583
1015321
THUNDER BAY COMMUNITY HEALTH SERVICES ATLANT
11899 M 32
ATLANTA 49709
(989) 785-4855
631 CARING ST
HILLMAN 49746
(989) 742-4581
209 E APPLE AVE
MUSKEGON 49442
(231) 724-4415
1212 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9427

1119273
MEDILODGE OF HILLMAN
Muskegon County
MUSKEGON COUNTY
1028176
PLANNED PARENTHOOD CENTERS
CARDIOLOGY
1081864
KABBANI, MOUHAMAD S MD
1102816
ALTERMAN, DANIEL MD
1316 MERCY DR
MUSKEGON 49444
(231) 739-9461
1097712
MALLON, LAWERENCE I MD
1316 MERCY DR
MUSKEGON 49444
(231) 739-9461
1097892
MCBRAYER, CRAIG V DO
1316 MERCY DR
MUSKEGON 49444
(231) 739-9461
DME - P&O
1037430
AIRWAY OXYGEN INC MUSKEGON
850 HARVEY ST
MUSKEGON 49442
(877) 570-2270
1122521
LINCARE INC
3036 SHEFFIELD ST STE A
MUSKEGON 49441
(231) 830-8919
1084490
VISITING NURSE-HOME CARE SERVICES
888 TERRACE ST
MUSKEGON 49440
(231) 726-5025
1675 LEAHY ST STE 201A
MUSKEGON 49442
(231) 728-3344
1080 WEST NORTON AVE
MUSKEGON 49441
(231) 780-5468

1080562
POTTER, ARTHUR J MD

1095623
RAI WEST NORTON MUSKEGON
GENERAL SURGERY
1079449
ANDERSON, JOEL B MD
1316 MERCY DR
MUSKEGON 49444
(231) 739-9461
1097826
KAMPS, DICK L MD
1316 MERCY DR
MUSKEGON 49444
(231) 739-9461
1097799
MYERS, GREGORY A MD
1316 MERCY DR
MUSKEGON 49444
(231) 739-9461
1097851
PETTY, VERONICA R MD
1316 MERCY DR
MUSKEGON 49444
(231) 739-9461
1097824
RICE, JAMES J MD
1316 MERCY DR
MUSKEGON 49444
(231) 739-9461
1078470
SEVENSMA, ERIC T DO
1316 MERCY DR
MUSKEGON 49444
(231) 739-9461
1122054
ZWEMER, DOUGLAS A MD
1675 LEAHY ST STE 207
MUSKEGON 49442
(231) 722-2260

1083238
HEAR USA
1365 MERCY DR
MUSKEGON 49444
(231) 739-5100
1022477
LAKE MICHIGAN ENT
1675 LEHY ST STE201A
MUSKEGON 49442
(231) 728-3444

Page 361
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Muskegon County
HEARING AID PROVIDER (CONTINUED)
1083239
MUSKEGON HEARING & SPEECH CENTER
1155 E SHERMAN BLVD
MUSKEGON 49444
(231) 737-0527
1063128
SONUS MUSKEGON
MUSKEGON 49442
(231) 728-5720
1063127
SONUS MUSKEGON HTS
3535 PARK ST STE 108
MUSKEGON 49444
(231) 737-4570
1063124
SONUS WHITEHALL
905 COLBY RD STE 162
WHITEHALL 49461
(231) 728-1660
1440 E SHERMAN RD STE 200
MUSKEGON 49444
(231) 737-3469
1109711
CAMPBELL, MARK MD
INTERNAL MEDICINE
1103877
AKINRINADE, OLUWATOYIN MD
433 SEMINOLE RD STE 204
MUSKEGON 49444
(231) 733-7777
1093014
KNUDSON, YUMIKO MD
MUSKEGON 49444
(231) 733-7777
MUSKEGON 49444
(231) 733-7777
NEPHROLOGY
1093014
KNUDSON, YUMIKO MD
NURSE MIDWIFE
1082255
BATES, RENEE M CNM
2700 BAKER ST 3RD FLR
MUSKEGON 49444
(231) 737-1335
1086505
BENNETT, HELLEN CNM
2201 S GETTY ST
MUSKEGON 49444
(231) 739-9315
1119402
BENNETT, HELLEN NP
2700 BAKER ST 3RD FL
MUSKEGON 49444
(231) 737-1335
1086504
BROWN, BETHANY CNM
2201 S GETTY ST
MUSKEGON 49444
(231) 739-9315
1086503
FREEMAN, JENNIFER CNM
2201 S GETTY ST
MUSKEGON 49444
(231) 739-9315
1082253
TRAN, ALLISON P CNM
MUSKEGON 49444
(231) 737-1335
1086580
VANDER SYS, ERICKA CNM
2201 S GETTY ST
MUSKEGON 49444
(231) 739-9315
1105813
VANDER SYS, ERICKA CNM
MUSKEGON 49444
(231) 739-9315
209 E APPLE AVE
MUSKEGON 49442
(231) 724-4415
OBSTETRICS
1107628
NEWTON, CHARLES MD
1122128
GRIFFITH, ANNA M MD
209 E APPLE AVE
MUSKEGON 49442
(231) 724-4415
1119175
209 E APPLE AVE
MUSKEGON 49442
(231) 724-4415
ONCOLOGY
1082171
ALGUIRE, KATHRYN B MD
1440 E SHERMAN BLVD STE 200
MUSKEGON 49444
(231) 737-3469
1082169
SIPAHI, HIKMET H MD
1440 E SHERMAN BLVD # 200
MUSKEGON 49444
(231) 737-3469
OPHTHALMOLOGY
1093899
AABERG, THOMAS M JR MD
1266 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1085945
BARRON, TIMOTHY MD
1298 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1086676
BARRON, TIMOTHY J MD
1266 E SHERMAN BLVD
MUSKEGON 49444
(616) 842-1680
1092094
GARBER, FRANK W MD
3102 GLADE ST
MUSKEGON 49444
(231) 830-1200
1118459
HRUBY, PAUL M MD
1266 EAST SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1085946
KINZIGER, MARK MD
1298 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1012999
KINZIGER, MARK K MD
1266 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1085943
LEENHOUTS, JOHN MD
1298 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1089738
MUSKEGON 49444
(231) 733-7832
1085947
OLTEAN, JOHN DO
1298 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1076968
OLTEAN, JOHN N DO
1266 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1085948
OTTO, KENNETH A JR MD
1298 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1086918
1266 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009

Page 362
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Muskegon County
1085925
PACKER, ROBERT MD
1266 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1086675
RAPHAELIAN, PAUL MD
1266 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1089735
RAPHAELIAN, PAUL V MD
MUSKEGON 49444
(231) 733-7832
1071221
REED, NATHAN DO
1266 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1085944
REED, NATHAN DO
1298 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1024476
WEBSTER, LEE A MD
1266 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1086137
WEBSTER, LEE A MD
1298 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1093898
WESTHOUSE, SCOTT J DO
1266 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
OPTOMETRY
1086260
BRONSON, AIMEE OD
160 E BROADWAY AVE
MUSKEGON 49444
(231) 733-1224
1086259
CASSAR, KEVIN OD
160 E BROADWAY AVE
MUSKEGON 49444
(231) 733-1224
1090339
FISHER, MARY V OD
1266 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1090340
FISHER, MARY V OD
301 CENTER ST
MUSKEGON 49445
(231) 744-4580
1104317
GILMORE, NATHAN OD
160 E BROADWAY AVE
MUSKEGON 49444
(231) 733-1224
1116965
GILMORE, NATHAN OD
951 W SEMINOLE RD
MUSKEGON 49441
(231) 780-4700
1086261
KOLK, GERALD OD
160 E BROADWAY AVE
MUSKEGON 49444
(231) 733-1224
1099623
PASCAVIS, JAMES OD
3375 MCCRACKEN
MUSKEGON 49441
(231) 755-2291
1085915
PASCAVIS, JAMES OD
1266 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-9009
1085916
RIKER, TODD OD
1266 E SHERMAN BLVD
MUSKEGON 49444
(231) 737-4740
1092091
RIKER, TODD OD
301 CENTER ST
MUSKEGON 49445
(231) 744-4580
1092092
RIKER, TODD OD
3375 MCCRACKEN
MUSKEGON 49441
(231) 755-2291
1084580
951 SEMINOLE RD
MUSKEGON 49441
(231) 780-4700
1095249
VANDEWEGHE, CHRISTINE OD
2159 E APPLE AVE
MUSKEGON 49442
(231) 767-1600
1091806
VENTOCILLA, MARK A OD
160 EAST BROADWAY AVE
MUSKEGON 49444
(231) 733-1224
550 W GRAND AVE
MUSKEGON 49441
(616) 391-2242
1519 E RIVER RD
MUSKEGON 49445
(231) 843-1553
1101816
BALUJA, VIVEK MD

1085858
MITHAL, MANOJ MD
PLASTIC SURGERY
1081768
THAYER, DENA W DO
1316 MERCY DR
MUSKEGON 49444
(231) 739-9461
1097725
ZONCA, STEPHEN N MD
1316 MERCY DR
MUSKEGON 49444
(231) 739-9461
PODIATRY
1097792
MUSKEGON 49444
(231) 739-7606
1016857
DEYONG, ROGER DPM
561 SEMINOLE RD
MUSKEGON 49444
(231) 733-1111
1082250
PIPER, TRAVIS D DPM
MUSKEGON 49444
(231) 737-1335
1071488
PIPER, TRAVIS D DPM
516 SEMINOLE RD
MUSKEGON 49444
(231) 733-1111
1097737
REWITZER, JEFFREY S DPM
MUSKEGON 49444
(231) 739-7606
1070476
SMOLEN, JAN E DPM
516 SEMINOLE RD
MUSKEGON 49444
(231) 733-1111
PSYCHIATRY
1117520
ERICKSON, ERIC E DO
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 727-4281
1117521
ERICKSON, ERIC E DO
1700 CLINTON ST
MUSKEGON 49442
(616) 847-5145

Page 363
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Muskegon County
PULMONOLOGY
1023374
KLEAVELAND, ANDREW C MD
MUSKEGON 49444
(231) 733-8145

1093774
HEARTLAND HEALTH CARE CENTER- KNOLLVIEW
1061 WEST HACKLEY AVE
MUSKEGON 49441
(231) 755-2255
1092497
HEARTLAND HEALTH CARE CENTER- WHITEHALL
916 LEWIS ST
WHITEHALL 49461
(231) 894-4056

1096253
DOWNEY, RICHARD MD
MUSKEGON 49444
(231) 830-8643
1103075
MELDRUM, DANIEL R MD
MUSKEGON 49444
(231) 830-8643
1117583
WILLEKES, CHARLES MD
MUSKEGON 49444
(231) 830-8643
MUSKEGON 49442
(231) 727-5504
UROLOGY
1069896
GOLIN, ARTHUR L MD
Newaygo County
NEWAYGO COUNTY
CARDIOLOGY
1074274
DECKER, JEFFREY M MD
230 W OAK
FREMONT 49412
(616) 885-5000
1074032
MAHAJERIN, ALI MD
230 W OAK
FREMONT 49412
(616) 885-5000
DME - P&O
1069203
AIR-CAIRE HOME MEDICAL DME
16 SHERIDAN ST
FREMONT 49412
(231) 924-4040
1117788
AIRWAY OXYGEN INC FREMONT
1045 W MAIN ST
FREMONT 49412
(231) 924-2223
1094493
PULMONARY HOME CARE
1045 W MAIN ST
FREMONT 49412
(231) 924-2223
1037812
1401 W MAIN ST
FREMONT 49412
(231) 924-6301
GENERAL SURGERY
1118187
JOHNSON, DOUGLAS A MD
230 W OAK ST
FREMONT 49412
(231) 924-4200
1118193
MCALISTER, JENNIFER MD
230 W OAK ST
FREMONT 49412
(231) 924-4200
1118209
VANDERKOOI, THEODORE J MD
230 W OAK ST
FREMONT 49412
(231) 924-4200
1096440
WEBB, JAMES MD
11 N MAPLE ST
GRANT 49327
(231) 834-0444

1083214
FREMONT HEARING AND SPEECH CENTER
1019 W MAIN ST
FREMONT 49412
(231) 924-7940
1063126
SONUS FREEMONT
9 E MAIN
FREMONT 49412
(231) 924-7944
1079180
LAKHANI, NEHAL J MD
212 S SULLIVAN
FREMONT 49412
(231) 924-3300
1092195
SANTOS, ERIC C MD
230 W OAK
FREMONT 49412
(231) 924-1305
1197 E JAMES ST
WHITE CLOUD 49349
(231) 689-6675
1053 W MAIN ST
FREMONT 49412
(231) 924-0153
HOME HEALTH CARE

1091590
COMMUNITY HOME HEALTH SERVICES INC
HOSPICE
1096354
NURSE MIDWIFE
1079025
1049 NEWELL ST
WHITE CLOUD 49349
(231) 689-7300
1059158
WENTE, SUSAN M CNM
230 S MAPLE ST
GRANT 49327
(231) 834-5995
1081372
WENTE, SUSAN M CNM
212 S SULLIVAN AVE
FREMONT 49412
(231) 924-1212

Page 364
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Newaygo County
1064544
BAYNE, MELISSA S DO
212 S SULLIVAN AVE
FREMONT 49412
(231) 924-1212
1076695
MICHELE, TAMI J DO
212 S SULLIVAN AVE
FREMONT 49412
(231) 924-1212
1081362
MICHELE, TAMI J DO
230 W OAK ST
FREMONT 49412
(231) 924-4200
1081852
PATENGE, JAMES DO
1035 E WILCOX AVE
WHITE CLOUD 49349
(231) 689-6447
1013478
PATENGE, JAMES DO
230 W OAK ST STE 201
FREMONT 49412
(231) 924-4251
1081361
PATENGE, JAMES DO
212 S SULLIVAN AVE
FREMONT 49412
(231) 924-1212
230 W OAK
FREMONT 49412
(231) 924-1305
ONCOLOGY
1079026
O'ROURKE, TIMOTHY MD
OPHTHALMOLOGY
1085918
BARRON, TIMOTHY MD
230 E OAK ST
FREMONT 49412
(231) 924-9009
1085917
KINZIGER, MARK K MD
230 W OAK ST
FREMONT 49412
(231) 924-9009
1086919
OLTEAN, JOHN N DO
230 W OAK ST
FREMONT 49412
(231) 924-9009
1082391
230 W OAK ST
FREMONT 49412
(231) 924-9009
1085924
REED, NATHAN DO
FREMONT 49412
(231) 924-9009
1085920
REED, NATHAN DO
230 W OAK ST
FREMONT 49412
(231) 924-9009
1087162
WEBSTER, LEE A MD
FREMONT 49412
(231) 924-9009
1087161
WEBSTER, LEE A MD
230 W OAK ST
FREMONT 49412
(231) 924-9009
OPTOMETRY
1092975
HAYES, CORREEN L OD
1007 W MAIN ST
FREMONT 49412
(231) 924-1988
1071398
OOSTING, DAVID W OD
9 W MAIN ST
FREMONT 49412
(231) 924-9870
1092973
SNIPPE, REBECCA L OD
1007 W MAIN ST
FREMONT 49412
(231) 924-1988
ORTHOPEDIC SURGERY
1068800
GERTH, PAUL K MD
FREMONT 49412
(231) 924-1266
1118185
HOOD, BRIAN S DO
230 W OAK ST STE 201
FREMONT 49412
(231) 924-4200
PODIATRY
1126142
DEYONG, ROGER DPM
230 W PINE ST LOWER LEVEL
FREMONT 49412
(231) 192-4130
1126145
PIPER, TRAVIS D DPM
FREMONT 49412
(231) 924-1305
1126144
SMOLEN, JAN DPM
FREMONT 49412
(231) 924-1305
1098296
UEBELE, STACY A DPM
501 W WASHINGTON
NEWAYGO 49337
(231) 652-5955
1401 W MAIN ST
FREMONT 49412
(231) 924-6301
1049 NEWELL
WHITE CLOUD 49349
(231) 689-7300
4465 W 48TH ST
FREMONT 49412
(231) 924-2020
220 S CHARLES ST
WHITE CLOUD 49349
(231) 689-5800
PROSTHETICS
1037812

1055884

1123574
NEWAYGO MEDICAL CARE FACILITY
SPEECH THERAPY
1041069
WHITE CLOUD PHYSICAL THERAPY

Page 365
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
OAKLAND COUNTY
ADOLESCENT MEDICINE
1083754
FRIEDMAN, JOY O MD
31815 SOUTHFIELD RD STE 22
FRANKLIN 48025
(248) 594-3142
1119358
FRIEDMAN, JOY O MD
3535 W 13 MILE RD
ROYAL OAK 48073
(248) 551-1399
1027117
MAMMEL, KATHLEEN A MD
3535 W 13 MILE RD LL
ROYAL OAK 48073
(248) 551-3000
1030808
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0575
1036714
FRANKLIN 48025
(248) 594-3142

1060937
CARRICO, DONNA NP
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-5000
1069394
CHAPLEN, RUTH ANN CNP
FARMINGTON HILLS 48334
(248) 538-4701
1125223
LUCAS, LISA NP
1200 KIRTS BLVD
TROY 48084
(248) 528-1981
1125340
NIAROJI, NARGES NP
1200 KIRTS BLVD
TROY 48084
(248) 528-1981
ALLERGY
1012450
RINGWALD, ULRICH O MD
1135 W UNIVERSITY DR
ROCHESTER 48307
(248) 651-0606
1009454
SAVLIWALA, MOHAMMEDI N MD
10 W SQUARE LAKE RD STE 301
BLOOMFIELD HILLS 48302
(248) 335-0200

1063611
ANNE, SURESH MD
2999 E BIG BEAVER RD STE B
TROY 48083
(248) 689-6744
1063609
ANNE, SURESH MD
1265 W HURON STE 101
WATERFORD 48328
(248) 683-0077
1038046
BAHRAINWALA, ABDUL H MD
3600 W 13 MILE RD
ROYAL OAK 48073
(248) 549-0777
1062933
BARAK-NORRIS, RONDA MD
(248) 737-4030
1063617
BOTTA, RAO S MD
1265 W HURON STE 101
WATERFORD 48328
(248) 683-0077
1063614
BOTTA, RAO S MD
TROY 48083
(248) 689-6744
1024540
CZARNECKI, ROBERT MD
1135 W UNIVERSITY STE 135
ROCHESTER 48307
(248) 651-0606
1036309
DHILLON, GURSHARANJIT S MD
2710 S ROCHESTER RD STE 3
ROCHESTER 48307
(248) 853-9097
1036310
DHILLON, GURSHARANJIT S MD
ROCHESTER 48307
(248) 853-9097
1030283
ERBEN, ANNE M MD
1350 KIRTS BLVD STE 140
TROY 48084
(248) 269-8529
1124404
HEPNER, MICHAEL J MD
5775 W MAPLE RD
WEST BLOOMFIELD 48322
(248) 626-5315
1030633
KINHAL, SUCHETHA MD
(248) 932-0082
1071581
NASIR, MOHSEN MD
3600 W 13 MILE RD
ROYAL OAK 48073
(248) 549-0777
1124405
PASIK, LAWRENCE I MD
5775 W MAPLE RD
(248) 626-5315
1030868
PATEL, AMRISH K MD
3600 W 13 MILE RD
ROYAL OAK 48073
(248) 549-0777
1010802
PATEL, BHAVIN P MD
950 W AVON RD STE A-5
ROCHESTER 48307
(248) 651-1133
1033050
PATEL, BHAVIN P MD
3600 W 13 MILE RD
ROYAL OAK 48073
(248) 549-0777
1116600
PATEL, PULIN DO
4123 MARTIN RD STE 101
WALLED LAKE 48390
(586) 493-3833
1069884
PATEL, PULIN P DO
2455 UNION LAKE ROAD STE 101
COMMERCE TOWNSHIP 48382
(248) 560-7555
1031018
ROSS, BRANDON D MD
2950 E WATTLES RD STE 300
TROY 48085
(248) 524-2121
1023220
SAIGAL, VIJAY MD
43750 WOODWARD AVE STE 101
(248) 334-0571
1064214
SHAHIDEH, ASADOLLAH MD
4792 ROCHESTER RD STE A
TROY 48085
(248) 528-9010
1123193
SWEET, LAWRENCE C MD
18161 W 13 MILE RD STE C
SOUTHFIELD 48076
(248) 646-3131
1031220
SWEET, LAWRENCE C MD
SOUTHFIELD 48076
(248) 646-3131
1015554
TAWILA, MOHAMAD Y MD
3600 W 13 MILE RD
ROYAL OAK 48073
(248) 549-0777
1031250
TULIN-SILVER, JEFFREY MD
(248) 932-0082
1024796
YOUNES, JIHAD S MD
292 S BROADWAY ST STE 1
LAKE ORION 48362
(248) 693-4444
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900

1087037
PLANNED PARENTHOOD MID AND SOUTH

Page 366
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1019497
HAINES, DAVID E MD
3601 W 13 MILE RD 3RD FL BEAUMONT HEART
ROYAL OAK 48073
(248) 898-4163
1027825
LIEBERMAN, RANDY MD
6889 HIGHLAND RD
WATERFORD 48327
(248) 666-5200
1045654
MAN, KIM DO
BERKLEY 48072
(248) 545-0070
1071945
NORI, DAVID MD
1949 W TWELVE MILE RD STE 200
BERKLEY 48072
(248) 545-0070
1058410
NORI, DAVID MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9600
1071943
NORI, DAVID MD
BERKLEY 48072
(248) 545-0070
1071944
NORI, DAVID MD
16800 TWELVE MILE RD STE 102
SOUTHFIELD 48076
(248) 569-9797
1058413
WONG, WAI SHUN MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4163
CARDIOLOGY
1071908
ABBAS, AMR E MD
BERKLEY 48072
(248) 545-0070
1045643
ABBAS, AMR E MD
BERKLEY 48072
(248) 545-0070
1071910
ABBAS, AMR E MD
BERKLEY 48072
(248) 545-0070
1071909
ABBAS, AMR E MD
SOUTHFIELD 48076
(248) 569-9797
1096913
ABBAS, AMR E MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9700
1124349
ABDUL-MALEK, MICHAEL DO
29877 TELEGRAPH RD STE 400
SOUTHFIELD 48034
(248) 799-2600
1124348
28080 GRAND RIVER STE 300W
FARMINGTON 48336
(248) 615-7300
1030072
AGGARWAL, INDERJIT MD
1100 W UNIVERSITY
ROCHESTER 48307
(248) 651-8200
1083117
AJLUNI, STEVEN C MD
4600 INVESTMENT DR STE 200
TROY 48098
(248) 267-5050
1083116
AJLUNI, STEVEN C MD
TROY 48098
(248) 267-5050
1086654
ALI, OMAR MD
15565 NORTHLAND DR STE 108E
SOUTHFIELD 48075
(248) 424-5000
1083123
ALMANY, STEVEN L MD
TROY 48098
(248) 267-5050
1083124
ALMANY, STEVEN L MD
TROY 48098
(248) 267-5050
1106364
ATALLAH, PIERRE C MD
610 N MAIN ST
ROCHESTER 48307
(248) 651-9200
1106363
ATALLAH, PIERRE C MD
543 MAIN ST STE 321
ROCHESTER 48307
(248) 656-3100
1086130
ATKINSON, KEITH DO
50 N PERRY
PONTIAC 48342
(248) 338-5000
1085459
ATKINSON, KEITH V
5625 WATER TOWER PL
CLARKSTON 48346
(248) 620-4224
1032690
ATKINSON, KEITH V DO
CLARKSTON 48346
(248) 620-9199
1024843
6889 HIGHLAND RD
WATERFORD 48327
(248) 666-5200
1030778
6507 TOWN CENTER
CLARKSTON 48346
(248) 666-5200
1108186
BELEN, STEVEN D DO
414 UNION ST STE 100
MILFORD 48381
(248) 676-8889
1108185
BELEN, STEVEN D DO
2455 UNION LAKE RD STE 102
(248) 305-8707
1103434
BELEN, STEVEN D DO
44000 W 12 MILE RD STE 211
NOVI 48377
(248) 305-8707
1108184
BELEN, STEVEN D DO
2335 S COMMERCE RD
WALLED LAKE 48390
(248) 305-8707
1067639
BERCU, BERNARD MD
44555 WOODWRD AVE STE 506
PONTIAC 48341
(248) 858-3126
1071914
BERMAN, AARON D MD
SOUTHFIELD 48076
(248) 569-9797
1071915
BERMAN, AARON D MD
BERKLEY 48072
(248) 545-0070
1071913
BERMAN, AARON D MD
BERKLEY 48072
(248) 545-0070
1089680
BILOLIKAR, ABHAY N MD
26400 W 12 MILE RD STE 120
SOUTHFIELD 48034
(248) 304-3200
1085263
BORIN, ANDREW DO
29829 TELEGRAPH RD STE L103
SOUTHFIELD 48034
(248) 352-9525
1037965
BORIN, ANDREW DO
719 S OPDYKE RD
AUBURN HILLS 48326
(248) 874-4908
1055419
BORIN, ANDREW DO
3550 PONTIAC LAKE RD
WATERFORD 48328
(248) 674-8199
1056493
BORIN, ANDREW DO
350 E 12 MILE RD
MADISON HEIGHTS 48071
(248) 545-3754
1092823
BOSTIC, OSWALD MD
27177 LAHSER RD STE 103
SOUTHFIELD 48034
(248) 357-1360
1083039
BOWERS, TERRY R MD
TROY 48098
(248) 267-5050
1083041
BOWERS, TERRY R MD
TROY 48098
(248) 267-5050

Page 367
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1020810
BRILL, DAVID A MD
LAKE ORION 48360
(248) 693-1986
1073774
BRODSKY, MARC S MD
(248) 932-1250
1030161
BRODSKY, MARC S MD
(248) 788-4278
1060874
16800 12 MILE RD STE 102
SOUTHFIELD 48076
(248) 569-9797
1060872
1949 W 12 MILE RD STE 200
BERKLEY 48072
(248) 545-0070
1054472
SOUTHFIELD 48034
(248) 357-1360
1031473
SOUTHFIELD 48034
(248) 357-1360
1073042
BERKLEY 48072
(248) 545-0070
1073041
SOUTHFIELD 48076
(248) 569-9797
1073040
BERKLEY 48072
(248) 545-0070
1060873
27901 WOODWARD STE 300
BERKLEY 48072
(248) 545-0070
1043774
CHANDRA, SHARATH S MD
461 W HURON
PONTIAC 48341
(248) 857-6831
1068995
CHERNICK, ALLAN MD
29645 14 MILE RD STE 200
(248) 932-3700
1029129
CHINNAIYAN, KAVITHA M MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0301
1032707
CHOWDHURY, PERTHA S MD
ROYAL OAK 48073
(248) 551-5100
1019797
CIESZKOWSKI, JOHN H MD
1701 S BOULEVARD EAST STE 390
ROCHESTER 48307
(248) 293-0055
1083054
CRAGG, DAVID R MD
TROY 48098
(248) 267-5050
1083065
CRAGG, DAVID R MD
TROY 48098
(248) 267-5050
1119497
DARDA, SABA MD
1135 W UNIVERSITY DR STE 230
ROCHESTER 48307
(586) 698-1200
1069989
DAVID, SHUKRI MD
22250 PROVIDENCE DR STE 705
SOUTHFIELD 48075
(248) 552-9858
1127465
DEGREGORIO, MICHELE MD
1886 W AUBURN RD STE 400
ROCHESTER 48309
(248) 290-3111
1068997
DEMETRIOU, DEMETRIS M MD
29645 14 MILE RD
(248) 932-3700
1071223
DEVLIN, WILLIAM H MD
44201 DEQUINDRE RD
TROY 48085
(248) 577-9700
1083067
TROY 48098
(248) 267-5050
1083071
TROY 48098
(248) 267-5050
1107176
DEYOUNG, MICHAEL B DO
3250 W BIG BEAVER RD STE 144
TROY 48084
(248) 637-7100
1032687
DICKEY, JOHN Q DO
CLARKSTON 48346
(248) 620-9199
1009126
DICKEY, JOHN Q DO
6889 HIGHLAND RD
WATERFORD 48327
(248) 666-5200
1023086
DICKEY, JOHN Q DO
6507 TOWN CENTER
CLARKSTON 48346
(248) 666-5200
1054076
DICKEY, JOHN Q DO
50 N PERRY ST
PONTIAC 48342
(248) 338-5326
1057859
DIXON, SIMON R MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4163
1017217
DIXON, SIMON R MD
ROYAL OAK 48073
(248) 898-4163
1043773
DOSHI, NITIN C MD
461 W HURON
PONTIAC 48341
(248) 338-2420
1089187
ELDER, MAHIR D MD
SOUTHFIELD 48075
(248) 424-5000
1085774
FORCINA, MATTHEW S MD
1701 SOUTH BLVD EAST STE 390
ROCHESTER 48307
(248) 293-0055
1069994
FOSTER, NATHAN MD
(248) 865-9898
1070313
FRIEDMAN, HAROLD Z MD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-3220
1083074
TROY 48098
(248) 267-5050
1083075
TROY 48098
(248) 267-5050
1096636
GANGADHARAN, VELLAPPILLIL MD
SOUTHFIELD 48034
(248) 354-1080
1029459
GOEL, ANIL MD
555 BARCLAY CIRCLE STE 150
ROCHESTER 48307
(248) 723-4777
1023116
GOEL, ANIL MD
1915 E 14 MILE RD
BIRMINGHAM 48009
(248) 723-4777
1029460
GOEL, ANIL MD
909 W MAPLE RD STE 100
CLAWSON 48017
(248) 723-4777
1068999
GOLDBERG, MARK J MD
29645 14 MILE RD STE 200
(248) 932-3700
1030422
GOLDMAN, LARY S MD
30335 W 13 MILE RD STE 103
(248) 419-3400
1056491
GOLDSTEIN, BERNARD DO
350 E 12 MILE RD
(248) 545-3754

Page 368
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1037963
GOLDSTEIN, BERNARD DO
719 S OPDYKE RD
AUBURN HILLS 48326
(248) 874-4908
1030448
GOLDSTEIN, JAMES A MD
ROYAL OAK 48073
(248) 898-4163
1011246
3601 W 13 MILE RD 3RD FL
ROYAL OAK 48073
(248) 898-4163
1071922
BERKLEY 48072
(248) 545-0070
1071924
BERKLEY 48072
(248) 545-0070
1071923
SOUTHFIELD 48076
(248) 569-9797
1010630
BERKLEY 48072
(248) 545-0070
1030495
GOWMAN, DAVID P DO
SOUTHFIELD 48034
(248) 799-2600
1021175
GOWMAN, DAVID P DO
28080 GRAND RIVER STE 300 W
FARMINGTON 48336
(248) 615-7300
1089689
GRIBAR, JOHN J MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1060328
GRINBERG, ISSAC MD
22250 PROVIDENCE DR #705
SOUTHFIELD 48075
(248) 552-9858
1103791
GRINES, CINDY L MD
SOUTHFIELD 48034
(248) 354-1080
1008067
GRINES, CINDY L MD
ROYAL OAK 48073
(248) 898-4163
1102622
GUNDLAPALLI, SUJANA MD
22250 GRAND RIVER STE 705
SOUTHFIELD 48075
(248) 552-9858
1102621
GUNDLAPALLI, SUJANA MD
47601 GRAND RIVER STE C202
NOVI 48374
(248) 465-5855
1073772
GUNTHER, STEPHEN J MD
FRANKLIN 48025
(248) 594-4913
1073771
SOUTHFIELD 48034
(248) 945-0000
1105873
26400 W 12 MILE RD STE 120
SOUTHFIELD 48034
(248) 304-3200
1037087
GUPTA, ASHOK K MD
610 E 12 MILE RD
(248) 541-9111
1127463
HALABI, ABDUL MD
ROCHESTER 48309
(248) 290-3111
1120163
HALABI, ABDUL R MD
2300 HAGGERTY RD STE 2150
(248) 625-5550
1103428
HANSON, IVAN D MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4163
1030542
HANZEL, GEORGE S MD
ROYAL OAK 48073
(248) 898-4163
1016684
HANZEL, GEORGE S MD
ROYAL OAK 48073
(248) 898-4163
1124351
HARBER, DANIEL DO
SOUTHFIELD 48034
(248) 799-2600
1124350
HARBER, DANIEL DO
FARMINGTON 48336
(248) 615-7300
1020862
LAKE ORION 48360
(248) 693-1986
1011922
HAUSER, ANDREW M MD
BERKLEY 48072
(248) 545-0070
1071928
HAUSER, ANDREW M MD
SOUTHFIELD 48076
(248) 569-9797
1071926
HAUSER, ANDREW M MD
BERKLEY 48072
(248) 545-0070
1071925
HAUSER, ANDREW M MD
BERKLEY 48072
(248) 545-0070
1045871
HEATH II, JOHN S MD
44201 DEQUINDRE RD
TROY 48085
(248) 577-9352
1019795
HEATH II, JOHN S MD
ROCHESTER 48307
(248) 293-0055
1069996
HULL, FRANKLIN MD
SOUTHFIELD 48075
(248) 552-9858
1086679
ISMAIL, HASSAN MD
SOUTHFIELD 48075
(248) 424-5000
1120733
JAZRAWI, AYAD S MD
2221 LIVERNOIS STE 100
TROY 48083
(248) 250-9474
1060991
JOHN-ROSMAN, SARINE MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9700
1099041
KAHN, JOEL MD
ROCHESTER 48307
(248) 844-6000
1099042
KAHN, JOEL MD
(248) 398-4081
1017610
KAHN, JOEL MD
39595 W TEN MILE RD
NOVI 48375
(248) 476-6980
1099043
KAHN, JOEL MD
(248) 945-0000
1090371
KAKI, AMIR MD
SOUTHFIELD 48075
(248) 424-5000
1103403
KARABAJAKIAN, MARK Z DO
414 UNION ST STE 100
MILFORD 48381
(248) 676-8889
1108170
KARABAJAKIAN, MARK ZADIK DO
44000 W 12 MILE RD STE 211
NOVI 48377
(248) 305-8707
1108169
(248) 676-8889
1048296
KAZZIHA, SAMER MD
ROCHESTER 48307
(586) 698-1200

Page 369
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1075724
KAZZIHA, SAMER MD
ROCHESTER 48307
(248) 652-6336
1050301
KAZZIHA, SAMER MD
ROCHESTER 48307
(248) 652-5000
1048299
KAZZIHA, SAMER MD
ROCHESTER 48307
(586) 698-1200
1074131
KERNER, NATHAN J MD
26400 W 12 MILE RD STE 120
SOUTHFIELD 48034
(248) 304-3200
1030658
KOROTKIN, STEVEN M MD
FRANKLIN 48025
(248) 258-2888
1120172
KOZLOWSKI, JAY H MD
1 WILLIAMS CARLS DR
(248) 937-4764
1120171
KOZLOWSKI, JAY H MD
(248) 625-5550
1120170
KOZLOWSKI, JAY H MD
(248) 333-1172
1120169
KOZLOWSKI, JAY H MD
5701 BOW POINTE DR STE 205
CLARKSTON 48346
(248) 625-5550
1019796
KRAFT, PHILLIP L MD
ROCHESTER 48307
(248) 293-0055
1013003
KUDESIA, VIJAY S MD
SOUTHFIELD 48034
(248) 357-1360
1069513
KUTINSKY, ILANA DO
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9700
1083085
KUTINSKY, ILANA DO
TROY 48098
(248) 267-5050
1083090
KUTINSKY, ILANA DO
TROY 48098
(248) 267-5050
1035575
LAZAR, MARY E MD
ROYAL OAK 48073
(248) 551-5100
1070000
LEBEIS, MARK MD
(248) 865-9898
1033886
LEVIN, ROBERT N MD
ROYAL OAK 48073
(248) 551-5100
1070003
MACHADO, CHRISTIAN MD
SOUTHFIELD 48075
(248) 552-9858
1055439
MADRAZO, ARMANDO MD
1135 UNIVERSITY DR STE 230
ROCHESTER 48307
(586) 698-1200
1024695
MADRAZO, ARMANDO MD
2708 S ROCHESTER RD STE B
ROCHESTER 48307
(248) 299-0220
1075727
MADRAZO, ARMANDO MD
ROCHESTER 48307
(248) 652-6336
1055438
MADRAZO, ARMANDO MD
ROCHESTER 48307
(586) 698-1200
1125956
MAHMOOD, SYED A MD
SOUTHFIELD 48034
(248) 208-9216
1127282
MAHMOOD, SYED A MD
SOUTHFIELD 48034
(248) 357-1360
1071936
MAN, KIM DO
BERKLEY 48072
(248) 545-0070
1071935
MAN, KIM DO
SOUTHFIELD 48076
(248) 569-9797
1071937
MAN, KIM DO
BERKLEY 48072
(248) 545-0070
1103106
MARANDICI, ANNA M MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4760
1027463
MARCOVITZ, PAMELA MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4760
1019326
MARINESCU, GHEORHE MD
PONTIAC 48341
(248) 858-3938
1071940
SOUTHFIELD 48076
(248) 569-9797
1071941
BERKLEY 48072
(248) 545-0070
1010629
BERKLEY 48072
(248) 545-0070
1071939
BERKLEY 48072
(248) 545-0070
1065799
MAYNARD, ROBERT MD
(248) 865-9898
1019794
MCGOUGH, MARTIN F MD
ROCHESTER 48307
(248) 293-0055
1074133
MCGOUGH, MARTIN F MD
44201 DEQUINDRE RD
TROY 48085
(248) 577-9700
1069562
MCKENDRICK, GREGOR MD
(248) 865-9898
1023163
MILFORD, CREAGH DO
6507 TOWN CENTER
CLARKSTON 48346
(248) 666-5200
1023164
MILFORD, CREAGH DO
6889 HIGHLAND RD
WATERFORD 48327
(248) 666-5200
1032686
MILFORD, CREAGH DO
CLARKSTON 48346
(248) 620-9199
1017257
MILFORD, CREAGH DO
50 N PERRY
PONTIAC 48342
(248) 338-5000
1030841
MILLER, LYNN K MD
30335 W 13 MILE RD STE 103
(248) 419-3400
1065991
MILLER, RONALD MD
(248) 865-9898
1070316
MLADSI, THOMAS A MD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-3220
1086682
MOHAMAD, TAMAM MD
SOUTHFIELD 48075
(248) 424-5000

Page 370
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1086685
MOHAMED, TAHIR MD
SOUTHFIELD 48075
(248) 424-5000
1127284
MOHAMED, TAHIR MD
SOUTHFIELD 48034
(248) 357-1360
1068006
NINO, CHARLES MD
(248) 865-9898
1070007
NONA, WASSIM MD
SOUTHFIELD 48075
(248) 552-9858
1037013
NORI, DAVID MD
BERKLEY 48072
(248) 545-0070
1086657
OBEID, MUHAMMED DO
SOUTHFIELD 48075
(248) 424-5000
1063107
OSTERBERGER, LUIS E MD
SOUTHFIELD 48034
(248) 357-1360
1060329
OZOLINS, ANDIS MD
SOUTHFIELD 48075
(248) 552-9858
1096168
PACIS, MARIA DO
298 SOUTH OLD WOODWARD AVE
BIRMINGHAM 48009
(248) 792-5200
1030910
PAI, DIVAKAR MD
ROCHESTER 48307
(248) 608-3496
1050272
PAI, DIVAKAR MD
ROCHESTER 48307
(248) 652-5000
1127464
PATEL, KIRIT MD
ROCHESTER 48309
(248) 290-3111
1089540
PEREZ-SEGURA, LEANDRO MD
SOUTHFIELD 48034
(248) 357-1360
1120187
PITONE LIPKIN, KATHRYN DO
CLARKSTON 48346
(248) 625-5550
1120185
(248) 625-5550
1120186
(248) 333-1172
1120184
1 WILLIAM CARLS DR
(248) 937-4764
1126420
PRADHAN, JYOTIRANJAN MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-8912
1124332
QAZI, MAJID J DO
FARMINGTON 48336
(248) 615-7300
1085884
QAZI, MAJID J DO
29877 TELEGRAPH #400
SOUTHFIELD 48034
(734) 462-0340
1103958
QURESHI, MOHAMMAD I MD
SOUTHFIELD 48034
(248) 799-2600
1127283
SOUTHFIELD 48034
(248) 357-1360
1083539
28080 GRAND RIVER #300W
FARMINGTON 48336
(248) 615-7300
1071950
RABAH, MAHER M DO
BERKLEY 48072
(248) 545-0070
1045657
RABAH, MAHER M DO
BERKLEY 48072
(248) 545-0070
1071947
RABAH, MAHER M DO
BERKLEY 48072
(248) 545-0070
1071948
RABAH, MAHER M DO
BERKLEY 48072
(586) 731-6777
1071951
RABAH, MAHER M DO
SOUTHFIELD 48076
(248) 569-9797
1030963
RAFF, GILBERT L MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-5000
1070009
RAINA, ABHINAV MD
(248) 865-9898
1122284
RAINA, ABHINAY MD
NOVI 48377
(248) 553-0050
1020901
RAMOS, RENATO G MD
1559 W BIG BEAVER RD STE E
TROY 48084
(248) 649-0702
1030967
RAMOS, RENATO G MD
BERKLEY 48072
(248) 548-9090
1037502
RAMOS, RENATO G MD
1559 W BIG BEAVER RD STE E
TROY 48084
(248) 649-0702
1032373
RASAK, MARK A DO
28080 GRAND RIVER AVE STE 300W
FARMINGTON 48336
(248) 616-7300
1120336
REDDY, CHANDRA S MD
(248) 333-1172
1120332
REDDY, CHANDRA S MD
455 S LIVERNOIS RD STE B21
ROCHESTER 48307
(248) 656-5800
1120335
REDDY, CHANDRA S MD
(248) 625-5550
1095507
REDDY, CHANDRA S MD
ROCHESTER 48307
(248) 322-3088
1050277
REDDY, CHANDRA S MD
ROCHESTER 48307
(248) 652-5000
1120334
REDDY, CHANDRA S MD
720 N LAPEER RD STE 103
LAKE ORION 48362
(248) 287-8888
1120337
REDDY, CHANDRA S MD
CLARKSTON 48346
(248) 625-5550
1060637
ROJAS, JUAN C MD
SOUTHFIELD 48034
(248) 357-1360
1122285
SABA, SOUHEIL MD
NOVI 48377
(248) 553-0050
1070010
SABA, SOUHEIL MD
SOUTHFIELD 48075
(248) 552-9858
1095267
SABBOTA, HARVEY P DO
39625 LEWIS DR STE 200
NOVI 48377
(248) 698-4109

Page 371
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1126424
SABBOTA, HARVEY P DO
(248) 723-5880
1016045
SAFIAN, ROBERT D MD
ROYAL OAK 48073
(248) 898-4163
1068206
SAFIAN, ROBERT D MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4163
1073379
SAHAM, GEOFFREY M MD
1385 E 12 MILE RD STE 100
(248) 399-6090
1073377
ROCHESTER 48307
(248) 299-0000
1073378
ROCHESTER 48307
(248) 844-6000
1035604
SALAHI, FAROUK MD
ROCHESTER 48307
(248) 601-1755
1050303
SALAHI, FAROUK MD
ROCHESTER 48307
(248) 652-5000
1085806
BERKLEY 48072
(248) 545-0070
1085804
SOUTHFIELD 48076
(248) 569-9797
1085805
BERKLEY 48072
(248) 545-0070
1055267
SALLACH, JOHN A MD
ROCHESTER 48307
(248) 293-0055
1057067
SALLACH, JOHN A MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-8506
1058059
SALLACH, JOHN A MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-5000
1051605
SALVIA, LEONARD DO
50 N PERRY ST
PONTIAC 48342
(248) 338-5000
1032685
SALVIA, LEONARD DO
CLARKSTON 48346
(248) 620-9199
1023252
SALVIA, LEONARD DO
6889 HIGHLAND RD
WATERFORD 48327
(248) 666-5200
1023251
SALVIA, LEONARD DO
6507 TOWN CENTER
CLARKSTON 48346
(248) 666-5200
1086688
SATTAR, HAMID MD
SOUTHFIELD 48075
(248) 424-5000
1075725
ROCHESTER 48307
(248) 652-6336
1048297
ROCHESTER 48307
(586) 698-1200
1048298
ROCHESTER 48307
(586) 698-1200
1123832
SEARING, SCOTT DO
FARMINGTON 48336
(248) 473-4771
1126291
SEARING, SCOTT DO
44130 W 12 MILE RD
NOVI 48377
(248) 513-3010
1123834
SEARING, SCOTT DO
NOVI 48377
(248) 473-4771
1084808
SERAFIMOVSKI, NENAD MD
SOUTHFIELD 48034
(248) 799-2600
1124356
FARMINGTON 48336
(248) 615-7300
1070013
SHAH, DIPAK MD
SOUTHFIELD 48075
(248) 552-9858
1070014
SHAH, KIRIT MD
(248) 865-9898
1107143
2708 S ROCHESTER RD STE A
ROCHESTER 48307
(248) 844-1500
1107142
ROCHESTER 48307
(248) 652-6336
1050302
ROCHESTER 48307
(248) 652-5000
1106444
2708 S ROCHESTER RD STE A
ROCHESTER 48307
(248) 844-1500
1071953
SHOUKFEH, MAZEN MD
BERKLEY 48072
(248) 545-0487
1066818
SHOUKFEH, MAZEN MD
BERKLEY 48072
(248) 545-0070
1071955
SHOUKFEH, MAZEN MD
BERKLEY 48072
(248) 545-0070
1071952
SHOUKFEH, MAZEN MD
SOUTHFIELD 48076
(248) 569-9797
1124352
SIDDIDQUI, MUKARRAM MD
SOUTHFIELD 48034
(248) 799-2600
1124354
FARMINGTON 48336
(248) 615-7300
1093291
SIDDIQUI, MUKARRAM A MD
SOUTHFIELD 48075
(248) 424-5000
1124013
16001 W NINE MILE RD
SOUTHFIELD 48075
(248) 899-3000
1070015
SMALL, DELANO MD
SOUTHFIELD 48075
(248) 552-9858
1056782
SPEARS, JAMES R MD
ROYAL OAK 48073
(248) 288-6800
1031195
STEWART, JAMES R MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4163
1032684
STUART, MARK DO
CLARKSTON 48346
(248) 620-9199
1023270
STUART, MARK DO
6889 HIGHLAND RD
WATERFORD 48327
(248) 666-5200

Page 372
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1023269
STUART, MARK DO
6507 TOWN CENTER
CLARKSTON 48346
(248) 666-5200
1054079
STUART, MARK DO
50 N PERRY ST
PONTIAC 48342
(248) 338-5000
1091252
SUSSER, DAVID DO
28080 GRAND RIVER AVE STE 300W
FARMINGTON 48336
(248) 616-7300
1071957
TIMMIS, STEVEN B MD
BERKLEY 48072
(248) 545-0070
1035596
TIMMIS, STEVEN B MD
SOUTHFIELD 48076
(248) 569-9797
1071959
TIMMIS, STEVEN B MD
BERKLEY 48072
(248) 545-0070
1071958
TIMMIS, STEVEN B MD
SOUTHFIELD 48076
(248) 569-9797
1103801
44201 DEQUINDRE RD
TROY 48085
(248) 577-9700
1031305
WALSH, DANIEL G MD
FRANKLIN 48025
(248) 258-2888
1071963
SOUTHFIELD 48076
(248) 569-9797
1066819
BERKLEY 48072
(248) 545-0070
1071962
BERKLEY 48072
(248) 545-0070
1071960
BERKLEY 48072
(248) 545-0070
1083114
TROY 48098
(248) 267-5050
1083115
TROY 48098
(248) 267-5050
1055266
WONG, WAI SHUN MD
ROYAL OAK 48073
(248) 898-4163
1070022
ZAKS, JEFFREY MD
SOUTHFIELD 48075
(248) 552-9858
1070024
ZARGHAMI, JAMAL MD
SOUTHFIELD 48075
(248) 552-9858
1070026
ZUGHAIB, MARCEL MD
SOUTHFIELD 48075
(248) 552-9858
1109375
LAVERONI, EUGENE W DO
FARMINGTON 48336
(248) 471-8829
1105924
CLARKSTON 48346
(248) 620-9901
1108132
RITS, YEVGENIY M MD
SOUTHFIELD 48034
(248) 354-1080
1108197
RUBIN, JEFFREY REED MD
SOUTHFIELD 48034
(248) 354-1080
MCLAREN SLEEP DIAGNOSTIC CENTER
CLARKSTON 48346
(248) 922-6840
CLINIC
9000003
1035361
FURMAGA, MICHELLE L MD
FARMINGTON 48335
(248) 212-0460
1073045
FURMAGA, MICHELLE L MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 212-0460

1066360
BARK, KENNETH S MD
595 BARCLAY CIRCLE STE A
ROCHESTER 48307
(248) 852-8020
1066361
BARK, KENNETH S MD
1455 S LAPEER RD STE 222
LAKE ORION 48360
(248) 693-9255
1063555
BARKEL, DONALD C MD
ROYAL OAK 48073
(248) 551-6156
1055589
DESHMUKH, GANESH R MD
BERKLEY 48072
(734) 722-6300
1069991
DRELICHMAN, ERNESTO MD
16001 W 9 MILE RD 3RD FL
SOUTHFIELD 48075
(248) 849-6030
1026493
HAIN, JON M MD
1455 S LAPEER RD
LAKE ORION 48360
(248) 693-9255
1030533
HAIN, JON M MD
ROCHESTER 48307
(248) 852-8020
1070238
ITAWI, ED MD
SOUTHFIELD 48075
(248) 557-8780
1101703
ITENBERG, EDWIN R DO
16001 W 9 MILE RD 3RD FLOOR
SOUTHFIELD 48075
(248) 849-6030
1063563
KADRO, OMAR MD
ROYAL OAK 48073
(248) 551-6156
1063564
KLEIN, STEVEN N MD
ROYAL OAK 48073
(248) 551-6156
1030704
LAKE ORION 48360
(248) 693-9255
1030702
ROCHESTER 48307
(248) 852-8020
1030766
LYNCH, JAMES P MD
LAKE ORION 48360
(248) 693-9255

Page 373
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
COLON - RECTAL SURGERY (CONTINUED)

1030764
LYNCH, JAMES P MD
ROCHESTER 48307
(248) 852-8020
1030879
ROCHESTER 48307
(248) 852-8020
1024442
LAKE ORION 48360
(248) 693-9255
1076258
PRIEST, STEPHEN G MD
ROYAL OAK 48073
(248) 551-6156
1096683
SACKSNER, JORDY S MD
(248) 865-2575
1117408
SHELLNUT, JASON K MD
1121 CROOKS RD
ROYAL OAK 48067
(248) 541-8554
1063569
ROYAL OAK 48073
(248) 551-6156
1124033
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0898
1006346
TOOTLA, AMOD S MD
44060 WOODWARD AVAE STE 104
(248) 334-3197
1007747
TOOTLA, FAROUK S MD
(248) 334-3197
1127897
ZIEGLER, MATTHEW A MD
1121 CROOKS RD
ROYAL OAK 48067
(248) 541-8554
DERMATOLOGY
1037809
ARONSON, PETER J MD
555 BARCLAY CIR STE 115
ROCHESTER 48307
(248) 844-3660
1124133
ARONSON, PETER J MD
1420 STEPHENSON HWY STE 200
TROY 48083
(248) 581-5200
1079852
BENDER, BRETT DO
21141 MIDDLEBELT
FARMINGTON 48336
(248) 476-4295
1069732
BENDER, BRETT DO
50 N PERRY
PONTIAC 48342
(248) 338-5328
1096009
2251 N SQUIRREL RD STE 200
AUBURN HILLS 48326
(248) 858-2255
1026674
CLIFFEL, MAUREEN DO
50 N PERRY ST
PONTIAC 48342
(248) 338-0801
1035532
CLIFFEL, MAUREEN DO
385 N LAPEER RD
OXFORD 48371
(248) 628-3000
1119364
COHEN, CARL J MD
AUBURN HILLS 48326
(248) 335-6725
1033755
DESAI, SNEHAL R MD
TROY 48098
(248) 267-5020
1032140
TROY 48098
(586) 263-7200
1049555
FEDORONKO, LORI I MD
3535 W 13 MILE RD STE LL
ROYAL OAK 48073
(248) 551-3000
1099044
HARRIS, JOEL DO
(248) 541-1500
1032167
TROY 48098
(586) 263-7200
1124139
KADO, JESSICA A MD
TROY 48083
(248) 581-5200
1089642
KOLE, KERRY L DO
44201 DEQUINDRE RD
TROY 48085
(248) 964-5111
1124030
KOPITZKI, BRIAN DO
FARMINGTON 48336
(248) 473-4828
1067474
LACASSE, ANNETTE C DO
50 N PERRY ST
PONTIAC 48342
(248) 338-5328
1124157
LEITHAUSER, LAUREL A MD
TROY 48083
(248) 581-5200
1079885
MAHON, MICHAEL DO
21141 MIDDLEBELT
FARMINGTON 48336
(248) 476-4295
1069915
MCFALDA, WENDY DO
50 N PERRY ST
PONTIAC 48342
(248) 338-5328
1030836
MERKLE, SUZANNE R MD
(248) 855-3366
1030837
MERKLE, SUZANNE R MD
9640 COMMERCE RD STE 100
(248) 855-3366
1036656
MIRSA-HIGGINS, INDIRA C DO
FRANKLIN 48025
(248) 723-5802
1007552
MOIIN, ALI MD
1575 W BIG BEAVER RD STE C12
TROY 48084
(248) 643-7677
1030903
NOVICE, FRED M MD
(248) 932-3376
1047800
PHAM, THOMAS S MD
ROYAL OAK 48073
(248) 551-3000
1031282
SANDLER, BRIAN G MD
LAKE ORION 48360
(248) 969-8600
1069914
SEIGER, ERIC S DO
50 N PERRY ST
PONTIAC 48342
(248) 338-5328
1024996
SIKORSKI, LYNN MARIE DO
1900 S TELEGRAPH RD STE 100
(248) 338-6400
1069913
SIKORSKI, LYNN MARIE DO
50 N PERRY ST
PONTIAC 48342
(248) 338-5328
1120780
STEPHENSON, SEAN DO
50 N PERRY ST DERMATOLOGY CLINIC
PONTIAC 48342
(248) 338-5328
1095142
ZARKA, MOHAMMAD DO
1575 W BIG BEAVER RD STE C12
TROY 48084
(248) 643-7677

Page 374
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
DERMATOPATHOLOGY
1055410
GHAEMI, MOHAMMAD MD
4792 ROCHESTER RD STE B
TROY 48085
(248) 528-3720
1079893
PUI, JOHN C MD
28050 GRAND RIVER
FARMINGTON 48336
(248) 615-7478
(248) 686-0340
DIETARY MANAGEMENT
1094134
KNUDSON, MELISSA RD
DME - P&O
1046915
A BETTER CHOICE MEDICAL SUPPLY
8174 COOLEY LAKE RD
WHITE LAKE 48386
(810) 494-9200
1018733
ADVANCED MEDICAL EQUIPMENT
TROY 48084
(248) 649-3756
1020652
ALERT MEDICAL INC
30555 GREENFIELD RD
SOUTHFIELD 48076
(248) 258-9966
1116601
599 E MANDOLINE DR
(248) 588-1607
1066545
599 E MANDOLINE AVENUE
(248) 643-4140
1075569
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 743-9200
1032575
1410 E 14 MILE RD
(248) 743-9200
1075568
44201 DEQUINDRE RD 1ST FLOOR
TROY 48085
(248) 743-9200
1093634
BECKER ORTHOPEDIC APPLIANCE CO
28801 WOODWARD AVE
BERKLEY 48072
(248) 399-0030
1093635
4800 HIGHLAND RD STE
WATERFORD 48328
(248) 674-9600
1059464
BEFITTING YOU MEDICAL SUPPLY LLC
1 WILLIAM CARLS DR
(248) 937-3895
1031260
BHME WBH TROY
1200 STEPHENSON HWY
TROY 48083
(248) 743-9200
1037492
30475 WOODWARD AVE
ROYAL OAK 48073
(248) 288-0441
1037494
6475 ROCHESTER RD
TROY 48085
(248) 828-3143
1032952
BIOMATRIX ORTHOPEDICS
1174 E BIG BEAVER
TROY 48083
(586) 773-1400
1085730
BYRAM HEALTHCARE CENTERS
106 S WOODWARD ST STE 106
BIRMINGHAM 48009
(877) 902-9726
1085093
CARE ONE MEDICAL EQUIPMENT & SUPPLI
1500 BIG BEAVER RD STE 104C
TROY 48084
(877) 488-2273
1003012
CRITICAL CARE SYSTEMS
46998 MAGELLAN DR STE 300
WIXOM 48393
(248) 960-8095
1106732
CRITICAL SIGNAL TECHNOLOGIES INC
27475 MEADOWBROOK RD
NOVI 48377
(855) 857-4462
1027422
CRITTENTON MEDICAL EQUIPMENT
1176 S LAPEER RD
LAKE ORION 48360
(248) 693-5384
1124293
161 S LIVERNOIS
ROCHESTER 48307
(248) 650-4560
1040457
DURATECH MEDICAL INC
22748 ORCHARD LAKE RD
FARMINGTON 48336
(248) 427-1193
1127759
EXPRESS MEDICAL EQUIPMENT LLC
TROY 48083
(248) 733-7500
1013225
GABECARE DIRECT RX
1179 MAPLELAWN DR
TROY 48084
(800) 422-3227
1029054
GUARDIAN ANGEL MEDICAL EQUIPMENT
1701 NORTHFIELD DR
ROCHESTER 48308
(248) 293-2415
1119396
21651 MELROSE AVE
SOUTHFIELD 48075
(248) 388-6318
1119395
39630 14 MILE RD
WALLED LAKE 48390
(248) 960-1989
1119385
6777 W MAPLE RD
(248) 661-7935
1105460
CLARKSTON 48346
(248) 922-6850
1120950
25177 DEQUINDRE RD
(248) 544-8400
1094622
HEALTHY LIVING MEDICAL SUPPLY
1095 CROOKS RD STE 400
TROY 48084
(866) 779-8512
1122436
HOME I V CARE INC
32751 EDWARD AVE STE 101
(248) 577-5670
1012894
JB MEDICAL SUPPLY INC
50496 W PONTIAC TR STE 500
WIXOM 48393
(800) 737-0045
1097442
JONOTT ENTERPRISE
1001 WELCH DR STE 104
WALLED LAKE 48390
(248) 669-3200
1071358
LIFECARE SUPPLIES
4305 PINEVIEW DR STE 300
WALLED LAKE 48390
(248) 366-7000
1028852
LIFESTYLE OXYGEN
278 W WARDLOW RD
HIGHLAND 48357
(248) 887-5762
1077527
MED SUPPLY CORPORATION
33333 DEQUINDRE RD STE A
TROY 48083
(248) 588-1456
1017632
MEDOX INC
1555 W HAMLIN RD
ROCHESTER 48309
(248) 852-4100
1093091
MEDSOURCE LLC
6770 DIXIE HWY
CLARKSTON 48346
(248) 795-2058
1015881
MOTOR CITY MEDICAL
25367 DEQUINDRE
(248) 545-4520

Page 375
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1024139
MYSTIC MEDICAL EQUIPMENT FARMINGTON HILLS
23660 RESEARCH DR
FARMINGTON 48335
(248) 476-8811
1030124
NATIONAL SEATING & MOBILITY
1876 AUSTIN DR
TROY 48083
(248) 740-8858
1057522
ORBIT MEDICAL INC
25165 DEQUINDRE RD
(801) 713-2020
1058238
37724 HILLS TECH DR
(800) 736-8276
1060078
PEDIATRIC SPECIAL CARE
17040 W 12 MILE RD STE 200
SOUTHFIELD 48076
(248) 557-4800
1028826
PHOENIX MEDICAL SUPPLY
21755 MELROSE AVE
SOUTHFIELD 48075
(248) 354-5200
204058
PRIMIS HEALTH CARE
1132 COOLIDGE HIGHTWAY
TROY 48084
(248) 655-5555
1016219
PROFESSIONAL BREATHING ASSOCIATES INC
1683 STAR-BATT DR
ROCHESTER 48309
(248) 852-9393
1032553
PROS-TECH INC
1717 STEPHENSON HWY
TROY 48083
(248) 680-2800
1074377
RELIABLE MEDICAL SUPPLY LLC
NOVI 48377
(248) 994-3141
1018026
RT SPECIALISTS CORP
1305 N OAKLAND BLVD STE 136
WATERFORD 48327
(248) 461-2052
1003885
4204 MARTIN RD STE E
WALLED LAKE 48390
(248) 363-7575
1024650
TROY 48083
(800) 922-5101
1037563
SLEEP RX OF MICHIGAN
20853 FARMINGTON RD STE 102
FARMINGTON 48336
(877) 246-8672
1019517
SLEEP SOLUTIONS
TROY 48083
(877) 753-3764
1031626
SOURCE ONE MEDICAL INC
1397 PIEDMONT STE 300
TROY 48083
(248) 519-5075
1041469
SUN MEDICAL EQUIPMENT COMPANY INC
1938 WOODSLEE DR
TROY 48083
(248) 280-2020
1030425
THE DME SOURCE
FRANKLIN 48025
(877) 363-7133
1041393
TOWN CENTER FOOT AND ANKLE
6510 TOWN CENTER DR STE C
CLARKSTON 48346
(248) 922-6000
1102134
2638 BOND ST
ROCHESTER 48309
(248) 853-0369
1025586
5910 S MAIN ST
CLARKSTON 48346
(248) 620-2401
1025592
27678 MIDDLEBELT RD
(248) 615-0041
1025593
23520 WOODWARD
FERNDALE 48220
(248) 336-8460
1025603
1100 W THIRTEEN MILE
(248) 658-0990
1025609
2845 CROOKS RD
ROCHESTER 48309
(248) 829-8292
1025613
26750 PROVIDENCE PKWY STE 125
NOVI 48374
(248) 347-2365
1075150
XCLUSIVE MEDICAL EQUIPMENT LLC
28 N SAGINAW STE 202
PONTIAC 48342
(248) 353-5500

1095687
ABBARAH, THABET MD
461 W HURON
PONTIAC 48341
(248) 857-7200
1022921
ABBARAH, THABET MD
4000 HIGHLAND RD STE 115
WATERFORD 48328
(248) 681-3555
1065638
AKERVALL, JAN MD
ROYAL OAK 48073
(888) 997-3358
1078865
ARDEN, RICHARD L MD
1202 WALTON BLVD STE 201
ROCHESTER 48307
(248) 652-0044
1015563
BABU, SEILESH C MD
(248) 865-4444
1035109
BABU, SEILESH C MD
NOVI 48374
(248) 865-4444
1031429
BABU, SEILESH C MD
ROYAL OAK 48073
(248) 865-4444
1078867
BECKER, JOHN W MD
ROCHESTER 48307
(248) 652-0044
1031437
BOJRAB, DENNIS I MD
(248) 865-4444
1035112
BOJRAB, DENNIS I MD
NOVI 48374
(248) 865-4444
1031438
BOJRAB, DENNIS I MD
ROYAL OAK 48073
(248) 865-4444
1092398
BRANDES, WARREN DO
(248) 541-0100
1092399
BRANDES, WARREN DO
FARMINGTON 48336
(248) 478-8616
1125045
BRANDES, WARREN DO
3950 ROCHESTER RD STE 1300
ROCHESTER 48307
(248) 541-0100
1037158
BROOKS, JAMES S MD
SOUTHFIELD 48034
(248) 356-7772
1124141
CARRON, MICHAEL A MD
TROY 48083
(248) 581-5200
1055014
SOUTHFIELD 48034
(248) 357-4151

Page 376
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1035852
CHAN, ELEANOR Y MD
ROYAL OAK 48073
(248) 865-4444
1035853
CHAN, ELEANOR Y MD
NOVI 48374
(248) 865-4444
1035851
CHAN, ELEANOR Y MD
(248) 865-4444
1035143
DICKSON, CLARK B MD
47601 GRAND RIVER AVE STE A107
NOVI 48374
(248) 569-5985
1035142
DICKSON, CLARK B MD
SOUTHFIELD 48034
(248) 569-5985
1031640
DOWNS, ASHA J DO
ROCHESTER 48307
(248) 299-6100
1017645
DOWNS, ASHA J DO
CLARKSTON 48346
(248) 620-3100
1054594
FOLBE, ADAM J MD
SOUTHFIELD 48034
(248) 357-4151
1055040
FOLBE, ADAM J MD
1135 W UNIVERSITY
ROCHESTER 48307
(248) 218-5597
1097258
GOOD, LAURA J PA
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-5058
1059683
GUPTA, ANIL K MD
ROYAL OAK 48073
(248) 549-9035
1069559
GUPTA, ANIL K MD
33200 W 14 MILE RD STE 230
(248) 539-9060
1076273
GWINN, KENNETH L MD
44201 DEQUINDRE RD
TROY 48085
(888) 997-3358
1106747
HANDZO, DEREK DO
TROY 48085
(888) 997-3358
1092915
HANDZO, DEREK J DO
ROCHESTER 48307
(248) 652-0044
1033023
HEGYI, DOUGLAS F DO
ROCHESTER 48308
(248) 844-3690
1090358
HONG, ROBERT S MD
(248) 865-4444
1054637
JACOBS, JOHN R MD
(248) 335-9800
1055409
JACOBS, JOHN R MD
SOUTHFIELD 48034
(248) 357-4151
1055491
JACOBS, JOHN R MD
ROCHESTER 48307
(248) 652-5908
1024948
KITAIN, DONALD S DO
(248) 360-8825
1009832
KWARTOWITZ, GARY DO
5701 BOW POINTE STE 200
CLARKSTON 48346
(248) 620-3100
1031653
KWARTOWITZ, GARY DO
ROCHESTER 48307
(248) 299-6100
1030705
LA ROUERE, MICHAEL J MD
(248) 865-4444
1035110
LA ROUERE, MICHAEL J MD
NOVI 48374
(248) 865-4444
1055618
LIN, HO-SHENG MD
SOUTHFIELD 48034
(248) 357-4151
1106231
MASRI, HAITHAM MD
373 S OLD WOODWARD
BIRMINGHAM 48009
(248) 723-7188
1065641
MCBRIEN, MARY MD
ROYAL OAK 48073
(888) 997-3358
1092401
(248) 541-0100
1092404
FARMINGTON 48336
(248) 478-8616
1125044
3950 ROCHESTER ST STE 1300
ROCHESTER 48307
(248) 541-0100
1054744
MONSELL, EDWIN M MD
SOUTHFIELD 48034
(248) 357-4151
1027062
MONSELL, EDWIN M MD
(248) 335-9800
1118959
MONSELL, EDWIN M MD
ROCHESTER 48307
(248) 218-5557
1090408
NAUMANN, ILKA C MD
(248) 865-4444
1065723
NOWAK, PEGGYANN MD
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9600
1065725
RONTAL, DANIEL A MD
ROYAL OAK 48073
(248) 577-9600
1065644
RONTAL, EUGENE MD
ROYAL OAK 48073
(888) 997-3358
1065726
RONTAL, MICHAEL MD
ROYAL OAK 48073
(248) 577-9600
1049583
RONTAL, MICHAEL MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9600
1083103
ROSNER, ARTHUR J MD
44201 DEQUINDRE RD
TROY 48085
(888) 997-3358
1035111
SARGENT, ERIC W MD
NOVI 48374
(248) 865-4444
1031036
SARGENT, ERIC W MD
(248) 865-4444
1078868
SCAPINI, DAVID A MD
ROCHESTER 48307
(248) 652-0044
1125046
ROCHESTER 48307
(248) 541-0100
1092407
FARMINGTON 48336
(248) 478-8816

Page 377
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1092405
(248) 541-0100
1031755
ROCHESTER 48307
(248) 299-6100
1017643
CLARKSTON 48346
(248) 620-3100
1124140
SHKOUKANI, MAHDI A MD
TROY 48083
(248) 581-5200
1070448
SOUTHFIELD 48034
(248) 357-4151
1118424
ROCHESTER 48307
(248) 218-5557
1069399
STONE, MICHAEL E MD
SOUTHFIELD 48034
(248) 569-5985
1069401
STONE, MICHAEL E MD
NOVI 48374
(248) 569-5985
1012824
WANDZEL, RICHARD A DO
222 W HIGHLAND
HIGHLAND 48357
(248) 889-7600
1033958
47601 GRAND RIVER AVE STE A107
NOVI 48374
(248) 569-5985
1033955
SOUTHFIELD 48034
(248) 569-5985
1023296
YERMAN, HOWARD MD
(248) 360-5881
1055770
YOO, GEORGE H MD
(248) 538-6505
1031376
ZAPPIA, JOHN J MD
ROYAL OAK 48073
(248) 865-4444
1035113
ZAPPIA, JOHN J MD
NOVI 48374
(248) 865-4444
1003746
ZAPPIA, JOHN J MD
(248) 865-4444
1055772
ZULIANI, GIANCARLO F MD
(248) 335-9800
1055771
SOUTHFIELD 48034
(248) 357-4151

1078005
BEAUMONT PROFESSIONAL SERVICES
3601 W THIRTEEN MILE RD
ROYAL OAK 48073
(248) 577-9352
1055844
44201 DEQUINDRE RD
TROY 48085
(248) 577-9352
1093847
BEAUMONT PROFESSIONAL SVCS
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-5000
1102400
CRITTENTON HOSPITAL MEDICAL CTR
ROCHESTER 48307
(248) 652-5000
1054253
DEGARA PLLC
50 N PERRY ST
PONTIAC 48342
(866) 898-7139
1054255
DEGARA PLLC
5625 WATER TOWER PL STE 166
CLARKSTON 48346
(248) 625-4245
1054254
DEGARA PLLC
385 N LAPEER RD
OXFORD 48371
(248) 628-3000
1102438
DOCTORS HOSPITAL OF MICHIGAN
461 W HURON
PONTIAC 48341
(248) 857-7583
1097560
27351 DEQUINDRE RD ER
(248) 967-7000
1050681
OAKLAND PHYSICIANS MEDICAL
461 W HURON
PONTIAC 48341
(248) 857-7440
1083613
PONTIAC OSTEOPATHIC HOSPITAL
50 N PERRY ST
PONTIAC 48342
(248) 628-3000

1060590
BEAUMONT DIALYSIS-BERKLEY
2624 ELEVEN MILE RD
BERKLEY 48072
(248) 543-7005
1078635
BEAUMONT DIALYSIS-FRANKLIN
26400 W 12 MILE STE 112
SOUTHFIELD 48034
(248) 228-8777
1060592
BEAUMONT DIALYSIS-HAZEL PARK
23231 JOHN R RD
HAZEL PARK 48030
(248) 545-0550
1060593
BEAUMONT DIALYSIS-ROCHESTER HILLS
6700 N ROCHESTER RD
ROCHESTER 48306
(248) 650-1533
1066399
BMA MADISON HEIGHTS
25780 COMMERCE DR
(248) 398-8090
ENDOCRINOLOGY
1124153
ADDEPALLI, ARADHANA MD
TROY 48083
(248) 581-5200
1042224
AHMAD, NASEER M MD
23800 ORCHARD LK RD STE 206
FARMINGTON 48336
(248) 471-3300
1125386
AKKAD, AYMAN MD
27207 LASHER RD
SOUTHFIELD 48034
(313) 914-5591
1124625
ALZOHAILI, OPADA MD
27207 LAHSER RD
SOUTHFIELD 48034
(313) 914-5591
1117588
DAWOOD-FARAH, FARAH MD
1701 SOUTH BLVD STE 190
ROCHESTER 48307
(586) 580-0760
1124469
KRAKAUER, JESSE C MD
27207 LASHER RD
SOUTHFIELD 48034
(313) 914-5591
1126049
OBI, OGOMA M MD
2970 CROOKS RD STE A
ROCHESTER 48309
(248) 844-0200

Page 378
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1089450
SAMANTRAY, JULIE MD
26400 W 12 MILE RD STE 111
SOUTHFIELD 48034
(313) 745-4525
1102543
SCROGIN, ANDREW D MD
1854 W AUBURN RD STE 100A
ROCHESTER 48309
(248) 696-3170
GASTROENTEROLOGY
1125943
ABURASHED, AHMAD MD
SOUTHFIELD 48034
(248) 354-4633
1076260
AKKARY, SAMI R MD
ROYAL OAK 48073
(248) 551-3000
1093513
AL SAWAS, OUSSAMA MD
ROCHESTER 48307
(248) 844-2600
1093514
AL SAWAS, OUSSAMA MD
PONTIAC 48341
(248) 858-3878
1103340
AL SIBAE, MOHAMAD R MD
ROYAL OAK 48073
(248) 551-3000
1103339
ROYAL OAK 48073
(800) 253-5592
1103338
ROYAL OAK 48073
(248) 551-1515
1030075
AL-HAMAD, THANAA MD
44201 DEQUINDRE RD
TROY 48085
(248) 844-2600
1065096
ALMODOVAR, KIM MD
145 S ROCHDALE DR STE B
ROCHESTER 48309
(248) 656-4225
1105569
AYAS, MOUHIB MD
ROYAL OAK 48073
(248) 551-0487
1076261
BAKKEN, ANEZI E MD
44201 DEQUINDRE RD
TROY 48085
(888) 997-3358
1064757
BALUCH, MEHDI MD
43344 WOODWARD AVE
(248) 758-0730
1065714
BATKE, MIHAELA MD
ROYAL OAK 48073
(888) 997-3358
1065160
BATKE, MIHAELA MD
ROYAL OAK 48073
(248) 551-3000
1064951
BATKE, MIHAELA MD
FARMINGTON 48336
(248) 442-0800
1114550
BEWICK, KERRI A DO
1701 E SOUTH BLVD STE 300
ROCHESTER 48307
(248) 844-9710
1119632
BEWICK, KERRI A DO
TROY 48085
(248) 844-9710
1102796
BORTMAN, JARED S MD
ROYAL OAK 48073
(248) 551-3000
1014194
BRAL, KAMBIZ MD
ROCHESTER 48307
(248) 844-2700
1074951
CANNON, MICHAEL E MD
ROYAL OAK 48073
(888) 997-3358
1064461
CAPPELL, MITCHELL S MD
ROYAL OAK 48073
(248) 551-1910
1032702
CAPPELL, MITCHELL S MD
3535 W 13 MILE RD OPC
ROYAL OAK 48073
(248) 551-3000
1056557
CUTLER, ALAN F MD
NOVI 48374
(248) 662-4300
1106875
CUTLER, ALAN F MD
12660 TEN MILE RD
SOUTH LYON 48178
(248) 985-5000
1032084
CUTLER, ALAN F MD
(248) 985-5000
1106870
CUTLER, ALAN F MD
16001 W NINE MILE RD 3RD FLOOR FISHER
SOUTHFIELD 48075
(248) 985-5000
1026752
DEVORE, MARK S MD
SOUTHFIELD 48075
(248) 569-1770
1030230
DEVORE, MARK S MD
NOVI 48374
(248) 569-1770
1076264
DONAT, MEHMET E MD
44201 DEQUINDRE RD
TROY 48085
(888) 997-3358
1024113
FERGUSON, ROBERT B MD
(248) 682-1720
1106778
FIELDS, JANICE M MD
SOUTHFIELD 48075
(248) 985-5000
1032110
FIELDS, JANICE M MD
(248) 985-5000
1106775
FIELDS, JANICE M MD
12660 TEN MILE RD
SOUTH LYON 48178
(248) 985-5000
1056556
FIELDS, JANICE M MD
NOVI 48374
(248) 662-4300
1106671
SOUTHFIELD 48075
(248) 985-5000
1106644
12660 TEN MILE RD
SOUTH LYON 48178
(248) 985-5000
1106631
NOVI 48374
(248) 662-4300
1065718
ROYAL OAK 48073
(248) 577-9600
1062454
(248) 985-5000
1065719
GHAITH, GEHAD M MD
ROYAL OAK 48073
(248) 577-9600
1106591
SOUTHFIELD 48075
(248) 985-5000
1106570
12660 TEN MILE RD
SOUTH LYON 48178
(248) 985-5000

Page 379
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1056555
NOVI 48374
(248) 662-4300
1032111
(248) 985-5000
1023128
HASAN, SAFIUL MD
WATERFORD 48327
(248) 682-4900
1073355
HOFFMAN, STEPHEN MJ DO
(248) 399-4400
1118768
HUANG, MARY ANN YI-ANG MD
ROYAL OAK 48073
(248) 551-1515
1118769
HUANG, MARY ANN YI-ANG MD
ROYAL OAK 48073
(800) 253-5592
1032113
(248) 985-5000
1106532
SOUTHFIELD 48075
(248) 985-5000
1106535
12660 TEN MILE RD
SOUTH LYON 48178
(248) 985-5000
1056554
NOVI 48374
(248) 662-4300
1065720
ROYAL OAK 48073
(888) 977-3358
1091351
JINJUVADIA, KARTIKKUMAR M MD
27207 LASHER STE 200A
SOUTHFIELD 48034
(248) 359-5575
1124152
TROY 48083
(248) 581-5200
1083082
KAM, MICHAEL MD
44201 DEQUINDRE RD
TROY 48085
(888) 997-3358
1037141
KAM, MICHAEL MD
ROCHESTER 48307
(248) 844-2700
1106504
LEVINSON, JAY R MD
SOUTHFIELD 48075
(248) 985-5000
1032114
LEVINSON, JAY R MD
(248) 985-5000
1106500
LEVINSON, JAY R MD
12660 TEN MILE RD
SOUTH LYON 48178
(248) 985-5000
1056553
LEVINSON, JAY R MD
NOVI 48374
(248) 662-4300
1071527
MARKLE, BRIAN J MD
PONTIAC 48341
(248) 858-3878
1083097
MARKLE, BRIAN J MD
44201 DEQUINDRE RD
TROY 48085
(888) 997-3358
1085803
NANDI, PARTHA S MD
TROY 48085
(888) 997-3358
1030889
NANDI, PARTHA S MD
TROY 48098
(248) 267-6222
1106479
PIPER, MICHAEL H MD
NOVI 48374
(248) 662-4300
1056551
PIPER, MICHAEL H MD
6900 ORCHARD LK RD STE LL100
(248) 406-2400
1032116
PIPER, MICHAEL H MD
(248) 985-5000
1106480
PIPER, MICHAEL H MD
12660 TEN MILE RD
SOUTH LYON 48178
(248) 985-5000
1106482
PIPER, MICHAEL H MD
16001 W NINE MILE RD 3RD FL- FISHER CTR
SOUTHFIELD 48075
(248) 985-5000
1065643
POLIDORI, GREGG MD
ROYAL OAK 48073
(888) 997-3358
1117962
NOVI 48374
(248) 662-4300
1117961
16001 W NINE MILE RD 3RD FL FISHER CTR
SOUTHFIELD 48075
(248) 985-5000
1109288
(248) 985-5000
1117958
12660 TEN MILE RD
SOUTH LYON 48178
(248) 985-5000
1073369
RASANSKY, RONALD J DO
50 N PERRY ST
PONTIAC 48342
(248) 338-5328
1073352
RASANSKY, RONALD J DO
(248) 399-4400
1057864
REFAI, WAEL H MD
ROYAL OAK 48073
(800) 253-5592
1023515
STECEVIC, VESLAV MD
FARMINGTON 48336
(248) 442-0800
1054089
STECEVIC, VESLAV MD
CLARKSTON 48346
(248) 442-0800
1017513
TAYEB, GHIATH MD
ROCHESTER 48307
(248) 352-6529
1031233
TAYEB, GHIATH MD
1555 SOUTH BLVED STE 230
ROCHESTER 48307
(248) 651-0800
1083106
TAYEB, GHIATH MD
44201 DEQUINDRE RD
TROY 48085
(888) 997-3358
1033914
WEBER, JOHN R MD
1701 S BLVD EAST STE 300
ROCHESTER 48307
(248) 844-9710
1078271
WEBER, JOHN R MD
44201 DEQUINDRE RD
TROY 48085
(888) 997-3358
1034116
WEBER, JOHN R MD
TROY 48098
(248) 844-9710
1076267
WILLE, RICHARD T MD
44201 DEQUINDRE RD
TROY 48085
(888) 997-3358
1031562
WILLE, RICHARD T MD
ROCHESTER 48307
(248) 844-9710

Page 380
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1031563
WILLE, RICHARD T MD
TROY 48098
(248) 267-6222
1031564
WILLE, RICHARD T MD
TROY 48098
(248) 844-9710
1031561
WILLE, RICHARD T MD
TROY 48098
(248) 267-5025
1106866
YOUSIF, EDWARD A MD
SOUTHFIELD 48075
(248) 985-5000
1021683
YOUSIF, EDWARD A MD
NOVI 48374
(248) 662-4300
1056550
YOUSIF, EDWARD A MD
6900 ORCHARD LK RD STE LL100
(248) 406-2400
1106864
YOUSIF, EDWARD A MD
12660 TEN MILE RD
SOUTH LYON 48178
(248) 985-5000
GENERAL SURGERY
1102791
AKAY, BEGUM MD
TROY 48085
(248) 964-9660
1102790
AKAY, BEGUM MD
ROYAL OAK 48073
(248) 551-2400
1122344
AKAY, BEGUM MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-9492
1022550
ROCHESTER 48307
(248) 853-9177
1076055
ANG, AN KING MD
1 WILLIAM CARLS DR
(248) 937-3338
1103039
BEDI, DAMANPREET S MD
ROYAL OAK 48073
(800) 253-5592
1103040
ROYAL OAK 48073
(866) 239-8615
1103038
ROYAL OAK 48073
(248) 551-1515
1120846
BIEREMA, TIMOTHY MD
LAKE ORION 48360
(248) 267-5015
1089638
BIEREMA, TIMOTHY MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-5111
1106761
BIEREMA, TIMOTHY A MD
TROY 48085
(888) 924-9460
1106762
BIEREMA, TIMOTHY A MD
TROY 48085
(248) 879-5560
1045651
BONGERS, SHANNON L MD
TROY 48085
(248) 964-5170
1045650
BONGERS, SHANNON L MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-3300
1102212
BRADDOCK, AMY L MD
PONTIAC 48341
(248) 338-7171
1103521
BRINTLEY, LA CESHA MD
1 WILLIAM CARLS DR
(248) 937-3402
1089640
BROWNING, DANIEL MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-5111
1118868
BROWNING, DANIEL MD
TROY 48085
(248) 879-5590
1106760
BROWNING, DANIEL MD
LAKE ORION 48360
(248) 267-5015
1118869
BROWNING, DANIEL MD
TROY 48098
(248) 267-5015
1017624
BUSCH, DANA M DO
5624 HIGHLAND RD
WATERFORD 48327
(248) 674-4110
1030166
ROYAL OAK 48073
(248) 288-2210
1103507
CHEN, JIAN MD
1 WILLIAM CARLS DR DEPT OF SURGERY
(248) 937-3335
1074545
CHENGELIS, DAVID MD
ROYAL OAK 48073
(248) 291-6516
1065715
CHENGELIS, DAVID L MD
ROYAL OAK 48073
(248) 577-9600
1096727
COHN, STEVEN MD
ROYAL OAK 48073
(248) 551-1515
1106736
COHN, STEVEN MD
ROYAL OAK 48073
(866) 239-8615
1065717
ROYAL OAK 48073
(248) 577-9600
1025566
CZAKO, PETER F MD
ROYAL OAK 48073
(248) 551-8180
1027509
DEKHNE, NAYANA MD
3601 W 13 MILE RD STE BCC
ROYAL OAK 48073
(248) 551-3300
1106336
DINNAN, KELLY A DO
28050 GRAND RIVER
FARMINGTON 48336
(248) 471-8000
1057683
EDELMAN, DAVID A MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1062414
EDELMAN, DAVID A MD
(248) 851-6767
1102808
FANA, MELISSA D MD
3601 W 13 MILE RD BCC
ROYAL OAK 48073
(248) 551-3300
1103392
FARAJ, CHADI H DO
(248) 937-3402
1122343
FISCHER, ANNE MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-9492
1096182
FISCHER, ANNE MD
ROYAL OAK 48073
(248) 551-2400

Page 381
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1109730
FISCHER, ANNE MD
TROY 48085
(248) 964-9660
1071474
FRIKKER, MARK MD
ROYAL OAK 48073
(248) 288-1130
1060680
GERKEN, JEFFREY R DO
FARMINGTON 48336
(248) 471-8030
1025208
GORIEL, YOUSIF MD
15351 W 9 MILE RD
OAK PARK 48237
(248) 968-9500
1102251
HALL, JEFFREY M MD
44000 W 12 MILE RD STE 205
NOVI 48375
(248) 371-0077
1028359
HARES, MUSTAFA A MD
AUBURN HILLS 48326
(248) 371-3199
1103277
HENDRICK, STEVEN R MD
29080 INKSTER RD STE 250
SOUTHFIELD 48034
(248) 356-5709
1083078
HERMAN, MARK A MD
44201 DEQUINDRE RD
TROY 48085
(888) 997-3358
1069065
HERNANDEZ, DIEGO MD
PONTIAC 48341
(248) 338-7171
1011615
HINSHAW, KEITH MD
ROCHESTER 48307
(248) 853-9177
1023134
HUANG, YUAN-CHAO MD
PONTIAC 48341
(248) 858-3490
1101649
HUTTON, MAX C MD
(248) 855-5355
1032512
IVASCU, FELICIA A MD
ROYAL OAK 48073
(248) 288-1130
1093586
JANCZYK, RANDY MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-5111
1018220
JANCZYK, RANDY J MD
ROYAL OAK 48073
(248) 551-9090
1103514
JAREUNPOON, OLAN MD
(248) 937-3335
1103490
JOSEPH, ANTHONY L MD
1 WILLIAM CARLS DR
(248) 937-3335
1063716
JOSEPH, EINAS MD
119 S WASHINGTON ST STE 1
OXFORD 48371
(248) 969-2871
1067698
JURY, ROBERT P MD
ROYAL OAK 48073
(888) 997-3358
1015596
JURY, ROBERT P MD
ROYAL OAK 48073
(248) 551-8180
1057942
KATZ, GARY R DO
(248) 546-2600
1084784
KESTENBERG, WILLIAM L MD
(248) 539-3027
1003483
KETNER, JOHN M DO
5624 HIGHLAND RD
WATERFORD 48327
(248) 674-9664
1054077
KETNER, JOHN M DO
50 N PERRY ST
PONTIAC 48342
(248) 338-5700
1069463
KIENINGER, ALICIA MD
PONTIAC 48341
(248) 338-7171
1067648
KIM, STEVE HO-SUK MD
(248) 538-4701
1102425
KIRBY, AMY M MD
PONTIAC 48341
(248) 338-7171
1106735
KOFFRON, ALAN J MD
ROYAL OAK 48073
(866) 239-8615
1037654
KOFFRON, ALAN J MD
ROYAL OAK 48073
(248) 551-1515
1025568
KOFFRON, JULIE A MD
ROYAL OAK 48073
(248) 551-8180
1083758
KOLE, KERRY L DO
TROY 48085
(248) 964-1170
1065721
KRAUSE, KEVIN R MD
ROYAL OAK 48073
(248) 577-9600
1025567
KRAUSE, KEVIN R MD
ROYAL OAK 48073
(248) 551-8180
1027465
KUWAJERWALA, NAFISA MD
TROY 48085
(248) 964-5170
1027508
KUWAJERWALA, NAFISA MD
3601 W 13 MILLE RD STE BCC
ROYAL OAK 48073
(248) 551-3300
1109683
LAKER, SCOTT MD
(810) 720-5715
1022233
LEE, YOUNG M MD
PONTIAC 48341
(248) 858-3490
1122844
LORELLO, LINDSEY E PA
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000
1123500
MCALISTER, JENNIFER MD
ROYAL OAK 48073
(248) 551-3300
1083101
MCINTOSH, BRUCE B MD
44201 DEQUINDRE RD
TROY 48085
(888) 997-3358
1027978
MCKANY, MALIK E MD
PONTIAC 48341
(248) 858-3800
1060339
MCKANY, MALIK E MD
7210 N MAIN ST STE 108
CLARKSTON 48346
(248) 625-3231
9000001
MCLAREN BARIATRIC INSTITUTE
CLARKSTON 48346
(248) 922-6830
1030844
MISRA, DWIJEN C MD
1200 W 12 MILE RD
(248) 543-0600
1125294
NAGAR, SAPNA MD
ROYAL OAK 48073
(248) 551-3000
1126318
SOUTHFIELD 48037
(248) 990-2469

Page 382
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1108187
PAOLUCCI, BENJAMIN J DO
(248) 539-8630
1080625
PARMELY, JOHN D DO
FARMINGTON 48336
(248) 471-8865
1083764
PERAKIS, PETER G MD
TROY 48085
(248) 964-1170
1089647
PERAKIS, PETER G MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-5111
1027982
PHAN, THANH H MD
WATERFORD 48329
(248) 681-1025
1078645
PHILLIPS, EDUARDO MD
(248) 865-2575
1023192
PLEATMAN, MARK MD
(248) 334-5444
1092899
QUIROGA, MARTIN DO
1016 N SAGINAW ST STE B
HOLLY 48442
(810) 766-9561
1106737
RAOFI, VANDAD MD
ROYAL OAK 48073
(866) 239-8615
1060059
RAOFI, VANDAD MD
ROYAL OAK 48073
(248) 551-1515
1060681
REBOCK, MICHAEL D DO
FARMINGTON 48336
(248) 471-8030
1103369
RENAKER-JANSEN, ELIZABETH A DO
1 WILLIAM CARLS DR
(248) 937-3402
1033062
RIVERS, AEISHA K MD
TROY 48085
(248) 964-5170
1027507
RIVERS, AEISHA K MD
ROYAL OAK 48073
(248) 551-3300
1065724
ROBBINS, JAMES M MD
ROYAL OAK 48073
(248) 577-9600
1122547
ROBINSON, ROBERT MD
PONTIAC 48341
(248) 338-7171
1016829
ROBINSON, ROBERT MD
PONTIAC 48341
(248) 338-7171
1031544
RUARK, DEBORAH S MD
TROY 48085
(248) 879-1330
1070252
SABIR, MUBASHIR MD
NOVI 48374
(248) 662-4272
1041361
SIEGEL, DAVID DO
(248) 546-2600
1031756
SPOHN JR, EARL W DO
50 N PERRY ST
PONTIAC 48342
(248) 646-8411
1106446
STERNBERG, DAVID MD
FARMINGTON 48336
(248) 477-0552
1106450
STERNBERG, DAVID MD
6014 W MAPLE RD
(248) 855-7453
1106455
STERNBERG, DAVID MD
1 WILLIAM CARLS DR STE 230
(248) 477-0552
1118665
STERNBERG, DAVID MD
FARMINGTON 48336
(248) 473-4810
1123502
STERNBERG, DAVID MD
(248) 945-0000
1016694
SULLIVAN, DANIEL M MD
ROCHESTER 48307
(248) 853-9177
1060137
ULGENALP, ATTILA MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 585-3126
1104185
URBAN, NICHOLE A MD
44201 DEQUINDRE
TROY 48083
(248) 964-5111
1124009
URBAN, NICHOLE A MD
TROY 48083
(248) 964-5111
1071337
VILLALBA, MARIO R MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000
1067747
VILLALBA, MARIO R MD
ROYAL OAK 48073
(248) 288-1130
1084060
WALKER, NICOLE M MD
ROYAL OAK 48073
(248) 551-3300
1071048
WEBBER, JOHN D MD
ROCHESTER 48307
(248) 853-9177
1064789
WEINER, MATTHEW J MD
1 WILLIAMS CARL DR STE 240
(248) 413-2670
1103275
WOOD, MICHAEL H MD
(248) 284-1760
1103523
WRIGHT, JASON D DO
(248) 937-3402
1035701
YALDO, BASHAR MD
PONTIAC 48341
(248) 858-3700
1125198
ZIEGLER, KATHRYN M MD
ROYAL OAK 48073
(248) 551-3000
ROYAL OAK 48073
(248) 551-0487
GENETICS
1027414
AUGHTON, DAVID MD
GERIATRICS
1027452
ALLEN, SUSAN MD
BERKLEY 48072
(248) 551-8305
1079856
CARRON, ANNETTE T DO
21440 ARCHWOOD CIRCLE 2ND FL
FARMINGTON 48336
(248) 426-6930
1027450
DEGUIA, AMAPURI M MD
BERKLEY 48072
(248) 551-8305

Page 383
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1027449
HYDE, KRISTINA MD
BERKLEY 48072
(248) 551-8305
1027448
IMAM, KHALED MD
BERKLEY 48072
(248) 551-8305
1103427
KAUR, SIMRAN MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-5000
1103426
KAUR, SIMRAN MD
BERKLEY 48072
(248) 551-1756
1027447
MADDENS, MICHAEL MD
BERKLEY 48072
(248) 551-8305
1114562
MATEI, ANCUTA E MD
ROYAL OAK 48067
(248) 398-6459
1068205
MOLENDA, DANUTA E MD
BERKLEY 48072
(248) 551-8305
1062035
MUCKEY, BRIAN J MD
BERKLEY 48072
(248) 551-8305
1103405
MURAD, YAHYA MD
1 WILLIAM CARLS DR
(248) 937-4764
1079562
MURPHY, KATHLEEN M MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-6004
1060438
MURPHY, KATHLEEN M MD
ROYAL OAK 48073
(248) 551-3000
1033048
PAI, AMITA MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1027446
PAI, AMITA MD
BERKLEY 48072
(248) 551-8305
1127843
RUFF, STACEY M DO
ROYAL OAK 48073
(248) 551-1756
1071362
SOWIRKA, OREST J DO
2300 WATKINS LK RD
WATERFORD 48328
(248) 673-1720
1071361
SOWIRKA, OREST J DO
ROYAL OAK 48073
(248) 551-1756
1068211
SOWIRKA, OREST J DO
BERKLEY 48072
(248) 551-8305
1048319
TAMHANE, UMESH U MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1027444
TOOFANNY, NIZAAMUDDEEN MD
BERKLEY 48072
(248) 551-8305
GYN ONCOLOGY
1079053
ALVIYA, VINAY KUMAR MD
1101 W UNIVERSITY
ROCHESTER 48307
(248) 652-5820
1122487
FIELD, JAYSON MD
44201 DEQUINDRE RD
TROY 48085
(248) 965-4500
1027469
FIELD, JAYSON MD
44199 DEQUINDRE
TROY 48085
(248) 964-0088
1027468
FIELD, JAYSON MD
ROYAL OAK 48073
(248) 551-1330
1035014
HICKS, MICHAEL L MD
1 WILLIAM CARLS DR KARAMANOS CANCER
(248) 937-5077
1035012
HICKS, MICHAEL L MD
PONTIAC 48341
(248) 858-2270
1077245
MALVIYA, VINAY MD
NOVI 48374
(248) 662-4390
1079054
MALVIYA, VINAY KUMAR MD
22301 FOSTER WINTER DR 3RD FL
SOUTHFIELD 48075
(248) 849-8140
1060597
MORRIS, ROBERT T MD
(248) 538-4701
1062775
PUGMIRE, DOUGLAS E DO
1901 STAR BATT DR
ROCHESTER 48309
(248) 650-4580
1060596
SOLOMON, LEIGH A MD
(248) 538-4701
1089433
WEINER, SHELDON MD
ROCHESTER 48307
(248) 844-6000
1089434
WEINER, SHELDON MD
FARMINGTON 48336
(248) 477-0552
1105877
WEINER, SHELDON MD
27900 GRAND RIVER
FARMINGTON 48336
(248) 473-4810
1089432
WEINER, SHELDON MD
ROYAL OAK 48073
(248) 551-2446
GYNECOLOGY
1023051
ASHRAF, MOHAMMAD MD
ROCHESTER 48307
(248) 844-8845
1107441
SCHUCHMAN, DOV MD
2550 S TELEGRAPH STE 107B
(248) 334-4211
1027134
STARR, ROBERT MD
TROY 48085
(248) 712-4120
1120836
STARR, ROBERT MD
17400 W 13 MILE RD
FRANKLIN 48025
(248) 712-4120
1007146
WAGNER, KARL STEVEN MD
332 TIENKEN RD STE B
ROCHESTER 48306
(248) 656-1300
1024312
WEISS, MICHAEL D DO
930 W AVON RD STE 18
ROCHESTER 48307
(248) 608-2737
17877 W 14 MILE RD
FRANKLIN 48025
(248) 644-3921
HAND SURGERY
1030767
MAGNELL, THOMAS D MD

Page 384
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
HAND SURGERY (CONTINUED)

1126988
MAGNELL, THOMAS D MD
ROYAL OAK 48073
(248) 551-9100
1093895
MANOLI, ARTHUR II MD
3100 CROSS CREEK PKWY STE 150
AUBURN HILLS 48326
(248) 475-0502
1056666
MEHTA, MEHUL M MD
AUBURN HILLS 48326
(248) 475-0502
1126986
POCHRON, MICHAEL D MD
ROYAL OAK 48073
(248) 551-9100
1030939
POCHRON, MICHAEL D MD
17877 W 14 MILE RD
FRANKLIN 48025
(248) 644-3921
1023208
REHMAN, UZMA H DO
(586) 532-0803
1023209
REHMAN, UZMA H DO
TROY 48098
(586) 532-0803
1056665
SAMUEL, SAMSON P MD
AUBURN HILLS 48326
(248) 475-0502
1124011
(888) 647-1100
1031153
SOBOL, GREGORY V MD
17877 W 14 MILE RD
FRANKLIN 48025
(248) 644-3920
1126984
SOBOL, GREGORY V MD
ROYAL OAK 48073
(248) 551-9100
1095121
VILLAFANE, CARLOS M MD
1 WILLIAM CARLS DR
(248) 360-4507
1116645
WIATER, BRETT P MD
17877 W 14 MILE RD
FRANKLIN 48025
(248) 644-3920
1126998
WIATER, BRETT P MD
ROYAL OAK 48073
(248) 551-9100
1100388
WILLIAMS, TROY MD
AUBURN HILLS 48326
(248) 475-0502
1124137
ZINBERG, EPHARAIM M MD
TROY 48083
(248) 581-5200

1090669
ROYAL OAK 48073
(248) 577-3520
1066756
BLOOMFIELD PROFESSIONAL PLAZA
(313) 745-8100
1083251
COMPREHENSIVE ENT INSTITUTION
SOUTHFIELD 48075
(248) 557-2100
1083225
1176 S LAPEER RD
LAKE ORION 48360
(248) 693-5384
1072067
DYMON HEARING CENTER
71 WALNUT BLVD STE 108
ROCHESTER 48307
(248) 652-1208
1083207
E N T SURGICAL ASSOCIATES
28080 GRAND RIVER #205
FARMINGTON 48336
(248) 541-0100
1083229
E N T SURGICAL ASSOCIATES PC
(248) 541-0100
1083252
HEAR USA
FRANKLIN 48025
(248) 644-2175
1083254
HEAR USA
3660 ROCHESTER RD
TROY 48083
(586) 939-1717
1083259
OAKLAND AUDIOLOGY
WATERFORD 48329
(248) 673-8000
1092921
ONSIGHT INC
TROY 48084
(248) 528-1981
1116848
PRIMESOURCE OF MICHIGAN LLC
2000 TOWN CTR STE 1900
SOUTHFIELD 48075
(800) 317-0711
1083245
ROCHESTER HEARING SERVICE INC
134 WEST UNIVERSITY STE 203
ROCHESTER 48307
(248) 608-8881
1083208
THE HEARING CLINIC
FARMINGTON 48336
(810) 225-2205
1099059
UNIVERSITY PHYSICIAN GROUP AUDIOLOGY
SOUTHFIELD 48034
(248) 357-4151
1076045
ROCHESTER 48307
(248) 218-5557
1105634
WOODWARD HEARING AID INC
23077 GREENFIELD RD STE 108
SOUTHFIELD 48075
(248) 809-9106
1102970
ANDERSON, JOSEPH M MD
ROYAL OAK 48073
(248) 551-3300
1102969
ANDERSON, JOSEPH M MD
ROYAL OAK 48073
(248) 551-7117
1058623
ASLAM, NAVEED MD
ROYAL OAK 48073
(248) 551-7117
1070072
BLOOM, ROBERT MD
22301 FOSTER WINTER DR STE 200
SOUTHFIELD 48075
(248) 552-0620
1126430
BOXWALA, IQBAL MD
6770 DIXIE HWY STE 106A
CLARKSTON 48346
(248) 267-6569
1089604
BOXWALA, IQBAL MD
TROY 48098
(248) 267-6569
1080186
BOXWALA, IQBAL MD
3577 13 MILE STE 103
ROYAL OAK 48073
(248) 288-4510
1029088
BOXWALA, IQBAL G MD
ROYAL OAK 48073
(248) 551-3300
1027228
CHEN, XIA MD
44201 DEQUINDRE
TROY 48085
(248) 964-5000
1105579
CHISTI, MOHAMMAD M MD
(248) 334-0050

Page 385
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1126437
COTANT, MATTHEW B MD
CLARKSTON 48346
(248) 267-6569
1089605
TROY 48098
(248) 267-6569
1079575
3577 W 13 MILE STE 103
ROYAL OAK 48073
(248) 288-4510
1096726
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-3300
1070110
DRELICHMAN, ANIBAL MD
SOUTHFIELD 48075
(248) 552-0620
1119146
DUL, CARRIE L MD
1901 STAR BATT DR
ROCHESTER 48309
(248) 844-4000
1103356
EISENBERG, LEOPOLDO MD
NOVI 48377
(248) 324-4444
1055039
FLAHERTY, LAWRENCE E MD
(248) 538-4701
1042179
FRANKLIN, ROMAN MD
CLARKSTON 48346
(248) 625-2071
1105826
FRANKLIN, ROMAN MD
CLARKSTON 48346
(248) 922-6650
1055046
GADGEEL, SHIRISH M MD
(248) 538-4701
1083072
GAIKAZIAN, SUSANNA S MD
ROYAL OAK 48073
(248) 551-7117
1093106
GAIKAZIAN, SUSANNA S MD
ROYAL OAK 48073
(248) 551-3300
1126299
GARG, SANDEEP MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-6272
1070115
GOLDMAN, LYLE MD
SOUTHFIELD 48075
(248) 552-0620
1070117
GOODMAN, JUDIE DO
SOUTHFIELD 48075
(248) 552-0620
1082949
GOODMAN, JUDIE DO
115 FULTON STE 202
PONTIAC 48341
(248) 552-0620
1126300
GOODMAN, JUDIE DO
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-6272
1108057
GOODMAN, JUDIE DO
CLARKSTON 48346
(248) 552-0620
1078270
HOWARD, GEORGE MD
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 551-7117
1123389
JAGTAP, DEEPA BAI MD
(248) 851-1430
1126427
JAGTAP, DEEPA BAI MD
CLARKSTON 48346
(248) 851-1430
1083033
KADAKOL, SAVITHA A MD
1701 SOUTH BLVD E STE 190
ROCHESTER 48307
(248) 243-3935
1030632
KHILANANI, PREM V MD
44199 DEQUINDRE RD STE G10
TROY 48085
(248) 964-6111
1061018
KRISHNAN, RAJAN MD
115 FULTON STE 202
PONTIAC 48341
(248) 552-0620
1119148
LEHMAN, DANIEL MD
1901 STAR BATT DR
ROCHESTER 48309
(248) 844-4000
1119296
LEONARD, ROBERT MD
1901 STAR BATT DR
ROCHESTER 48309
(248) 844-4000
1070139
LYONS, SUSAN MD
SOUTHFIELD 48075
(248) 552-0620
1089607
MAGNO, MANOLO MD
TROY 48098
(248) 267-6569
1078835
MAGNO, MANOLO MD
ROYAL OAK 48073
(248) 288-4510
1126429
MAGNO, MANOLO MD
CLARKSTON 48346
(248) 267-6569
1073363
MARGOLIS, HAROLD J DO
(248) 399-4400
1073348
FARMINGTON 48336
(248) 477-0552
1073364
ROYAL OAK 48073
(248) 551-2446
1030855
MOMIN, FEROZE A MD
LAKE ORION 48360
(248) 232-1650
1096721
MOMIN, FEROZE A MD
ROYAL OAK 48073
(248) 551-7117
1086660
MUSKOVITZ, ANDREW MD
SOUTHFIELD 48075
(248) 552-0620
1077885
NADEAU, LAURA MD
ROYAL OAK 48073
(248) 288-4510
1126428
NADEAU, LAURA MD
CLARKSTON 48346
(248) 267-6569
1089602
NADEAU, LAURA MD
TROY 48098
(248) 267-6569
1057862
NEUMANN, KURT H MD
ROYAL OAK 48073
(248) 551-7117
1057863
NEUMANN, KURT H MD
ROYAL OAK 48073
(248) 551-3300
1023186
OWAINATI, ALAA MD
PONTIAC 48341
(248) 335-3930
1105827
PALLAS, SERAPHIM MD
5680 BOW POINTE DR
CLARKSTON 48346
(248) 922-6650
1075797
PARIKH, RAJUL B MD
TROY 48098
(248) 267-6569
1075798
PARIKH, RAJUL B MD
ROYAL OAK 48073
(248) 288-4500

Page 386
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1119647
PARIKH, RAJUL B MD
(248) 334-0050
1119149
SABIR, TARIQ MD
1901 STAR BATT DR
ROCHESTER 48309
(248) 844-4000
1097151
SCHWARTZ, STEPHEN C MD
1 WILLIAM CARLS DR CHARACH CANCER
(248) 937-5045
1119150
SEID, JEROME MD
1901 STAR BATT DR
ROCHESTER 48309
(248) 844-4000
1070155
SHAH-REDDY, ILA MD
SOUTHFIELD 48075
(248) 552-0620
1068322
SHAH-REDDY, ILA MD
22301 FOSTER WINTER DR SECOND FLOOR
SOUTHFIELD 48075
(248) 552-0620
1068323
SHAH-REDDY, ILA MD
47601 GRAND RIVER ASSARIAN CANCER CTR
NOVI 48374
(248) 344-2000
1068324
SHAH-REDDY, ILA MD
FRANKLIN 48025
(248) 552-0620
1108055
SHAH-REDDY, ILA MD
CLARKSTON 48346
(248) 552-0620
1126302
SHAH-REDDY, ILAH MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-6272
1119151
SHURAFA, MUHAMMAD MD
1901 STAR BATT DR
ROCHESTER 48309
(248) 844-4000
1068313
SUKARI, AMMAR W MD
1901 STAR BATT DR
ROCHESTER 48309
(248) 844-4000
1119582
TAPIA POSTIGO, MARTIN MD
ROYAL OAK 48073
(248) 551-3300
1120196
TAPIA POSTIGO, MARTIN MD
ROYAL OAK 48073
(248) 288-4510
1070160
TEREBELO, HOWARD DO
SOUTHFIELD 48075
(248) 552-0620
1056041
VAISHAMPAYAN, ULKA N MD
(248) 538-4701
1070162
VAKHARIVA, CYNTHIA DO
SOUTHFIELD 48075
(248) 552-0620
1003969
VOELPEL, MARY JO DO
3003 BALDWIN RD
LAKE ORION 48359
(248) 391-9220
HOME HEALTH CARE

1010575
TROY 48084
(248) 649-5250
1034201
ALLEGIANCE HOME HEALTH CARE
2040 CROOKS RD STE B
TROY 48084
(248) 519-0234
1094322
CENTRIA HEALTHCARE
41521 W 11 MILE RD
NOVI 48375
(248) 299-0030
1100363
CNS HOMECARE INC
1920 LIVERNOIS RD
TROY 48083
(248) 649-6200
1098495
DIVERSIFIED HEALTH CARE INC
25901 W 10 MILE RD
SOUTHFIELD 48033
(248) 354-2125
1125888
EASTERN MICHIGAN HOME HEALTH CARE PC
4045 W 13 MILE RD STE D
ROYAL OAK 48073
(248) 397-8096
1039821
EVERGREEN HEALTH SERVICES INC
6510 TOWN CENTER STE B
CLARKSTON 48346
(248) 625-8860
1117281
GREAT LAKES HOME HEALTH CARE
6060 DIXIE HWY STE A
CLARKSTON 48346
(248) 623-8400
1004011
1715 NORTHFIELD DR
ROCHESTER 48309
(248) 293-2400
1094808
HEALTH SOURCE HOME CARE
1100 OWENDALE STE B
TROY 48083
(248) 688-9106
1062940
HEALTHCALL HOMECARE LLC
20755 GREENFIELD RD STE 1001P
SOUTHFIELD 48075
(248) 246-1745
1096265
HEARTLAND HOME HEALTH CARE SOUTHFIELD
26211 CENTRAL PARK BLVD STE 600
SOUTHFIELD 48076
(248) 948-8228
1103090
INTERIM OF OAKLAND COUNTY
41875 11 MILE RD STE 205
NOVI 48375
(248) 553-3333
1064450
MAXIM HEALTHCARE SERVICES INC
FRANKLIN 48025
(248) 430-0200
1045086
3330 DIXIE HWY
WATERFORD 48328
(586) 725-3322
1124575
MICHIGAN COMMUNITY VNA LLC
FRANKLIN 48025
(248) 967-1440
1117709
MICHIGAN COMMUNITY WELLNESS VNA
FRANKLIN 48025
(248) 967-1440
1102938
PROFESSIONAL NURSING SERVICES INC
16250 NORTHLAND DR STE 200
SOUTHFIELD 48075
(248) 395-0170
1097694
SENIOR CITIZENS HOME HEALTH CARE INC
(248) 522-0764
1125923
STAR HOME HEALTH CARE INC
19111 W 10 MILE RD A 5
SOUTHFIELD 48075
(248) 351-0406
1119504
UNIQUE HOME HEALTH CARE AGENCY LLC
32985 HAMILTON CT STE 100B
(248) 522-2580
HOSPICE
1074140
FRANKLIN 48025
(800) 311-5365
1096208
HEARTLAND HOME HEALTH CARE AND HOSPICE SOUTH 26211 CENTRAL PARK BLVD
SOUTHFIELD 48076
(248) 948-1019
1102984
HOSPICE OF MICHIGAN
SOUTHFIELD 48033
(888) 247-5701
1124616
MICHIGAN COMMUNITY VNA HOSPICE LLC
FRANKLIN 48025
(248) 967-1440

Page 387
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
HOSPICE (CONTINUED)
1122728
PREMIER HOSPICE LLC
33259 DEQUINDRE RD STE C
TROY 48083
(248) 588-1885
1064025
SEASONS HOSPICE & PALLIATIVE CARE
27355 JOHN R RD STE 100
(800) 370-8592
1031770
WILLIAM BEAUMONT HOSPICE
1410 E 14 MILE RD
(248) 743-9400
INFECTIOUS DISEASES
1109400
ROCHESTER 48309
(248) 853-2323
1070063
ALI, AMMAR MD
SOUTHFIELD 48075
(248) 552-0620
1014434
AL-UJAYLI, BISHR MD
ROCHESTER 48307
(248) 299-9850
1038732
AMINOVA, SVETLANA O MD
ROCHESTER 48307
(248) 598-5080
1070066
ANDREI, ANCA MD
SOUTHFIELD 48075
(248) 552-0620
1084412
ANDREI, ANCA MD
1854 W AUBURN STE 200
ROCHESTER 48309
(248) 853-2323
1093520
AZHAR, SOBIA MD
ROCHESTER 48307
(248) 598-5080
1027517
BAND, JEFFREY MD
ROYAL OAK 48073
(248) 551-0495
1080149
BHAN, ROMAL MD
24350 ORCHARD LAKE STE 111
FARMINGTON 48336
(248) 615-0889
1079854
BLACKBURN, GERALD W DO
FARMINGTON 48336
(248) 471-8920
1078126
CANNON, MARK L MD
ROCHESTER 48309
(248) 853-2323
1027513
CARPENTER, CHRISTOPHER F MD
ROYAL OAK 48073
(248) 551-0495
1080492
COX, DONALD DO
FARMINGTON 48336
(248) 615-0889
1070107
DEMARCO, CARMEN MD
SOUTHFIELD 48075
(248) 552-0620
1070111
DRELICHMAN, VILMA MD
SOUTHFIELD 48075
(248) 552-0620
1122592
(248) 419-3474
1124209
22301 FOSTER WINTER DR 2ND FL
SOUTHFIELD 48075
(248) 552-0620
1033369
FAN, WILEY DO
FARMINGTON 48336
(248) 471-8920
1086595
FARMINGTON 48336
(248) 615-0889
1086596
1854 AUBURN RD STE 200
ROCHESTER 48309
(248) 853-2323
1068314
GERASYMCHUK, LUDMYLA MD
ROCHESTER 48307
(248) 598-5080
1078127
GOWDA, SACHI U MD
ROCHESTER 48309
(248) 853-2323
1084588
GRANADOS, ALISON MD
FARMINGTON 48336
(248) 615-0889
1041209
HALE, ELIZABETH B MD
ROCHESTER 48309
(248) 853-2323
1019754
HANNA, MICHEL MD
ROCHESTER 48307
(248) 598-5680
1124472
HARIDAS, MANJU MD
SOUTHFIELD 48075
(248) 552-0620
1078128
HEALY, SHAUN P MD
ROCHESTER 48309
(248) 853-2323
1078125
HEDDURSHETTI, RENUKA MD
ROCHESTER 48309
(248) 853-2323
1054023
HMOUD, JAREER MD
ROCHESTER 48307
(248) 759-4852
1100333
HUSARSKY, ELIOT MD
SOUTHFIELD 48075
(248) 552-0620
1122593
HUSARSKY, ELIOT MD
(248) 419-3474
1070123
ILLUMINATI, LUISE MD
SOUTHFIELD 48075
(248) 552-0620
1063603
JOSE, JINSON MD
ROCHESTER 48307
(248) 299-9850
1034429
KALYAN, SHAMLA MD
PONTIAC 48341
(248) 212-0678
1083963
KALYAN, SHAMLA MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-6272
1070132
KIEL, RAPHAEL MD
SOUTHFIELD 48075
(248) 552-0620
1033370
KNOLL-VLACHOS, SUSAN J DO
FARMINGTON 48336
(248) 471-8920
1089415
ROCHESTER 48307
(248) 615-0889
1089408
47601 GRAND RIVER AVE
NOVI 48374
(248) 615-0889
1089417
30671 STEPHENSON HWY
(248) 615-0889
1089420
1 WILLIAM CARLS DR
(248) 615-0889

Page 388
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1089424
16001 W 9 MILE RD
SOUTHFIELD 48075
(248) 615-0889
1100902
FARMINGTON 48336
(248) 615-0889
1026883
KUMAR, UDAY MD
FARMINGTON 48336
(248) 615-0889
1027516
LAUTER, CARL B MD
ROYAL OAK 48073
(248) 551-0495
1070138
LITTLE, TANIA B DO
SOUTHFIELD 48075
(248) 552-0620
1125237
LOFGREN, JESSICA DO
FARMINGTON 48336
(248) 471-8920
1127287
MACARTHUR, RODGER MD
SOUTHFIELD 48075
(248) 552-0620
1083428
MADHAVAN, TOM MD
FARMINGTON 48336
(248) 615-0889
1007406
MAHAYNI, RULA MD
(248) 332-4629
1076360
MASCARENHAS, DUNSTAN MD
22301 FOSTER WINTER DR
SOUTHFIELD 48075
(248) 552-0620
1048295
MCLAREN WOUND CARE CLINIC - CLARKSTON
CLARKSTON 48346
(248) 922-6860
1080490
MEHTA, TEJAL MD
FARMINGTON 48336
(248) 615-0889
1106177
MOVVA, KALYANI T MD
ROCHESTER 48309
(248) 853-2323
1023178
NASSIF, HAZEM MD
(248) 332-4629
1095512
OGNJAN, ANTHONY DO
ROCHESTER 48309
(248) 853-2323
1086591
PETRAK, RUSSELL MD
FARMINGTON 48336
(248) 615-0889
1086592
PETRAK, RUSSELL MD
1854 AUBURN RD STE 200
ROCHESTER 48309
(248) 853-2323
1090423
NOVI 48374
(248) 615-0889
1100903
FARMINGTON 48336
(248) 615-0889
1124401
REDONDO, VICENTE MD
ROCHESTER 48309
(248) 853-2323
1117689
ROSENBLATT, FRANKLIN DO
WATERFORD 48329
(248) 332-8404
1106013
ROCHESTER 48309
(248) 853-2323
1125345
SIBAI, JEHAD MD
ROCHESTER 48307
(248) 299-9850
1027515
SIMS, MATTHEW D MD
ROYAL OAK 48073
(248) 551-0495
1074089
SMITH, ROBERT G DO
FARMINGTON 48336
(248) 471-8920
1027514
SZELA, JOHN J MD
ROYAL OAK 48073
(248) 551-0495
1122196
TALATI, RONAK MD
ROCHESTER 48309
(248) 853-2323
1090473
16001 W 9 MILE RD
SOUTHFIELD 48075
(248) 615-0889
1090476
NOVI 48374
(248) 615-0889
1100904
FARMINGTON 48336
(248) 615-0889

1028218
ACTIVE INFUSION
25219 DEQUINDRE
(800) 666-0706
1036612
BEAUMONT HOME INFUSION
1410 E 14 MILE RD
(248) 208-4000
1055414
CORAM ALTERNATE SITE SERVICES
28550 CABOT DR STE 200
NOVI 48377
(248) 324-6300
1013248
INFUSION PARTNERS INC
3355 BALD MOUNTAIN RD #70
AUBURN HILLS 48326
(800) 798-4899
1086455
WALGREENS INFUSION SERVICES 190
27003 HILLS TECH CT
(248) 848-1073
INTERNAL MEDICINE
1062013
ABBOUD, RAMI MD
ROYAL OAK 48073
(248) 551-3000
1062012
ABBOUD, RAMI MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1070309
ABDULRAZZAK, AMEER MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1117532
ABU-SAYF, ALAA MD
SOUTHFIELD 48034
(248) 799-4300
1117317
AEJAZ, ZUHAIR MD
SOUTHFIELD 48034
(248) 799-4300
1050275
ROCHESTER 48307
(248) 652-5000
1098461
1854 W AUBURN RD
ROCHESTER 48309
(248) 853-2323
1057856
AHMED, ABDIRIZAK MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999

Page 389
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1038231
ALAM, WASEEM MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-3126
1117291
SOUTHFIELD 48034
(248) 799-4300
1117204
ALHASSAN, SULAIMAN MD
SOUTHFIELD 48034
(248) 799-4300
1117323
ALKINJ, BASHAR MD
SOUTHFIELD 48034
(248) 799-4300
1094956
ALMEDA, MARJORIE DO
BIRMINGHAM 48009
(248) 792-5200
1060519
ALOSACHIE, IYAD MD
3161 HILTON RD
FERNDALE 48220
(248) 547-6227
1124865
ALOSACHIE, IYAD MD
(248) 626-1999
1127261
ALSABTI, REEM MD
3030 GREENFIELD RD
ROYAL OAK 48073
(248) 288-6610
1126290
AMOS, JASON DO
44130 W 12 MILE RD
NOVI 48377
(248) 513-3010
1123651
AMOS, JASON DO
FARMINGTON 48336
(248) 473-4771
1118496
APPLEFIELD, MICHAEL L DO
(248) 419-6050
1114444
ARSLAN, SHUKAIB MD
SOUTHFIELD 48034
(248) 799-4300
1126714
ASHKAR, AYHAM MD
3577 WEST 13 MILE RD STE 204
ROYAL OAK 48073
(248) 551-2446
1125772
ATASSI, RACHEED MD
ROCHESTER 48307
(248) 852-2277
1074128
AUSTIN, MOLLY A MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0580
1124556
AVANESYAN, ARMINE MD
44405 WOODWARD AVE STE H-3
PONTIAC 48341
(248) 858-3126
1127262
BANSAL, ASHOK MD
3030 GREENFIELD RD
ROYAL OAK 48073
(248) 288-6610
1124686
BARNES, MICHAEL A MD
25 S WASHINGTON ST STE A
OXFORD 48371
(248) 551-0615
1083746
BARRIGER, THOMAS K MD
TROY 48083
(248) 720-2626
1127263
BATAH, FOUAD MD
3030 GREENFIELD RD
ROYAL OAK 48073
(248) 288-6610
1053887
BERGHEA, RAMONA M MD
ROYAL OAK 48073
(248) 551-1210
1093352
BEYENE, TADESSE MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1116337
BORIN, ANDREW DO
29600 NORTHWESTERN HWY 1
SOUTHFIELD 48034
(248) 799-9780
1126295
BRAR, JYOTI E MD
ROYAL OAK 48073
(800) 253-5592
1123814
BRAR, JYOTI E MD
ROYAL OAK 48073
(800) 253-5592
1087040
CAROUBA, IZZAT E MD
SOUTHFIELD 48034
(248) 654-0730
1119641
CHALLA, HIMA MD
PONTIAC 48341
(248) 858-6492
1085216
CINGEL, BARBARA MD
BERKLEY 48072
(248) 551-0615
1030177
CINGEL, BARBARA J MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1119640
COSMA, CECILIA MD
PONTIAC 48341
(248) 858-6492
1045372
CROSSLEY, NANCY E MD
3535 W 13 MILE RD LL
ROYAL OAK 48073
(248) 551-1210
1097542
CROWL, DAVID DO
23995 NOVI RD STE C101
NOVI 48375
(248) 380-8811
1094111
CYKIERT, ANDREW DO
NOVI 48375
(248) 380-8811
1119517
DANESHVAR, GERALD MD
30201 ORHCARD LK RD STE 115
(248) 419-6050
1098280
DAUGHERTY-HUDSON, DREE MD
27355 JOHN R RD
(248) 291-2698
1071315
DAVILA GRIJALVA, FRANCISCO R MD
ROYAL OAK 48073
(248) 551-3000
1071316
DAVILA GRIJALVA, FRANCISCO R MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-9515
1029922
DAVIS, CHARLES A MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1119639
DIACZOK, BENJAMIN MD
PONTIAC 48341
(248) 858-6492
1062026
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9600
1062024
ROYAL OAK 48073
(248) 551-3000
1114438
ESSANI, SHAZIA MD
SOUTHFIELD 48034
(248) 799-4300
1123593
FALATKO, JOHN DO
3535 W 13 MILE RD
ROYAL OAK 48073
(248) 551-3000
1030321
FARHAT, ALI Y MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1104237
FARHAT, MIRNA H MD
1901 STAR BATT DR STE 200
ROCHESTER 48309
(248) 844-5690
1125767
FARHAT, MIRNA H MD
OAK PARK 48237
(248) 288-1117

Page 390
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1117301
FELDMAN, MARC MD
SOUTHFIELD 48034
(248) 799-4300
1103401
FLORES, LAUREL A DO
1 WILLIAM CARLS DR
(248) 937-3395
1062029
FRANEY, LAURA M MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4163
1062028
FRANEY, LAURA M MD
ROYAL OAK 48073
(248) 551-1210
1096254
FRONTERA, FERNANDO MD
BIRMINGHAM 48009
(248) 792-5200
1060520
GAPPY, MUSIB S MD
3161 HILTON RD
FERNDALE 48220
(248) 547-6227
1124866
GAPPY, MUSIB S MD
(248) 626-1999
1122716
GOWMAN, DAVID DO
FARMINGTON 48335
(248) 473-4771
1122717
GOWMAN, DAVID DO
NOVI 48377
(248) 473-4771
1027955
GRIVEJ, VIOLETA MD
873 W AVON
ROCHESTER 48307
(248) 656-3239
1122996
GULATI, DHIRAJ MD
26411 W 12 MILE RD STE 111
SOUTHFIELD 48034
(313) 745-4525
1038541
GUPTA, ASHOK K MD
KEEGO HARBOR 48320
(248) 681-6577
1085217
HALALAU, ALEXANDRA MD
BERKLEY 48072
(248) 551-0615
1127740
HARRIS, ANTHONY MD
SOUTHFIELD 48075
(248) 304-7659
1065401
HASAN, ABDUL
461 WEST HURON
PONTIAC 48341
(248) 857-7583
1117267
HETTIARACHCHI, MALITHA MD
SOUTHFIELD 48034
(248) 799-4300
1090924
HOFFMAN, DANIEL DO
28180 JOHN R
(248) 336-0500
1117238
HUSAIN, SYED MD
SOUTHFIELD 48034
(248) 799-4300
1030579
IBRAHIM, MOHAMMED MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1117217
JDANOVA, ELENA N MD
SOUTHFIELD 48034
(248) 799-4300
1101726
33200 W 14 MILE RD STE 230
(248) 545-0070
1101725
BERKLEY 48072
(248) 545-0070
1114484
JOSE, RANEEV MD
SOUTHFIELD 48034
(248) 799-4300
1108417
SOUTHFIELD 48034
(248) 799-4300
1085766
KELEKAR, ARATI K MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-9515
1096781
KESKEY, KRISTIN A MD
2520 S TELEGRAPH RD
(248) 858-6144
1119638
KHAN, MUHAMMAD MD
PONTIAC 48341
(248) 858-6492
1103366
KHANCHANDANI, GEETA N MD
1 WILLIAM CARLS DR
(248) 937-3395
1004262
KINNI, VIJAYA MD
16001 W 9 MILE RD
SOUTHFIELD 48075
(248) 849-5304
1092499
KLUEGER, DEBRA B DO
BIRMINGHAM 48009
(248) 792-5200
1083757
KOLBE, KARL F MD
TROY 48083
(248) 720-2626
1117579
KRISHNAMOORTHY, GEETHA MD
SOUTHFIELD 48034
(248) 799-4300
1126370
KUMAR, UJJALA MD
SOUTHFIELD 48034
(248) 354-4709
1117286
LACKEY, LAWRENCE S JR MD
SOUTHFIELD 48034
(248) 799-4300
1023153
LAMB, TIMOTHY MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-3126
1079561
LEE, DENISE Y DO
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-5900
1079556
LEE, DENISE Y DO
ROCHESTER 48307
(248) 267-5750
1027505
LERMAN, RUTH MD
ROYAL OAK 48073
(248) 551-3300
1089691
MACDONALD, SCOTT A MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1089692
MADDENS, NICHOLAS J MD
ROYAL OAK 48073
(248) 551-3000
1114406
MAHMOOD, FAZLEOMAR MD
SOUTHFIELD 48034
(248) 799-4300
1074132
MARIJANOVICH, NICOLE Y MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1078375
MATHEW, THOMAS MD
461 WEST HURON
PONTIAC 48341
(248) 857-6831
1054769
MCMURRAY, MARK D MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1054770
MCMURRAY, MARK D MD
ROYAL OAK 48073
(248) 551-1210
1029710
MERMIGES, DEMETRIOS N MD
ROYAL OAK 48073
(248) 551-3000

Page 391
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1004261
MILES, STEVEN MD
16001 W 9 MILE RD
SOUTHFIELD 48075
(248) 849-5304
1078133
MILLER, WENDY M MD
ROCHESTER 48307
(248) 267-5750
1045655
MILLER, WENDY M MD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-5900
1117236
MISRA, PREETI G MD
SOUTHFIELD 48034
(248) 799-4300
1092583
MODI, USHA MD
180 N ORTONVILLE RD
ORTONVILLE 48462
(248) 627-3535
1117321
MUNASINGHE, RAJIKA MD
SOUTHFIELD 48034
(248) 799-4300
1127265
MUSIB, GAPPY MD
3030 GREENFIELD RD
ROYAL OAK 48073
(248) 288-6610
1098690
NADEEMULLAH, MOHAMMAD MD
27355 JOHN R RD
(248) 291-2698
1090407
NAJOR, LANORE P DO
(248) 865-4242
1114396
NASSIF, GEORGE H MD
SOUTHFIELD 48034
(248) 799-4300
1119637
NICOLA, MONICA MD
PONTIAC 48341
(248) 858-6492
1078135
NORI, KATHERINE E MD
ROCHESTER 48307
(248) 267-5750
1045656
NORI, KATHERINE E MD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-5900
1114427
OPARA, OLUCHI C MD
SOUTHFIELD 48034
(248) 799-4300
1071332
PAI, BHANU R MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-9515
1071331
PAI, BHANU R MD
ROYAL OAK 48073
(248) 551-3000
1093363
PENUGONDA, NEELIMA MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1100309
PETERS, MICHAEL MD
5130 COOLIDGE HWY
ROYAL OAK 48073
(248) 288-9500
1100308
PETERS, MICHAEL MD
26454 WOODWARD AVE STE B
ROYAL OAK 48067
(248) 288-9500
1071334
POKHAREL, RAJESH MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1030955
POLLOCK, MARTHA A MD
BERKLEY 48072
(248) 551-0615
1117306
POPAT, SHITAL MD
SOUTHFIELD 48034
(248) 799-4300
1096160
PRABHAKAR, AVANI MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-5000
1062037
PRICE, JULIE MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1127600
PRICE, JULIE MD
ROYAL OAK 48073
(248) 551-1210
1127472
PRICE, JULIE MD
ROYAL OAK 48073
(248) 551-1210
1083765
PRYSAK, GEOFFREY M MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1083766
RAAM, SUMITRA N MD
ROYAL OAK 48073
(248) 551-3000
1073765
RAGATZKI, PAUL A MD
SOUTHFIELD 48034
(248) 354-9666
1114430
RAHMAN, MD SAIDUR MD
SOUTHFIELD 48034
(248) 799-4300
1092859
RAHMAN, SOPHIA MD
(248) 577-0552
1114425
RAMESH, SINDHU MD
SOUTHFIELD 48034
(248) 799-4300
1073764
REDDY, VINAY K MD
SOUTHFIELD 48034
(248) 354-9666
1096980
REFAI, WAEL MD
ROCHESTER 48307
(248) 844-9710
1095851
REFAI, WAEL MD
44201 DEQUINDRE RD
TROY 48085
(586) 726-8489
1060442
REVANKAR, VARSHA MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1095077
ROSENBERG, CAMILLE PA
BIRMINGHAM 48009
(248) 792-5200
1094114
ROSSI, BENJAMIN M DO
NOVI 48375
(248) 380-8811
1048664
SADIK, TANIA M MD
ROYAL OAK 48073
(248) 551-1210
1070031
SAINI, ANVITA B MD
TROY 48083
(248) 250-9482
1101826
SAINI, ANVITA B MD
(248) 851-1430
1114432
SAIYED JAVED, MUDDASSER MD
SOUTHFIELD 48034
(248) 799-4300
1064226
SAKR, LINA A MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1064684
SAMAD, MUNZER MD
26631 SOUTHFIELD RD
SOUTHFIELD 48076
(248) 552-8195
1095679
SANDBERG, HERSHEL MD
SOUTHFIELD 48034
(248) 356-7726
1095099
SCHRAMM, DANIELLE MD
BIRMINGHAM 48009
(248) 792-5200

Page 392
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1103710
SCHWARTZ, LOUIS MD
27355 JOHN R RD
(248) 291-2698
1036344
SHAH, DARSHIL J MD
ROYAL OAK 48073
(248) 551-3000
1117562
SHAIK MOHAMMED, ABU FAZAL MD
SOUTHFIELD 48034
(248) 799-4300
1067699
SHEIKH ALNAJARIN, MOHAMAD MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1114546
SHIDYAK, AMJAD MD
SOUTHFIELD 48034
(248) 799-4300
1091846
SIDDIQI, MAHAM T MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1069007
SILVERMAN, ALAN J DO
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1114543
SINGERMAN, JOSEPH B MD
SOUTHFIELD 48034
(248) 799-9444
1069008
SO, NAOMI C MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1089704
SOMALINGAM, PARAG K MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-1007
1103360
SPYRIDAKIS, KATHRINA P DO
1 WILLIAM CARLS DR
(248) 937-3395
1122188
STEELE, JOHN T MD
(248) 855-5355
1127747
SULE, ANUPAM A MD
SOUTHFIELD 48034
(248) 351-4709
1116683
SULE, ANUPAM A MD
ROYAL OAK 48073
(248) 551-3000
1106849
SURESH, BINDU MD
3535 W 13 MILE RD STE LL ADULT AFTER
ROYAL OAK 48073
(248) 551-1210
1031226
TAHHAN, MAMON MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1126655
TATU, HORIA M MD
2191 S BLVD STE 101 B
AUBURN HILLS 48326
(248) 724-1420
1101787
TOMA, RAAD J MD
OAK PARK 48237
(248) 968-2003
1066760
TU, JOHN F MD
3535 W THIRTEEN MILE RD STE LL
ROYAL OAK 48073
(248) 551-3000
1094115
VALENTI, MATTEO DO
NOVI 48375
(248) 380-8811
1071336
VASHIST, PRAVEEN MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1119636
VERARDI, MARY MD
PONTIAC 48341
(248) 858-6492
1114557
VOMMI, ARUNALATHA MD
SOUTHFIELD 48034
(248) 799-4300
1114447
WEERAKOON, NILUKA S MD
SOUTHFIELD 48034
(248) 799-4300
1102825
WILBORN, SONALI MD
27355 JOHN R RD
(248) 291-2698
1031351
WILKINSON, TODD S MD
ROYAL OAK 48073
(248) 551-3000
1031349
WILKINSON, TODD S MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 989-5000
1084061
WILLIAMS, STEPHEN A MD
TROY 48083
(248) 720-2626
1121971
WOOD, FRANCES O MD
ROYAL OAK 48073
(248) 898-4163
1079557
ZALESIN, KERSTYN C MD
ROCHESTER 48307
(248) 267-5750
1027477
ZALESIN, KERSTYN C MD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-5900
1116339
ZAYED, FARID MD
SOUTHFIELD 48034
(248) 799-9780

1093351
ALPAY-SAVASAN, ZEYNEP MD
ROYAL OAK 48073
(248) 551-1470
1089825
BAHADO-SINGH, RAY O MD
17400 W 13 MILE RD
FRANKLIN 48025
(248) 712-4120
1089826
BAHADO-SINGH, RAY O MD
TROY 48085
(249) 964-5129
1094624
BAUER, SAMUEL MD
44199 DEQUINDRE RD
TROY 48085
(248) 964-5129
1085124
BAUER, SAMUEL MD
ROYAL OAK 48073
(248) 551-1470
1095675
BAUER, SAMUEL T MD
TROY 48085
(248) 964-5129
1054660
BLESSED, WILLIAM B MD
22255 GREENFIELD STE 352
SOUTHFIELD 48075
(248) 849-2710
1065635
1 WILLIAM CARLS DR
(248) 937-5053
1102756
GONIK, BERNARD MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1064330
KAZZI, GEORGE M MD
44405 WOODWARD AVE 4TH FLOOR
PONTIAC 48341
(248) 858-6762
1015864
KAZZI, GEORGE M MD
PONTIAC 48341
(248) 858-6762
1027137
LORENZ, ROBERT MD
ROYAL OAK 48073
(248) 551-1470

Page 393
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
MATERNAL FETAL MEDICINE (CONTINUED)

1089643
MADAN, ICHCHHA
ROYAL OAK 48073
(248) 551-1470
1089644
MADAN, ICHCHHA MD
TROY 48085
(248) 964-5129
1098148
MOSES, DAVID MD
28050 GRAND RIVER
FARMINGTON 48336
(248) 476-8620
1104543
MURPHY, JUNE DO
44405 WOODWARD AVE HIGH RISK OB CLINIC
PONTIAC 48341
(248) 858-6762
1058523
MURPHY, JUNE DO
PONTIAC 48341
(248) 858-6762
1109259
OGUNYEMI, DOTUN A MD
TROY 48085
(248) 964-5129
1109258
OGUNYEMI, DOTUN A MD
17400 WEST 13 MILE RD
FRANKLIN 48025
(248) 712-4120
1102758
PUDER, KAROLINE S MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1055725
1 WILLIAM CARLS DR
(248) 937-5053
1096725
REDMAN, MARK E MD
TROY 48085
(248) 964-5129
1029505
REDMAN, MARK E MD
17400 W 13 MILE RD
FRANKLIN 48025
(248) 712-4120
1117297
ROCHA, FREDERICO G MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1102764
SOROKIN, YORAM MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1040425
SOROKIN, YORAM MD
1 WILLIAM CARLS
(248) 937-5053
1070019
WELCH, ROBERT MD
SOUTHFIELD 48075
(248) 849-2710
1103012
WHITTEN, AMY E MD
TROY 48085
(248) 964-5129
MRI CENTER
1127340
MRI CENTER OF OAKLAND INC
27379 DEQUINDRE
(248) 398-4488
1080113
UNIVERSITY PHYSICIAN GROUP
26400 W 12 MILE RD
SOUTHFIELD 48034
(313) 745-8100
NEONATOLOGY
1078012
ROYAL OAK 48073
(248) 964-4866
1087250
SJMH MEDICAL PRACTICE
PONTIAC 48341
(248) 858-3000
1086738
SJMH MEDICAL PRACTICE-NEONATAL
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-3526
NEPHROLOGY
1063022
AHSAN, MUHAMMED MD
SOUTHFIELD 48034
(248) 359-2370
1023048
AL-SAGHIR, FAHD MD
PONTIAC 48341
(248) 253-0330
1031427
ASHTARI, ALI R MD
SOUTHFIELD 48075
(248) 557-9010
1107642
BASETTY, PRAVEENA MD
(248) 626-2205
1125745
CIBRIK, DIANE M MD
ROCHESTER 48307
(800) 333-9013
1036355
CLYNE, STEPHEN D DO
PONTIAC 48341
(248) 253-0330
1122330
DANCIK, JERRY MD
32121 N WOODWARD AVE STE 200
ROYAL OAK 48073
(248) 690-9946
1106741
DANCIK, JERRY MD
LAKE ORION 48360
(248) 690-9946
1027482
DUMLER, FRANCIS MD
ROYAL OAK 48073
(248) 551-1010
1062233
DUMLER, FRANCIS MD
ROYAL OAK 48073
(248) 551-1515
1082065
DYE, VALERIE J MD
SOUTHFIELD 48034
(248) 799-0434
1030407
GARLAPATY, VAMSHI K MD
BERKLEY 48072
(248) 414-5377
1030414
GOLD, JEFFREY M MD
ROYAL OAK 48073
(248) 288-9340
1030415
GOLD, JEFFREY M MD
ROCHESTER 48307
(248) 290-3111
1024881
GREENBERG, LAWRENCE A DO
115 E LONG LAKE RD
TROY 48085
(248) 828-7500
1018252
HANNOUDI, GHADEER N MD
PONTIAC 48341
(248) 253-0330
1071142
HILLYER, ROBERT E MD
SOUTHFIELD 48034
(248) 799-0434
1125742
HUANG, YIHUNG MD
ROCHESTER 48307
(800) 333-9013
1028946
ILIOSKA, DANIELA MD
PONTIAC 48341
(248) 253-0330
1104966
JOHNSON, RHONDA M MD
SOUTHFIELD 48034
(248) 799-0434

Page 394
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1062311
MARGOLIS, KIM MD
SOUTHFIELD 48034
(248) 799-0434
1122194
MARIN, MARIA MD
BERKLEY 48072
(248) 414-5377
1023159
MASTER, USMAN G MD
PONTIAC 48341
(248) 253-0330
1092938
MICHAELS, ROBERT S MD
SOUTHFIELD 48034
(248) 359-2370
1083761
MUDUNURI, VIJAY MD
ROYAL OAK 48073
(248) 551-1515
1083762
MUDUNURI, VIJAY MD
ROYAL OAK 48073
(800) 253-5592
1125740
NAIK, ABHIJIT MBBS
ROCHESTER 48307
(800) 333-9013
1125735
NORMAN, SILAS P MD
ROCHESTER 48307
(800) 333-9013
1063023
OMAR, IRFAN MD
SOUTHFIELD 48034
(248) 359-2370
1011252
PRADA, ARTURO MD
6700 N ROCHESTER RD STE 110
ROCHESTER 48306
(248) 652-1202
1023197
RAMAMURTHI, KALYANA MD
PONTIAC 48341
(248) 253-0330
1033056
RANKIN, STEVEN M MD
TROY 48098
(248) 267-5010
1033057
RANKIN, STEVEN M MD
10861 W TEN MILE RD
OAK PARK 48237
(248) 541-7801
1033058
RANKIN, STEVEN M MD
ROYAL OAK 48073
(248) 288-9340
1023198
RANKIN, STEVEN M MD
PONTIAC 48341
(248) 253-0330
1030968
RATANAPANICHKICH, PITI MD
ROYAL OAK 48073
(248) 288-9340
1020305
RATANAPANICHKICH, PITI MD
TROY 48098
(248) 267-5010
1062412
REDDY, GAMPALA H MD
ROYAL OAK 48073
(248) 551-1515
1064785
REDDY, GAMPALA H MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-1010
1027481
REDDY, GAMPALA H MD
ROYAL OAK 48073
(248) 551-1010
1064786
REDDY, GAMPALA H MD
2221 LIVERNOIS RD STE 100
TROY 48083
(248) 240-9474
1030996
REDDY, PREETHAM Y MD
ROCHESTER 48307
(248) 290-3111
1020306
REDDY, PREETHAM Y MD
TROY 48098
(248) 267-5010
1027480
ROCHER, LESLIE MD
ROYAL OAK 48073
(248) 551-1010
1125736
SAKHUJA, ANKIT MBBS
ROCHESTER 48307
(800) 333-9013
1127958
SALEM, NANDA G MD
10861 W TEN MILE RD
OAK PARK 48237
(248) 268-1135
1125746
ROCHESTER 48307
(800) 333-9013
1027479
SAMARAPUNGAVAN, DILIP MD
ROYAL OAK 48073
(248) 551-1010
1055745
SONDHEIMER, JAMES H MD
18544 W 8 MILE RD
SOUTHFIELD 48075
(248) 569-1729
1031158
SPECK, JOHN MD
BERKLEY 48072
(248) 414-5377
1100547
STEIGERWALT, SUSAN MD
(248) 626-2205
1073046
SWAMI, ABHISHEK MD
SOUTHFIELD 48034
(248) 354-3236
1073992
SWAMI, ABHISHEK MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 354-3236
1066356
THALLA, RADHIKA K MD
BERKLEY 48072
(248) 414-5377
1100548
TOPF, JOEL MD
(248) 626-2205
1036062
WEINSTEIN, DAVID M MD
TROY 48098
(248) 267-5010
1092937
WHITE, DAVID R MD
SOUTHFIELD 48034
(248) 359-2370
1036654
ZAFAR, KHALID K MD
SOUTHFIELD 48034
(248) 354-3236
1031378
ZAROUK, SAMI K MD
BERKLEY 48072
(248) 414-5377
NEURO SURGERY
1089255
AYMEN, BRADLEY J DO
(248) 553-0010
1104760
BARRETT, RYAN J DO
NOVI 48374
(248) 569-7745
1086893
BARRETT, RYAN J DO
SOUTHFIELD 48075
(248) 569-7745
1037557
CROISSANT, PAUL MD
799 DENISON CT 2ND FL
(248) 751-7246
1045216
CROISSANT, PAUL MD
CLARKSTON 48346
(248) 620-9310

Page 395
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1040365
CROISSANT, PAUL MD
24100 DRAKE RD STE A
FARMINGTON 48335
(248) 751-7246
1055035
ELTAHAWY, HAZEM MD
44000 W 12 MILE RD STE 201
NOVI 48377
(877) 486-7978
1055382
44000 W 12 MILE RD STE 201
NOVI 48377
(877) 486-7978
1055402
HORNYAK, MARK J MD
41935 W 12 MILE RD
NOVI 48377
(877) 486-7978
1121752
(248) 733-9904
1121754
215 E BIG BEAVER RD
TROY 48083
(248) 733-9904
1108059
OHARA, THOMAS E JR MD
WATERFORD 48327
(248) 383-1030
1122552
OHARA, THOMAS E JR MD
ROCHESTER 48307
(248) 383-1030
1124779
OLSON, RICKY E MD
4203 W 13 MILE RD
ROYAL OAK 48073
(248) 288-2025
1045217
RAPP, LAWRENCE G MD
CLARKSTON 48346
(248) 620-9310
1024985
RAPP, LAWRENCE G MD
7650 DIXIE HWY STE 140
CLARKSTON 48346
(248) 620-9310
1071531
RICHARDS, BOYD F DO
SOUTHFIELD 48075
(248) 569-7745
1028758
SOO, TECK-MUN MD
SOUTHFIELD 48075
(248) 569-7745
1071047
SZERLIP, NICHOLAS J MD
(248) 538-4701
1073587
44000 W 12 MILE RD STE 201
NOVI 48377
(877) 486-7978
1123070
ZAMORANO, LUCIA J MD
2004 HAZEL
BIRMINGHAM 48009
(248) 723-2477
NEUROLOGY
1034231
AHMAD, YASMEEN A MD
(248) 745-1800
1035992
AHMAD, YASMEEN A MD
44405 WOODWARD
PONTIAC 48341
(248) 858-3000
1009193
AL-HAKIM, M MAZEN MD
TROY 48085
(248) 879-5775
1035341
AL-HAKIM, M MAZEN MD
TROY 48085
(248) 879-5775
1074394
ALMSADDI, MALAZ MD
23411 JOHN R RD
HAZEL PARK 48030
(248) 399-8331
1074396
ALMSADDI, MALAZ MD
CLARKSTON 48346
(248) 384-8319
1056196
ALMSADDI, MALAZ MD
(248) 451-1466
1068092
BASHA, MAYSAA M MD
41935 W 12 MILE RD STE 101
NOVI 48377
(313) 745-4275
1018520
BELKIN, MARTIN I DO
(248) 553-0010
1031433
BELKIN, MARTIN I DO
(248) 541-2551
1055006
BENSON, RANDALL R MD
41935 W 12 MILE RD STE 101
NOVI 48377
(313) 745-4275
1073590
BERNITSAS, EVANTHIA MD
41935 W 12 MILE RD STE 101
NOVI 48377
(313) 745-4275
1017969
BOUDOURIS, WILLIAM DO
(248) 553-0010
1117546
NOVI 48374
(586) 771-7440
1123501
BURNS, NORMAN M MD
1300 ROCHESTER RD
ROCHESTER 48307
(248) 299-0000
1124402
BURNS, NORMAN M MD
(248) 299-0000
1123605
DELLY, FADI MD
215 E BIG BEAVER RD
TROY 48083
(248) 733-9904
1123607
DELLY, FADI MD
(248) 733-9904
1062705
DISMONDY, MICHELLE D DO
(248) 553-0010
1073759
EILENDER, LAWRENCE M MD
26400 W 12 MILE RD STE 170
SOUTHFIELD 48034
(248) 208-8787
1055416
ELKISS, MITCHELL L DO
WATERFORD 48328
(248) 674-8199
1018501
ELLENBOGEN, AARON DO
(248) 553-0010
1073753
EMMER, ANTHONY A DO
26400 W 12 MILE RD STE 170
SOUTHFIELD 48034
(248) 208-8787
1018441
FELLOWS, JONATHAN DO
(248) 553-0010
1030327
FELLOWS, JONATHAN DO
(248) 541-2551
1118517
FUERST, DARREN R PHD
ROYAL OAK 48067
(248) 398-6459
1126549
GEORGE, EDWIN B MD
SOUTHFIELD 48034
(313) 745-4275
1021411
GIETZEN, ROGER C MD
1460 WALTON STE 200
ROCHESTER 48309
(248) 650-1800

Page 396
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1011119
GREEN, DAVID A DO
(248) 553-0010
1125423
GRYSIEWICZ, REBBECA A DO
3535 W 13 MILE RD STE N144
ROYAL OAK 48073
(855) 863-8761
1108168
HANKS, ROBIN ANN PHD
42005 W 12 MILE RD
NOVI 48377
(248) 305-7380
1056490
KACHADURIAN, MARK DO
350 E 12 MILE RD
(248) 545-3754
1011852
KARETI, DAS L MD
455 S LIVERNOIS STE B22
ROCHESTER 48307
(248) 650-9100
1050270
KHAN, MUHAMMAD A MD
ROCHESTER 48307
(248) 651-5600
1030604
KHAN, MUHAMMAD A MD
940 W AVON STE 8
ROCHESTER 48307
(248) 651-5600
1030605
KHAN, MUHAMMAD A MD
LAKE ORION 48360
(248) 232-0085
1055512
KHAN, OMAR A MD
41935 W 12 MILE RD STE 101
NOVI 48377
(313) 745-4275
1089095
KIRSCHNER, BRIAN N MD
(248) 355-3875
1066265
KODRIK, AMY M DO
(248) 553-0010
1097503
KRESCH, JODI R DO
ROCHESTER 48307
(248) 844-6000
1095027
LANDAN, IVAN R MD
BIRMINGHAM 48009
(248) 792-5200
1123692
LEUNG, DENISE O MD
ROYAL OAK 48073
(855) 863-8761
1089620
MAJJHOO, ANIEL Q MD
TROY 48083
(855) 874-7876
1124183
MENKES, DANIEL L MD
ROYAL OAK 48073
(855) 463-8761
1055710
MIGDAL, STEPHEN D MD
18544 W 8 MILE RD
SOUTHFIELD 48075
(248) 569-1729
1120696
NIES, AMANDA S MD
(248) 553-0010
1084225
HOLLY 48442
(810) 766-9561
1008268
PAWLAK, ANNE M DO
(248) 553-0010
1068307
PIERCE, ROBERT DO
(248) 553-0010
1116863
26635 WOODWARD AVE
HUNTINGTON WOODS 48070
(248) 548-8400
1122918
QADIR, RIZWAN MD
SOUTHFIELD 48034
(248) 799-9780
1055728
RAJAMANI, KUMAR MD
41935 W 12 MILE RD STE 101
NOVI 48377
(313) 745-4275
1102830
RANGANATHAN, CHAKRAPANI MD
21440 ARCHWOOD CIRCLE 3RD FLOOR
FARMINGTON 48336
(248) 473-8411
1033557
RAPP, STANFORD DO
27995 HALSTED
(248) 848-9464
1103927
RAPP, STANFORD DO
OAK PARK 48237
(248) 352-5851
1103926
RAPP, STANFORD DO
5761 W MAPLE RD
(248) 626-6892
1016185
RENTZ, LOUIS E DO
(248) 553-0010
1031019
ROSSMAN, HOWARD S DO
(248) 553-0010
1124184
SANTHAKUMAR, SUNITHA MD
ROYAL OAK 48073
(855) 863-8761
1076269
ROYAL OAK 48073
(248) 551-3000
1076268
ROYAL OAK 48073
(248) 577-9600
1013260
SCHECHTER, STEVEN H MD
6900 ORCHARD LAKE RD STE LL4
(248) 855-7495
1101730
SERAJI-BOZORGZAD, NAVID MD
41935 W 12 MILE RD STE 101
NOVI 48377
(313) 745-4275
1127741
SESI, VERONICA DO
SOUTHFIELD 48075
(248) 304-7659
1055736
SHAH, AASHIT K MD
41935 W 12 MILE RD STE 101
NOVI 48377
(313) 745-4275
1083437
SHAYA, MARY MD
ROCHESTER 48307
(248) 237-6994
1127731
SIDDIQUI, VAQAR MD
SOUTHFIELD 48075
(248) 552-9050
1068590
SIMPSON, DAVID A DO
(248) 553-0010
1067662
SINGER, DANIEL DO
(248) 553-0010
1036061
SOHRAB, SAYYED MD
44405 WOODWARD EEG LAB
PONTIAC 48341
(248) 858-3000
1126439
TAYLOR, DANETTE C DO
ROYAL OAK 48073
(855) 863-8763
1015616
TOLIA, BHARAT M MD
PONTIAC 48341
(248) 334-0115
1122709
TROCK, GARY L MD
44201 DEQUINDRE RD
TROY 48085
(248) 551-1281
1073741
TROSCH, RICHARD M MD
(248) 355-3875

Page 397
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1034335
WATSON, DANNY F MD
44405 WOODWARD EEG LAB
PONTIAC 48341
(248) 848-3000
1089619
XAVIER, ANDREW T MD
TROY 48083
(855) 874-7876
1079107
YOUNG, ESTHER DO
ROCHESTER 48307
(248) 299-0000
1076270
YOUNG, ESTHER L DO
44201 DEQUINDRE RD
TROY 48085
(248) 577-9700
1093258
YOUNG, ESTHER L DO
ROCHESTER 48307
(248) 299-0000
1015969
FARMINGTON 48336
(248) 442-3700
1123818
ZAKALIK, KAROL MD
ROYAL OAK 48073
(855) 863-8761
NUCLEAR CARDIOLOGY
1062323
MUNIR, MUHAMMAD A MD
SOUTHFIELD 48075
(248) 905-5470
1057113
ROYAL OAK 48073
(248) 288-6800
NUCLEAR MEDICINE
1027402
BALON, HELENA MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4100
1027400
FINK-BENNETT, DARLENE MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4100
1027401
FINK-BENNETT, DARLENE MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4100
1027413
MAHAJAN, PARESH MD
44201 DEQUINDRE
TROY 48085
(248) 964-4866
1027399
MAHAJAN, PARESH MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4100
1027411
MALLIN, WILLIAM MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 964-4866
1027408
QING, FENG MD
44201 DEQUINDRE
TROY 48085
(248) 964-4866
1027405
QING, FENG MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4100
1027254
QING, FENG MD
1455 S LAPEER RD STE L10
LAKE ORION 48360
(248) 656-4300
1031026
RYDBERG, JOHN N MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4100
1027404
SEITZ, JOHN MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4100
1116338
SHEVITZ, HENRY MD
SOUTHFIELD 48034
(248) 799-9780
1091045
SHEVITZ, HENRY A MD
29829 TELEGRAPH L103
SOUTHFIELD 48034
(248) 352-9525
1029610
TODOROV, GUEORGUI T MD
44201 DEQUINDRE
TROY 48085
(248) 964-4860
1027394
WONG, CHING-YEE MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4100
1031372
WU, DAFANG MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4100
NURSE MIDWIFE
1105429
ABDELNABI, SAMIA J CNM
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-3789
1119941
23338 WOODWARD AVE
FERNDALE 48220
(734) 929-9480
1083770
CALBECK, LORNA CNM
1428 S LAPEER RD
LAKE ORION 48360
(248) 692-0543
1123487
CARROLL, LYNETTE P CNM
44201 DEQUINDRE RD
TROY 48085
(248) 964-3444
1103045
DOVE-MEDOWS, EMILY D CNM
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0898
1119924
GLENN, JESSICA CNM
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900
1084202
JACOBSON, CHRISTINE CNM
44201 DEQUINDRE RD
TROY 48085
(248) 964-3444
1119907
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900
1119873
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900
1084074
LEHMAN, BONNIE L CNM
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-3789
1084091
MCKINLEY, JULIE L CNM
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-3789
1084106
PENDER, LORIE A CNM
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-3789
1084108
PORTER, LEILA A CNM
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-3789
1120246
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900
1120263
SCOTT, MELISA N CNM
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900
1120212
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900

Page 398
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1084143
VOGT-ROBERTS, MARLA A CNM
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4021

1125384
ANNETTA, JENNIFER M NP
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-3789
1103302
MILLER, LINDA S NPC
1 WILLIAM CARLS DR
(248) 937-5057
1067929
ABDELRAHMAN, ANAN MD
PONTIAC 48341
(248) 858-6272
1013182
ABDELRAHMAN, ANAN MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-6272
1126160
ABRAMOWICZ, JACQUES S MD
1560 E MAPLE RD STE 200
TROY 48083
(248) 581-5200
1075305
ADELMAN, BRIAN MD
(248) 932-9223
1063679
AGUIN, TINA MD
SOUTHFIELD 48034
(248) 352-8200
1127523
AGUIN, TINA MD
26400 W 12 MILE RD STE 111
SOUTHFIELD 48034
(248) 352-8200
1065630
AWONUGA, AWONIYI OLUMIDE MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1062920
BALCHANDANI, KIRAN MD
1181 N MILFORD RD STE 100
MILFORD 48381
(248) 685-0444
1118733
BARTHOLOMEW, FREDERICK D MD
(248) 253-0656
1055878
BAUMANN, PETER MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1124151
BAUMANN, PETER MD
TROY 48083
(248) 581-5200
1107752
BAZGER, NICKOLE R DO
CLARKSTON 48346
(248) 384-8020
1107751
BAZGER, NICKOLE R DO
1428 S LAPEER RD
LAKE ORION 48360
(248) 693-0543
1119839
BELL, CARRIE MD
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900
1119890
BELL, JASON D MD
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900
1103782
BELOTTE, JIMMY MD
1 WILLIAM CARLS DR
(248) 937-5220
1054465
BERMAN, JAY M MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1096255
44201 DEQUINDRE
TROY 48085
(248) 964-5000
1106852
ROCHESTER 48307
(248) 997-5805
1106854
ROCHESTER 48307
(248) 997-5805
1106853
LAKE ORION 48360
(248) 232-0090
1122711
BOGNER, CHRISTIAN MD
1428 S LAPEER RD
LAKE ORION 48360
(248) 693-0543
1030157
BONNEFIL, WILLIAM A MD
TROY 48085
(248) 964-9120
1027473
BOUTT, ANTHONY W MD
SOUTHFIELD 48075
(248) 465-4470
1059908
BRODSKY, BURTON MD
911 E NINE MILE
FERNDALE 48220
(248) 543-2229
1069374
BRYANT, DAVID R JR MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1118271
BURKE, KELLY A MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000
1107994
BURKE, KELLY A MD
ROCHESTER 48307
(248) 997-5805
1107993
BURKE, KELLY A MD
ROCHESTER 48307
(248) 997-5805
1107992
BURKE, KELLY A MD
LAKE ORION 48360
(248) 232-0090
1048668
CAIRGLE, RODERICK G MD
FARMINGTON 48336
(248) 888-2649
1030898
CAMPBELL, KELLY M MD
5777 W MAPLE STE 200
(248) 932-9223
1101772
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900
1007422
CHECK, ANDREW MD
ROYAL OAK 48073
(248) 288-6400
1025358
CLARKE, DAVID MD
NOVI 48374
(248) 465-4040
1117768
COHEN, DIANA DO
ROCHESTER 48307
(248) 652-5000
1024861
COHEN, DIANA L DO
1240 LAPEER RD
LAKE ORION 48362
(248) 690-7771
1078140
CONNOR, GINGER MD
1428 S LAPEER RD
LAKE ORION 48360
(248) 693-1534
1065511
CONNOR, GINGER MD
1428 S LAPEER RD
LAKE ORION 48360
(248) 693-0543
1070996
CONNOR, GINGER MD
CLARKSTON 48346
(248) 384-8020

Page 399
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1025359
CROOKS-BABU, ABBEY MD
NOVI 48374
(248) 465-4040
1120314
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900
1124399
DAMM, KATHERINE A MD
24450 EVERGREEN STE 220
SOUTHFIELD 48075
(248) 559-0590
1089828
DEAN, STEVEN MD
ROYAL OAK 48073
(248) 551-3575
1025361
DIMAGGIO, CHRISTINA MD
NOVI 48374
(248) 465-4040
1007738
DIWAN, PAMILA MD
SOUTHFIELD 48076
(248) 644-8220
1025362
DODDS, ROBERT MD
(248) 737-4600
1025363
DOLNICEK, THOMAS MD
(248) 737-4600
1035858
DUFF, RICHARD S MD
ROCHESTER 48307
(248) 656-2022
1040565
DUFF, RICHARD S MD
ROCHESTER 48307
(248) 652-5000
1071918
ESPINOZA DORADO, JIMMY MD
ROYAL OAK 48073
(248) 551-1470
1104137
ESTANOL, MARIA VICTORIA C MD
17400 W 13 MILE RD
FRANKLIN 48025
(248) 712-4120
1104138
ESTANOL, MARIA VICTORIA C MD
TROY 48085
(248) 712-4120
1127475
FISHER, JAY E MD
(248) 862-7221
1085798
FISHER, JAY E MD
ROYAL OAK 48073
(248) 551-3575
1041447
FLEMING, ANGELA DO
NOVI 48377
(248) 324-9024
1079865
FLEMING, ANGELA DO
FARMINGTON 48336
(248) 476-3620
1123138
FLORA, ROBERT F MD
16001 W 9 MILE RD 3RD FLR FISHER
SOUTHFIELD 48075
(248) 849-6030
1077120
FRANZ, PATRICIA MD
ROYAL OAK 48073
(248) 577-9352
1027141
FRANZ, PATRICIA MD
ROYAL OAK 48073
(248) 551-1470
1057468
FRIEDMAN, STEVEN J DO
(248) 360-1770
1101657
FRITZ, RANI B DO
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1091320
GARCIA, T EDUARDO MD
(248) 366-0100
1091321
GARCIA, T EDUARDO MD
(248) 335-2394
1025366
GAVINI, VIJAYA LAKSHMI MD
NOVI 48374
(248) 465-4350
1106645
GAVINI, VIJAYA LAKSHMI MD
47601 GRAND RIVER STE B133
NOVI 48374
(248) 465-4350
1103502
GOLDSMITH, ALAN D MD
1 WILLIAM CARLS DR
(248) 937-3335
1091318
GOLDSTEIN, ETHAN MD
(248) 366-0100
1091319
GOLDSTEIN, ETHAN MD
(248) 335-2394
1095503
GOLUSIN, MILLARD R MD
310 TOWN CENTER DR
TROY 48084
(248) 267-5040
1091316
GONIK, CHARLES O MD
(248) 366-0100
1091317
GONIK, CHARLES O MD
(248) 335-2394
1075300
GORDINIER, SHIRA DO
(248) 932-9223
1030456
GORDON, SEYMOUR V MD
TROY 48085
(248) 964-9120
1022025
GORDON-CORNELIUS, MARY DO
(248) 932-9223
1121021
GORDON-CORNELIUS, MARY DO
1 WILLIAM CARLS DR
(248) 937-3335
1035834
GOULDING, DAWN M MD
ROCHESTER 48307
(248) 656-2022
1046677
GOULDING, DAWN M MD
ROCHESTER 48307
(248) 625-5000
1030501
LAKE ORION 48360
(248) 232-0090
1030499
ROCHESTER 48307
(248) 997-5805
1045933
GREENE, DANIEL J MD
ROCHESTER 48307
(248) 652-5000
1035836
GREENE, DANIEL J MD
ROCHESTER 48307
(248) 656-2022
1030524
GRUSKIN, LAURA H MD
34505 W 12 MILE RD STE 195
(248) 848-1479
1076410
GUMBRECHT, KELLY M MD
ROCHESTER 48307
(248) 656-2022
1127522
HAENEBALCKE-WILSON, ELINE MD
TROY 48083
(248) 581-5800
1127521
26400 W 12 MILE RD STE 111
SOUTHFIELD 48034
(248) 352-8200

Page 400
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1091347
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1070314
HAGROO, AABEEN A DO
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000
1070236
HAGROO, AABEEN A DO
(248) 967-7988
1089322
HAGROO, AABEEN A DO
ROCHESTER 48307
(248) 659-1150
1066100
HAINER, BOZENA BEATRICE MD
ROCHESTER 48307
(248) 997-5805
1066099
HAINER, BOZENA BEATRICE MD
LAKE ORION 48360
(248) 232-0090
1123654
HANSEN, JULIE A CNM
44201 DEQUINDRE RD
TROY 48085
(248) 964-3444
1120229
HARRIS, LISA H MD
23338 WOODWARD AVE
FERNDALE 48220
(734) 929-9480
1109798
HEERINGA, AMY MD
ROCHESTER 48307
(248) 997-5805
1106143
HEERINGA, AMY B MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000
1123957
HERTZ, MICHAEL MD
SOUTHFIELD 48075
(248) 559-0590
1086538
HOBSON, DESLYN T MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1030567
HODGE, DAVID D MD
ROCHESTER 48307
(248) 964-6061
1122208
HOMA, LORI MD
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900
1125217
HOPKINS, STACI MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000
1093512
JAFRI, KULSOOM MD
ROCHESTER 48307
(248) 844-6000
1094549
JAFRI, KULSOOM R MD
1854 W AUBURN RD STE 100 B
ROCHESTER 48309
(248) 696-3400
1019426
JOSLIN-PAGE, JUDITH A DO
NOVI 48377
(248) 324-9024
1119856
KAHN, CHAVA MD
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900
1098110
KALO, JACOB MD
28505 SOUTHFIELD RD
SOUTHFIELD 48076
(248) 569-7010
1059915
KALO, JACOB MD
6765 ORCHARD LAKE
(248) 932-1777
1103535
KATZ, LON E MD
1 WILLIAM CARLS DR
(248) 937-3335
1055508
KAUR, SATINDER MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1124150
KAUR, SATINDER MD
TROY 48083
(248) 581-5200
1125938
KENNEDY, MELISSA A MD
TROY 48098
(248) 218-4073
1125934
LAKE ORION 48360
(248) 232-0090
1125937
44201 DEQUINDRE
TROY 48085
(248) 964-5000
1125935
ROCHESTER 48307
(248) 997-5805
1125936
ROCHESTER 48307
(248) 997-5805
1020819
KHALIFA, REDA MD
950 N CASS LAKE RD STE 112
WATERFORD 48328
(248) 683-8050
1033626
KHALIFA, REDA MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-6272
1096245
KHALILIAN, SEPIDEH MD
ROCHESTER 48309
(248) 696-3400
1054580
KHOURY, ELIE R MD
24611 COOLIDGE HWY
OAK PARK 48237
(248) 542-4300
1122745
KIM, SUN KWON MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1127520
KIM, SUN KWON MD
TROY 48083
(248) 581-5800
1127519
KIM, SUN KWON MD
26400 W 12 MILE RD STE 111
SOUTHFIELD 48034
(248) 352-8200
1076271
KWAISER, TY M MD
ROYAL OAK 48073
(248) 551-3000
1060436
KWAISER, TY M MD
ROYAL OAK 48073
(248) 551-1470
1030693
KWAISER, TY M MD
44201 DEQUINDRE RD
TROY 48098
(248) 964-5000
1030707
LEE, SANG C MD
TROY 48085
(248) 964-9120
1030759
LOVE, JOSEPH J MD
LAKE ORION 48360
(248) 232-0090
1030758
LOVE, JOSEPH J MD
ROCHESTER 48307
(248) 997-5805
1126698
MABEN-FEASTER, ROSALYN MD
1428 S LAPEER RD
LAKE ORION 48360
(248) 693-0543
1027960
MARCY, ARLENE M MD
1854 W AUBURN RD STE 100B
ROCHESTER 48309
(248) 696-3400
1074321
MARKOWISTZ, ANDREW MD
(248) 932-9223
1070315
MASTERS, JULIE G DO
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000

Page 401
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1126706
MATOIAN, CHRISTINE MD
FRANKLIN 48025
(248) 723-6200
1029796
MATTISON, ANISSA R DO
PONTIAC 48341
(248) 858-6772
1039781
MAUSI, LORI M MD
ROYAL OAK 48073
(248) 551-1470
1039780
MAUSI, LORI M MD
ROYAL OAK 48073
(248) 551-3000
1030825
LAKE ORION 48360
(248) 232-0090
1030824
ROCHESTER 48307
(248) 997-5805
1118748
MCINTOSH, LISA J MD
555 W 14 MILE RD STE 2A
CLAWSON 48017
(248) 457-0085
1121962
MCNEELEY, SAMUEL G MD
PONTIAC 48341
(248) 858-9620
1122877
MERT, ISMAIL MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(313) 745-4525
1070325
MICKELSON, IRA H MD
1777 AXTELL RD STE 102
TROY 48084
(248) 822-6200
1032104
MILLER, JEFFREY B DO
(248) 960-1770
1061958
MILLER, SHARON MD
(248) 865-4230
1058864
MOORE, KIMBERLY MD
SOUTHFIELD 48075
(248) 465-4470
1045916
MORGAN, JOSEPH G MD
455 S LIVERNOIS STE A-23
ROCHESTER 48307
(248) 652-9666
1032168
MORGAN, SANDRA L MD
ROCHESTER 48307
(248) 997-5805
1083846
MULLINGS-BRITTON, JANET MD
SOUTHFIELD 48075
(248) 849-2710
1060068
MURTHY, SAPNA MD
ROCHESTER 48307
(248) 656-2022
1062064
NICHOLSON, MICHAEL MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-3526
1032403
PONTIAC 48341
(248) 456-8001
1096431
WATERFORD 48327
(248) 456-8001
1055158
OBRON, JEFFREY MD
5777 W MAPLE RD
(248) 932-9223
1103274
O'KEEFE, RACHEL M DO
1 WILLIAM CARLS DR
(248) 937-3300
1122954
PATWARDHAN, MANASI S MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1126159
TROY 48083
(248) 581-5200
1026096
PAYNE-JACKSON, VALERIE J DO
1854 W AUBURN RD STE 100B
ROCHESTER 48309
(248) 696-3400
1103399
PETRUSHA, LUBA N MD
1 WILLIAM CARLS DR DEPT OF OB/GYN
(248) 937-3300
1038458
PIMPUTKAR, GOURI DO
1428 S LAPEER RD
LAKE ORION 48360
(248) 693-2697
1045713
PIMPUTKAR, GOURI DO
CLARKSTON 48346
(248) 384-8020
1078141
PIMPUTKAR, GOURI DO
1428 S LAPEER RD
LAKE ORION 48360
(248) 693-1534
1103813
PORTNEY, DEBORAH MD
1 WILLIAM CARLS DR
(248) 937-3335
1034371
POWELL, LANA D MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000
1079890
POWELL, VANCE D JR DO
FARMINGTON 48336
(248) 476-8220
1083874
PREZZATO, JOSEPH MD
911 E NINE MILE RD
FERNDALE 48220
(248) 543-2229
1122486
ROCHESTER 48307
(248) 652-5000
1122484
1555 E SOUTH BLVD E STE 390
ROCHESTER 48307
(248) 267-5790
1067928
RAM, USHA MD
PONTIAC 48341
(248) 858-6272
1037527
RAM, USHA MD
1750 S TELGRAPH RD STE 108
(248) 334-4505
1035895
REEDY, BRIAN K MD
ROCHESTER 48307
(248) 656-2022
1041666
REEDY, BRIAN K MD
ROCHESTER 48307
(248) 652-5000
1101964
REID, VIRGIL C MD
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900
1013300
RIZZO, CAROLE DO
1750 S TELEGRAPH STE 104
(248) 338-8900
1038735
RODRIGUEZ, JACQUELYN N MD
TROY 48085
(248) 964-9120
1036235
ROGERS, EUGENE MD
PONTIAC 48342
(248) 334-4773
1033679
ROGERS, EUGENE MD
PONTIAC 48341
(248) 335-6282
1036236
ROGERS, EUGENE MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-3526
1124514
RUDDOCK, MARTIN MD
SOUTHFIELD 48075
(248) 559-0590

Page 402
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1119570
SANJAGHSAZ, HAMID DO
7419 MIDDLEBELT RD
(248) 851-6070
1060572
SAPICK, SHELLEY L MD
1701 SOUTH EAST BLVD STE 200
ROCHESTER 48307
(248) 997-5805
1060571
SAPICK, SHELLEY L MD
LAKE ORION 48360
(248) 232-0090
1118106
SARVIS, APRIL MD
(248) 253-0656
1126180
SHABANA, REHAB MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1121026
SHABANA, REHAB M MD
1 WILLIAM CARLS DR
(248) 937-3335
1033625
SHAKER, WAHIB M MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-6272
1067930
SHAKER, WAHIB M MD
PONTIAC 48341
(248) 858-6272
1068872
SHAMAN, PETER MD
PONTIAC 48341
(248) 858-6272
1065756
SHAMAN, PETER MD
CLARKSTON 48346
(248) 625-8555
1127474
SHOHA, LORI L MD
(248) 862-7221
1055738
SIMMERMAN, NEIL S MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1118089
SMITH, CARA MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-6101
1117300
SMITH, CARA MD
WATERFORD 48327
(248) 456-8001
1095595
SOUTHFIELD 48075
(248) 559-0590
1042214
SMITH, MICHAEL D MD
1101 W UNIVERSITY
ROCHESTER 48307
(248) 652-5000
1002925
SMITH, MICHAEL D MD
145 S ROCHDALE STE C
ROCHESTER 48309
(248) 656-0544
1079904
STANLEY, ADRIENNE M DO
NOVI 48377
(248) 324-9024
1031184
ROCHESTER 48307
(248) 997-5805
1031186
LAKE ORION 48360
(248) 232-0090
1055957
SUDAKIN, LEONARD B MD
26400 W 12 MILE RD
SOUTHFIELD 48034
(248) 352-8200
1031235
TAYLOR, DONALD M MD
1629 W BIG BEAVER RD
TROY 48084
(248) 649-2266
1125052
TAYLOR, DONALD M MD
(248) 253-0656
1059907
TAYLOR, JACQUELINE MD
911 E NINE MILE
FERNDALE 48220
(248) 543-2229
1045928
THOMAS, ORLENE R MD
FARMINGTON 48336
(248) 888-2649
1101914
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900
1127590
TUMANEG, DAPHNE P DO
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000
1070017
UNITIS MARRAS, ANGELA MD
SOUTHFIELD 48075
(248) 465-4470
1069517
VANSADIA, ANUPAMA R MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000
1048191
VLACHOS, THEODOROS K MD
ROYAL OAK 48073
(248) 577-9352
1072207
WADE, CHRISTINE T MD
1109 W LONG LAKE RD STE 102
(248) 594-0002
1031301
WALLACE, ELISE F MD
LAKE ORION 48360
(248) 232-0090
1031300
WALLACE, ELISE F MD
ROCHESTER 48307
(248) 997-5805
1120297
WALLETT, SARAH M MD
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900
1091322
WANG, HSIN MD
(248) 335-2694
1091323
WANG, HSIN MD
(248) 366-0100
1075298
WEINBERG, JERROLD MD
(248) 932-9223
1018253
WICKHAM, DEIRDRE A DO
NOVI 48377
(248) 324-9024
1096653
WILLIAMS, CHARLENE V MD
(248) 336-2008
1031762
WRIGHT, THOMAS C DO
5900 WALDON RD STE D
CLARKSTON 48346
(248) 922-0615
1078142
WYNN, TANYA R MD
1428 S LAPEER RD
LAKE ORION 48360
(248) 693-1534
1103486
YANCY, AMANDA F MD
(248) 539-0742
1031764
ZAIDAN, JONATHAN MD
CLARKSTON 48346
(248) 384-8020
1078139
ZAIDAN, JONATHAN MD
1428 S LAPEER RD
LAKE ORION 48360
(248) 693-1534
1023299
ZAIDAN, JONATHAN MD
1428 S LAPEER RD
LAKE ORION 48360
(248) 693-0543
1120280
ZAPATA, MYA R MD
23338 WOODWARD AVE
FERNDALE 48220
(248) 399-5900

Page 403
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1070259
ZEKMAN, ESTHER S DO
(248) 967-7988
ONCOLOGY
1079647
ASLAM, NAVEED MD
ROYAL OAK 48073
(248) 288-4500
1089603
ASLAM, NAVEED MD
TROY 48098
(248) 267-6569
1073370
BALARAMAN, SAVITHA MD
FARMINGTON 48336
(248) 477-0552
1073351
BALARAMAN, SAVITHA MD
(248) 399-4400
1073385
BALLOUZ, SAMER MD
ROYAL OAK 48073
(248) 288-4500
1073368
BERKOVIC, MICHAEL DO
ROYAL OAK 48073
(248) 551-2446
1073392
(248) 399-4400
1073367
FARMINGTON 48336
(248) 477-0552
1119145
BIERNAT, LAURA MD
1901 STAR BATT DR
ROCHESTER 48309
(248) 844-4000
1122200
COELLO, EUDORO MD
1901 STAR BATT RD
ROCHESTER 48309
(248) 844-4000
1119147
KHAN, WAJAHAT MD
1901 STAR BATT DR
ROCHESTER 48309
(248) 844-4000
1070133
KRAUT, MICHAEL MD
SOUTHFIELD 48075
(248) 552-0620
1126301
KRISHNAN, RAJAN MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-6272
1070140
MANAM, RAJENDRA MD
SOUTHFIELD 48075
(248) 552-0620
1073366
MARGOLIS, JEFFREY H MD
FARMINGTON 48336
(247) 477-0552
1073365
(248) 399-4400
1073349
ROYAL OAK 48073
(248) 551-2446
1014769
PALLAS, SERAPHIM MD
CLARKSTON 48346
(248) 922-6650
1035916
PHILIP, PHILIP A MD
(248) 538-4701
1056909
SCHIFFER, CHARLES A MD
(248) 538-4701
1058412
VENUTURUMILLI, PADMAJA V MD
ROYAL OAK 48073
(248) 577-9600
1057854
ROYAL OAK 48073
(248) 551-3300
1073382
ZEKMAN, RICHARD P DO
ROYAL OAK 48073
(248) 551-2446
1073381
ZEKMAN, RICHARD P DO
(248) 399-4400
ROYAL OAK 48073
(248) 551-9910

1030712
LES, KIMBERLY A MD
OPHTHALMOLOGY
1102947
ABBEY, ASHKAN MD
ROYAL OAK 48073
(248) 551-2020
1085340
ABRAMS, GARY W MD
FRANKLIN 48025
(248) 594-6702
1121203
AGGARWAL, ANJU MD
3080 JOHN R RD
ROCHESTER 48307
(248) 336-3937
1121202
AGGARWAL, ANJU MD
22039 JOHN R RD
HAZEL PARK 48030
(248) 336-3937
1106366
AHMAD, SAAD MD
301 W 13 MILE RD
(586) 354-9190
1119304
AHMAD, SAAD MD
SOUTHFIELD 48034
(248) 353-1750
1119303
AHMAD, SAAD MD
PONTIAC 48341
(248) 353-1750
1125366
AHMED, SHAREEF B MD
301 THIRTEEN MILE RD
(586) 354-9190
1017809
ALBERT, WILLIAM MD
(248) 332-4544
1033925
AMIRIKIA, AREZO MD
44405 WOODWARD NICU
PONTIAC 48341
(248) 858-3000
1126686
(248) 538-7400
1083745
BARMETTLER, ANNE MD
ROYAL OAK 48073
(248) 551-2020
1089677
BEITMAN, ROBERT D MD
ROYAL OAK 48073
(248) 551-2020
1070326
BENKOFF, ADREA MD
FARMINGTON 48336
(248) 478-8990
1030098
BERGMAN, RONALD H MD
(248) 538-6463

Page 404
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1057611
BESER, DONALD S MD
5829 W MSPLE
(248) 855-2071
1111975
BESER, DONALD S MD
320 W COMMERCE RD
MILFORD 48381
(248) 684-7337
1044335
BIGGS II, THOMAS DO
CLARKSTON 48346
(248) 922-0400
1003909
BIGGS II, THOMAS DO
CLARKSTON 48346
(248) 620-3000
1069512
BLACK, EVAN H MD
ROYAL OAK 48073
(248) 551-2020
1032536
BLACK, EVAN H MD
SOUTHFIELD 48034
(248) 357-5100
1124042
BLAU, ROBERT P MD
PONTIAC 48341
(248) 353-1750
1124041
BLAU, ROBERT P MD
301 13 MILE RD
(586) 354-9190
1124043
BLAU, ROBERT P MD
SOUTHFIELD 48034
(248) 353-1750
1036251
BOYMAN, RUTH MD
FARMINGTON 48335
(248) 473-9410
1008058
ROYAL OAK 48073
(248) 288-2280
1122184
CASTILLO, FRANCISCO MD
ROYAL OAK 48073
(248) 551-2020
1071314
CHANG, EMMANUEL Y MD
ROYAL OAK 48073
(248) 551-2020
1071341
CHANG, EMMANUEL Y MD
ROYAL OAK 48073
(248) 288-2280
1009510
SOUTHFIELD 48034
(248) 350-1130
1030179
SOUTHFIELD 48034
(248) 356-0098
1030191
COLOMBO, CHARLES G MD
LAKE ORION 48360
(248) 814-7139
1030190
COLOMBO, CHARLES G MD
ROCHESTER 48307
(248) 293-5161
1112935
COONEY, THERESA M MD
320 W COMMERCE RD
MILFORD 48381
(248) 684-7337
1017797
SOUTHFIELD 48034
(248) 352-0806
1121814
CYRLIN, MARSHALL N MD
301 W 13 MILE RD
(586) 354-9190
1032711
ROYAL OAK 48073
(248) 551-2020
1124037
SOUTHFIELD 48034
(248) 353-1750
1124038
PONTIAC 48341
(248) 353-1750
1089686
DHALIWAL, AVNINDER S MD
ROYAL OAK 48073
(248) 551-2020
1035393
DISKIN, DAVID MD
OXFORD 48371
(248) 236-9379
1035390
DISKIN, JEFFREY MD
OXFORD 48371
(248) 236-9379
1033757
DRENSER, KIMBERLY A MD
ROCHESTER 48307
(248) 652-7400
1033760
ROYAL OAK 48073
(248) 288-2280
1001748
DUNN, STEVEN P MD
SOUTHFIELD 48034
(248) 350-1130
1030285
ERICKSON, ROBERT C MD
TROY 48098
(248) 367-5045
1030284
ERICKSON, ROBERT C MD
800 S ADAMS RD STE 201
BIRMINGHAM 48009
(248) 644-8060
1048310
FAIA, LISA J MD
ROYAL OAK 48073
(248) 551-2020
1072183
FAIA, LISA J MD
ROYAL OAK 48073
(248) 288-2280
1068199
FECKO, ALICE M MD
ROYAL OAK 48073
(248) 551-2020
1085341
FRANK, ROBERT N MD
FRANKLIN 48025
(248) 594-6702
1044334
FRENCH, ARLIN H DO
CLARKSTON 48346
(248) 922-0400
1030947
FRENCH, ARLIN H DO
CLARKSTON 48346
(248) 620-3000
1040737
GAGO, LUIS MD
34405 W 12 MILE RD STE 154
(877) 852-8463
1119297
GALANG-QAHWASH, MARIA D DO
PONTIAC 48341
(248) 353-1750
1118042
301 W 13 MILE RD
(586) 354-9190
1119298
SOUTHFIELD 48034
(248) 353-1750
1033807
GARRETSON, BRUCE R MD
ROCHESTER 48307
(248) 652-7400
1033809
3535 W 13 MILER RD STE 344
ROYAL OAK 48073
(248) 288-2280
1043291
GEORGE, TOBIAS V MD
47601 GRAND RIVER STE A221
NOVI 48374
(248) 380-8280
1007520
GEORGE, TOBIAS V MD
SOUTHFIELD 48075
(248) 569-4366

Page 405
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1076756
GIANFERMI, ELENA MD
(248) 538-7400
1040670
GILES, CONRAD L MD
FRANKLIN 48025
(248) 594-6702
1023113
2820 CROOKS TD STE 200
ROCHESTER 48309
(248) 852-8931
1023114
SOUTHFIELD 48034
(248) 357-5100
1030416
GOLDBERG, DARRYL T MD
ROYAL OAK 48073
(248) 398-2525
1055379
GOYAL, ANJU MD
FRANKLIN 48025
(248) 594-6702
1014901
GRANADIER, ROBERT MD
ROYAL OAK 48073
(248) 551-2020
1127965
GREEN, LANNY MD
SOUTHFIELD 48075
(248) 569-6120
1030507
GREENBERG, DANA J MD
TROY 48084
(248) 649-2820
1047843
GREENBERG, DANA J MD
ROYAL OAK 48073
(248) 551-2020
1032727
GREENLEY, MICHAEL Y MD
(248) 669-9866
1032737
81 INDIANWOOD STE 1
LAKE ORION 48362
(248) 693-2321
1024882
SOUTHFIELD 48034
(248) 358-3937
1030509
GREY, DAVID S MD
(248) 333-2900
1021595
GROSINGER, LESLIE D MD
1750 TELEGRAPH STE 205
(248) 333-2900
1123498
GUPTA, CHIRAG MD
ROYAL OAK 48073
(248) 551-2020
1060434
HADDAD, DANIEL S MD
ROYAL OAK 48073
(248) 551-2020
1007776
HAKIMZADEH, ROXANA MD
ROCHESTER 48307
(248) 856-6500
1006538
HANDLER, LAWRENCE F MD
1777 AXTELL RD STE 203
TROY 48084
(248) 649-1644
1017845
HART, JOHN C MD
ROYAL OAK 48073
(248) 551-2020
1126158
HARTZELL, CHARLOTTE L MD
FRANKLIN 48025
(248) 594-6702
1124148
TROY 48083
(248) 581-5200
1076272
HASSAN, TAREK S MD
ROYAL OAK 48073
(248) 551-2020
1033823
HASSAN, TAREK S MD
ROYAL OAK 48073
(248) 288-2280
1009509
HEIDEMANN, DAVID G MD
SOUTHFIELD 48034
(248) 350-1130
1104578
HEIL, MEGAN N DO
ROCHESTER 48307
(248) 293-5161
1032192
HOLLOWAY, DEIDRE C MD
PONTIAC 48342
(248) 858-8330
1118667
HOLLOWAY, DEIRDRE MD
SOUTHFIELD 48075
(248) 569-5577
1049100
HOLLOWAY, DEIRDRE MD
PONTIAC 48342
(248) 858-8330
1055403
HUGHES, BRET A MD
FRANKLIN 48025
(248) 594-6702
1086540
HWANG, FRANK SUN WOOK MD
FRANKLIN 48025
(248) 594-6702
1124147
TROY 48083
(248) 581-5200
1066736
JANCEVSKI, MARIA MD
ROYAL OAK 48073
(248) 551-2020
1065762
JANCEVSKI, MARIA MD
BIRMINGHAM 48009
(248) 644-8060
1112880
JEYARAJ, VANITHA I MD
320 W COMMERCE RD
MILFORD 48381
(248) 684-7337
1055505
JUZYCH, MARK S MD
FRANKLIN 48025
(248) 594-6702
1030594
KALT, JEFFREY C MD
ROYAL OAK 48073
(248) 398-2525
1071323
KASHANI, AMIR H MD
ROYAL OAK 48073
(248) 551-2020
1071340
KASHANI, AMIR H MD
ROYAL OAK 48073
(248) 288-2280
1075888
KATZ, JEFFREY S MD
26615 GREENFIELD RD
SOUTHFIELD 48076
(248) 557-1070
1035386
KEOLEIAN, GARY MD
OXFORD 48371
(248) 236-9379
1092910
44000 W 12 MILE RD STE 112
NOVI 48377
(586) 792-3891
1119302
KLEINFELDT, NOSSONAL MD
SOUTHFIELD 48034
(248) 353-1750
1104640
301 W 13 MILE RD
(586) 354-9190
1119301
PONTIAC 48341
(248) 353-1750
1106322
KOEHLER, MATTHEW P MD
28501 ORCHARD LK RD
(248) 553-9800

Page 406
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1103061
LEVER, JACKSON F MD
ROYAL OAK 48073
(248) 551-2020
1030713
LEVIN, DARRIN S MD
SOUTHFIELD 48034
(248) 356-8610
1084532
LUCAS, WILLIAM R JR MD
FRANKLIN 48025
(248) 594-6702
1030802
MALINOWSKI, SUSAN M MD
SOUTHFIELD 48034
(248) 356-8610
1060437
MANZO, DAVID MD
ROYAL OAK 48073
(248) 551-2020
1055667
MCDERMOTT, MARK L MD
FRANKLIN 48025
(248) 594-6702
1102763
MEHTA, ANKUR N MD
44000 W 12 MILE RD STE 112
NOVI 48377
(586) 792-3891
1008237
MILLER, JOEL A MD
SOUTHFIELD 48034
(248) 356-8610
1071021
MUENK, DONALD B MD
FARMINGTON 48336
(248) 478-8990
1070330
MUENK-GOLD, SARAH MD
FARMINGTON 48336
(248) 478-8990
1055931
FRANKLIN 48025
(248) 594-6702
1042791
NAKKASH, EMAD MD
22039 JOHN R RD
HAZEL PARK 48030
(248) 336-3937
1092096
NAKKASH, EMAD MD
3080 JOHN R RD
ROCHESTER 48307
(248) 336-3937
1035585
NESI, FRANK A MD
1565 W BIG BEAVER RD BLDG F
TROY 48084
(248) 637-8834
1035826
NESI-ELOFF, FRANCESCA D MD
SOUTHFIELD 48034
(248) 357-5100
1083763
NUDLEMAN, ERIC MD
ROYAL OAK 48073
(248) 551-2020
1092567
NUDLEMAN, ERIC MD
ROYAL OAK 48073
(248) 288-2280
1035725
OBER, MICHAEL MD
SOUTHFIELD 48034
(248) 356-8610
1058411
ROYAL OAK 48073
(248) 551-2020
1060476
ROYAL OAK 48073
(248) 551-9151
1018171
PAGE, TIMOTHY P MD
BIRMINGHAM 48009
(248) 644-7119
1030909
PAGE, TIMOTHY P MD
TROY 48098
(248) 267-5045
1096295
PAPP, CHRISTOPHER R MD
321 PETTIBONE ST STE 103
SOUTH LYON 48178
(248) 782-8120
1070333
PARENT, ALAN C MD
FARMINGTON 48336
(248) 478-8990
1124146
PATEL, ANU S MD
TROY 48083
(248) 581-5200
1101794
PATEL, ANU S MD
LAKE ORION 48360
(248) 814-7139
1087233
PRASAD, ANURADHA MD
SOUTHFIELD 48034
(248) 352-2806
1045640
PUROHIT, SUJATA MD
34405 W 12 MILE RD STE 154
(877) 852-8463
1064182
34405 W 12 MILE RD STE 154
(877) 852-8463
1074175
ROYAL OAK 48073
(248) 551-9151
1089695
ROYAL OAK 48073
(248) 551-2020
1036241
RICE, ALAN MD
(248) 332-4544
1125726
RICHARDS FIFIELD, AYO-LYNN MD
(248) 332-4544
1098492
RICHARDS, AYO LYNN MD
22039 JOHN R RD
HAZEL PARK 48030
(248) 336-3937
1098493
RICHARDS, AYO LYNN MD
3080 JOHN R RD
ROCHESTER 48307
(248) 336-3937
1098778
RINKE, ALLAN R MD
LAKE ORION 48360
(248) 814-7139
1092929
ROBINSON, JOSHUA MD
ROYAL OAK 48073
(248) 288-2280
1031021
RUBINSTEIN, MARK H MD
SOUTHFIELD 48034
(248) 352-2806
1033895
RUBY, ALAN J MD
ROYAL OAK 48073
(248) 288-2280
1033899
RUBY, ALAN J MD
ROCHESTER 48307
(248) 652-7400
1124149
SACHDEVA BAHL, REECHA MD
TROY 48083
(248) 581-5200
1107386
SACHDEVA-BAHL, REECHA MD
LAKE ORION 48360
(248) 814-7139
1124400
SCHLACHTER, DIANNE M MD
3535 W 13 MILE RD
ROYAL OAK 48073
(248) 551-2020
1083176
SCHLACHTER, DIANNE M MD
SOUTHFIELD 48034
(248) 357-5100
1044929
SENSOLI, ANTHONY MD
34405 W 12 MILE RD STE 154
(877) 852-8463
1101949
SHAH, ANKOOR R MD
ROYAL OAK 48073
(248) 288-2280

Page 407
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1106900
SHAH, ANKOOR R MD
ROYAL OAK 48073
(248) 551-2020
1104526
SHAH, RAJIV E MD
44000 W 12 MILE RD STE 112
NOVI 48377
(586) 792-3891
1103362
SHAH, RAJIV E MD
FRANKLIN 48025
(248) 594-6702
1089700
SHANBOM, STEVEN A MD
ROYAL OAK 48073
(248) 551-2020
1124145
SHUKAIRY, AMAN MD
TROY 48083
(248) 581-5200
1102761
SHUKAIRY, AMAN MD
LAKE ORION 48360
(248) 814-7139
1004852
SIEGEL, LES I MD
SOUTHFIELD 48034
(248) 356-0098
1031143
SIEGEL, MARC J MD
SOUTHFIELD 48034
(248) 356-0098
1055748
SOSNE, GABRIEL MD
FRANKLIN 48025
(248) 594-6702
1031161
SPIGELMAN, ALAN V MD
ROYAL OAK 48073
(248) 288-2210
1025026
SPIGELMAN, ALAN V MD
(248) 333-2900
1017456
STEC, LORI MD
ROYAL OAK 48073
(248) 551-2020
1100558
STERN, SHELDON D MD
FRANKLIN 48025
(248) 645-2220
1070334
SULTANA-GALLICK, MARILYNN MD
FARMINGTON 48336
(248) 478-8990
1089705
SWAMI, ANIL U MD
ROYAL OAK 48073
(248) 551-2020
1031219
SWAMI, ANIL U MD
1950 E WATTLES RD STE 102
TROY 48085
(248) 740-1558
1124144
TANNIR, JUSTIN R MD
TROY 48083
(248) 581-5200
1122061
THOMAS, BENJAMIN J MD
ROYAL OAK 48073
(248) 288-2280
1123497
THOMAS, BENJAMIN J MD
ROYAL OAK 48073
(248) 551-2020
1060046
TOMSAK, ROBERT L MD
FRANKLIN 48025
(248) 594-6702
1124143
TOMSAK, ROBERT L MD
TROY 48083
(248) 581-5200
1033933
TRESE, MICHAEL T MD
ROYAL OAK 48073
(248) 288-2280
1119300
VERB, STEPHEN MD
SOUTHFIELD 48034
(248) 353-1750
1104692
VERB, STEPHEN MD
301 W 13 MILE RD
(586) 354-9190
1119299
VERB, STEPHEN MD
PONTIAC 48341
(248) 353-1750
1111004
VRABEC, JOSHUA P MD
320 W COMMERCE RD
MILFORD 48381
(248) 684-7337
1118741
WEINGARTEN, MARK D MD
1282 WALTON BLVD
ROCHESTER 48307
(248) 650-2255
1031313
WEINGARTEN, MARK D MD
ROYAL OAK 48073
(248) 551-2020
1003109
WEISS, HAROLD MD
SOUTHFIELD 48034
(248) 356-8610
1083593
WERNER, JANE C MD
WSUPG OPHTHALMOLOGY 31500 TELEGRAPH
FRANKLIN 48025
(248) 594-6702
1011493
WILLIAMS, GEORGE A MD
3535 W 13 MILE RD
ROYAL OAK 48073
(248) 288-2280
1073044
WOLFE, JEREMY D MD
ROYAL OAK 48073
(248) 551-2020
1064246
WOLFE, JEREMY D MD
ROYAL OAK 48073
(248) 288-2280
1076981
YALDO, MAZIN K MD
28501 ORCHARD LK RD
(248) 553-9800
1033986
ROYAL OAK 48073
(248) 288-2280
1123496
YONEKAWA, YOSHIHIRO MD
ROYAL OAK 48073
(248) 551-2020
1120788
YONEKAWA, YOSHIHIRO MD
ROYAL OAK 48073
(248) 288-2280
1031379
ZELDES, STEVEN S MD
6010 W MAPLE STE 200
(248) 737-6955
1036244
ZUCKERBROD, DANIEL MD
(248) 332-4544
1127268
3030 GREENFIELD RD
ROYAL OAK 48073
(248) 288-6610
OPTOMETRY
1092419
ANDERSON, TIMOTHY D OD
TROY 48084
(248) 528-1981
1032510
AUGUST, BARRY P OD
1611 OPDYKE
(248) 858-2535
1125993
BALCUEVA, DANIEL OD
106 W TWELEVE MILE RD
(248) 414-1900
1125111
BAXTER, STEPHANIE M OD
CLARKSTON 48346
(248) 620-3000

Page 408
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
253188
BECKER, ELIZABETH OD
OXFORD 48371
(248) 628-3441
1102495
BIFANO, CHRISTOPHER OD
317 N LAFAYETTE
SOUTH LYON 48178
(248) 446-1146
1118478
BIFANO, RHONDA M OD
317 N LAFAYETTE
SOUTH LYON 48178
(248) 446-1146
1079051
BRATT, RICHARD OD
6602 TELEGRAPH RD
(248) 419-3500
1073792
BRATT, RICHARD OD
819 W 14 MILE ROAD
CLAWSON 48017
(248) 435-2189
1073784
BRATT, RICHARD OD
355 SOUTH BROADWAY
LAKE ORION 48362
(248) 693-8666
1119700
BRATT, RICHARD OD
106 W 12 MILE RD
(248) 414-1900
1045672
BRINKER, ROBERT OD
2943 E BIG BEAVER RD
TROY 48083
(248) 689-0213
1125249
BROZZO, SARAH OD
355 S BROADWAY
LAKE ORION 48362
(248) 693-8666
1125255
BROZZO, SARAH OD
7084 HIGHLAND RD
WATERFORD 48327
(248) 666-4020
1073793
7084 HIGHLAND RD
WATERFORD 48327
(248) 666-4020
1084467
23140 COOLIDGE
OAK PARK 48237
(248) 399-1556
1119695
106 W 12 MILE RD
(248) 414-1900
1064266
355 SOUTH BROADWAY
LAKE ORION 48362
(248) 693-8666
1036109
CASEY, THOMAS T OD
3128 WALTON BLVD PMB 225
ROCHESTER 48309
(248) 375-9170
1036294
CASEY, THOMAS T OD
2498 S ROCHESTER
ROCHESTER 48307
(248) 293-3399
1015538
CASEY, THOMAS T OD
2498 S ROCHESTER RD
ROCHESTER 48307
(248) 293-3399
1094973
CHUMBLER, SHELLY OD
495 SUMMIT DR
WATERFORD 48328
(248) 738-6976
1123082
CLARK, JESSICA OD
4151 BALDWIN RD
AUBURN HILLS 48326
(248) 858-2223
1125985
DANESHVAR, ELHAM OD
6602 TELEGRAPH RD
(248) 419-3500
1125986
DANESHVAR, ELHAM OD
819 W 14 MILE RD
CLAWSON 48017
(248) 435-2189
1125978
DANESHVAR, ELHAM OD
(248) 414-1900
1125981
DANESHVAR, ELHAM OD
23140 COOLIDGE
OAK PARK 48237
(248) 399-1556
253350
DECK III, ROBERT E OD
81 INDIANWOOD STE 1
LAKE ORION 48362
(248) 693-2321
1105178
DEFEVER, ALBERT OD
23140 COOLIDGE
OAK PARK 48237
(248) 399-1556
1117189
DEMETRIOS, ROMANDA OD
6602 TELEGRAPH
(248) 419-3500
1117185
23140 COOLIDGE
OAK PARK 48237
(248) 399-1556
1117591
DORONY, JOELLEN OD
317 N LAFAYETTE
SOUTH LYON 48178
(248) 446-1146
1057298
DUDOVITZ, JEFFREY OD
WATERFORD 48327
(248) 666-3377
1100272
ELSTON, PHILLIP OD
FRANKLIN 48025
(248) 645-2220
1073800
EPPS, TRAYCE OD
23140 COOLIDGE
OAK PARK 48237
(248) 399-1556
1073823
ERMETE, TEOMAN A OD
6602 TELEGRAPH RD
(248) 419-3500
1090958
FELTZ, ANDREW OD
TROY 48084
(248) 528-1981
1095411
FOGLE, BRUCE OD
819 W 14 MILE
CLAWSON 48017
(248) 435-2189
1120060
FOOTE, HOWARD OD
1121 N SAGINAW ST #1
HOLLY 48442
(248) 382-5733
1036247
GARIN, MARK M OD
(248) 332-4544
1085177
GAY, RICHARD OD
23140 COOLIDGE
OAK PARK 48237
(248) 399-1556
1119696
GAY, RICHARD OD
106 W 12 MILE RD
(248) 414-1900
1099449
GENTILE, RALPH OD
355 SOUTH BROADWAY
LAKE ORION 48362
(248) 693-8666
1046855
GENTILE, RALPH OD
7084 HIGHLAND RD
WATERFORD 48327
(248) 666-4020
1049304
GOTTESMAN, LORNE OD
4151 BALDWIN RD
AUBURN HILLS 48326
(248) 858-2223
1057296
GOTTESMAN, MAX OD
4151 BALDWIN RD
AUBURN HILLS 48326
(248) 858-2223
1105165
GRABOWSKI, GALE OD
6602 TELEGRAPH RD
(248) 419-3500
1105166
GRABOWSKI, MARK
6602 TELEGRAPH RD
(248) 419-3500
1073833
GRABOWSKI, MARK OD
7084 HIGHLAND RD
WATERFORD 48327
(248) 666-4020
1125277
HAIDERER, DONALD E OD
1200 KIRTS BLVD
TROY 48084
(248) 528-1981

Page 409
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1093470
6602 TELEGRAPH RD
(248) 419-3500
1093473
7084 HIGHLAND RD
WATERFORD 48327
(248) 666-4020
1108425
53 S WASHINGTON ST
OXFORD 48371
(248) 236-9379
1104645
53 S WASHINGTON ST
OXFORD 48371
(248) 236-9379
1073843
ICEBERG, JEFFERY OD
355 SOUTH BROADWAY
LAKE ORION 48362
(248) 693-8666
1105163
IRWIN, DANIEL OD
6602 TELEGRAPH
(248) 419-3500
1122000
JONCAS, LUC R OD
7084 HIGHLAND RD
WATERFORD 48327
(248) 666-4020
1121994
JONCAS, LUC R OD
355 S BROADWAY
LAKE ORION 48362
(248) 693-8666
1093288
KASHOU, JACYLN OD
TROY 48084
(248) 528-1981
1104277
KAUR, SARABJIT OD
6602 TELEGRAPH RD
(248) 419-3500
1020879
KAUTZ, ANN MARIE OD
OXFORD 48371
(248) 236-9379
1035379
KAUTZ, ANN MARIE OD
OXFORD 48371
(248) 236-9379
1098424
KAYNER, JILL OD
355 SOUTH BROADWAY
LAKE ORION 48362
(248) 693-8666
1119694
KAYNER, JILL OD
106 W 12 MILE RD
(248) 414-1900
1127868
KEAGY, REBECCA OD
CLARKSTON 48346
(248) 620-3000
1079052
KIEFIUK, WILLIAM OD
6602 TELEGRAPH RD
(248) 419-3506
1073855
KIEFIUK, WILLIAM OD
7180 HIGHLAND RD
WATERFORD 48327
(248) 666-4020
1099450
KNIGHT, JOSEPHUS OD
355 SOUTH BROADWAY
LAKE ORION 48362
(248) 693-8666
1073859
KNIGHT, JOSEPHUS OD
7084 HIGHLAND RD
WATERFORD 48327
(248) 666-4020
1036295
LEUNG, JOHNNY OD
2498 S ROCHESTER
ROCHESTER 48307
(248) 293-3399
1111154
LIPSON, MICHAEL J OD
320 W COMMERCE RD
MILFORD 48381
(248) 684-7337
1100274
LYLE, MEGAN OD
FRANKLIN 48025
(248) 645-2220
1073499
MILLER, TYRONE OD
608 N LAFAYETTE
SOUTH LYON 48178
(248) 467-3351
1071124
MILLER, TYRONE OD
519 N PONTIAC TRAIL
WALLED LAKE 48390
(248) 624-1707
1059488
MORAN, TRACY OD
837 S LAPEER RD
OXFORD 48371
(248) 628-3441
1127874
MOST, JARED OD
970 S WOODWARD AVE
BIRMINGHAM 48009
(248) 369-3300
1092904
MUIR, JOHN OD
TROY 48084
(248) 528-1981
1074121
OXFORD 48371
(248) 236-9379
1118596
NESS, JAMES A OD
2000 TOWN CENTER STE 1900
SOUTHFIELD 48075
(800) 317-0711
1126742
NIELOBOWICZ, WENDY OD
OXFORD 48371
(248) 628-3441
1068586
NIELSEN, ANDREA PALARDY OD
3535 W THIRTEEN MILE RD STE 555
ROYAL OAK 48073
(248) 551-2020
1126029
6602 TELEGRAPH RD
(248) 419-3500
1126031
7084 HIGHLAND RD
WATERFORD 48327
(248) 666-4020
1114423
PAVEGLIO, CAROLE OD
45075 W PONTIAC TR
NOVI 48377
(248) 960-5600
1119698
PEIFFER, PAUL M OD
106 W 12 MILE RD
(248) 414-1900
1055642
PEIFFER, PAUL M OD
6602 TELEGRAPH RD
(248) 419-3500
1073863
PEIFFER, PAUL M OD
23140 COOLIDGE
OAK PARK 48237
(248) 399-1556
1056608
PEIFFER, PAUL M OD
819 W 14 MILE
CLAWSON 48017
(248) 435-2189
1107892
PHIPPS, KIMBERLY OD
355 S BROADWAY
LAKE ORION 48362
(248) 693-8666
1020878
PHIPPS, KIMBERLY OD
OXFORD 48371
(248) 236-9379
1107893
PHIPPS, KIMBERLY OD
7084 HIGHLAND RD
WATERFORD 48327
(248) 666-4020
1035376
PHIPPS, KIMBERLY OD
OXFORD 48371
(248) 236-9379
1083452
POPHAM, PHILLIP OD
7084 HIGHLAND RD
WATERFORD 48327
(248) 666-4020
1083453
POPHAM, PHILLIP OD
355 SOUTH BROADWAY
LAKE ORION 48362
(248) 693-8666
1076867
PULK, BERNARD
27604 MIDDLEBELT RD
(248) 615-0652
1106405
RAUTIO, JEFFREY E OD
28501 ORCHARD LK RD
(248) 553-9800

Page 410
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1079043
RIVERA, AXEL OD
6602 TELEGRAPH RD
(248) 419-3500
1085168
RIVERA, AXEL OD
7084 HIGHLAND RD
WATERFORD 48327
(248) 666-4020
1119809
ROOSE, RICHARD OD
106 W 12 MILE RD
(248) 414-1900
1099447
SANITATE, MARK OD
355 SOUTH BROADWAY
LAKE ORION 48362
(248) 693-8666
1064708
SCHRAUBEN, JEFFREY OD
4151 BALDWIN RD
AUBURN HILLS 48326
(248) 858-2223
1016463
SCHULTE, ALLISON OD
CLARKSTON 48346
(248) 922-1111
1035382
OXFORD 48371
(248) 236-9379
1020880
OXFORD 48371
(248) 236-9379
1125304
SMITH, SHELDON L OD
(248) 414-1900
1125309
SMITH, SHELDON L OD
23140 COOLIDGE
OAK PARK 48237
(248) 399-1556
1125313
SMITH, SHELDON L OD
819 W 14 MILE RD
CLAWSON 48017
(248) 435-2189
1069865
STEIN, KENNETH OD
519 N PONTIAC TRAIL
WALLED LAKE 48390
(248) 624-1707
1073500
STEIN, KENNETH OD
608 N LAFAYETTE
SOUTH LYON 48178
(248) 467-3351
1035370
TEKIELE, BERNARD OD
OXFORD 48371
(248) 236-9379
1032902
TEKIELE, BERNARD OD
OXFORD 48371
(248) 236-9379
1035373
OXFORD 48371
(248) 236-9379
1032901
OXFORD 48371
(248) 236-9379
1120059
WALLACE, MICHAEL G OD
1121 N SAGINAW ST #1
HOLLY 48442
(248) 382-5733
1119699
WALTERS, MARIE OD
106 W 12 MILE RD
(248) 414-1900
1073881
WALTERS, MARIE OD
23140 COOLIDGE
OAK PARK 48237
(248) 399-1556
1073886
WALTERS, MARIE OD
819 W 14 MILE RD
CLAWSON 48017
(248) 435-2189
253189
WALTON, THEODORE OD
OXFORD 48371
(248) 628-3441
1034822
WAPNER, SAMUEL OD
22 N TELEGRAPH
PONTIAC 48341
(248) 332-2895
1035036
WEISER, FRED OD
608 N LAFAYETTE
SOUTH LYON 48178
(248) 437-3351
1035035
WEISER, FRED OD
519 N PONTIAC TRAIL
WALLED LAKE 48390
(248) 624-1707
1057294
WEISHAUS, MICHAEL OD
4151 BALDWIN RD
AUBURN HILLS 48326
(248) 858-2223
1056136
WEISHAUS, RANDALL OD
4151 BALDWIN RD
AUBURN HILLS 48326
(248) 858-2223
1109352
(248) 538-7400
1079039
WONG, KENNETH OD
6602 TELEGRAPH RD
(248) 419-3500
1124159
YATES, ELIZABETH HAKIM OD
TROY 48083
(248) 581-5200
1079042
YEE, GARY OD
6602 TELEGRAPH
(248) 419-3500
1045706
ZAK, MICHAEL C OD
6445 CITATION DR STE B
CLARKSTON 48346
(248) 922-1862
1119547
ZEIDERS, ERICA OD
355 S BROADWAY
LAKE ORION 48362
(248) 693-8666
1119550
ZEIDERS, ERICA OD
7084 HIGHLAND RD
WATERFORD 48327
(248) 666-4020
NOVI 48374
(586) 226-2801
ORAL AND MAXILLOFACIAL SURGERY

1097441
KASPER, ANTHONY DDS
1030154
BOBIER, GREGG D DMD
ROCHESTER 48307
(248) 656-8880
1030153
BOBIER, GREGG D DMD
5659 SASHABAW
CLARKSTON 48348
(248) 625-4492
1053891
KASPO, GHABI A DDS
3144 JOHN R STE 100
TROY 48083
(248) 519-1100
ORTHOPEDIC SURGERY
1126418
ANDERSON, KEVIN DO
PONTIAC 48341
(248) 858-3490
1125410
ARORA, AVERY A MD
30055 NORTHWESTERN HWY STE L 30
(248) 865-4238
1126288
ARORA, AVERY A MD
22401 FOSTER WINTER DR 2ND FL
SOUTHFIELD 48075
(248) 423-5100

Page 411
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1126783
BECKLEY, TYLER J DO
PONTIAC 48341
(248) 858-6773
1098291
BICOS, JAMES MD
24255 13 MILE RD SUITE 100
FRANKLIN 48025
(248) 988-8085
1126970
BICOS, JAMES MD
ROYAL OAK 48073
(248) 551-9100
1103455
BRANDT, ROLAND J DO
(248) 937-4947
1109740
BROWN, LANE R MD
44199 DEQUINDRE RD AREA A STE 250
TROY 48085
(248) 280-8550
1031470
BROWN, LANE R MD
ROYAL OAK 48073
(248) 280-8550
1126981
BROWN, LANE R MD
ROYAL OAK 48073
(248) 551-9100
1064791
CIARLONE, ANDREW DO
AUBURN HILLS 48326
(248) 681-4206
1071224
CIARLONE, ANDREW DO
50 N PERRY ST
PONTIAC 48342
(248) 338-5328
1003804
CIULLO, JEROME V MD
TROY 48098
(248) 813-0002
1030273
DUTCHESHEN, NICHOLAS T MD
1350 KIRTS STE 160
TROY 48084
(248) 244-9426
1126994
DUTCHESHEN, NICHOLAS T MD
ROYAL OAK 48073
(248) 551-9100
1126993
ENDRESS, ZACHARY J MD
ROYAL OAK 48073
(248) 551-9100
1012029
FERENCE, ROBERT J MD
SOUTHFIELD 48034
(248) 603-4103
1127006
FISCHGRUND, JEFFREY S MD
ROYAL OAK 48073
(248) 551-9100
1109898
FORTIN, PAUL MD
TROY 48085
(248) 280-8550
1101307
FORTIN, PAUL T MD
TROY 48098
(248) 265-4600
1022293
FORTIN, PAUL T MD
ROYAL OAK 48073
(248) 280-8550
1126992
FORTIN, PAUL T MD
ROYAL OAK 48073
(248) 551-9100
1100288
FRITZ, GERMAINE R DO
NOVI 48375
(248) 381-5777
1103370
FRUSH, TODD J MD
SOUTHFIELD 48075
(248) 349-7015
1071225
FUGLE, MICHAEL J DO
50 N PERRY ST
PONTIAC 48342
(248) 338-5328
1015225
FUGLE, MICHAEL J DO
AUBURN HILLS 48326
(248) 681-4206
1015875
GRANT, ALLAN M MD
ROYAL OAK 48073
(248) 280-8550
1109741
GRANT, ALLAN M MD
44199 DEQUINDRE RD AREA A STE 250
TROY 48085
(248) 280-8550
1126991
GRANT, ALLAN M MD
ROYAL OAK 48073
(248) 551-9100
1053890
GRANT, KEVIN D MD
ROYAL OAK 48073
(248) 280-8550
1126973
GRANT, KEVIN D MD
ROYAL OAK 48073
(248) 551-9100
1109899
GREEN, PERRY III MD
TROY 48085
(248) 280-8550
1031485
GREENE, PERRY III MD
ROYAL OAK 48073
(248) 280-8550
1127003
GUETTLER, JOSEPH H MD
ROYAL OAK 48073
(248) 551-9100
1031677
HUBERS, MICHAEL J MD
1350 KIRTS BLVD STE 160
TROY 48084
(248) 244-9426
1126990
HUBERS, MICHAEL J MD
ROYAL OAK 48073
(248) 551-9100
1093191
KAMIL, MARK A MD
(248) 937-4947
1109893
KAPLAN, LIGE MD
TROY 48085
(248) 280-8550
1062895
KAPLAN, LIGE MD
ROYAL OAK 48073
(248) 280-8550
1126975
KAPLAN, LIGE M MD
ROYAL OAK 48073
(248) 551-9100
1126997
KHALIL, JAD G MD
ROYAL OAK 48073
(248) 551-9100
1030643
KNAPKE, DONALD M MD
1350 KIRTS RD STE 160
TROY 48084
(248) 244-9426
1126989
KNAPKE, DONALD M MD
ROYAL OAK 48073
(248) 551-9100
1104284
KOHEN, ROBERT B MD
(248) 945-0000
1104283
KOHEN, ROBERT B MD
(248) 544-9050
1031728
KOPERA, MATTHEW H MD
6905 ROCHESTER RD STE C
TROY 48085
(248) 828-1100
1073589
KRUGEL, RICHARD MD
31000 LAHSER STE 2
FRANKLIN 48025
(248) 647-0660
1124142
KRUGEL, RICHARD MD
TROY 48083
(248) 581-5200
1095025
KURATNICK, KRISTEN L MD
3100 CROSS CREEK PARKWAY STE 150
AUBURN HILLS 48326
(248) 475-0502

Page 412
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1095026
KURATNICK, KRISTEN L MD
PONTIAC 48341
(248) 858-2606
1127005
KURTZ, LAWRENCE T MD
ROYAL OAK 48073
(248) 551-9100
1127748
LEMOS, STEPHEN E MD
TROY 48084
(248) 457-9190
1108192
LEMOS, STEPHEN EDWARD MD
(248) 539-8630
1093358
LUSTIG, HEATHER NP
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-4021
1074569
MACKEY, MARK D
1 WILLIAMS CARL DR STE 120
(248) 937-4947
1103232
MACKEY, MARK D MD
6621 W MAPLE RD
(248) 661-4700
1008243
MANOLI II, ARTHUR MD
PONTIAC 48341
(248) 858-6773
1127004
MATLEN, JERRY A MD
ROYAL OAK 48073
(248) 551-9100
1126972
MATUSZAK, SEAN A MD
ROYAL OAK 48073
(248) 551-9100
1109897
MAYO, DAVID MD
TROY 48085
(248) 280-8550
1030822
MAYO, DAVID B MD
ROYAL OAK 48073
(248) 280-8550
1126987
MAYO, DAVID B MD
ROYAL OAK 48073
(248) 551-9100
1103376
MITCHELL, EUGENE P DO
(248) 937-4947
1109900
MONTGOMERY, DAVID MD
TROY 48085
(248) 280-8550
1030877
MONTGOMERY, DAVID M MD
ROYAL OAK 48073
(248) 280-8550
1030878
ROYAL OAK 48073
(248) 551-9100
1126995
ROYAL OAK 48073
(248) 551-9100
1096328
MORRIS, PARISA MD
3100 CROSS CREEK PARKWAY STE 150
AUBURN HILLS 48326
(248) 475-0502
1124136
NASSER, SAM MD
TROY 48083
(248) 581-5200
1024964
AUBURN HILLS 48326
(248) 377-8000
1066747
OLENYN, JOHN R MD
AUBURN HILLS 48326
(248) 377-8000
1126547
OMARI, ABDULLAH MUAYYAD MD
TROY 48083
(248) 581-5200
1075369
PARK, DANIEL K MD
33200 W 14 MILE RD STE 220
(248) 855-7400
1075368
PARK, DANIEL K MD
26025 LAHSER RD 2ND FL
SOUTHFIELD 48033
(248) 663-1900
1126974
PARK, DANIEL K MD
ROYAL OAK 48073
(248) 551-9100
1127855
PATTERSON, DAVID P MD
(248) 539-8630
1100248
PRIESKORN, DAVID DO
NOVI 48375
(248) 381-5777
1024982
PRINCE, ALLEN R DO
AUBURN HILLS 48326
(248) 377-8000
1031747
PRINCE, ALLEN R DO
385 N LAPEER RD
OXFORD 48371
(248) 627-3000
1027983
RADDEN, LOUIS N DO
FRANKLIN 48025
(248) 792-9496
1108217
RENTFROW, BENJAMIN EARL DO
SOUTHFIELD 48034
(248) 603-4103
1123940
ROBERTS, MICHAEL W DO
SOUTHFIELD 48075
(248) 304-7785
1028991
ROODBEEN, CRAIG W MD
1350 KIRTS STE 160
TROY 48084
(248) 244-9426
1126978
ROODBEEN, CRAIG W MD
ROYAL OAK 48073
(248) 551-9100
1079791
ROTH, HERBERT J MD
TROY 48084
(248) 457-9190
1126976
SADOWSKI, JASON B MD
ROYAL OAK 48073
(248) 551-9100
1126679
SALAMA, JOSEPH MD
30055 NORTHWESTERN HWY STE L 30
(248) 865-4238
1071888
SCHMITT, PHILIP T DO
(248) 937-4947
1126977
ROYAL OAK 48073
(248) 551-9100
1127001
SHAPIRO, JEFFREY D MD
ROYAL OAK 48073
(248) 551-9100
1127000
SHAPIRO, PAUL S MD
ROYAL OAK 48073
(248) 551-9100
1109894
SIKOSKY, MATTHEW MD
TROY 48085
(248) 280-8550
1046969
SISKOSKY, MATTHEW J MD
LAKE ORION 48360
(248) 280-8573
1031150
ROYAL OAK 48073
(248) 280-8550
1126985
ROYAL OAK 48073
(248) 551-9100

Page 413
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1109896
STETTECERRI, JEFFREY MD
TROY 48085
(248) 280-8550
1096455
TONNOS, FREDERICK E DO
(248) 937-4947
1099933
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000
1078644
44199 DEQUINDRE RD AREA A #250
TROY 48085
(248) 280-8550
1071533
ROYAL OAK 48073
(248) 280-8550
1126971
ROYAL OAK 48073
(248) 551-9100
1126999
VERNER, JAMES J MD
ROYAL OAK 48073
(248) 551-9100
1116645
WIATER, BRETT P MD
17877 W 14 MILE RD
FRANKLIN 48025
(248) 644-3920
1014959
WIATER, J MICHAEL MD
17877 W 14 MILE RD
FRANKLIN 48025
(248) 644-3920
1031347
WIATER, JEROME P MD
17877 W 14 MILE RD
FRANKLIN 48025
(248) 644-3920
1126983
WIATER, JEROME P MD
ROYAL OAK 48073
(248) 551-9100
1109895
ZALTZ, IRA MD
TROY 48085
(248) 280-8550
1035946
ZEMENICK, GREGORY A MD
1350 KIRTS STE 160
TROY 48084
(248) 244-9426
1126982
ZEMENICK, GREGORY A MD
ROYAL OAK 48073
(248) 551-9100
ROYAL OAK 48073
(248) 551-9910
ORTHOPEDIC SURGERY OF THE SPINE

1123865
MOORE, DREW D MD

1024878
GOLDMAN, MARY G DO
50 N PERRY ST
PONTIAC 48342
(248) 338-5328
1066352
MAAZ, BASSAM MD
30701 WOODWARD AVE
ROYAL OAK 48073
(248) 288-1600
1066351
MAAZ, BASSAM MD
30701 WOODWARD AVE
ROYAL OAK 48073
(248) 435-8066
SOUTHFIELD 48075
(248) 304-7659

1127737
PINNOCK, LASCELLES MD
PAIN MANAGEMENT
1124757
AHSAN, MUHAMMAD MD
(248) 589-1770
1078350
BERTRAM, SPENCER
ROCHESTER 48307
(248) 652-5000
1125963
CAJIGAL, CALVIN MD
799 DENISON CT
(248) 751-7246
1094922
ROCHESTER 48309
(248) 215-8080
1094920
ROCHESTER 48307
(248) 964-3020
1094923
CLARKSTON 48346
(248) 992-4807
1094926
6900 ORCHARD LAKE RD LL100
(248) 406-2400
1094921
26025 LAHSER RD 3RD FLOOR
SOUTHFIELD 48033
(248) 663-1900
1094919
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-9595
1094916
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-1905
1097664
CONROY, SEAN M MD
ROCHESTER 48309
(248) 215-8080
1097674
CONROY, SEAN M MD
(248) 406-2400
1097673
CONROY, SEAN M MD
CLARKSTON 48346
(248) 992-4807
1097672
CONROY, SEAN M MD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-9595
1097667
CONROY, SEAN M MD
SOUTHFIELD 48033
(248) 663-1900
1097663
CONROY, SEAN M MD
ROCHESTER 48307
(248) 964-3020
1097668
CONROY, SEAN M MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-1905
1097782
DIMON, CAIN E MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-1905
1097777
DIMON, CAIN E MD
ROCHESTER 48307
(248) 964-3020
1097778
DIMON, CAIN E MD
ROCHESTER 48309
(248) 215-8080
1097781
DIMON, CAIN E MD
SOUTHFIELD 48033
(248) 663-1900

Page 414
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1097786
DIMON, CAIN E MD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-9595
1097787
DIMON, CAIN E MD
CLARKSTON 48346
(248) 992-4807
1097788
DIMON, CAIN E MD
(248) 406-2400
1124134
DRELLES, MICHAEL DO
TROY 48083
(248) 581-5200
1068736
GODZIASHVILI, ZAZA MD
6079 WEST MAPLE RD
(248) 851-7246
1097768
HASS, DANIEL L MD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-9595
1097760
HASS, DANIEL L MD
ROCHESTER 48309
(248) 215-8080
1097763
HASS, DANIEL L MD
SOUTHFIELD 48033
(248) 663-1900
1097759
HASS, DANIEL L MD
ROCHESTER 48307
(248) 964-3020
1097764
HASS, DANIEL L MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-1905
1097769
HASS, DANIEL L MD
CLARKSTON 48346
(248) 992-4807
1097770
HASS, DANIEL L MD
(248) 406-2400
1016298
HONET, JAMES E MD
(248) 751-7246
1045942
HONET, JAMES E MD
CLARKSTON 48346
(248) 620-9310
1040366
HONET, JAMES E MD
FARMINGTON 48335
(248) 571-7246
1076472
HUSSAIN, MAZHER MD
ROCHESTER 48307
(248) 856-6660
1076474
HUSSAIN, MAZHER MD
2700 S ROCHESTER RD
ROCHESTER 48307
(248) 844-3800
1094150
HUSSAIN, MAZHER MD
4206 PONTIAC LK RD
WATERFORD 48328
(248) 742-1638
1097863
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-1905
1097867
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-9595
1097862
SOUTHFIELD 48033
(248) 663-1900
1097868
CLARKSTON 48346
(248) 992-4807
1097869
(248) 406-2400
1097859
ROCHESTER 48309
(248) 215-8080
1127761
JENNINGS, NADINE S MD
TROY 48083
(248) 581-5200
1054579
CLARKSTON 48346
(248) 751-7246
1054578
799 DENISON CT
(248) 751-7246
1064174
KHAN, ASHRAF DO
CLARKSTON 48346
(248) 620-4265
1010544
KHAN, ASHRAF DO
CLARKSTON 48346
(248) 620-4265
1086268
KHOURY, RIAD G MD
28521 ORCHARD LAKE RD STE C
(248) 987-6190
1126051
KITZMILLER, JOHN MD
1375 SOUTH LAPEER RD STE 203
LAKE ORION 48360
(248) 693-4000
1040367
LININGER, TODD E MD
FARMINGTON 48335
(248) 751-7246
1045215
LININGER, TODD E MD
CLARKSTON 48346
(248) 626-9310
1012713
LININGER, TODD E MD
(248) 751-7246
1097752
MACON, MYRTICE E MD
(248) 406-2400
1097751
MACON, MYRTICE E MD
CLARKSTON 48346
(248) 992-4807
1097750
MACON, MYRTICE E MD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-9595
1097745
MACON, MYRTICE E MD
SOUTHFIELD 48033
(248) 663-1900
1097742
MACON, MYRTICE E MD
ROCHESTER 48309
(248) 215-8080
1097741
MACON, MYRTICE E MD
ROCHESTER 48307
(248) 964-3020
1097746
MACON, MYRTICE E MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-1905
1098706
CLARKSTON 48346
(248) 992-4807
1098707
(248) 406-2400
1098701
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-1905
1098692
ROCHESTER 48309
(248) 215-8080
1098691
ROCHESTER 48307
(248) 964-3020

Page 415
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1098705
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-9595
1098700
SOUTHFIELD 48033
(248) 663-1900
1122049
MILLMAN, ALAN MD
26400 W 12 MILE RD STE 170
SOUTHFIELD 48034
(248) 208-8787
1097922
PAPPAS, JOHN L MD
ROCHESTER 48307
(248) 964-3020
1097933
PAPPAS, JOHN L MD
(248) 406-2400
1097931
PAPPAS, JOHN L MD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-9595
1097932
PAPPAS, JOHN L MD
CLARKSTON 48346
(248) 992-4807
1097927
PAPPAS, JOHN L MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-1905
1097926
PAPPAS, JOHN L MD
SOUTHFIELD 48033
(248) 663-1900
1097923
PAPPAS, JOHN L MD
ROCHESTER 48309
(248) 215-8080
1107521
SAPEIKA, DANIEL A MD
44201 DEQUINDRE
TROY 48084
(248) 964-3000
1107523
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-9600
1107519
SOUTHFIELD 48033
(248) 663-1923
1107520
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-1905
1107518
ROCHESTER 48307
(248) 215-8080
1107517
ROCHESTER 48307
(248) 267-5700
1007522
SEIDMAN, STEVEN I DO
(248) 553-0010
1097838
ROCHESTER 48307
(248) 964-3020
1097839
ROCHESTER 48309
(248) 215-8080
1097843
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-1905
1097847
CLARKSTON 48346
(248) 992-4807
1097848
(248) 406-2400
1097842
SOUTHFIELD 48033
(248) 663-1900
1097897
SKOLNIK, BRUCE J MD
ROCHESTER 48309
(248) 215-8080
1097900
SKOLNIK, BRUCE J MD
SOUTHFIELD 48033
(248) 663-1900
1097901
SKOLNIK, BRUCE J MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-1905
1097905
SKOLNIK, BRUCE J MD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-9595
1097906
SKOLNIK, BRUCE J MD
CLARKSTON 48346
(248) 992-4807
1097896
SKOLNIK, BRUCE J MD
ROCHESTER 48307
(248) 964-3020
1045214
TSINBERG, ALEXANDER Y MD
5701 BOW POINT DR STE 305
CLARKSTON 48346
(248) 626-9310
1040370
FARMINGTON 48335
(248) 751-7246
1039256
(248) 751-7246

1064212
CHMIELEWSKI, ANGELA M MD
BERKLEY 48072
(248) 551-8305
1079558
CHMIELEWSKI, ANGELA M MD
3601 W 13 MILE
ROYAL OAK 48073
(248) 898-6004

1059397
BADR, ITEMAD MD
950 W AVON RD STE A2
ROCHESTER 48307
(248) 650-1381
1027483
DOSHI, DEVANG R MD
ROYAL OAK 48073
(248) 551-0487
1037519
MAYER, CHAD W DO
7010 PONTIAC TR STE B
(248) 363-3232
1027419
CUTLER, NANCY G MD
ROYAL OAK 48073
(248) 551-0487
1032718
KHOURI, HANNA M MD
NOVI 48374
(248) 335-8500
1022691
KHOURI, HANNA M MD
(248) 335-8500
1119281
PIRONKOVA, ROSSITZA P MD
(248) 335-8500

Page 416
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
PEDIATRIC - CARDIOLOGY (CONTINUED)

1033091
TRUCCONE, NESTOR J MD
NOVI 48374
(248) 335-8500
1023690
(248) 335-8500
1030226
DEGNAN, BERNARD M MD
ROYAL OAK 48073
(248) 551-0487
1030227
DEKELBAB, M BASSEM H MD
ROYAL OAK 48073
(248) 551-0487
1126444
44199 DEQUINDRE RD
TROY 48085
(248) 964-9660
1027417
GERRITS, PETER MD
ROYAL OAK 48073
(248) 551-0487
1060444
SURHIGH, JULIE M MD
ROYAL OAK 48073
(248) 551-0487
1096723
AYAS, MOUHIB MD
TROY 48085
(248) 964-9660
1104588
BHARWANI, SULAIMAN S MD
ROYAL OAK 48073
(248) 551-0487
1104589
BHARWANI, SULAIMAN S MD
TROY 48085
(248) 964-9660
1118992
43097 WOODWARD AVE
(248) 874-1579
1053903
FATIMA, AYESHA MD
ROYAL OAK 48073
(248) 551-0487
1027416
GEBARA, SOUHEIL MD
ROYAL OAK 48073
(248) 551-0487
1123716
OSMAN, MOHAMMAD H MD
TROY 48085
(248) 964-9660
1123715
OSMAN, MOHAMMAD H MD
ROYAL OAK 48073
(248) 551-0487
1005896
TRUDING, ROBERT MD
ROYAL OAK 48073
(248) 551-0487
1107302
43097 WOODWARD AVE
(248) 874-1579
1027512
AMANULLAH, ADOOR MD
ROYAL OAK 48073
(248) 551-0360
1083747
BERMAN, BRIAN W MD
ROYAL OAK 48073
(248) 551-0360
1103091
GOWANS, LAURA K MD
ROYAL OAK 48073
(248) 551-0360
1027511
JAMIL, SAMIR MD
ROYAL OAK 48073
(248) 551-0360
1127597
KITCHEN, BRENDA J MD
ROYAL OAK 48073
(248) 551-0360
1027510
MAIN, CHARLES MD
ROYAL OAK 48073
(248) 551-0360

1006451
FREIJ, BISHARA MD
ROYAL OAK 48073
(248) 551-0487
1017220
KRASAN, GRAHAM MD
ROYAL OAK 48073
(248) 551-0487
ROYAL OAK 48073
(248) 551-0487

1076275
JIANG, HUIYUAN MD
1033436
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9700
1000697
1639 E BIG BEAVER STE 104
TROY 48083
(248) 720-2470
1001370
FINKEL, P HAROLD DO
(248) 553-0010
1099058
GUPTA, RASHMI MD
ROYAL OAK 48073
(248) 551-0487
1024101
GUPTA, RASHMI MD
SOUTHFIELD 48034
(248) 354-0967
1098071
LELESZI, ELIZABETH A MD
TROY 48085
(248) 964-9660
1043298
LELESZI, ELIZABETH A MD
(248) 553-0010
1017704
MANICA, JOHN P MD
(248) 553-0010
1092077
MCCORMICK, M EILEEN DO
ROYAL OAK 48073
(248) 551-0487
1013975
MCCORMICK, M EILEEN DO
(248) 553-0010
1003967
SMIETANA, SUSAN DO
(248) 553-0010

Page 417
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1126538
CHUGANI, HARRY T MD
5635 MAPLE RD
(248) 626-2803
1126540
CHUGANI, HARRY T MD
29120 FRANKLIN RD
SOUTHFIELD 48034
(248) 351-7671
1032136
HAM, STEVEN D DO
27207 LAHSER STE 201
SOUTHFIELD 48034
(313) 833-4490

1079884
LUKOMSKI, ANGELA NP
FARMINGTON 48336
(248) 477-0100
1126350
MULLINS, LAURA NP
1234 NAPIER AVE
TROY 48085
(269) 341-6350
1018787
BAKER, JOHN D MD
(248) 538-7400
1018788
BOHRA, LISA I MD
(248) 538-7400
1089639
BOHRA, LISA I MD
ROYAL OAK 48073
(248) 551-2020
1089684
ROYAL OAK 48073
(248) 551-2020
1067684
GILES, CONRAD L MD
FRANKLIN 48025
(248) 594-6702
1023200
RAO, RAJESH C MD
(248) 538-7400
1034967
ROARTY, JOHN D MD
(248) 538-7400
1091310
ROTBERG, LEEMOR MD
(248) 538-7400
1089648
ROTBERG, LEEMOR B MD
ROYAL OAK 48073
(248) 551-2020

1127008
DITKOFF, THOMAS J MD
ROYAL OAK 48073
(248) 551-9100
1009422
ROYAL OAK 48073
(248) 280-8550
1009430
ZALTZ, IRA MD
ROYAL OAK 48073
(248) 280-8550
1126979
ZALTZA, IRA MD
ROYAL OAK 48073
(248) 551-9100
1002947
BELENKY, WALTER MD
29210 FRANKLIN RD
SOUTHFIELD 48034
(248) 351-7850
1008038
29120 FRANKLIN RD
SOUTHFIELD 48034
(248) 355-3100
1046698
1 WILLIAMS CARLS DR
(888) 244-9588
1122720
ROYAL OAK 48073
(248) 551-2400
1054786
29210 FRANKLIN RD
SOUTHFIELD 48034
(248) 355-3100
1000913
MADGY, DAVID DO
29120 FRANKLIN RD
SOUTHFIELD 48034
(248) 355-3100
1099948
MADGY, DAVID DO
ROYAL OAK 48073
(248) 551-2400
1068287
SARAIYA, SONAL MD
29210 FRANKLIN RD
SOUTHFIELD 48034
(248) 355-3100
1027415
DOSHI, DEVANG R MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 423-2688
1027483
DOSHI, DEVANG R MD
ROYAL OAK 48073
(248) 551-0487
1098564
TSAI, WAN MD
ROYAL OAK 48073
(248) 551-0487
1102747
TSAI, WAN MD
33200 W 14 MILE RD STE 230
(248) 862-6100
ROYAL OAK 48073
(248) 551-0487
1127867
KLEIN-GITELMAN, MARISA S MD
PEDIATRIC - SURGERY
1027485
CHAN, WINSTON MD
ROYAL OAK 48073
(248) 551-2400
1060054
DOWNING, MARC T MD
ROYAL OAK 48073
(248) 551-2400
1058581
KLEIN, MICHAEL MD
2059 E 14 MILE RD
BIRMINGHAM 48009
(313) 831-3220
1058573
2059 E 14 MILE RD
BIRMINGHAM 48009
(313) 831-3220

Page 418
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
PEDIATRIC - SURGERY (CONTINUED)

1058569
LELLI, JOSEPH MD
2059 E 14 MILE RD
BIRMINGHAM 48009
(313) 831-3220
1027484
MORDEN, ROBERT MD
ROYAL OAK 48073
(248) 551-2400
1109729
MORDEN, ROBERT MD
TROY 48085
(248) 964-9660
1122346
NOVOTNY, NATHAN M MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-9492
1103017
TROY 48085
(248) 964-9660
1103016
ROYAL OAK 48073
(248) 551-2400
1058577
STOCKMANN, PAUL MD
2059 E 14 MILE RD
BIRMINGHAM 48009
(313) 831-3220
PEDIATRIC - UROLOGY
1073571
FEBER, KEVIN M MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1068998
FEBER, KEVIN M MD
ROYAL OAK 48073
(248) 551-3535
1073686
FEBER, KEVIN M MD
TROY 48083
(248) 519-0305
1073700
FEBER, KEVIN M MD
3535 13 MILE RD STE 404
ROYAL OAK 48073
(248) 551-3535
1073563
KASS, EVAN J MD
TROY 48083
(248) 519-0305
1073698
KASS, EVAN J MD
3535 13 MILE RD STE 404
ROYAL OAK 48073
(248) 551-3535
1073689
KASS, EVAN J MD
33200 14 MILE RD STE 260
(248) 539-8931
PEDIATRICS
1045645
ROYAL OAK 48073
(248) 551-3000
1124701
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-5000
1006994
BERGSMAN, CHRISTOPHER A MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-5000
1118080
BILAL, KIRAN MD
44201 DEQUINDRE RD EC
TROY 48085
(248) 964-2888
1057277
BRYZIK, COLLEEN M MD
ROYAL OAK 48073
(248) 551-3000
1079859
CHAMDIN, AGHIAD MD
28050 GRAND RIVER
FARMINGTON 48336
(248) 477-0100
1067696
CHENG, JOAN H MD
ROYAL OAK 48073
(248) 551-3000
1089685
DELANEY, KATHLEEN F MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-1007
1055773
FISHER, JEFFREY J MD
ROYAL OAK 48073
(248) 551-3000
1038676
FLANDERS, SAMUEL J MD
ROYAL OAK 48073
(248) 551-3000
1063560
FOX, IAN H DO
44201 DEQUINDRE RD
TROY 48085
(248) 964-1007
1071920
GAIND, MALA MD
ROYAL OAK 48073
(248) 551-3000
1126445
GERRITS, PETER MD
TROY 48085
(248) 964-9660
1103271
GOEL, POONAM MD
1 WILLIAM CARLS DR DEPT OF PEDIATRICS
(248) 937-3335
1083756
GONZALEZ RANGEL, ISMAEL E MD
ROYAL OAK 48073
(248) 551-0487
1123486
HANNISH, MAJDA A MD
1777 AXTELL DR STE 202
TROY 48084
(248) 594-3142
1106744
HARDING, ERICA S MD
3535 W 13 MILE RD STE LL OPC
ROYAL OAK 48073
(248) 551-3000
1068204
JOANNIDES-CARBAJO, ANNE M MD
ROYAL OAK 48073
(248) 551-3000
1037694
KIM, THOMAS D MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000
1037006
KIM, THOMAS D MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-7999
1064223
LAGINESS, SARAH J MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-1007
1089690
LEVASSEUR, KELLY A DO
3601 W 13 MILE RD EC
ROYAL OAK 48073
(248) 898-0575
1101724
MADIPELLI, SHEELA MD
ROYAL OAK 48073
(248) 551-3000
1089645
MARUTHAVANAN, RAMALINGAM MD
ROYAL OAK 48073
(248) 551-3000
1031629
44201 DEQUINDRE
TROY 48085
(248) 964-5000
1054772
ROYAL OAK 48073
(248) 551-3000
1122345
MORDEN, ROBERT MD
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-9492
1103480
MORSI, EHAB MD
1 WILLIAM CARLS DR
(248) 937-3335
1066817
LAKE ORION 48360
(248) 683-3385

Page 419
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1027943
RAO, SWARAJYALAXMI B MD
LAKE ORION 48360
(248) 683-3385
1093365
RICE, ALITA R MD
ROYAL OAK 48073
(248) 551-3000
1084056
RIMMKE, JENNIFER M MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-1007
1093887
ROTH, MARLENE M MD
16001 W 9 MILE STE L&D
SOUTHFIELD 48075
(248) 849-2799
1124702
RUBENSTEIN, FIONA G MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-5000
1068713
RUBENSTEIN, MARA BETH MD
ROYAL OAK 48073
(248) 551-3000
1098069
SABERI, MOHAMMAD MD
ROYAL OAK 48073
(248) 551-0487
1060070
NOVI 48374
(248) 662-4091
1101986
SCHEID, ANDREA T MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-5000
1094145
STRUMBA, ANNA G MD
16001 W 9 MILE RD STE L&D
SOUTHFIELD 48075
(248) 849-2799
1079563
SUNDARAM, SHOBANA MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-1007
1116511
THOMAS, KINGSLEY MD
1525 UNIVERSITY DR
AUBURN HILLS 48326
(248) 373-2720
1074957
YALDO, SUHAD R MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-1007
PHLEBOLOGY
1075252
MESLEMANI, ALI MD
441 S LIVERNOIS STE 260
ROCHESTER 48307
(248) 855-5355
1075251
MESLEMANI, ALI MD
(248) 855-5355
1046725
WAZNI, GAMAL MD
(248) 855-5355
1075250
WAZNI, GAMAL MD
ROCHESTER 48307
(248) 855-5355

1029667
ALPINER, NEAL M MD
ROYAL OAK 48073
(248) 551-3000
1078230
ALPINER, NEAL M MD
SOUTHFIELD 48034
(877) 433-7767
1123270
ALPINER, NEAL M MD
40800 WOODWARD AVE
(877) 433-7767
1010827
ALPINER, NEAL M MD
4949 COOLIDGE HWY
ROYAL OAK 48073
(877) 433-7767
1127890
ARBIT, STEVEN M MD
(248) 360-8660
1127888
ARBIT, STEVEN M MD
(248) 335-9099
1127889
ARBIT, STEVEN M MD
ROCHESTER 48307
(248) 650-5861
1039852
BEST, TODD MD
WATERFORD 48328
(248) 683-5019
1068719
BLACK, KERTIA L MD
42005 W 12 MILE RD
NOVI 48377
(313) 745-4600
1126017
ROCHESTER 48307
(248) 852-0860
1126018
ROYAL OAK 48073
(248) 288-2210
1030167
LAKE ORION 48360
(248) 656-4330
1030169
ROCHESTER 48307
(248) 852-0860
1119631
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0179
1050788
28595 ORCHARD LK STE 200
(248) 553-0010
1066347
DEAN, FLORA MD
17330 NORTHLAND PARK COURT STE 201
SOUTHFIELD 48075
(248) 809-2853
1097623
DESHPANDE, AASHISH A MD
44000 W 12 MILE RD STE 205
NOVI 48377
(248) 465-0100
1030279
ELLENBERG, MAURY R MD
NOVI 48377
(248) 893-3200
1117852
GABR, USAMA MD
461 W HURON PAIN CENTER
PONTIAC 48341
(248) 857-7200
1119443
GABR, USAMA MD
36745 DEQUINDRE RD STE B
TROY 48084
(248) 602-2104
1030506
GRANT, LISA B MD
ROCHESTER 48307
(248) 852-0860
1015331
GRANT, LISA B MD
ROYAL OAK 48073
(248) 288-2210
1030504
GRANT, LISA B MD
LAKE ORION 48360
(248) 656-4330
1103270
GROSS, NATHAN L MD
SOUTHFIELD 48075
(248) 357-2100
1067672
GUMMA, PETER MD
(248) 737-2555
1127260
GUMMA, PETER MD
3030 GREENFIELD RD
ROYAL OAK 48073
(248) 288-6610

Page 420
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1127849
HAENICK, MICHAEL F MD
(248) 945-0000
1070359
HANNA, GHADA M MD
ROCHESTER 48307
(248) 651-4954
1023327
HEPKE, MARGARET DO
8750 W 9 MILE RD
OAK PARK 48237
(248) 544-1103
1055395
HINDERER, STEVEN R MD
44000 W 12 MILE RD STE 205
NOVI 48377
(248) 465-0100
1059680
23800 W 10 MILE RD STE 193
SOUTHFIELD 48033
(248) 827-1100
1079993
HORN, LAWRENCE J MD
600 STEPHENSON HWY
TROY 48083
(248) 616-0950
1127962
HYSNI, CRAIG D MD
(248) 360-8660
1127961
HYSNI, CRAIG D MD
ROCHESTER 48307
(248) 650-5861
1066259
HYSNI, CRAIG D MD
(248) 335-9099
1030586
IYER, RAJESH V MD
ROYAL OAK 48073
(248) 551-3000
1030581
IYER, RAJESH V MD
LAKE ORION 48360
(248) 656-4330
1030583
IYER, RAJESH V MD
ROCHESTER 48307
(248) 852-0860
1033547
KARAZIM, JOHN MD
TROY 48084
(248) 649-2323
1089319
KARO, KATHERINE DO
1223 S WASHINGTON
ROYAL OAK 48067
(248) 439-6375
1089436
KARO, KATHERINE DO
SOUTHFIELD 48075
(248) 440-7100
1093639
KARO, KATHERINE MD
5761 W MAPLE RD
(248) 626-6892
1093640
KARO, KATHERINE MD
OAK PARK 48237
(248) 352-5851
1023949
KIM, WOOK MD
811 OAKWOOD STE 101
ROCHESTER 48307
(248) 651-8344
1070370
KIM, WOOK MD
SOUTHFIELD 48075
(248) 651-8344
1055418
KOVAN, RICHARD J MD
WATERFORD 48328
(248) 674-8199
1056492
KOVAN, RICHARD J MD
350 E 12 MILE RD
(248) 545-3754
1048270
KOVAN, RICHARD J MD
719 S OPDYKE RD
AUBURN HILLS 48326
(248) 874-4908
1030695
LA BAN, MYRON M MD
ROCHESTER 48307
(248) 852-0860
1030694
LA BAN, MYRON M MD
ROYAL OAK 48073
(248) 288-2210
1030696
LA BAN, MYRON M MD
LAKE ORION 48360
(248) 656-4330
1123103
LIU, YONGMIN MD
44000 W 12 MILE RD STE 205
NOVI 48377
(248) 465-0100
1106289
LURING, CHRISTOPHER B DO
PONTIAC 48341
(248) 858-3949
1030805
MALTESE, JOHN T MD
ROCHESTER 48307
(248) 852-0860
1030804
MALTESE, JOHN T MD
ROYAL OAK 48073
(248) 288-2210
1127906
MISHACK, KRISZTINA MD
(248) 335-9099
1127907
(248) 360-8660
1017984
ROCHESTER 48307
(248) 650-5861
1059403
MONROE, ANN M MD
NOVI 48377
(877) 784-3667
1068215
MUKHI, PARMOD KUMAR MD
44000 W 12 MILE RD STE 205
NOVI 48377
(248) 465-0100
1127595
NAAMAN, SAAD MD
PONTIAC 48341
(248) 858-3949
1102838
NAAMAN, SAAD MD
5210 HIGHLAND RD
WATERFORD 48328
(248) 618-6857
1061147
NARULA, VIKRAM MD
ROYAL OAK 48073
(248) 288-2210
1063215
NARULA, VIKRAM MD
1200 W 12 MILE RD
(248) 543-0600
1126835
OLEJNICZAK, PAUL G MD
(248) 945-0000
1117550
PATEL, AMISH J DO
ROCHESTER 48307
(248) 852-0860
1117551
PATEL, AMISH J DO
ROYAL OAK 48073
(248) 288-2210
1114561
PATHADAN, TINA P DO
(248) 737-2555
1023210
RICHTER, KENNETH J DO
PONTIAC 48341
(248) 858-3949
1011309
RIUTTA, JUSTIN C MD
ROYAL OAK 48073
(248) 288-2210
1031006
RIUTTA, JUSTIN C MD
LAKE ORION 48360
(248) 656-4330
1027518
RIUTTA, JUSTIN C MD
TROY 48085
(248) 694-9208

Page 421
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1031004
RIUTTA, JUSTIN C MD
ROCHESTER 48307
(248) 852-0860
1127912
ROTH, BRIAN M MD
(248) 335-9099
1056818
ROTH, BRIAN M MD
ROCHESTER 48307
(248) 650-5861
1127913
ROTH, BRIAN M MD
(248) 360-8660
1120761
RUDEN, ANDREW MD
(248) 352-5851
1120762
RUDEN, ANDREW MD
35105 WARREN RD
(734) 722-1500
1120763
RUDEN, ANDREW MD
5761 W MAPLE RD
(248) 626-6892
1127926
SCHOENHERR, CHRISTOPHER J MD
(248) 335-9099
1078594
ROCHESTER 48307
(248) 650-5861
1127927
(248) 360-8660
1037180
SESI, TIMOTHY P MD
PONTIAC 48341
(248) 858-3949
1031081
SESSA, GINO R MD
SOUTHFIELD 48033
(248) 663-1905
1031080
SESSA, GINO R MD
LAKE ORION 48360
(248) 656-4330
1031078
SESSA, GINO R MD
(248) 855-7400
1031082
SESSA, GINO R MD
ROCHESTER 48307
(248) 852-0860
1009207
SESSA, GINO R MD
ROYAL OAK 48073
(248) 288-2210
1119365
SIMPSON, SHEILA MD
(248) 544-9050
1119279
SIMPSON, SHEILA MD
(248) 851-1407
1031164
SPITERI, DAVID J MD
LAKE ORION 48360
(248) 656-4330
1009186
SPITERI, DAVID J MD
ROYAL OAK 48073
(248) 288-2210
1031163
SPITERI, DAVID J MD
ROCHESTER 48307
(248) 852-0860
1031229
TAMLER, MARTIN S MD
LAKE ORION 48360
(248) 656-4330
1031227
TAMLER, MARTIN S MD
ROYAL OAK 48073
(248) 288-2210
1031228
TAMLER, MARTIN S MD
1701 SOUTH EAST BLVD STE 120
ROCHESTER 48307
(248) 852-0860
1010699
TASHJIAN, EDWARD MD
AUBURN HILLS 48326
(248) 332-0296
1031757
TASHJIAN, EDWARD MD
50 N PERRY
PONTIAC 48342
(248) 338-5608
1031758
TASHJIAN, EDWARD MD
1255 N OAKLAND
WATERFORD 48327
(248) 666-1433
1031238
TAYLOR, RONALD S MD
LAKE ORION 48360
(248) 656-4330
1031240
TAYLOR, RONALD S MD
SOUTHFIELD 48033
(248) 663-1905
1031241
TAYLOR, RONALD S MD
(248) 855-7400
1031237
TAYLOR, RONALD S MD
ROCHESTER 48307
(248) 852-0860
1009197
TAYLOR, RONALD S MD
ROYAL OAK 48073
(248) 288-2210
1031343
WEIR, SUSAN E MD
LAKE ORION 48360
(248) 656-4330
1055966
WEIR, SUSAN E MD
SOUTHFIELD 48033
(248) 663-1905
1037086
WEIR, SUSAN E MD
(248) 855-7400
1031345
WEIR, SUSAN E MD
ROCHESTER 48307
(248) 852-0860
1031342
WEIR, SUSAN E MD
ROYAL OAK 48073
(248) 288-2210
1045213
WITTENBERG, MARC MD
CLARKSTON 48346
(248) 620-9310
1043220
WITTENBERG, MARC MD
799 DENSION CT 2ND FL
(248) 751-7246
1063452
WITTENBERG, MARC MD
TROY 48098
(248) 620-9310
1079526
YURK, ANGELA MD
CLARKSTON 48346
(248) 620-9310
1079525
YURK, ANGELA MD
CLARKSTON 48346
(248) 620-9310
PLASTIC SURGERY
1027947
ALI, MOHAMMAD AZHAR MD
(248) 335-7200
1118490
CLARKSTON 48346
(586) 992-8300

Page 422
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
PLASTIC SURGERY (CONTINUED)

1093585
CHAIYASATE, KONGKRIT MD
ROYAL OAK 48073
(248) 551-2400
1071917
3535 W 13 MILE RD STE240
ROYAL OAK 48073
(248) 551-2400
1089827
ROYAL OAK 48073
(248) 551-1550
1106973
CHAU, BRUCE T DO
BERKLEY 48072
(248) 799-2880
1085017
DEROSA, AMY DO
FRANKLIN 48025
(248) 208-8844
1105878
GAVAGAN, ANDREW K MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-7500
1116860
CLARKSTON 48346
(586) 992-8300
1024884
HAJJAR, RAYMOND T DO
FRANKLIN 48025
(248) 208-8844
1033023
HEGYI, DOUGLAS F DO
ROCHESTER 48308
(248) 844-3690
1116862
HOPE, JAMIE MD
CLARKSTON 48346
(586) 992-8300
1024948
KITAIN, DONALD S DO
(248) 360-8825
1116861
KOTLUS, BRETT MD
CLARKSTON 48346
(586) 992-8300
1009832
KWARTOWITZ, GARY DO
5701 BOW POINTE STE 200
CLARKSTON 48346
(248) 620-3100
1108223
MAKHENE, RAMOTSUMI M MD
(248) 937-3419
1108224
(248) 539-8630
1119556
CLARKSTON 48346
(586) 992-8300
1116859
MOK, CHARLES D DO
CLARKSTON 48346
(586) 992-8300
1070257
STUDINGER, REBECCA MD
NOVI 48374
(248) 305-8400
1102278
TANZMAN, BARAK DO
BERKLEY 48072
(248) 799-2880
1118576
TRUPIANO, JOHN M MD
CLARKSTON 48346
(586) 992-8300
1023294
WINKELMAN, NED MD
PONTIAC 48341
(248) 334-3460
PODIATRY
1118469
ABEGG, EDWARD DPM
2000TOWN CENTER STE 1900
SOUTHFIELD 48075
(800) 317-0711
1122860
ADAS, ROBERT D DPM
33566 8 MILE STE C
FARMINGTON 48335
(248) 478-6870
1106136
ADERIBIGBE, MODUPE DPM
20770 GREENFIELD RD STE 100A
OAK PARK 48237
(248) 423-4220
1018172
ARSEN, JOHN D DPM
LAKE ORION 48360
(248) 693-7700
1068315
BAESSLER, TIMOTHY P DPM
TROY 48085
(248) 688-9663
1118630
BALAJ, SEYMOUR M DPM
SOUTHFIELD 48075
(800) 317-0711
1107513
BARNETT, SOPHIA DPM
SOUTHFIELD 48034
(734) 542-9305
1107514
BARNETT, SOPHIA DPM
NOVI 48374
(248) 662-4350
1082249
BENESON, DAVID E DPM
2530 CROOKS RD
ROYAL OAK 48073
(248) 435-4777
1119460
BESTER, ROBERT M DPM
SOUTHFIELD 48075
(800) 317-0711
1024848
BINDER, STEVEN R DPM
1701 BALDWIN STE B
PONTIAC 48340
(248) 338-3668
1118467
BROWN, MATTHEW K DPM
SOUTHFIELD 48075
(800) 317-0711
1053834
BURKARDT, BRIAN DPM
13650 TEN MILE RD
SOUTH LYON 48178
(248) 486-1177
1053833
BURKARDT, BRIAN DPM
WALLED LAKE 48390
(248) 363-3777
1053832
BURKARDT, BRIAN DPM
31017 JOHN R
(248) 585-1177
1053831
CARNAGHI, BRENDA DPM
31017 JOHN R
(248) 585-1177
1030192
CORNFIELD, ROBERT H DPM
AUBURN HILLS 48326
(248) 364-0500
1094982
DALEY, BRIAN DPM
BIRMINGHAM 48009
(248) 792-5200
1024865
DANTO, JEFFREY D DPM
WATERFORD 48329
(248) 674-4141
1053688
DANTO, JEFFREY D DPM
50 N PERRY ST
PONTIAC 48342
(248) 338-5000
1041476
DELEWSKY, MARIE DPM
3901 HIGHLAND RD STE D
WATERFORD 48328
(248) 842-3711
1064248
FALEY, JOSHUA S DPM
24725 W 12 MILE RD STE 270
SOUTHFIELD 48034
(248) 353-9300
1117633
FEINMAN, ROSS B DPM
620 N PONTIAC TRL
WALLED LAKE 48390
(248) 624-4511

Page 423
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1117632
FEINMAN, ROSS B DPM
23411 JOHN R RD
HAZEL PARK 48030
(248) 399-8331
1117631
FEINMAN, ROSS B DPM
1380 COOLIDGE HWY
TROY 48084
(248) 288-4000
1030326
FELDMAN, RANDY S DPM
MILFORD 48381
(248) 676-2080
1030324
31017 JOHN R
(248) 585-1177
1030325
WALLED LAKE 48390
(248) 363-3777
1035764
13650 TEN MILE RD
SOUTH LYON 48178
(248) 486-1177
1125831
FINDLING, JENNIFER L DPM
1200 KIRTS BLVD
TROY 48084
(248) 528-1981
1030404
GALEA, PETER P DPM
24725 W 12 MILE RD STE 270
SOUTHFIELD 48034
(248) 353-9300
1075341
GELLER, LOUIS DPM
22972 LAHSER RD
SOUTHFIELD 48033
(248) 353-0096
1080704
GIAIMO, SCOTT J DPM
TROY 48084
(248) 528-1981
1030413
GLICKMAN, STEVEN H DPM
TROY 48085
(248) 689-5125
1031648
GOLDSTEIN, SHELDON J DPM
WATERFORD 48328
(248) 674-2259
1034465
385 N LAPEER RD
OXFORD 48371
(248) 628-3000
1034464
WATERFORD 48328
(248) 674-2575
1046520
50 N PERRY
PONTIAC 48342
(248) 338-5000
1031647
385 N LAPEER RD
OXFORD 48371
(248) 628-3000
1096415
HORSLEY, BARTON B DPM
SOUTHFIELD 48075
(248) 559-5200
1122858
HORSLEY, KAIRI L DPM
SOUTHFIELD 48075
(248) 559-5200
1030576
ROCHESTER 48307
(248) 651-0162
1105516
CLARKSTON 48346
(248) 620-5012
1030590
KACZANDER, BRUCE I DPM
24725 W 12 MILE RD STE 270
SOUTHFIELD 48034
(248) 353-9300
1076205
KANG, JILL DPM
TROY 48085
(248) 828-1100
1039844
KASSAB, SUHA DPM
(248) 333-3900
1081778
KERMAN, BRIAN L DPM
27031 DEQUINDRE RD
(248) 545-4888
1116391
KEZELIAN, HARRY A DPM
SOUTHFIELD 48034
(248) 354-0057
1104583
KHALIL, MOHAMMAD DPM
OAK PARK 48237
(248) 423-4220
1080592
KHEYNSON, ALEXSEY DPM
32910 W 13 MILE RD STE C300
(248) 996-1021
1079874
KING, SUSAN DPM
FARMINGTON 48336
(248) 473-1320
1103676
KING, SUSAN P DPM
21111 MIDDLEBELT RD
FARMINGTON 48336
(248) 478-1150
1030638
BERKLEY 48072
(248) 585-0100
1030637
ROCHESTER 48307
(248) 651-0162
1041475
KLEIN, JEFFREY DPM
3901 HIGHLAND RD STE D
WATERFORD 48328
(248) 681-6180
1117414
KLEIN, JEFFREY DPM
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 724-7605
1023146
KOEHLER, HAROLD M DPM
3047 E WALTON BLVD
AUBURN HILLS 48326
(248) 377-0033
1060340
27211 LASHER STE 200
SOUTHFIELD 48034
(248) 213-1842
1033032
4038 GRANGE HALL RD
HOLLY 48442
(248) 634-6200
1075340
KOIVUNEN, ROBERT DPM
22972 LAHSER RD
SOUTHFIELD 48033
(248) 353-0096
1038988
LALIBERTE, CLIFFORD C DPM
5653 SASHABAW RD
CLARKSTON 48346
(248) 922-3338
1118532
LEFF, FRED B DPM
SOUTHFIELD 48034
(248) 355-4000
1116248
LEFF, RANDY M DPM
29201 TELEGRAPH RD
SOUTHFIELD 48034
(248) 355-4000
1105451
MARKLE, CHARLES J DPM
SOUTHFIELD 48075
(800) 317-0711
1105989
MARTINS, DARRYL DPM
NOVI 48374
(248) 662-4350
1105988
MARTINS, DARRYL DPM
SOUTHFIELD 48034
(734) 542-9305
1030833
MEHLER, ALLEN S DPM
24725 W 12 MILE RD STE 270
SOUTHFIELD 48034
(248) 353-9300
1107455
MENNENGA, ETHEL DPM
1200 KIRTS BLVD
TROY 48084
(248) 528-1981
1107793
CLARKSTON 48346
(248) 620-5012

Page 424
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1076602
ROCHESTER 48307
(248) 651-0162
1124919
8450 NORTH 32ND ST
TROY 48083
(269) 226-2500
1118455
MORSE, RONALD DPM
SOUTHFIELD 48075
(800) 317-0711
1109756
MOZEN, DEAN DPM
NOVI 48374
(248) 662-4350
1109757
MOZEN, NEAL DPM
SOUTHFIELD 48034
(734) 542-9305
1067553
NELSON, MARIE S DPM
44000 W 12 MILE RD STE 111
NOVI 48377
(248) 347-8233
1127266
NOROYAN, JEFFREY DPM
3030 GREENFIELD RD
ROYAL OAK 48073
(248) 288-6610
1009386
191 N PARK BLVD
LAKE ORION 48362
(248) 693-8400
1080703
OLENECH, CHRIS DPM
TROY 48084
(248) 528-1981
1095061
PENN, ERICKA DPM
TROY 48084
(248) 528-1981
1124182
POPE, SARAH DPM
1955 W HAMLIN RD STE 101
ROCHESTER 48309
(248) 853-5172
1059910
PUPP, GUY DPM
6900 ORCHARD LAKE RD 315
(248) 737-0780
1127267
QURESHI, SHAHZAD DPM
3030 GREENFIELD RD
ROYAL OAK 48073
(248) 288-6610
1067666
QURESHI, SHAHZAD DPM
13855 W NINE MILE RD STE C
OAK PARK 48237
(248) 545-4110
1062415
REPITOR, STEVEN DPM
ROCHESTER 48307
(248) 997-7900
1023217
ROSENFELD, SHAY N DPM
CLARKSTON 48346
(248) 625-3100
1023223
SALAMA, DANIEL DPM
FARMINGTON 48336
(248) 474-0040
1023250
SALAMA, DANIEL DPM
CLARKSTON 48346
(248) 625-1110
1104656
SALAMA, MAYER DPM
CLARKSTON 48346
(248) 625-1110
1104654
SALAMA, MAYER DPM
FARMINGTON 48336
(248) 474-0040
1024989
SALTER, MICHAEL S DPM
ROCHESTER 48309
(248) 651-0653
1030779
29255 NORTWESTERN STE 101
SOUTHFIELD 48034
(248) 352-5920
1086520
(248) 352-5920
1119553
SAMSEL, RACHEL A DPM
31017 JOHN R
(248) 585-1177
1031064
ROCHESTER 48307
(248) 651-0162
1031065
BERKLEY 48072
(248) 585-0100
1053691
SCHONS, KRISTI DPM
LAKE ORION 48360
(248) 693-7700
1031074
SCHWARTZ, STACEY B DPM
(248) 352-5920
1031073
SCHWARTZ, STACEY B DPM
ROCHESTER 48309
(248) 651-0653
1031075
SEHGAL, RAJEEV DPM
32905 W 12 MILE RD STE 110
(248) 553-4040
1009385
191 N PARK BLVD
LAKE ORION 48362
(248) 693-8400
1079902
SOLOMON, MARSHALL DPM
FARMINGTON 48336
(248) 473-1320
1043777
21111 MIDDLEBELT RD
FARMINGTON 48336
(248) 478-1150
1025001
TABAK, BRUCE A DPM
129 S WASHINGTON
OXFORD 48371
(248) 628-1880
1106339
TAYLOR, TAMEKA DPM
OAK PARK 48237
(248) 423-4220
1104580
USEN, NSIMA DPM
OAK PARK 48237
(248) 423-4220
1090466
VANDEVORDE, SCOTT L DPM
TROY 48084
(248) 528-1981
1031346
WEITZMAN, MARC DPM
1010 N CAMPBELL RD STE 2
ROYAL OAK 48067
(248) 547-1020
1122861
WEXLER, LARRY H DPM
33566 8 MILE STE C
FARMINGTON 48335
(248) 399-5905
1090478
WILBER, SCOTT S DPM
TROY 48084
(248) 528-1981
1122025
WILLIAMS, CHANNA DPM
SOUTHFIELD 48075
(800) 317-0711
1054080
WILUSZ, PETER DPM
50 N PERRY ST
PONTIAC 48342
(248) 338-5000
1042294
WILUSZ, PETER DPM
6510 TOWN CENTER DR STE C
CLARKSTON 48346
(248) 922-6000
1122235
WISEMAN, FREDERICK DPM
NOVI 48374
(248) 662-4650
1122236
SOUTHFIELD 48034
(734) 542-9605
1025015
WITTENBERG, STEPHEN W DPM
28037 DEQUINDRE RD
(248) 542-7500

Page 425
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1031761
WITTENBERG, STEPHEN W DPM
1221 ORTONVILLE RD
ORTONVILLE 48462
(248) 627-5700
1079909
YOUNG, CHARLES DPM
FARMINGTON 48336
(248) 473-1320
1081869
21111 MIDDLEBELT RD
FARMINGTON 48336
(248) 478-1150
1079911
YUNG, JEFFREY DPM
FARMINGTON 48336
(248) 473-1320
1068475
YUNG, JEFFREY Y DPM
21111 MIDDLEBELT RD
FARMINGTON 48336
(248) 478-1150
1118755
ZAVINSKY, STEVEN M DPM
(248) 539-8630
1103269
ZAVINSKY, STEVEN M DPM
(248) 937-4947
PROSTHETICS
1093635
4800 HIGHLAND RD STE
WATERFORD 48328
(248) 674-9600
1093634
28801 WOODWARD AVE
BERKLEY 48072
(248) 399-0030
1037494
6475 ROCHESTER RD
TROY 48085
(248) 828-3143
1057394
HANGER PROSTHETICS & ORTHOTICS E
WATERFORD 48328
(248) 683-5070
1032553
PROS-TECH INC
1717 STEPHENSON HWY
TROY 48083
(248) 680-2800
1024650
TROY 48083
(800) 922-5101
1025603
1100 W THIRTEEN MILE
(248) 658-0990
1025592
27678 MIDDLEBELT RD
(248) 615-0041
1025593
23520 WOODWARD
FERNDALE 48220
(248) 336-8460
1025613
NOVI 48374
(248) 347-2365
1025609
2845 CROOKS RD
ROCHESTER 48309
(248) 829-8292
1025586
5910 S MAIN ST
CLARKSTON 48346
(248) 620-2401
PSYCHIATRY
1103854
ABBASI, TARIQ MD
PONTIAC 48340
(248) 706-3450
1043667
ABBASI, TARIQ MD
FRANKLIN 48025
(248) 594-4991
1043657
ABBASI, TARIQ MD
3694 CLARKSTON RD STE D
CLARKSTON 48348
(248) 693-8880
1070189
AJLUNI, SAM K MD
1 WILLIAM CARLS DR
(248) 932-2500
1122360
ALCE, JEAN MD
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1119435
ALCE, JEAN MD
38855 HILLS TECH DR
(248) 994-8001
1122353
ALCE, JEAN MD
SOUTHFIELD 48075
(248) 994-8006
1119434
ALCE, JEAN MD
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1097854
ALLEN, J S MD
(248) 539-0899
1054933
AMIRSADRI, ALIREZA MD
(248) 733-2274
1107796
ARENDS, DOUGLAS MD
ROYAL OAK 48067
(248) 398-6459
1078726
ARENDS, DOUGLAS MD
ROYAL OAK 48067
(248) 398-7574
1066732
ARRINE, JAVAID MOHAMMAD MD
44201 DEQUINDRE RD
TROY 48085
(248) 964-1007
1122340
50 N PERRY ST
PONTIAC 48342
(248) 338-5588
1106041
ARUNA, CHANDRA MD
SOUTHFIELD 48033
(248) 372-6800
1122356
AZHURULLAH, ABDUL MD
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1094370
BAGGA, JASWANT MD
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1098668
BAGGA, JASWANT MD
2045 E W MAPLE RD STE D-407
WALLED LAKE 48390
(248) 624-3812
1098669
BAGGA, JASWANT MD
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1098667
BAGGA, JASWANT MD
130 HAMPTON CIRCLE STE 100
ROCHESTER 48307
(248) 853-0750
1038573
BASKIN, VICTORIA MD
4410 W 13 MILE RD
ROYAL OAK 48073
(248) 837-2047
1105626
BAUTISTA, MARIETA MD
ROYAL OAK 48067
(248) 398-6459
1103829
BERNSTEIN, ROBERT MD
ROCHESTER 48307
(248) 656-0500
1103830
BURNSTEIN, ROBERT MD
77 E LONG LAKE RD
(248) 656-0500

Page 426
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1105948
CASTEDO, NICANOR MD
PONTIAC 48340
(248) 706-3450
1103853
DEL BUSTO, NORA MD
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1125243
DUQUETTE, PATRICE MD
SOUTHFIELD 48033
(248) 372-6800
1096247
ROCHESTER 48307
(248) 656-8500
1096249
(248) 539-0899
1106142
FAUST, MARVIN MD
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1121489
FERGUSON, DEBORA MD
CLARKSTON 48348
(248) 693-8880
1084910
FERGUSON, DEBORA MD
181 STATE ST
PONTIAC 48341
(248) 977-4038
1121490
FERGUSON, DEBORA MD
FRANKLIN 48025
(248) 594-4991
1067643
GILES, YOLANDA MD
ROCHESTER 48307
(248) 650-6130
1103701
GILES, YOLANDA MD
TROY 48083
(248) 585-3239
1106427
GOTLIB, MICHAEL MD
631 E BIG BEAVER RD STE 209A
TROY 48083
(248) 817-2345
1036742
GREENE, FRANK J MD
10 W SWUARE LK RD STE 222
(248) 858-2238
1106095
GUY, WILLIAM MD
SOUTHFIELD 48033
(248) 372-6800
1119156
HADDAD, LUAY MD
SOUTHFIELD 48033
(248) 354-8460
1046512
HADDAD, LUAY L MD
(248) 733-2274
1103700
HAMZAVI, ASRA DO
TROY 48083
(248) 585-3239
1096304
HAMZAVI, ASRA DO
FRANKLIN 48025
(248) 594-4991
1126075
HANSON, SYLVIA MD
ROYAL OAK 48067
(248) 398-6459
1105627
HAQUE, SHUJA MD
ROYAL OAK 48067
(248) 398-6459
1125563
HASSAN, ALMAAT MD
32905 W 12 MILE RD STE 410
(248) 957-9184
1124777
HERKOWITZ, RACHAEL PSYD
(248) 642-6066
1060272
HOLLANDER, DEBRA MD
16001 W 9 MILE
SOUTHFIELD 48075
(248) 849-3301
1095871
IZZATHULLAH, LUBNA MD
ROCHESTER 48307
(248) 650-6130
1120727
JAIN, ASHA MD
38855 HILLS TECH DR
(248) 994-8001
1122357
JAIN, ASHA MD
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1122350
JAIN, ASHA MD
SOUTHFIELD 48075
(248) 994-8006
1120726
JAIN, ASHA MD
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1103233
JAMIL, SHAHID MD
1 WILLIAM CARLS DR
(248) 333-7100
1104324
JOSEPH, KALAPPURACKAL MD
TROY 48084
(248) 731-7305
1105632
KHAN, ABDUL A MD
ROYAL OAK 48067
(248) 398-6459
1064252
LACOSTE, ROBERT MD
1101 W UNIVERSITY
ROCHESTER 48307
(248) 652-5000
1106313
LAWTON, ROBERT MD
SOUTHFIELD 48033
(248) 372-6800
1122751
LAZAR, CORINA MD
38855 HILLS TECH DR
(248) 994-8001
1122750
LAZAR, CORINA MD
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1104055
LEE-SCHROEDER, JENNIFER MD
SOUTHFIELD 48033
(248) 372-6800
1123622
LEPARD, OLIN MD
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1101947
LONGS, CURTIS O MD
SOUTHFIELD 48075
(248) 477-0110
1054391
LYONS, LYNNE MD
NOVI 48375
(248) 426-9900
1054392
LYONS, LYNNE MD
1050 W UNIVERSITY
ROCHESTER 48307
(248) 650-8383
1117391
LYONS, LYNNE MD
2300 HAGGERTY STE 2160
(248) 859-2457
1109866
MAGOON, DUNCAN J MD
TROY 48083
(248) 817-2345
1105630
MAKKI, HYDER DO
ROYAL OAK 48067
(248) 398-6459
1096323
MAROOF, SABA MD
FRANKLIN 48025
(248) 594-4991
1055819
MARTINEZ-LYONS, INGRID MD
NOVI 48375
(248) 426-9900
1055820
1050 W UNIVERSITY
ROCHESTER 48307
(248) 650-8383

Page 427
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1089846
200 DIVERSION ST STE 10A
SOUTHFIELD 48076
(248) 559-8190
1089847
(248) 559-8190
1118982
MEKHAEL, HANY Y MD
114 ORCHARD LK RD
PONTIAC 48341
(248) 724-7600
1127369
MENDIRATTA, MADHU MD
(248) 559-8190
1100946
MERCADO, ERLINDA MD
6637 HIGHLAND RD
WATERFORD 48327
(248) 666-8870
1100944
MERCADO, ERLINDA MD
1424 E 11 MILE RD
ROYAL OAK 48067
(248) 548-4044
1100948
MERCADO, ERLINDA MD
3300 ADAMS RD
AUBURN HILLS 48326
(248) 537-3300
1100950
MERCADO, ERLINDA MD
715 N LAPEER RD
LAKE ORION 48362
(248) 693-7525
1103855
MERCADO, ERLINDA MD
1685 BALDWIN RD
PONTIAC 48340
(248) 475-6300
1061021
MURTHY, SANJAY MD
ROCHESTER 48307
(248) 650-8383
1106314
NAIR, MALATHY MD
PONTIAC 48340
(248) 706-3450
1107723
NANNAPANENI, MEENA MD
SOUTHFIELD 48075
(248) 483-7804
1077569
NUCUM, ANTONIO DO
3650 DIXIE HIGHWAY
WATERFORD 48329
(248) 674-4630
1094619
PARSONS, TAFT MD
(248) 539-0899
1049315
PATEL, HITEN C MD
1050 W UNIVERSITY
ROCHESTER 48307
(248) 650-8383
1030934
PATEL, HITEN C MD
FRANKLIN 48025
(248) 425-5202
1049314
PATEL, HITEN C MD
NOVI 48375
(248) 426-9900
1094616
PEARLMAN, ROBERT MD
(248) 539-0899
1109852
POHL, ROBERT MD
317 E 11 MILE RD
ROYAL OAK 48067
(248) 336-2868
1060262
POTEMPA, LESTER E DO
16001 W 9 MILE RD
SOUTHFIELD 48075
(248) 849-3306
1090824
PRASAD, YARLAGADDA MD
TROY 48084
(248) 731-7305
1091733
26850 PROVIDENCE PKWY
NOVI 48374
(248) 465-5335
1127592
RANA, LOPA K MD
3535 W 13 MILE RD
ROYAL OAK 48073
(248) 551-1210
1120722
REID, MICHELE MD
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1122351
REID, MICHELE MD
SOUTHFIELD 48075
(248) 994-8006
1120723
REID, MICHELE MD
38855 HILLS TECH DR
(248) 994-8001
1122358
REID, MICHELE MD
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1091742
ROSS, JEAN M MD
TROY 48084
(248) 731-7305
1103256
ROTH, BRUCE L DO
1 WILLIAM CARLS DR
(248) 669-1900
1107649
RUZA, THEODORE DO
ROYAL OAK 48067
(248) 398-6459
1104113
SACKEYFIO, ALEXANDER MD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 594-3142
1061159
6549 TOWN CENTER DR STE A
CLARKSTON 48346
(248) 620-6400
1024993
SENDI, ISMAIL B MD
12850 FOUNTAIN SQ STE 106
DAVISBURG 48350
(248) 634-6303
1061156
SENDI, ISMAIL B MD
5775 W MAPLE RD
(248) 855-1540
1031753
SENDI, ISMAIL B MD
32961 MIDDLEBELT RD
(248) 855-1540
1061154
SENDI, ISMAIL B MD
CLARKSTON 48346
(248) 620-6400
1094613
SHUKLA, YOGESH MD
(248) 539-0899
1105624
SIEGEL, BARRY MD
ROYAL OAK 48067
(248) 398-6459
1122472
SIEGEL, BARRY G MD
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1076663
SIEGEL, BARRY G MD
200 DIVERSION STE 150
ROCHESTER 48307
(248) 651-4200
1095105
SINGH, HEMINDER MD
(248) 539-0899
1097124
SINGH, HEMINDER P MD
ROYAL OAK 48067
(248) 398-6459
1102639
SONI, PRAVIN MD
TROY 48083
(248) 817-2345
1095115
TAHIR, KISHWAR MD
(248) 539-0899
1095112
TAHIR, KISHWAR MD
ROCHESTER 48307
(248) 656-8500
1120599
VALLABHANENI, RAO MD
38855 HILLS TECH DR
(248) 994-8001

Page 428
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1120598
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1122352
SOUTHFIELD 48075
(248) 994-8006
1122359
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1116526
VANANDEL, CAROL MD
32961 MIDDLEBELT RD
(248) 855-1540
1105963
VEMURI, LALITHA MD
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1053851
WAINEO, EVA MD
ROCHESTER 48307
(248) 650-6130
1098527
WATTS, MICHAEL H MD
91 S TELEGRAPH RD
PONTIAC 48341
(248) 334-2715
1104604
WEST, HARPER LLP
1424 E 11 MILE RD
ROYAL OAK 48067
(248) 548-4044
1122479
YERAGANI, VIKRAM MD
NOVI 48374
(248) 465-1214
1125900
YONO, JULIANNA LLMSW
SOUTHFIELD 48033
(248) 354-8460
1122361
YOON, DOSYNG MD
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1122355
YOON, DOSYNG MD
SOUTHFIELD 48075
(248) 994-8006
1117138
YOON, DOSYNG MD
38855 HILLS TECH DR
(248) 994-8001
1117137
YOON, DOSYNG MD
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1118463
YOUSUF, MOHAMMED S MD
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1118464
38855 HILLS TECH DR
(248) 994-8001
1122354
SOUTHFIELD 48075
(248) 994-8006
1120657
ZAHURULLAH, ABDUL MD
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1116780
38855 HILLS TECH DR
(248) 994-8001
1122362
SOUTHFIELD 48075
(248) 994-8006
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-5800
PSYCHOLOGY
1084064
KARLE, DIANE K PHD
PULMONOLOGY
1123327
ADAM, ABDULGADIR MD
BERKLEY 48072
(248) 556-5582
1027953
AHMAD, FAZAL MD
AUBURN HILLS 48326
(248) 371-1726
1000372
ROCHESTER 48307
(248) 651-6430
1046966
ALATASSI, EMAD MD
17515 W NINE MILE RD STE 390
SOUTHFIELD 48075
(248) 569-8048
1120045
ALATASSI, EMAD MD
(248) 419-3504
1027496
BEGLE, ROBERT L MD
ROYAL OAK 48073
(248) 551-0497
1124688
BEGLE, ROBERT L MD
29645 W 14 MILE STE 110
(248) 932-3700
1027497
BEGLE, ROBERT L MD
ROYAL OAK 48073
(877) 805-8647
1122718
BELEN, JACK E DO
FARMINGTON 48336
(248) 471-8968
1024846
BELEN, JACK E DO
1 WILLIAM CARLS DR
(248) 937-3395
1122719
BELEN, JACK E DO
21440 ARCHWOOD CIRCLE
FARMINGTON 48336
(248) 473-8411
1071313
BOZYK, PAUL D MD
ROYAL OAK 48073
(248) 551-0497
1079551
BOZYK, PAUL D MD
ROYAL OAK 48073
(877) 805-8647
1124691
BOZYK, PAUL D MD
29645 W 14 MILE RD STE 110
(248) 932-3700
1122114
CHRISTENSEN, PAUL J MD
ROYAL OAK 48073
(248) 551-0497
1124695
CHRISTENSEN, PAUL J MD
29645 W 14 MILE RD STE 110
(248) 254-6000
1124696
DALAL, BHAVINKUMAR D MD
29645 W 14 MILE RD STE 110
(248) 254-6000
1100330
DALAL, BHAVINKUMAR D MD
ROYAL OAK 48073
(248) 551-0497
1023085
DHANJAL, UPENDRA MD
WATERFORD 48328
(248) 418-0124
1070704
DHANJAL, UPENDRA MD
PONTIAC 48341
(248) 858-3126
1118620
DOGRA, SANJAY MD
BERKLEY 48072
(248) 494-8596
1124035
ELKUS, ROBIN MD
PONTIAC 48341
(248) 858-9624

Page 429
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
1127264
FARRA, MOHAMMAD MD
3030 GREENFIELD RD
ROYAL OAK 48073
(248) 288-6610
1063425
FIELDS, WARREN B MD
ROYAL OAK 48073
(877) 805-8647
1063601
FIELDS, WARREN B MD
(248) 548-2114
1064104
GHABSHA, AHMAD A MD
ROCHESTER 48306
(248) 651-6430
1050304
GO, ROBERT O MD
ROCHESTER 48307
(248) 652-5000
1032726
GO, ROBERT O MD
895 N OPDYKE STE C
AUBURN HILLS 48326
(248) 276-0077
1067689
(248) 548-2114
1067690
4600 INVESTEMTN DR STE 250
TROY 48098
(248) 267-9370
1067691
BERKLEY 48072
(248) 548-9090
1067693
SOUTHFIELD 48034
(248) 355-3033
1023140
KAISER, LISA DO
ROCHESTER 48307
(248) 652-2708
1027494
KEENA, DANIEL MD
ROYAL OAK 48073
(248) 551-0497
1124689
KEENA, DANIEL MD
29645 W 14 MILE RD STE 110
(248) 932-3700
1027495
KEENA, DANIEL MD
ROYAL OAK 48073
(877) 805-8647
1056906
KYLE, KEVIN MD
SOUTHFIELD 48075
(248) 443-8487
1077240
LAFFER, MICHAEL DO
(248) 419-3504
1085511
MACDONALD, LAWRENCE MD
NOVI 48377
(248) 465-9253
1068115
MARSHICK, JEFFREY S DO
PONTIAC 48341
(248) 335-1110
1055530
CLARKSTON 48346
(248) 922-9283
1107036
LAKE ORION 48360
(248) 232-0110
1123488
MINA, NADER M MD
ROYAL OAK 48073
(248) 551-0497
1124694
MINA, NADER M MD
29645 W 14 MILE RD STE 110
(248) 254-6000
1120183
NAJAR, ALI MD
AUBURN HILLS 48326
(248) 371-1726
1027490
RAVIKRISHNAN, KOREMBETH MD
ROYAL OAK 48073
(248) 551-0497
1027491
RAVIKRISHNAN, KOREMBETH MD
ROYAL OAK 48073
(877) 805-8647
1026056
RAZA, SYED MD
33110 W 12 MILE RD
(248) 489-9070
1107040
REAGLE, ROBERT DO
CLARKSTON 48346
(248) 922-9283
1024133
REAGLE, ROBERT DO
LAKE ORION 48360
(248) 232-0110
1027984
ROSENTHAL, LEONARD J MD
PONTIAC 48341
(248) 335-1110
1035278
ROWENS, BRADLEY MD
47601 GRAND RIVER 2ND FL
NOVI 48374
(248) 465-4290
1027988
SAK, DANIEL J DO
3100 CROSS CREEK PKWY
AUBURN HILLS 48326
(248) 371-1726
1023263
SETHI, AMARJEET MD
WATERFORD 48328
(248) 418-0124
1083615
SHEHADA, EMAD R MD
29275 W 10 MILE RD
FARMINGTON 48336
(248) 350-2722
1027486
SHERMAN, STANLEY MD
ROYAL OAK 48073
(248) 551-0497
1027487
SHERMAN, STANLEY MD
ROYAL OAK 48073
(877) 805-8647
1124690
SHERMAN, STANLEY MD
29645 W 14 MILE RD STE 110
(248) 932-3700
1124693
SIDDIQUE, HAAMID H MD
29645 W 14 MILE RD STE 110
(248) 254-6400
1123741
SIDDIQUE, HAAMID H MD
ROYAL OAK 48073
(248) 551-0497
1078846
SIMECEK, SCOTT S DO
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-3126
1024997
SIMECEK, SCOTT S DO
CLARKSTON 48346
(248) 922-9283
1107034
SIMECEK, SCOTT S DO
1 WILLIAM CARLS DR
(248) 937-3395
1079901
SKLAR, SANFORD H MD
28080 GRAND RIVER
FARMINGTON 48336
(248) 471-8968
1103532
ZAMLUT, MAHMUD MD
1 WILLIAM CARLS DR
(248) 937-3300
ROYAL OAK 48073
(248) 551-2446
RADIATION ONCOLOGY
1073380

Page 430
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1076917
31157 WOODWARD AVENUE
ROYAL OAK 48073
(248) 338-0300
1073542
70 FULTON ST
PONTIAC 48341
(248) 338-0300
1073543
CLARKSTON 48346
(248) 625-0300
1073544
(248) 553-0606
1073545
30365 DEQUINDRE
(248) 589-5000
1079258
(248) 865-2575
1100923
4550 INVESTMENT DR STE B111
TROY 48098
(248) 952-5019
1060452
BRABBINS, DONALD S MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-2080
1027462
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9700
1089324
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 551-7020
1089326
FARMINGTON 48336
(248) 471-8120
1099647
CHAE, WON MD
NOVI 48377
(248) 374-2977
1099644
CHAE, WON MD
FARMINGTON 48336
(248) 476-2420
1099648
CHAE, WON MD
NOVI 48377
(248) 679-1646
1107384
CHAE, WON B MD
543 N MAIN ST
ROCHESTER 48308
(248) 656-3100
1060460
CHEN, PETER Y MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-2080
1030170
CHEN, PETER Y MD
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 551-7032
1102927
DILWORTH, JOSHUA T MD
44201 DEQUINDRE RD
TROY 48085
(248) 577-9700
1102926
DILWORTH, JOSHUA T MD
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9700
1076716
EZZ, AHMED MD
FARMINGTON 48336
(248) 477-0552
1023096
EZZ, AHMED E MD
30365 DEQUINDRE RD
(248) 589-5000
1023097
EZZ, AHMED E MD
CLARKSTON 48346
(248) 625-0300
1023095
EZZ, AHMED E MD
(248) 553-0606
1076915
EZZ, AHMED E MD
ROYAL OAK 48073
(248) 338-0300
1100926
EZZ, AHMED E MD
70 FULTON ST
PONTIAC 48341
(248) 338-0300
1100925
EZZ, AHMED E MD
(248) 865-2575
1100928
EZZ, AHMED E MD
TROY 48098
(248) 952-5019
1099589
FIREMAN, MARK MD
461 W HURON ST
PONTIAC 48341
(248) 857-7200
1073361
FONTANESI, JAMES MD
FARMINGTON 48336
(248) 477-0552
1073362
FONTANESI, JAMES MD
ROYAL OAK 48073
(248) 551-2446
1079982
FONTANESI, JAMES MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 338-0300
1103124
FONTANESI, JAMES MD
1901 STAR BATT DR
ROCHESTER 48309
(248) 844-4000
1079983
FONTANESI, JAMES MD
(248) 865-2575
1079987
FONTANESI, JAMES MD
70 FULTON ST
PONTIAC 48341
(248) 338-0300
1079986
FONTANESI, JAMES MD
30365 DEQUINDRE RD
(248) 589-5000
1079988
FONTANESI, JAMES MD
CLARKSTON 48346
(248) 625-0300
1079989
FONTANESI, JAMES MD
(248) 553-0606
1079991
FONTANESI, JAMES MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-2080
1073360
FONTANESI, JAMES MD
(248) 399-4400
1030352
(248) 553-0606
1030354
70 FULTON ST
PONTIAC 48341
(248) 338-0300
1101614
TROY 48098
(248) 952-5019
1030355
30365 DEQUINDRE
(248) 589-5000
1030353
CLARKSTON 48346
(248) 338-0300
1076731
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1076717
FARMINGTON 48336
(248) 477-0552

Page 431
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1101615
(248) 865-2575
1068273
FRANKLIN, STEPHEN D MD
CLARKSTON 48346
(248) 922-6600
1038249
FRAZIER, ARTHUR MD
CLARKSTON 48346
(248) 922-6600
1076918
ROYAL OAK 48073
(248) 338-0300
1073540
30365 DEQUINDRE
(248) 589-5000
1073537
70 FULTON ST
PONTIAC 48341
(248) 338-0300
1073539
(248) 553-0606
1073538
CLARKSTON 48346
(248) 625-0300
1089329
FARMINGTON 48336
(248) 471-8120
1089328
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 551-7020
1079262
(248) 865-2575
1060485
GRILLS, INGA S MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-2080
1027460
GRILLS, INGA S MD
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9700
1030511
GRILLS, INGA S MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-7017
1124191
GUERRERO, THOMAS MD PHD
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 557-9700
1060486
GUSTAFSON, GARY S MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-2080
1027459
GUSTAFSON, GARY S MD
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9700
1027499
GUSTAFSON, GREGORY MD
44201 DEQUINDRE
TROY 48085
(248) 577-9700
1054624
HART, KIMBERLY B MD
1 WILLIAM CARLS DR
(248) 937-3602
1073555
KESTIN, LARRY L MD
(248) 553-0606
1073553
KESTIN, LARRY L MD
70 FULTON ST
PONTIAC 48341
(248) 338-0300
1073554
KESTIN, LARRY L MD
30365 DEQUINDRE
(248) 589-5000
1073556
KESTIN, LARRY L MD
CLARKSTON 48346
(248) 625-0300
1100999
KESTIN, LARRY L MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1101000
KESTIN, LARRY L MD
TROY 48098
(248) 952-5019
1089331
KESTIN, LARRY L MD
FARMINGTON 48336
(248) 471-8120
1089334
KESTIN, LARRY L MD
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 551-7020
1079261
KESTIN, LARRY L MD
(248) 865-2575
1095266
KHAN, SYED M MD
NOVI 48377
(248) 698-4109
1055514
KIM, HAROLD E MD
1 WILLIAM CARLS DR
(248) 937-3602
1055515
KIM, HAROLD E MD
(248) 538-4701
1068098
KIM, HAROLD E MD
1901 STARR BATT DRIVE
ROCHESTER 48309
(248) 844-4000
1061144
KRAUSS, DANIEL J MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-2080
1027457
KRAUSS, DANIEL J MD
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9700
1098506
LINCOLN, DENIS R MD
NOVI 48377
(248) 374-0502
1098507
LINCOLN, DENIS R MD
NOVI 48377
(248) 471-0675
1098504
LINCOLN, DENIS R MD
FARMINGTON 48336
(248) 476-2420
1055623
MAIER, JORDAN M MD
1 WILLIAM CARLS DR
(248) 937-3602
1068096
MAIER, JORDAN M MD
1901 STARR BATT DR
ROCHESTER 48309
(248) 844-4000
1055622
MAIER, JORDAN M MD
(248) 538-4701
1074257
(248) 553-0606
1074254
70 FULTON ST
PONTIAC 48341
(248) 338-0300
1074255
CLARKSTON 48346
(248) 625-0300
1074256
30365 DEQUINDRE
(248) 589-5000
1076920
ROYAL OAK 48073
(248) 338-0300
1079260
(248) 865-2575

Page 432
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1089337
TROY 48098
(248) 267-6569
1089340
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 551-7020
1089343
FARMINGTON 48336
(248) 471-8120
1068095
MAYER, ERIC G MD
1901 STARR BATT DR
ROCHESTER 48309
(248) 844-4000
1076913
MILLER, KAY MD
ROYAL OAK 48073
(248) 338-0300
1100911
MILLER, KAY MD
70 FULTON ST
PONTIAC 48341
(248) 338-0300
1100912
MILLER, KAY MD
TROY 48098
(248) 952-5019
1076715
MILLER, KAY MD
FARMINGTON 48336
(248) 477-0552
1023169
MILLER, KAY MD
30365 DEQUINDRE
(248) 589-5000
1023170
MILLER, KAY MD
CLARKSTON 48346
(248) 625-0300
1023168
MILLER, KAY MD
(248) 553-0606
1055711
MILLER, STEVEN R MD
(248) 538-4701
1055712
MILLER, STEVEN R MD
1 WILLIAM CARLS DR
(248) 937-3602
1068093
MILLER, STEVEN R MD
ROCHESTER 48309
(248) 844-4000
1104207
NANDALUR, SIRISHA MD
44201 DEQUINDRE RD
TROY 48085
(248) 577-9700
1104206
NANDALUR, SIRISHA MD
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9700
1025002
70 FULTON ST
PONTIAC 48341
(248) 338-0300
1076912
ROYAL OAK 48073
(248) 338-0300
1076732
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1031746
CLARKSTON 48346
(248) 625-0300
1105880
TROY 48098
(248) 952-5019
1089345
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 551-7020
1089349
FARMINGTON 48336
(248) 471-8120
1054849
RISSMAN, LINDA S DO
(248) 538-4701
1055733
RISSMAN, LINDA S DO
1 WILLIAM CARLS DR
(248) 937-3602
1027455
ROBERTSON, JOHN M MD
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9700
1063605
ROBERTSON, JOHN M MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-2080
1107471
STEVENS, CRAIG W MD
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 577-9700
1109187
STEVENS, CRAIG W MD
44201 DEQUINDRE RD
TROY 48085
(248) 577-9700
1027498
STROMBERG, JANNIFER S MD
44201 DEQUINDRE
TROY 48085
(248) 577-9700
1061148
STROMBERG, JANNIFER S MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-2080
1100917
30365 DEQUINDRE RD
(248) 589-5000
1100919
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1100918
70 FULTON ST
PONTIAC 48341
(248) 338-0300
1100921
(248) 865-2575
1100920
TROY 48098
(248) 952-5019
1100915
CLARKSTON 48346
(248) 625-0300
1089364
VICINI, FRANK A MD
TROY 48098
(248) 267-6569
1089358
VICINI, FRANK A MD
3577 W 13 MILE RD
ROYAL OAK 48073
(248) 551-7020
1089354
VICINI, FRANK A MD
FARMINGTON 48336
(248) 471-8120
1073549
VICINI, FRANK A MD
(248) 553-0606
1079259
VICINI, FRANK A MD
(248) 865-2575
1076921
VICINI, FRANK A MD
ROYAL OAK 48073
(248) 338-0300
1073550
VICINI, FRANK A MD
30365 DEQUINDRE
(248) 589-5000
1073548
VICINI, FRANK A MD
CLARKSTON 48346
(248) 625-0300
1073547
VICINI, FRANK A MD
70 FULTON ST
PONTIAC 48341
(248) 338-0300

Page 433
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1101001
VICINI, FRANK A MD
TROY 48098
(248) 952-5019
1055400
WEBB, JENNIFER L MD
1 WILLIAM CARLS DR
(248) 937-3602
1073120
WEBB, JENNIFER L MD
461 W HURON
PONTIAC 48341
(248) 857-6810
1068099
WEBB, JENNIFER L MD
ROCHESTER 48309
(248) 844-4000
1055399
WEBB, JENNIFER L MD
(248) 538-4701
1041484
WEISBERG CANCER TREATMENT
(800) 527-6266
1010217
ABUZEID, MOSTAFA I M MD
3950 S ROCHESTER HILLS RD STE 2300
ROCHESTER 48307
(248) 844-8845
1054809
PUSCHECK, ELIZABETH E MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 352-8200
1054877
SINGH, MANVINDER MD
26400 W 12 MILE RD STE 140
SOUTHFIELD 48034
(248) 382-8200
1124135
SINGH, MANVINDER MD
TROY 48083
(248) 581-5200
1070286
WOODARD, TERRI L MD
26400 W 12 MILE STE 140
SOUTHFIELD 48034
(248) 352-8200
RHEUMATOLOGY
1103900
BATEMAN, JUDITH L MD
FRANKLIN 48025
(248) 646-1965
1048498
CUESTA, INOCENCIO A MD
FARMINGTON 48336
(248) 471-1549
1101843
PORTNEY, STEVEN A MD
SOUTHFIELD 48075
(248) 552-0242
1123835
SHADAKSHARI, ASHWINI MD
FARMINGTON 48336
(248) 471-1549
1124869
SHAGRIN, JEROLD MD
BERKLEY 48072
(248) 548-9090
1085344
YORK, RUSSEL H MD
26400 W 12 MILE RD STE 111
SOUTHFIELD 48034
(313) 745-4525

1090305
BLOOMFIELD ORCHARD VILLA
7277 RICHARDSON RD
(248) 360-4443
1080474
BOULEVARD HEALTH CENTER
3500 W SOUTH BOULEVARD
ROCHESTER 48309
(248) 852-7800
1074632
CAMBRIDGE EAST HEALTHCARE CENTER
31155 DEQUINDRE RD
(248) 585-7010
1074634
CAMBRIDGE NORTH HEALTHCARE CENTER
535 N MAIN ST
CLAWSON 48017
(248) 435-5200
1074636
CAMBRIDGE SOUTH HEALTHCARE CENTER
18200 W 13 MILE RD
FRANKLIN 48025
(248) 647-6500
1127614
CLARKSTON SPECIALTY HEALTHCARE CTR
4800 CLINTONVILLE RD
CLARKSTON 48346
(248) 674-0903
1055080
GREENFIELD REHAB AND NURSING
3030 GREENFIELD
ROYAL OAK 48073
(248) 288-6610
1093779
HEARTLAND HEALTH CARE CENTER- GEORGIAN BLOOM 2975 N ADAMS RD
(248) 645-2900
1103394
LAHSER HILLS CARE CENTER
SOUTHFIELD 48033
(248) 354-3222
1093784
MARVIN & BETTY DANTO FAMILY HEALTH CARE CENTER 6800 WEST MAPLE RD
(248) 788-5300
1123055
MEDILODGE OF MILFORD
555 HIGHLAND AVE
MILFORD 48381
(248) 685-1460
1089217
MEDILODGE OF ROCHESTER HILLS
1480 WALTON BLVD
ROCHESTER 48309
(248) 651-4422
1122071
MEDILODGE OF SOUTHFIELD INC
26715 GREENFIELD RD
SOUTHFIELD 48076
(248) 557-0050
1117293
NOTTING HILL OF WEST BLOOMFIELD
6535 DRAKE RD
(248) 592-2000
1057791
OAKLAND REGIONAL HOSPITAL
SOUTHFIELD 48075
(248) 423-5100
1079385
REGENCY AT WATERFORD
1901 N TELEGRAPH
WATERFORD 48328
(248) 836-1000
1103249
SOUTH LYON CARE AND REHAB CENTER LLC
700 REYNOLD SWEETWAY PKWY
SOUTH LYON 48178
(248) 437-2048
1090461
THE MANOR OF FARMINGTON HILLS
21017 MIDDLEBELT RD
FARMINGTON 48336
(248) 476-8300
1090462
THE MANOR OF NOVI
24500 MEADOWBROOK
NOVI 48375
(248) 477-2000
1118381
WHITE PINE REHABILITATION & CARE CENTER
34225 GRAND RIVER
FARMINGTON 48335
(248) 477-7373
25300 LAHSER RD

1126134
AAIRS DIAGNOSTICS INC
TROY 48084
(844) 224-7764
1045045
BARCLAY SLEEP CENTER
ROCHESTER 48307
(248) 276-0077
1073026
2055 FRANKLIN RD
(248) 499-7541

Page 434
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
SLEEP STUDIES
1126135
ALKHALIL, MICHEL MD
TROY 48084
(811) 224-7764
1047133
ALKHALIL, MICHEL MD
TROY 48084
(248) 689-1000
1020186
DESAI, AVI M MD
WATERFORD 48328
(248) 681-7909
1030277
EHTESHAM, MUHAMMAD A MD
29275 W 10 MILE RD
FARMINGTON 48336
(248) 350-2722
1069556
EHTESHAM, MUHAMMAD A MD
NOVI 48374
(248) 662-4370
1069548
FARRA, MOHAMMAD W MD
NOVI 48374
(248) 662-4370
1030323
FARRA, MOHAMMAD W MD
29275 W 10 MILE RD
FARMINGTON 48336
(248) 350-2722
1014466
HUKKU, PANKAJ MD
CLAWSON 48017
(248) 280-1867
1033026
ROCHESTER 48307
(248) 651-6430
1033028
895 N OPDYKE STE C
AUBURN HILLS 48326
(248) 276-0077
1033027
ROCHESTER 48307
(248) 276-0077
1069405
115 LONG LAKE RD
TROY 48085
(248) 494-8596
1068633
BERKLEY 48072
(248) 556-5582
1027979
NAJAR, ALI K MD
PONTIAC 48341
(248) 335-1110
1030906
ORGANEK, HARVEY W MD
47601 GRAND RIVER AVE STE C104
NOVI 48374
(248) 350-2722
1030905
29275 W 10 MILE RD
FARMINGTON 48336
(248) 350-2722
1069551
NOVI 48374
(248) 662-4370
1061797
RAHAL, PEGGY MD
1500 BIG BEAVER RD STE 107
TROY 48084
(248) 689-1000
1033064
SABBAQ, MAZEN MD
ROCHESTER 48307
(248) 651-6430
1027987
SAK, DANIEL J DO
PONTIAC 48341
(248) 335-1110
1027988
SAK, DANIEL J DO
3100 CROSS CREEK PKWY
AUBURN HILLS 48326
(248) 371-1726
1120326
SESCIOREANU, MIHAELA MD
AUBURN HILLS 48326
(248) 371-1726
1027989
SESCIOREANU, MIHAELA MD
PONTIAC 48341
(248) 335-1110
1127741
SESI, VERONICA DO
SOUTHFIELD 48075
(248) 304-7659
1032134
SHANIDZE, IRINA O MD
29275 W 10 MILE RD
FARMINGTON 48336
(248) 350-2722
1069549
SHANIDZE, IRINA O MD
NOVI 48374
(248) 662-4370
1068271
2191 SOUTH BLVD
AUBURN HILLS 48326
(248) 418-2000
SPEECH THERAPY
1066211
300 FAMILY DR
MILFORD 48381
(248) 684-9751
1066213
42005 W TWELVE MILE RD
NOVI 48377
(248) 305-7575
1057302
LEVEL 11 PHYSICAL THERAPY
10293 S SAGINAW ST STE O
HOLLY 48442
(810) 771-7686
1069204
MARINA REHABILITATION & HEALTH SERVICES
ROCHESTER 48307
(248) 650-1984
1103923
MICHIGAN REHAB RESOURCES INC
25865 W 12 MILE RD
SOUTHFIELD 48034
(248) 208-7492
1100463
MORC REHAB SERVICES
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1107086
ORTHOPEDIC SPINE & SPORTS THERAPY AH
2558 N SQUIRREL RD
AUBURN HILLS 48326
(248) 340-1100
1058016
UNIVERSAL PHYSICAL THERAPY PC
2565 S ROCHESTER RD STE 108A
ROCHESTER 48307
(248) 844-2644
SPORTS MEDICINE
1066739
POLEY, ROBERT E MD
TROY 48098
(248) 792-9881
1024912
SPORTS MEDICINE POH OXFORD
385 N LAPEER RD
OXFORD 48371
(248) 628-3000
SURGICAL ONCOLOGY
1124190
D'ERRICO, ANTHONY J DO
3577 W 13 MILE RD
TROY 48083
(248) 551-6900
1006366
LES, KIMBERLY A MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 423-2688
1079576
TROY 48098
(248) 267-6569
1083568
ROYAL OAK 48073
(248) 288-4510

Page 435
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
SURGICAL ONCOLOGY (CONTINUED)

1126436
CLARKSTON 48346
(248) 288-4510

1064211
ALTSHULER, JEFFREY MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0123
1095416
APOSTOLOU, DIMITRIOS MD
PONTIAC 48341
(248) 858-3939
1027945
APOSTOLOU, DIMITRIOS MD
27209 LAHSER STE 128
SOUTHFIELD 48034
(248) 350-2089
1068991
BERNABEI, ALVISE F MD
ROCHESTER 48307
(248) 601-6190
1023358
CARALIS, JAMES DO
PONTIAC 48341
(248) 858-3939
1125723
FORSTER, DAVID DO
50 N PERRY
PONTIAC 48342
(248) 338-5000
1002053
FORSTER, DAVID DO
PONTIAC 48341
(248) 858-3939
1126682
FRANK, ROBERT A MD
TROY 48083
(248) 581-5200
1015013
GOODMAN, GARY R MD
SOUTHFIELD 48075
(248) 443-1281
1089506
GORDON, WILLIAM H MD
PONTIAC 48341
(248) 858-3850
1063428
HANSON, ERIC C MD
44199 DEQUINDRE RD
TROY 48085
(248) 964-8500
1064222
HANSON, ERIC C MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0123
1098390
JENNINGS, GEORGE S DO
FARMINGTON 48336
(248) 471-8030
1076279
KIM, SANG W MD
44201 DEQUINDRE RD
TROY 48085
(888) 997-3358
1043296
KIM, SANG W MD
TROY 48085
(248) 551-0669
1117132
KIM, SANG W MD
TROY 48085
(248) 964-1170
1109498
KIM, SANG W MD
ROYAL OAK 48073
(248) 551-1550
1043295
KIM, SANG W MD
ROYAL OAK 48073
(248) 551-0669
1117133
LACKEY, ADAM H MD
TROY 48085
(248) 964-1170
1015016
LEE, MICHAEL W MD
SOUTHFIELD 48075
(248) 443-1281
1017148
MANSOORI, SHAHROKH MD
ROCHESTER 48307
(248) 844-2980
1064225
ROBINSON, PHILLIP MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0123
1064227
SAKWA, MARC P MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0123
1064228
SHANNON, FRANCIS L MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0123
1064230
TEPE, NICHOLAS MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0123
1117131
WELSH, ROBERT J MD
TROY 48085
(248) 964-1170
1109678
WELSH, ROBERT J MD
ROYAL OAK 48073
(248) 551-0669
UROLOGY
1114520
ARETAKIS, KARI MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1118981
ARETAKIS, KARI MD
TROY 48098
(248) 267-5035
1098902
ARNKOFF, MARC S MD
SOUTHFIELD 48037
(248) 569-3009
1102973
BARTLEY, JAMIE DO
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0898
1117625
BENNETT, RICHARD C MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1118977
CLARKSTON 48346
(248) 658-7535
1118978
(248) 484-4000
1067828
BRODE, AMY DO
130 TOWN CENTER DR STE 101
TROY 48084
(248) 740-0670
1067829
BRODE, AMY DO
TROY 48084
(248) 740-0670
1067517
BRODE, AMY DO
NOVI 48375
(248) 426-1300
1067524
BRODE, AMY DO
ROCHESTER 48307
(248) 293-1000
1067823
BRODE, AMY DO
CLARKSTON 48346
(248) 620-6600
1067824
BRODE, AMY DO
1 WILLIAMS CARLS DR STE 210
(248) 624-9900
1067825
BRODE, AMY DO
(248) 624-9900
1067827
BRODE, AMY DO
44200 WOODWARED STE 207
PONTIAC 48341
(248) 322-6103

Page 436
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
UROLOGY (CONTINUED)
1067520
BRODE, AMY DO
1455 S LAPEER RD
LAKE ORION 48360
(248) 814-6000
1067831
BRODE, AMY DO
(248) 539-9036
1067832
BRODE, AMY DO
6014 W MAPLE RD
(248) 539-9036
1067834
BRODE, AMY DO
ROYAL OAK 48073
(248) 551-0638
1118972
BURKS, FRANK N MD
NOVI 48377
(248) 876-8211
1073715
BURKS, FRANK N MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1055018
CHER, MICHAEL L MD
(800) 527-6266
1073705
COCCIMIGLIO, LUCY A DO
NOVI 48377
(248) 876-8211
1073706
3145 DIXIE HWY
WATERFORD 48328
(248) 674-8530
1073711
MILFORD 48381
(248) 676-2503
1067732
DEPOLO, ALBERT DO
(248) 539-9036
1067304
DEPOLO, ALBERT DO
ROCHESTER 48307
(248) 293-1000
1067723
DEPOLO, ALBERT DO
CLARKSTON 48346
(248) 620-6600
1067297
DEPOLO, ALBERT DO
NOVI 48375
(248) 426-1300
1067725
DEPOLO, ALBERT DO
(248) 624-9900
1067728
DEPOLO, ALBERT DO
TROY 48084
(248) 740-0670
1067734
DEPOLO, ALBERT DO
ROYAL OAK 48073
(248) 551-0638
1067729
DEPOLO, ALBERT DO
TROY 48084
(248) 786-0464
1067727
DEPOLO, ALBERT DO
PONTIAC 48341
(248) 322-6103
1067731
DEPOLO, ALBERT DO
(248) 539-9036
1067724
DEPOLO, ALBERT DO
(248) 624-9900
1067300
DEPOLO, ALBERT DO
1455 S LAPEER RD
LAKE ORION 48360
(248) 814-6000
1126785
DHABUWALA, CHIRPRIYA B MD
2450 WALTON BLVD
ROCHESTER 48307
(248) 650-0096
1071052
DHAR, NIVEDITA MD
26400 W 12 MILE STE 140
SOUTHFIELD 48034
(248) 352-8200
1008211
DIOKNO, ANANIAS C MD
ROYAL OAK 48073
(248) 551-3519
1090338
FESSEHA, TEWODROS MD
SOUTHFIELD 48075
(248) 552-8525
1056299
ROCHESTER 48307
(248) 293-1000
1066893
1455 S LAPEER RD
LAKE ORION 48360
(248) 814-6000
1066890
NOVI 48375
(248) 426-1300
1062679
TROY 48098
(248) 740-0670
1056303
PONTIAC 48341
(248) 322-6103
1056301
(248) 387-2732
1056300
CLARKSTON 48346
(248) 620-6660
1056297
(248) 624-9900
1056296
TROY 48084
(248) 740-0670
1056295
ROYAL OAK 48073
(248) 551-0640
1056294
(248) 539-9036
1056293
(248) 539-9036
1048189
FRIEDLAND, MARK S MD
44201 DEQUINDRE RD
TROY 48085
(248) 577-9352
1118970
TROY 48098
(248) 267-5035
1073709
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1118969
33200 14 MILE RD STE 260
(248) 539-8931
1063426
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0898
1031481
GIRGIS, SITY M MD
930 W AVON RD STE 19
ROCHESTER 48307
(248) 650-8221
1073560
GOLDMAN, KENNETH A MD
33200 14 MILE RD STE 260
(248) 539-8931
1073558
ROYAL OAK 48073
(248) 288-4882

Page 437
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
UROLOGY (CONTINUED)
1073561
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1073566
GONZALEZ, JOSE A MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1023118
GRESKI, JEFFREY DO
2450 WALTON BLVD
ROCHESTER 48309
(248) 650-0096
1023120
GRESKI, JEFFREY DO
CLARKSTON 48346
(248) 620-3500
1067502
HOFF, MICHAEL DO
1455 S LAPEER RD
LAKE ORION 48360
(248) 814-6000
1067789
HOFF, MICHAEL DO
TROY 48084
(248) 740-0670
1067499
HOFF, MICHAEL DO
NOVI 48375
(248) 426-1300
1067506
HOFF, MICHAEL DO
ROCHESTER 48307
(248) 293-1000
1067788
HOFF, MICHAEL DO
TROY 48084
(248) 740-0670
1067783
HOFF, MICHAEL DO
CLARKSTON 48346
(248) 620-6600
1067784
HOFF, MICHAEL DO
1 WILLIAMS CARLS DRIVE STE 210
(248) 624-9900
1067794
HOFF, MICHAEL DO
ROYAL OAK 48073
(248) 551-0638
1067791
HOFF, MICHAEL DO
(248) 539-9036
1067792
HOFF, MICHAEL DO
(248) 539-9036
1067787
HOFF, MICHAEL DO
PONTIAC 48341
(248) 322-6103
1067785
HOFF, MICHAEL DO
2300 HAGGERTY ROAD STE 2000
(248) 624-9900
1027501
HOLLANDER, JAY B MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-3535
1006762
HOLLANDER, JAY B MD
ROYAL OAK 48073
(248) 551-3535
1118940
HURLEY, PATRICK M MD
ROYAL OAK 48073
(248) 538-1571
1118941
NOVI 48374
(248) 569-4897
1118939
SOUTHFIELD 48075
(248) 569-4897
1095011
JAFRI, SYED M MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1118974
JAFRI, SYED M MD
CLARKSTON 48346
(248) 658-7535
1118973
JAFRI, SYED M MD
(248) 484-4000
1091419
KANSARA, VELJI K MD
44000 W 12 MILE RD STE 101
NOVI 48377
(248) 347-8130
1108208
KANSARA, VELJI KARSAN MD
SOUTHFIELD 48034
(248) 354-1080
1075364
KAUL, SANJEEVKUMAR A MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1075365
KAUL, SANJEEVKUMAR A MD
TROY 48098
(248) 267-5035
1073564
KEARNEY, DAVID J MD
TROY 48098
(248) 627-5035
1118971
KORMAN, HOWARD J MD
33200 14 MILE RD STE 260
(248) 539-8931
1073568
KORMAN, HOWARD J MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1023150
KUMAR, ANIL MD
WATERFORD 48328
(248) 682-9480
1006287
KUMAR, ANIL MD
2450 WALTON BLVD STE B
ROCHESTER 48309
(248) 608-0359
1067313
LANESKY, JOHN DO
ROCHESTER 48307
(248) 293-1000
1067736
LANESKY, JOHN DO
CLARKSTON 48346
(248) 620-6600
1067755
LANESKY, JOHN DO
ROYAL OAK 48073
(248) 551-0638
1067752
LANESKY, JOHN DO
(248) 539-9036
1067742
LANESKY, JOHN DO
TROY 48084
(248) 740-0670
1067741
LANESKY, JOHN DO
TROY 48084
(248) 740-0670
1067740
LANESKY, JOHN DO
PONTIAC 48341
(248) 322-6103
1067737
LANESKY, JOHN DO
(248) 624-9900
1067309
LANESKY, JOHN DO
1455 S LAPEER RD
LAKE ORION 48360
(248) 814-6000
1067306
LANESKY, JOHN DO
NOVI 48375
(248) 426-1300
1067738
LANESKY, JOHN DO
(248) 624-9900
1125225
LIGHTBOURN, GEORGE A MD
SOUTHFIELD 48034
(248) 353-6599
1073704
LIM, KENNETH DO
3145 DIXIE HWY
WATERFORD 48328
(248) 674-8530

Page 438
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
UROLOGY (CONTINUED)
1073703
LIM, KENNETH DO
NOVI 48377
(248) 876-8211
1073714
LIM, KENNETH DO
MILFORD 48381
(248) 676-2503
1069383
LUCAS, STEVEN M MD
(800) 527-6266
1118979
TROY 48098
(248) 267-5035
1073572
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1075367
MANSOUR, SABRY G MD
ROCHESTER 48307
(248) 650-4660
1073707
MC DEVITT, WILLIAM J DO
3145 DIXIE HWY
WATERFORD 48328
(248) 674-8530
1073708
NOVI 48377
(248) 876-8211
1073712
MILFORD 48381
(248) 676-2503
1067819
6014 W MAPLE RD
(248) 539-9036
1067515
ROCHESTER 48307
(248) 293-1000
1067508
NOVI 48375
(248) 426-1300
1067511
1455 S LAPEER RD
LAKE ORION 48360
(248) 814-6000
1067810
CLARKSTON 48346
(248) 620-6600
1067811
(248) 624-9900
1067812
(248) 624-9900
1067821
ROYAL OAK 48073
(248) 551-0638
1067814
PONTIAC 48341
(248) 322-6103
1067815
TROY 48084
(248) 740-0670
1067816
TROY 48084
(248) 740-0670
1067818
(248) 539-9036
1073683
MOYLAN, DONALD F MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1121013
O'CONNOR, JEFFREY MD
47601 GRAND RIVER
NOVI 48374
(248) 569-4897
1120662
O'CONNOR, JEFFREY L MD
(248) 538-1571
1120661
NOVI 48375
(248) 569-4897
1089922
SOUTHFIELD 48075
(248) 569-4897
1073559
PETERS, KENNETH M MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1060441
PETERS, KENNETH M MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-0640
1055724
PONTES, J EDSON MD
(800) 527-6266
1037664
RAJPURKAR, ATUL D MD
2450 WALTON BLVD STE B
ROCHESTER 48309
(248) 608-0359
1067776
REAUME, DARRYL DO
TROY 48084
(248) 786-0464
1067490
REAUME, DARRYL DO
NOVI 48375
(248) 426-1300
1067781
REAUME, DARRYL DO
ROYAL OAK 48073
(248) 551-0638
1067497
REAUME, DARRYL DO
ROCHESTER 48307
(248) 293-1000
1067775
REAUME, DARRYL DO
TROY 48084
(248) 740-0670
1067493
REAUME, DARRYL DO
1455 S LAPEER RD
LAKE ORION 48360
(248) 814-6000
1067779
REAUME, DARRYL DO
6014 W MAPLE RD
(248) 539-9036
1067771
REAUME, DARRYL DO
(248) 624-9900
1067778
REAUME, DARRYL DO
(248) 539-9036
1067772
REAUME, DARRYL DO
(248) 624-9900
1067774
REAUME, DARRYL DO
PONTIAC 48341
(248) 322-6103
1067770
REAUME, DARRYL DO
CLARKSTON 48346
(248) 620-6600
1073684
ROSENBERG, BRADLEY H MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1073688
ROSENBERG, BRADLEY H MD
33200 14 MILE RD STE 260
(248) 539-8931
1067244
ROTH, STEVEN DO
(248) 539-9036
1067241
ROTH, STEVEN DO
TROY 48084
(248) 740-0670

Page 439
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County
UROLOGY (CONTINUED)
1067245
ROTH, STEVEN DO
6014 W MAPLE RD
(248) 539-9036
1067238
ROTH, STEVEN DO
(248) 624-9900
1067237
ROTH, STEVEN DO
(248) 624-9900
1067247
ROTH, STEVEN DO
ROYAL OAK 48073
(248) 551-0638
1067236
ROTH, STEVEN DO
CLARKSTON 48346
(248) 620-6600
1067235
ROTH, STEVEN DO
ROCHESTER 48307
(248) 293-1000
1067228
ROTH, STEVEN DO
NOVI 48375
(248) 426-1300
1067242
ROTH, STEVEN DO
TROY 48084
(248) 740-0670
1067231
ROTH, STEVEN DO
1455 S LAPEER RD
LAKE ORION 48360
(248) 814-6000
1067240
ROTH, STEVEN DO
PONTIAC 48341
(248) 322-6103
1073567
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1073692
TROY 48098
(248) 267-5035
1067288
SCHOCK, JEFFREY DO
NOVI 48375
(248) 426-1300
1067712
SCHOCK, JEFFREY DO
(248) 624-9900
1073569
SHETTY, SUGANDH D MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1118947
SIDDIQI, KASHIF MD
4870 W CLARK RD STE 102
NOVI 48375
(734) 714-2600
1060443
SIRLS, LARRY T MD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-0640
1118975
SIRLS, LARRY T MD
33200 14 MILE RD STE 260
(248) 539-8931
1073685
SIRLS, LARRY T MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1120612
SMITH, JAMES B MD
TROY 48098
(248) 538-1571
1120611
SMITH, JAMES B MD
NOVI 48374
(248) 569-4897
1073570
SPENCER, WILLIAM F MD
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1067484
SULESKEY, JON DO
1455 S LAPEER RD
LAKE ORION 48360
(248) 814-6000
1067768
SULESKEY, JON DO
ROYAL OAK 48073
(248) 551-0638
1067488
SULESKEY, JON DO
ROCHESTER 48307
(248) 293-1000
1067766
SULESKEY, JON DO
(248) 539-9036
1067762
SULESKEY, JON DO
TROY 48084
(248) 740-0670
1067763
SULESKEY, JON DO
TROY 48084
(248) 786-0464
1067759
SULESKEY, JON DO
(248) 624-9900
1067315
SULESKEY, JON DO
NOVI 48375
(248) 426-1300
1067757
SULESKEY, JON DO
CLARKSTON 48346
(248) 620-6600
1067758
SULESKEY, JON DO
(248) 624-9900
1067761
SULESKEY, JON DO
PONTIAC 48341
(248) 322-6103
1067765
SULESKEY, JON DO
(248) 539-9036
1127738
TEWODROS, FESSEHA MD
SOUTHFIELD 48075
(248) 304-7659
1067223
WADLE, RONALD DO
6014 W MAPLE RD
(248) 539-9036
1073710
1135 N UNIVERSITY DR STE 210
ROCHESTER 48307
(248) 650-4660
1073699
31157 WOODWARD AVE
ROYAL OAK 48073
(248) 336-0123
1109853
WINFIELD, RAYMOND J MD
NOVI 48374
(248) 569-4897
1120776
WINFIELD, RAYMOND J MD
FRANKLIN 48025
(248) 569-4897
1074956
WOOD, DAVID P JR MD
ROYAL OAK 48073
(248) 551-3535
VASCULAR SURGERY
1033981
BASSETT, JOSEPH S MD
525 E BIG BEAVER RD STE 302
TROY 48083
(248) 689-1800
1095678
BROWN, O WILLIAM MD
FRANKLIN 48025
(248) 433-0881
1030165
BROWN, OTTO W MD
FRANKLIN 48025
(248) 433-0881

Page 440
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oakland County

1038934
CLARKSTON 48346
(248) 620-9901
1038927
CLARKSTON 48346
(248) 620-9901
1030397
FRIEDLAND, MARK S MD
TROY 48085
(248) 828-5707
1038925
GARNER, SCOTT A MD
CLARKSTON 48346
(248) 620-9901
1038932
CLARKSTON 48346
(248) 620-9901
1083027
KADAKOL, AJITH K MD
ROCHESTER 48307
(248) 243-3935
1038928
KINNING, WAYNE K MD
CLARKSTON 48346
(248) 620-9901
1035891
LONG, GRAHAM W MD
3601 W 13 MILE RD VSC
ROYAL OAK 48073
(248) 551-1465
1035847
LONG, GRAHAM W MD
TROY 48083
(248) 688-9860
1064203
MALHOTRA, NITIN MD
CLARKSTON 48346
(248) 620-9901
1127739
MARTIN, TUMA MD
SOUTHFIELD 48075
(248) 304-7659
1038931
MCILDUFF, JOHN M MD
CLARKSTON 48346
(248) 620-9901
1024020
MINANOV, KRISTIJAN MD
SOUTHFIELD 48075
(248) 443-1281
1024018
MINANOV, OKTAVIJAN MD
SOUTHFIELD 48075
(248) 443-1281
1038923
MOLNAR, ROBERT G MD
CLARKSTON 48346
(248) 620-9901
1031000
RIMAR, STEVEN D MD
TROY 48098
(248) 267-5005
1035897
SILVER, SCOTT M MD
TROY 48083
(248) 688-9860
1101160
TUMA, MARTIN MD
SOUTHFIELD 48075
(248) 559-1266
1035901
UZIEBLO, MACIEJ R MD
TROY 48083
(248) 688-9860
1079524
WAZNI, ALI MD
ROCHESTER 48307
(248) 855-5355
1079523
WAZNI, ALI MD
(248) 855-5355
1018012
WEBB, MARC G MD
SOUTHFIELD 48076
(248) 355-1100
72 S STATE ST
SHELBY 49455
(231) 861-3018
3986 N OCEANA DR
HART 49420
(231) 873-2193
OCEANA COUNTY
Oceana County

1063125
SONUS SHELBY
NURSE MIDWIFE
1107529
OPHTHALMOLOGY
1091029
RIEMER, ANDREW S DO
4140 W SHELBY RD
SHELBY 49455
(231) 861-4567
1091076
WILBERG, CARL W DO
4140 W SHELBY RD
SHELBY 49455
(231) 861-4567
1091080
WU, DEBORAH R MD
4140 W SHELBY RD
SHELBY 49455
(231) 861-4567
OPTOMETRY
1116609
GILMORE, NATHAN OD
38 DIVISION
HESPERIA 49421
(231) 780-4700
1086634
GOULD, STEVEN M DO
4140 W SHELBY RD
SHELBY 49455
(231) 861-4567
1086628
HAYES, COREEN OD
4140 SHELBY RD
SHELBY 49455
(231) 861-4567
1117489
JACKSON, WAYNE S OD
38 N DIVISION ST
HESPERIA 49421
(231) 780-4700
1086641
LANG, AMANDA L OD
4140 W SHELBY RD
SHELBY 49455
(231) 861-4567
1086631
NOAH, GREG M OD
4140 W SHELBY RD
SHELBY 49455
(231) 861-4567
1086638
RITTER, JULIE OD
4140 W SHELBY RD
SHELBY 49455
(231) 861-4567
1117782
38 DIVISION
HESPERIA 49421
(231) 780-4700

Page 441
February 19, 2015

PIN
Provider
Address
OCEANA COUNTY (CONTINUED)
City and Zip
Phone
Gender
Oceana County
PODIATRY
1126141
DEYONG, ROGER DPM
72 S STATE ST
SHELBY 49455
(231) 861-3025
1126146
PIPER, TRAVIS D DPM
72 S STATE ST
SHELBY 49455
(231) 861-3025
1126143
SMOLEN, JAN E DPM
72 S STATE ST
SHELBY 49455
(231) 861-3025
3986 N OCEANA DR
HART 49420
(231) 873-2193
565 PROGRESS ST STE D
WEST BRANCH 48661
(888) 477-1900
630 PROGRESS ST
WEST BRANCH 48661
(989) 345-5020

1106440
Ogemaw County
OGEMAW COUNTY
1019725
HARRISON, DUANE D MD

1122411
CARDIOLOGY
202606
FRANCO, REY A MD
2431 S M30
WEST BRANCH 48661
(989) 343-3264
1054976
LEE, DANIEL T MD
2430 S M-30
WEST BRANCH 48661
(989) 343-3264
1054974
2430 S M-30
WEST BRANCH 48661
(989) 343-3264
1093383
TERNES, DAVID J DO
2431 S M-30
WEST BRANCH 48661
(989) 343-3264
DME - P&O
1012880
ABC MEDICAL SUPPLY
122 W HOUGHTON AVE
WEST BRANCH 48661
(989) 345-1118
1069493
109 A PLAZA EAST DR
WEST BRANCH 48661
(800) 521-1150
1007597
ORTHOTECH ORTHOPEDICS
2254 S M-30
WEST BRANCH 48661
(989) 343-0999
253406
PASSPORT HOME CARE
648 PROGRESS RD STE 102
WEST BRANCH 48661
(800) 213-3517
1038764
ROSE CITY DRUG
2640 N M-33
ROSE CITY 48654
(989) 685-2141
253080
SHARED CARE
559 PROGRESS ST STE B
WEST BRANCH 48661
(989) 345-7813
1022083
WOUND K-AIR MANAGEMENT
3217 W M 55 STE G
WEST BRANCH 48661
(800) 990-5247
1010787
WRIGHT BRACE AND LIMB INC
611 COURT ST STE 102
WEST BRANCH 48661
(989) 343-0300
565 PROGRESS ST BLDG B STE D
WEST BRANCH 48661
(989) 894-2823

1004232
FARBER, DAVID L MD
GENERAL SURGERY
1062878
JENNINGS, JILL A MD
2339 PROGRESS ST STE A
WEST BRANCH 48661
(989) 345-1226
1083661
MARSH, TIMOTHY R DO
2339 PROGRESS
WEST BRANCH 48661
(989) 345-1226
1013337
MARSH, TIMOTHY R DO
2339 PROGRESS STE A
WEST BRANCH 48661
(989) 345-1226
1058491
TONSEKAR, KISHORE S MD
2339 PROGRESS ST
WEST BRANCH 48661
(989) 345-1226
621 COURT ST
WEST BRANCH 48661
(989) 345-7550

1083260
HEAR USA
1085697
2431 S M-30
WEST BRANCH 48661
(989) 343-2487
1107073
2431 S M-30
WEST BRANCH 48661
(989) 343-2487
HOME HEALTH CARE

1014828
DISTRICT HEALTH DEPARTMENT #2
630 PROGRESS ST
WEST BRANCH 48661
(989) 345-5020
1096356
417 W HOUGHTON
WEST BRANCH 48661
(989) 345-1797

Page 442
February 19, 2015

PIN
Provider
Address
OGEMAW COUNTY (CONTINUED)
City and Zip
Phone
Gender
Ogemaw County

1074393
LEELIN HOME HEALTH CARE INC
352 E HOUGHTON AVE
WEST BRANCH 48661
(989) 345-3138
HOSPICE
1028765
HEARTLAND HOME HEALTH AND HOSPICE
564 PROGRESS ST
WEST BRANCH 48661
(219) 829-1252
1004913
HOSPICE OF HELPING HANDS
335 E HOUGHTON AVE
WEST BRANCH 48661
(989) 343-3500
INTERNAL MEDICINE
1097242
AHMAD, BASSEL MD
1827 GREENWOOD RD
PRESCOTT 48756
(989) 873-6200
1081929
RUNYON, LINDA C MD
1827 GREENWOOD RD
PRESCOTT 48756
(989) 873-6200
1090904
SPERBECK, SALLY DO
335 E HOUGHTON AVE STE 2
WEST BRANCH 48661
(989) 345-3171
1085502
SPERBECK, SALLY J DO
337 E HOUGHTON AVE
WEST BRANCH 48661
(989) 345-3171
NEURO SURGERY
1106475
GATES, TIMOTHY A DO
337 E HOUGHTON AVE
WEST BRANCH 48661
(989) 667-3400
1121751
2333 PROGRESS ST
WEST BRANCH 48661
(989) 343-3178
1068423
JONES, MARK W MD
337 E HOUGHTON AVE CLINIC D
WEST BRANCH 48661
(989) 698-3033
1122445
SALIBI, NAMAN A MD
2431 S M30
WEST BRANCH 48661
(989) 754-3000
1102322
SCHELL, GERALD R MD
2463 S M-30
WEST BRANCH 48661
(989) 343-3178
1021023
SRIHARAN, SIVASUPIRAMANIAM MD
337 E HOUGHTON AVE
WEST BRANCH 48661
(989) 345-0945
NEUROLOGY
1090910
BEALL, STEVEN S MD
2463 S M 30
WEST BRANCH 48661
(989) 343-3200
1105517
BEALL, STEVEN S MD
337 E HOUGHTON AVE STE D
WEST BRANCH 48661
(989) 343-0103
1123606
DELLY, FADI MD
2333 PROGRESS ST
WEST BRANCH 48661
(989) 343-3178
1070475
GOETTING, MARK G MD
611 COURT ST
WEST BRANCH 48661
(989) 345-7000
NUCLEAR CARDIOLOGY
1059591
125 N WASHINGTON PO BOX 114
PRESCOTT 48756
(989) 873-3352
1059586
337 E HOUGHTON AVE
WEST BRANCH 48661
(989) 343-1367
WEST BRANCH 48661
(989) 345-0100
ONCOLOGY
1074928
LEVANDOWSKI, SHARON A MD
OPHTHALMOLOGY
1009222
BURK, DAVID W MD
559 W PROGRESS ST STE 4
WEST BRANCH 48661
(989) 345-8113
1010697
ZELENAK, DARYL J DO
WEST BRANCH 48661
(989) 345-8113
1010698
ZENZEN, CHARLES T MD
WEST BRANCH 48661
(989) 345-8113
OPTOMETRY
1000408
BARNHART, JAMES A OD
304 W HOUGHTON AVE
WEST BRANCH 48661
(989) 345-2020
1125252
BROZZO, SARAH OD
511 E HOUGHTON AVE STE E
WEST BRANCH 48661
(989) 345-3680
1021441
BULOW, KELLY L OD
559 PROGRESS
WEST BRANCH 48661
(989) 345-8113
1006410
FINKBEINER, LESLEY L OD
304 W HOUGHTON AVE
WEST BRANCH 48661
(989) 345-2020
1105170
ICEBERG, JEFFERY OD
WEST BRANCH 48661
(989) 345-3680
1098448
KAYNER, JILL OD
WEST BRANCH 48661
(989) 345-3680
1073858
KNIGHT, JOSEPHUS OD
WEST BRANCH 48661
(989) 345-3680
1007024
304 W HOUGHTON AVE PO BOX 128
WEST BRANCH 48661
(989) 345-2020
1107889
PHIPPS, KIMBERLY OD
WEST BRANCH 48661
(989) 345-3680
1068810
POPHAM, PHILLIP OD
WEST BRANCH 48661
(989) 345-3680
1104174
REDER, LINDSAY L OD
304 W HOUGHTON AVE
WEST BRANCH 48661
(989) 345-2020

Page 443
February 19, 2015

PIN
Provider
Address
OGEMAW COUNTY (CONTINUED)
City and Zip
Phone
Gender
Ogemaw County
202167
WESTERFIELD, THOMAS OD
203 N 5TH ST
WEST BRANCH 48661
(989) 345-1623
ORTHOPEDIC SURGERY
1006189
MORSE, PATRICK MD
WEST BRANCH 48661
(989) 701-2293
204422
RUBERT, CYNTHIA MD
2333 PROGRESS DR STE C
WEST BRANCH 48661
(989) 345-7474
202586
WEBER, MARK MD
2333 PROGRESS DR STE C
WEST BRANCH 48661
(989) 345-7474
335 E HOUGHTON AVE
WEST BRANCH 48661
(989) 343-3124
337 E HOUGHTON AVE
WEST BRANCH 48661
(989) 345-3171
1827 GREENWOOD RD
PRESCOTT 48756
(989) 873-6200
PAIN MANAGEMENT
1007985
DI BELLA, JOHN N MD

1015794
PRESCOTT, LAURA B MD
PEDIATRICS
1097243
OBRIEN, JAMES D DO

1016417
335 E HOUGHTON AVE MEDICAL ARTS BLDG A
WEST BRANCH 48661
(800) 842-1829
1006712
LAKKARAJU, RAVI K MD
565 PROGRESS AVE STE D
WEST BRANCH 48661
(989) 667-6650
PODIATRY
252731
111 S THIRD ST
WEST BRANCH 48661
(989) 345-9774
1022319
111 S THIRD ST
WEST BRANCH 48661
(989) 345-9774
1082411
SHINK, JILL L DPM
111 S 3RD ST
WEST BRANCH 48661
(989) 345-9774
PROSTHETICS
1012880
ABC MEDICAL SUPPLY
122 W HOUGHTON AVE
WEST BRANCH 48661
(989) 345-1118
1069493
109 A PLAZA EAST DR
WEST BRANCH 48661
(800) 521-1150
1007597
ORTHOTECH ORTHOPEDICS
2254 S M-30
WEST BRANCH 48661
(989) 343-0999
630 PROGRESS ST
WEST BRANCH 48661
(989) 345-5020

203977
PULMONOLOGY
1101309
AHMAD, SAAD MD
2463 SOUTH M-30
WEST BRANCH 48661
(989) 343-3178
1038465
AHMAD, SAAD S MD
559 PROGRESS ST STE A
WEST BRANCH 48661
(989) 893-7460
1075741
565 PROGRESS STE A
WEST BRANCH 48661
(877) 595-1090
1101097
MANAWAR, SHAHZAD MD
2463 SOUTH M30
WEST BRANCH 48661
(989) 343-3178
1122701
SOUEIDAN, ALI S MD
2463 SOUTH M-30
WEST BRANCH 48661
(989) 343-3178
SLEEP STUDIES
253400
611 COURT ST
WEST BRANCH 48661
(877) 595-1090
1075731
MAMEDOV, OKTAI MD
611 COURT ST STE A
WEST BRANCH 48661
(877) 595-1090
1075735
MAMEDOV, OKTAI MD
565 PROGRESS STE A
WEST BRANCH 48661
(877) 595-1090
2430 S M-30
WEST BRANCH 48661
(989) 343-3264

1054981
HOLMES, ROBERT J MD
VASCULAR SURGERY
1124782
MOUAWAD, NICOLAS MD
2431 S M 30
WEST BRANCH 48661
(989) 343-3264
1067805
SIERRA, MARK MD
2431 S M30
WEST BRANCH 48661
(989) 343-3264

Page 444
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Osceola County
OSCEOLA COUNTY
1034319
300 N PATTERSON
REED CITY 49677
(231) 929-9090
4329 220TH AVE
REED CITY 49677
(231) 832-5532

1096684
DME - P&O
1095255
A NEW DAY ORTHOTICS AND PROSTHETICS
202 EAST MAIN ST
MARION 49665
(231) 743-2857
1069492
124 W UPTON
REED CITY 49677
(888) 698-5462
GASTROENTEROLOGY
1102741
COATES, ALLAN G DO
300 N PATTERSON AVE
REED CITY 49677
(616) 452-7099
1104748
TABOR, DAVID C DO
300 N PATTERSON AVE
REED CITY 49677
(616) 452-7099
GENERAL SURGERY
1074752
CAMPANA, THOMAS MD
300 N PATTERSON
REED CITY 49677
(231) 832-7108
1061871
MARZOLF, MARK N DO
300 N PATTERSON RD
REED CITY 49677
(231) 832-3668
1084322
MORGAN, THOMAS DO
300 N PATTERSON
REED CITY 49677
(231) 832-7108
4499 220TH AVE
REED CITY 49677
(231) 832-5817
300 N PATTERSON
REED CITY 49677
(231) 832-6670
1093556
PAWL, LAWRENCE MD
1078414
BRADLEY, DONALD MD
ONCOLOGY
1082152
SCOTT, WILLIAM MD
4499 220TH AVE
REED CITY 49677
(231) 832-5817
1082155
YOST, KATHLEEN J MD
4499 220TH AVE
REED CITY 49677
(231) 832-5817
225 N STATE ST
REED CITY 49677
(231) 832-9533
225 N STATE ST
REED CITY 49677
(231) 832-9533
4150 225TH AVE STE C
REED CITY 49677
(231) 832-5001
202 EAST MAIN ST
MARION 49665
(231) 743-2857
4329 220TH AVE
REED CITY 49677
(231) 832-5532
ORTHOPEDIC SURGERY
1082156
ROOSE, PAUL DO

1082156
ROOSE, PAUL DO

1085903
AGHA, ABID MD
PROSTHETICS
1095255
A NEW DAY ORTHOTICS AND PROSTHETICS

1096684
RADIATION ONCOLOGY
1106529
KASTNER, BRIAN D MD
4499 220TH AVE
REED CITY 49677
(231) 832-5817
1082303
LEE, EDWARD K DO
4499 220TH AVE
REED CITY 49677
(231) 832-5817
225 N STATE ST
REED CITY 49677
(231) 832-9533
300 N PATTERSON
REED CITY 49677
(231) 832-7108
SPORTS MEDICINE
1066614
GRINDEL, SCOTT MD
UROLOGY
1093527
ANEMA, JOHN G MD

Page 445
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Oscoda County
OSCODA COUNTY
1032098
393 S MT TOM RD
MIO 48647
(989) 826-3970
302 N MORENCI
MIO 48647
(989) 826-3285
393 S MT TOM RD
MIO 48647
(989) 826-3970
OPTOMETRY
202165
WESTERFIELD, THOMAS OD

1032098
OTSEGO COUNTY
Otsego County

1074357
LYNCH, PAMELA RN
829 N CENTER AVE STE 140
GAYLORD 49735
(989) 731-7870
1092588
1050 OTSEGO AVE
GAYLORD 49735
(877) 595-1090
1320 E M-32
GAYLORD 49735
(877) 912-9090

1034320
CARDIOLOGY
1116980
EARL, THOMAS MD
944 N CENTER AVE
GAYLORD 49735
(231) 487-2490
1116981
GOSSETT, LINDA K MD
944 N CENTER AVE
GAYLORD 49735
(231) 487-2490
1093628
944 N CENTER AVE
GAYLORD 49735
(231) 487-2490
DERMATOLOGY
1093485
COTTER, MURRAY A MD
1320 E M 32
GAYLORD 49735
(231) 487-2230
1093491
1320 E 32 M
GAYLORD 49735
(231) 487-2230
825 N CENTER AVE
GAYLORD 49735
(989) 731-7872
DIETARY MANAGEMENT
1121750
MOORE, JILL RN CDE
DME - P&O
1116496
BAY HOME MEDICAL & REHAB
2250 W M-32
GAYLORD 49735
(989) 705-2111
1019060
GAYLORD MUNSON OXYGEN SERVICES
309 W NORTH ST
GAYLORD 49735
(800) 252-2065
1016447
2147 PROFESSIONAL DR STE C
GAYLORD 49735
(989) 732-1400
1013417
VITALCARE HOME MEDICAL EQUIP
829 W MAIN ST STE F
GAYLORD 49735
(231) 627-7157
1025596
1369 W MAIN ST
GAYLORD 49735
(989) 732-4521

1086508
FEELEY, MARC A MD
829 N CENTER ST STE 260
GAYLORD 49735
(989) 731-6603
1086511
GIETZEN, KEVIN L DO
GAYLORD 49735
(989) 731-6603
1086506
SNYDER, ERIC R MD
GAYLORD 49735
(989) 731-6603
1086279
GAYLORD 49735
(989) 731-6603
1086507
SPOONER, THOMAS R MD
GAYLORD 49735
(989) 731-6603

1066536
OTSEGO EMERGENCY PHYSICIANS
825 N CENTER
GAYLORD 49735
(989) 731-2140
1127070
OTSEGO MEMORIAL HOSPITAL
825 N CENTER
GAYLORD 49735
(989) 731-2100
GENERAL SURGERY
1123579
FRYE, WENDY MD
GAYLORD 49735
(989) 731-7987
1042673
MOFFAT, JOHN D MD
GAYLORD 49735
(989) 731-7987

Page 446
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Otsego County

1122063
SHURLOW, JAMES R DO
GAYLORD 49735
(989) 731-7987

1003768
AUDICARE HEARING CENTER
604 W MAIN ST STE F
GAYLORD 49735
(989) 705-2100
1096701
814 S OTSEGO ST
GAYLORD 49735
(989) 799-6603
1077818
PETOSKEY EAR NOSE & THROAT
GAYLORD 49735
(989) 731-6603
HOSPICE
1032680
HEARTLAND HOME HEALTHCARE AND HOSPICE
3687 OLD 27S UNIT 2
GAYLORD 49735
(989) 731-0602
1102987
HOSPICE OF MICHIGAN
830 S OTSEGO AVE
GAYLORD 49735
(888) 247-5701
854 N CENTER RD STE 1
GAYLORD 49735
(989) 732-4879

253408
AMBULATORY INFUSION CARE NORTH,INC
1073991
BURKE, LORI MD
GAYLORD 49735
(989) 731-2105
1074088
KILEY, JESSICA A MD
GAYLORD 49735
(989) 731-2105
1067797
MINER, DAVID W MD
GAYLORD 49735
(989) 731-2105
701 N OTSEGO AVE
GAYLORD 49735
(989) 731-7760
ONCOLOGY
1124880
URBANSKI, DAVID MD
OPHTHALMOLOGY
1124605
BENJAMIN, ERIN DO
350 W NORTH ST
GAYLORD 49735
(989) 732-6455
1080224
952 N CENTER AVE
GAYLORD 49735
(989) 448-0937
1070430
CHAULK, JEFFREY MD
350 NORTH ST
GAYLORD 49735
(989) 732-6455
1089741
952 N CENTER AVE
GAYLORD 49735
(989) 448-0937
1082328
DOE IV, JOSEPH W MD
350 W NORTH ST
GAYLORD 49735
(989) 732-6455
1070427
HABRYL, MICHAEL L DO
350 W NORTH ST
GAYLORD 49735
(989) 732-6455
1107773
LIU, JUDY C MD
952 N CENTER AVE
GAYLORD 49735
(989) 448-0941
1089745
OH, KEAN T MD
952 N CENTER AVE
GAYLORD 49735
(989) 448-0937
1089737
SNEED, SCOTT R MD
952 N CENTER AVE
GAYLORD 49735
(989) 448-0937
OPTOMETRY
1126126
CONNICK, ERIC N OD
1401 W MAIN ST
GAYLORD 49735
(989) 217-3075
1126125
HENBEST, JENNIFER L OD
1401 W MAIN ST
GAYLORD 49735
(989) 217-3075
1055964
MEAD, RONALD OD
829 W MAIN
GAYLORD 49735
(989) 732-6261
1026177
OPPERMANN, PETER OD
829 W MAIN ST STE E
GAYLORD 49735
(989) 732-6261
1086386
PIERCE, CAROLYN OD
814 S OTSEGO AVE STE D
GAYLORD 49735
(231) 947-1690
1070422
SAMU, JULIE OD
350 NORTH ST
GAYLORD 49735
(989) 732-6455
1008002
350 NORTH ST
GAYLORD 49734
(989) 732-6455
1086347
SLEZAK, NATHAN OD
829 W MAIN ST STE E
GAYLORD 49735
(989) 732-6261
1027193
SLEZAK, ROBERT OD
829 W MAIN ST STE E
GAYLORD 49735
(989) 732-6261
1086389
TANKE, ANNA OD
814 S OTSEGO AVE STE D
GAYLORD 49735
(231) 947-1690
1109732
TANKE-KLEINEBREIL, ANNA OD
927 S OTSEGO AVE
GAYLORD 49735
(989) 732-4205
1094949
THERIAULT-TIMPERLEY, JULIE OD
702 N CENTER AVE
GAYLORD 49735
(989) 448-2325
1126124
TROUPE, TIMOTHY OD
1401 W MAIN ST
GAYLORD 49735
(989) 217-3075
1084577
VISSER-ROBEL, KARI M OD
713 S WISCONSIN AVE
GAYLORD 49735
(989) 705-1255

Page 447
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Otsego County
ORTHOPEDIC SURGERY
1067796
HABRYL, LOUIS S DO
GAYLORD 49735
(989) 732-1753
1074369
HALTER, ROBERT L DO
GAYLORD 49735
(989) 732-1753
1074365
HARANDI, ARMIN A MD
GAYLORD 49735
(989) 732-1753
1094574
KELLY, ADRIENNE K MD
GAYLORD 49735
(989) 731-1753
1107138
NEMEC, SCOTT A DO
918 N CENTER AVE
GAYLORD 49735
(800) 968-5155
1042204
NOIROT, GILBERT A MD
GAYLORD 49735
(989) 732-1753
GAYLORD 49735
(989) 731-1753
GAYLORD 49735
(989) 731-6603
ORTHOPEDIC SURGERY OF THE SPINE

1094574
KELLY, ADRIENNE K MD

1086511
GIETZEN, KEVIN L DO

1120403
BLEIBERG, MARVIN N MD
5059 OLD 27 S
GAYLORD 49735
(989) 705-2225
1119199
GAST, DAVID MD
1010 W NORTH DOWN RIVER
GAYLORD 49735
(989) 348-7671
1018882
GAST, DAVID MD
606 N COURT AVE
GAYLORD 49735
(989) 732-8986
1118311
GAYLORD 49735
(800) 770-8109
1120402
RUIZ, HERMAN B MD
5059 OLD 27 S
GAYLORD 49735
(989) 705-2225
930 N CENTER AVE
GAYLORD 49735
(989) 348-3090
PODIATRY
1108449
DAY, GEOFFREY M DPM
PROSTHETICS
1016447
GAYLORD 49735
(989) 732-1400
1025596
1369 W MAIN ST
GAYLORD 49735
(989) 732-4521
1050 S OTSEGO AVE STE B
GAYLORD 49735
(877) 595-1090
PULMONOLOGY
1075740

1092863
OTSEGO MEMORIAL HOSPITAL LTCU
825 N CENTER
GAYLORD 49735
(989) 731-7732
1040095
TENDERCARE GAYLORD
508 RANDOM LN
GAYLORD 49735
(989) 732-3508
1050 S OTSEGO AVE STE B
GAYLORD 49735
(877) 595-1090
SLEEP STUDIES
1075733
MAMEDOV, OKTAI MD
SPEECH THERAPY
1127995
TENDERCARE GAYLORD
508 RANDOM LN
GAYLORD 49735
(989) 732-3508
1068794
609 NORTH COURT
GAYLORD 49735
(989) 732-4753
617 N COURT
GAYLORD 49735
(989) 732-7131
UROLOGY
1092189
OTTAWA COUNTY
Ottawa County
1097713
MALLON, LAWERENCE I MD
1445 SHELDON RD STE 101
GRAND HAVEN 49417
(231) 739-9461
1097893
GRAND HAVEN 49417
(231) 739-9461

Page 448
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ottawa County
DERMATOLOGY
1082986
ANG, GINA C MD
3124 N WELLNESS DR STE 50
HOLLAND 49424
(616) 385-9379
1099620
DEKKINGA, JACK A MD
HOLLAND 49424
(616) 395-9379
1022623
SANCHEZ, SUZETTE DO
HOLLAND 49424
(616) 399-9040
1101672
VASQUEZ, J G MD
3124 WELLNESS DR STE 50
HOLLAND 49424
(616) 395-9379
DME - P&O
1069487
693 E LAKEWOOD BLVD
HOLLAND 49424
(877) 269-6998
1093911
DUNEWOOD PHARMACY INC
GRAND HAVEN 49417
(616) 842-5193
1084482
IN-HOME CARE EQUIPMENT
1071 S BEACON BLVD
GRAND HAVEN 49417
(616) 846-0360
1089882
LINCARE INC
11239 E LAKEWOOD BLVD
HOLLAND 49424
(616) 392-1281
2 ROYAL PARK DRIVE
ZEELAND 49464
(616) 748-0522
3235 N WELLNESS DR LAKESHORE MEDICAL
HOLLAND 49424
(616) 994-9586

1095622
RAI ROYAL PARK ZEELAND
EYEWARE SUPPLIER
1037686
GRO OPTICAL LLC
GENERAL SURGERY
1096170
ANDERSON, JOEL B MD
1445 SHELDON STE 101
GRAND HAVEN 49417
(231) 739-9461
1081765
KAMPS, DICK L MD
GRAND HAVEN 49417
(231) 739-9461
1097827
KAMPS, DICK L MD
GRAND HAVEN 49417
(231) 739-9461
1025499
MYERS, GREGORY MD
GRAND HAVEN 49417
(231) 739-9461
1097800
MYERS, GREGORY A MD
GRAND HAVEN 49417
(231) 739-9461
1097852
GRAND HAVEN 49417
(231) 739-9461
1081767
GRAND HAVEN 49417
(231) 739-9461
1081766
RICE, JAMES MD
GRAND HAVEN 49417
(231) 739-9461
1097825
RICE, JAMES J MD
GRAND HAVEN 49417
(231) 739-9461
1097640
SCHRAM, JON L MD
588 E LAKEWOOD BLVD
HOLLAND 49424
(616) 994-6677
1097754
SEVENSMA, ERIC T DO
GRAND HAVEN 49417
(231) 739-9461

1063122
SONUS ALLENDALE
4868 LAKE MICHIGAN DR STE A
ALLENDALE 49401
(616) 850-8800
1063129
SONUS GRAND HAVEN
1128 ROBBINS RD
GRAND HAVEN 49417
(616) 850-8800
1067904
SONUS HOLLAND
971 BUTTERNUT DR STE B
HOLLAND 49424
(616) 399-8600
1089188
KAKARALA, MADHURI MD
12460 RILEY ST
HOLLAND 49424
(616) 399-6500
1109707
VANDERWOUDE, AMY C MD
12460 RILEY ST
HOLLAND 49424
(616) 399-6500
1061 S BEACON BLVD STE 100
GRAND HAVEN 49417
(616) 847-9090
1061 SOUTH BEACON BLVD STE 200
GRAND HAVEN 49417
(616) 846-2015
1310 WISCONSIN AVE STE 103
GRAND HAVEN 49417
(616) 844-4701
HOME HEALTH CARE

1084471
IN-HOME CARE NURSING
HOSPICE
1121795
HOSPICE OF NORTH OTTAWA COMMUNITY
INFECTIOUS DISEASES
1107161
SINGH, TULIKA MD

1093911
DUNEWOOD PHARMACY INC
GRAND HAVEN 49417
(616) 842-5193
1122366
WALGREENS INFUSION SERVICES
50 S 64TH AVE
COOPERSVILLE 49404
(616) 997-2611

Page 449
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ottawa County
NURSE MIDWIFE
1080900
DEGRAM, DEBRA S CNM
GRAND HAVEN 49417
(616) 847-2500
1080898
TRAN, ALLISON CNM
GRAND HAVEN 49417
(616) 847-2500
1080890
BARBER, TABATHA J DO
GRAND HAVEN 49417
(616) 847-2500
1125314
KRAMER, KYLE V DO
GRAND HAVEN 49417
(616) 847-2500
1125336
KUSHLAK, MELISSA A DO
GRAND HAVEN 49417
(616) 847-2500
1114386
OKUNIEWSKI, DIANA DO
GRAND HAVEN 49417
(616) 847-2500
1080889
ROBERTSON, MILTON G MD
GRAND HAVEN 49417
(616) 847-2500
1080888
SCHEXNAYDRE, EVON MD
GRAND HAVEN 49417
(616) 847-2500
1125412
SHEPHARD, STEVEN N DO
GRAND HAVEN 49417
(616) 847-2500
12460 RILEY ST
HOLLAND 49424
(606) 399-6500
ONCOLOGY
1082176
GRIBBIN, THOMAS E MD
OPHTHALMOLOGY
1034225
BARRETT, DAVID J MD
HOLLAND 49424
(616) 949-2600
1082392
BARRON, TIMOTHY J MD
GRAND HAVEN 49417
(616) 842-1680
1037071
BOYLE, MICHAEL MD
HOLLAND 49424
(616) 949-2600
1034219
COWDEN, THOMAS P MD
HOLLAND 49424
(616) 949-2600
1034104
LEENHOUTS, JOHN
GRAND HAVEN 49417
(616) 842-1680
1089739
11971 JAMES ST
HOLLAND 49424
(616) 395-0606
1033482
HOLLAND 49424
(616) 949-2600
1033480
PIIPPO, LAURA J MD
HOLLAND 49424
(616) 949-2600
1080821
VREDEVOOGD, LISA J MD
200 TAFT ST STE 100
ZEELAND 49464
(616) 459-0898
OPTOMETRY
1062869
HOLLAND 49424
(616) 949-2600
1072921
DEKUIPER, LEWIS OD
HOLLAND 49424
(616) 949-2600
1033503
FENTON, MONICA A OD
HOLLAND 49424
(616) 949-2600
1072907
GDOWSKI, NICOLE OD
HOLLAND 49424
(616) 949-2600
1095235
HIGLEY, DAVID OD
1125 S BEACON
GRAND HAVEN 49417
(616) 846-4454
1059659
12659 RILEY ST
HOLLAND 49424
(616) 399-1440
1086231
JACQUEMIN, REBECCA OD
11971 JAMES ST
HOLLAND 49424
(616) 395-0606
1059661
JAMMER, ANGELA OD
381 BALDWIN STE A
JENISON 49428
(616) 457-4443
1084906
LILLIE, NICHOLAS V OD
6101 LAKE MICHIGAN DR STE B700
ALLENDALE 49401
(616) 895-2020
1059640
MAIER, STACY OD
304 BALDWIN
JENISON 49428
(616) 457-4443
1085923
NAMETZ, JOHN OD
625 E SAVIDGE
SPRING LAKE 49456
(616) 844-5650
1072914
PRUIS, ROSANNE OD
HOLLAND 49424
(616) 949-2600
1085919
REED, DAWN OD
625 E SAVIDGE
SPRING LAKE 49456
(616) 844-5650
1085914
RIKER, TODD OD
GRAND HAVEN 49417
(616) 842-1680
1065931
ROMANYK, MARTHA OD
381 BALDWIN STE A
JENISON 49428
(616) 457-4443
1086480
ROUBOS, ANDREW OD
11971 JAMES ST
HOLLAND 49424
(616) 395-0606
1086489
SCHROTENBOER, DIRK OD
11971 JAMES ST
HOLLAND 49424
(616) 395-0606
1059647
VAN DEWEGHE, CHRISTINE OD
1125 S BEACON
GRAND HAVEN 49417
(616) 846-4454
370 120TH AVE STE 20
HOLLAND 49424
(616) 396-5855
ORTHOPEDIC SURGERY
1082238
CHEEK, MICHAEL A MD

Page 450
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Ottawa County

1082237
HOP, JON D MD
HOLLAND 49424
(616) 396-5855
1026192
HOWELL, RICHARD M MD
370 120TH AVE
HOLLAND 49424
(616) 396-5855
1125158
JACOBSON, MARK E MD
370 N 120TH AVE STE 200
HOLLAND 49424
(616) 396-5855
1126268
KHOURY, JOHN MD
370 N 120TH AVE STE 20
HOLLAND 49424
(616) 396-5855
1104081
PAFF, BRIAN DO
370 120TH AVE
HOLLAND 49424
(616) 396-5855
1067330
STEWART, BRUCE A MD
370 120TH AVE
HOLLAND 49424
(616) 396-5855
1082236
WOLFE, JOEL R MD
HOLLAND 49424
(616) 396-5855
100 PINE ST
ZEELAND 49464
(616) 391-2242
HOLLAND 49424
(616) 949-2600
1101812
BALUJA, VIVEK MD
1033480
PIIPPO, LAURA J MD

1032567
KANE-SMART, SARA L MD
HOLLAND 49424
(616) 396-5855
1126792
MONROE, ANN M MD
370 N 120TH AVE STE 200
HOLLAND 49424
(616) 396-5855
PLASTIC SURGERY
1080578
DODDE II, RYAN E MD
HOLLAND 49424
(616) 738-5870
1097736
THAYER, DENA W DO
GRAND HAVEN 49417
(231) 739-9461
1043074
ZONCA, STEPHEN MD
GRAND HAVEN 49417
(231) 739-9461
1097726
ZONCA, STEPHEN N MD
GRAND HAVEN 49417
(231) 739-9461
GRAND HAVEN 49417
(616) 842-7960
693 E LAKEWOOD BLVD
HOLLAND 49424
(877) 269-6998
PODIATRY
1063962
PROSTHETICS
1069487
PSYCHIATRY
1108864
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1117522
ERICKSON, ERIC E DO
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1108714
JAWOR, KATHERINE A DO
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1117013
KHULLAR, MANAV MD
17325 VAN WAGONER RD
SPRING LAKE 49456
(616) 847-5145
1106396
LAMAN, DAVID PHD
7086 8TH AVE
JENISON 49428
(616) 667-9551
1108617
NYKAMP, LOUIS MD
8333 FELCH ST
ZEELAND 49464
(616) 741-3790
1108910
TODD, TIMOTHY L MD
8333 FELCH ST
ZEELAND 49464
(616) 741-3790
12642 RILEY ST
HOLLAND 49424
(616) 355-5330
RADIATION ONCOLOGY
1082305
EDLUND, JOHN H MD

1093912
NORTH OTTAWA CARE CENTER
18525 WOODLAND RIDGE DR
SPRING LAKE 49456
(616) 842-0770
1091795
THE LAURELS OF HUDSONVILLE
3650 VAN BUREN ST
HUDSONVILLE 49426
(616) 669-1520
VASCULAR SURGERY
1015612
MALLON, LAWRENCE MD
GRAND HAVEN 49417
(231) 739-9461
1081769
GRAND HAVEN 49417
(231) 739-9461

Page 451
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Presque Isle County
PRESQUE ISLE COUNTY

CARDIOLOGY
1093081
CORTEVILLE, DAVID C MD
573 N BRADLEY HWY
ROGERS CITY 49779
(231) 487-2490
1093626
MEENGS, WILLIAM L MD
573 N BRADLEY HWY
ROGERS CITY 49779
(231) 487-2490
1116982
SCHUIL, DUANE MD
573 N BRADLEY HWY
ROGERS CITY 49779
(231) 487-2490
555 N BRADLEY HWY STE C
ROGERS CITY 49779
(989) 734-7545
205 S BRADLEY HWY
ROGERS CITY 49779
(800) 772-1015
573 N BRADLEY HWY
ROGERS CITY 49779
(989) 734-2171
106 E HURON ST STE A
ROGERS CITY 49779
(989) 734-4723
NEURO SURGERY
1102326
SCHELL, GERALD R MD
OPHTHALMOLOGY
1086690
CURRIER, ROBERT DO
ORTHOPEDIC SURGERY
1096157
HANCE, JOSEPH W MD
PEDIATRICS
1118351
MEYERSON, JOSHUA MD
PODIATRY
1075263
HUNTER, DAVID DPM
21250 M-68 HWY
ONAWAY 49765
(989) 733-8180
1086281
205 S BRADLEY HWY
ROGERS CITY 49779
(989) 734-3366
1076480
573 N BRADLEY HWY
ROGERS CITY 49779
(800) 453-5750
1083598
21250 M-68 HWY
ONAWAY 49765
(989) 733-8180
1086219
205 S BRADLEY HWY
ROGERS CITY 49779
(989) 734-3366
1086221
205 S BRADLEY HWY
ROGERS CITY 49779
(989) 734-3366
PSYCHIATRY
1078183
4549 M 33 ONAWAY
ONAWAY 49765
(989) 733-4980
1078181
21258 W M-68 HWY
ONAWAY 49765
(989) 733-2082
1078162
205 S BRADLEY HWY
ROGERS CITY 49779
(989) 734-2052

1118348
106 E HURON ST STE A
ROGERS CITY 49779
(989) 734-4723
1015323
THUNDER BAY COMMUNITY HEALTH SERV
205 S BRADLEY HWY
ROGERS CITY 49779
(989) 734-2052
1024526
21258 W M68 HWY
ONAWAY 49765
(989) 733-2082
573 N BRADLEY HWY
ROGERS CITY 49779
(989) 734-2171
555 N BRADLEY HWY
ROGERS CITY 49779
(989) 734-2151
555 N BRADLEY HWY
ROGERS CITY 49779
(989) 734-2151
1015 SHORT DR
PRUDENVILLE 48651
(989) 366-9166
RHEUMATOLOGY
1093041
HUEBNER, CHARLES J MD

1073062
TENDERCARE HEALTH CENTER ROGERS CITY
SPEECH THERAPY
1127985
Roscommon County
ROSCOMMON COUNTY
1096674
CARDIOLOGY
1119369
ASSAR, SOHEIL DO
9249 W LAKE CITY RD
HOUGHTON LAKE 48629
(810) 894-3278
1127069
9249 W LAKE CITY RD
HOUGHTON LAKE 48629
(989) 422-5122

Page 452
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Roscommon County
1125710
9249 W LAKE CITY RD
HOUGHTON LAKE 48629
(989) 832-0900
1125709
LAUER, MICHAEL MD
9249 W LAKE CITY RD
HOUGHTON LAKE 48629
(989) 832-0900
1054979
LEE, DANIEL T MD
9249 W LAKE CITY RD
HOUGHTON LAKE 48629
(989) 894-3278
1059181
9249 W LAKE CITY RD
HOUGHTON LAKE 48629
(989) 894-3278
1118272
OBEID, MUHAMMED DO
9249 W LAKE RD
HOUGHTON LAKE 48629
(989) 894-3278
DIETARY MANAGEMENT
1041000
VAN OOSTERHOUT, MARY ANNE RD
9249 W LAKE CITY RD
HOUGHTON LAKE 48629
(989) 422-5122
1059841
VAN OOSTERHOUT, MARY ANNE RD
135 LAKE ST
ROSCOMMON 48653
(989) 275-8931
DME - P&O
1095702
LINCARE INC
3549 W HOUGHTON LAKE DR
HOUGHTON LAKE 48629
(989) 366-0100
1118833
ORTHOTECH APPLIANCE
9091 W LAKE CITY RD STE C
HOUGHTON LAKE 48629
(989) 343-1270
1033395
9091 W LAKE CITY RD STE A
HOUGHTON LAKE 48629
(800) 922-5101
1016449
2645 W HOUGHTON LK DR STE 4
HOUGHTON LAKE 48629
(989) 366-0698
1028234
2645 W HOUGHTON LAKE DR #4
HOUGHTON LAKE 48629
(989) 366-0698
GENERAL SURGERY
1082581
CVITKOVICH, GARRICK R MD
234 LAKE ST
ROSCOMMON 48653
(989) 275-1200
1046697
CVITKOVICH, GARRICK REID MD
PRUDENVILLE 48651
(989) 366-2900
1082580
DUNCAN, CRAIG A DO
234 LAKE ST
ROSCOMMON 48653
(989) 275-1200
1082582
GOLLISH, STEVEN H MD
234 LAKE ST
ROSCOMMON 48653
(989) 275-1200
3468 M-55
PRUDENVILLE 48651
(989) 799-6603
2250 TOWERHILL RD
HOUGHTON LAKE 48629
(989) 202-2733
1401 SHORT DR
PRUDENVILLE 48651
(989) 366-1515

1096704
NEUROLOGY
1065050
SESI, VERONICA DO
NUCLEAR CARDIOLOGY
1021473
1010665
LA GATTUTA, DAVID A MD
PRUDENVILLE 48651
(989) 348-1212
1082577
LAGATTUTA, DAVID A MD
234 LAKE ST
ROSCOMMON 48653
(989) 275-1200
1010664
SCHUBERT, CARL F MD
PRUDENVILLE 48651
(989) 348-1212
1082576
SCHUBERT, CARL F MD
234 LAKE ST
ROSCOMMON 48653
(989) 275-1200
OPTOMETRY
1126816
JENKINS, JAY C OD
503 LAKE ST
ROSCOMMON 48653
(989) 275-4347
1069848
SKARNULIS, LAUREN OD
HOUGHTON LAKE 48629
(989) 366-6344
1069272
STEWART, EDWARD OD
HOUGHTON LAKE 48629
(989) 366-6344
ORTHOPEDIC SURGERY
1046689
HABIB, SYED I MD
2585 W HOUGHTON LAKE RD
PRUDENVILLE 48651
(989) 348-0880
1082590
HABIB, SYED I MD
234 LAKE ST
ROSCOMMON 48653
(989) 275-1200
1082429
KIRKLAND, KENT L MD
PRUDENVILLE 48651
(989) 366-2900
1064575
RAU, FREDERICK MD
234 LAKE ST
ROSCOMMON 48653
(989) 275-1200
1064568
RAU, FREDERICK MD
PRUDENVILLE 48651
(989) 366-2900
1063217
RONQUIST, RONALD MD
PRUDENVILLE 48651
(989) 366-2900

Page 453
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Roscommon County
1063216
RONQUIST, RONALD MD
234 LAKE ST
ROSCOMMON 48653
(989) 275-1200
1074409
RUBERT, CYNTHIA MD
PRUDENVILLE 48651
(989) 366-2900
1074788
RUBERT, CYNTHIA MD
234 LAKE STREET
ROSCOMMON 48653
(989) 275-1200
1122469
9249 W LAKE CITY RD
HOUGHTON LAKE 48629
(989) 466-2663

1064570
SCHARF, KEITH MD
PRUDENVILLE 48651
(989) 366-2900
1064577
SCHARF, KEITH MD
234 LAKE ST
ROSCOMMON 48653
(989) 275-1200
PEDIATRICS
1065485
COLLAZO, LUIS MD
PRUDENVILLE 48651
(989) 266-2900
1065486
COLLAZO, LUIS MD
234 LAKE ST
ROSCOMMON 48653
(989) 275-1200
1065483
234 LAKE ST
ROSCOMMON 48653
(989) 275-1200
1065482
PRUDENVILLE 48651
(989) 266-2900
PODIATRY
1026602
BACIK, TRACY DPM
408 LAKE ST
ROSCOMMON 48653
(989) 275-3668
1026603
BRAUSA, BRIAN DPM
408 LAKE ST
ROSCOMMON 48653
(989) 275-3668
PROSTHETICS
1028234
2645 W HOUGHTON LAKE DR #4
HOUGHTON LAKE 48629
(989) 366-0698
1016449
2645 W HOUGHTON LK DR STE 4
HOUGHTON LAKE 48629
(989) 366-0698
1015 SHORT DR
PRUDENVILLE 48651
(989) 366-9166

1096674
SPEECH THERAPY
1092597
COMMUNITY REHABILITATION SERVICE PC
2430 N ST HELEN RD
SAINT HELEN 48656
(989) 389-7333
1121081
TRISH WHELPLEY MS CCC-SLP
1639 SHORT DR
PRUDENVILLE 48651
(989) 302-3336

1054989
9249 W LAKE CITY RD
HOUGHTON LAKE 48629
(989) 894-3278
1054984
HOLMES, ROBERT J MD
9249 W LAKE CITY RD
HOUGHTON LAKE 48629
(989) 894-3278
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736
Saginaw County
SAGINAW COUNTY
1089295
PLANNED PARENTHOOD OF MID AND SOUTH MI
CARDIOLOGY
1090288
AKHTAR, NAVEED MD
1015 S WASHINGTON
SAGINAW 48601
(989) 754-3000
1032475
ALANI, FIRAS MD
900 COOPER STE 4100
SAGINAW 48602
(989) 497-9395
1122442
ALANI, FIRAS MD
8767 GRATIOT RD
SAGINAW 48609
(989) 497-9395
1072056
ANWAR, SAROSH MD
SAGINAW 48601
(989) 754-3000
1010511
ANWAR, SAROSH MD
1015 S. WASHINGTON
SAGINAW 48601
(989) 754-3000
1106254
ASSAR, SOHEIL DO
4690 MCLEOD DR E
SAGINAW 48604
(989) 894-3278
1062315
BADAMI, UMESH MD
4884 BERL DR
SAGINAW 48604
(989) 497-9395
1062314
BADAMI, UMESH MD
900 COOPER AVE
SAGINAW 48602
(989) 583-4000
1072988
CARNEY, JEFFREY MD
SAGINAW 48601
(989) 754-3000

Page 454
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saginaw County
1072990
CHEN, DAVID W MD
SAGINAW 48601
(989) 754-3000
1004670
CHEN, DAVID W MD
SAGINAW 48601
(989) 754-3000
1102649
DIEHL, RODNEY O DO
16690 W GRATIOT RD
HEMLOCK 48626
(989) 642-6262
1007297
DYMEK, DANIEL J MD
4801 MCLEOD DR
SAGINAW 48604
(989) 790-7990
1072995
FATTAL, PETER G MD
SAGINAW 48601
(989) 754-3000
1004142
FATTAL, PETER G MD
SAGINAW 48601
(989) 754-3000
1072996
FATTAL, PETER G MD
600 N MAIN ST
FRANKENMUTH 48734
(989) 652-1360
1008895
GEARY, JOYCE M MD
SAGINAW 48601
(989) 754-3000
1073027
HANSON, ROBERT A DO
4884 BERL DR
SAGINAW 48638
(989) 497-9398
1004169
JOSEPH, JAPHET G MD
2615 N MCLEOD DR
SAGINAW 48604
(989) 790-3910
1056130
JUNDI, MAYAR MD
900 COOPER STE 4100
SAGINAW 48602
(989) 497-9395
1073003
KAHN, ROGER N MD
SAGINAW 48601
(989) 754-3000
1003655
KAHN, ROGER N MD
SAGINAW 48601
(989) 754-3000
1015800
KASSAS, SAFWAN MD
SAGINAW 48601
(989) 754-3000
1066725
MAROUF, LOAI DO
900 COOPER AVE STE 4100
SAGINAW 48602
(989) 583-4700
1034207
MARTIN, SCOTT R MD
SAGINAW 48602
(989) 497-9395
1072881
MCCLURE, JOHN II MD
5375 HAMPTON PLACE
SAGINAW 48604
(989) 399-8380
1089833
MCCLURE, JOHN II MD
830 JEFFERSON
SAGINAW 48601
(989) 399-8380
1004172
MOHAN, KOCHUNNI MD
2615 N MCLEOD DR
SAGINAW 48604
(989) 790-3910
1062312
RAVINDRAN, K K MD
4884 BERL DR
SAGINAW 48604
(989) 497-9395
1021090
SALLACH, SUSAN M MD
SAGINAW 48601
(989) 754-3000
1073504
SELVARAJ, CARRIE MD
SAGINAW 48601
(989) 754-3000
1062307
SHARMA, MANOJ MD
4884 BERL DR
SAGINAW 48604
(989) 497-9395
1073036
WATSON, PAULINE DO
1447 N HARRISON
SAGINAW 48602
(989) 497-9395
1107631
WOODRUFF, NATHANIEL R MD
SAGINAW 48601
(989) 754-3000
1073018
YUNUS, ASIM MD
SAGINAW 48601
(989) 754-3000
1073020
ZAMAN, LIAQAT MD
SAGINAW 48601
(989) 754-3000
1072991
COLLINS, JOHN MD
SAGINAW 48601
(989) 754-3000
1087010
GUDIPATI, CHALAPATHIRA MD
SAGINAW 48601
(989) 754-3000
1073000
GUDIPATI, RAO VC MD
SAGINAW 48601
(989) 754-3000
1073004
KASSAS, SAFWAN MD
SAGINAW 48601
(989) 754-3000
1073005
KHETARPAL, VIPIN MD
SAGINAW 48601
(989) 754-3000
1119313
4700 MCLEOD DR
SAGINAW 48604
(989) 921-0900
1073016
SHARIFF, SHIRAZ MD
1600 W BRADY RD
CHESANING 48616
(989) 845-1871
1073015
SHARIFF, SHIRAZ MD
SAGINAW 48601
(989) 754-3000
SAGINAW 48601
(989) 790-1001
2605 WEISS
SAGINAW 48602
(989) 497-9419

1102668
SOLH, WAEL A MD
DERMATOLOGY
1013389
BRAUN, CONNIE MD
DME - P&O
1037435
AIRWAY OXYGEN INC SAGINAW
3940 E WASHINGTON RD
SAGINAW 48601
(866) 940-8357
1028601
AMERICAN MEDICAL EQUIPMENT
3055 BAY RD STE 2
SAGINAW 48603
(989) 753-5090
204089
AMIGO MOBILITY CENTER
6693 DIXIE HWY
BRIDGEPORT 48722
(989) 777-2060

Page 455
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saginaw County

1016354
600 E MORLEY DR
SAGINAW 48601
(989) 752-0141
1014110
COVENANT VNA HOME MEDICAL
500 S HAMILTON
SAGINAW 48602
(989) 799-6020
1053822
700 COOPER AVE
SAGINAW 48602
(989) 583-6017
1053821
FRANKENMUTH 48734
(989) 652-1506
1099454
3995 FASHION SQUARE BLVD
SAGINAW 48603
(989) 791-4425
1014579
HURLEY/BINSONS MED EQUIP SAGINAW
5641 BAY RD
SAGINAW 48604
(989) 791-9490
1119766
LINCARE INC
3505 STATE ST
SAGINAW 48602
(989) 792-0301
1046901
OAKLAND ORTHOPEDICS
3525 DAVENPORT AVE
SAGINAW 48602
(989) 799-2116
1011229
SAG MED SERV INC
3960 TITTABASSEE RD
SAGINAW 48606
(989) 793-6000
1069969
SCOTT MEDICAL EQUIPMENT LLC
804 S HAMILTON
SAGINAW 48602
(989) 790-3134
1011620
6895 GRATIOT RD
SAGINAW 48609
(800) 903-5835
1012659
SOBAKS HOME MEDICAL INC
1115 W BROAD ST
CHESANING 48616
(989) 845-8927
1026758
SUPERIOR HOME HEALTHCARE
3190 CHRISTY WAY E
SAGINAW 48603
(989) 791-1950
1025610
3665 BAY RD
SAGINAW 48603
(989) 799-7360
4701 TOWNE CENTER STE 201
SAGINAW 48604
(989) 793-1040

1016912
KUMAR, NARENDRA MD

1086711
CMU MEDICAL EDUCATION PARTNER
800 S WASHINGTON
SAGINAW 48601
(989) 907-8000
1077195
COVENANT MEDICAL CENTER
1447 N HARRISON ST
SAGINAW 48602
(989) 583-0000
1077196
900 COOPER AVE
SAGINAW 48602
(989) 583-6121

1085251
BAY AREA REGIONAL DIALYSIS CENTER SAGINAW
4800 E MCLEOD
SAGINAW 48604
(989) 790-9440
1034454
BAY AREA REGIONAL DIALYSIS CENTER-SAGINAW RIVE
902 N NIAGRA ST
SAGINAW 48602
(989) 921-2179
1079927
FRESENIUS MEDICAL CARE CASS RIVER
5414 ROLLING HILLS DR
BRIDGEPORT 48722
(989) 777-1608
GASTROENTEROLOGY
1109262
ABDULLAH, MA'N MD
1320 N MICHIGAN AVE STE 7
SAGINAW 48602
(989) 583-7460
1122291
ALNOUNOU, MUSTAFA MD
SAGINAW 48602
(989) 583-7460
1122062
CLAY, EDWARD A MD
SAGINAW 48602
(989) 583-7460
1096769
DEGAYNER, ERIKA E DO
4680 MCLEOD DR EAST
SAGINAW 48604
(989) 791-9133
1096770
INGLES, SHAWN M DO
4680 MCLEOD DR E
SAGINAW 48604
(989) 791-9133
1118632
KHAN, SHAUKAT A MD
SAGINAW 48602
(989) 583-7460
1096768
LARKIN, MEDLEY A DO
4680 MCLEOD DR EAST
SAGINAW 48604
(989) 791-9133
1007018
MCNIER, ROBERT M MD
SAGINAW 48602
(989) 752-8400
1107780
MEYER, RICKY A MD
1575 CONCENTRIC BLVD
SAGINAW 48603
(989) 583-7537
1096767
SINGH, HARPRABHJIT MD
4680 MCLEOD STE E
SAGINAW 48604
(989) 791-9133
1122905
TOBI, MARTIN MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1124511
WALSH, PETER DO
SAGINAW 48602
(989) 583-7460
GENERAL SURGERY
1102655
ANSARI, LARRY MD
SAGINAW 48601
(989) 790-1001
1020056
BAYS, SUSSAN M MD
SAGINAW 48604
(989) 790-4855
1064941
BEEMAN, BRIAN MD
4701 TOWNE CENTRE RD STE 202
SAGINAW 48604
(989) 790-2600
1066162
BOYSEN, DENNIS MD
SAGINAW 48602
(989) 583-4700
1102657
DIVEN, THOMAS MD
SAGINAW 48601
(989) 790-1001

Page 456
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saginaw County

1106447
GHANEM, MAHER MD
SAGINAW 48601
(989) 790-1001
1102658
HACKETT, TIMOTHY MD
SAGINAW 48601
(989) 790-1001
1102661
KAIS, SAMER H MD
SAGINAW 48601
(989) 790-1001
1009794
MALIK, KHALID M MD
70 N FROST DR STE 1
SAGINAW 48603
(989) 792-4440
1103587
MARESCA, CARLOTTA MD
5400 MACKINAW RD 5TH FLOOR
SAGINAW 48604
(989) 583-5060
1009436
MARESCA, CARLOTTA M MD
SAGINAW 48602
(989) 754-5800
1098652
O'CONNOR, ROBERT E MD
ONE HURLEY PLAZA 7W
SAGINAW 48603
(810) 262-9935
1020052
PATEL, SUJAL G MD
SAGINAW 48604
(989) 790-4855
1062544
RAMASWAMI, GANESH MD
SAGINAW 48604
(989) 497-3000
1021093
RICHARDSON, TODD G MD
SAGINAW 48604
(989) 790-4855
1021422
RINGLEY, CHAD D MD
SAGINAW 48604
(989) 790-4855
1028948
SEQUEIRA, MELWYN J MD
5694 MIDLAND RD
FREELAND 48623
(989) 695-4941
1102666
SHAHEEN, SAMUEL W MD
SAGINAW 48601
(989) 790-1001
1102665
STALIN, VASANTH MD
SAGINAW 48601
(989) 790-1001
1070364
SUGIMOTO, KIMOKO MD
5415 FASHION SQ BLVD
SAGINAW 48604
(989) 790-7335
1082948
WOHAIBI, EYAD M
SAGINAW 48604
(989) 790-4855
1102671
YOON, YONG C MD
SAGINAW 48601
(989) 790-1001
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6819
GYN ONCOLOGY
1002522
BOIKE, GUY M MD

1005191
BIERI HEARING SERVICES
2650 MCCARTY RD
SAGINAW 48603
(989) 793-2701
1083247
HEAR USA
3574 BAY RD
SAGINAW 48603
(989) 799-1611
1083248
2135 BRENNER ST
SAGINAW 48602
(989) 791-2100
1083249
MIRACLE EAR
4480 BAY RD STE 3
SAGINAW 48603
(989) 799-0663
1023375
3120 CHRISTY WAY
SAGINAW 48603
(989) 799-6603
1003617
BALCUEVA, ERNIE P MD
SAGINAW 48602
(989) 753-1002
1006943
BARTNIK, JOHN K MD
5400 MACKINAW STE 3101
SAGINAW 48604
(989) 791-2330
1003619
HUGHES, JOHN C MD
70 N FROST DR
SAGINAW 48603
(989) 799-8148
1107049
NAYAK, JAY MD
5400 MACKINAW 5TH FLOOR
SAGINAW 48603
(989) 583-5060
1068888
NINAN, JACOB MD
SAGINAW 48604
(989) 799-6110
1085696
SAGINAW 48604
(989) 791-2330
HOME HEALTH CARE

1046350
A AND D HEALTHCARE PROFESSIONALS
3150 ENTERPRISE RD
SAGINAW 48603
(989) 249-0929
1024575
AMERICANS HOME HEALTH CARE INC
2575 N MCLEOD DR STE C
SAGINAW 48604
(989) 791-7951
1062213
NATIONAL HOME HEALTH CARE AGENCY
3055 HALLMARK CT STE 102
SAGINAW 48603
(989) 790-2013
1099154
PRECISION HOME HEALTH CARE MANAGEMENT
3175 CHRISTY WAY STE 1
SAGINAW 48603
(989) 790-0004
HOSPICE
1046430
AMERICANS HOSPICE CARE
2575 N MCLEOD STE C
SAGINAW 48604
(989) 791-7951
1102985
HOSPICE OF MICHIGAN
3995 FASHION SQUARE BLVD STE 1
SAGINAW 48603
(888) 247-5701
INFECTIOUS DISEASES
1103823
DEHART, DELMER J MD
SAGINAW 48601
(989) 860-4672
1000540
DEHART, DELMER J MD
11328 SPENCER RD
SAGINAW 48609
(989) 498-5971

Page 457
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saginaw County

1057917
GULICK, PETER G DO
1522 JANES ST
SAGINAW 48607
(989) 755-0316
1040371
KHAN, MUHAMMAD U MD
912 S WASHINGTON AVE STE B
SAGINAW 48601
(989) 791-7900
INTERNAL MEDICINE
1108509
ABOUDAYA, IBRAHIM MD
800 COOPER STE 4
SAGINAW 48602
(989) 753-9200
1081698
HAUPT, MARILYN T MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1077207
KHAN, AYESHA MD
912 S WASHINGTON AVE STE B
SAGINAW 48601
(989) 791-4100
1057970
KNAACK, JOEL DO
900 COOPER
SAGINAW 48602
(989) 583-4700
1082563
KNAACK, JOEL W DO
1447 N HARRISON ST
SAGINAW 48602
(989) 583-4220
1054019
KNAACK, KELSEY DO
1447 N HARRISON ST
SAGINAW 48602
(989) 583-4220
1081699
MCELHONE, ALISON L MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1081702
NADOLSKI, DAVID L MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-7415
1090241
700 COOPER
SAGINAW 48601
(989) 583-6121
1081700
RILEY SR, ALVIN DO
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1081701
ROHR, CHRISTINE I DO
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1035356
SINGH, BIRJITENDER MD
4327 WINTERWOOD
SAGINAW 48603
(989) 992-4809

1009521
CHERUKURI, RADHA MD
SAGINAW 48602
(989) 755-4515
1005637
CHERUKURI, RADHA MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1018794
WECHTER, DANIEL J MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1009522
SAGINAW 48602
(989) 755-4515
NEPHROLOGY
1001269
ATRI, MANOHAR MD
4855 BERL DR
SAGINAW 48604
(989) 799-8000
1004196
BASHIR, MOHAMMAD A MD
4848 MCLEOD DR E
SAGINAW 48604
(989) 793-6200
1004164
BROWN, GREGORY S MD
4848 MCLEOD DR E
SAGINAW 48604
(989) 793-6200
1061967
OSAMA, SAYED M MD
SAGINAW 48602
(810) 230-9901
1062915
PALYA, ANIRUDDHA MD
SAGINAW 48602
(810) 230-9901
1001498
PRASAD, JAGADISH M MD
4848 MCLEOD DR E
SAGINAW 48604
(989) 793-6200
1007081
SHAIKH, MALIHA N MD
4848 MCLEOD DR E
SAGINAW 48604
(989) 793-6200
1065426
ZACHAREK, CLAUDIA MD
4677 TOWNE CENTRE STE 303
SAGINAW 48604
(989) 401-5354
NEURO SURGERY
1074125
ADAMS, CAROL PAC
5570 STATE ST
SAGINAW 48603
(989) 583-0100
1057665
ADAMS, MARK MD
SAGINAW 48604
(989) 753-4000
1098845
FIELD, E MALCOLM MD
9900 E BIRCH RUN RD
BIRCH RUN 48415
(855) 298-9888
201874
FIELD, E MALCOLM MD
4677 TOWNE CENTER RD STE 301
SAGINAW 48604
(989) 799-8712
1117691
GATES, TIMOTHY A DO
4690 MCLEOD DR E
SAGINAW 48603
(989) 667-3400
1076137
JONES, MARK W MD
5694 MIDLAND RD
FREELAND 48623
(989) 698-3033
1097249
SALIBI, NAMAN MD
9900 E BIRCH RUN RD
BIRCH RUN 48415
(989) 624-1532
1122446
SALIBI, NAMAN A MD
SAGINAW 48604
(810) 245-6657
1102324
SCHELL, GERALD R MD
700 COOPER AVE
SAGINAW 48602
(989) 583-0000
1100805
SCHELL, GERALD R MD
3160 CABARET TRL S
SAGINAW 48603
(989) 799-8712
1102323
SCHELL, GERALD R MD
SAGINAW 48601
(989) 907-8000
1004031
SCHINCO, FRANK P MD
SAGINAW 48602
(989) 752-1177
1062149
UDEHN, DAVID MD
800 COOPER ST STE 8
SAGINAW 48602
(989) 752-1177

Page 458
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saginaw County
NEUROLOGY
1009575
ABBOTT, FAITH A DO
7326 GRATIOT RD
SAGINAW 48609
(989) 781-2232
1013200
BELTRAN, JOEL M DO
SAGINAW 48602
(989) 583-7090
1029833
SAGINAW 48604
(989) 799-4169
1123752
GILL, DAVID DO
800 COOPER STE 11
SAGINAW 48602
(989) 583-7090
1000544
JAHNKE, BARBARA ANN MD
4700 E MCLEOD DR STE D
SAGINAW 48604
(989) 797-3090
1043455
KHAN, IFTIKHAR A MD
SAGINAW 48604
(989) 799-8712
1029832
KONST, LAWRENCE DO
SAGINAW 48604
(989) 799-4169
1019626
MRIDHA, DEBASISH L MD
SAGINAW 48604
(989) 799-2736
1029836
VOCI, JAMES MD
SAGINAW 48604
(989) 799-4169
7430 MIDLAND RD
FREELAND 48623
(989) 695-8014
NUCLEAR CARDIOLOGY
1059596
NURSE MIDWIFE
1024647
BADER, MICHELLE A CNM
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1024649
501 LAPEER ST
SAGINAW 48607
(989) 753-6000
1062471
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1119932
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736
1010332
CLARK, NANCY CNM
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1009320
FIFE, ROSE M CNM
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1032347
FILTER, MARILYN S CNM
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1081734
926 N MICHIGAN AVE
SAGINAW 48602
(989) 753-8453
1063697
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1026524
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1119915
GLENN, JESSICA CNM
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736
1018803
HAMMIS, KELLEY L CNM
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1012238
HAMMIS, KELLEY L CNM
5400 MACKINAW RD STE 6100
SAGINAW 48604
(989) 792-3100
1119898
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736
1119864
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736
1120237
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736
1120254
SCOTT, MELISA N CNM
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736
1120204
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736

1037814
BANNISTER, VICKIE L NP
600 N MAIN ST
FRANKENMUTH 48734
(989) 652-1460
1012211
BANNISTER, VICKIE L NP
SAGINAW 48604
(989) 792-3100
1012216
COPES, AMY L NP
SAGINAW 48604
(989) 792-3100
1012254
IVAN, RHONDA J NP
SAGINAW 48604
(989) 792-3100
1014892
SMITH, MAUREEN E NP
600 N MAIN ST STE 220A
FRANKENMUTH 48734
(989) 652-1460
1014891
SMITH, MAUREEN E NP
SAGINAW 48604
(989) 792-3100
1119829
BELL, CARRIE MD
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736
1119881
BELL, JASON D MD
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736
1063706
BRY, PAUL B MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1014545
BRY, PAUL B MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1062472
CANALES, ERICA L MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1019467
CANALES, ERICA L MD
926 N MICHIGAN
SAGINAW 48602
(989) 753-8453

Page 459
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saginaw County

1021313
CANALES, ERICA L MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1101774
2650 N MCLEOD DR
SAGINAW 48604
(989) 249-7736
1036110
CHERUKURI, RADHA MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1120305
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736
1094835
DIVEN, LIANY MD
1522 JANES ST
SAGINAW 48601
(989) 722-0316
1094986
DIVEN, LIANY MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1045705
DOMINGO, ANGIE LYNN F MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1010484
926 N MICHIGAN AVE
SAGINAW 48602
(989) 753-8453
1011313
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1097303
DOWDY, JOE-LA DO
1447 N HARRISON
SAGINAW 48602
(989) 755-0316
1066152
DOWDY, JOE-LA D DO
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1065917
DOWDY, JOE-LA D DO
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1071275
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1001516
SAGINAW 48604
(989) 792-3100
1011091
600 N MAIN ST
FRANKENMUTH 48734
(989) 652-1460
1012598
GALSTERER, EDWIN DO
1236 N MICHIGAN AVE
SAGINAW 48602
(989) 753-7739
1120220
HARRIS, LISA H MD
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736
1005638
HAZEN, RONALD MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1018125
HAZEN, RONALD MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1011331
HEILBRONN, DUANE B JR MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1006813
HEILBRONN, DUANE B JR MD
926 N MICHIGAN AVE
SAGINAW 48602
(989) 753-8453
1006634
HEILBRONN, DUANE B MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1011092
HINES, JAMES R MD
926 N MICHIGAN
SAGINAW 48602
(989) 753-8453
1011314
HINES, JAMES R MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1081693
HINES, JAMES R MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1122210
HOMA, LORI MD
2650 N MCLEOD DR
SAGINAW 48604
(989) 249-7736
1119847
KAHN, CHAVA MD
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736
1124506
KIM, TIFFANY MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1124505
KIM, TIFFANY MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6812
1033456
LAYKO, SHIRLEY MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1032880
LAYKO, SHIRLEY MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1011315
LLEWELYN, JOHN B MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1011096
LLEWELYN, JOHN B MD
926 N MICHIGAN
SAGINAW 48602
(989) 753-8453
1081694
LLEWELYN, JOHN B MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1018901
MARKUS, THOMAS S MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1018935
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1062317
MILLER, ROSALYN DO
1522 JAMES ST
SAGINAW 48601
(989) 755-0316
1063693
MILLER, ROSALYN DO
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1001513
MINNEC, THOMAS M MD
SAGINAW 48604
(989) 792-3100
1011097
MINNEC, THOMAS M MD
600 N MAIN ST
FRANKENMUTH 48734
(989) 652-1460
1062477
MINNEC, THOMAS M MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1018134
MOON, HENRY MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1018133
MOON, HENRY MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1060099
ORAVITZ, CHRISTOPHER J MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1075023
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1006413
4364 STATE ST
SAGINAW 48603
(989) 791-9500

Page 460
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saginaw County

1101966
REID, VIRGIL C MD
2650 N MCLEOD DR
SAGINAW 48604
(989) 249-7736
1063709
ROBINSON, JACQUELYN MD
926 N MICHIGAN
SAGINAW 48602
(989) 753-8453
1062319
ROBINSON, JACQUELYN MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1081692
ROBINSON, JACQUELYN A MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1018818
SAYLOR, DOUGLAS J MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1089470
SCHMIDT, JENNIFER DO
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1089471
1000 HOUGHTON
SAGINAW 48602
(989) 583-6800
1071020
SAGINAW 48604
(989) 792-3100
1011197
600 N MAIN ST
FRANKENMUTH 48734
(989) 652-1460
1010203
SAGINAW 48604
(989) 792-3100
1033455
SUNDSTROM, RENEE DO
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1032797
SUNDSTROM, RENEE DO
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1101916
2650 N MCLEOD DR
SAGINAW 48604
(989) 249-7736
1011322
WAGNER, ANDREW S MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1011107
WAGNER, ANDREW S MD
600 N MAIN ST
FRANKENMUTH 48734
(989) 652-1460
1064696
WAGNER, ANDREW S MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1011106
WAGNER, ANDREW S MD
SAGINAW 48604
(989) 792-3100
1120288
WALLETT, SARAH M MD
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736
1056767
WALTER, JULIA M MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1011316
WALTER, JULIA M MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1010628
WALTER, JULIA M MD
1447 N HARRISON ST
SAGINAW 48602
(989) 753-8453
1070593
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6812
1120271
ZAPATA, MYA R MD
2650 N MCLEOD RD
SAGINAW 48604
(989) 249-7736
SAGINAW 48604
(989) 791-2330
ONCOLOGY
1037569
LIU, BEI MD
OPHTHALMOLOGY
1109626
BAHL, REECHA MD
5161 CARDINAL PARK DR
SAGINAW 48603
(989) 797-2400
1026664
BLODGETT, DAVID W MD
2393 SCHUST RD
SAGINAW 48603
(989) 793-2820
1008112
BULUSU, USHA K MD
2489 TRAUTNER DR
SAGINAW 48604
(989) 791-2020
1038557
CHUNG, MOONYOUNG MD
2393 SCHUST RD
SAGINAW 48603
(988) 793-2820
1034305
COLLIER, ERIC DO
SAGINAW 48603
(989) 797-2400
1090323
DEVISETTY, LAXMI V MD
SAGINAW 48604
(989) 797-2400
1046328
DUDENHOEFER, BRIAN MD
2393 SCHUST RD
SAGINAW 48603
(989) 755-1444
1006456
HAZEN, GREGORY MD
SAGINAW 48603
(989) 797-2400
1059371
JIVANJEE, SHAFIQ MD
SAGINAW 48603
(989) 797-2400
1036285
KREBS, DAVID MD
5310 HAMPTON PL STE 2
SAGINAW 48604
(989) 799-2020
1076235
LIN, DANIEL MD
2393 SCHUST
SAGINAW 48603
(989) 793-2820
1003123
OGRADY, JOHN M MD
2393 SCHUST RD
SAGINAW 48603
(989) 793-2820
1004856
RAMASAMY, SUNDHAR MD
SAGINAW 48603
(989) 797-2400
1008730
SAHOURI, MAJED MD
2393 SCHUST RD
SAGINAW 48603
(989) 793-2820
202159
SCHTEINGART, MIRIAM MD
SAGINAW 48603
(989) 797-2400
1003500
SHOKOOHI, FARHAD K MD
2393 SCHUST
SAGINAW 48603
(989) 793-2820
1005981
SHOKOOHI, KAMRAN K MD
2393 SCHUST RD
SAGINAW 48603
(989) 793-2820

Page 461
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saginaw County
OPTOMETRY
1074891
BARDEN, JEAN OD
525 W SAGINAW ST
HEMLOCK 48626
(989) 642-4510
1011042
BAUER-SKELLEY, HEIDI OD
SAGINAW 48603
(989) 797-2400
1011202
BELL, PATRICK OD
2393 SCHUST RD
SAGINAW 48603
(989) 793-2820
1006459
BILLY, THEODORE J OD
1555 BRADY
CHESANING 48616
(989) 845-7050
1012456
BOSCO, JAY W OD
2393 SCHUST
SAGINAW 48603
(989) 793-2820
1125248
BROZZO, SARAH OD
2350 TITTABAWASSEE
SAGINAW 48604
(989) 791-1044
1028031
DONAHUE, JASON M OD
SAGINAW 48603
(989) 797-2400
1016126
DONAHUE, JASON M OD
SAGINAW 48603
(989) 797-2400
1012534
DOUGLAS, JOSEPH K OD
5025 SHATTUCK
SAGINAW 48638
(989) 752-7121
202116
DURYEA, DAVID E OD
1555 BRADY RD
CHESANING 48616
(989) 845-7050
202161
DURYEA, DAVID E OD
123 S SAGINAW ST
SAINT CHARLES 48655
(989) 865-9979
1079252
GENTILE, RALPH OD
2350 C-TITTABAWASSEE
SAGINAW 48604
(989) 791-1044
1068937
HASS, ROBERT OD
1180 W BROAD ST
CHESANING 48616
(989) 845-3835
1072963
HASS, STEVEN OD
1180 W BROAD ST
CHESANING 48616
(989) 845-3835
1038167
HASS, WILLIAM OD
1180 W BROAD ST
CHESANING 48616
(989) 845-3835
1073846
ICEBERG, JEFFERY OD
2350 TITTABAWASSEE
SAGINAW 48604
(989) 791-1044
1121992
JONCAS, LUC R OD
2350 C TITTABAWASSEE
SAGINAW 48604
(989) 791-1044
1077397
KACZMARCZYK, KYLIE OD
525 W SAGINAW ST
HEMLOCK 48626
(989) 642-4510
1077396
KACZMARCZYK, KYLIE OD
1885 N CENTER RD
SAGINAW 48638
(989) 792-8686
1098434
KAYNER, JILL OD
2350 TITTABAWASSEE
SAGINAW 48604
(989) 791-1044
1079712
KNIGHT, JOSEPHUS OD
SAGINAW 48604
(989) 791-1044
1056201
KOCKS, C STEVEN OD
525 W SAGINAW ST PO BOX 200
HEMLOCK 48626
(989) 642-4510
1014935
KOCKS, C STEVEN OD
1885 N CENTER RD
SAGINAW 48638
(989) 792-8686
1054034
KOWALSKI-MEIER, DOLORES OD
3660 SOUTHFIELD DR
SAGINAW 48601
(989) 777-1040
1124122
LARRISON, AMANDA OD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1086134
MOLITERNO, COURTNEY OD
8470 MAIN ST
BIRCH RUN 48415
(989) 624-2020
1014940
PERDUE, SUSAN M OD
8470 MAIN ST
BIRCH RUN 48415
(989) 624-2020
1107885
PHIPPS, KIMBERLY OD
2350 TITTABAWSSEE
SAGINAW 48604
(989) 791-1044
1079711
POPHAM, PHILLIP OD
SAGINAW 48604
(989) 791-1044
1056202
SUPPES, KENNETH J OD
525 W SAGINAW ST PO BOX 200
HEMLOCK 48626
(989) 642-4510
1014939
SUPPES, KENNETH J OD
1885 N CENTER RED
SAGINAW 48638
(989) 792-8686
1053820
THOMPSON, ROBERT F OD
3210 STATE ST
SAGINAW 48602
(989) 799-2860
1080362
WEAVER, KRISTINE OD
406 W GENESEE
FRANKENMUTH 48734
(989) 652-2020
1038559
WEAVER, KRISTINE OD
2393 SCHUST RD
SAGINAW 48603
(988) 793-2820
1035752
WICKE, AUTUMN OD
1555 BRADY RD
CHESANING 48616
(989) 845-7050
1063867
ZEHNDER, CHRISTOPHER OD
3660 SOUTHFIELD DR
SAGINAW 48601
(989) 777-1040
ORTHOPEDIC SURGERY
1072173
AKBAR, WAHEED MD
SAGINAW 48604
(989) 790-6719
1105188
CHAMBERLAIN, BYRON C MD
5400 MACKINAW
SAGINAW 48602
(989) 583-7540
1105185
900 COOPER STE 3100
SAGINAW 48602
(989) 583-7450
1105187
800 COOPER AVE
SAGINAW 48602
(989) 583-7450
1063936
DEBARI, ANTHONY MD
3875 BAY RD STE 2S
SAGINAW 48603
(989) 793-1372
1069571
DEBEAUBIEN, BRIAN MD
900 COOPER STE 3100
SAGINAW 48602
(989) 921-3500
1089106
LINEHAN, COLLEEN MD
900 COOPER STE 3100
SAGINAW 48602
(989) 583-7450
1106050
TAHA, TAREK MD
SAGINAW 48604
(989) 790-6719

Page 462
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saginaw County

1104061
TUCKER, MICHAEL DO
3875 BAY RD
SAGINAW 48603
(989) 793-1372

1093591
MORRONE, WILLIAM DO
3400 S WASHINGTON RD
SAGINAW 48601
(989) 755-1072
1093592
MORRONE, WILLIAM DO
1321 FAYETTE
SAGINAW 48602
(989) 792-8000
PAIN MANAGEMENT
1125584
BEARER, RYAN W DO
SAGINAW 48603
(989) 792-4090
1073612
CHATFIELD, JOSEPH DO
3190 HALLMARK CT
SAGINAW 48603
(989) 790-3366
1125586
KUHNERT, SCOTT MD
SAGINAW 48603
(989) 792-4090
1125582
PAPENFUSE, MICHAEL D DO
SAGINAW 48603
(989) 792-4090
900 COOPER ST STE 4200
SAGINAW 48602
(989) 752-8669
1447 N HARRISON
SAGINAW 48602
(989) 583-5418
1001552
ZREIK, HANI MD

1036237
STARGARDT, MICHAEL DO
1032471
ELSHOLZ, DANIEL MD
5400 MACKINAW
SAGINAW 48602
(989) 583-5191
1032556
ELSHOLZ, DANIEL D MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
SAGINAW 48602
(989) 583-7076
PEDIATRIC - SURGERY
1028762
WILLIAMS, ANTONIO J MD
PEDIATRICS
1015754
FIORE, MICHAEL L MD
800 COOPER AVE
SAGINAW 48602
(989) 583-7076
1126189
SALMAN, HAITHAM Y MD
1575 CONCENTRIC BLVD
SAGINAW 48604
(989) 583-6800
1097627
YODER, ERNEST L MD
1000 HOUGHTON
SAGINAW 48602
(989) 583-6800

1046372
DUFFY, DANIEL A DO
3340 HOSPITAL RD
SAGINAW 48603
(989) 797-3129
1011071
JILANI, MUHAMMAD S MD
SAGINAW 48604
(989) 790-0517
1001088
355 N CENTER RD
SAGINAW 48638
(989) 790-5773
1038683
LACLAIR, PAUL A MD
SAGINAW 48604
(989) 498-5100
1032470
NAHATA, BABU MD
515 N MICHIGAN AVE
SAGINAW 48602
(989) 791-7916
1063458
RAYMOND, THOMAS MD
3350 SHATTUCK
SAGINAW 48603
(989) 791-7916
1036768
WIERSEMA, DAVID A DO
SAGINAW 48604
(989) 797-4610
PLASTIC SURGERY
1011160
BARRY, RONALD C MD
SAGINAW 48604
(989) 791-1634
1063067
PITTAS, WILLIAM DO
SAGINAW 48604
(989) 497-3000
1003680
WEISS, ARNO W MD
SAGINAW 48602
(989) 753-2061
1036240
ZACHAREK, ANTHONY MD
4677 TOWN CENTRE STE 105
SAGINAW 48604
(989) 791-4962
PODIATRY
1004166
COHEN, ANDREW H DPM
4224 STATE ST
SAGINAW 48603
(989) 790-8009
1035101
2060 N CENTER RD
SAGINAW 48603
(989) 791-7900
1012475
TESORO, DEREK R DPM
SAGINAW 48604
(989) 790-4662
1060169
VONDETTE, WILLIAM T DPM
7305 MIDLAND RD STE 2
FREELAND 48623
(989) 695-6788

Page 463
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saginaw County
PROSTHETICS
1014579
HURLEY/BINSONS MED EQUIP SAGINAW
5641 BAY RD
SAGINAW 48604
(989) 791-9490
1046901
OAKLAND ORTHOPEDICS
3525 DAVENPORT AVE
SAGINAW 48602
(989) 799-2116
1011620
6895 GRATIOT RD
SAGINAW 48609
(800) 903-5835
1025610
3665 BAY RD
SAGINAW 48603
(989) 799-7360
PSYCHIATRY
1085497
BRADLEY, RONALD DO
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1093372
DILLON, JAMES MD
1000 HOUGHTON
SAGINAW 48602
(989) 583-6800
1114449
ELLIS, ANTHONY R MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1124567
HAMLETT, FRANK MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1119703
HILL, AUDREY MD
SAGINAW 48602
(989) 755-8225
1028837
IBRAHIM, ALI MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1094442
IBRAHIM, ALI MD
4905 BERL DR
SAGINAW 48604
(989) 996-0566
1063940
IBRAHIM, ALI MD
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1119702
INGRAM, MICHAEL MD
SAGINAW 48602
(989) 755-8225
1071712
3085 HALLMARK CT
SAGINAW 48603
(989) 790-5990
1127270
3201 HALLMARK CT
SAGINAW 48603
(989) 790-5989
1063473
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1063772
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1104438
KAUSHIK, RAVAL MD
2806 DAVENPORT AVE
SAGINAW 48602
(989) 790-7500
1006311
KONERU, SUNIL K MD
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1060543
LATHIA, MUKESH MD
3190 HALLMARK CT
SAGINAW 48603
(989) 790-3366
1105146
LATHIA, MUKESHA MD
2084 HEMMEKER RD
SAGINAW 48603
(989) 401-7506
1093589
LATHIA, MUKESHA MD
SAGINAW 48601
(989) 755-1072
1093590
LATHIA, MUKESHA MD
1321 FAYETTE
SAGINAW 48602
(989) 792-8000
1119612
MERRITT-DAVIS, ORLENA MD
SAGINAW 48602
(989) 755-8225
1094478
MILLER, NORMAN MD
1000 HOUGHTON
SAGINAW 48602
(989) 583-6800
1012263
MOVVA, USHA R MD
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1016309
NAGARKAR, SACHIN B MD
3070 KABOBEL DR
SAGINAW 48604
(989) 799-9230
1085474
PARASHAR, SUNIL MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1015103
RAO, CHALICHAMA A MD
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1119437
TADEO, ANNE M MD
229 GALLAGHER ST
SAGINAW 48601
(989) 755-3619
1119438
TADEO, ANNE M MD
501 LAPEER ST
SAGINAW 48601
(989) 759-6000
1014758
TALASILA, HEMA N MD
2578 MCLEOD DR
SAGINAW 48604
(989) 799-5440
1004185
TALASILA, VENKAT MD
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1040295
TALASILA, VENKAT MD
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1015898
TALASILA, VENKAT MD
2578 MCLEOD DR N
SAGINAW 48604
(989) 799-5440

1012012
DAVID R GAMEZ COMMUNITY HEALTH CTR
501 LAPEER
SAGINAW 48601
(989) 753-6000
1006027
HEALTH DELIVERY INC
1522 JANES ST
SAGINAW 48601
(989) 759-6400
1011000
HEALTH DELIVERY INC
229 GALLAGHER ST
SAGINAW 48601
(989) 755-3619
1001098
SAGINAW COUNTY DEPT OF PUBLIC HEALTH
1600 N MICHIGAN
SAGINAW 48602
(989) 758-3800
PULMONOLOGY
1108509
ABOUDAYA, IBRAHIM MD
800 COOPER STE 4
SAGINAW 48602
(989) 753-9200
1107611
ADANIYA, ROY MD
800 COOPER STE 3
SAGINAW 48602
(989) 583-7380

Page 464
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saginaw County
1018123
4707 MCLEOD ST STE A
SAGINAW 48603
(877) 595-1090
1068753
PAIDIPATY, BUTCHI B
800 S WASHINGTON
SAGINAW 48601
(989) 907-7636
1100063
PAIDIPATY, BUTCHI B MD
1015 S WASHINGTON AVE STE D
SAGINAW 48601
(989) 907-7639
RADIATION ONCOLOGY
1075447
AHMAD, KHURSHID MD
830 S JEFFERSON AVE
SAGINAW 48601
(989) 790-0007
1069474
KIM, YOUNG H MD
800 S WASHINGTON
SAGINAW 48601
(989) 907-8115
1012476
KOCHERIL, PAUL G MD
4141 TITTABAWASEE
SAGINAW 48603
(989) 583-5250
1010517
KOCHERIL, PAUL G MD
4141 TITTABAWASSEE RD
SAGINAW 48604
(989) 583-5250
1010520
SAGINAW 48604
(989) 583-5250
1010522
LITTLES, JAMES F MD
SAGINAW 48604
(989) 583-5250
1005987
MEHTA, RAJNIKANT H MD
SAGINAW 48604
(989) 583-5250
341 CANTERBURY DR
SAGINAW 48638
(989) 583-0000
1070716
LAMBERT, PHILLIP MD
RHEUMATOLOGY
1122165
DHAR, JOSEPHINE P MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1074586
KARRAR, ALI A MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1004552
MANLAPIT, ALBERT S MD
5453 HAMPTON PL
SAGINAW 48604
(989) 797-2663
1005283
PRAKASH, SANJEEV MD
4705 TOWNE CENTRE RD
SAGINAW 48604
(989) 797-6700
1010268
RENE, JONATHAN MD
2172 HEMMETER RD
SAGINAW 48603
(989) 790-8445

1032559
HEARTLAND HEALTH CARE CENTER- SAGINAW
2901 GALAXY DR
SAGINAW 48601
(989) 777-5110
1074373
MAGNUM CARE OF SAGINAW
2160 N CENTER RD
SAGINAW 48603
(989) 799-2996
1103470
SAGINAW SENIOR CARE AND REHAB CENTER LLC
4322 MACKINAW RD
SAGINAW 48603
(989) 792-8729
1010478
TENDERCARE HLTH CNTR OF FMUTH
500 W GENESSEE
FRANKENMUTH 48734
(989) 651-6101

1107476
GOUDA, HOSSAM MD
4084 STATE ST
SAGINAW 48603
(989) 401-7444
1056324
SOUND ASLEEP PLC
SAGINAW 48604
(989) 792-2792
SLEEP STUDIES
1000312
ANSARI, FARHAN MD
800 COOPER STE 4
SAGINAW 48602
(517) 753-9200
1124120
ANSARI, FARHAN MD
800 COOPER STE 4
SAGINAW 48602
(989) 753-9200
1071583
MAMEDOV, OKTAI MD
4707 MCLEOD ST STE A
SAGINAW 48604
(877) 585-1090
1010059
PAIDIPATY, BUTCHI B MD
800 COOPER STE 4
SAGINAW 48602
(989) 753-9200
SPEECH THERAPY
1012124
FUNCTIONAL REHAB SERVICES PC
2575 N MCLEOD DR STE B
SAGINAW 48604
(989) 921-1132
1010598
635 N CENTER
SAGINAW 48603
(989) 684-5009
1084396
OPTIMAL REHABILITATION AND WELLNESS LLC
235 N MAIN ST
FRANKENMUTH 48734
(989) 262-8500

1122948
BLANK, MARTIN L MD
SAGINAW 48604
(989) 355-1982
1072999
GENCO, CHRISTOPHER MD
SAGINAW 48601
(989) 754-3000
1093373
HALL, TIMOTHY S MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1105956
HOM, SOPHIA S MD
SAGINAW 48601
(989) 754-3000
1125392
KADRI, ADEBAMBO MD
SAGINAW 48601
(989) 754-3000

Page 465
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saginaw County
VASCULAR SURGERY
1074627
CARTY, GEORGE A MD
5455 HAMPTON PLACE
SAGINAW 48604
(989) 790-9700
1016333
CARTY, GEORGE A MD
SAGINAW 48603
(989) 797-3000
1119322
DALL'OLMO, CARLO L MD
4700 MCLEOD DR STE A
SAGINAW 48604
(989) 921-0900
1119315
FORTIN, GREGORY MD
SAGINAW 48604
(989) 921-0900
1119316
GARNER, SCOTT A MD
SAGINAW 48604
(989) 921-0900
1119317
IPPOLITO, ALLAN MD
SAGINAW 48604
(989) 921-0900
1119318
KINNING, WAYNE MD
SAGINAW 48604
(989) 921-0900
1119314
MALHOTRA, NITIN MD
4700 NCKEID DR
SAGINAW 48604
(989) 921-0900
1119319
MCILDUFF, JOHN M MD
SAGINAW 48604
(989) 921-0900
1119321
MOLNAR, ROBERT MD
SAGINAW 48604
(989) 921-0900
1070361
WATSON, PAULINE DO
900 COOPER ST STE 4100
SAGINAW 48602
(989) 583-4700
SAINT CLAIR COUNTY
Saint Clair County

1118456
BRITZ, JODY A NP
1231 PINE GROVE AVE STE 2B
PORT HURON 48060
(810) 987-5500
1097836
KASZYCA, JUDITH A NP
4190 24TH AVE STE 206
FORT GRATIOT 48059
(810) 989-7788
1097710
KOACH, LAURA L NP
PORT HURON 48060
(810) 987-5500
4150 S RIVER RD STE E
EAST CHINA 48054
(810) 326-2018

1079328
1036710
KRISHEN, AJAY MD
1222 10TH AVE
PORT HURON 48060
(810) 985-9681
1098674
PARIKH, VRAJMOHAN C MD
1222 10TH AVE
PORT HURON 48060
(810) 985-9681
1098675
PARIKH, VRAJMOHAN C MD
4190 24TH AVE STE 203
FORT GRATIOT 48059
(810) 985-9681
CARDIOLOGY
1098626
GUNDLAPALLI, SIVAJI MD
4190 24TH AVE STE 203
FORT GRATIOT 48059
(810) 985-9681
1098796
GUNDLAPALLI, SIVAJI MD
1222 10TH AVE
PORT HURON 48060
(810) 985-9681
1038212
4014 RIVER RD STE 213
EAST CHINA 48054
(810) 326-0643
1036710
KRISHEN, AJAY MD
1222 10TH AVE
PORT HURON 48060
(810) 985-9681
1098401
KRISHEN, AJAY MD
4190 24TH AVE STE 203
FORT GRATIOT 48059
(810) 985-9681
1098631
REDDY, BEERAVOLU R MD
1222 10TH AVE
PORT HURON 48060
(810) 985-9681
1098632
REDDY, BEERAVOLU R MD
4190 24TH AVE STE 203
FORT GRATIOT 48059
(810) 985-9681
1006766
REDDY, MADHUSUDHAN C MD
1222 10TH AVE
PORT HURON 48060
(810) 985-9681
1098397
REDDY, MADHUSUDHAN C MD
4190 24TH AVE STE 203
FORT GRATIOT 48059
(810) 985-9681
1098576
SAMMAN, BASHAR MD
1222 10TH AVE
PORT HURON 48060
(810) 985-9681
1098577
SAMMAN, BASHAR MD
4190 24TH AVE STE 203
FORT GRATIOT 48059
(810) 985-9681
1078381
SKAF, ELIAS MD
1222 TENTH AVE
PORT HURON 48060
(810) 986-9681
1099936
SKAF, ELIAS MD
4190 24TH AVE
FORT GRATIOT 48059
(810) 985-9681
1098589
TUMMA, SURESH MD
4190 24TH AVE STE 203
FORT GRATIOT 48059
(810) 985-9681
1022538
TUMMA, SURESH MD
1222 10TH AVE
PORT HURON 48060
(810) 985-9681
1038213
ZAINEA, MARK A MD
4014 RIVER RD STE 2B
EAST CHINA 48054
(810) 326-0643
1216 WASHINGTON AVE
PORT HURON 48060
(810) 982-1111

1077513
AKHTAR, JAWAID MD

Page 466
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saint Clair County

1125178
VALJEE, KRISHNA MD
2609 ELECTRIC AVE STE C
PORT HURON 48060
(810) 985-1830
DME - P&O
1057669
ABLE ORTHOPEDICS INC
2030 10TH ST
PORT HURON 48060
(810) 985-8006
1016353
3550 GRISWOLD RD STE 1
PORT HURON 48060
(810) 966-1210
1024907
COMFORT PROSTHETICS
140 S MAIN STREET
YALE 48097
(810) 387-4710
1035679
PORT HURON HOSPITAL MEDICAL EQUIPMENT
2025 HOLLAND AVE
PORT HURON 48060
(810) 982-0700
1084386
PORT HURON HOSPITAL MEDICAL EQUIPMENT
1221 PINE GROVE
PORT HURON 48060
(810) 989-3179
1026019
3777 LAPEER RD STE 3A-3B
PORT HURON 48060
(810) 982-5378
1011618
2303 GRATIOT STE B
MARYSVILLE 48040
(800) 922-5101
1025607
4146 24TH AVE
FORT GRATIOT 48059
(810) 385-6330

1079326
BRAMMER, ROBERT MD
EAST CHINA 48054
(810) 326-2018
1079325
DZUL, ANDREW MD
EAST CHINA 48054
(810) 326-2018
1079324
FISHMAN, ROBERT MD
EAST CHINA 48054
(810) 326-2018
1104074
FOZO, MICHAEL S MD
EAST CHINA 48054
(810) 326-2018
1079475
TOOLE, AMANDA MD
EAST CHINA 48054
(810) 326-2018

1097558
4100 RIVER RD ER
EAST CHINA 48054
(810) 329-7111
1006425
PHYSICIAN HEALTHCARE NETWORK
1221 PINE GROVE AVE
PORT HURON 48060
(810) 966-3013
1099107
PORT HURON HOSPITAL
1221 PINE GROVE AVE
PORT HURON 48060
(810) 385-8085
2607 ELECTRIC AVE
PORT HURON 48060
(810) 982-5483

1057530
FMC DIALYSIS SERVICES PORT HURON
ENDOCRINOLOGY
1093966
ALI, SHAMSA A MD
4150 RIVER RD STE E
EAST CHINA 48054
(810) 326-2020
1123397
ALI, SHAMSA A MD
PORT HURON 48060
(810) 985-6227
1073527
BOBOC, LAVINA MD
4190 24TH AVENUE STE 206
FORT GRATIOT 48059
(810) 989-7788
GASTROENTEROLOGY
1030300
MAHAKALA-TUMMA, KAVITA MD
1231 PINE GROVE AVE STE 2A
PORT HURON 48060
(810) 982-8742
1030301
NASR, BASSAM MD
PORT HURON 48060
(810) 982-8742
GENERAL SURGERY
1011070
BHESANIA, ZUBIN MD
1522 PINE GROVE AVE
PORT HURON 48060
(810) 987-3556
1123301
BOUTT, ANTHONY W MD
1522 PINE GROVE AVE STE C
PORT HURON 48060
(810) 987-3556
1065710
CLARK-PAUL, KIMBERLY C MD
1216 WASHINGTON AVE
PORT HURON 48060
(810) 982-1111
1107859
KANSAKAR, ERINA MD
1216 WASHINGTON AVE
PORT HURON 48060
(810) 982-1111
1077594
MCFARLANE, KAREN MD
1216 WASHINGTON AVENUE
PORT HURON 48060
(810) 982-1111

1083231
ADVANCED AUDIOLOGY SERVICES LLC
3158 GRATIOT BLVD
MARYSVILLE 48040
(810) 388-9400
1083232
LIFETIME HEARING SERVICES
1273 GRATIOT BLVD
MARYSVILLE 48040
(810) 364-1170
1096717
4460 24TH AVE
FORT GRATIOT 48059
(989) 799-6603
1214 RICHARDSON
PORT HURON 48060
(810) 982-5200
1065365
ALSAWAH, SAMIR MD

Page 467
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saint Clair County

1036292
HANNA, YOUSSEF MD
1214 RICHARDSON
PORT HURON 48060
(810) 982-5200
1080445
LAL, ANUP MD
1214 RICHARDSON ST
PORT HURON 48060
(810) 982-5200
HOME HEALTH CARE

1062552
BEACON HOME CARE
415 QUAY ST
PORT HURON 48060
(810) 966-3480
1064713
MEDILODGE OF YALE
90 JEAN ST
YALE 48097
(810) 387-3226
INFECTIOUS DISEASES
1014747
BROOKS, JOHN MD
1107 STONE ST STE 3
PORT HURON 48060
(810) 966-1993
1123171
SAEED, SAJJAD MD
4050 RIVER RD STE 2
EAST CHINA 48054
(810) 329-2268
1123172
SAEED, SAJJAD MD
4150 RIVER RD STE B
EAST CHINA 48054
(810) 329-1240
1123170
SAEED, SAJJAD MD
1210 10TH AVE
PORT HURON 48060
(810) 984-8470
INTERNAL MEDICINE
1119732
ALI, SYED MD
2603 ELECTRIC AVE STE 4
PORT HURON 48060
(810) 824-4198
1119566
BANERJEE, ARUNDHUTI O MD
3050 COMMERCE DR
FORT GRATIOT 48059
(810) 385-4441
1106458
DEVARA, ANUPAMA MD
3050 COMMERCE DR
FORT GRATIOT 48059
(810) 385-4441
1011570
JOHN, BENJAMIN MD
1217 KEARNEY ST STE 3
PORT HURON 48060
(810) 984-5001
1073423
PASHLEY, PETER DO
130 WASHINGTON ST
MARINE CITY 48039
(810) 765-8750
1018226
SHAH, NIPURN MD
1210 10TH AVE
PORT HURON 48060
(810) 984-8470
1109736
SHAH, NIPURN MD
4050 RIVER RD
EAST CHINA 48054
(810) 329-2268
1221 PINE GROVE AVE
PORT HURON 48060
(810) 987-5000
PORT HURON 48060
(810) 987-5252
NEONATOLOGY
1099110
PORT HURON HOSPITAL
NEPHROLOGY
1028022
ZAFAR, ABIDA MD
NEUROLOGY
1056195
ALMSADDI, MALAZ MD
4014 RIVER RD BLD #2B
EAST CHINA 48054
(810) 329-4744
1100821
NAGUIB, DEMIAN MD
1117 STONE ST STE 1
PORT HURON 48060
(810) 689-9633
1028871
NAGUIB, DEMIAN MD
PORT HURON 48060
(810) 982-9414
1070633
SADRY, MOSTAFA S MD
PORT HURON 48060
(810) 985-4100
1102355
SAMUEL, DEVPRAKASH MD
3050 KRAFFT RD
FORT GRATIOT 48059
(810) 385-7700
1014704
SAMUEL, NALINI MD
3050 KRAFFT RD
FORT GRATIOT 48059
(810) 385-7700
1087266
SHUAYTO, MARWAN MD
1201 STONE ST STE 8
PORT HURON 48060
(810) 989-0000
1127884
TURK, OMAR A MD
1201 STONE ST STE 8
PORT HURON 48060
(810) 989-0000
1125341
YONO, NOOR MD
4150 RIVER RD STE E
EAST CHINA 48054
(810) 326-2020
3170 GRATIOT AVE
MARYSVILLE 48040
(810) 364-7277
NURSE MIDWIFE
1025792
HAMILTON, JOJEAN CNM
1116662
BAILEY, DAVID DO
4154 S RIVER RD STE B
EAST CHINA 48054
(810) 329-3333
1062713
FABIAN, KATHLEEN M DO
1313 STONE ST
PORT HURON 48060
(810) 984-3181
1067570
HARTMAN, ERIC J MD
1313 STONE ST
PORT HURON 48060
(810) 984-3181
1069584
HURTUBISE, AMANDA MD
1206 WASHINGTON
PORT HURON 48060
(810) 984-3100
1124711
HWANG, KYU J MD
2425 MILITARY ST BLDG 5
PORT HURON 48060
(810) 984-1535
1025785
KUESTER, ALAN D DO
1313 STONE ST
PORT HURON 48060
(810) 984-3181
1025793
KUTSCHE, W BLAKE MD
3170 GRATIOT AVE
MARYSVILLE 48040
(810) 364-7277

Page 468
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saint Clair County

1059694
LENSMEYER, JON P MD
1206 WASHINGTON
PORT HURON 48060
(810) 984-3100
1031359
NIVER, KAREN L MD
1206 WASHINGTON
PORT HURON 48060
(810) 984-3100
1074539
RELKEN, RICHARD C MD
1221 PINE GROVE AVE
PORT HURON 48060
(810) 985-2663
1062996
ROWE, JEANNIE L DO
1313 STONE ST STE 6
PORT HURON 48060
(810) 984-3181
1070045
SPISAK, LORI D MD
4150 S RIVER RD STE D
EAST CHINA 48054
(810) 329-8870
OPHTHALMOLOGY
1054548
BARTON, SCOTT DO
1000 PINE GROVE
PORT HURON 48060
(810) 982-3200
1125265
BASHA, MAHDI DO
100 PINE GROVE
PORT HURON 48060
(810) 982-3200
1125375
CZAJKOWSKI, NORBERT P MD
1000 PINE GROVE
PORT HURON 48060
(810) 982-3200
1033759
2609 ELECTRIC AVE STE A
PORT HURON 48060
(810) 982-1300
1074353
FAHIM, KAMAL MD
4190 24TH AVE STE 204
FORT GRATIOT 48059
(810) 989-7702
1073979
FAIA, LISA J MD
4050 RIVER RD
EAST CHINA 48054
(810) 329-9045
1073980
FAIA, LISA J MD
4656 24TH ST
FORT GRATIOT 48059
(810) 385-3600
1064984
FAVERO, BRIAN V MD
1033 RIVER ST
PORT HURON 48060
(810) 985-9600
1033808
2609 ELECTRIC AVE STE A
PORT HURON 48060
(810) 982-1300
1060405
IBRAHIM, FAHIM K MD
4190 24TH AVE STE 204
FORT GRATIOT 48059
(810) 989-7702
1116330
SHAH, RAJIV E MD
4190 24TH AVE STE 204
FORT GRATIOT 48059
(810) 989-7702
1125272
VALICE, JAMES R MD
1000 PINE GROVE
PORT HURON 48060
(810) 982-3200
OPTOMETRY
1104184
ADKINS, TERRY OD
6742 S RIVER RD
MARINE CITY 48039
(810) 765-3509
1104179
ADKINS, TERRY OD
3160 GRATIOT
MARYSVILLE 48040
(810) 364-5520
1125998
BALCUEVA, DANIEL OD
33160 GRATIOT AVE
MARYSVILLE 48040
(810) 364-5520
1126001
BALCUEVA, DANIEL OD
6742 SOUTH RIVER RD.
MARINE CITY 48039
(810) 765-3509
1070273
BRADEN, ANDREA OD
3160 GRATIOT
MARYSVILLE 48040
(810) 364-5520
1073795
3160 GRATIOT
MARYSVILLE 48040
(810) 364-5520
1073798
6742 S RIVER RD
MARINE CITY 48039
(810) 765-3509
1046840
DEVIEW, PATRICK OD
3160 GRATIOT AVE
MARYSVILLE 48040
(810) 364-5520
1073827
GAY, RICHARD OD
3160 GRATIOT
MARYSVILLE 48040
(810) 364-5520
1098455
KAYNER, JILL OD
6742 SOUTH RIVER RD.
MARINE CITY 48039
(810) 765-3509
1098441
KAYNER, JILL OD
3160 GRATIOT
MARYSVILLE 48040
(810) 364-5520
1049072
KENDRICK, GARY OD
1315 CLINTON AVE STE 1
SAINT CLAIR 48079
(810) 329-9725
1049073
KENDRICK, GARY OD
555 ST CLAIR
SAINT CLAIR 48079
(810) 329-9725
1091684
MALONEY, CHAD OD
3160 GRATIOT
MARYSVILLE 48040
(810) 364-5520
1091687
MALONEY, CHAD OD
6742 S RIVER RD
MARINE CITY 48039
(810) 765-3509
1123756
TOLEN, KATHLEEN M OD
1401 13TH ST
PORT HURON 48060
(810) 982-4440
1078149
TOTAL VISION CENTER
1100 MICHIGAN AVENUE
MARYSVILLE 48040
(810) 364-1334
1125388
TUCHOWSKI, JASON G OD
1000 PINE GROVE
PORT HURON 48060
(810) 982-3200
1125389
VANDERHOOF, ARLIE R OD
1000 PINE GROVE
PORT HURON 48060
(810) 982-3200
1078150
WOYTTA, THOMAS OD
MARYSVILLE 48040
(810) 364-1334
1073890
WOZNIAK, AMY OD
6742 S RIVER RD
MARINE CITY 48039
(810) 765-3509
1073889
WOZNIAK, AMY OD
3160 GRATIOT
MARYSVILLE 48040
(810) 364-5520
ORTHOPEDIC SURGERY
1003808
DOSS, GARY G DO
940 RIVER CENTRE DR
PORT HURON 48060
(810) 985-4900
1040620
ERNST, DONALD DAVID DO
940 RIVER CENTRE DR
PORT HURON 48060
(810) 985-4900

Page 469
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saint Clair County

1006158
HEITHOFF, STEVEN J DO
940 RIVER CENTRE DR
PORT HURON 48060
(810) 985-4900
1085373
KOWALSKI, SCOTT DO
940 RIVER CENTRE DR
PORT HURON 48060
(810) 985-4900
1033364
MAKIM, RAJESH B MD
940 RIVER CENTRE DR
PORT HURON 48060
(810) 985-4900
1066594
MURPHY, TODD MD
940 RIVER CENTRE DR
PORT HURON 48060
(810) 985-4900
1040614
PASIA, EDGAR NEIL DO
940 RIVER CENTRE DR
PORT HURON 48060
(810) 985-4900
1103964
ZIEGER, CORY D MD
4150 S RIVER RD STE C
EAST CHINA 48054
(810) 329-1250
PAIN MANAGEMENT
1101993
CHERRO, ANDREW MD
4150 RIVER RD STE E
EAST CHINA 48054
(810) 326-2020
1058290
KIM, HI JOO MD
3050 KRAFT RD
FORT GRATIOT 48059
(810) 385-7700
333 GORDON DR
YALE 48097
(810) 648-4544

1097252

1029850
BACHELLER, SUSAN NP
1321 STONE ST
PORT HURON 48060
(810) 984-1000
1029848
JOHNSTON, SHARON NP
1321 STONE ST
PORT HURON 48060
(810) 984-1000
1029847
KLYMKO, KAY NP
1321 STONE ST
PORT HURON 48060
(810) 984-1000
1114535
VAN MAELE, LISA A NP
1321 STONE ST
PORT HURON 48060
(810) 984-1000
1038341
BALOK, EDWARD MICHAEL MD
4050 RIVER RD
EAST CHINA 48054
(810) 329-9045
1061274
SOSNE, GABRIEL MD
4050 RIVER RD
EAST CHINA 48054
(810) 329-9045
1061275
SOSNE, GABRIEL MD
4656 24TH AVE
FORT GRATIOT 48059
(810) 385-3600
1221 PINE GROVE AVE
PORT HURON 48060
(810) 966-3000
PEDIATRICS
1007986
BARNES, ANNETTE MD

1014746
REINA, NICK J MD
PORT HURON 48060
(810) 985-1608
1038152
SCIOTTI, MATTHEW J MD
940 RIVER CENTRE DR
PORT HURON 48060
(810) 985-4900
PORT HURON 48060
(810) 985-1830
PLASTIC SURGERY
1027948
ALI, MOHAMMAD AZHAR MD
PODIATRY
1024593
4190 24TH AVE STE 102
FORT GRATIOT 48059
(586) 228-1370
1075560
4014 RIVER ROAD BUILDING #2
EAST CHINA 48054
(810) 326-3590
1075561
HANSEN, MATTHEW DPM
4014 RIVER ROAD BUILDING #2
EAST CHINA 48054
(810) 326-3590
1075562
HANSEN, MATTHEW DPM
4190 24TH AVE STE 102
FORT GRATIOT 48059
(810) 989-7712
1036154
HOSEY, GARY E DPM
3402 RIVER RD
EAST CHINA 48054
(810) 329-0800
1075564
LAMAR, LAURA DPM
4014 RIVER RD BUILDING #2
EAST CHINA 48054
(810) 326-3590
1075563
LAMAR, LAURA DPM
4190 24TH AVE STE 102
FORT GRATIOT 48059
(810) 989-7712
PROSTHETICS
1011618
2303 GRATIOT STE B
MARYSVILLE 48040
(800) 922-5101
1025607
4146 24TH AVE
FORT GRATIOT 48059
(810) 385-6330
PSYCHIATRY
1034341
BAUER, ROBERT DO
3899 24TH AVE
FORT GRATIOT 48059
(810) 966-0099
1057980
BAUER, ROBERT DO
1209 RICHARDSON
PORT HURON 48060
(810) 984-5156

Page 470
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saint Clair County

1060530
BOGDANOVIC, MARINA MD
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1048288
3899 24TH AVE
FORT GRATIOT 48059
(810) 966-0099
1058001
BROZOVICH, THOMAS F DO
1209 RICHARDSON ST
PORT HURON 48060
(810) 984-5156
1127938
CUCCHI, CHRISTINE M DO
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1092906
MARSHALL, NANCY MD
805 SUPERIOR ST STE A
PORT HURON 48060
(810) 966-1972
1100949
MERCADO, ERLINDA MD
2601 13TH ST
PORT HURON 48060
(810) 987-9100
1053850
WAINEO, EVA MD
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1098525
WATTS, MICHAEL H MD
222 HURON AVE
PORT HURON 48060
(810) 990-1424
1077608
YERAGANI, VIKRAM MD
3899 24TH AVE
FORT GRATIOT 48059
(810) 966-0099
1010366
ZIMMER, LAWRENCE MD
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1093089
ZYLANOFF, PHILLIPA L MD
309 MCMORRAN BLVD
PORT HURON 48060
(810) 989-5480
3415 28TH ST
PORT HURON 48060
(810) 987-5300

1006604
ST CLAIR COUNTY HEALTH DEPT
PULMONOLOGY
1095254
ARTINIAN, VASKEN MD
4435 24TH AVE
FORT GRATIOT 48059
(810) 385-9961
1028874
ARTINIAN, VASKEN MD
PORT HURON 48060
(810) 987-5500
1028873
BASHA, MICHAEL DO
PORT HURON 48060
(810) 987-5500
1028872
HAIDAR, ALI MD
PORT HURON 48060
(810) 987-5500
1055806
REDDY, SRIDHAR MD
1210 10TH AVE
PORT HURON 48060
(810) 984-8470
1109737
REDDY, SRIDHAR MD
4050 RIVER RD
EAST CHINA 48054
(810) 984-8470
2601 ELECTRIC AVE
PORT HURON 48060
(810) 985-1500
1201 STONE ST STE 3
PORT HURON 48060
(810) 985-5000
RADIATION ONCOLOGY
1095230
DALAL, KANU MD
RHEUMATOLOGY
1107566
KHALIL, RAFIA MD

1122202
MEDILODGE OF PORT HURON
5635 LAKESHORE RD
FORT GRATIOT 48059
(810) 385-7447
1119400
MEDILODGE OF ST CLAIR INC
4220 S HOSPITAL DR
EAST CHINA 48054
(810) 329-4736
1122199
MEDILODGE OF ST. CLAIR
4220 S HOSPITAL DR
EAST CHINA 48054
(810) 329-4736
1064713
MEDILODGE OF YALE
90 JEAN ST
YALE 48097
(810) 387-3226
1090433
REGENCY OF THE LAKE- FORT GRATIOT
5669 LAKESHORE DR
FORT GRATIOT 48059
(810) 385-7260
SLEEP STUDIES
1028874
ARTINIAN, VASKEN MD
PORT HURON 48060
(810) 987-5500
1028871
NAGUIB, DEMIAN MD
PORT HURON 48060
(810) 982-9414
1028905
4435 24TH AVE
FORT GRATIOT 48059
(810) 385-9961
3041 COMMERCE DR STE A
FORT GRATIOT 48059
(810) 990-8644
1107 STONE ST STE 1
PORT HURON 48060
(810) 989-6113
SPEECH THERAPY
1106478
SENSE-SATIONAL THERAPY LLC

1059028
DENCKLAU, VERNON E DO
UROLOGY
1073657
BETRUS, GLENN G MD
1037 WATER ST STE 1
PORT HURON 48060
(810) 984-4194
1086292
COURY, THOMAS A MD
1037 WATER ST STE 1
PORT HURON 48060
(810) 984-4194

Page 471
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saint Clair County

UROLOGY (CONTINUED)
1084831
KAMER, MARSHALL MD
1037 WATER ST STE 1
PORT HURON 48060
(810) 984-4194
VASCULAR SURGERY
1058472
HUSSAIN, SADIQ MD
PORT HURON 48060
(810) 985-1300
1042783
LEE, ROBERT E MD
PORT HURON 48060
(810) 985-1300
1054784
LEES, CLAUDE DOUGLAS MD
1117 STONE ST STE 1
PORT HURON 48060
(810) 987-3558
Saint Joseph County
SAINT JOSEPH COUNTY

1126137
TISRON, ROSS E NP
701 S HEALTH PWKY
THREE RIVERS 49093
(269) 278-1145
1125785
TISRON, ROSS E NP
701 S HEALTH PKWY
THREE RIVERS 49093
(269) 278-1145
711 S HEALTH PKWY BLDG 1
THREE RIVERS 49093
(888) 533-7177

1077347
CARDIOLOGY
1072635
GUPTA, VISHAL MD
711 S HEALTH PKWY
THREE RIVERS 49093
(269) 226-5050
1072639
916 MYRTLE
STURGIS 49091
(269) 659-4382
1072661
711 S HEALTH PARKWAY
THREE RIVERS 49093
(269) 278-1145
1072712
KING, ANTHONY MD
916 MYRTLE STREET
STURGIS 49091
(269) 659-4382
1072649
THREE RIVERS 49093
(269) 226-5050
1072751
THREE RIVERS 49093
(269) 226-5050
1072764
PECK, STEPHEN L MD
THREE RIVERS 49093
(269) 226-5050
1072805
TAN, GREGORIO U MD
916 MYRTLE ST
STURGIS 49091
(269) 659-4382
1101853
ALAM, SYED MD
711 S HEALTH PKWY
THREE RIVERS 49093
(800) 448-9684
1101852
ALAM, SYED MD
68930 VINEWOOD DR
STURGIS 49091
(800) 448-9684
711 S HEALTH PKWY MED BLDG 1
THREE RIVERS 49093
(269) 321-7546
DERMATOLOGY
1084720
SEMLER, DAVID C MD
DME - P&O
1117822
CARE SOURCE INC DBA METRON
1511 E CHICAGO RD
STURGIS 49091
(269) 429-5900
1123439
218 ENTERPRISE DR
THREE RIVERS 49093
(800) 460-9580
1117141
1320 MILLARD RD STE A100
THREE RIVERS 49093
(269) 349-4412
916 MYRTLE AVE
STURGIS 49091
(269) 659-4278
916 MYRTLE AVE
STURGIS 49091
(269) 659-4415

1100556

1121810
STURGIS HOSPITAL

1095614
FRESENIUS MEDICAL CARE STURGIS
1276 KITSON AVE
STURGIS 49091
(269) 651-3025
1084913
RCG THREE RIVERS
601 S HEALTH PKWY
THREE RIVERS 49093
(269) 273-4991
916 MYRTLE AVE
STURGIS 49091
(269) 659-6587
ENDOCRINOLOGY
1120840
VERMA, ASHISH MD

Page 472
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saint Joseph County

1121747
VIRUPANNAVAR, CHANDRASHEKHAR MD
721 S HEALTH PKWY
THREE RIVERS 49093
(269) 273-9650
711 S HEALTH PKWY
THREE RIVERS 49093
(269) 385-9900
GASTROENTEROLOGY
1084728
SHARMA, TARUN K MD
GENERAL SURGERY
1125482
AMARIA, YAZDI N MD
1555 E CHICAGO RD
STURGIS 49091
(269) 651-3218
1095430
KIDO, AKIYOSHI E MD
715 S HEALTH PKWY
THREE RIVERS 49093
(269) 273-8471
1109390
MACDONALD, JAMES DO
THREE RIVERS 49093
(269) 273-8471
1123592
ROONEY GANDY, SHARON A DO
1555 CHICAGO RD
STURGIS 49091
(269) 651-3218
HOME HEALTH CARE

1101442
STURGIS HOME HEALTH CARE
600 S LAKEVIEW STE B01
STURGIS 49091
(269) 651-2348
1107268
THREE RIVERS HOME HEALTH CARE/HOSPICE
633 S ERIE ST
THREE RIVERS 49093
(269) 278-6108
HOSPICE
1121807
HOSPICE OF STURGIS
600 S LAKEVIEW STE B01
STURGIS 49091
(269) 651-2348
1123256
THREE RIVERS HEALTH CARE/HOSPICE
633 S ERIE ST
THREE RIVERS 49093
(269) 278-6108
INTERNAL MEDICINE
1126072
URREA, RAMON MD
711 S HEALTH PKWY STE 3
THREE RIVERS 49093
(269) 273-8557
1121746
VAKHARIA, BHARAT MD
701 S HEALTH PKWY
THREE RIVERS 49093
(269) 278-1145
1118715
916 MYRTLE AVE
STURGIS 49091
(269) 659-6587
1120840
VERMA, ASHISH MD
916 MYRTLE AVE
STURGIS 49091
(269) 659-6587
NEPHROLOGY
1084598
AQEEL, AHMED MD
600 S LAKEVIEW STE 106
STURGIS 49091
(269) 349-6759
1084607
BHATT, AASH MD
STURGIS 49091
(269) 349-6759
1084729
SIDHU, PRINCE MD
THREE RIVERS AREA HOSP SPEC CLINIC 601 S
THREE RIVERS 49093
(269) 349-6759
NEURO SURGERY
1072554
600 SOUTH LAKEVIEW ST ROOM 106
STURGIS 49091
(269) 343-1264
1072614
EDEN, SONIA V MD
600 S LAKEVIEW ST ROOM 106
STURGIS 49091
(269) 343-1264
1070960
KRINOCK, MARK J MD
916 MYRTLE AVE
STURGIS 49091
(269) 343-1264
1072725
KRINOCK, MARK J MD
STURGIS 49091
(269) 343-1264
1072753
MEYER, MARK E MD
STURGIS 49091
(269) 343-1264
NEUROLOGY
1085348
DAGLI, RAJESH D MD
701 S HEALTH PKWY
THREE RIVERS 49093
(269) 278-1145
1099413
DUNNE, THOMAS C MD
916 MYRTLE AVE STE 106
STURGIS 49091
(269) 488-8430
1126367
DUNNE, THOMAS C MD
STURGIS 49091
(269) 488-8430
1072677
MAHMOOD, FAYYAZ MD
THREE RIVERS 49093
(269) 381-7380
1100505
SPENCER, PETER B DO
460 MEDICAL PARK DR
WHITE PIGEON 49099
(269) 463-3733
NURSE MIDWIFE
1118163
ALLGOR, JANIE B CNM
THREE RIVERS 49093
(269) 273-6400
1095443
ALLGOR, JANIE B CNM
721 S HEALTH PKWY
THREE RIVERS 49093
(269) 273-6400
1117704
711 S HEALTH PARKWAY STE 3
THREE RIVERS 49093
(269) 273-6400
1097938
KELLEY, BETH A CNM
1717 E CHICAGO RD STE 2
STURGIS 49091
(269) 651-1471
1125470
KELLEY, BETH A CNM
67105 US 131 SOUTH
CONSTANTINE 49042
(269) 659-6516

Page 473
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saint Joseph County

1125471
KELLEY, BETH A CNM
STURGIS 49091
(269) 651-3554
1089555
ANDINO, RAUL MD
THREE RIVERS 49093
(269) 273-6400
1096803
ANDINO-QUINONES, RAUL R MD
THREE RIVERS 49093
(269) 273-8557
1070171
CLARK, JOHN R MD
STURGIS 49091
(269) 659-4646
1095425
PUCKETT, JESSICA DO
THREE RIVERS 49093
(269) 273-8557
1081079
SAWA, WILSON S MD
600 S LAKEVIEW AVE STE 103
STURGIS 49091
(269) 651-8071
ONCOLOGY
1126820
HAMEED, MUHAMMAD MD
701 S HEALTH PKWY
THREE RIVERS 49093
(269) 278-1145
1104281
MCGRATH, BARBARA MD
916 MYRTLE AVENUE
STURGIS 49091
(269) 659-4382
OPHTHALMOLOGY
1101634
HOLICKI, JOSEPH P DO
600 LAKEVIEW ST STE 201
STURGIS 49091
(269) 659-4545
1084715
ROWE, JONATHAN A MD
1101 W BROADWAY STE B
THREE RIVERS 49093
(269) 343-1684
OPTOMETRY
1125276
FARNSWORTH, AUDREY OD
56847 N MAIN ST
THREE RIVERS 49093
(269) 273-2020
1085828
GOFF, ADAM R
56847 N MAIN ST
THREE RIVERS 49093
(269) 273-5825
1086921
GOFF, ADAM R OD
706 S CENTERVILLE RD
STURGIS 49091
(269) 651-2960
1127246
LAMBART, JENNIFER L OD
314 S US HWY 131 STE B
THREE RIVERS 49093
(269) 414-4492
1095242
PARKER, MATTHEW OD
111 S US HWY 131
THREE RIVERS 49093
(269) 273-9515
1059645
PRIEUR, MARC OD
500 S CENTERVILLE
STURGIS 49091
(269) 651-1958
1085286
SUSSEX, MICHAEL OD
STURGIS 49091
(269) 651-2960
1085967
56847 N MAIN ST
THREE RIVERS 49093
(269) 273-2020
1086924
STURGIS 49091
(269) 651-2960
1084203
SWANSON, JOHN OD
STURGIS 49091
(269) 651-2960
1084208
SWANSON, JOHN OD
56847 N MAIN ST
THREE RIVERS 49093
(269) 273-2020
ORTHOPEDIC SURGERY
1126046
BLACK, CHARLES H DO
1021 HILL ST STE 300
THREE RIVERS 49093
(269) 858-3024
1081089
GRANNELL, JAMES M DO
STURGIS 49091
(269) 659-4210
1124056
GRANNELL, JAMES M DO
67105 US-131
CONSTANTINE 49042
(269) 659-6516
1124624
GREENLAW, ROBERT MD
THREE RIVERS 49093
(269) 858-3024
1095447
PIATKOWSKI, KURT DO
715 S HEALTH PKWY
THREE RIVERS 49093
(269) 273-8471
1095448
THREE RIVERS 49093
(269) 858-3024
PAIN MANAGEMENT
1123968
BUONOCORE, JOHN DO
600 S LAKEVIEW ST STE 205
STURGIS 49091
(269) 316-5744
1125824
GEHRKE, GLENN A MD
600 S LAKEVIEW ST STE 205
STURGIS 49091
(269) 316-5744
STURGIS 49091
(269) 651-3554
THREE RIVERS 49093
(888) 533-7177
715 S HEALTH PKWY
THREE RIVERS 49093
(269) 273-8471

1097856
MCKINLEY, TRACI J NP
PEDIATRICS
1085372
LEWIS, ELENA MD

1095451
SHAHWAN, TOM MD

Page 474
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Saint Joseph County

PODIATRY
1095427
THREE RIVERS 49093
(269) 858-3024
1124920
1241 W BROADWAY
THREE RIVERS 49093
(269) 273-9539
1101421
SIMONDS, JAMES H DPM
THREE RIVERS 49093
(269) 381-9060
PROSTHETICS
1123439
218 ENTERPRISE DR
THREE RIVERS 49093
(800) 460-9580
1117141
1320 MILLARD RD STE A100
THREE RIVERS 49093
(269) 349-4412
677 E MAIN ST
CENTREVILLE 49032
(269) 467-1950

1121800
ST JOSEPH COUNTY HEALTH CENTER
PULMONOLOGY
1091539
STURGIS 49091
(269) 832-8912
1072666
WARLICK, MICHAEL A MD
THREE RIVERS 49093
(269) 345-1161

1093684
HEARTLAND HEALTH CARE CENTER- THREE RIVERS
517 ERIE ST
THREE RIVERS 49093
(269) 273-8661
1084468
HEARTLAND OF THREE RIVERS MI
517 S ERIE ST
THREE RIVERS 49093
(269) 273-8661
916 MYRTLE AVE
STURGIS 49091
(269) 659-6587

1122325
STURGIS HOSPITAL
SLEEP STUDIES
1121746
VAKHARIA, BHARAT MD
701 S HEALTH PKWY
THREE RIVERS 49093
(269) 278-1145
1118715
916 MYRTLE AVE
STURGIS 49091
(269) 659-6587
1082885
STURGIS 49091
(269) 651-2011
UROLOGY
1101717
BLIX, GREGOR MD
711 S HEALTH PKWY
THREE RIVERS 49093
(269) 349-9745
1101679
BOUR, JAMES MD
711 S HEALTH PKWY
THREE RIVERS 49093
(269) 349-9745
1099429
711 S HEALTH PKWY
THREE RIVERS 49093
(269) 349-9745
1101764
LUCAS, MARK MD
711 S HEALTH PKWY
THREE RIVERS 49093
(269) 349-9745
1041178
ORCA, MARIANO L MD
STURGIS 49091
(269) 782-8681
1124996
ORCA, MARIANO L MD
916 MYRTLE AVE GROBHISER BLDG STE 201
STURGIS 49091
(269) 651-4708
1102332
POTLURI, SURESH MD
916 MYRTLE AVE
STURGIS 49091
(269) 659-6587
VASCULAR SURGERY
1084639
JAIN, KRISHNA M MD
68930 VINEWOOD DR
STURGIS 49091
(800) 448-9684
1084634
JAIN, KRISHNA M MD
711 S HEALTH PKWY SPECIALTY CLINIC
THREE RIVERS 49093
(800) 448-9684
SANILAC COUNTY
Sanilac County
CARDIOLOGY
1079979
HUFFAKER, SCOTT MD
2750 MAIN ST STE 3
MARLETTE 48453
(989) 635-4023
1089835
MCCLURE, JOHN II MD
2770 MAIN ST
MARLETTE 48453
(989) 399-8380
2770 MAIN ST
MARLETTE 48453
(989) 635-4344
1073006
KASSAS, SAFWAN MD

Page 475
February 19, 2015

PIN
Provider
Address
SANILAC COUNTY (CONTINUED)
City and Zip
Phone
Gender
Sanilac County
DERMATOLOGY
201890
120 DELAWARE ST
SANDUSKY 48471
(810) 648-3770
DME - P&O
1071517
EHARDTS PHARMACY INC
57 N HOWARD AVE
CROSWELL 48422
(810) 824-5111
1011621
3090 MAIN ST
MARLETTE 48453
(800) 922-5101
1001674
21 W SANILAC AVE
SANDUSKY 48471
(800) 922-5101
3559 PINE ST
DECKERVILLE 48427
(810) 376-2835
47 DAWSON ST STE 3
SANDUSKY 48471
(810) 648-9490
3559 PINE ST
DECKERVILLE 48427
(810) 982-8742

1108590
DECKERVILLE COMMUNITY HOSPITAL

1095612
FRESENIUS MEDICAL CARE SANDUSKY
GASTROENTEROLOGY
1094408
MAHAKALA-TUMMA, KAVITA MD
GENERAL SURGERY
1094791
MCFARLANE, KAREN MD
2750 MAIN ST STE 7&8
MARLETTE 48453
(989) 635-4344
1094792
MCFARLANE, KAREN MD
120 N DELAWARE ST
SANDUSKY 48471
(810) 648-3770
75 S ELK ST STE 106
SANDUSKY 48471
(989) 799-6603
3559 PINE ST
DECKERVILLE 48427
(810) 376-2835

1096713
INTERNAL MEDICINE
1092070
POUND, GOMER J MD
NEURO SURGERY
1095738
SCHELL, GERALD R MD
3559 PINE ST
DECKERVILLE 48427
(810) 376-2835
1102325
SCHELL, GERALD R MD
3559 PINE ST
DECKERVILLE 48427
(810) 376-7011
2433 BLACK RIVER ST
DECKERVILLE 48427
(810) 376-2835
2780 MAIN ST
MARLETTE 48453
(989) 635-1050
MARLETTE 48453
(989) 635-1508
115 DELAWARE
SANDUSKY 48471
(989) 672-0092
120 DELAWARE ST
SANDUSKY 48471
(810) 648-3370
416 WOODLAND DR
SANDUSKY 48471
(810) 414-3338
NEUROLOGY
1095868
BEALL, STEVEN S MD
ONCOLOGY
1107074
LIU, BEI MD
OPTOMETRY
1070655
BARDEN, JEAN OD

1000507

1016419
PODIATRY
1075336
SHERIDAN, STEVEN DPM
PROSTHETICS
1001674
21 W SANILAC AVE
SANDUSKY 48471
(800) 922-5101
1011621
3090 MAIN ST
MARLETTE 48453
(800) 922-5101
3149 MAIN ST STE 5
MARLETTE 48453
(810) 633-9211
PSYCHIATRY
1036822

Page 476
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Sanilac County

1015974
SANILAC COUNTY HEALTH DEPARTMENT
171 DAWSON ST
SANDUSKY 48471
(810) 648-4098

1004419
AUTUMNWOOD OF DECKERVILLE
3387 ELLA ST
DECKERVILLE 48427
(810) 376-2145
1104594
SANILAC MCF
137 NORTH ELK ST
SANDUSKY 48471
(810) 648-3017
818 W KING ST STE 101
OWOSSO 48867
(989) 729-4090
OWOSSO 48867
(989) 729-4090
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
Shiawassee County
SHIAWASSEE COUNTY
ALLERGY
1018953
BOTTA, RAO S MD

1018951
ANNE, SURESH MD

1076882
CARDIOLOGY
1073910
BAKR, OMAR MD
3737 W LANSING RD
PERRY 48872
(517) 347-3000
1014609
BROOKS, SHERRIE M DO
OWOSSO 48867
(989) 729-9808
1006998
BROOKS, SHERRIE M DO
826 W KING ST
OWOSSO 48867
(989) 729-6353
1004875
HERNANDEZ, JUAN MD
826 W KING ST
OWOSSO 48867
(989) 729-6353
1057735
HERNANDEZ, JUAN MD
300 HEALTH PARK DR STE 301
OWOSSO 48867
(989) 723-3613
1057750
LAMAN, KIRK B DO
OWOSSO 48867
(989) 723-3613
DERMATOLOGY
1124004
MESSENGER, JEFFREY L MD
200 HEALTH PARK DR
OWOSSO 48867
(989) 723-8666
1007036
WEGMAN, PATRICK MD
802 W KING STE H
OWOSSO 48867
(989) 723-6846
1480 N M-52 STE 105
OWOSSO 48867
(989) 729-4850
DIETARY MANAGEMENT
1021976
HEALTHY IMAGES
DME - P&O
1004708
MED EQUIP HOME CARE
112 W EXCHANGE ST
OWOSSO 48867
(989) 725-5471
1005860
MED EQUIP HOME CARE
8906 E LANSING HWY
DURAND 48429
(989) 288-4609
1001667
112 W EXCHANGE ST
OWOSSO 48867
(989) 723-8927
1005190
8906 E LANSING HWY
DURAND 48429
(989) 288-4609
1025605
113 E WILLIAMS DR
OWOSSO 48867
(989) 729-2442
OWOSSO 48867
(989) 729-4800
918 CORUNNA AVE
OWOSSO 48867
(989) 725-3144

1004603
RADGENS, SHANNON DO

1001933
OWOSSO MEMORIAL DIALYSIS CENTER
GASTROENTEROLOGY
1073328
721 N SHIAWASSEE ST STE 202
OWOSSO 48867
(989) 729-1600
1032534
KERSCHEN, CATHERINE A DO
OWOSSO 48867
(989) 729-1600
1079978
OLIVERI-LEPAIN, LISA DO
OWOSSO 48867
(989) 729-1600
1004602
SKJAERLUND, MARCIA DO
OWOSSO 48867
(989) 729-1600

Page 477
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Shiawassee County
1126601
WEATHERHEAD, WILLIAM F DO
OWOSSO 48867
(989) 729-1600
GENERAL SURGERY
1028610
AZMEH, WALID MD
802 W KING ST STE N
OWOSSO 48867
(989) 729-4041
1101062
AZMEH, WALID MD
826 W KING
OWOSSO 48867
(989) 723-5211
1083844
ROBART, FORREST DO
OWOSSO 48867
(989) 723-3168
1093931
SCHULZ, RICHARD DO
OWOSSO 48867
(989) 723-3168
1021460
VACHHANI, JAWAHARLAL MD
802 W KING ST STE N
OWOSSO 48867
(989) 729-4041
1020495
826 W KING ST
OWOSSO 48867
(989) 723-5211
1001092
802 W KING ST STE M
OWOSSO 48867
(989) 725-9846

1092947
MEMORIAL MEDICAL ASSOCIATES-AUDIOLOGY
OWOSSO 48867
(989) 729-4800
1008791
SIMPSONS HEARING SYSTEMS
1980 E KING ST
CORUNNA 48817
(989) 743-4103
1097480
KAWAUCHI, RONALD MD
721 N SHIAWASSEE ST
OWOSSO 48867
(989) 729-4673
1066127
THOUTREDDY, SHALINI MD
721 N SHIAWASSEE ST
OWOSSO 48867
(989) 729-4673
1017756
WILLIAMS, DANIEL E MD
721 N SHIAWASSEE ST
OWOSSO 48867
(989) 729-4673
1975 W M-21 STE 101
OWOSSO 48867
(989) 725-2299
826 W KING ST
OWOSSO 48867
(989) 729-4601
826 W KING ST
OWOSSO 48867
(989) 723-5211
OWOSSO 48867
(989) 723-3613
HOME HEALTH CARE

1004737
MEMORIAL HEALTHCARE HOMECARE
INFECTIOUS DISEASES
1058444
LEWIS, CARLOS M DO
INTERNAL MEDICINE
1002645
MACAL, OSCAR MD
MEDICAL SPECIALTY
1067477
NEPHROLOGY
1045005
GREWAL, MANJIT S MD
802 W KING ST STE K
OWOSSO 48867
(989) 725-1000
1106429
802 W KING ST STE K
OWOSSO 48867
(989) 725-1000
1016841
MOHAMMED, ALI MD
802 W KING ST STE K
OWOSSO 48867
(989) 725-1000
1007830
PONZE, SERGIO A MD
802 W KING ST STE K
OWOSSO 48867
(989) 725-1000
1031938
SIERMINSKI, GENEVIEVE M MD
802 W KING ST STE K
OWOSSO 48867
(989) 725-1000
NEUROLOGY
1061026
ABURASHED, RANY DO
503 E MAIN ST
OWOSSO 48867
(989) 723-1390
1078146
FREY, MARGARET DO
503 E MAIN ST
OWOSSO 48867
(989) 723-1390
NURSE MIDWIFE
1119947
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1119930
GLENN, JESSICA CNM
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1119913
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1119879
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1120252
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1120269
SCOTT, MELISA N CNM
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1120218
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420

Page 478
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Shiawassee County
1124563
SAVOIE-PEEL, NICOLE L NP
OWOSSO 48867
(989) 720-7000
1077100
THROOP, TINA CNP
OWOSSO 48867
(989) 729-4220
1009395
AURAND, KURT A DO
OWOSSO 48867
(989) 729-4220
1119845
BELL, CARRIE MD
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1119896
BELL, JASON D MD
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1101771
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1046948
CHAVES, C MARIO MD
OWOSSO 48867
(989) 729-4300
1120320
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1120235
HARRIS, LISA H MD
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1119862
KAHN, CHAVA MD
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1108421
LAFOREST, JESSICA MD
OWOSSO 48867
(989) 729-4220
1101963
REID, VIRGIL C MD
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1101913
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1120303
WALLETT, SARAH M MD
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
1120286
ZAPATA, MYA R MD
205 N HINTZ RD
OWOSSO 48867
(989) 723-6420
721 N SHIAWASSEE ST
OWOSSO 48867
(989) 729-4673
ONCOLOGY
1023941
MAHMOOD, TALLAT MD
OPHTHALMOLOGY
1124768
COLEMAN, MICHAEL MD
802 W KING ST STE A
OWOSSO 48867
(989) 729-2020
1109545
COOK, BRANDY DO
OWOSSO 48867
(989) 224-1452
1023410
LEMON, LANCE C MD
802 W KING ST STE A
OWOSSO 48867
(989) 729-2020
1023411
ROSENBAUM, FRANK A MD
802 W KING ST STE A
OWOSSO 48867
(989) 729-2020
OPTOMETRY
253370
BALL, RICHARD OD
317 S ELM ST STE 210
OWOSSO 48867
(989) 723-1101
1012984
BILLY, THEODORE J OD
123 S SHIAWASSEE ST
OWOSSO 48867
(989) 725-8422
1004547
BRANDON, MARSHA OD
252 E GRAND RIVER RD
LAINGSBURG 48848
(517) 651-6608
1093027
DEMERITT, ANDREW P OD
1385 E MAIN ST
OWOSSO 48867
(989) 720-2020
1012983
DURYEA, DAVID E OD
123 S SHIAWASSEE ST
OWOSSO 48867
(989) 725-8422
1069637
HASS, ROBERT OD
8777 E MONROE PO BOX 184
DURAND 48429
(989) 288-3265
1069636
HASS, ROBERT OD
120 N HICKORY PO BOX 790
OWOSSO 48867
(989) 725-5330
1072964
HASS, STEVEN OD
120 N HICKORY ST PO BOX 790
OWOSSO 48867
(989) 725-5330
1072965
HASS, STEVEN OD
DURAND 48429
(989) 288-3265
1069639
HASS, WILLIAM OD
DURAND 48429
(989) 288-3265
1069638
HASS, WILLIAM OD
120 N HICKORY PO BOX 790
OWOSSO 48867
(989) 725-5330
1056246
HENTES, KATE OD
122 N WASHINGTON AVE
OWOSSO 48867
(248) 620-1100
1056245
HENTES, KATE OD
OWOSSO 48867
(989) 723-8174
1056306
HENTES, KATE OD
OWOSSO 48867
(989) 732-7518
1126666
KLEIN, WHITNEY OD
OWOSSO 48867
(989) 723-1101
1017442
MAKI, MATTHEW J OD
OWOSSO 48867
(989) 723-1101
1013953
PAIROLERO, ROBBIE J OD
124 N MAIN ST
PERRY 48872
(517) 625-0845
202150
SEELYE, ROGER OD
OWOSSO 48867
(989) 723-1101
1035318
WICKE, AUTUMN OD
123 S SHIAWASSEE ST
OWOSSO 48867
(989) 725-8422

Page 479
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Shiawassee County
ORTHOPEDIC SURGERY
1079705
PALAZETI, JOSEPH DO
113 E WILLIAMS ST
OWOSSO 48867
(989) 725-6101
1079703
SCHMIDT, MICHAEL DO
113 E WILLIAMS ST
OWOSSO 48867
(989) 725-6101
1079701
WHELAN, RHONDA DO
113 E WILLIAMS ST
OWOSSO 48867
(989) 725-6101
PAIN MANAGEMENT
1125708
ELDOHIRI, SALAH ELDIN MD
OWOSSO 48867
(989) 729-4190
1074207
KHAN, KASHIF MD
826 W KING ST
OWOSSO 48867
(989) 723-5211
1975 W M-21 STE 102
OWOSSO 48867
(989) 725-2299
120 W EXCHANGE ST STE 300
OWOSSO 48867
(989) 723-8329
113 E WILLIAM ST
OWOSSO 48867
(989) 725-6101

1074853
MEMORIAL HEALTHCARE HOSPICE
1120783
WALTERS, BRUCE MD

1079699
BRANCH, GARY DO
PLASTIC SURGERY
1080229
OWOSSO 48867
(989) 729-4140
1067952
OWOSSO 48867
(989) 729-4140
1075092
802 W KING ST STE N
OWOSSO 48867
(989) 729-4041
113 E WILLIAMS DR
OWOSSO 48867
(989) 729-2442
PROSTHETICS
1025605
PSYCHIATRY
1033220
AHMED, ZULFIQAR MD
826 W KING ST
OWOSSO 48867
(989) 723-5211
1009394
AL SAIDI, NAZAR MD
OWOSSO 48867
(989) 725-8124
1077683
BRUBAKER, RUSSEL MD
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1010959
INGRAM, MICHAEL MD
826 W KING ST
OWOSSO 48867
(989) 725-8101
1083042
JOHNSON, ELLEN DO
OWOSSO 48867
(989) 723-8239
1124857
MACAULEY, LESLIE MD
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330

1097481
HEALTH DELIVERY INC
1975 W M-21 STE 104
OWOSSO 48867
(989) 729-4848
1056052
SHIAWASSEE COUNTY HEALTH DEPARTMENT
110 MACK ST
CORUNNA 48817
(989) 743-2335
PULMONOLOGY
1074457
ALLAM, AZMY MD
200 HEALTH PARK DR
OWOSSO 48867
(989) 723-8666
1004876
SALMAN, WAEL MD
826 W KING ST
OWOSSO 48867
(989) 729-6353
RADIATION ONCOLOGY
1085398
DEVISETTY, KIRAN MD
721 N SHIAWASSEE ST
OWOSSO 48867
(989) 725-3940
201867
GAYAR, HESHAM MD
721 N SHIAWASSEE
OWOSSO 48867
(989) 725-3940
1023385
NETTLETON, JACK MD
721 N SHIAWASSEE
OWOSSO 48867
(989) 725-3940

1064712
DURAND SENIOR CARE AND REH
8750 E MONROE RD
DURAND 48429
(989) 288-3166
1118552
SHIAWASSEE COUNTY MCF
729 S NORTON ST
CORUNNA 48817
(989) 743-3491
OWOSSO 48867
(989) 723-1529
UROLOGY
1003745
BOOKMAN, MANDELL T MD

Page 480
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Shiawassee County
UROLOGY (CONTINUED)
1102152
BOOKMAN, MANDELL T MD
OWOSSO 48867
(989) 723-1529
VASCULAR SURGERY
1073920
MADALA, MOHAN MD
3737 W LANSING RD
PERRY 48872
(517) 347-3000
1073925
SHAH, IBRAHIM MD
3737 W LANSING RD
PERRY 48872
(517) 347-3000
1001092
802 W KING ST STE M
OWOSSO 48867
(989) 725-9846
1020495
826 W KING ST
OWOSSO 48867
(989) 723-5211
1073915
ZACK, PAUL MD
3737 W LANSING RD
PERRY 48872
(517) 342-3000
TUSCOLA COUNTY
Tuscola County

1010582
620 N STATE ST
CARO 48723
(989) 672-0092
1010581
6190 HOSPITAL DR STE 107
CASS CITY 48726
(989) 872-8503
CARDIOLOGY
1122441
ALANI, FIRAS MD
401 N HOOPER ST
CARO 48723
(989) 497-9395
1072989
CARNEY, JEFFREY MD
6190 HOSPITAL DR
CARO 48723
(919) 912-6295
2050 E CARO RD
CARO 48723
(989) 754-3000
705 E FRANK ST
CARO 48723
(989) 673-1670
1072993
COLLINS, JOHN MD
DERMATOLOGY
201888
DME - P&O
1011617
150 MILLWOOD ST STE D
CARO 48723
(800) 377-4216
1012764
UNITED HEALTH SERVICES
171 N STATE ST
CARO 48723
(989) 673-8448
1025584
CASS CITY 48726
(989) 872-4297

1077197
4675 HILL ST
CASS CITY 48726
(989) 872-2121
1096641
HILLS AND DALES GENERAL HOSPITAL-ER
4674 HILL ST
CASS CITY 48726
(989) 875-2212
95 ELMDOR DR
CARO 48723
(989) 673-2045
6190 HOSPITAL DR
CASS CITY 48726
(989) 872-5582
1052 CLEAVER RD
CARO 48723
(989) 673-2933
2050 CARO RD
CARO 48723
(989) 672-5001

1067802
FRESENIUS MEDICAL CARE CARO
GENERAL SURGERY
1010500
OZIM, FRANCIS MD

1083198
1107071
BARTNIK, JOHN K MD
HOME HEALTH CARE

1096321
HEARTLAND HOME HEALTH CARE CARO
1796 W CARO RD STE C
CARO 48723
(989) 672-0445
1109203
RELIACARE HOME HEALTH SERVICES INC
1250 CLEAVER RD
CARO 48723
(989) 672-2200

Page 481
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Tuscola County
INTERNAL MEDICINE
1018956
ANWAR, FARRUKH MD
1070 E CARO RD
CARO 48723
(989) 672-2655
1525 W CARO RD
CARO 48723
(810) 934-6800
6190 HOSPITAL DR
CASS CITY 48726
(989) 752-1177
MRI CENTER
1079070
MID MICHIGAN ADVANCED IMAGING PC
NEURO SURGERY
1077767
SCHINCO, FRANK P MD
NEUROLOGY
1094479
BEALL, STEVEN MD
1184 CLEAVER RD STE 300
CARO 48723
(888) 758-5709
1072099
BEALL, STEVEN S MD
1525 W CARO RD
CARO 48723
(989) 672-2100
1069843
MOHAMMAD, SULAIMAN MD
1525 W CARO RD
CARO 48723
(989) 672-2100
1100994
SESI, VERONICA K DO
1525 W CARO RD
CARO 48723
(989) 672-2100
1309 CLEAVER RD
CARO 48723
(989) 673-8114
6190 HOSPITAL DR
CASS CITY 48726
(989) 791-9500
411 S STATE ST
CARO 48723
(989) 673-1677
NURSE MIDWIFE
1027147
1124000
OPHTHALMOLOGY
1077521
ROBINSON, JEFFREY D MD
OPTOMETRY
1074890
BARDEN, JEAN OD
295 N MAIN ST
VASSAR 48768
(989) 823-8559
1031120
BELL, PATRICK OD
4624 HILL ST
CASS CITY 48726
(989) 872-3800
1014205
ENNIS-DECKER, TERESA OD
9575 S STATE RD
MILLINGTON 48746
(989) 871-9553
1126556
810 S STATE ST
CARO 48723
(989) 673-3332
1126557
177 W HURON ST
VASSAR 48768
(989) 823-8666
1126560
JOHNSTON, MELISSA OD
810 S STATE ST
CARO 48723
(989) 673-3332
1014937
KOCKS, C STEVEN OD
295 N MAIN ST
VASSAR 48768
(989) 823-8559
1126561
SCHULZE, ELYSIA OD
810 S STATE ST
CARO 48723
(989) 673-3332
1126552
WATSON, CRAIG OD
177 W HURON ST
VASSAR 48768
(989) 823-8666
1038561
WEAVER, KRISTINE OD
4624 HILL ST
CASS CITY 48726
(989) 872-3800
CASS CITY 48726
(989) 872-2121
CARO 48723
(888) 758-5709
ORTHOPEDIC SURGERY
1078682
MOYER, RICHARD DO
PAIN MANAGEMENT
1109013
CHATFIELD, JOSEPH DO

1010582
620 N STATE ST
CARO 48723
(989) 672-0092
1010581
CASS CITY 48726
(989) 872-8503
PODIATRY
1010645
BAUGHMAN, GARY W DPM
4672 HILL ST
CASS CITY 48726
(989) 872-4327
1035100
1525 W CARO RD PO BOX 506
CARO 48723
(989) 672-2100
PROSTHETICS
1011617
150 MILLWOOD ST STE D
CARO 48723
(800) 377-4216
1025584
CASS CITY 48726
(989) 872-4297

Page 482
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Tuscola County
PSYCHIATRY
1063472
RASHID, HARUN MD
467 N STATE ST
CARO 48723
(989) 673-5700
1063475
RASHID, HARUN MD
651 N STATE ST
CARO 48723
(989) 673-5700

1011006
TUSCOLA CLINIC
1309 CLEAVER RD
CARO 48723
(989) 673-8114
1000777
TUSCOLA COUNTY HEALTH DEPT
1309 CLEAVER RD STE B
CARO 48723
(989) 673-8114

1055131
FISHER SENIOR CARE AND REHAB CENTER
521M OHMER RD
MAYVILLE 48744
(989) 843-6185
1028155
TENDERCARE CASS CITY
4782 HOSPITAL DR
CASS CITY 48726
(989) 872-2175
1104600
TUSCOLA COUNTY MCF
1285 CLEAVER RD
CARO 48723
(989) 673-4117
4782 HOSPITAL DR
CASS CITY 48726
(989) 872-2175
2050 E CARO RD
CARO 48723
(989) 672-5001
CARO 48723
(989) 673-5488
SPEECH THERAPY
1127999

1073009
MARESCA, LUIGI MD
UROLOGY
1003805
GIRGIS, SITY M MD
Van Buren County
VAN BUREN COUNTY

1077349
451 S HEALTH PKWY SPECIALTY CLINIC
PAW PAW 49079
(269) 342-0196
1084625
404 HAZEN ST STE 100
PAW PAW 49079
(269) 657-1164
1084708
REDDY, BYRA M MD
930 BLUE STAR HWY
SOUTH HAVEN 49090
(866) 428-0002
308 CHARLES ST
BANGOR 49013
(269) 427-5400

1010097
INTERCARE COMM HEALTH BANGOR
CARDIOLOGY
1087002
BASTOW, BRADLEY D DO
950 BLUE STAR HWY STE 1-2
SOUTH HAVEN 49090
(269) 637-1388
1072627
24466 RED ARROW HIGHWAY
MATTAWAN 49071
(269) 381-3963
1126338
PACK, MICHAEL DO
451 HEALTH PKWY STE 100
PAW PAW 49079
(269) 373-1222
1099585
REINOEHL, JOEL MD
451 HEALTH PKWY
PAW PAW 49079
(269) 373-1222
1072812
SALTIEL, FRANK S MD
930 BLUE STAR HIGHWAY
SOUTH HAVEN 49090
(269) 637-1115
1099586
SCHONDER, JOHN MD
451 HEALTH PKWY
PAW PAW 49079
(269) 373-1222
1122563
WILLIAMS, ROBERT DO
965 S BAILEY AVE
SOUTH HAVEN 49090
(269) 373-1222
1072749
965 S BAILEY
SOUTH HAVEN 49090
(269) 381-3963
451 HEALTH PKWY SUITE B
PAW PAW 49079
(800) 448-9684
451 HEALTH PARKWAY
PAW PAW 49079
(269) 321-7546
965 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2788
1101849
ALAM, SYED MD
DERMATOLOGY
1084652
MOHNEY, CRAIG A MD

1106546
STRABBING, RICHARD DO

Page 483
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Van Buren County

1125606
BRONSON LAKEVIEW HOSPITAL
PAW PAW 49079
(269) 657-3141
1091520
SHCH ER
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 637-5271
199 VETERANS BLVD
SOUTH HAVEN 49090
(269) 639-1800

1085252
RCG SOUTH HAVEN
GASTROENTEROLOGY
1084619
DEWAN, BRIJ M MD
404 HAZEN ST LAKEVIEW SPECIALTY CLINIC
PAW PAW 49079
(269) 385-9900
1084621
DEWAN, BRIJ M MD
451 HEALTH PKWY
PAW PAW 49079
(269) 385-9900
GENERAL SURGERY
1099438
BOROZAN, PHILIP G MD
PAW PAW 49079
(269) 349-7696
1034404
BUCKINGHAM, MAURA DO
965 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2893
1090836
CAUDILL, ALLAN MD
965 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2893
1104235
GRAY, LISA DO
404 HAZEN STREET STE 101
PAW PAW 49079
(269) 657-4407
1081339
LUBAVS, KONRADS V MD
PAW PAW 49079
(269) 657-4407
1097171
SHEBRAIN, SAAD A MD
PAW PAW 49079
(269) 341-7140
1081338
THORESON, REBECCA L MD
PAW PAW 49079
(269) 657-4407
960 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2888
801 HAZEN ST STE A
PAW PAW 49079
(269) 345-0273
HOME HEALTH CARE

1122276
SOUTH HAVEN HOME HEALTHCARE
HOSPICE
1102845
INTERNAL MEDICINE
1107776
AKL, HUSSEIN MD
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 637-5271
1106551
ALCARAZ, CHRISTOPHER MD
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 637-5271
1081636
CHANG, CHUL MD
56190 M 43
BANGOR 49013
(616) 427-5304
1106550
DOTSON, LORI MD
965 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2833
1109379
ENDRES BERCHER, GREGORY MD
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 637-5271
1106548
MERATI, CAMELIA DO
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 637-5271
1081344
MERATI, CAMELIA A DO
408 HAZEN ST
PAW PAW 49079
(269) 657-1660
1106547
NIEC, LUKASZ MD
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 637-5271
1107539
RATHBURN, PENNY DO
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 637-5271
1107699
SALMAN, TAMIM MD
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 637-5271
1082081
SANCHEZ, HUGH M MD
408 HAZEN ST
PAW PAW 49079
(269) 657-3141
1107847
SMULLEN, DAVID MD
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2720
1081347
VANSWEDEN, SALLY J MD
408 HAZEN ST
PAW PAW 49079
(269) 657-3141
1106545
ZAYZAFOON, AHED MD
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 637-5271
404 HAZEN ST
PAW PAW 49079
(269) 349-6759
NEPHROLOGY
1084614
DALAL, SANJAY P MD
NEUROLOGY
1099417
DUNNE, THOMAS C MD
955 BAILEY STE 2-5
SOUTH HAVEN 49090
(269) 488-8430
1099583
JEWETT, DENNIS A MD
451 HEALTH PKWY
PAW PAW 49079
(888) 258-0875
451 HEALTH PKWY STE F
PAW PAW 49079
(269) 655-3080
NURSE MIDWIFE
1097175
DELILLE, LESLEY CNM

Page 484
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Van Buren County

1081349
DELILLE, LESLEY CNM
53275 N MAIN ST
MATTAWAN 49071
(269) 688-3348
1126339
451 HEALTH PKWY STE D
PAW PAW 49079
(269) 655-3070
1109372
PLOTT, CARMEN CNM
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2720
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2720
OBSTETRICS
1090563
CHESHIER-ALVARADO, JEANNE MD
1117403
ALLEN, TEMPEST A MD
PAW PAW 49079
(269) 655-3070
1117402
CARMAN, JENNIFER MD
PAW PAW 49079
(269) 655-3070
1123785
PAW PAW 49079
(269) 655-6070
1089975
KAZMIERCZAK, DENISE L DO
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2720
1117404
PAW PAW 49079
(269) 655-3070
965 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2789
408 HAZEN ST
PAW PAW 49079
(269) 343-1684
52883 N MAIN ST
MATTAWAN 49071
(269) 688-5558
ONCOLOGY
1109273
BECKROW, JASON DO
OPHTHALMOLOGY
1084628
HALLER, KURT A
OPTOMETRY
1108991
SEIM, TERESA M OD
ORTHOPEDIC SURGERY
1101154
PAW PAW 49079
(269) 488-8350
1099423
PAW PAW 49079
(269) 488-8350
1089976
LOAFMAN, NICHOLAS DO
950 S BAILEY AVE STE 1
SOUTH HAVEN 49090
(269) 427-5811
1099984
ROWE, BRUCE A MD
451 HEALTH PKWY
PAW PAW 49079
(269) 349-3350
PAIN MANAGEMENT
1118832
SOBOR, MARK MD
950 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2833
1107836
SOBOR, MARK MD
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2777
PEDIATRICS
1123693
DIEHL, ASHLEY MD
24466 RED ARROW HWY
MATTAWAN 49071
(269) 668-4180
1072621
24466 RED ARROW HWY
MATTAWAN 49071
(269) 668-4180
1121764
57418 COUNTY RD 681
HARTFORD 49057
(269) 621-3143
1072652
LASSILA, RENEE C MD
24466 RED ARROW HWY
MATTAWAN 49071
(269) 668-4180
1072678
MAIRA, ROSA S DO
24466 RED ARROW HWY
MATTAWAN 49071
(269) 668-4180
1072793
RAHMAN, SAADIA K MD
24466 RED ARROW HWY
MATTAWAN 49071
(269) 668-4180
1072816
SIMPSON, AIMEE W MD
24466 RED ARROW HWY
MATTAWAN 49071
(269) 668-4180
1072781
24466 RED ARROW HWY
MATTAWAN 49071
(269) 668-4180
1012718
SPITZER, JOHN J MD
24466 RED ARROW HWY
MATTAWAN 49071
(269) 668-4180
PODIATRY
1080602
AHMED, RAZIUDDIN M DPM
10570 BLUE STAR MEMORIAL HWY
SOUTH HAVEN 49090
(269) 978-3385
1124918
24466 RED ARROW HWY
MATTAWAN 49071
(269) 668-4180
PSYCHIATRY
1081329
GAJARE, NILANJAN B MD
404 HAZEN ST STE L3
PAW PAW 49079
(269) 657-1595
1098511
MIRZA, NADEEM MD
404 HAZEN ST STE L3
PAW PAW 49079
(269) 657-1595

Page 485
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Van Buren County

1086765
RAMESH, BANGALORE K MD
801 N HAZEN ST STE C
PAW PAW 49079
(269) 657-5574
57418 COUNTY RD 681 STE A
HARTFORD 49057
(269) 621-3143

1096368
VAN BUREN CASS DISTRICT PUBLIC HEALTH
PULMONOLOGY
1081360
DYKSTRA, BRIAN J MD
408 HAZEN ST
PAW PAW 49079
(269) 655-1700
1081317
DYKSTRA, BRIAN J MD
965 S BAILEY AVE STE LL-5
SOUTH HAVEN 49090
(269) 655-1700
1124449
DYKSTRA, BRIAN J MD
PAW PAW 49079
(269) 655-1700
1124585
408 HAZEN ST
PAW PAW 49079
(269) 657-1660
1095905
IVEY, MARK MD
451 HEALTH PARKWAY SUITE C
PAW PAW 49079
(269) 655-1700
1028716
MACON, TIMOTHY DO
PAW PAW 49079
(269) 655-1700
965 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2792
RHEUMATOLOGY
1031502
SWANSON, RICHARD MD
UROLOGY
1101715
BLIX, GREGOR MD
451 HEALTH PARKWAY STE 100
PAW PAW 49079
(269) 349-9745
1101677
BOUR, JAMES MD
451 HEALTH PARKWAY STE 100
PAW PAW 49079
(269) 349-9745
1109261
DEHAAN, ALEXANDER MD
965 S BAILEY AVE
SOUTH HAVEN 49090
(616) 459-4171
1099430
PAW PAW 49079
(269) 349-9745
1101762
LUCAS, MARK MD
451 HEALTH PARKWAYSTE 100
PAW PAW 49079
(269) 349-9745
VASCULAR SURGERY
1084637
JAIN, KRISHNA M MD
199 VETERANS BLVD
SOUTH HAVEN 49090
(800) 448-9684
1084642
452 HEALTH PKWY STE B SPECIALTY CLINIC
PAW PAW 49079
(269) 492-6500
1099405
VADDINENI, SARAT K MD
451 HEALTH PKWY
PAW PAW 49079
(269) 349-7696
1540 E HOSPITAL DR
ANN ARBOR 48109
(734) 936-4000
WASHTENAW COUNTY
Washtenaw County
ADOLESCENT MEDICINE
1123983

1114332
BORD, CHERYL L NP
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1118419
1200 EARHART RD
ANN ARBOR 48105
(734) 769-0177
1118420
355 HURON VIEW BLVD
ANN ARBOR 48103
(734) 887-8700
1118421
4701 E HURON RIVER DR
ANN ARBOR 48105
(734) 975-2600
ALLERGY
1102702
GREENHAWT, MATTHEW J MD
24 FRANK LLOYD WRIGHT DR STE H 2100
ANN ARBOR 48105
(734) 647-5940
1018609
MCMORRIS, MARC S MD
ANN ARBOR 48105
(734) 647-5940

1110307
BAKER, JAMES R MD
5333 MCAULEY DR STE R5011
YPSILANTI 48197
(734) 572-8834
1110306
BAKER, JAMES R MD
325 BRIARWOOD CIR BLDG 5
ANN ARBOR 48108
(734) 647-9000
1004288
BAKER, JAMES R MD
ANN ARBOR 48105
(734) 647-5940
1112212
BALDWIN, JAMES L MD
ANN ARBOR 48108
(734) 647-9000
1112213
BALDWIN, JAMES L MD
5301 MCAULEY DR
YPSILANTI 48197
(734) 572-8834

Page 486
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
ALLERGY & IMMUNOLOGY (CONTINUED)
1112214
BALDWIN, JAMES L MD
YPSILANTI 48197
(734) 572-8834
1042576
BALDWIN, JAMES L MD
ANN ARBOR 48105
(734) 647-5940
1110211
BAPTIST, ALAN P MD
ANN ARBOR 48108
(734) 647-9000
1110212
BAPTIST, ALAN P MD
YPSILANTI 48197
(734) 572-8834
1110210
Baptist, ALAN P MD
ANN ARBOR 48105
(734) 647-5940
1113694
ANN ARBOR 48108
(734) 647-9000
1113699
5301 MCAULEY DR
YPSILANTI 48197
(734) 572-8834
1113702
YPSILANTI 48197
(734) 572-8834
1102702
ANN ARBOR 48105
(734) 647-5940
1040686
HOLLAND, CHRISTINE L MD
ANN ARBOR 48105
(734) 647-5940
1114087
ANN ARBOR 48108
(734) 647-9000
1114088
5301 MCAULEY DR
YPSILANTI 48197
(734) 572-8834
1114089
YPSILANTI 48197
(734) 572-8834
1112533
HOSLER, MIRIE R MD
ANN ARBOR 48105
(734) 647-5940
1112534
HOSLER, MIRIE R MD
ANN ARBOR 48108
(734) 647-9000
1112536
HOSLER, MIRIE R MD
YPSILANTI 48197
(734) 572-8834
1112535
HOSLER, MIRIE R MD
5301 MCAULEY DR
YPSILANTI 48197
(734) 572-8834
1111793
HOWE, LAURA E MD
ANN ARBOR 48108
(734) 647-9000
1111792
HOWE, LAURA E MD
ANN ARBOR 48105
(734) 647-5940
1111794
HOWE, LAURA E MD
5301 MCAULEY DR
YPSILANTI 48197
(734) 572-8834
1111795
HOWE, LAURA E MD
YPSILANTI 48197
(734) 572-8834
1018609
MCMORRIS, MARC S MD
ANN ARBOR 48105
(734) 647-5940
1110475
MCMORRIS, MARC S MD
YPSILANTI 48197
(734) 572-8834
1110474
MCMORRIS, MARC S MD
ANN ARBOR 48108
(734) 647-9000
1110255
MONTEJO, JENNY M MD
5301 MCAULEY DR
YPSILANTI 48197
(734) 572-8834
1110256
MONTEJO, JENNY M MD
YPSILANTI 48197
(734) 572-8834
1110254
MONTEJO, JENNY M MD
ANN ARBOR 48108
(734) 647-9000
1110253
MONTEJO, JENNY M MD
ANN ARBOR 48105
(734) 647-5940
1092989
OBERDOERSTER, DEBORSP MD
5301 MCAULEY DR
YPSILANTI 48197
(734) 572-8834
1112215
OBERDOERSTER, DEBORSP MD
YPSILANTI 48197
(734) 572-8834
1111070
SANDERS, GEORGIANA M MD
YPSILANTI 48197
(734) 572-8834
1111068
ANN ARBOR 48108
(734) 647-9000
1086806
ANN ARBOR 48109
(734) 936-4185
1111069
5301 MCAULEY DR
YPSILANTI 48197
(734) 572-8834
1111067
ANN ARBOR 48105
(734) 647-5940
1111436
SOLOMON, WILLIAM R MD
YPSILANTI 48197
(734) 572-8834
1111435
ANN ARBOR 48108
(734) 647-9000
1111434
ANN ARBOR 48105
(734) 647-5940

1082956
PLANNED PARENTHOOD MID AND SO
3100 PROFESSIONAL
ANN ARBOR 48104
(734) 929-9480
1028741
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1093740
PLANNED PARENTHOOD OF MID MI
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1112569
BOGUN, FRANK M MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1112581
BOGUN, FRANK M MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380

Page 487
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1112571
BOGUN, FRANK M MD
1500 E MEDICAL CENTER DR B1 FL TAUBMAN
ANN ARBOR 48109
(734) 647-7321
1112584
BOGUN, FRANK M MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1078711
BOGUN, FRANK M MD
ANN ARBOR 48109
(734) 647-7321
1112570
BOGUN, FRANK M MD
1500 E MEDICAL CENTER DR 3RD FL
ANN ARBOR 48109
(888) 287-1082
1112573
BOGUN, FRANK M MD
200 ARNET ST
YPSILANTI 48198
(734) 482-6221
1112575
BOGUN, FRANK M MD
24 FRANK LLOYD WRIGHT DR
ANN ARBOR 48105
(734) 998-7400
1112576
BOGUN, FRANK M MD
ANN ARBOR 48108
(734) 647-9000
1112577
BOGUN, FRANK M MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1112578
BOGUN, FRANK M MD
ANN ARBOR 48108
(734) 998-7207
1112580
BOGUN, FRANK M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1112582
BOGUN, FRANK M MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112583
BOGUN, FRANK M MD
7300 DEXTER ANN ARBOR RD
DEXTER 48130
(734) 426-2796
1112579
BOGUN, FRANK M MD
400 E EISENHOWER STE B
ANN ARBOR 48108
(734) 647-5871
1113400
CHUGH, AMAN MD
ANN ARBOR 48105
(734) 998-7400
1113394
CHUGH, AMAN MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1113395
CHUGH, AMAN MD
ANN ARBOR 48109
(888) 287-1082
1043854
CHUGH, AMAN MD
ANN ARBOR 48109
(734) 647-7321
1113398
CHUGH, AMAN MD
200 ARNET ST
YPSILANTI 48198
(734) 482-6221
1113406
CHUGH, AMAN MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1113401
CHUGH, AMAN MD
ANN ARBOR 48108
(734) 647-9000
1113408
CHUGH, AMAN MD
DEXTER 48130
(734) 426-2796
1113403
CHUGH, AMAN MD
ANN ARBOR 48108
(734) 998-7207
1113404
CHUGH, AMAN MD
ANN ARBOR 48108
(734) 647-5871
1113405
CHUGH, AMAN MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1113409
CHUGH, AMAN MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1113402
CHUGH, AMAN MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1113396
CHUGH, AMAN MD
ANN ARBOR 48109
(734) 647-7321
1113407
CHUGH, AMAN MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1110267
ANN ARBOR 48105
(734) 998-7400
1110265
200 ARNET ST
YPSILANTI 48198
(734) 482-6221
1110263
ANN ARBOR 48109
(734) 647-7321
1110262
ANN ARBOR 48109
(888) 287-1082
1094719
ANN ARBOR 48109
(734) 647-7321
1110274
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1110268
ANN ARBOR 48108
(734) 647-9000
1110261
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1110270
ANN ARBOR 48108
(734) 998-7207
1110271
ANN ARBOR 48108
(734) 647-5871
1110272
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1110273
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1110275
DEXTER 48130
(734) 426-2796
1110276
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1110269
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1114312
GHANBARI, HAMID MD
ANN ARBOR 48109
(888) 287-1082
1114325
GHANBARI, HAMID MD
DEXTER 48130
(734) 426-2796
1114324
GHANBARI, HAMID MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302

Page 488
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1114323
GHANBARI, HAMID MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1114322
GHANBARI, HAMID MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1114321
GHANBARI, HAMID MD
ANN ARBOR 48108
(734) 647-5871
1114320
GHANBARI, HAMID MD
ANN ARBOR 48108
(734) 998-7207
1114319
GHANBARI, HAMID MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1114318
GHANBARI, HAMID MD
ANN ARBOR 48108
(734) 647-9000
1114317
GHANBARI, HAMID MD
ANN ARBOR 48105
(734) 998-7400
1114313
GHANBARI, HAMID MD
ANN ARBOR 48109
(734) 647-7321
1114311
GHANBARI, HAMID MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1076426
GHANBARI, HAMID MD
ANN ARBOR 48109
(734) 647-7321
1114326
GHANBARI, HAMID MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1114315
GHANBARI, HAMID MD
200 ARNET ST
YPSILANTI 48198
(734) 482-6221
1122833
GOEL, RAMIL MBBS
ANN ARBOR 48109
(888) 287-1082
1112457
GOOD, ERIC D DO
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1112453
GOOD, ERIC D DO
ANN ARBOR 48108
(734) 647-9000
1017441
GOOD, ERIC D DO
ANN ARBOR 48109
(734) 647-7321
1112446
GOOD, ERIC D DO
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1112447
GOOD, ERIC D DO
ANN ARBOR 48109
(888) 287-1082
1112448
GOOD, ERIC D DO
ANN ARBOR 48109
(734) 647-7321
1112459
GOOD, ERIC D DO
DEXTER 48130
(734) 426-2796
1112452
GOOD, ERIC D DO
ANN ARBOR 48105
(734) 998-7400
1112454
GOOD, ERIC D DO
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1112455
GOOD, ERIC D DO
ANN ARBOR 48108
(734) 998-7207
1112456
GOOD, ERIC D DO
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1112458
GOOD, ERIC D DO
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112460
GOOD, ERIC D DO
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1112450
GOOD, ERIC D DO
200 ARNET ST
YPSILANTI 48198
(734) 482-6221
1110552
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1043869
ANN ARBOR 48109
(734) 647-7321
1110537
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1110538
ANN ARBOR 48109
(888) 287-1082
1110539
ANN ARBOR 48109
(734) 647-7321
1110541
200 ARNET ST
YPSILANTI 48198
(734) 482-6221
1110543
ANN ARBOR 48105
(734) 998-7400
1110544
ANN ARBOR 48108
(734) 647-9000
1110545
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1110546
ANN ARBOR 48108
(734) 998-7207
1110547
ANN ARBOR 48108
(734) 647-5871
1110548
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1110549
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1110551
DEXTER 48130
(734) 426-2796
1110550
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1123000
KIM, EDWARD T MD
ANN ARBOR 48109
(888) 287-1082
1113478
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1113484
DEXTER 48130
(734) 426-2796
1113471
ANN ARBOR 48109
(888) 287-1082

Page 489
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1086881
ANN ARBOR 48109
(734) 647-7321
1113470
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1113474
200 ARNET ST
YPSILANTI 48198
(734) 482-6221
1113476
ANN ARBOR 48105
(734) 998-7400
1113477
ANN ARBOR 48108
(734) 647-9000
1113472
ANN ARBOR 48109
(734) 647-7321
1113479
ANN ARBOR 48108
(734) 998-7207
1113485
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1113480
ANN ARBOR 48108
(734) 647-5871
1113481
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1113482
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1113483
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112916
MORADY, FRED MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1112919
MORADY, FRED MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1000487
MORADY, FRED MD
ANN ARBOR 48109
(734) 647-7321
1112904
MORADY, FRED MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1112905
MORADY, FRED MD
ANN ARBOR 48109
(888) 287-1082
1112906
MORADY, FRED MD
ANN ARBOR 48109
(734) 647-7321
1112908
MORADY, FRED MD
200 ARNET ST
YPSILANTI 48198
(734) 482-6221
1112910
MORADY, FRED MD
ANN ARBOR 48105
(734) 998-7400
1112911
MORADY, FRED MD
ANN ARBOR 48108
(734) 647-9000
1112912
MORADY, FRED MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1112913
MORADY, FRED MD
ANN ARBOR 48108
(734) 998-7207
1112914
MORADY, FRED MD
ANN ARBOR 48108
(734) 647-5871
1112915
MORADY, FRED MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1112918
MORADY, FRED MD
DEXTER 48130
(734) 426-2796
1112917
MORADY, FRED MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1114242
ORAL, HAKAN MD
ANN ARBOR 48108
(734) 998-7207
1019185
ORAL, HAKAN MD
ANN ARBOR 48109
(734) 647-7321
1114248
ORAL, HAKAN MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1114247
ORAL, HAKAN MD
DEXTER 48130
(734) 426-2796
1114246
ORAL, HAKAN MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1114245
ORAL, HAKAN MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1114243
ORAL, HAKAN MD
ANN ARBOR 48108
(734) 647-5871
1114241
ORAL, HAKAN MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1114240
ORAL, HAKAN MD
ANN ARBOR 48108
(734) 647-9000
1114239
ORAL, HAKAN MD
ANN ARBOR 48105
(734) 998-7400
1114237
ORAL, HAKAN MD
200 ARNET ST
YPSILANTI 48198
(734) 482-6221
1114235
ORAL, HAKAN MD
ANN ARBOR 48109
(734) 647-7321
1114244
ORAL, HAKAN MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1114233
ORAL, HAKAN MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1114234
ORAL, HAKAN MD
ANN ARBOR 48109
(888) 287-1082
1112176
PELOSI, FRANK MD
ANN ARBOR 48108
(734) 647-9000
1112181
PELOSI, FRANK MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112180
PELOSI, FRANK MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1112179
PELOSI, FRANK MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650

Page 490
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1112182
PELOSI, FRANK MD
DEXTER 48130
(734) 426-2796
1112177
PELOSI, FRANK MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1112183
PELOSI, FRANK MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1112174
PELOSI, FRANK MD
200 ARNET ST
YPSILANTI 48198
(734) 482-6221
1112172
PELOSI, FRANK MD
ANN ARBOR 48109
(888) 287-1082
1112171
PELOSI, FRANK MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1005875
PELOSI, FRANK MD
ANN ARBOR 48109
(734) 647-7321
1004480
PELOSI, FRANK MD
ANN ARBOR 48109
(734) 647-7321
1112178
PELOSI, FRANK MD
ANN ARBOR 48108
(734) 998-7207
1123094
SAUNDERS, JUSTIN T MD
ANN ARBOR 48109
(888) 287-1082
CARDIOLOGY
1110681
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1110675
1500 E MEDICAL CENTER DR B1 FL UNIVERSITY ANN ARBOR 48109
(734) 647-7321
1002199
ANN ARBOR 48109
(734) 647-7321
1110687
DEXTER 48130
(734) 426-2796
1110679
ANN ARBOR 48105
(734) 998-7400
1110686
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1110673
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1110677
200 ARNET ST STE 200
YPSILANTI 48198
(734) 482-6221
1110682
ANN ARBOR 48108
(734) 998-7207
1110688
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1110683
ANN ARBOR 48108
(734) 647-5871
1110674
ANN ARBOR 48109
(888) 287-1082
1110684
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1110685
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1110680
ANN ARBOR 48108
(734) 647-9000
1112077
ANN ARBOR 48109
(888) 287-1082
1112086
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1112084
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1112087
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1112085
ANN ARBOR 48108
(734) 998-7207
1003222
ANN ARBOR 48109
(734) 647-7321
1112080
YPSILANTI 48198
(734) 482-6221
1112090
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1112083
ANN ARBOR 48108
(734) 647-9000
1112078
(734) 647-7321
1112088
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112089
DEXTER 48130
(734) 426-2796
1112082
ANN ARBOR 48105
(734) 998-7400
1112076
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1113916
BACH, DAVID S MD
DEXTER 48130
(734) 426-2796
1113908
BACH, DAVID S MD
ANN ARBOR 48108
(734) 998-7207
1113910
BACH, DAVID S MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1113906
BACH, DAVID S MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1113912
BACH, DAVID S MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380

Page 491
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1113914
BACH, DAVID S MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1113904
BACH, DAVID S MD
ANN ARBOR 48108
(734) 647-9000
1113902
BACH, DAVID S MD
ANN ARBOR 48105
(734) 998-7400
1113898
BACH, DAVID S MD
YPSILANTI 48198
(734) 482-6221
1113894
BACH, DAVID S MD
(734) 647-7321
1113892
BACH, DAVID S MD
ANN ARBOR 48109
(888) 287-1082
1113890
BACH, DAVID S MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1000471
BACH, DAVID S MD
ANN ARBOR 48109
(734) 647-7321
1113918
BACH, DAVID S MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1122920
BARNES, GEOFFREY D MD
ANN ARBOR 48109
(888) 287-1082
1112684
BATES, ERIC R MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1112688
BATES, ERIC R MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1112687
BATES, ERIC R MD
DEXTER 48130
(734) 426-2796
1112686
BATES, ERIC R MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112685
BATES, ERIC R MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1112683
BATES, ERIC R MD
ANN ARBOR 48108
(734) 647-5871
1003545
BATES, ERIC R MD
ANN ARBOR 48109
(734) 647-7321
1112673
BATES, ERIC R MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1112674
BATES, ERIC R MD
ANN ARBOR 48109
(888) 287-1082
1112679
BATES, ERIC R MD
ANN ARBOR 48105
(734) 998-7400
1112675
BATES, ERIC R MD
(734) 647-7321
1112677
BATES, ERIC R MD
YPSILANTI 48198
(734) 482-6221
1112680
BATES, ERIC R MD
ANN ARBOR 48108
(734) 647-9000
1112681
BATES, ERIC R MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1112682
BATES, ERIC R MD
ANN ARBOR 48108
(734) 998-7207
1112368
ANN ARBOR 48109
(888) 287-1082
1112375
ANN ARBOR 48108
(734) 647-9000
1112367
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1112370
(734) 647-7321
1112372
YPSILANTI 48198
(734) 482-6221
1112374
ANN ARBOR 48105
(734) 998-7400
1112369
ANN ARBOR 48109
(734) 647-7321
1112381
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112378
ANN ARBOR 48108
(734) 647-5871
1112380
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1112382
DEXTER 48130
(734) 426-2796
1112383
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1112376
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1112379
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1112377
ANN ARBOR 48108
(734) 998-7207
1105219
BHAVE, NICOLE M MD
ANN ARBOR 48105
(734) 998-7400
1113316
BHAVE, NICOLE M MD
ANN ARBOR 48109
(888) 287-1082
1078711
BOGUN, FRANK M MD
ANN ARBOR 48109
(734) 647-7321
1112787
BYRD, JAMES B MD
ANN ARBOR 48108
(734) 647-5871
1112779
BYRD, JAMES B MD
(734) 647-7321
1112789
BYRD, JAMES B MD
4900A JACKSON RD
(734) 998-7380
ANN ARBOR 48103

Page 492
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1112778
BYRD, JAMES B MD
ANN ARBOR 48109
(734) 647-7321
1112777
BYRD, JAMES B MD
ANN ARBOR 48109
(888) 287-1082
1112776
BYRD, JAMES B MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1112788
BYRD, JAMES B MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1112791
BYRD, JAMES B MD
DEXTER 48130
(734) 426-2796
1112792
BYRD, JAMES B MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1112786
BYRD, JAMES B MD
ANN ARBOR 48108
(734) 998-7207
1112781
BYRD, JAMES B MD
YPSILANTI 48198
(734) 482-6221
1112790
BYRD, JAMES B MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112784
BYRD, JAMES B MD
ANN ARBOR 48108
(734) 647-9000
1112783
BYRD, JAMES B MD
ANN ARBOR 48105
(734) 998-7400
1112785
BYRD, JAMES B MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1111989
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1111990
ANN ARBOR 48108
(734) 998-7207
1111991
ANN ARBOR 48108
(734) 647-5871
1111992
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1111993
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1111983
ANN ARBOR 48109
(734) 647-7321
1111995
DEXTER 48130
(734) 426-2796
1111996
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1111981
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1111982
ANN ARBOR 48109
(888) 287-1082
1111984
(734) 647-7321
1017692
ANN ARBOR 48105
(734) 998-7400
1111994
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1111988
ANN ARBOR 48108
(734) 647-9000
1111986
YPSILANTI 48198
(734) 482-6221
1043854
CHUGH, AMAN MD
ANN ARBOR 48109
(734) 647-7321
1127891
COLVIN, MONICA M MD
1500 E MEDICAL CENTER DR 3RD
ANN ARBOR 48109
(888) 287-1082
1127892
COLVIN, MONICA M MD
325 BRIARWOD CIR BLDG 5
ANN ARBOR 48108
(734) 647-9000
1111475
CORBETT, JAMES R MD
(734) 936-5090
1111629
DAS, SUNIL K MD
ANN ARBOR 48108
(734) 647-9000
1111624
DAS, SUNIL K MD
ANN ARBOR 48109
(734) 647-7321
1111635
DAS, SUNIL K MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1111630
DAS, SUNIL K MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1004873
DAS, SUNIL K MD
(734) 647-7321
1111631
DAS, SUNIL K MD
ANN ARBOR 48108
(734) 998-7207
1111626
DAS, SUNIL K MD
YPSILANTI 48198
(734) 482-6221
1111634
DAS, SUNIL K MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1111632
DAS, SUNIL K MD
ANN ARBOR 48108
(734) 647-5871
1111633
DAS, SUNIL K MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1111636
DAS, SUNIL K MD
DEXTER 48130
(734) 426-2796
1111637
DAS, SUNIL K MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1111623
DAS, SUNIL K MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1111628
DAS, SUNIL K MD
ANN ARBOR 48105
(734) 998-7400
1111306
DAVIS, MELINDA B MD
ANN ARBOR 48105
(734) 998-7400

Page 493
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1111301
DAVIS, MELINDA B MD
ANN ARBOR 48109
(734) 647-7321
1111300
DAVIS, MELINDA B MD
ANN ARBOR 48109
(888) 287-1082
1111299
DAVIS, MELINDA B MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1111313
DAVIS, MELINDA B MD
DEXTER 48130
(734) 426-2796
1111302
DAVIS, MELINDA B MD
(734) 647-7321
1111304
DAVIS, MELINDA B MD
YPSILANTI 48198
(734) 482-6221
1111307
DAVIS, MELINDA B MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1111308
DAVIS, MELINDA B MD
ANN ARBOR 48108
(734) 998-7207
1111309
DAVIS, MELINDA B MD
ANN ARBOR 48108
(734) 647-5871
1111310
DAVIS, MELINDA B MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1111311
DAVIS, MELINDA B MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1111312
DAVIS, MELINDA B MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1111314
DAVIS, MELINDA B MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1106885
DAVIS, MELINDA B MD
ANN ARBOR 48108
(734) 647-9000
1019080
DAY, SHARLENE M MD
ANN ARBOR 48109
(734) 647-7321
1110664
DAY, SHARLENE M MD
ANN ARBOR 48108
(734) 998-7207
1110670
DAY, SHARLENE M MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1110657
DAY, SHARLENE M MD
ANN ARBOR 48109
(888) 287-1082
1110668
DAY, SHARLENE M MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1110658
DAY, SHARLENE M MD
(734) 647-7321
1110667
DAY, SHARLENE M MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1110661
DAY, SHARLENE M MD
ANN ARBOR 48105
(734) 998-7400
1110662
DAY, SHARLENE M MD
ANN ARBOR 48108
(734) 647-9000
1110663
DAY, SHARLENE M MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1110656
DAY, SHARLENE M MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1110666
DAY, SHARLENE M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1110659
DAY, SHARLENE M MD
YPSILANTI 48198
(734) 482-6221
1110665
DAY, SHARLENE M MD
ANN ARBOR 48108
(734) 647-5871
1110669
DAY, SHARLENE M MD
DEXTER 48130
(734) 426-2796
1113719
(734) 647-7321
1113723
YPSILANTI 48198
(734) 482-6221
1113727
ANN ARBOR 48108
(734) 647-9000
1113717
ANN ARBOR 48109
(734) 647-7321
1113715
ANN ARBOR 48109
(888) 287-1082
1113712
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1113737
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1078710
ANN ARBOR 48105
(734) 998-7400
1113739
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1113735
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1113733
ANN ARBOR 48108
(734) 647-5871
1113741
DEXTER 48130
(734) 426-2796
1113731
ANN ARBOR 48108
(734) 998-7207
1113743
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1113729
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1111512
DYKE, DAVID B MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1111502
DYKE, DAVID B MD
ANN ARBOR 48109
(888) 287-1082

Page 494
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1111507
DYKE, DAVID B MD
ANN ARBOR 48105
(734) 998-7400
1111508
DYKE, DAVID B MD
ANN ARBOR 48108
(734) 647-9000
1111509
DYKE, DAVID B MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1043837
DYKE, DAVID B MD
ANN ARBOR 48109
(734) 647-7321
1111511
DYKE, DAVID B MD
ANN ARBOR 48108
(734) 647-5871
1111501
DYKE, DAVID B MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1111516
DYKE, DAVID B MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1111505
DYKE, DAVID B MD
YPSILANTI 48198
(734) 482-6221
1111514
DYKE, DAVID B MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1111515
DYKE, DAVID B MD
DEXTER 48130
(734) 426-2796
1111513
DYKE, DAVID B MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1111503
DYKE, DAVID B MD
(734) 647-7321
1111510
DYKE, DAVID B MD
ANN ARBOR 48108
(734) 998-7207
1078942
EAGLE, KIM A MD
ANN ARBOR 48109
(734) 647-7321
1112960
EAGLE, KIM A MD
ANN ARBOR 48108
(734) 647-9000
1112961
EAGLE, KIM A MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1112962
EAGLE, KIM A MD
ANN ARBOR 48108
(734) 998-7207
1112959
EAGLE, KIM A MD
ANN ARBOR 48105
(734) 998-7400
1112963
EAGLE, KIM A MD
ANN ARBOR 48108
(734) 647-5871
1112967
EAGLE, KIM A MD
DEXTER 48130
(734) 426-2796
1112964
EAGLE, KIM A MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1112966
EAGLE, KIM A MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112965
EAGLE, KIM A MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1112968
EAGLE, KIM A MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1112954
EAGLE, KIM A MD
ANN ARBOR 48109
(888) 287-1082
1112955
EAGLE, KIM A MD
(734) 647-7321
1112953
EAGLE, KIM A MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1112957
EAGLE, KIM A MD
YPSILANTI 48198
(734) 482-6221
1110368
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1110367
DEXTER 48130
(734) 426-2796
1110366
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1110365
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1110364
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1110363
ANN ARBOR 48108
(734) 647-5871
1110362
ANN ARBOR 48108
(734) 998-7207
1110361
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1110360
ANN ARBOR 48108
(734) 647-9000
1110359
ANN ARBOR 48105
(734) 998-7400
1110357
YPSILANTI 48198
(734) 482-6221
1090009
ANN ARBOR 48109
(734) 647-7321
1110355
(734) 647-7321
1110354
ANN ARBOR 48109
(734) 647-7321
1110353
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1113302
FARREHI, PETER M MD
DEXTER 48130
(734) 426-2796
1113290
FARREHI, PETER M MD
(734) 647-7321
1113296
FARREHI, PETER M MD
325 E EISENHOWER
(734) 936-5627
ANN ARBOR 48108

Page 495
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1113289
FARREHI, PETER M MD
ANN ARBOR 48109
(888) 287-1082
1113301
FARREHI, PETER M MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1113303
FARREHI, PETER M MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1113288
FARREHI, PETER M MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1113300
FARREHI, PETER M MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1113295
FARREHI, PETER M MD
ANN ARBOR 48108
(734) 647-9000
1113297
FARREHI, PETER M MD
ANN ARBOR 48108
(734) 998-7207
1113292
FARREHI, PETER M MD
YPSILANTI 48198
(734) 482-6221
1113298
FARREHI, PETER M MD
ANN ARBOR 48108
(734) 647-5871
1076881
FARREHI, PETER M MD
ANN ARBOR 48109
(734) 647-7321
1113299
FARREHI, PETER M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1113294
FARREHI, PETER M MD
ANN ARBOR 48105
(734) 998-7400
1114596
ANN ARBOR 48109
(888) 287-1082
1114597
(734) 647-7321
1114607
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1114595
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1114601
ANN ARBOR 48105
(734) 998-7400
1114602
ANN ARBOR 48108
(734) 647-9000
1114603
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1114604
ANN ARBOR 48108
(734) 998-7207
1018084
ANN ARBOR 48109
(734) 647-7321
1114605
ANN ARBOR 48108
(734) 647-5871
1114606
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1114599
YPSILANTI 48198
(734) 482-6221
1114608
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1114609
DEXTER 48130
(734) 426-2796
1114610
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1112845
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112840
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1112831
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1112841
ANN ARBOR 48108
(734) 998-7207
1112842
ANN ARBOR 48108
(734) 647-5871
1112832
ANN ARBOR 48109
(888) 287-1082
1112843
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1112833
ANN ARBOR 48109
(734) 647-7321
1112834
(734) 647-7321
1112839
ANN ARBOR 48108
(734) 647-9000
1112836
YPSILANTI 48198
(734) 482-6221
1112846
DEXTER 48130
(734) 426-2796
1112838
ANN ARBOR 48105
(734) 998-7400
1112847
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1112844
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1113245
GROSSMAN, PAUL M MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1113246
GROSSMAN, PAUL M MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1113243
GROSSMAN, PAUL M MD
ANN ARBOR 48108
(734) 647-5871
1113244
GROSSMAN, PAUL M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650

Page 496
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1113248
GROSSMAN, PAUL M MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1113247
GROSSMAN, PAUL M MD
DEXTER 48130
(734) 426-2796
1113240
GROSSMAN, PAUL M MD
ANN ARBOR 48108
(734) 647-9000
1113234
GROSSMAN, PAUL M MD
ANN ARBOR 48109
(888) 287-1082
1113235
GROSSMAN, PAUL M MD
(734) 647-7321
1113242
GROSSMAN, PAUL M MD
ANN ARBOR 48108
(734) 998-7207
1113241
GROSSMAN, PAUL M MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1043851
GROSSMAN, PAUL M MD
ANN ARBOR 48109
(734) 647-7321
1113233
GROSSMAN, PAUL M MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1113237
GROSSMAN, PAUL M MD
YPSILANTI 48198
(734) 482-6221
1113239
GROSSMAN, PAUL M MD
ANN ARBOR 48105
(734) 998-7400
1018087
GURM, HITINDER S MD
ANN ARBOR 48109
(734) 647-7321
1114071
GURM, HITINDER S MD
ANN ARBOR 48108
(734) 647-5871
1114072
GURM, HITINDER S MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1114061
GURM, HITINDER S MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1114074
GURM, HITINDER S MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1114075
GURM, HITINDER S MD
DEXTER 48130
(734) 426-2796
1114076
GURM, HITINDER S MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1114063
GURM, HITINDER S MD
(734) 647-7321
1114062
GURM, HITINDER S MD
ANN ARBOR 48109
(888) 287-1082
1114073
GURM, HITINDER S MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1114065
GURM, HITINDER S MD
YPSILANTI 48198
(734) 482-6221
1114067
GURM, HITINDER S MD
ANN ARBOR 48105
(734) 998-7400
1114070
GURM, HITINDER S MD
ANN ARBOR 48108
(734) 998-7207
1114068
GURM, HITINDER S MD
ANN ARBOR 48108
(734) 647-9000
1114069
GURM, HITINDER S MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1111592
HAGAN, PETER G MD
ANN ARBOR 48105
(734) 998-7400
1111593
HAGAN, PETER G MD
ANN ARBOR 48108
(734) 647-9000
1111594
HAGAN, PETER G MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1111597
HAGAN, PETER G MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1002226
HAGAN, PETER G MD
ANN ARBOR 48109
(734) 647-7321
1111595
HAGAN, PETER G MD
ANN ARBOR 48108
(734) 998-7207
1111596
HAGAN, PETER G MD
ANN ARBOR 48108
(734) 647-5871
1111588
HAGAN, PETER G MD
(734) 647-7321
1111598
HAGAN, PETER G MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1111599
HAGAN, PETER G MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1111600
HAGAN, PETER G MD
DEXTER 48130
(734) 426-2796
1111586
HAGAN, PETER G MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1111587
HAGAN, PETER G MD
ANN ARBOR 48109
(888) 287-1082
1111601
HAGAN, PETER G MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1111590
HAGAN, PETER G MD
YPSILANTI 48198
(734) 482-6221
1113776
HASAN, REEMA MD
ANN ARBOR 48109
(888) 287-1082
1113798
HASAN, REEMA MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1111420
HELMS, ADAM S MD
ANN ARBOR 48109
(888) 287-1082
1110096
HUMMEL, SCOTT L MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1110097
HUMMEL, SCOTT L MD
ANN ARBOR 48108
(734) 998-7207

Page 497
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1110102
HUMMEL, SCOTT L MD
DEXTER 48130
(734) 426-2796
1110088
HUMMEL, SCOTT L MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1110103
HUMMEL, SCOTT L MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1110089
HUMMEL, SCOTT L MD
ANN ARBOR 48109
(888) 287-1082
1110098
HUMMEL, SCOTT L MD
ANN ARBOR 48108
(734) 647-5871
1110099
HUMMEL, SCOTT L MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1110100
HUMMEL, SCOTT L MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1076381
HUMMEL, SCOTT L MD
ANN ARBOR 48109
(734) 647-7321
1110095
HUMMEL, SCOTT L MD
ANN ARBOR 48108
(734) 647-9000
1110094
HUMMEL, SCOTT L MD
ANN ARBOR 48105
(734) 998-7400
1110101
HUMMEL, SCOTT L MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1110090
HUMMEL, SCOTT L MD
(734) 647-7321
1110092
HUMMEL, SCOTT L MD
YPSILANTI 48198
(734) 482-6221
1113905
DEXTER 48130
(734) 426-2796
1113895
ANN ARBOR 48108
(734) 998-7207
1113881
(734) 647-7321
1113899
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1113897
ANN ARBOR 48108
(734) 647-5871
1113879
ANN ARBOR 48109
(888) 287-1082
1113891
ANN ARBOR 48108
(734) 647-9000
1113877
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1113889
ANN ARBOR 48105
(734) 998-7400
1113903
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1113901
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1113907
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1113885
YPSILANTI 48198
(734) 482-6221
1078708
ANN ARBOR 48109
(734) 647-7321
1113893
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1043869
ANN ARBOR 48109
(734) 647-7321
1122879
KANTHI, YOGENDRA MD
ANN ARBOR 48109
(888) 287-1082
1122958
ANN ARBOR 48109
(888) 287-1082
1019077
KHAJA, FAREED U MD
ANN ARBOR 48109
(734) 647-7321
1111577
KHAJA, FAREED U MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1111566
KHAJA, FAREED U MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1111574
KHAJA, FAREED U MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1111578
KHAJA, FAREED U MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1111573
KHAJA, FAREED U MD
ANN ARBOR 48108
(734) 647-9000
1111581
KHAJA, FAREED U MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1111580
KHAJA, FAREED U MD
DEXTER 48130
(734) 426-2796
1111575
KHAJA, FAREED U MD
ANN ARBOR 48108
(734) 998-7207
1111576
KHAJA, FAREED U MD
ANN ARBOR 48108
(734) 647-5871
1111572
KHAJA, FAREED U MD
ANN ARBOR 48105
(734) 998-7400
1111567
KHAJA, FAREED U MD
ANN ARBOR 48109
(888) 287-1082
1111568
KHAJA, FAREED U MD
(734) 647-7321
1111570
KHAJA, FAREED U MD
YPSILANTI 48198
(734) 482-6221
1111579
KHAJA, FAREED U MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302

Page 498
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1112294
KOELLING, TODD M MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1019072
KOELLING, TODD M MD
ANN ARBOR 48108
(734) 647-5871
1112295
KOELLING, TODD M MD
ANN ARBOR 48108
(734) 998-7207
1112299
KOELLING, TODD M MD
DEXTER 48130
(734) 426-2796
1112290
KOELLING, TODD M MD
YPSILANTI 48198
(734) 482-6221
1112288
KOELLING, TODD M MD
(734) 647-7321
1112297
KOELLING, TODD M MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1114637
KOELLING, TODD M MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1112286
KOELLING, TODD M MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1112292
KOELLING, TODD M MD
ANN ARBOR 48105
(734) 998-7400
1112293
KOELLING, TODD M MD
ANN ARBOR 48108
(734) 647-9000
1112298
KOELLING, TODD M MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112287
KOELLING, TODD M MD
ANN ARBOR 48109
(734) 647-7321
1112296
KOELLING, TODD M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1112192
ANN ARBOR 48105
(734) 998-7400
1112193
ANN ARBOR 48108
(734) 647-9000
1112194
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1112200
DEXTER 48130
(734) 426-2796
1112199
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112195
ANN ARBOR 48108
(734) 998-7207
1112198
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1112190
YPSILANTI 48198
(734) 482-6221
1112186
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1112197
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1003602
ANN ARBOR 48109
(734) 647-7321
1112188
(734) 647-7321
1112187
ANN ARBOR 48109
(888) 287-1082
1112196
ANN ARBOR 48108
(734) 647-5871
1112201
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1112734
LABOUNTY, TROY M MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1094685
LABOUNTY, TROY M MD
ANN ARBOR 48109
(888) 287-1082
1112733
LABOUNTY, TROY M MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1086881
ANN ARBOR 48109
(734) 647-7321
1113022
ANN ARBOR 48108
(734) 647-5871
1113013
ANN ARBOR 48109
(888) 287-1082
1092949
LEJA, MONIKA J MD
ANN ARBOR 48109
(888) 287-1082
1110931
DEXTER 48130
(734) 426-2796
1110925
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1110916
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1110917
ANN ARBOR 48109
(888) 287-1082
1110930
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1110928
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1110924
ANN ARBOR 48108
(734) 647-9000
1110919
(734) 647-7321
1110921
YPSILANTI 48198
(734) 482-6221
1110929
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380

Page 499
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1019079
ANN ARBOR 48109
(734) 647-7321
1110926
ANN ARBOR 48108
(734) 998-7207
1110918
ANN ARBOR 48109
(734) 647-7321
1110923
ANN ARBOR 48105
(734) 998-7400
1110932
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1110927
ANN ARBOR 48108
(734) 647-5871
1110216
MENEES, DANIEL S MD
(734) 647-7321
1110227
MENEES, DANIEL S MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1110222
MENEES, DANIEL S MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1110214
MENEES, DANIEL S MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1110215
MENEES, DANIEL S MD
ANN ARBOR 48109
(888) 287-1082
1110226
MENEES, DANIEL S MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1110224
MENEES, DANIEL S MD
ANN ARBOR 48108
(734) 647-5871
1110229
MENEES, DANIEL S MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1110225
MENEES, DANIEL S MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1110223
MENEES, DANIEL S MD
ANN ARBOR 48108
(734) 998-7207
1110220
MENEES, DANIEL S MD
ANN ARBOR 48105
(734) 998-7400
1110228
MENEES, DANIEL S MD
DEXTER 48130
(734) 426-2796
1078705
MENEES, DANIEL S MD
ANN ARBOR 48109
(734) 647-7321
1110221
MENEES, DANIEL S MD
ANN ARBOR 48108
(734) 647-9000
1110218
MENEES, DANIEL S MD
YPSILANTI 48198
(734) 482-6221
1000487
MORADY, FRED MD
ANN ARBOR 48109
(734) 647-7321
1112654
(734) 936-4566
1112653
ANN ARBOR 48109
(888) 287-1082
1112401
ANN ARBOR 48108
(734) 647-9000
1112409
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1112407
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112406
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1112402
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1112405
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1112404
ANN ARBOR 48108
(734) 647-5871
1112403
ANN ARBOR 48108
(734) 998-7207
1112408
DEXTER 48130
(734) 426-2796
1112400
ANN ARBOR 48105
(734) 998-7400
1112393
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1112394
ANN ARBOR 48109
(888) 287-1082
1112395
ANN ARBOR 48109
(734) 647-7321
1112398
YPSILANTI 48198
(734) 482-6221
1112396
(734) 647-7321
1113866
NICKLAS, JOHN M MD
ANN ARBOR 48105
(734) 998-7400
1113884
NICKLAS, JOHN M MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1113854
NICKLAS, JOHN M MD
ANN ARBOR 48109
(888) 287-1082
1113868
NICKLAS, JOHN M MD
ANN ARBOR 48108
(734) 647-9000
1113856
NICKLAS, JOHN M MD
ANN ARBOR 48109
(734) 647-7321
1113874
NICKLAS, JOHN M MD
ANN ARBOR 48108
(734) 647-5871
1113876
NICKLAS, JOHN M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650

Page 500
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1113880
NICKLAS, JOHN M MD
700 E WOODLAND DR
(734) 429-2302
1113858
NICKLAS, JOHN M MD
SALINE 48176
(734) 647-7321
1113862
NICKLAS, JOHN M MD
YPSILANTI 48198
(734) 482-6221
1113878
NICKLAS, JOHN M MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1113872
NICKLAS, JOHN M MD
ANN ARBOR 48108
(734) 998-7207
1113870
NICKLAS, JOHN M MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1113852
NICKLAS, JOHN M MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1005877
NICKLAS, JOHN M MD
ANN ARBOR 48109
(734) 647-7321
1113882
NICKLAS, JOHN M MD
DEXTER 48130
(734) 426-2796
1110379
PALARDY, MARYSE MD
ANN ARBOR 48109
(888) 287-1082
1004480
PELOSI, FRANK MD
ANN ARBOR 48109
(734) 647-7321
1111023
PINSKY, DAVID J MD
ANN ARBOR 48108
(734) 647-5871
1111024
PINSKY, DAVID J MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1111028
PINSKY, DAVID J MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1111025
PINSKY, DAVID J MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1111021
PINSKY, DAVID J MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1111026
PINSKY, DAVID J MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1111020
PINSKY, DAVID J MD
ANN ARBOR 48108
(734) 647-9000
1111019
PINSKY, DAVID J MD
ANN ARBOR 48105
(734) 998-7400
1111017
PINSKY, DAVID J MD
YPSILANTI 48198
(734) 482-6221
1111027
PINSKY, DAVID J MD
DEXTER 48130
(734) 426-2796
1111022
PINSKY, DAVID J MD
ANN ARBOR 48108
(734) 998-7207
1111014
PINSKY, DAVID J MD
ANN ARBOR 48109
(734) 647-7321
1111013
PINSKY, DAVID J MD
ANN ARBOR 48109
(888) 287-1082
1111015
PINSKY, DAVID J MD
(734) 647-7321
1111012
PINSKY, DAVID J MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1111390
PITT, BERTRAM MD
ANN ARBOR 48109
(734) 647-7321
1111389
PITT, BERTRAM MD
ANN ARBOR 48109
(888) 287-1082
1114661
ANN ARBOR 48108
(734) 998-7207
1114666
DEXTER 48130
(734) 426-2796
1114658
ANN ARBOR 48105
(734) 998-7400
1114665
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1114656
YPSILANTI 48198
(734) 482-6221
1114667
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1114664
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1114660
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1017985
(734) 647-7321
1114659
ANN ARBOR 48108
(734) 647-9000
1114653
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1002194
ANN ARBOR 48109
(734) 647-7321
1114663
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1114662
ANN ARBOR 48108
(734) 647-5871
1114654
ANN ARBOR 48109
(888) 287-1082
1110395
SABERI, SARA MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1110393
SABERI, SARA MD
ANN ARBOR 48108
(734) 647-5871
1110394
SABERI, SARA MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650

Page 501
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1110392
SABERI, SARA MD
ANN ARBOR 48108
(734) 998-7207
1078823
SABERI, SARA MD
ANN ARBOR 48109
(734) 647-7321
1110391
SABERI, SARA MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1110390
SABERI, SARA MD
ANN ARBOR 48108
(734) 647-9000
1110383
SABERI, SARA MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1110389
SABERI, SARA MD
ANN ARBOR 48105
(734) 998-7400
1110387
SABERI, SARA MD
YPSILANTI 48198
(734) 482-6221
1110385
SABERI, SARA MD
(734) 647-7321
1110396
SABERI, SARA MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1110397
SABERI, SARA MD
DEXTER 48130
(734) 426-2796
1110398
SABERI, SARA MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1110384
SABERI, SARA MD
ANN ARBOR 48109
(888) 287-1082
1112809
SHEA, MICHAEL J MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1112797
SHEA, MICHAEL J MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1112798
SHEA, MICHAEL J MD
ANN ARBOR 48109
(888) 287-1082
1112799
SHEA, MICHAEL J MD
(734) 647-7321
1112801
SHEA, MICHAEL J MD
YPSILANTI 48198
(734) 482-6221
1112804
SHEA, MICHAEL J MD
ANN ARBOR 48108
(734) 647-9000
1112805
SHEA, MICHAEL J MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1112806
SHEA, MICHAEL J MD
ANN ARBOR 48108
(734) 998-7207
1112807
SHEA, MICHAEL J MD
ANN ARBOR 48108
(734) 647-5871
1112808
SHEA, MICHAEL J MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1112810
SHEA, MICHAEL J MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112811
SHEA, MICHAEL J MD
DEXTER 48130
(734) 426-2796
1112812
SHEA, MICHAEL J MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1112803
SHEA, MICHAEL J MD
ANN ARBOR 48105
(734) 998-7400
1020102
SHEA, MICHAEL J MD
ANN ARBOR 48109
(734) 647-7321
1110984
STEIN, ADAM B MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1110986
STEIN, ADAM B MD
ANN ARBOR 48109
(734) 647-7321
1110994
STEIN, ADAM B MD
ANN ARBOR 48108
(734) 647-5871
1110987
STEIN, ADAM B MD
(734) 647-7321
1110989
STEIN, ADAM B MD
YPSILANTI 48198
(734) 482-6221
1110999
STEIN, ADAM B MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1110991
STEIN, ADAM B MD
ANN ARBOR 48108
(734) 647-9000
1110998
STEIN, ADAM B MD
DEXTER 48130
(734) 426-2796
1110985
STEIN, ADAM B MD
ANN ARBOR 48109
(888) 287-1082
1110992
STEIN, ADAM B MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1110993
STEIN, ADAM B MD
ANN ARBOR 48108
(734) 998-7207
1110997
STEIN, ADAM B MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1101248
STEIN, ADAM B MD
ANN ARBOR 48105
(734) 998-7400
1110996
STEIN, ADAM B MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1110995
STEIN, ADAM B MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1113763
THOMAS, MICHAEL P MD
ANN ARBOR 48109
(888) 287-1082
1113139
TOBIN, KENNETH J DO
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1113128
TOBIN, KENNETH J DO
ANN ARBOR 48109
(888) 287-1082
1113133
TOBIN, KENNETH J DO
ANN ARBOR 48105
(734) 998-7400

Page 502
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1111538
ANN ARBOR 48108
(734) 647-5871
1111539
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1111535
ANN ARBOR 48108
(734) 647-9000
1111540
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1111541
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1111532
YPSILANTI 48198
(734) 482-6221
1111534
ANN ARBOR 48105
(734) 998-7400
1111530
(734) 647-7321
1111527
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1111528
ANN ARBOR 48109
(888) 287-1082
1111536
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1111543
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1111529
ANN ARBOR 48109
(734) 647-7321
1111542
DEXTER 48130
(734) 426-2796
1111537
ANN ARBOR 48108
(734) 998-7207
1114028
WU, AUDREY H MD
ANN ARBOR 48108
(734) 647-9000
1114038
WU, AUDREY H MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1114026
WU, AUDREY H MD
ANN ARBOR 48105
(734) 998-7400
1114022
WU, AUDREY H MD
YPSILANTI 48198
(734) 482-6221
1114034
WU, AUDREY H MD
ANN ARBOR 48108
(734) 647-5871
1114016
WU, AUDREY H MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1114042
WU, AUDREY H MD
DEXTER 48130
(734) 426-2796
1114030
WU, AUDREY H MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1114032
WU, AUDREY H MD
ANN ARBOR 48108
(734) 998-7207
1114036
WU, AUDREY H MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1114044
WU, AUDREY H MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1114018
WU, AUDREY H MD
(734) 647-7321
1114040
WU, AUDREY H MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1074733
WU, AUDREY H MD
ANN ARBOR 48109
(734) 647-7321
1113943
YAMADA, ELINA MD
ANN ARBOR 48108
(734) 647-5871
1113951
YAMADA, ELINA MD
DEXTER 48130
(734) 426-2796
1113935
YAMADA, ELINA MD
ANN ARBOR 48105
(734) 998-7400
1113941
YAMADA, ELINA MD
ANN ARBOR 48108
(734) 998-7207
1113945
YAMADA, ELINA MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1113925
YAMADA, ELINA MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1113949
YAMADA, ELINA MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1020101
YAMADA, ELINA MD
ANN ARBOR 48109
(734) 647-7321
1113947
YAMADA, ELINA MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1113927
YAMADA, ELINA MD
ANN ARBOR 48109
(888) 287-1082
1113931
YAMADA, ELINA MD
YPSILANTI 48198
(734) 482-6221
1113929
YAMADA, ELINA MD
(734) 647-7321
1113939
YAMADA, ELINA MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1113937
YAMADA, ELINA MD
ANN ARBOR 48108
(734) 647-9000
1113953
YAMADA, ELINA MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003

Page 503
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1123071
OSBORNE, NICHOLAS H MD
ANN ARBOR 48109
(888) 287-1082
1114286
WAKEFIELD, THOMAS W MD
ANN ARBOR 48109
(888) 287-1082
CLINICAL GENETICS
1112231
GELEHRTER, THOMAS D MD
24 FRANK FLOYD WRIGHT DR LOBBY C
ANN ARBOR 48105
(734) 647-8906
1077811
HANNIBAL, MARK C MD
ANN ARBOR 48109
(734) 936-4185
1018682
INNIS, JEFFREY W MD
ANN ARBOR 48109
(734) 936-4185
1018674
MARTIN, DONNA M MD
ANN ARBOR 48109
(734) 936-4185
1112866
OMENN, GILBERT S MD
ANN ARBOR 48105
(734) 647-8906
1122980
QUINONEZ, SHANE C MD
ANN ARBOR 48105
(734) 647-8906
1122979
QUINONEZ, SHANE C MD
ANN ARBOR 48109
(734) 936-4185
1113673
STERN, RALPH H MD
DEXTER 48130
(734) 426-2796
1113632
STERN, RALPH H MD
ANN ARBOR 48109
(888) 287-1082
1113647
STERN, RALPH H MD
YPSILANTI 48198
(734) 482-6221
1028221
STERN, RALPH H MD
ANN ARBOR 48105
(734) 647-8906
1113639
STERN, RALPH H MD
(734) 647-7321
1113676
STERN, RALPH H MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1113661
STERN, RALPH H MD
ANN ARBOR 48108
(734) 998-7207
1113670
STERN, RALPH H MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1113635
STERN, RALPH H MD
ANN ARBOR 48109
(734) 647-7321
1113664
STERN, RALPH H MD
400 E EISENHOWER PKWY STE B
ANN ARBOR 48108
(734) 647-5871
1113627
STERN, RALPH H MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1113658
STERN, RALPH H MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1113655
STERN, RALPH H MD
ANN ARBOR 48108
(734) 647-9000
1113653
STERN, RALPH H MD
ANN ARBOR 48105
(734) 998-7400
1113677
STERN, RALPH H MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1113669
STERN, RALPH H MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1045919
THOENE, JESS G MD
ANN ARBOR 48109
(734) 936-4185
1112105
JOHNSON, ABIGAIL R PHD
325 E EISENHOWER STE 300
ANN ARBOR 48108
(734) 936-7052
1112106
JOHNSON, ABIGAIL R PHD
400 E EISENHOWER BLDG 2 STE A
ANN ARBOR 48108
(734) 998-7710
1112387
MINECAN, DANIELA N MD
1500 E MEDICAL CENTER DR 12TH FL C S MOTT ANN ARBOR 48109
(734) 936-8792
1112389
1500 E MEDICAL CENTER DR 4TH FLOOR UNIT
ANN ARBOR 48109
(734) 936-6486
1002200
ANN ARBOR 48109
(734) 936-4185
1112388
1500 E MEDICAL CENTER DR 1ST FL TAUBMAN
ANN ARBOR 48109
(734) 936-9010
DERMATOLOGY
1004112
ANDERSON, THOMAS F MD
ANN ARBOR 48109
(734) 936-4054
1111370
ANDERSON, THOMAS F MD
24 FRANK LLOYD WRIGHT DR LOBBY H STE 2300 ANN ARBOR 48105
(734) 936-4054
1113750
BICHAKJIAN, CHRISTOPHER K MD
1500 E MEDICAL CENTER DR 1ST FL CANCER
ANN ARBOR 48109
(734) 936-6360
1113751
BICHAKJIAN, CHRISTOPHER K MD
ANN ARBOR 48109
(734) 936-4054
1104948
CHA, KELLY B MD
ANN ARBOR 48109
(734) 936-4054
1114268
CHA, KELLY B MD
(734) 936-4054
1114269
CHA, KELLY B MD
ANN ARBOR 48109
(734) 936-6360
1003173
DLUGOSZ, ANDRZEJ A MD
ANN ARBOR 48109
(734) 936-4054
1101322
DO, THY MD
(734) 936-4054

Page 504
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
DERMATOLOGY (CONTINUED)
1110451
DURHAM, ALISON B MD
ANN ARBOR 48109
(734) 936-6360
1110808
ELDER, JAMES T MD
(734) 936-4054
1003461
ELDER, JAMES T MD
ANN ARBOR 48109
(734) 936-4054
1110257
ELLIS, CHARLES N MD
(734) 936-4054
1004111
ELLIS, CHARLES N MD
ANN ARBOR 48109
(734) 936-4054
1123021
GAN, STEPHANIE D MD
ANN ARBOR 48109
(734) 936-4054
1113151
GUDJONSSON, JOHANN E MD
7300 DEXTER ANN ARBOR RD STE 110
DEXTER 48130
(734) 426-2796
1114356
ANN ARBOR 48109
(734) 936-4054
1113150
(734) 936-4054
1075665
HELFRICH, YOLANDA R MD
ANN ARBOR 48109
(734) 936-4054
1110045
HELFRICH, YOLANDA R MD
(734) 936-4054
1080285
JOHNSON, TIMOTHY M MD
ANN ARBOR 48109
(734) 936-6360
1113122
MAIER, LISA E MD
(734) 936-4054
1078218
MAIER, LISA E MD
ANN ARBOR 48109
(734) 936-4054
1111433
MCCLEAN, KELLY L MD
7300 DEXTER ANN ARBOR RD STE 110
DEXTER 48130
(734) 426-2796
1111432
MCCLEAN, KELLY L MD
(734) 936-4054
1042574
MCCLEAN, KELLY L MD
ANN ARBOR 48109
(734) 936-4054
1077068
ORRINGER, JEFFREY S MD
ANN ARBOR 48109
(734) 936-4054
1107968
SACHS, DANA L MD
ANN ARBOR 48109
(734) 936-4054
1113940
SACHS, DANA L MD
(734) 936-4054
1018679
SCHWARTZ, JENNIFER L MD
ANN ARBOR 48109
(734) 936-4054
1112921
SCHWARTZ, JENNIFER L MD
ANN ARBOR 48109
(734) 936-6360
1111256
TEJASVI, TRILOKRAJ MD
ANN ARBOR 48109
(734) 936-4054
1111257
TEJASVI, TRILOKRAJ MD
(734) 936-4054
1004110
VOORHEES, JOHN J MD
ANN ARBOR 48109
(734) 936-4054
1110106
WANG, FRANK MD
ANN ARBOR 48109
(734) 936-4054
1095340
WANG, FRANK MD
(734) 936-4054
DME - P&O
1094443
5333 MCAULEY DR STE 1106
YPSILANTI 48197
(735) 528-2522
1066539
1665 HIGHLAND DRIVE STE D
ANN ARBOR 48108
(734) 973-8144
1122513
3926 VARSITY DR
ANN ARBOR 48108
(734) 327-6588
1001678
MED EQUIP
2705 S INDUSTRIAL HWY
ANN ARBOR 48104
(734) 971-0975
1038546
MITCHELL HOME MEDICAL INC
2770 CARPENTER RD STE 100
ANN ARBOR 48108
(734) 477-0202
1024651
REGIONAL MEDICAL SUPPLY
2880 WASHTENAW AVE
YPSILANTI 48197
(734) 528-1767
1007676
WHEELCHAIR SEATING SERVICES
2850 S INDUSTRIAL HWY STE 200
ANN ARBOR 48104
(877) 868-8889
1025580
3330 WASHTENAW
ANN ARBOR 48104
(734) 975-6800

1028865
ARTS, HENRY A MD
ANN ARBOR 48109
(734) 936-8051
1032249
BAKER, SHAN R MD
ANN ARBOR 48109
(734) 936-8051
1084862
BASURA, GREGORY
1500 E MEDICAL CENTER 1ST FLOOR TAUBMAN ANN ARBOR 48109
(734) 936-8051
1003078
BRADFORD, CAROL R MD
ANN ARBOR 48109
(734) 936-8051
1110122
BRENNER, MICHAEL J MD
ANN ARBOR 48109
(734) 936-8051
1001049
BROWN, DAVID J MD
ANN ARBOR 48109
(734) 936-8051
1075965
EL-KASHLAN, HUSSAM K MD
ANN ARBOR 48109
(734) 936-8051
1125733
GARETZ, SUSAN L MD
1500 E MEDICAL CENTER DR 7TH FL
ANN ARBOR 48109
(734) 936-9068

Page 505
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1125734
GARETZ, SUSAN L MD
24 FRANK LLOYD WRIGHT DR STE 1400
ANN ARBOR 48105
(734) 998-1505
1110332
GARETZ, SUSAN L MD
ANN ARBOR 48109
(734) 936-8051
1085966
GARETZ, SUSAN L MD
1500 E MEDICAL CENTER DR 2ND FL TAUBMAN
ANN ARBOR 48109
(734) 936-5730
1042573
GREEN, GLENN E MD
ANN ARBOR 48109
(734) 936-5730
1112093
HEIDENREICH, KATHERINE D MD
ANN ARBOR 48109
(734) 936-5730
1112092
ANN ARBOR 48109
(734) 936-8051
1077230
HOGIKYAN, NORMAN D MD
ANN ARBOR 48109
(734) 936-8051
1112627
KIM, JENNIFER C MD
ANN ARBOR 48109
(734) 936-8051
1006342
KOOPMANN, CHARLES F MD
ANN ARBOR 48109
(734) 936-5730
1122809
KROEKER, ANDREW D MD
ANN ARBOR 48109
(734) 936-8051
1124740
KUPFER, ROBBI A MD
1500 EAST MEDICAL CENTER DR 1ST FLOOR
ANN ARBOR 48109
(734) 936-8051
1018314
LESPERANCE, MARCI M MD
ANN ARBOR 48109
(734) 936-5730
1094551
MALLOY, KELLY M MD
ANN ARBOR 48109
(734) 936-8051
1032679
MARENTETTE, LAWRENCE J MD
ANN ARBOR 48109
(734) 936-8051
1040290
MCKEAN, ERIN L MD
ANN ARBOR 48109
(734) 936-8051
1011800
MCLEAN, SCOTT A MD PHD
ANN ARBOR 48109
(734) 936-8051
1110471
MOYER, JEFFREY S MD
ANN ARBOR 48109
(734) 936-8051
1110472
MOYER, JEFFREY S MD
ANN ARBOR 48109
(734) 936-5730
1110473
MOYER, JEFFREY S MD
1500 E MEDICAL CENTER DR B1 FL CANCER
ANN ARBOR 48109
(734) 647-8916
1123146
OWUSU, JAMES A MD
ANN ARBOR 48109
(734) 936-8051
1018294
PASSAMANI, PETER P MD
ANN ARBOR 48109
(734) 936-5730
1112870
ANN ARBOR 48109
(734) 936-8051
1040578
PRINCE, MARK E MD
ANN ARBOR 48109
(734) 936-8051
1012464
PYNNONEN, MELISSA A MD
ANN ARBOR 48109
(734) 936-8051
1122026
RYAN, JESSE T MD
1500 E MEDIAL CENTER D 1ST FL TAUBMAN
ANN ARBOR 48109
(734) 936-8051
1117252
SHUMAN, ANDREW G MD
ANN ARBOR 48109
(734) 936-8051
1100491
SPECTOR, MATTHEW E MD
ANN ARBOR 48109
(734) 936-8051
1110039
STANLEY, JEFFREY J MD
ANN ARBOR 48109
(734) 936-8051
1125731
24 FRANK LLOYD WRIGHT DR STE 1400
ANN ARBOR 48105
(734) 998-1505
1125732
ANN ARBOR 48109
(734) 936-9068
1003462
TELIAN, STEVEN A MD
ANN ARBOR 48109
(734) 936-8051
1110476
TERRELL, JEFFREY E MD
ANN ARBOR 48109
(734) 936-8051
1114195
THORNE, MARC C MD
ANN ARBOR 48109
(734) 936-8051
1041272
THORNE, MARC C MD
ANN ARBOR 48109
(734) 936-5730
1113705
ZACHAREK, MARK A MD
ANN ARBOR 48109
(734) 936-8051
1500 E MEDICAL CENTER DR
ANN ARBOR 48109
(734) 936-4000

1003251
REGENTS OF THE U OF M ER

1095537
FMC DIALYSIS SERVICES WEST ANN ARBOR
2355 W STADIUM BLVD
ANN ARBOR 48103
(734) 623-2259
1036853
FRESENIUS MEDICAL CARE ANN ARBOR
5205 MCAULEY DR
YPSILANTI 48197
(866) 434-2597
1095618
UNIVERSITY OF MICHIGAN HEALTH SYSTEM, DIALYSIS A
ANN ARBOR 48104
(734) 677-1490
ENDOCRINOLOGY
1111789
AJLUNI, NEVIN N MD
24 FRANK LLOYD WRIGHT DR LOBBY C STE 1300 ANN ARBOR 48105
(734) 647-5871
1111790
AJLUNI, NEVIN N MD
(734) 998-7400
ANN ARBOR 48105

Page 506
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1111788
AJLUNI, NEVIN N MD
1500 E MEDICAL CENTER DR 3RD FL MED INN
ANN ARBOR 48109
(734) 763-9812
1113158
ARVAN, PETER R MD
ANN ARBOR 48109
(734) 763-9812
1113159
ARVAN, PETER R MD
(734) 647-5871
1091390
AUCHUS, RICHARD J MD
(734) 647-5871
1110402
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1110400
ANN ARBOR 48109
(734) 763-9812
1110401
ANN ARBOR 48105
(734) 998-7400
1043817
BARKAN, ARIEL L MD
ANN ARBOR 48109
(734) 763-9812
1114261
BARKAN, ARIEL L MD
(734) 647-5871
1114260
BARKAN, ARIEL L MD
ANN ARBOR 48109
(734) 936-5020
1113829
BERNAL-MIZRACHI, ERNESTO MD
(734) 647-5871
1094032
BERNAL-MIZRACHI, ERNESTO MD
ANN ARBOR 48109
(734) 763-9812
1043802
BURANT, CHARLES F MD
ANN ARBOR 48109
(734) 763-9812
1111886
BURANT, CHARLES F MD
(734) 647-5871
1111054
BUSUI, RODICA MD
(734) 647-5871
1077063
BUSUI, RODICA MD
ANN ARBOR 48109
(734) 763-9812
1079755
CHOKSI, PALAK U MD
ANN ARBOR 48109
(734) 763-9812
1111481
CHOKSI, PALAK U MD
(734) 647-5871
1110566
CHUN, TAE-HWA MD
(734) 647-5871
1110565
CHUN, TAE-HWA MD
ANN ARBOR 48109
(734) 763-9812
1117613
CLINES, GREGORY A MD
ANN ARBOR 48105
(734) 998-7400
1117612
CLINES, GREGORY A MD
ANN ARBOR 48109
(734) 763-9812
1077064
DIMARAKI, ELENI V MD
ANN ARBOR 48109
(734) 763-9812
1112886
DIMARAKI, ELENI V MD
(734) 647-5871
1112529
DOUYON, LISELLE MD
ANN ARBOR 48109
(734) 763-9812
1019066
DOUYON, LISELLE MD
ANN ARBOR 48109
(734) 763-6295
1112531
DOUYON, LISELLE MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1112530
DOUYON, LISELLE MD
(734) 647-5871
1112257
ELSE, TOBIAS MD
(734) 647-5871
1112255
ELSE, TOBIAS MD
ANN ARBOR 48109
(734) 647-8906
1112256
ELSE, TOBIAS MD
ANN ARBOR 48109
(734) 763-9812
1110741
(734) 647-5871
1110740
ANN ARBOR 48109
(734) 763-9812
1110739
ANN ARBOR 48109
(734) 647-8906
1112567
FRANZESE, JENNIFER R MD
ANN ARBOR 48109
(734) 763-9812
1077058
FRANZESE, JENNIFER R MD
(734) 647-5871
1111216
GIANCHANDANI, ROMA Y MD
ANN ARBOR 48109
(734) 763-6295
1075873
(734) 647-5871
1111217
ANN ARBOR 48109
(734) 763-9812
1078003
GREKIN, ROGER J MD
(734) 647-5871
1112657
GREKIN, ROGER J MD
ANN ARBOR 48109
(734) 763-9812
1079194
HAMMER, GARY D MD
ANN ARBOR 48109
(734) 647-8906
1114171
HAMMER, GARY D MD
(734) 647-5871
1114170
HAMMER, GARY D MD
ANN ARBOR 48109
(734) 763-9812
1114137
HAYMART, MEGAN R MD
(734) 647-5871
1066368
HAYMART, MEGAN R MD
(734) 647-8906
ANN ARBOR 48109

Page 507
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1111396
HERMAN, WILLIAM H MD
(734) 647-5871
1111395
ANN ARBOR 48109
(734) 763-9812
1111397
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1111394
ANN ARBOR 48109
(734) 763-6295
1114141
HODISH, ISRAEL MD
ANN ARBOR 48109
(734) 763-9812
1079171
HODISH, ISRAEL MD
(734) 647-5871
1113641
JAFFE, CRAIG A MD
(734) 647-5871
1018606
JAFFE, CRAIG A MD
ANN ARBOR 48109
(734) 763-9812
1113542
KOENIG, RONALD J MD
(734) 647-5871
1113541
KOENIG, RONALD J MD
ANN ARBOR 48109
(734) 763-9812
1019814
KOENIG, RONALD J MD
ANN ARBOR 48109
(734) 647-8906
1111972
KRAFTSON, ANDREW T MD
ANN ARBOR 48109
(734) 763-9812
1091391
KRAFTSON, ANDREW T MD
(734) 647-5871
1019073
KUMAGAI, ARNO K MD
ANN ARBOR 48109
(734) 763-9812
1113749
KUMAGAI, ARNO K MD
(734) 647-5871
1110282
LASH, ROBERT W MD
ANN ARBOR 48109
(734) 763-9812
1019815
LASH, ROBERT W MD
ANN ARBOR 48109
(734) 763-6295
1110283
LASH, ROBERT W MD
(734) 647-5871
1114639
LIN, VIVIAN H MD
ANN ARBOR 48109
(734) 763-9812
1114640
LIN, VIVIAN H MD
(734) 647-5871
1111959
ORAL, ELIF MD
(734) 647-5871
1017691
ORAL, ELIF MD
ANN ARBOR 48109
(734) 763-9812
1111960
ORAL, ELIF MD
ANN ARBOR 48105
(734) 998-7400
1111896
PAPALEONTIOU, MARIA MD
(734) 647-5871
1111895
PAPALEONTIOU, MARIA MD
ANN ARBOR 48109
(734) 763-9812
1110720
PEK, SUMER MD
(734) 647-5871
1019075
PEK, SUMER MD
ANN ARBOR 48109
(734) 763-9812
1085436
ROTHBERG, AMY E MD
ANN ARBOR 48109
(734) 763-9812
1112820
ROTHBERG, AMY E MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1112821
ROTHBERG, AMY E MD
(734) 647-5871
1111356
SMITH, TERRY J MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1111357
SMITH, TERRY J MD
ANN ARBOR 48109
(734) 763-9142
1111358
SMITH, TERRY J MD
(734) 647-5871
1122910
SOLEIMANPOUR, ARASH S MD
ANN ARBOR 48105
(734) 998-7400
1122909
(734) 647-5871
1122908
ANN ARBOR 48109
(734) 763-9812
1122835
TURCU, ADINA F MD
ANN ARBOR 48109
(734) 647-8906
1122837
TURCU, ADINA F MD
(734) 647-5871
1122838
TURCU, ADINA F MD
ANN ARBOR 48105
(734) 998-7400
1122836
TURCU, ADINA F MD
ANN ARBOR 48109
(734) 763-9812
1122839
TURCU, ADINA F MD
700 WOODLAND DR E
SALINE 48176
(734) 429-2302
1111860
WYCKOFF, JENNIFER A MD
ANN ARBOR 48109
(734) 763-9812
1077711
WYCKOFF, JENNIFER A MD
(734) 647-5871
4260 PLYMOUTH RD
(734) 647-5670
GASTROENTEROLOGY
1052621
ALDRICH, LESLIE B MD
ANN ARBOR 48109

Page 508
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1114255
ANN ARBOR 48109
(734) 647-5944
1114259
DEXTER 48130
(888) 229-7408
1114258
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1092950
ANDERSON, MICHELLE A MD
ANN ARBOR 48109
(734) 647-5944
1111428
1500 E MEDICAL CENTER DR 2ND FL
ANN ARBOR 48109
(734) 936-9250
1111429
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1113059
ASKARI, FREDERICK K MD
ANN ARBOR 48109
(734) 647-5944
1113060
ANN ARBOR 48109
(734) 936-9250
1113061
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1113062
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1002197
ANN ARBOR 48109
(734) 647-5944
1123927
BARBISH, ALLAN W MD
1500 E MEDICAL CENTER DR 2ND FLOOR
ANN ARBOR 48109
(734) 936-9250
1123928
BARBISH, ALLAN W MD
ANN ARBOR 48109
(734) 647-5944
1123931
BARBISH, ALLAN W MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1113273
BEDI, AARTI O MD
ANN ARBOR 48109
(734) 936-9250
1113274
BEDI, AARTI O MD
ANN ARBOR 48109
(734) 647-5944
1113277
BEDI, AARTI O MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1112233
CARETHERS, JOHN M MD
ANN ARBOR 48109
(734) 936-9250
1112234
ANN ARBOR 48109
(734) 647-5944
1112235
24 FRANK LLOYD WRIGHT DRIVE LOBBY C
ANN ARBOR 48105
(734) 647-8906
1112236
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1113757
CHEN, JOAN W MD
ANN ARBOR 48109
(734) 936-9250
1109133
CHEN, JOAN W MD
ANN ARBOR 48109
(734) 647-5944
1113761
CHEN, JOAN W MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1004584
CHEY, WILLIAM D MD
ANN ARBOR 48109
(734) 647-5944
1112073
CHEY, WILLIAM D MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1112072
CHEY, WILLIAM D MD
ANN ARBOR 48109
(734) 936-9250
1114585
CONJEEVARAM, HARI S MD
ANN ARBOR 48109
(734) 936-9250
1114587
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1114584
ANN ARBOR 48109
(734) 647-5944
1114586
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1001344
ANN ARBOR 48109
(734) 647-5944
1111714
DANG, NGOC-DUYEN T MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1111712
ANN ARBOR 48109
(734) 647-5944
1111715
DEXTER 48130
(888) 229-7408
1111711
ANN ARBOR 48109
(734) 936-9250
1110063
DEL VALLE, JOHN MD
ANN ARBOR 48109
(734) 936-9250
1030103
DEL VALLE, JOHN MD
ANN ARBOR 48109
(734) 647-5944
1110064
DEL VALLE, JOHN MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1113207
DIMAGNO, MATTHEW J MD
ANN ARBOR 48109
(734) 647-5944
1114591
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1113208
ANN ARBOR 48108
(734) 647-9000
1113206
ANN ARBOR 48109
(734) 936-9250
1111215
ELTA, GRACE H MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1003348
ELTA, GRACE H MD
ANN ARBOR 48109
(734) 647-5944
1006099
ELTA, GRACE H MD
ANN ARBOR 48109
(734) 936-9250

Page 509
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1083466
ESWARAN, SHANTI L MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1110454
ANN ARBOR 48109
(734) 936-9250
1110458
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1110455
ANN ARBOR 48109
(734) 647-5944
1112332
FISHER, LAUREL R MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1112330
FISHER, LAUREL R MD
ANN ARBOR 48109
(734) 936-9250
1019081
FISHER, LAUREL R MD
ANN ARBOR 48109
(734) 647-5944
1113145
FONTANA, ROBERT J MD
ANN ARBOR 48109
(734) 647-5944
1005880
ANN ARBOR 48109
(734) 647-5944
1113147
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1113146
ANN ARBOR 48109
(734) 936-9250
1123629
GLASS, LISA M MD
ANN ARBOR 48109
(734) 936-9250
1123630
GLASS, LISA M MD
ANN ARBOR 48109
(734) 647-5944
1123633
GLASS, LISA M MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1123092
GOVANI, SHAIL M MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1123091
GOVANI, SHAIL M MD
ANN ARBOR 48109
(734) 647-5944
1123090
GOVANI, SHAIL M MD
ANN ARBOR 48109
(734) 936-9250
1018610
HASLER, WILLIAM L MD
ANN ARBOR 48109
(734) 647-5944
1111499
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1111496
ANN ARBOR 48109
(734) 936-9250
1111950
HIATT, TADD K MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1111949
HIATT, TADD K MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1111951
HIATT, TADD K MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1111946
HIATT, TADD K MD
ANN ARBOR 48109
(734) 936-9250
1094243
HIATT, TADD K MD
ANN ARBOR 48109
(734) 647-5944
1095289
HIGGINS, PETER D MD
ANN ARBOR 48109
(734) 647-5944
1112277
HIGGINS, PETER D MD
ANN ARBOR 48109
(734) 936-9250
1112278
HIGGINS, PETER D MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1113572
KAO, JOHN Y MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1043868
KAO, JOHN Y MD
ANN ARBOR 48109
(734) 647-5944
1113567
KAO, JOHN Y MD
ANN ARBOR 48109
(734) 936-9250
1123810
KIM, ALBERT C MD
ANN ARBOR 48109
(734) 647-5944
1123809
KIM, ALBERT C MD
ANN ARBOR 48109
(734) 936-9250
1123813
KIM, ALBERT C MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1111904
KOLARS, JOSEPH C MD
ANN ARBOR 48109
(734) 647-5944
1111905
KOLARS, JOSEPH C MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1111906
KOLARS, JOSEPH C MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1111907
KOLARS, JOSEPH C MD
DEXTER 48130
(888) 229-7408
1111459
KWON, HELLAN K MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1061310
KWON, HELLAN K MD
ANN ARBOR 48109
(734) 647-5944
1111457
KWON, HELLAN K MD
ANN ARBOR 48109
(734) 647-5944
1111458
KWON, HELLAN K MD
ANN ARBOR 48109
(734) 936-9250
1113843
KWON, RICHARD S MD
ANN ARBOR 48109
(734) 936-9250
1019183
KWON, RICHARD S MD
ANN ARBOR 48109
(734) 647-5944
1113842
KWON, RICHARD S MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1122984
LAPP, ROBERT T MD
ANN ARBOR 48109
(734) 936-9250

Page 510
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1122988
LAPP, ROBERT T MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1122985
LAPP, ROBERT T MD
ANN ARBOR 48109
(734) 647-5944
1093609
LOK, ANNA S MD
ANN ARBOR 48109
(734) 647-5944
1110084
LOK, ANNA S MD
ANN ARBOR 48109
(734) 647-5944
1110085
LOK, ANNA S MD
ANN ARBOR 48109
(734) 936-9250
1112143
MANOOGIAN, BETH R MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1112141
ANN ARBOR 48109
(734) 647-5944
1112140
ANN ARBOR 48109
(734) 936-9250
1112144
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1123163
MCCARTHY, SEAN T MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1123160
MCCARTHY, SEAN T MD
ANN ARBOR 48109
(734) 647-5944
1123159
MCCARTHY, SEAN T MD
ANN ARBOR 48109
(734) 936-9250
1112166
MENEES, STACY B MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1112163
MENEES, STACY B MD
ANN ARBOR 48109
(734) 936-9250
1077253
MENEES, STACY B MD
ANN ARBOR 48109
(734) 647-5944
1112167
MENEES, STACY B MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1110742
MERCHANT, JUANITA L MD
ANN ARBOR 48109
(734) 936-9250
1110968
MUZA-MOONS, MICHELLE M MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1110966
ANN ARBOR 48109
(734) 936-9250
1110967
ANN ARBOR 48109
(734) 647-5944
1103872
NGUYEN, DIANE MD
ANN ARBOR 48109
(734) 647-5944
1112755
NGUYEN, DIANE MD
ANN ARBOR 48108
(734) 647-9000
1112754
NGUYEN, DIANE MD
ANN ARBOR 48109
(734) 936-9250
1112756
NGUYEN, DIANE MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1112669
NOSTRANT, TIMOTHY T MD
ANN ARBOR 48109
(734) 936-9250
1112671
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1012655
ANN ARBOR 48109
(734) 647-5944
1093780
OWYANG, CHUNG MD
ANN ARBOR 48109
(734) 647-5944
1110190
OWYANG, CHUNG MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1110189
OWYANG, CHUNG MD
ANN ARBOR 48109
(734) 936-9250
1112987
PARIKH, NEEHAR MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1112984
PARIKH, NEEHAR MD
ANN ARBOR 48109
(734) 936-9250
1112985
PARIKH, NEEHAR MD
ANN ARBOR 48109
(734) 647-5944
1112986
PARIKH, NEEHAR MD
1500 E MEDICAL CENTER DR LEVEL B1
ANN ARBOR 48109
(734) 647-8902
1112983
PARIKH, NEEHAR MD
ANN ARBOR 48109
(734) 647-5944
1111196
PATEL, SWATI G MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1111194
PATEL, SWATI G MD
ANN ARBOR 48109
(734) 936-9250
1111195
PATEL, SWATI G MD
ANN ARBOR 48109
(734) 647-5944
1111197
PATEL, SWATI G MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1122762
PRABHU, ANOOP MD
ANN ARBOR 48109
(734) 936-9250
1122763
PRABHU, ANOOP MD
ANN ARBOR 48109
(734) 647-5944
1122766
PRABHU, ANOOP MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1099920
PUNGLIA, DARASHANA R MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1113828
ANN ARBOR 48109
(734) 936-9250
1113830
ANN ARBOR 48109
(734) 647-5944
1113837
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670

Page 511
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1113284
RAKOSKI, MINA K MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1113283
RAKOSKI, MINA K MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1113279
RAKOSKI, MINA K MD
ANN ARBOR 48109
(734) 936-9250
1113280
RAKOSKI, MINA K MD
ANN ARBOR 48109
(734) 647-5944
1113278
RAKOSKI, MINA K MD
ANN ARBOR 48109
(734) 647-5944
1110621
RHIM, ANDREW D MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1110620
RHIM, ANDREW D MD
ANN ARBOR 48109
(734) 936-9250
1108306
RHIM, ANDREW D MD
ANN ARBOR 48109
(734) 647-5944
1112888
RICE, MICHAEL D MD
ANN ARBOR 48109
(734) 936-9250
1112890
RICE, MICHAEL D MD
ANN ARBOR 48108
(734) 647-9000
1112887
RICE, MICHAEL D MD
ANN ARBOR 48109
(734) 647-5944
1112891
RICE, MICHAEL D MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1076388
RICE, MICHAEL D MD
ANN ARBOR 48109
(734) 647-5944
1112622
RIZK, RAFAT S MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1112620
RIZK, RAFAT S MD
ANN ARBOR 48109
(734) 647-5944
1112619
RIZK, RAFAT S MD
ANN ARBOR 48109
(734) 936-9250
1082964
RIZK, RAFAT S MD
ANN ARBOR 48108
(734) 647-9000
1111288
RUBENSTEIN, JOEL H MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1111287
ANN ARBOR 48109
(734) 936-9250
1078339
ANN ARBOR 48109
(734) 647-5944
1030104
SAAD, RICHARD J MD
ANN ARBOR 48109
(734) 647-5944
1111804
SAAD, RICHARD J MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1111805
SAAD, RICHARD J MD
DEXTER 48130
(888) 229-7408
1111803
SAAD, RICHARD J MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1111802
SAAD, RICHARD J MD
ANN ARBOR 48109
(734) 936-9250
1110023
SAINI, SAMEER D MD
ANN ARBOR 48109
(734) 647-5944
1110024
SAINI, SAMEER D MD
ANN ARBOR 48109
(734) 936-9250
1110025
SAINI, SAMEER D MD
ANN ARBOR 48109
(734) 647-5944
1110026
SAINI, SAMEER D MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1005917
SCHEIMAN, JAMES M MD
ANN ARBOR 48109
(734) 647-5944
1110287
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1110286
ANN ARBOR 48109
(734) 936-9250
1114670
SCHOENFELD, PHILIP S MD
ANN ARBOR 48109
(734) 936-9250
1114671
ANN ARBOR 48109
(734) 647-5944
1114672
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1114673
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1113118
SHARMA, PRATIMA MD
ANN ARBOR 48109
(734) 936-9250
1113119
SHARMA, PRATIMA MD
ANN ARBOR 48109
(734) 647-5944
1113121
SHARMA, PRATIMA MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1113117
SHARMA, PRATIMA MD
ANN ARBOR 48109
(734) 647-5944
1122867
SHETH, NEIL M MD
ANN ARBOR 48109
(734) 647-5944
1122870
SHETH, NEIL M MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1122866
SHETH, NEIL M MD
ANN ARBOR 48109
(734) 936-9250
1110460
SPELIOTES, ELIZABETH K MD
ANN ARBOR 48109
(734) 647-5944
1110459
ANN ARBOR 48109
(734) 936-9250
1110461
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000

Page 512
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1112001
STIDHAM, RYAN W MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1111999
STIDHAM, RYAN W MD
ANN ARBOR 48109
(734) 936-9250
1076389
STIDHAM, RYAN W MD
ANN ARBOR 48109
(734) 647-5944
1112002
STIDHAM, RYAN W MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1103721
STOFFEL, ELENA M MD
ANN ARBOR 48109
(734) 647-5944
1112484
STOFFEL, ELENA M MD
ANN ARBOR 48109
(734) 936-9250
1112485
STOFFEL, ELENA M MD
24 FRANK LLOYD WRIGHT DR LOBBY C
ANN ARBOR 48105
(734) 647-8906
1112486
STOFFEL, ELENA M MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1111641
SU, GRACE L MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1111640
SU, GRACE L MD
ANN ARBOR 48109
(734) 936-9250
1002184
SU, GRACE L MD
ANN ARBOR 48109
(734) 647-5944
1111639
SU, GRACE L MD
ANN ARBOR 48109
(734) 647-5944
1113496
TAI, ANDREW W MD
ANN ARBOR 48109
(734) 647-8902
1113494
TAI, ANDREW W MD
ANN ARBOR 48109
(734) 936-9250
1113495
TAI, ANDREW W MD
ANN ARBOR 48109
(734) 647-5944
1113498
TAI, ANDREW W MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1113499
TAI, ANDREW W MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1110284
TAKAMI, MIMI S MD
ANN ARBOR 48109
(734) 936-9250
1110285
TAKAMI, MIMI S MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1018601
TAKAMI, MIMI S MD
ANN ARBOR 48109
(734) 647-5944
1111174
TODISCO, ANDREA MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1111172
TODISCO, ANDREA MD
ANN ARBOR 48109
(734) 936-9250
1020103
TODISCO, ANDREA MD
ANN ARBOR 48109
(734) 647-5944
1079446
TURGEON, DANIELLE K MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1110800
ANN ARBOR 48109
(734) 647-8902
1110799
ANN ARBOR 48109
(734) 647-5944
1110802
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1110803
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1110798
ANN ARBOR 48109
(734) 936-9250
1113001
VOLK, MICHAEL L MD
ANN ARBOR 48109
(734) 647-5944
1113002
VOLK, MICHAEL L MD
ANN ARBOR 48109
(734) 936-9250
1113003
VOLK, MICHAEL L MD
ANN ARBOR 48109
(734) 647-5944
1113004
VOLK, MICHAEL L MD
ANN ARBOR 48109
(734) 647-8902
1113006
VOLK, MICHAEL L MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1075657
VOLK, MICHAEL L MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1113555
WALJEE, AKBAR K MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1113558
WALJEE, AKBAR K MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000
1113553
WALJEE, AKBAR K MD
ANN ARBOR 48109
(734) 647-5944
1113552
WALJEE, AKBAR K MD
ANN ARBOR 48109
(734) 936-9250
1111139
WAMSTEKER, ERIK-JAN MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1111137
ANN ARBOR 48109
(734) 936-9250
1079761
ANN ARBOR 48109
(734) 647-5944
1114691
WANG, THOMAS D MD
ANN ARBOR 48109
(734) 936-9250
1102500
WANG, THOMAS D MD
ANN ARBOR 48109
(734) 647-5944
1114692
WANG, THOMAS D MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1114693
WANG, THOMAS D MD
4270 PLYMOUTH RD
ANN ARBOR 48109
(734) 232-3000

Page 513
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1110744
WILEY, JOHN W MD
ANN ARBOR 48108
(734) 647-9000
1110745
WILEY, JOHN W MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1018599
WILEY, JOHN W MD
ANN ARBOR 48109
(734) 647-5944
1110743
WILEY, JOHN W MD
ANN ARBOR 48109
(734) 936-9250
GENERAL SURGERY
1100775
ALAM, HASAN B MD
ANN ARBOR 48109
(734) 936-5738
1091972
BENSENHAVER, JESSICA M MD
ANN ARBOR 48109
(734) 936-6000
1113286
BENSENHAVER, JESSICA M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 936-6000
1111181
BERGER, JONATHAN C MD
ANN ARBOR 48109
(734) 936-6000
1111184
ANN ARBOR 48109
(734) 936-7491
1111185
ANN ARBOR 48109
(734) 647-8902
1111182
ANN ARBOR 48109
(734) 936-4210
1111183
ANN ARBOR 48109
(734) 936-5738
1111186
24 FRANK LLOYD WRIGHT DR LOBBY A
ANN ARBOR 48105
(734) 936-5738
1124581
BROWN, LAURA R MD
ANN ARBOR 48109
(734) 936-5738
1009155
BRUCH, STEVEN W MD
1500 E MEDICAL CENTER DR 4TH FLOOR CS
ANN ARBOR 48109
(734) 764-4151
1001215
BURNEY, RICHARD E MD
ANN ARBOR 48109
(734) 936-5738
1000474
CHANG, ALFRED E MD
ANN ARBOR 48109
(734) 647-8902
1095290
CHERRY-BUKOWIEC, JILL R MD
ANN ARBOR 48109
(734) 936-5738
1091511
COHEN, MARK S MD
ANN ARBOR 48109
(734) 647-8902
1112559
COHEN, MARK S MD
ANN ARBOR 48109
(734) 936-5738
1112013
COLLETTI, LISA M MD
ANN ARBOR 48109
(734) 936-6000
1018633
COLLETTI, LISA M MD
ANN ARBOR 48109
(734) 936-5738
1122847
COTTON, TRAVIS M MD
ANN ARBOR 48109
(734) 647-8902
1122846
COTTON, TRAVIS M MD
ANN ARBOR 48109
(734) 936-5738
1123953
DELANO, MATTHEW J MD
ANN ARBOR 48109
(734) 936-5738
1092187
DIMICK, JUSTIN B MD
ANN ARBOR 48105
(734) 936-5738
1102703
ENGLESBE, MICHAEL J MD
ANN ARBOR 48109
(734) 936-5738
1113587
ENGLESBE, MICHAEL J MD
ANN ARBOR 48109
(734) 936-7491
1111071
FINKS, JONATHAN F MD
ANN ARBOR 48109
(734) 936-5738
1079756
ANN ARBOR 48105
(734) 936-3604
1111072
ANN ARBOR 48105
(734) 936-5738
1122997
FRIEND, KARA E MD
ANN ARBOR 48109
(734) 936-6000
1122998
FRIEND, KARA E MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 936-6000
1123037
FRITZE, DANIELLE MD
ANN ARBOR 48105
(734) 936-5738
1123036
FRITZE, DANIELLE MD
1500 E MEDICAL CENTER DR CS MOTT
ANN ARBOR 48109
(734) 936-4185
1123035
FRITZE, DANIELLE MD
ANN ARBOR 48109
(734) 647-8902
1123033
FRITZE, DANIELLE MD
ANN ARBOR 48109
(734) 936-6000
1123034
FRITZE, DANIELLE MD
ANN ARBOR 48109
(800) 333-9013
1113993
GAUGER, PAUL G MD
ANN ARBOR 48109
(734) 936-6000
1000480
GAUGER, PAUL G MD
ANN ARBOR 48109
(734) 936-5738
1113713
GHAFERI, AMIR A MD
ANN ARBOR 48109
(734) 936-5738
1113714
GHAFERI, AMIR A MD
ANN ARBOR 48105
(734) 936-5738
1078805
HARDIMAN, KARIN M MD
ANN ARBOR 48109
(734) 936-5738
1044390
HEMMILA, MARK R MD
ANN ARBOR 48109
(734) 936-5738

Page 514
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1111616
HENDREN, SAMANTHA K MD
ANN ARBOR 48109
(734) 936-5738
1111408
HINSHAW, DANIEL B MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1112467
HUGHES, DAVID T MD
ANN ARBOR 48109
(734) 936-5738
1058612
HUGHES, DAVID T MD
ANN ARBOR 48109
(734) 647-8902
1124632
JERUSS, JACQUELINE S MD
ANN ARBOR 48109
(734) 936-6000
1124633
JERUSS, JACQUELINE S MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 936-6000
1002189
KNOL, JAMES A MD
ANN ARBOR 48109
(734) 936-5738
1111962
KNOL, JAMES A MD
ANN ARBOR 48109
(734) 936-6000
1076453
MACHADO-ARANDA, DAVID A MD
ANN ARBOR 48109
(734) 936-5738
1110051
MAGEE, JOHN C MD
ANN ARBOR 48105
(734) 936-5738
1110050
MAGEE, JOHN C MD
ANN ARBOR 48109
(734) 936-7491
1110049
MAGEE, JOHN C MD
ANN ARBOR 48109
(734) 936-5738
1110048
MAGEE, JOHN C MD
ANN ARBOR 48109
(734) 936-4210
1004079
MAGEE, JOHN C MD
ANN ARBOR 48109
(734) 647-8902
1110047
MAGEE, JOHN C MD
ANN ARBOR 48109
(734) 936-6000
1111648
MERION, ROBERT M MD
ANN ARBOR 48109
(734) 936-7491
1004830
MERION, ROBERT M MD
ANN ARBOR 48109
(734) 936-5738
1111561
MILLER, BARBRA S MD
ANN ARBOR 48109
(734) 936-6000
1111562
MILLER, BARBRA S MD
ANN ARBOR 48109
(734) 936-5738
1112132
MINTER, REBECCA M MD
ANN ARBOR 48109
(734) 936-5738
1112133
MINTER, REBECCA M MD
ANN ARBOR 48105
(734) 936-3604
1096435
MORRIS, ARDEN M MD
ANN ARBOR 48109
(734) 936-5738
1110170
MORRIS, ARDEN M MD
ANN ARBOR 48109
(734) 936-6000
1003283
MULHOLLAND, MICHAEL W MD
ANN ARBOR 48109
(734) 936-5738
1112974
MULHOLLAND, MICHAEL W MD
ANN ARBOR 48105
(734) 936-3604
1113358
NAPOLITANO, LENA M MD
ANN ARBOR 48109
(734) 936-5738
1123047
NATHAN, HARI MD
ANN ARBOR 48109
(734) 936-5738
1123048
NATHAN, HARI MD
ANN ARBOR 48109
(734) 647-8902
1111075
NEWMAN, ERIKA A MD
YPSILANTI 48197
(734) 712-5523
1040792
NEWMAN, LISA A MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 936-6000
1111486
O'ROURKE, ROBERT W MD
ANN ARBOR 48105
(734) 936-3604
1111485
ANN ARBOR 48105
(734) 936-5738
1111484
ANN ARBOR 48109
(734) 936-5738
1030674
PARK, PAULINE K MD
ANN ARBOR 48109
(734) 936-5738
1111437
POLLEY, THEODORE Z MD
ANN ARBOR 48109
(734) 764-4151
1111438
POLLEY, THEODORE Z MD
YPSILANTI 48197
(734) 712-5523
1003893
PUNCH, JEFFREY D MD
ANN ARBOR 48109
(734) 647-8902
1110594
PUNCH, JEFFREY D MD
ANN ARBOR 48109
(734) 936-4210
1110596
PUNCH, JEFFREY D MD
ANN ARBOR 48109
(734) 936-7491
1110597
PUNCH, JEFFREY D MD
ANN ARBOR 48105
(734) 936-5738
1110595
PUNCH, JEFFREY D MD
ANN ARBOR 48109
(734) 936-5738
1110593
PUNCH, JEFFREY D MD
ANN ARBOR 48109
(734) 936-6000
1079570
RAGHAVENDRAN, KRISHNAN MD
ANN ARBOR 48109
(734) 936-5738
1114161
REGENBOGEN, SCOTT E MD
ANN ARBOR 48109
(734) 936-5738
1075673
SABEL, MICHAEL S MD
ANN ARBOR 48109
(734) 936-6000
1001216
SIMEONE, DIANE M MD
ANN ARBOR 48109
(734) 936-5738

Page 515
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1110959
SIMEONE, DIANE M MD
ANN ARBOR 48109
(734) 936-6000
1046373
SONNENDAY, CHRISTOPHER J MD
ANN ARBOR 48109
(734) 936-4210
1112773
ANN ARBOR 48109
(734) 936-7491
1112772
ANN ARBOR 48109
(734) 936-5738
1078486
SUNG, RANDALL S MD
ANN ARBOR 48109
(734) 647-8902
1113066
SUNG, RANDALL S MD
ANN ARBOR 48109
(734) 936-7491
1113067
SUNG, RANDALL S MD
ANN ARBOR 48105
(734) 936-5738
1113064
SUNG, RANDALL S MD
ANN ARBOR 48109
(734) 936-4210
1113063
SUNG, RANDALL S MD
ANN ARBOR 48109
(734) 936-6000
1113065
SUNG, RANDALL S MD
ANN ARBOR 48109
(734) 936-5738
1100493
TO, KATHLEEN B MD
ANN ARBOR 48109
(734) 936-5738
1111413
VARBAN, OLIVER A MD
ANN ARBOR 48109
(734) 936-6000
1111415
VARBAN, OLIVER A MD
ANN ARBOR 48105
(734) 936-3604
1111414
VARBAN, OLIVER A MD
ANN ARBOR 48105
(734) 936-5738
1075961
VARBAN, OLIVER A MD
ANN ARBOR 48109
(734) 936-5738
1042426
WANG, STEWART C MD
ANN ARBOR 48109
(734) 936-5738
1113044
WARNER, SUSANNE G MD
ANN ARBOR 48109
(734) 936-5738
1113045
WARNER, SUSANNE G MD
ANN ARBOR 48109
(734) 647-8902
1110120
WELLING, THEODORE H MD
ANN ARBOR 48109
(734) 936-7491
1110119
ANN ARBOR 48109
(734) 936-5738
1101178
ANN ARBOR 48109
(734) 936-4210
1068557
WONG, SANDRA L MD
ANN ARBOR 48109
(734) 647-8902
1126745
ANN ARBOR 48109
(734) 936-4280
1126748
ANN ARBOR 48109
(734) 936-4185
1126747
ANN ARBOR 48109
(734) 936-5900
1126749
ANN ARBOR 48105
(734) 936-5738
ANN ARBOR 48105
(734) 647-8906
GENETICS
1028221
STERN, RALPH H MD
GERIATRICS
1125857
DIVINEY CHUN, ERIN M MD
ANN ARBOR 48109
(734) 764-6831
1125861
ANN ARBOR 48105
(734) 975-2600
1125859
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1123769
NAFIU, IQUO O MB BS
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1123766
NAFIU, IQUO O MB BS
ANN ARBOR 48109
(734) 936-9760
1123767
NAFIU, IQUO O MB BS
(734) 936-5900
1123768
NAFIU, IQUO O MB BS
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1122911
NWAGWU, CHINOMSO V MBBS
1200 EARHART RD
ANN ARBOR 48105
(734) 769-0177
1122913
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1122912
355 HURON VIEW BLVD
ANN ARBOR 48103
(734) 887-8700
1122914
ANN ARBOR 48105
(734) 975-2600
GYN ONCOLOGY
1111832
JOHNSTON, CAROLYN M MD
5301 E HURON RIVER DR STE 208
YPSILANTI 48197
(734) 712-2005
1003743
ANN ARBOR 48109
(734) 647-8906
1113095
LIU, J REBECCA R MD
YPSILANTI 48197
(734) 712-2005

Page 516
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
GYN ONCOLOGY (CONTINUED)
1113094
LIU, J REBECCA R MD
ANN ARBOR 48109
(734) 647-8906
1111609
MCLEAN, KAREN MD
ANN ARBOR 48109
(734) 647-8906
1111610
MCLEAN, KAREN MD
YPSILANTI 48197
(734) 712-2005
1114651
REYNOLDS, R KEVIN K MD
YPSILANTI 48197
(734) 712-2005
1005656
ANN ARBOR 48109
(734) 647-8906

1065855
4025 CARPENTR RD STE 6B
YPSILANTI 48197
(734) 477-9907
1083200
HEAR USA
1171 S MAIN ST UNIT 4
CHELSEA 48118
(734) 327-7294
1083189
HEAR USA
2900 S STATE ST STE R6
ANN ARBOR 48104
(734) 663-2915
1049278
AHMED, ASRA Z MD
ANN ARBOR 48109
(734) 647-8901
1075521
BIXBY, DALE L MD
ANN ARBOR 48109
(734) 647-8901
1004042
BOCKENSTEDT, PAULA L MD
ANN ARBOR 48109
(734) 647-8901
1122784
BURKE, PATRICK W MD
ANN ARBOR 48109
(734) 647-8901
1113199
CHIANG, MARK Y MD
ANN ARBOR 48109
(734) 647-8901
1109594
COLE, CRAIG E MD
ANN ARBOR 48109
(734) 647-8901
1077475
COURIEL, DANIEL R MD
ANN ARBOR 48109
(734) 936-9814
1110954
GINSBURG, DAVID MD
ANN ARBOR 48105
(734) 647-8906
1018671
GITLIN, SCOTT D MD
ANN ARBOR 48109
(734) 647-8901
1075967
GOLDSTEIN, STEVEN C MD
ANN ARBOR 48109
(734) 936-9814
1113551
KHORIATY, RAMI N MD
ANN ARBOR 48109
(734) 647-8901
1075971
KUJAWSKI, LISA A MD
ANN ARBOR 48109
(734) 647-8901
1079933
LEBOVIC, DANIEL MD
ANN ARBOR 48109
(734) 647-8901
1075972
MAGENAU, JOHN M MD
ANN ARBOR 48109
(734) 936-9814
1075664
MALEK, SAMI N MD
ANN ARBOR 48109
(734) 647-8901
1040790
MALINOFF, HERBERT L MD
ANN ARBOR 48108
(734) 763-5459
1123026
MORIKAWA, AKI MD
ANN ARBOR 48109
(734) 936-6000
1113161
NGUYEN, HUONG T MD
ANN ARBOR 48109
(734) 647-8901
1123164
PALMBOS, PHILLIP L MD
ANN ARBOR 48109
(734) 647-8903
1112502
PARKIN, BRIAN L MD
ANN ARBOR 48109
(734) 647-8901
1077225
PAWARODE, ATTSPHOL MD
ANN ARBOR 48109
(734) 936-9814
1112510
PHILLIPS, TYCEL J MD
ANN ARBOR 48109
(734) 647-8901
1118457
QUIERY, ALBERT T MD
ANN ARBOR 48109
(734) 647-8901
1044942
SILVER, SAMUEL M MD
ANN ARBOR 48109
(734) 647-8901
1079205
SOOD, SUMAN L MD
ANN ARBOR 48109
(734) 647-8901
1077705
WILCOX, RYAN A MD
ANN ARBOR 48109
(734) 647-8901
1113050
WILCOX, RYAN A MD
ANN ARBOR 48109
(734) 647-8906
1017986
WORDEN, FRANCIS P MD
ANN ARBOR 48109
(734) 647-8902
HOME HEALTH CARE

1127916
GRACE HOME HEALTHCARE INC
1993 WHITTAKER RD
YPSILANTI 48197
(734) 544-3300
1037539
SHARED SERVICES HHC
1601 BRIARWOOD CIRCLE STE 475
ANN ARBOR 48108
(734) 222-4037
1033943
U OF M MICHIGAN VISITING CARE
2850 S INDUSTRIAL HIGHWAY STE 75
ANN ARBOR 48104
(800) 822-7298
1033942
U OF M MICHIGAN VISITING NURSE ASSO
ANN ARBOR 48104
(800) 822-7298

Page 517
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
INFECTIOUS DISEASES
1112390
BRADLEY, SUZANNE F MD
ANN ARBOR 48109
(734) 764-6831
1003607
BRADLEY, SUZANNE F MD
ANN ARBOR 48109
(734) 647-5899
1001352
CHENOWETH, CAROL E MD
ANN ARBOR 48109
(734) 647-5899
1030107
CINTI, SANDRO K MD
ANN ARBOR 48109
(734) 647-5899
1004416
ENGLEBERG, NIELS C MD
ANN ARBOR 48109
(734) 647-5899
1042577
GANDHI, TEJAL N MD
ANN ARBOR 48109
(734) 647-5899
1102521
GREGG, KEVIN S MD
ANN ARBOR 48109
(734) 647-5899
1114231
KAPLAN, MARK H MD
ANN ARBOR 48109
(734) 647-5899
1019069
KAUFFMAN, CAROL A MD
ANN ARBOR 48109
(734) 647-5899
1067465
KAUL, DANIEL R MD
ANN ARBOR 48109
(734) 647-5899
1064817
KAZANJIAN, POWEL H MD
ANN ARBOR 48109
(734) 647-5899
1110982
LAURING, ADAM S MD
ANN ARBOR 48109
(734) 647-5899
1005255
MALANI, PREETI N MD
ANN ARBOR 48109
(734) 647-5899
1112951
MARKOVITZ, DAVID M MD
ANN ARBOR 48109
(734) 647-5899
1111655
MICELI, MARISA H MD
ANN ARBOR 48109
(734) 647-5899
1113575
MILLER, DAVID J MD
ANN ARBOR 48109
(734) 647-5899
1112362
RAO, KRISHNA MD
ANN ARBOR 48109
(734) 647-5899
1040685
RIDDELL, JAMES MD
ANN ARBOR 48109
(734) 647-5899
1114462
SHUMAN, EMILY K MD
ANN ARBOR 48109
(734) 647-0397
1077697
WASHER, LARAINE L MD
ANN ARBOR 48109
(734) 647-5899
1123823
WOODS, ROBERT J MD
ANN ARBOR 48109
(734) 647-5899
1110848
YOUNG, VINCENT B MD
ANN ARBOR 48109
(734) 647-5899
517 W WILLIAM ST
ANN ARBOR 48103
(734) 996-3300

1084478
CASCADE HEMOPHILIA CONSORTIUM INC
INTERNAL MEDICINE
1110022
ALKHOURY FALLOUH, NABIL MD
ANN ARBOR 48109
(734) 936-5582
1124493
AYANIAN, JOHN MD
ANN ARBOR 48109
(734) 936-5582
1113536
BAGATTO, AMY J MD
ANN ARBOR 48109
(800) 211-8181
1114111
BALOGH, LINDA M MD
ANN ARBOR 48108
(734) 998-7207
1045921
BERG, AARON M MD
ANN ARBOR 48109
(734) 936-5582
1110299
ANN ARBOR 48108
(734) 998-7207
1110298
325 E EISENHOWER B1F2
ANN ARBOR 48108
(734) 763-5459
1110490
BLITZ, SUSAN G MD
ANN ARBOR 48108
(734) 998-7207
1123045
BORGESON, JEFFREY R MD
ANN ARBOR 48109
(734) 936-5582
1123046
BORGESON, JEFFREY R MD
ANN ARBOR 48109
(734) 936-5582
1112045
BRINLEY, FLOYD J MD
ANN ARBOR 48108
(734) 998-7207
1113228
BROOK, ROBERT D MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1113229
BROOK, ROBERT D MD
DEXTER 48130
(734) 426-2796
1113230
BROOK, ROBERT D MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1113221
BROOK, ROBERT D MD
YPSILANTI 48198
(734) 482-6221
1113227
BROOK, ROBERT D MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1113226
BROOK, ROBERT D MD
ANN ARBOR 48108
(734) 647-5871
1113225
BROOK, ROBERT D MD
ANN ARBOR 48108
(734) 998-7207
1113223
BROOK, ROBERT D MD
ANN ARBOR 48108
(734) 647-9000
1113219
BROOK, ROBERT D MD
(734) 647-7321

Page 518
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1113218
BROOK, ROBERT D MD
ANN ARBOR 48109
(734) 647-7321
1113217
BROOK, ROBERT D MD
ANN ARBOR 48109
(888) 287-1082
1113216
BROOK, ROBERT D MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1114580
BROOK, ROBERT D MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1084548
BROOK, ROBERT D MD
ANN ARBOR 48105
(734) 998-7400
1113224
BROOK, ROBERT D MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1112162
BROPHY, BRIAN J MD
ANN ARBOR 48108
(734) 998-7207
1122789
BURKE, ANNA M DO
ANN ARBOR 48109
(734) 936-5582
1122790
BURKE, ANNA M DO
ANN ARBOR 48109
(734) 936-5582
1113252
CHANG, ROBERT MD
ANN ARBOR 48109
(734) 936-5582
1113758
CHEN, JULIA MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1114136
CHEN, LENA M MD
ANN ARBOR 48109
(734) 936-5582
1114285
CHO, DANIEL K MD
ANN ARBOR 48109
(734) 936-5582
1110648
CHOPRA, VINEET I MD
ANN ARBOR 48109
(734) 936-5582
1111973
CLARK, STEPHANIE M MD
ANN ARBOR 48108
(734) 998-7207
1077790
CZARNIK, STEPHANIE M MD
ANN ARBOR 48109
(800) 211-8181
1111971
CZARNIK, STEPHANIE M MD
ANN ARBOR 48109
(734) 936-5582
1125754
DAVIS, PAMELA B MD
1500 E MEDICAL CENTER DR 12TH FL ROOM 525 ANN ARBOR 48109
(734) 764-5302
1125753
DAVIS, PAMELA B MD
1500 E MEDICAL CENTER DR 6TH FL MEDICAL
ANN ARBOR 48109
(734) 936-4185
1077474
DAVIS, PAMELA B MD
ANN ARBOR 48109
(734) 764-5302
1113322
DAVIS, PAMELA B MD
ANN ARBOR 48109
(734) 936-4185
1112592
DIMCHEFF, DEREK E MD
ANN ARBOR 48109
(800) 211-8181
1112591
DIMCHEFF, DEREK E MD
ANN ARBOR 48109
(734) 936-5582
1114189
ANN ARBOR 48108
(734) 998-7207
1122990
EMMER, BRIAN T MD
ANN ARBOR 48109
(734) 936-5582
1122989
EMMER, BRIAN T MD
ANN ARBOR 48109
(734) 936-5582
1122827
EMRANI, PARASTU S MD
ANN ARBOR 48109
(734) 936-5582
1122828
EMRANI, PARASTU S MD
ANN ARBOR 48109
(734) 936-5582
1113355
FINE, PAUL L MD
ANN ARBOR 48108
(734) 998-7207
1041260
FLANDERS, SCOTT A MD
ANN ARBOR 48109
(734) 936-5582
1110770
ANN ARBOR 48108
(734) 998-7207
1113577
GOOLD, SUSAN D MD
ANN ARBOR 48108
(734) 998-7207
1118462
GOYAL, ANUPAMA A MD
ANN ARBOR 48109
(734) 936-5582
1066294
GRANT, JULIEANN F MD
ANN ARBOR 48109
(734) 936-5582
1110115
GRANT, PAUL J MD
ANN ARBOR 48109
(734) 936-5582
1078439
HART, ANITA L MD
ANN ARBOR 48109
(734) 936-5582
1113621
HARTLEY, SARSP E MD
ANN ARBOR 48109
(734) 936-5582
1112420
HOFER, TIMOTHY P MD
ANN ARBOR 48109
(734) 936-5582
1111275
ANN ARBOR 48109
(888) 287-1082
1114632
ANN ARBOR 48108
(734) 998-7207
1111265
ANN ARBOR 48109
(734) 647-7321
1111276
(734) 647-7321
1111277
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1114634
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1114625
ANN ARBOR 48109
(734) 647-7321
1111274
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321

Page 519
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1111279
DEXTER 48130
(734) 426-2796
1111280
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1114631
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1114629
ANN ARBOR 48105
(734) 998-7400
1114627
YPSILANTI 48198
(734) 482-6221
1114633
ANN ARBOR 48108
(734) 647-5871
1114630
ANN ARBOR 48108
(734) 647-9000
1111278
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1078359
JIANG, MIN MD
ANN ARBOR 48109
(734) 936-5582
1112893
KERR, EVE A MD
ANN ARBOR 48109
(734) 936-5582
1044419
ANN ARBOR 48109
(734) 763-6295
1112220
ANN ARBOR 48109
(734) 936-5582
1110278
KIM, ANDREA H MD
ANN ARBOR 48109
(734) 936-5582
1113813
KIM, CATHERINE MD
1500 E MEDICAL CENTER DR 9TH FL VON
ANN ARBOR 48109
(734) 763-6295
1113928
KIM, CHRISTOPHER S MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1113926
ANN ARBOR 48109
(734) 936-4185
1113924
ANN ARBOR 48109
(734) 936-5582
1113922
(734) 763-5302
1099529
KIM, HAE-WON MD
ANN ARBOR 48109
(734) 936-5582
1112131
KIMBROUGH-SUGICK, JESSIE K MD
ANN ARBOR 48109
(800) 211-8181
1112130
KIMBROUGH-SUGICK, JESSIE K MD
ANN ARBOR 48109
(734) 936-5582
1113490
KING, JESSIE E MD
ANN ARBOR 48109
(734) 936-5582
1113491
KING, JESSIE E MD
ANN ARBOR 48109
(800) 211-8181
1122753
KOCHHAR, SWETA MBBS
ANN ARBOR 48109
(734) 936-5582
1122752
KOCHHAR, SWETA MBBS
ANN ARBOR 48109
(734) 936-5582
1122759
KOLBE, MARK S MD
ANN ARBOR 48109
(734) 936-5582
1122758
KOLBE, MARK S MD
ANN ARBOR 48109
(734) 936-5582
1112501
LANGA, KENNETH M MD
ANN ARBOR 48109
(734) 936-5582
1113445
ANN ARBOR 48108
(734) 998-7207
1113444
ANN ARBOR 48109
(734) 936-5582
1113443
ANN ARBOR 48109
(888) 287-1082
1122966
LI, JACK Z MD
ANN ARBOR 48109
(734) 936-5582
1122967
LI, JACK Z MD
ANN ARBOR 48109
(734) 936-5582
1112766
LOPEZ, ALEXIS N MD
ANN ARBOR 48109
(800) 211-8181
1112765
LOPEZ, ALEXIS N MD
ANN ARBOR 48109
(734) 936-5582
1116992
LUKELA, JENNIFER R MD
ANN ARBOR 48109
(734) 936-5582
1112816
ANN ARBOR 48108
(734) 232-2600
1112817
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1028866
ANN ARBOR 48108
(734) 998-7207
1111673
LUKELA, MICHAEL P MD
ANN ARBOR 48109
(734) 936-5582
1110859
LYPSON, MONICA L MD
ANN ARBOR 48109
(734) 936-5582
1122734
MACALLISTER, REBECCA L MD
ANN ARBOR 48109
(734) 936-5582
1122735
MACALLISTER, REBECCA L MD
ANN ARBOR 48109
(734) 936-5582
1078362
MACK, MEGAN R MD
ANN ARBOR 48109
(734) 936-5582
1110308
MANGRULKAR, RAJESH S MD
ANN ARBOR 48109
(734) 936-5582
1110310
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650

Page 520
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1110309
ANN ARBOR 48108
(734) 232-2600
1111191
MARKS, ADAM D MD
ANN ARBOR 48109
(734) 936-4185
1111192
MARKS, ADAM D MD
ANN ARBOR 48109
(734) 763-5302
1111190
MARKS, ADAM D MD
(734) 763-5302
1111193
MARKS, ADAM D MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1111842
MARQUIS, LIANA R MD
ANN ARBOR 48109
(734) 232-2867
1111841
MARQUIS, LIANA R MD
ANN ARBOR 48109
(734) 936-5582
1111829
ANN ARBOR 48108
(734) 998-7207
1111812
ANN ARBOR 48108
(734) 998-7207
1111761
ANN ARBOR 48108
(734) 998-7207
1103864
NICHANI, SATYEN S MD
ANN ARBOR 48109
(734) 936-5582
1112856
NORMAN, JOSEPH W MD
ANN ARBOR 48109
(734) 936-5582
1078205
NORMAN, JOSEPH W MD
ANN ARBOR 48109
(734) 232-2867
1089075
ANN ARBOR 48108
(734) 998-7207
1113764
ODDEN, ANDREW J MD
ANN ARBOR 48108
(734) 232-2600
1113762
ODDEN, ANDREW J MD
ANN ARBOR 48108
(734) 998-7207
1113760
ODDEN, ANDREW J MD
ANN ARBOR 48109
(734) 936-5582
1123109
OETJEN, KAROLYN A MD
ANN ARBOR 48109
(734) 936-5582
1123108
OETJEN, KAROLYN A MD
ANN ARBOR 48109
(734) 936-5582
1113522
OSTAFIN, ELISA A MD
ANN ARBOR 48108
(734) 998-7207
1110169
PAREKH, VIKAS I MD
ANN ARBOR 48109
(734) 936-5582
1111296
PARETTI, ROBERT F MD
ANN ARBOR 48109
(734) 936-5582
1113667
PATEL, RAJESH N MD
ANN ARBOR 48108
(734) 998-7207
1098931
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1122792
PILIE, PATRICK G MD
ANN ARBOR 48109
(734) 936-5582
1122793
PILIE, PATRICK G MD
ANN ARBOR 48109
(734) 936-5582
1110631
PRISTOOP, RAPHAEL H MD
ANN ARBOR 48109
(734) 936-5582
1110632
PRISTOOP, RAPHAEL H MD
ANN ARBOR 48109
(800) 211-8181
1110707
RABINOWITZ, LEE C MD
ANN ARBOR 48109
(800) 211-8181
1110706
RABINOWITZ, LEE C MD
ANN ARBOR 48109
(734) 936-5582
1045920
REPASKEY, WILLIAM T MD
ANN ARBOR 48109
(734) 936-5582
1113869
ROARK, SARAH E MD
ANN ARBOR 48109
(800) 211-8181
1113867
ROARK, SARAH E MD
ANN ARBOR 48109
(734) 936-5582
1106797
ROHDE, JEFFREY M MD
ANN ARBOR 48109
(734) 936-5582
1113343
SAGANA, ROMMEL L MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1111834
SAINT, SANJAY K MD
ANN ARBOR 48108
(734) 232-2600
1111833
SAINT, SANJAY K MD
ANN ARBOR 48109
(734) 936-5582
1112556
SAUL, D'ANNA C MD
ANN ARBOR 48109
(734) 763-6295
1091222
SAUL, D'ANNA C MD
(734) 763-5302
1112555
SAUL, D'ANNA C MD
ANN ARBOR 48109
(734) 936-4185
1112554
SAUL, D'ANNA C MD
ANN ARBOR 48109
(734) 936-5582
1091945
SCHLAFF, JANET M MD
ANN ARBOR 48109
(800) 211-8181
1111618
SCHLAFF, JANET M MD
ANN ARBOR 48109
(734) 936-5582
1122952
SHAHATTO, LOBNA MD
ANN ARBOR 48109
(734) 936-5582
1122953
SHAHATTO, LOBNA MD
ANN ARBOR 48109
(734) 936-5582
1112154
SHRIVASTAVA, PRITIKA MD
ANN ARBOR 48109
(800) 211-8181

Page 521
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1112152
ANN ARBOR 48109
(734) 936-5582
1112153
ANN ARBOR 48109
(734) 936-5548
1113054
SILVEIRA, MARIA J MD
ANN ARBOR 48109
(734) 936-5582
1113055
SILVEIRA, MARIA J MD
ANN ARBOR 48109
(734) 763-6295
1113581
SMITH, JEFFERY D MD
ANN ARBOR 48108
(734) 998-7207
1112240
ANN ARBOR 48108
(734) 998-7207
1110560
STEPHENSON, DAVID A MD
ANN ARBOR 48109
(734) 936-5582
1110029
STEWART, DAVID A MD
ANN ARBOR 48109
(734) 936-4185
1110027
STEWART, DAVID A MD
(734) 763-5302
1110031
STEWART, DAVID A MD
ANN ARBOR 48109
(734) 763-5302
1110030
STEWART, DAVID A MD
ANN ARBOR 48109
(734) 763-5302
1110032
STEWART, DAVID A MD
ANN ARBOR 48109
(800) 211-8181
1110028
STEWART, DAVID A MD
ANN ARBOR 48109
(734) 936-5582
1111363
STIER, NANCYLEE B MD
ANN ARBOR 48105
(734) 975-2600
1111362
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1111361
1200 EARHART RD
ANN ARBOR 48105
(734) 769-0177
1076391
STOJAN, JENNIFER N MD
(734) 763-5302
1110449
ANN ARBOR 48109
(734) 936-5582
1110450
ANN ARBOR 48109
(734) 936-4185
1112702
SUN, ELEANOR Y MD
ANN ARBOR 48108
(734) 998-7207
1112504
TAN, MENG H MD
(734) 647-5871
1112503
TAN, MENG H MD
ANN ARBOR 48109
(734) 763-9812
1110558
TERRELL, LINDA B MD
ANN ARBOR 48108
(734) 998-7207
1112971
TICHENOR, PAUL K MD
ANN ARBOR 48108
(734) 998-7207
1110069
TREMBLAY, ADAM S MD
ANN ARBOR 48109
(734) 936-5582
1090773
VALLEY, STACI C MD
ANN ARBOR 48109
(734) 936-5582
1111930
VIGLIANTI, ELIZABETH M MD
ANN ARBOR 48109
(800) 211-8181
1111929
VIGLIANTI, ELIZABETH M MD
ANN ARBOR 48109
(734) 936-5582
1112046
VIJAN, SANDEEP MD
ANN ARBOR 48109
(734) 936-5582
1112928
ANN ARBOR 48109
(734) 936-5582
1112929
ANN ARBOR 48109
(734) 936-4185
1112927
(734) 763-5302
1086079
ANN ARBOR 48109
(800) 211-8181
1078056
WARD, DENEGE A MD
ANN ARBOR 48109
(734) 936-5582
1113262
WARGO, JEFFREY J MD
ANN ARBOR 48109
(800) 211-8181
1113261
WARGO, JEFFREY J MD
ANN ARBOR 48109
(734) 936-5582
1122904
WATTS, JASON A MD
ANN ARBOR 48109
(734) 936-5582
1112464
WESORICK, DAVID H MD
ANN ARBOR 48109
(734) 936-5582
1123028
YU, JESSICA X MD
ANN ARBOR 48109
(734) 936-5582
1123027
YU, JESSICA X MD
ANN ARBOR 48109
(734) 936-5582
ANN ARBOR 48109
(734) 763-6295
ANN ARBOR 48109
(734) 936-4000

1111890
JOHNSON, TIMOTHY R MD
NEONATOLOGY
1078176
REGENTS OF THE U OF M NEONATOLOGY

Page 522
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
NEPHROLOGY
1110734
AFSHINNIA, FARSAD MD
ANN ARBOR 48109
(734) 936-5548
1110735
AFSHINNIA, FARSAD MD
1500 E MEDICAL CENTER DR UNIVERSITY
ANN ARBOR 48109
(734) 888-2871
1118555
BEHREND, GEORGE MD
YPSILANTI 48197
(734) 712-3470
1109453
YPSILANTI 48197
(734) 712-3470
1112643
BITZER, MARKUS MD
ANN ARBOR 48109
(734) 936-5548
1112644
BITZER, MARKUS MD
ANN ARBOR 48109
(734) 888-2871
1112645
BITZER, MARKUS MD
4260 PLYMOUTH ROAD
ANN ARBOR 48109
(734) 764-6831
1111472
BROSIUS, FRANK C MD
ANN ARBOR 48109
(734) 936-5548
1077703
CIBRIK, DIANE M MD
ANN ARBOR 48109
(734) 936-5548
1104100
DANCEY, ERIC MD
YPSILANTI 48197
(734) 712-3470
1110965
GARG, PUNEET MD
ANN ARBOR 48109
(734) 936-5548
1110642
GIPSON, PATRICK E MD
ANN ARBOR 48109
(734) 936-5548
1074732
ANN ARBOR 48109
(734) 888-2871
1110644
ANN ARBOR 48105
(734) 763-2532
1110643
ANN ARBOR 48109
(734) 936-4185
1114619
HARDER, JENNIFER L MD
ANN ARBOR 48109
(734) 888-2871
1114618
HARDER, JENNIFER L MD
ANN ARBOR 48109
(734) 936-5548
1123096
HATAMIZADEH, PARTA MD
ANN ARBOR 48109
(734) 936-5548
1123097
HATAMIZADEH, PARTA MD
ANN ARBOR 48109
(734) 888-2871
1111709
HEUNG, MICHAEL MD
ANN ARBOR 48104
(734) 677-1490
1043867
HEUNG, MICHAEL MD
ANN ARBOR 48109
(734) 936-5548
1112922
HUANG, YIHUNG MD
ANN ARBOR 48109
(734) 936-5548
1090209
HUANG, YIHUNG MD
ANN ARBOR 48109
(734) 888-2871
1111717
HUMES, HARVEY D MD
ANN ARBOR 48109
(734) 888-2871
1104141
KARIM, JARIATUL MD
YPSILANTI 48197
(734) 712-3470
1072000
KRETZLER, MATTHIAS MD
ANN ARBOR 48109
(734) 936-5548
1097572
LEAVITT, MATTHEW A MD
ANN ARBOR 48109
(734) 936-5548
1111403
ANN ARBOR 48104
(734) 677-1490
1077946
LEICHTMAN, ALAN B MD
ANN ARBOR 48109
(734) 936-5548
1122963
LIU, HUI MD
ANN ARBOR 48109
(734) 888-2871
1122962
LIU, HUI MD
ANN ARBOR 48109
(734) 936-5548
1122812
LU, YEE MD
ANN ARBOR 48109
(734) 888-2871
1122811
LU, YEE MD
ANN ARBOR 48109
(800) 333-9013
1018605
MARGOLIS, BENJAMIN L MD
ANN ARBOR 48109
(734) 936-5548
1112865
MARIANI, LAURA H MD
ANN ARBOR 48109
(734) 888-2871
1112864
MARIANI, LAURA H MD
ANN ARBOR 48109
(734) 936-5548
1104300
MARU, VIDOOSHI MD
YPSILANTI 48197
(734) 712-3470
1110293
MATHEW, ANNA V MD
ANN ARBOR 48109
(734) 936-5548
1075973
MATHEW, ANNA V MD
ANN ARBOR 48109
(734) 888-2871
1104118
MAYER, JUDITH MD
YPSILANTI 48197
(734) 712-3470
1110416
MESSANA, JOSEPH M MD
ANN ARBOR 48104
(734) 677-1490
1018608
MESSANA, JOSEPH M MD
ANN ARBOR 48109
(734) 936-5548
1123154
NAIK, ABHIJIT MBBS
ANN ARBOR 48109
(800) 333-9013
1123155
NAIK, ABHIJIT MBBS
ANN ARBOR 48109
(734) 888-2871
1112491
NORMAN, SILAS P MD
ANN ARBOR 48109
(734) 936-5548
1112867
OJO, AKINLOLU O MD
ANN ARBOR 48109
(734) 936-5548

Page 523
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1112868
OJO, AKINLOLU O MD
24 FRANK LLOYD WRIGHT DR 3RD FL LOBBY M
ANN ARBOR 48105
(734) 998-7975
1019076
OJO, AKINLOLU O MD
ANN ARBOR 48109
(734) 888-2871
1104148
YPSILANTI 48197
(734) 712-3470
1018611
PATEL, SANJEEVKUMAR R MD
ANN ARBOR 48109
(734) 936-5548
1114135
PENNATHUR, SUBRAMANIAM MD
ANN ARBOR 48109
(734) 936-5548
1018604
PERLMAN, RACHEL L MD
ANN ARBOR 48109
(734) 936-5548
1110738
PERLMAN, RACHEL L MD
ANN ARBOR 48104
(734) 677-1490
1111323
PLATTNER, BRETT W MD
ANN ARBOR 48104
(734) 677-1490
1094572
ANN ARBOR 48109
(734) 888-2871
1111321
ANN ARBOR 48109
(734) 936-5548
1111427
RAO, PANDURANGA S MD
ANN ARBOR 48104
(734) 677-1490
1019067
ANN ARBOR 48109
(734) 936-5548
1059730
REHAN, AHMED MD
YPSILANTI 48197
(734) 712-3470
1122771
SAKHUJA, ANKIT MBBS
ANN ARBOR 48109
(734) 888-2871
1122770
SAKHUJA, ANKIT MBBS
ANN ARBOR 48109
(800) 333-9013
1113679
ANN ARBOR 48109
(734) 936-5548
1097349
ANN ARBOR 48109
(734) 888-2871
1110652
SARAN, RAJIV MD
ANN ARBOR 48104
(734) 677-1490
1018607
SARAN, RAJIV MD
ANN ARBOR 48109
(734) 936-5548
1113210
SEGAL, JONATHAN H MD
ANN ARBOR 48104
(734) 677-1490
1114675
ANN ARBOR 48109
(734) 936-5548
1113803
SHAHINIAN, VSPAKN B MD
ANN ARBOR 48109
(734) 936-5548
1002235
SHAYMAN, JAMES A MD
ANN ARBOR 48109
(734) 888-2871
1111957
SWARTZ, RICHARD D MD
ANN ARBOR 48109
(734) 936-5548
1111958
ANN ARBOR 48104
(734) 677-1490
1001224
ANN ARBOR 48109
(734) 936-4000
1113819
TSUI, CYNTHIA C MD
ANN ARBOR 48109
(734) 936-5548
1113818
TSUI, CYNTHIA C MD
ANN ARBOR 48109
(734) 888-2871
1114144
WEINBERG, JOEL M MD
ANN ARBOR 48109
(734) 936-5548
1111169
WEITZEL, WILLIAM MD
ANN ARBOR 48104
(734) 677-1490
1111167
WEITZEL, WILLIAM MD
ANN ARBOR 48109
(734) 936-5548
1073268
WIGGINS, ROGER C MD
ANN ARBOR 48109
(734) 936-5548
1113515
WRIGHT, JULIE A MD
ANN ARBOR 48104
(734) 677-1490
1113517
WRIGHT, JULIE A MD
4260 PLYMOUTH ROAD
ANN ARBOR 48109
(734) 764-6831
1113509
WRIGHT, JULIE A MD
ANN ARBOR 48109
(734) 888-2871
1113510
WRIGHT, JULIE A MD
ANN ARBOR 48109
(734) 936-5548
1111495
YOUNG, ERIC W MD
ANN ARBOR 48109
(734) 888-2871
NEURO SURGERY
1078240
CHANDLER, WILLIAM F MD
ANN ARBOR 48109
(734) 936-7010
1112424
GARTON, HUGH J MD
1500 E MEDICAL CENTER DR C S MOTT
ANN ARBOR 48109
(734) 936-7010
1000479
GARTON, HUGH J MD
1500 E MEDICAL CENTER DR 3RD FL C S MOTT
ANN ARBOR 48109
(734) 936-7010
1112423
GARTON, HUGH J MD
ANN ARBOR 48109
(734) 936-7010
1112425
GARTON, HUGH J MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1110477
HERVEY-JUMPER, SHAWN MD
ANN ARBOR 48109
(734) 936-7010
1110809
HETH, JASON A MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650

Page 524
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1069232
HETH, JASON A MD
ANN ARBOR 48109
(734) 936-7010
1112422
LAMARCA, FRANK MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1075982
LAMARCA, FRANK MD
ANN ARBOR 48109
(734) 936-7010
1112421
LAMARCA, FRANK MD
ANN ARBOR 48108
(734) 936-7175
1123969
LEVIN, EMILY L MD
ANN ARBOR 48109
(734) 936-7010
1077042
MAHER, CORMAC O MD
ANN ARBOR 48109
(734) 936-7010
1110206
MAHER, CORMAC O MD
ANN ARBOR 48109
(734) 936-7010
1110207
MAHER, CORMAC O MD
ANN ARBOR 48108
(734) 936-7175
1110208
MAHER, CORMAC O MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1110205
MAHER, CORMAC O MD
ANN ARBOR 48109
(734) 936-7010
1111649
MCGILLICUDDY, JOHN E MD
ANN ARBOR 48109
(734) 936-7010
1003072
MURASZKO, KARIN M MD
ANN ARBOR 48109
(734) 936-7010
1110811
ANN ARBOR 48109
(734) 936-7010
1110810
ANN ARBOR 48109
(734) 936-7010
1103865
ORRINGER, DANIEL A MD
ANN ARBOR 48109
(734) 936-7010
1078658
PANDEY, ADITYA S MD
ANN ARBOR 48109
(734) 936-7010
1113950
PARK, PAUL MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1113948
PARK, PAUL MD
ANN ARBOR 48108
(734) 936-7175
1113946
PARK, PAUL MD
ANN ARBOR 48109
(734) 936-7010
1112740
PATIL, PARAG G MD
ANN ARBOR 48108
(734) 936-7175
1112741
PATIL, PARAG G MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1106982
PATIL, PARAG G MD
ANN ARBOR 48109
(734) 936-7010
1090754
RAJAJEE, VENKATAKRISHNA MD
ANN ARBOR 48109
(734) 936-7010
1097104
RAMNATH, SURESH MD
ANN ARBOR 48109
(734) 936-7010
1110408
ROARK, CHRISTOPHER D MD
ANN ARBOR 48109
(734) 936-7010
1110775
SAGHER, OREN MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1000494
SAGHER, OREN MD
ANN ARBOR 48109
(734) 936-7010
1103778
SCHERMERHORN, THOMAS C MD
1500 E MEDICAL CENTER 2ND FL TAUBMAN
ANN ARBOR 48109
(734) 936-7010
1090755
SHEEHAN, KYLE M MD
ANN ARBOR 48109
(734) 936-7010
1110156
SULLIVAN, STEPHEN E MD
ANN ARBOR 48108
(734) 936-7175
1110157
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1044391
ANN ARBOR 48109
(734) 936-7010
1000498
THOMPSON, BYRON G MD
ANN ARBOR 48109
(734) 936-7010
1110241
VALDIVIA VALDIVIA, JUAN M MD
ANN ARBOR 48109
(734) 936-7010
1110242
VALDIVIA VALDIVIA, JUAN M MD
ANN ARBOR 48108
(734) 936-7175
1111291
YANG, LYNDA J MD
ANN ARBOR 48109
(734) 936-7010
1111292
YANG, LYNDA J MD
ANN ARBOR 48108
(734) 936-7175
1111293
YANG, LYNDA J MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
NEUROLOGY
1113840
ADELMAN, ERIC E MD
ANN ARBOR 48109
(734) 936-9010
1086735
ADELMAN, ERIC E MD
ANN ARBOR 48109
(734) 232-4480
1113841
ADELMAN, ERIC E MD
1500 E MEDICAL CENTER DR 4TH FL UNIT A4201 ANN ARBOR 48109
(734) 936-6486
1113414
ALBERS, JAMES W MD PHD
ANN ARBOR 48109
(734) 936-9010
1113415
ALBERS, JAMES W MD PHD
1500 E MEDICAL CENTER DR 4TH FL UNIT A4201 ANN ARBOR 48109
(734) 936-6486
1004449
ALBIN, ROGER L MD
(734) 936-9010
ANN ARBOR 48109

Page 525
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1112499
ALBIN, ROGER L MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1112498
ALBIN, ROGER L MD
ANN ARBOR 48109
(734) 936-6486
1110248
ALMEIDA, ANDREA A MD
ANN ARBOR 48109
(734) 936-9010
1110249
ALMEIDA, ANDREA A MD
24 FRANK LLOYD WRIGHT DR LOBBY A STE 100 ANN ARBOR 48105
(734) 930-7337
1114347
BARBAS, NANCY R MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1114345
BARBAS, NANCY R MD
ANN ARBOR 48109
(734) 936-9010
1114346
BARBAS, NANCY R MD
ANN ARBOR 48109
(734) 936-6486
1110646
BARMADA, SAMI J MD
ANN ARBOR 48109
(734) 936-6486
1110645
BARMADA, SAMI J MD
ANN ARBOR 48109
(734) 936-9010
1110647
BARMADA, SAMI J MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1110136
BLY, BENJAMIN M MD
ANN ARBOR 48109
(734) 936-6486
1110135
BLY, BENJAMIN M MD
ANN ARBOR 48109
(734) 936-9010
1110137
BLY, BENJAMIN M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1127157
BRALEY, TIFFANY J MD
1500 E MEDICAL CENTER DR 4TH FL UNIT A 4201 ANN ARBOR 48109
(734) 936-6486
1093709
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1112014
ANN ARBOR 48109
(734) 936-9010
1111221
BROWN, DEVIN L MD
ANN ARBOR 48109
(734) 936-9010
1127158
BROWN, DEVIN L MD
1500 E MEDICAL CENTER DR 4TH FLOOR UNIT A ANN ARBOR 48109
(734) 936-6486
1078998
BROWN, DEVIN L MD
ANN ARBOR 48109
(734) 232-4480
1112303
BURKE, JAMES F MD
ANN ARBOR 48109
(734) 936-9010
1112306
BURKE, JAMES F MD
ANN ARBOR 48109
(734) 232-4480
1112304
BURKE, JAMES F MD
ANN ARBOR 48109
(734) 936-6486
1112668
CALLAGHAN, BRIAN C MD
ANN ARBOR 48109
(734) 936-6486
1086029
ANN ARBOR 48109
(734) 936-9010
1127182
1500 E MEDICAL CENTER DR UH SOUTH RM
ANN ARBOR 48109
(734) 936-9010
1113328
ANN ARBOR 48108
(734) 763-5459
1113327
ANN ARBOR 48109
(734) 936-9010
1093186
CHERVIN, RONALD D MD
24 FRANK LLOYD WRIGHT DR LOBBY L STE 1400 ANN ARBOR 48105
(734) 998-1505
1127159
(734) 936-6486
1113964
ANN ARBOR 48109
(734) 936-9010
1113966
1500 E MEDICAL CENTER DR 7TH FL MED INN
ANN ARBOR 48109
(734) 936-9068
1040577
CHOU, KELVIN L MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1127160
CHOU, KELVIN L MD
(734) 936-6486
1111661
CHOU, KELVIN L MD
ANN ARBOR 48109
(734) 936-9010
1110525
COOPER, WADE M DO
ANN ARBOR 48108
(734) 763-5459
1110524
COOPER, WADE M DO
ANN ARBOR 48109
(734) 936-6486
1110523
COOPER, WADE M DO
ANN ARBOR 48109
(734) 936-9010
1114263
COREY, JOSEPH M MD
ANN ARBOR 48109
(734) 936-9010
1114262
COREY, JOSEPH M MD
ANN ARBOR 48109
(734) 647-8906
1004468
CORNBLATH, WAYNE T MD
ANN ARBOR 48109
(734) 763-9142
1003011
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1122945
COTE, JEANIE L MD
ANN ARBOR 48109
(734) 936-9010
1122946
COTE, JEANIE L MD
ANN ARBOR 48109
(734) 936-6486
1122947
COTE, JEANIE L MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1110901
DAUER, WILLIAM T MD
ANN ARBOR 48109
(734) 936-9010
1110902
DAUER, WILLIAM T MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831

Page 526
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1076384
DAYALU, PRAVEEN MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1112160
DAYALU, PRAVEEN MD
ANN ARBOR 48109
(734) 936-9010
1112161
DAYALU, PRAVEEN MD
ANN ARBOR 48109
(734) 936-6486
1112758
DELOTT, LINDSEY B MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1112759
DELOTT, LINDSEY B MD
ANN ARBOR 48109
(734) 763-9142
1001395
FELDMAN, EVA L MD
ANN ARBOR 48109
(734) 936-9010
1127183
FELDMAN, EVA L MD
ANN ARBOR 48109
(734) 936-9010
1110334
FELDMAN, EVA L MD
ANN ARBOR 48109
(734) 936-6486
1041357
FINK, DAVID J MD
ANN ARBOR 48109
(734) 936-9010
1127161
FINK, DAVID J MD
(734) 936-6486
1004828
FINK, JOHN K MD
ANN ARBOR 48109
(734) 936-9010
1114355
FINK, JOHN K MD
ANN ARBOR 48109
(734) 936-6486
1111548
FINK, JOHN K MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1106714
GALLAGHER, GARY W MD
ANN ARBOR 48109
(734) 936-9010
1111253
ANN ARBOR 48109
(734) 936-6486
1127184
1500 E MEDICAL CENTER DR UH SOUTH RM F
ANN ARBOR 48109
(734) 936-9010
1110641
GARWOOD, MARK D MD
(734) 998-1505
1110639
GARWOOD, MARK D MD
ANN ARBOR 48109
(734) 936-6486
1110638
GARWOOD, MARK D MD
ANN ARBOR 48109
(734) 936-9010
1110640
GARWOOD, MARK D MD
ANN ARBOR 48109
(734) 936-9068
1001396
GELB, DOUGLAS J MD
ANN ARBOR 48109
(734) 936-9010
1127162
GELB, DOUGLAS J MD
(734) 936-6486
1110570
GLYNN, SIMON M MD
ANN ARBOR 48109
(734) 936-6486
1077473
GLYNN, SIMON M MD
ANN ARBOR 48109
(734) 936-9010
1127173
GLYNN, SIMON M MD
ANN ARBOR 48109
(734) 936-9035
1112325
GOLDSTEIN, CATHY A MD
ANN ARBOR 48109
(734) 936-9010
1112326
ANN ARBOR 48109
(734) 936-9068
1100892
(734) 998-1505
1086733
GOUTMAN, STEPHEN A MD
ANN ARBOR 48109
(734) 936-9010
1113363
ANN ARBOR 48109
(734) 936-6486
1127185
ANN ARBOR 48109
(734) 936-9010
1114114
HEIDEBRINK, JUDITH L MD
ANN ARBOR 48109
(734) 936-6486
1114113
ANN ARBOR 48109
(734) 936-9010
1114115
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1110623
HERSHNER, SHELLEY D MD
(734) 998-1505
1110622
ANN ARBOR 48109
(734) 936-9068
1042767
ANN ARBOR 48109
(734) 936-9010
1018279
HOBAN, TIMOTHY F MD
ANN ARBOR 48109
(734) 936-4185
1112436
IRANI, DAVID N MD
ANN ARBOR 48109
(734) 936-9010
1127163
IRANI, DAVID N MD
(734) 936-6486
1094424
IRANI, DAVID N MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1090757
JACOBS, TERESA L MD
ANN ARBOR 48109
(734) 936-7010
1111106
JUNCK, LARRY R MD
ANN ARBOR 48109
(734) 936-9010
1045913
JUNCK, LARRY R MD
ANN ARBOR 48109
(734) 647-8906
1077060
KAPLISH, NEERAJ MD
ANN ARBOR 48109
(734) 936-9010
1111248
KAPLISH, NEERAJ MD
ANN ARBOR 48109
(734) 936-9068

Page 527
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1111247
KAPLISH, NEERAJ MD
ANN ARBOR 48109
(734) 936-6486
1111249
KAPLISH, NEERAJ MD
(734) 998-1505
1127164
KERBER, KEVIN A MD
(734) 936-6486
1076064
KERBER, KEVIN A MD
ANN ARBOR 48109
(734) 936-9010
1112825
KOTAGAL, VIKAS MD
ANN ARBOR 48109
(734) 936-6486
1112824
KOTAGAL, VIKAS MD
ANN ARBOR 48109
(734) 936-9010
1112826
KOTAGAL, VIKAS MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1042373
KUTCHER, JEFFREY S MD
ANN ARBOR 48109
(734) 936-9010
1127165
(734) 936-6486
1110854
(734) 930-7337
1003924
LEBER, STEVEN M MD
ANN ARBOR 48109
(734) 936-4185
1112136
LEVENTHAL, DANIEL K MD
ANN ARBOR 48109
(734) 936-6486
1079195
ANN ARBOR 48109
(734) 936-9010
1112137
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1113500
LITTLE, ANN A MD
ANN ARBOR 48109
(734) 936-6486
1127186
LITTLE, ANN A MD
ANN ARBOR 48109
(734) 936-9010
1092673
LITTLE, ANN A MD
ANN ARBOR 48109
(734) 936-9010
1111207
LONDON, ZACHARY N MD
ANN ARBOR 48109
(734) 936-6486
1127188
ANN ARBOR 48109
(734) 936-9010
1027738
ANN ARBOR 48109
(734) 936-9010
1112414
LORINCZ, MATTHEW T MD
ANN ARBOR 48109
(734) 936-9010
1127166
(734) 936-6486
1040576
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1112415
(734) 930-7337
1102258
MAMMOSER, AARON G MD
ANN ARBOR 48109
(734) 647-8906
1110749
MAMMOSER, AARON G MD
ANN ARBOR 48109
(734) 936-9010
1113448
MAO-DRAAYER, YANG MD
ANN ARBOR 48109
(734) 936-6486
1113447
ANN ARBOR 48109
(734) 936-9010
1094686
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1112851
MIHAYLOVA, TEMENUZHKA G MD PHD
ANN ARBOR 48109
(734) 936-6486
1127175
ANN ARBOR 48109
(734) 936-9035
1075974
ANN ARBOR 48109
(734) 936-9010
1127174
ANN ARBOR 48109
(734) 936-9035
1112691
MORGENSTERN, LEWIS B MD
ANN ARBOR 48109
(734) 936-9010
1127167
(734) 936-6486
1109611
ANN ARBOR 48109
(734) 232-4480
1123588
NEIL KNIERBEIN, ERIN E DO
ANN ARBOR 48109
(734) 936-4185
1101462
PACE, ROBERT J MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1110717
PACE, ROBERT J MD
ANN ARBOR 48109
(734) 936-9010
1110718
PACE, ROBERT J MD
ANN ARBOR 48109
(734) 936-6486
1077723
PARENT, JACK M MD
ANN ARBOR 48109
(734) 936-9010
1112107
PAULSON, HENRY L MD
ANN ARBOR 48109
(734) 936-9010
1112108
PAULSON, HENRY L MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1111032
RAMCHANDREN, SINDHU MD
ANN ARBOR 48109
(734) 936-9010
1111033
ANN ARBOR 48109
(734) 936-6486
1127189
ANN ARBOR 48108
(734) 647-3863

Page 528
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1127190
ANN ARBOR 48109
(734) 936-9010
1099971
ANN ARBOR 48109
(734) 936-4185
1122736
REAMS, NICOLE D MD
ANN ARBOR 48109
(734) 936-6486
1127197
REAMS, NICOLE D MD
1500 E MEDICAL CENTER DR 1ST FLOOR
ANN ARBOR 48109
(734) 936-9010
1122737
REAMS, NICOLE D MD
(734) 930-7337
1125856
ANN ARBOR 48108
(734) 998-1513
1125855
1ST FLOOR TAUBMAN CENTER RECP C
ANN ARBOR 48109
(734) 936-9010
1111701
SCHULTZ, CHARLES E MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1111699
ANN ARBOR 48109
(734) 936-9010
1111700
ANN ARBOR 48108
(734) 763-5459
1113342
SEGAL, BENJAMIN M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1113341
SEGAL, BENJAMIN M MD
ANN ARBOR 48109
(734) 936-9010
1000496
SELWA, LINDA M MD
(734) 936-8792
1127176
SELWA, LINDA M MD
ANN ARBOR 48109
(734) 936-9035
1114676
SELWA, LINDA M MD
ANN ARBOR 48109
(734) 936-9010
1114677
SELWA, LINDA M MD
ANN ARBOR 48109
(734) 936-6486
1110167
SHAKKOTTAI, VIKRAM G MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1127168
(734) 936-6486
1110166
ANN ARBOR 48109
(734) 936-9010
1085965
SHELGIKAR, ANITA V MD
ANN ARBOR 48109
(734) 936-9068
1113200
SHELGIKAR, ANITA V MD
(734) 998-1505
1077718
SKOLARUS, LESLI E MD
ANN ARBOR 48109
(734) 232-4480
1127169
SKOLARUS, LESLI E MD
(734) 936-6486
1122949
SNIDER, JONATHAN D MD
ANN ARBOR 48109
(734) 936-9010
1122951
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1122950
ANN ARBOR 48109
(734) 936-6486
1104363
SOHRAB, SAYYED A MD
1500 E MEDICAL CENTER DR 1ST FLOOR
ANN ARBOR 48109
(734) 936-9010
1116865
SOHRAB, SAYYED A MD
ANN ARBOR 48109
(734) 936-6486
1113586
STACEY, WILLIAM C MD
ANN ARBOR 48109
(734) 936-6486
1078938
ANN ARBOR 48109
(734) 936-9010
1127177
ANN ARBOR 48109
(734) 936-9035
1111244
TEENER, JAMES W MD
ANN ARBOR 48109
(734) 936-6486
1086215
TEENER, JAMES W MD
ANN ARBOR 48109
(734) 936-9010
1127187
TEENER, JAMES W MD
ANN ARBOR 48109
(734) 936-9010
1127170
TODD, PETER K MD
(734) 936-6486
1105535
TODD, PETER K MD
ANN ARBOR 48109
(734) 936-9010
1111825
TODD, PETER K MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1127171
WANG, MICHAEL M MD
(734) 936-6486
1110348
WANG, MICHAEL M MD
ANN ARBOR 48109
(734) 936-9010
1110349
WANG, MICHAEL M MD
ANN ARBOR 48109
(734) 232-4480
1110516
WILLIAMSON, CRAIG A MD
ANN ARBOR 48109
(734) 936-7010
1127172
ZAHURANEC, DARIN B MD
(734) 936-6486
1097088
ANN ARBOR 48109
(734) 232-4480
1112232
ANN ARBOR 48109
(734) 936-9010

Page 529
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
NURSE MIDWIFE
1113285
AFFELDT, EMILY S CNM
1500 E MEDICAL CENTER DR VON
ANN ARBOR 48109
(734) 615-7380
1126054
AGIUS, JESSICA CNM
950 VICTORS WAY STE. 100
ANN ARBOR 48108
(734) 926-4800
1114252
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1119935
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1119934
ANN ARBOR 48104
(734) 929-9480
1119933
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1114253
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1114251
ANN ARBOR 48109
(734) 763-6295
1111859
BAKER, JOYCE A CNM
ANN ARBOR 48109
(734) 615-7380
1110913
BAUGHMAN, JENNIFER N CNM
ANN ARBOR 48109
(734) 615-7380
1111031
BEDIKIAN, KATHRYN P CNM
ANN ARBOR 48109
(734) 615-7380
1111455
BRIGHAM, JANE M CNM
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1111453
BRIGHAM, JANE M CNM
ANN ARBOR 48109
(734) 615-7380
1111454
BRIGHAM, JANE M CNM
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1110180
BUCHANAN, JAN M CNM
ANN ARBOR 48109
(734) 615-7380
1113346
CRANE, PATRICIA A CNM
ANN ARBOR 48109
(734) 615-7380
1112649
DICKERSON, MARIANNE CNM
ANN ARBOR 48109
(734) 615-7380
1113554
EVANS, HEIDI K CNM
ANN ARBOR 48109
(734) 615-7380
1119918
GLENN, JESSICA CNM
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1119917
GLENN, JESSICA CNM
ANN ARBOR 48104
(734) 929-9480
1119916
GLENN, JESSICA CNM
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1116914
GOODCHILD, MARY J CNM
ANN ARBOR 48109
(855) 589-6626
1119900
ANN ARBOR 48104
(734) 929-9480
1119901
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1119899
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1119867
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1119865
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1119866
ANN ARBOR 48104
(734) 929-9480
1111225
LEMON, HEATHER J CNM
ANN ARBOR 48109
(734) 615-7380
1111226
LEMON, HEATHER J CNM
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1111494
LOW, LISA K CNM
ANN ARBOR 48109
(734) 615-7380
1111399
MATOS, STEPHANIE D CNM
ANN ARBOR 48109
(734) 615-7380
1112123
MC GUINNESS, MARY C CNM
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1112122
MC GUINNESS, MARY C CNM
ANN ARBOR 48109
(734) 615-7380
1112250
MILKEY, MARY M CNM
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1112249
MILKEY, MARY M CNM
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1112248
MILKEY, MARY M CNM
ANN ARBOR 48109
(734) 763-6295
1113959
POWERS, HOLLY A CNM
ANN ARBOR 48109
(734) 615-7380
1127883
ROOSEVELT, LEE CNM
950 VICTORS WAY STE 100
ANN ARBOR 48108
(734) 926-4800
1112711
ROSA, ANNE K CNM
ANN ARBOR 48109
(734) 615-7380
1112712
ROSA, ANNE K CNM
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1110958
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1120238
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1120239
ANN ARBOR 48104
(734) 929-9480
1120241
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1110957
ANN ARBOR 48109
(734) 763-6295

Page 530
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1120257
SCOTT, MELISA N CNM
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1120255
SCOTT, MELISA N CNM
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1120256
SCOTT, MELISA N CNM
ANN ARBOR 48104
(734) 929-9480
1113048
SCOTT, MELISA N CNM
ANN ARBOR 48109
(734) 615-7380
1113049
SCOTT, MELISA N CNM
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1125817
SNEATHEN, DAWN M CNM
950 VICTORS WAY STE. 100
ANN ARBOR 48108
(734) 926-4800
1112329
SPARKS, WENDY S CNM
ANN ARBOR 48109
(734) 615-7380
1120205
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1120202
ANN ARBOR 48104
(734) 929-9480
1120206
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1110116
VAN KAINEN, BARBARA R CNM
ANN ARBOR 48109
(734) 615-7380
1125245
VILLARIAS, ROWENA NM
ANN ARBOR 48108
(734) 926-4800
1116916
1500 E MEDICAL CENTER DR 9TH FLOOR VON
ANN ARBOR 48109
(734) 763-6295
1116917
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1123179
ALANIZ, VERONICA I MD
ANN ARBOR 48109
(734) 647-8906
1114265
ANDERSON, FRANK J MD
ANN ARBOR 48109
(734) 763-6295
1113148
ANSBACHER, RUDI MD
475 MARKET PLACE BLDG ONE
ANN ARBOR 48108
(734) 763-4323
1018997
AS-SANIE, SAWSAN MD
ANN ARBOR 48109
(734) 763-6295
1119832
BELL, CARRIE MD
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1119831
BELL, CARRIE MD
ANN ARBOR 48104
(734) 929-9480
1119830
BELL, CARRIE MD
840 MANUS AVE
YPSILANTI 48198
(734) 485-0144
1077266
BELL, CARRIE L MD
ANN ARBOR 48109
(734) 763-6295
1111892
BELL, CARRIE L MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1113388
BELL, JASON D MD
ANN ARBOR 48109
(734) 936-9814
1078804
BELL, JASON D MD
ANN ARBOR 48109
(734) 763-6295
1119882
BELL, JASON D MD
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1119883
BELL, JASON D MD
ANN ARBOR 48104
(734) 929-9480
1119884
BELL, JASON D MD
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1108552
BERGER, MITCHELL B MD
ANN ARBOR 48109
(734) 763-6295
1018995
BERMAN, DEBORSP R MD
ANN ARBOR 48109
(734) 763-6295
1101778
ANN ARBOR 48104
(734) 973-0710
1101773
2370 W STADIUM BLVD
ANN ARBOR 48103
(734) 929-9480
1101783
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1018994
CHAMES, MARK C MD
ANN ARBOR 48109
(734) 763-6295
1112539
COLLIN, JENNIFER W MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1018992
COLLIN, JENNIFER W MD
ANN ARBOR 48109
(734) 763-6295
1100657
CURRAN, DIANA MD
ANN ARBOR 48109
(734) 763-6295
1120307
DALTON, VANESSA MD
ANN ARBOR 48104
(734) 929-9480
1120306
DALTON, VANESSA MD
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1075656
ANN ARBOR 48109
(734) 763-6295
1120308
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1111718
ANN ARBOR 48109
(734) 936-9814
1125316
DAVIDSON, AUTUMN MD
ANN ARBOR 48108
(734) 926-4800
1087142
DAY, LORI J MD
ANN ARBOR 48109
(734) 763-6295

Page 531
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1110858
DELANCEY, JOHN O MD
ANN ARBOR 48109
(734) 763-6295
1018993
DOMINO, STEVEN E MD
ANN ARBOR 48109
(734) 763-6295
1112814
DOMINO, STEVEN E MD
ANN ARBOR 48108
(734) 763-4323
1031501
ECKENRODE, RITA P MD
2301 S HURON PKWY STE 3C
ANN ARBOR 48104
(734) 973-7203
1086115
ERNST, SUSAN D MD
ANN ARBOR 48109
(734) 763-6295
1112346
FENNER, DEE E MD
ANN ARBOR 48109
(734) 763-6295
1111008
FISSEHA, SENAIT MD
ANN ARBOR 48109
(734) 763-6295
1097309
FISSEHA, SENAIT MD
ANN ARBOR 48108
(734) 763-4323
1113073
FOYOUZI-YOUSEFI, NASTARAN MD
ANN ARBOR 48109
(734) 763-6295
1113074
FOYOUZI-YOUSEFI, NASTARAN MD
ANN ARBOR 48108
(734) 763-4323
1112222
FROST, SARA C MD
ANN ARBOR 48109
(734) 763-6295
1112223
FROST, SARA C MD
YPSILANTI 48198
(734) 482-6221
1076523
HAEFNER, HOPE K MD
ANN ARBOR 48109
(734) 763-6295
1111034
HAMMOUD, MAYA M MD
ANN ARBOR 48109
(734) 763-6295
1122925
HARRIS, JOHN A MD
ANN ARBOR 48109
(734) 763-6295
1122926
HARRIS, JOHN A MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1120221
HARRIS, LISA H MD
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1120223
HARRIS, LISA H MD
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1120222
HARRIS, LISA H MD
ANN ARBOR 48104
(734) 929-9480
1113171
HASSOUNEH, SAMAR S MD
ANN ARBOR 48109
(734) 763-6295
1122214
HOMA, LORI MD
ANN ARBOR 48104
(734) 973-0710
1122219
HOMA, LORI MD
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1123954
HOVELSON, SONIA A MD
ANN ARBOR 48109
(734) 763-6295
1122786
JUNN, JUSTIN H MD
ANN ARBOR 48109
(734) 763-6295
1119850
KAHN, CHAVA MD
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1113825
KAHN, CHAVA MD
ANN ARBOR 48109
(734) 763-6295
1119849
KAHN, CHAVA MD
ANN ARBOR 48104
(734) 929-9480
1119848
KAHN, CHAVA MD
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1110702
KEMPNER, SAMANTHA L MD
ANN ARBOR 48109
(734) 763-6295
1110703
KEMPNER, SAMANTHA L MD
ANN ARBOR 48108
(734) 232-2600
1113826
KSPN, CHAVA MD
ANN ARBOR 48109
(734) 936-9814
1100977
LANGEN, ELIZABETH S MD
ANN ARBOR 48109
(734) 763-6295
1123085
LANHAM, MICHAEL S MD
475 MARKET PL BLDG ONE
ANN ARBOR 48108
(734) 763-4323
1123083
LANHAM, MICHAEL S MD
ANN ARBOR 48109
(734) 763-6295
1112639
LIANG, ANGELA C MD
ANN ARBOR 48108
(734) 232-2600
1112637
LIANG, ANGELA C MD
ANN ARBOR 48109
(734) 763-6295
1112640
LIANG, ANGELA C MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1112641
LIANG, ANGELA C MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1111891
LIEBERMAN, RICHARD W MD
ANN ARBOR 48109
(800) 862-7284
1032073
LIEBERMAN, RICHARD W MD
ANN ARBOR 48109
(734) 647-8906
1111552
LIM, COURTNEY S MD
ANN ARBOR 48109
(734) 763-6295
1123019
MACAFEE, LAUREN K MD
ANN ARBOR 48109
(734) 936-9814
1123020
MACAFEE, LAUREN K MD
ANN ARBOR 48109
(734) 763-6295
1112981
MAHNERT, NICHOLE MD
ANN ARBOR 48109
(734) 763-6295
1123815
MALONE, ANITA M MD
ANN ARBOR 48109
(734) 763-6295
1123816
MALONE, ANITA M MD
YPSILANTI 48198
(734) 482-6221

Page 532
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1110231
MARZANO, DAVID A MD
ANN ARBOR 48109
(734) 763-6295
1110232
MARZANO, DAVID A MD
ANN ARBOR 48108
(734) 232-2600
1112943
MMEJE, OKEOMA O MD
ANN ARBOR 48109
(734) 763-6295
1113169
MONIZ, MICHELLE H MD
ANN ARBOR 48109
(734) 763-6295
1079760
MORGAN, DANIEL M MD
ANN ARBOR 48109
(734) 763-6295
1113385
MORGAN, HELEN K MD
ANN ARBOR 48109
(734) 763-6295
1122887
MOWERS, ERIKA L MD
ANN ARBOR 48109
(734) 763-6295
1111290
NICHOLSON, JANE M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1094678
ANN ARBOR 48109
(734) 763-6295
1111289
ANN ARBOR 48105
(734) 647-8906
1042302
NUGENT, CLARK E MD
ANN ARBOR 48109
(734) 763-6295
1110804
OPIPARI, ANTHONY W MD
ANN ARBOR 48109
(734) 647-8906
1113789
PASQUE, KATHERINE B MD
ANN ARBOR 48109
(734) 763-6295
1113791
PASQUE, KATHERINE B MD
ANN ARBOR 48108
(734) 232-2600
1110297
PATTON, ELIZABETH W MD
ANN ARBOR 48109
(734) 763-6295
1004814
PEARLMAN, MARK D MD
ANN ARBOR 48109
(734) 647-8906
1093687
PEARLMAN, MARK D MD
ANN ARBOR 48109
(734) 763-6295
1112586
PERRY, JULIE S MD
ANN ARBOR 48109
(734) 763-6295
1112587
PERRY, JULIE S MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1111473
PHANG, LAURA J MD
ANN ARBOR 48109
(734) 763-6295
1111474
PHANG, LAURA J MD
ANN ARBOR 48108
(734) 232-2600
1002938
PUNCH, MARGARET R MD
ANN ARBOR 48109
(734) 763-6295
1004427
QUINT, ELISABETH MD
ANN ARBOR 48109
(734) 763-6295
1110763
RANDOLPH, JOHN F MD
ANN ARBOR 48108
(734) 763-4323
1004368
RANDOLPH, JOHN F MD
ANN ARBOR 48109
(734) 763-6295
1101965
REID, VIRGIL C MD
2370 W STADIUM BLVD
ANN ARBOR 48103
(734) 929-9480
1101970
REID, VIRGIL C MD
ANN ARBOR 48104
(734) 973-0710
1101971
REID, VIRGIL C MD
37625 ANN ARBOR RD STE 107
ANN ARBOR 48105
(734) 591-6544
1101975
REID, VIRGIL C MD
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1113601
SAUNDERS, NATALIE A MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1077698
SAUNDERS, NATALIE A MD
ANN ARBOR 48109
(734) 763-6295
1101618
SCHIMPF, MEGAN O MD
ANN ARBOR 48109
(734) 763-6295
1097574
SKINNER, BETHANY D MD
ANN ARBOR 48109
(734) 763-6295
1105701
SMITH, ROGER D MD
ANN ARBOR 48109
(734) 763-6295
1122103
SPROAT, LAURA A MD
ANN ARBOR 48109
(734) 763-6295
1110311
STALBURG, CAREN M MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1099388
STALBURG, CAREN M MD
ANN ARBOR 48109
(734) 763-6295
1122865
SWAIN, MONIQUE V MD
ANN ARBOR 48109
(734) 763-6295
1122864
SWAIN, MONIQUE V MD
ANN ARBOR 48109
(734) 647-8906
1044414
TREADWELL, MARJORIE C MD
ANN ARBOR 48109
(734) 763-6295
1111036
TREMPER, AMY L MD
ANN ARBOR 48108
(734) 232-2600
1111035
TREMPER, AMY L MD
ANN ARBOR 48109
(734) 763-6295
1101925
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1101915
2370 W STATIUM BLVD
ANN ARBOR 48103
(734) 929-9480
1101920
ANN ARBOR 48104
(734) 973-0710
1101921
ANN ARBOR 48105
(734) 591-6544

Page 533
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1123899
UPPAL, SHITANSHU MBBS
YPSILANTI 48197
(734) 712-2005
1123898
UPPAL, SHITANSHU MBBS
ANN ARBOR 48109
(734) 647-8906
1018990
VAN DE VEN, COSMAS J MD
ANN ARBOR 48109
(734) 763-6295
1113435
WALLETT, SARAH M MD
ANN ARBOR 48109
(734) 763-6295
1120290
WALLETT, SARAH M MD
ANN ARBOR 48104
(734) 929-9480
1120291
WALLETT, SARAH M MD
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1113434
WALLETT, SARAH M MD
ANN ARBOR 48109
(734) 936-9814
1120289
WALLETT, SARAH M MD
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1113845
YOUNG, STEPHANIE K MD
ANN ARBOR 48109
(734) 763-6295
1120272
ZAPATA, MYA R MD
840 MAUS AVE
YPSILANTI 48198
(734) 485-0144
1120274
ZAPATA, MYA R MD
2370 W STADIUM
ANN ARBOR 48103
(734) 929-9480
1120273
ZAPATA, MYA R MD
ANN ARBOR 48104
(734) 929-9480
1122739
ZHAO, LULU X MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5660
1122738
ZHAO, LULU X MD
ANN ARBOR 48109
(734) 763-6295
1113506
ZOSCHNICK, LAUREN B MD
ANN ARBOR 48109
(734) 763-6295
1100584
ANN ARBOR 48109
(734) 647-8906
ONCOLOGY
1090012
ALVA, AJJAI S MD
ANN ARBOR 48109
(734) 647-8903
1110062
BAKER, LAURENCE H DO
ANN ARBOR 48109
(734) 647-8902
1127191
BAKER, LAURENCE H DO
ANN ARBOR 48109
(888) 287-1082
1113688
BRENNER, DEAN E MD
ANN ARBOR 48109
(734) 647-8903
1111800
BUCKANOVICH, RONALD J MD
ANN ARBOR 48109
(734) 647-8906
1111801
ANN ARBOR 48109
(734) 647-8906
1112526
BURNESS, MONIKA L MD
ANN ARBOR 48109
(734) 936-6000
1111416
CARAM, MEGAN E MD
ANN ARBOR 48109
(734) 647-8903
1094550
CHEN, GRACE Y MD
ANN ARBOR 48109
(734) 647-8902
1080003
CHUGH, RASHMI MD
ANN ARBOR 48109
(734) 647-8902
1107377
COONEY, KATHLEEN A MD
ANN ARBOR 48109
(734) 647-8903
1106657
GRIGGS, JENNIFER J MD
ANN ARBOR 48109
(734) 936-6000
1112823
HASSAN, KHALED A MD
ANN ARBOR 48109
(734) 647-8902
1099359
HAYES, DANIEL F MD
ANN ARBOR 48109
(734) 936-6000
1112664
HENRY, NORAH L MD
ANN ARBOR 48109
(734) 936-6000
1110556
HU, PATRICK J MD
ANN ARBOR 48109
(734) 647-8902
1111105
HUSSAIN, MAHA H MD
ANN ARBOR 48109
(734) 647-8903
1101581
KALEMKERIAN, GREGORY P MD
ANN ARBOR 48109
(734) 647-8902
1076085
KAMINSKI, MARK S MD
ANN ARBOR 48109
(734) 647-8901
1111757
KRAUSS, JOHN C MD
ANN ARBOR 48109
(734) 936-6000
1068190
LAO, CHRISTOPHER D MD
ANN ARBOR 48109
(734) 647-8906
1076386
LI, QING MD
ANN ARBOR 48109
(734) 647-8901
1112483
MAILLARD, IVAN P MD
ANN ARBOR 48109
(734) 647-8901
1079145
MERAJVER, SOFIA D MD
ANN ARBOR 48109
(734) 936-6000
1095834
RAMNATH, NITHYA MD
ANN ARBOR 48109
(734) 647-8902
1043805
REDDY, PAVAN R MD
ANN ARBOR 48109
(734) 936-9814
1099992
REDMAN, BRUCE G DO
ANN ARBOR 48109
(734) 647-8903
1113440
RIWES, MARY M DO
ANN ARBOR 48109
(734) 936-9814

Page 534
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
ONCOLOGY (CONTINUED)
1113697
SAHAI, VAIBHAV MD
ANN ARBOR 48109
(734) 647-8902
1019071
SCHOTT, ANNE F MD
ANN ARBOR 48109
(734) 936-6000
1112391
SCHUETZE, SCOTT M MD
ANN ARBOR 48109
(734) 647-8902
1102547
SMERAGE, JEFFREY B MD
ANN ARBOR 48109
(734) 936-6000
1079821
SMITH, DAVID C MD
ANN ARBOR 48109
(734) 647-8903
1091223
TALPAZ, MOSHE MD
ANN ARBOR 48109
(734) 647-8901
1041446
URBA, SUSAN G MD
ANN ARBOR 48109
(734) 647-8902
1111913
URBA, SUSAN G MD
ANN ARBOR 48109
(734) 936-4000
1099852
VAN POZNAK, CATHERINE H MD
ANN ARBOR 48109
(734) 936-6000
1111037
VEENSTRA, CHRISTINE M MD
ANN ARBOR 48109
(734) 647-8902
1111171
WICHA, MAX S MD
ANN ARBOR 48109
(734) 936-6000
1001399
ZALUPSKI, MARK M MD
ANN ARBOR 48109
(734) 647-8902
OPHTHALMOLOGY
1123176
ADDIS, VICTORIA M MD
ANN ARBOR 48109
(734) 763-9142
1123175
ADDIS, VICTORIA M MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1123153
AMIN, SEJAL R MD
ANN ARBOR 48109
(734) 763-9142
1123152
AMIN, SEJAL R MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1002201
ARCHER, STEVEN M MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1076693
BERGSTROM, TERRY J MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1111974
BESER, DONALD S MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1116911
BESIRLI, CAGRI G MD
1500 E MEDICAL CENTER DR B1 FLOOR
ANN ARBOR 48109
(734) 763-9142
1116912
BESIRLI, CAGRI G MD
1000 WALL STREET
ANN ARBOR 48105
(734) 764-4190
1098173
BIXLER, JILL MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1095516
BOHNSACK, BRENDA L MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1113989
BOHNSACK, BRENDA L MD
ANN ARBOR 48109
(734) 763-9142
1111869
BRICENO, CESAR A MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1079754
BRICENO, CESAR A MD
ANN ARBOR 48109
(734) 763-9142
1111447
BULLARD, MICHAEL L MD
ANN ARBOR 48109
(734) 763-9142
1111446
BULLARD, MICHAEL L MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1122842
CHOI, CATHERINE S MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1122843
CHOI, CATHERINE S MD
ANN ARBOR 48109
(734) 763-9142
1111656
COHEN, STEVEN R MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1111657
COHEN, STEVEN R MD
ANN ARBOR 48109
(734) 763-9142
1044416
COMER, GRANT MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1116879
COMER, GRANT MD
ANN ARBOR 48109
(734) 763-9142
1112933
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1004468
ANN ARBOR 48109
(734) 763-9142
1003011
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1033752
DASS, ASHVANI B MD
YPSILANTI 48197
(734) 572-1200
1003077
DEL MONTE, MONTE A MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1077232
DEMIRCI, HAKAN MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1113871
DEMIRCI, HAKAN MD
ANN ARBOR 48109
(734) 763-9142
1093185
DOUGLAS, RAYMOND S MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1110529
DOUGLAS, RAYMOND S MD
ANN ARBOR 48109
(734) 763-9142
1113336
DU, ELIZABETH MD
ANN ARBOR 48109
(734) 763-9142

Page 535
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1113335
DU, ELIZABETH MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1123169
EISENBERG, MARINA A MD
ANN ARBOR 48109
(734) 763-9142
1123168
EISENBERG, MARINA A MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1113360
ELAM, ANGELA R MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1113361
ELAM, ANGELA R MD
ANN ARBOR 48109
(734) 763-9142
1075672
ELNER, SUSAN G MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1113088
ELNER, VICTOR M MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1113089
ELNER, VICTOR M MD
ANN ARBOR 48109
(800) 862-7284
1123837
FAHIM, ABIGAIL T MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1123838
FAHIM, ABIGAIL T MD
ANN ARBOR 48109
(734) 763-9142
1079255
FAIA, LISA J MD
5333 MCAULEY DR #6007
YPSILANTI 48197
(734) 572-1200
1117199
FARKASH, CHERIE A OD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1117200
FARKASH, CHERIE A OD
ANN ARBOR 48109
(734) 763-9142
1114158
FINKELSTEIN, JEROME I MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1034308
GAGO, LUIS MD
2350 E STADIUM BLVD STE 10
ANN ARBOR 48104
(734) 941-3901
1035018
GAGO, LUIS MD
1600 COMMERCE PARK DR STE 100
CHELSEA 48118
(734) 475-5970
1111845
ANN ARBOR 48109
(734) 763-9142
1065231
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1093184
GARDNER, THOMAS W MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1112266
GARDNER, THOMAS W MD
ANN ARBOR 48109
(734) 763-9142
1123006
GHODASRA, DEVON H MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1123007
GHODASRA, DEVON H MD
ANN ARBOR 48109
(734) 763-9142
1079757
GRABE, HILARY M MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1110493
GRABE, HILARY M MD
ANN ARBOR 48109
(734) 763-9142
1110495
GRABE, HILARY M MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1110494
GRABE, HILARY M MD
1974 N HURON RIVER DR
YPSILANTI 48197
(734) 615-0788
1111899
GREENE, JONATHAN B MD
ANN ARBOR 48109
(734) 763-9142
1106810
GREENE, JONATHAN B MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1078709
GUPTA, SHIVANI MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1125203
GUPTA, SHIVANI MD
ANN ARBOR 48109
(734) 763-9142
1095400
HASSAN, TAREK S MD
YPSILANTI 48197
(734) 572-1200
1074305
HECKENLIVELY, JOHN R MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1112476
ANN ARBOR 48109
(734) 763-9142
1079758
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1127152
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1118435
ISSA, SAID M MD
3145 CLARK RD STE 104
YPSILANTI 48197
(734) 434-9830
1092067
JAYASUNDERA, KANISHKA MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1116878
JAYASUNDERA, KANISHKA MD
ANN ARBOR 48109
(734) 763-9142
1112879
ANN ARBOR 48109
(734) 763-9142
1112878
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1110177
JOHN, DENISE A MD
ANN ARBOR 48109
(734) 763-9142
1075666
JOHN, DENISE A MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1076705
JOHNSON, MARK W MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1076344
KAHANA, ALON MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1110535
KAHANA, ALON MD
ANN ARBOR 48109
(734) 763-9142
1111873
KAPLAN, ARIANE D MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000

Page 536
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1018612
KAPLAN, ARIANE D MD
ANN ARBOR 48109
(734) 763-9142
1111871
KAPLAN, ARIANE D MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1111944
KAUR, HARJEET MD
YPSILANTI 48197
(734) 615-0788
1111943
KAUR, HARJEET MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1112315
KOZAK, JENNIFER A MD
YPSILANTI 48197
(734) 615-0788
1112314
ANN ARBOR 48109
(734) 763-9142
1076089
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1124725
KRESCH, ZVI MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1092330
LEE, PAUL P MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1110060
LEE, PAUL P MD
ANN ARBOR 48109
(734) 763-9142
1123073
LEWIS, ANDREW W MD
ANN ARBOR 48109
(734) 763-9142
1123072
LEWIS, ANDREW W MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1110788
LICHTER, PAUL R MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1005658
MIAN, SHAHZAD I MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1127196
MOROI, SAYOKO E MD
ANN ARBOR 48109
(734) 763-9142
1093777
MOROI, SAYOKO E MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1004113
NELSON, CHRISTINE C MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1110511
NEWMAN-CASEY, PAULA ANNE MD
ANN ARBOR 48109
(734) 763-9142
1110509
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1122796
ODAIBO, STEPHEN G MD
ANN ARBOR 48109
(734) 763-9142
1122795
ODAIBO, STEPHEN G MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1114097
PADOVANI CLAUDIO, DOLLY A MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1114098
PADOVANI CLAUDIO, DOLLY A MD
ANN ARBOR 48109
(734) 763-9142
1123157
PRABHU, SHREYA S MD
ANN ARBOR 48109
(734) 763-9142
1093754
PRABHU, SHREYA S MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1084930
PURO, DONALD G MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1040740
1600 COMMERCE PARK DR
CHELSEA 48118
(877) 852-8463
1040741
ANN ARBOR 48104
(877) 852-8463
1112590
RAJAII, FATEMEH MD
ANN ARBOR 48109
(734) 763-9142
1112589
RAJAII, FATEMEH MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1113615
RAO, RAJESH C MD
ANN ARBOR 48109
(734) 763-9142
1113613
RAO, RAJESH C MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1122848
SAND, DANIEL MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1122849
SAND, DANIEL MD
ANN ARBOR 48109
(734) 763-9142
1111240
SANDALL, GARY S MD
YPSILANTI 48197
(734) 615-0788
1124500
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1124501
ANN ARBOR 48109
(734) 763-9142
1044927
SENSOLI, ANTHONY MD
1600 COMMERCE PARK DR STE 100
CHELSEA 48118
(877) 852-8463
1044928
SENSOLI, ANTHONY MD
ANN ARBOR 48104
(877) 852-8463
1113163
SHAH, ANJALI R MD
ANN ARBOR 48109
(734) 763-9142
1113162
SHAH, ANJALI R MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1122902
SHAN, SHANNON J MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1122903
SHAN, SHANNON J MD
ANN ARBOR 48109
(734) 763-9142
1112273
SHTEIN, RONI M MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1112269
SHTEIN, RONI M MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1112270
SHTEIN, RONI M MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321

Page 537
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1112271
SHTEIN, RONI M MD
ANN ARBOR 48109
(734) 763-9142
1112272
SHTEIN, RONI M MD
YPSILANTI 48197
(734) 615-0788
1111266
SMITH-WHEELOCK, MICHAEL W MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1112720
SOONG, HUNSON K MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1003803
SOONG, HUNSON K MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1041369
STEIN, JOSHUA D MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1113692
STEIN, JOSHUA D MD
ANN ARBOR 48109
(734) 763-9142
1053237
SUGAR, ALAN MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1041312
TEWARI, ASHEESH MD
YPSILANTI 48197
(734) 712-7558
1004811
TROBE, JONATHAN D MD
ANN ARBOR 48109
(734) 763-9142
1111001
VRABEC, JOSHUA P MD
ANN ARBOR 48109
(734) 763-9142
1078097
VRABEC, JOSHUA P MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1111002
VRABEC, JOSHUA P MD
YPSILANTI 48197
(734) 615-0788
1099260
WEIZER, JENNIFER S MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1110519
WEIZER, JENNIFER S MD
ANN ARBOR 48109
(734) 763-9142
1112267
WEST, ADRIENNE L MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1078939
WOODWARD, MARIA A MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1113595
WOODWARD, MARIA A MD
ANN ARBOR 48109
(734) 763-9142
1110528
WU, REBECCA A MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1110527
WU, REBECCA A MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1033987
YPSILANTI 48197
(734) 572-1200
1093751
ZACKS, DAVID N MD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
OPTOMETRY
1120755
ANKLIN, ERIC OD
2555 JACKSON RD
ANN ARBOR 48103
(734) 239-8900
1114525
2555 JACKSON RD
ANN ARBOR 48103
(734) 239-8900
1114526
2884 WASHTENAW AVE
YPSILANTI 48197
(734) 572-8822
1064186
ANN ARBOR 48104
(877) 852-8463
1064191
1600 COMMERCE PARK DR
CHELSEA 48118
(877) 852-8463
1110083
DAY, SHERRY H OD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1071091
DELOSS, KAREN S OD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1117186
2884 WASHTENAW
YPSILANTI 48197
(734) 572-8822
1111487
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1105171
ERMETE, TEOMAN A OD
2884 WASHTENAW AVE
YPSILANTI 48197
(734) 572-8822
1041526
FOSTER, CARLTON J OD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1111483
FOSTER, CARLTON J OD
ANN ARBOR 48109
(734) 763-9142
1105180
GENTILE, RALPH OD
2555 JACKSON RD
ANN ARBOR 48103
(734) 239-8900
1105467
GRENIER, PAUL J OD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1093459
2884 WASHTENAW AVE
YPSILANTI 48197
(734) 572-8822
1093457
2555 JACKSON RD
ANN ARBOR 48103
(734) 675-8197
1113633
JACOBI, DIANE M OD
YPSILANTI 48197
(734) 615-0788
1104273
KAUR, SARABJIT OD
2884 WASHTENAW AVE
YPSILANTI 48197
(734) 572-8822
1104272
KAUR, SARABJIT OD
2555 JACKSON RD
ANN ARBOR 48103
(734) 239-8900
1123061
2884 WASHTENAW AVE
YPSILANTI 48197
(734) 572-8822
1123060
2555 JACKSON RD
ANN ARBOR 48103
(734) 239-8900
1111073
LAGINA, AMY L OD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190

Page 538
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1114461
LALIBERTE, RENEE OD
8089 MAIN ST STE 1
DEXTER 48130
(734) 424-9230
1078943
LEUNG, HELIOS T OD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1111153
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1117270
MARVIN-MANDERS, JULIE OD
110 RIVERSIDE DR
MANCHESTER 48158
(734) 428-2020
1126026
2555 JACKSON AVE
ANN ARBOR 48103
(734) 239-8900
1070379
RIVERA, AXEL OD
2884 WASHTENAW
YPSILANTI 48197
(734) 572-8822
1091224
TAYLOR, BRADLEY W OD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1003085
WICKER, DONNA M OD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1046849
WINTMAN, HOWARD OD
2884 WASHTENAW AVE
YPSILANTI 48197
(734) 572-8822
1119442
WOOD, SARAH K OD
1000 WALL ST
ANN ARBOR 48105
(734) 764-4190
1046843
YEE, GARY OD
2884 WASHTENAW AVE
YPSILANTI 48197
(734) 572-8822

1090753
ARONOVICH, SHARON DMD
1500 E MEDICAL CENTER DR MED INN RM C233A ANN ARBOR 48109
(734) 763-5963
1085982
FEINBERG, STEPHEN E DDS
(734) 763-5963
1114353
HELMAN, JOSEPH I DMD
(734) 763-5963
1110514
CHIN, AMY M MD
ANN ARBOR 48109
(734) 232-6975
1110515
CHIN, AMY M MD
(734) 936-5950
1085437
EDWARDS, SEAN P MD DDS
(734) 763-5963
1113850
KLOOSTRA, PAUL W MD
(734) 936-5950
1113849
KLOOSTRA, PAUL W MD
ANN ARBOR 48109
(734) 232-6975
1090015
SKOUTERIS, CHRISTOS A PHD
(734) 763-5963
ORTHOPEDIC SURGERY
1123582
ABBOTST, MATTHEW D MD
1500 E MEDICAL CENTER DR 3RD FL CS MOTT
ANN ARBOR 48109
(734) 936-5780
1100653
BEDI, ASHEESH MD
ANN ARBOR 48105
(734) 930-7400
1112155
BEDI, ASHEESH MD
ANN ARBOR 48109
(734) 936-5780
1111117
BIERMANN, JANET S MD
ANN ARBOR 48109
(734) 936-5780
1044373
BIERMANN, JANET S MD
ANN ARBOR 48109
(734) 647-8902
1030102
BLSPA, JOHN D MD
ANN ARBOR 48105
(734) 930-7400
1112818
CAIRD, MICHELLE S MD
1500 E MEDICAL CENTER DR 3RD FL RECP C
ANN ARBOR 48109
(734) 936-5780
1112027
CARPENTER, JAMES E MD
ANN ARBOR 48109
(734) 936-5780
1112028
CARPENTER, JAMES E MD
ANN ARBOR 48105
(734) 930-7400
1002188
CHUNG, KEVIN C MD
ANN ARBOR 48105
(734) 998-7400
1111780
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-7175
1111779
ANN ARBOR 48109
(734) 936-5780
1114037
ESLAM POUR, AIDIN MD
ANN ARBOR 48109
(734) 936-5780
1004346
FARLEY, FRANCES A MD
ANN ARBOR 48109
(734) 936-5780
1113097
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-7175
1100126
GOULET, JAMES A MD
ANN ARBOR 48109
(734) 936-5780
1124470
GRANT, JOHN A MD
ANN ARBOR 48105
(734) 930-7400
1112651
ANN ARBOR 48105
(734) 930-7400
1109134
ANN ARBOR 48109
(734) 936-5780
1112650
2098 S MAIN ST
ANN ARBOR 48103
(734) 998-6541
1112500
HENSINGER, ROBERT N MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321

Page 539
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1001698
HENSINGER, ROBERT N MD
ANN ARBOR 48109
(734) 936-5780
1079818
HOLMES, JAMES R MD
2098 S MAIN ST
ANN ARBOR 48103
(734) 998-6541
1077704
LAWTON, JEFFREY N MD
2098 S MAIN ST
ANN ARBOR 48103
(734) 998-6485
1111935
LAWTON, JEFFREY N MD
ANN ARBOR 48109
(734) 936-5780
1076382
LI, GERTRUDE Y MD
ANN ARBOR 48109
(734) 936-5780
1123596
MARATT, JOSEPH D MD
ANN ARBOR 48109
(734) 936-5780
1006433
MILLER, BRUCE S MD
ANN ARBOR 48105
(734) 930-7400
1114646
OZER, KAGAN MD
2098 S MAIN ST
ANN ARBOR 48103
(734) 998-6485
1114645
OZER, KAGAN MD
ANN ARBOR 48109
(734) 936-5780
1110912
PATEL, RAKESH D MD
2098 S MAIN ST
ANN ARBOR 48103
(734) 998-6541
1073972
PATEL, RAKESH D MD
ANN ARBOR 48109
(734) 936-5780
1112477
PERDUE, AARON M MD
ANN ARBOR 48109
(734) 936-5780
1003080
ANN ARBOR 48109
(734) 936-5780
1113325
ANN ARBOR 48105
(734) 930-7400
1085838
WOJTYS, EDWARD M MD
ANN ARBOR 48105
(734) 930-7400

1077226
IRWIN, TODD A MD
2098 S MAIN ST
ANN ARBOR 48103
(734) 998-6541
1111647
WOJTYS, EDWARD M MD
ANN ARBOR 48109
(734) 936-5780
1085838
WOJTYS, EDWARD M MD
ANN ARBOR 48105
(734) 930-7400
PAIN CENTER
1118687
5325 ELLIOT DR STE 101
YPSILANTI 48197
(734) 712-7246
1118686
14650 E OLD US HWY 12 STE 201
CHELSEA 48118
(734) 593-5670
1118684
2006 HOGBACK RD STE 5A
ANN ARBOR 48105
(734) 786-2317
PAIN MANAGEMENT
1075962
BRUMMETT, CHAD M MD
ANN ARBOR 48108
(734) 763-5459
1105270
CHIRAVURI, SRINIVAS MD
ANN ARBOR 48108
(734) 763-5459
1110777
GOLMIRZAIE, GOODARZ M MD
ANN ARBOR 48108
(734) 763-5459
1002228
GREEN, CARMEN R MD
ANN ARBOR 48108
(734) 763-5459
1110567
HILLIARD, PAUL E MD
ANN ARBOR 48109
(734) 936-5780
1110568
HILLIARD, PAUL E MD
ANN ARBOR 48108
(734) 763-5459
1111009
MITCHELL, EUGENE O MD
ANN ARBOR 48108
(734) 763-5459
1112243
RASTOGI, MOHIT MD
ANN ARBOR 48108
(734) 763-5459
1127517
REGENTS OF THE U OF M PAIN MGMT
ANN ARBOR 48109
(734) 936-4000
1110470
ROSENBERG, JACK M MD
ANN ARBOR 48108
(734) 936-7175
1113663
ANN ARBOR 48108
(734) 763-5459
1113662
ANN ARBOR 48109
(734) 936-5780

1111269
HUMMEL, ELLEN K MD
ANN ARBOR 48109
(734) 936-4000
1106603
HUMMEL, ELLEN K MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1090014
AIYAGARI, RANJIT M MD
ANN ARBOR 48109
(734) 764-5176
1033246
ARMSTRONG, AIMEE K MD
ANN ARBOR 48109
(734) 764-5176
1124618
BATES, KATHERINE E MD
ANN ARBOR 48109
(734) 764-5176

Page 540
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1110604
BOCKS, MARTIN L MD
(734) 647-7321
1110615
BOCKS, MARTIN L MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1110602
BOCKS, MARTIN L MD
ANN ARBOR 48109
(734) 764-5176
1110606
BOCKS, MARTIN L MD
YPSILANTI 48198
(734) 482-6221
1110608
BOCKS, MARTIN L MD
ANN ARBOR 48105
(734) 998-7400
1110616
BOCKS, MARTIN L MD
DEXTER 48130
(734) 426-2796
1110613
BOCKS, MARTIN L MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1110617
BOCKS, MARTIN L MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1086732
BOCKS, MARTIN L MD
ANN ARBOR 48109
(734) 647-7321
1110614
BOCKS, MARTIN L MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1110603
BOCKS, MARTIN L MD
ANN ARBOR 48109
(888) 287-1082
1110612
BOCKS, MARTIN L MD
ANN ARBOR 48108
(734) 647-5871
1110611
BOCKS, MARTIN L MD
ANN ARBOR 48108
(734) 998-7207
1110601
BOCKS, MARTIN L MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1110610
BOCKS, MARTIN L MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1110609
BOCKS, MARTIN L MD
ANN ARBOR 48108
(734) 647-9000
1000473
BRADLEY, DAVID J MD
ANN ARBOR 48109
(734) 764-5176
1110796
BRADLEY, DAVID J MD
5325 ELLIOTT DR STE 201
YPSILANTI 48197
(734) 712-8000
1112159
CHARPIE, JOHN R MD
ANN ARBOR 48109
(734) 764-5176
1111340
COTTS, TIMOTHY B MD
ANN ARBOR 48109
(888) 287-1082
1111339
COTTS, TIMOTHY B MD
ANN ARBOR 48109
(734) 764-5176
1111349
COTTS, TIMOTHY B MD
ANN ARBOR 48108
(734) 647-5871
1111354
COTTS, TIMOTHY B MD
775 S MAIN ST
CHELSEA 48118
(734) 475-4003
1111338
COTTS, TIMOTHY B MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1111352
COTTS, TIMOTHY B MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1043798
COTTS, TIMOTHY B MD
ANN ARBOR 48109
(734) 647-7321
1111350
COTTS, TIMOTHY B MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1111353
COTTS, TIMOTHY B MD
DEXTER 48130
(734) 426-2796
1111348
COTTS, TIMOTHY B MD
ANN ARBOR 48108
(734) 998-7207
1111343
COTTS, TIMOTHY B MD
YPSILANTI 48198
(734) 482-6221
1111345
COTTS, TIMOTHY B MD
ANN ARBOR 48105
(734) 998-7400
1111346
COTTS, TIMOTHY B MD
ANN ARBOR 48108
(734) 647-9000
1111347
COTTS, TIMOTHY B MD
325 E EISENHOWER
ANN ARBOR 48108
(734) 936-5627
1111341
COTTS, TIMOTHY B MD
(734) 647-7321
1111351
COTTS, TIMOTHY B MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1003528
CROWLEY, DENNIS C MD
ANN ARBOR 48109
(734) 764-5176
1110526
CROWLEY, DENNIS C MD
YPSILANTI 48197
(734) 712-8000
1116910
DICK, MACDONALD MD
YPSILANTI 48197
(734) 712-8000
1006372
DICK, MACDONALD MD
ANN ARBOR 48109
(734) 764-5176
1116885
DICK, MACDONALD MD
YPSILANTI 48197
(734) 712-8000
1045914
DORFMAN, ADAM L MD
ANN ARBOR 48109
(734) 764-5176
1111685
DORFMAN, ADAM L MD
YPSILANTI 48197
(734) 712-8000
1001346
ENSING, GREGORY J MD
ANN ARBOR 48109
(734) 764-5176
1006339
ENSING, GREGORY J MD
YPSILANTI 48197
(734) 712-8000
1112066
FIFER, CARLEN G MD
YPSILANTI 48197
(734) 712-8000
1091392
FIFER, CARLEN G MD
ANN ARBOR 48109
(734) 764-5176

Page 541
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1097106
FRIEDLAND-LITTLE, JOSHUA M MD
ANN ARBOR 48109
(734) 764-5176
1111006
GAIES, MICHAEL G MD
ANN ARBOR 48109
(734) 764-5176
1075012
GAJARSKI, ROBERT J MD
ANN ARBOR 48109
(734) 764-5176
1114186
GELEHRTER, SARAH K MD
YPSILANTI 48197
(734) 712-8000
1084859
GELEHRTER, SARAH K MD
ANN ARBOR 48109
(734) 764-5176
1113629
GOBLE, MONICA M MD
ANN ARBOR 48109
(734) 764-5176
1004105
GOLDBERG, CAREN S MD
ANN ARBOR 48109
(734) 764-5176
1100761
GRIFKA, RONALD G MD
ANN ARBOR 48109
(734) 764-5176
1125748
JANTZEN, DAVID W MD
(734) 764-5302
1125747
JANTZEN, DAVID W MD
ANN ARBOR 48109
(734) 936-4185
1123023
JANTZEN, DAVID W MD
ANN ARBOR 48109
(734) 764-5176
1112709
LAPAGE, MARTIN J MD
YPSILANTI 48197
(734) 712-8000
1077020
LAPAGE, MARTIN J MD
ANN ARBOR 48109
(734) 764-5176
1018681
LLOYD, THOMAS R MD
ANN ARBOR 48109
(734) 764-5176
1111166
LU, JIMMY C MD
YPSILANTI 48197
(734) 712-8000
1077778
LU, JIMMY C MD
ANN ARBOR 48109
(734) 764-5176
1122767
MAGDO, HEIDI S DO
ANN ARBOR 48109
(734) 764-5176
1125749
MAGDO, HEIDI S DO
(734) 764-5302
1125750
MAGDO, HEIDI S DO
ANN ARBOR 48109
(734) 936-4185
1127905
MALCOLM, DONALD D MD
ANN ARBOR 48109
(734) 764-5176
1116905
NORRIS, MARK D MD
ANN ARBOR 48109
(888) 287-1082
1116897
NORRIS, MARK D MD
775 SOUTH MAIN ST
CHELSEA 48118
(734) 475-4003
1116906
NORRIS, MARK D MD
ANN ARBOR 48105
(734) 998-7400
1116895
NORRIS, MARK D MD
700 E WOODLAND RD
SALINE 48176
(734) 429-2302
1116894
NORRIS, MARK D MD
4900 A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1116893
NORRIS, MARK D MD
YPSILANTI 48198
(734) 482-6221
1116903
NORRIS, MARK D MD
1500 E MEDICAL CENTER DR 3RD FLOOR
ANN ARBOR 48109
(734) 647-7321
1116889
NORRIS, MARK D MD
375 BRIARWOOD CIRCLE BLDG 3
ANN ARBOR 48108
(734) 998-7207
1116899
NORRIS, MARK D MD
14700 EAST OLD US 12
CHELSEA 48118
(734) 475-1321
1116901
NORRIS, MARK D MD
ANN ARBOR 48109
(734) 647-7321
1116902
NORRIS, MARK D MD
1500 E MEDICAL CENTER DR 3RD FLOOR
ANN ARBOR 48109
(734) 647-7321
1116904
NORRIS, MARK D MD
400 EAST EISENHOWER STE B
ANN ARBOR 48108
(734) 647-5871
1116891
NORRIS, MARK D MD
325 E EISENHWOER
ANN ARBOR 48108
(734) 936-5627
1116892
NORRIS, MARK D MD
7300 DEXTER-ANN ARBOR RD
DEXTER 48130
(734) 426-2796
1096819
NORRIS, MARK D MD
ANN ARBOR 48109
(734) 764-5176
1116898
NORRIS, MARK D MD
ANN ARBOR 48108
(734) 647-9000
1116896
NORRIS, MARK D MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1112745
OWENS, GABE E MD
ANN ARBOR 48109
(734) 764-5176
1018446
OWENS, SONAL T MD
ANN ARBOR 48109
(734) 764-5176
1112525
OWENS, SONAL T MD
YPSILANTI 48197
(734) 712-8000
1097346
PASQUALI, SARA K MD
ANN ARBOR 48109
(734) 764-5176
1112997
QUASNEY, MICHAEL W MD
(734) 763-5302
1112999
ANN ARBOR 48109
(734) 936-4185
1112998
(734) 764-5302
1006343
ROCCHINI, ALBERT P MD
ANN ARBOR 48109
(734) 764-5176
1040574
RUSSELL, MARK W MD
ANN ARBOR 48109
(734) 764-5176

Page 542
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1075684
SCHUMACHER, KURT R MD
ANN ARBOR 48109
(734) 764-5176
1111851
SERWER, GERALD A MD
ANN ARBOR 48109
(734) 764-5176
1111852
SERWER, GERALD A MD
YPSILANTI 48197
(734) 712-8000
1125751
SMITH, BRANDON M MD
ANN ARBOR 48109
(734) 936-4185
1125752
SMITH, BRANDON M MD
(734) 764-5302
1123174
SMITH, BRANDON M MD
ANN ARBOR 48109
(734) 764-5176
1112882
THORSSON, THOR MD
ANN ARBOR 48109
(734) 764-5176
1018047
VAN DER VELDE, MARY E MD
ANN ARBOR 48109
(734) 764-5176
1110845
VAN DER VELDE, MARY E MD
YPSILANTI 48197
(734) 712-8000
1125755
VON ALVENSLEBEN, JOHANNES C MD
ANN ARBOR 48109
(734) 936-4185
1122782
ANN ARBOR 48109
(734) 764-5176
1125760
(734) 764-5302
1105338
WEBB, CATHERINE MD
ANN ARBOR 48109
(734) 764-5176
1111925
ZAMPI, JEFFREY D MD
ANN ARBOR 48109
(734) 764-5176

1122976
BARBARO, RYAN P MD
ANN ARBOR 48109
(734) 936-4185
1122974
BARBARO, RYAN P MD
ANN ARBOR 48109
(734) 763-5302
1122975
BARBARO, RYAN P MD
ANN ARBOR 48109
(734) 764-5302
1114167
CORNELL, TIMOTHY T MD
ANN ARBOR 48109
(734) 936-4185
1114166
CORNELL, TIMOTHY T MD
(734) 764-5302
1113307
CUSTER, JOSEPH R MD
ANN ARBOR 48109
(734) 936-4185
1003669
CUSTER, JOSEPH R MD
(734) 764-5302
1110870
DANIELS, RODNEY C MD
(734) 764-5302
1110871
ANN ARBOR 48109
(734) 936-4185
1110869
(734) 763-5302
1123110
KUO, KEVIN W MD
ANN ARBOR 48109
(734) 763-5302
1123111
KUO, KEVIN W MD
ANN ARBOR 48109
(734) 764-5302
1123112
KUO, KEVIN W MD
ANN ARBOR 48109
(734) 936-4185
1018278
MOLER, FRANK W MD
(734) 764-5302
1110436
MOLER, FRANK W MD
ANN ARBOR 48109
(734) 936-4185
1018673
NIEDNER, MATTHEW F MD
ANN ARBOR 48109
(734) 763-5302
1111687
ANN ARBOR 48109
(734) 936-4185
1111686
(734) 764-5302
1018287
ODETOLA, FOLAFOLUWA O MD
(734) 764-5302
1111662
ODETOLA, FOLAFOLUWA O MD
ANN ARBOR 48109
(734) 936-4185
1111198
OSTWANI, WASEEM MD
(734) 764-5302
1111199
OSTWANI, WASEEM MD
ANN ARBOR 48109
(734) 936-4185
1018305
SHANLEY, THOMAS P MD
(734) 764-5302
1112719
SHANLEY, THOMAS P MD
ANN ARBOR 48109
(734) 936-4185

1123933
ARUTYUNYAN, TSOVINAR MD
ANN ARBOR 48109
(734) 763-5302
1123934
ANN ARBOR 48109
(734) 764-5302
1123935
ANN ARBOR 48109
(734) 936-4185

Page 543
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1116870
CHEN, MING MD
ANN ARBOR 48108
(734) 232-2600
1018308
CHEN, MING MD
1500 E MEDICAL CTR DR 8TH FLOOR CS MOTT
ANN ARBOR 48109
(734) 936-4185
1112022
GREGG, BRIGID E MD
ANN ARBOR 48108
(734) 232-2600
1112021
GREGG, BRIGID E MD
ANN ARBOR 48109
(734) 936-4185
1003603
HOPWOOD, NANCY J MD
ANN ARBOR 48109
(734) 936-4185
1111693
HOPWOOD, NANCY J MD
ANN ARBOR 48108
(734) 232-2600
1112858
KASA-VUBU, JOSEPHINE Z MD
ANN ARBOR 48109
(734) 936-4185
1075625
ANN ARBOR 48108
(734) 232-2600
1110463
LEE, JOYCE M MD
ANN ARBOR 48109
(734) 936-4185
1110464
LEE, JOYCE M MD
ANN ARBOR 48108
(734) 232-2600
1076049
MENON, RAM K MD
ANN ARBOR 48109
(734) 936-4185
1112860
MENON, RAM K MD
ANN ARBOR 48108
(734) 232-2600
1114644
OLSON, DAVID P MD
ANN ARBOR 48108
(734) 232-2600
1086836
OLSON, DAVID P MD
ANN ARBOR 48109
(734) 936-4185
1113720
SINGER, KANAKADURGA V MD
ANN ARBOR 48108
(734) 232-2600
1113718
ANN ARBOR 48109
(734) 936-4185
1114169
THOMAS, INAS H MD
ANN ARBOR 48108
(734) 232-2600
1077677
THOMAS, INAS H MD
ANN ARBOR 48109
(734) 936-4185
1002060
VAZQUEZ, DELIA M MD
ANN ARBOR 48109
(734) 936-4185
1111942
VAZQUEZ, DELIA M MD
ANN ARBOR 48108
(734) 232-2600
1102392
WOOD, MICHAEL A MD
ANN ARBOR 48109
(734) 936-4185
1113838
WOOD, MICHAEL A MD
ANN ARBOR 48108
(734) 232-2600
1078900
ADLER, JEREMY MD
ANN ARBOR 48109
(734) 936-4185
1110178
ADLER, JEREMY MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1110179
ADLER, JEREMY MD
ANN ARBOR 48108
(734) 232-2600
1076961
BROWN, PAMELA I MD
ANN ARBOR 48109
(734) 936-4185
1112616
BROWN, PAMELA I MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1112617
BROWN, PAMELA I MD
ANN ARBOR 48108
(734) 232-2600
1110105
DE MATOS MAILLARD, VERA L MD
ANN ARBOR 48108
(734) 232-2600
1075668
DE MATOS MAILLARD, VERA L MD
ANN ARBOR 48109
(734) 936-4185
1076574
DICKINSON, CHRIS J MD
ANN ARBOR 48109
(734) 936-4185
1111615
DICKINSON, CHRIS J MD
ANN ARBOR 48108
(734) 232-2600
1104949
DIPAOLA, FRANK W MD
ANN ARBOR 48109
(734) 936-4185
1004813
LOPEZ, MACLOVIO J MD PHD
ANN ARBOR 48109
(734) 936-4185
1111855
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1111856
ANN ARBOR 48108
(734) 232-2600
1114125
NEEF, HALEY C MD
ANN ARBOR 48109
(734) 936-4185
1114276
ZACUR, GEORGE M MD
ANN ARBOR 48109
(734) 936-4185
1018690
BOXER, LAURENCE A MD
1500 E MEDICAL CENTER DR 7TH FL CS MOTTS
ANN ARBOR 48109
(734) 936-9814
1103667
CAMPBELL, ANDREW D MD
ANN ARBOR 48109
(734) 936-9814
1113052
CASTLE, VALERIE P MD
ANN ARBOR 48109
(734) 936-9814
1040340
CHAMDIN, AGHIAD MD
ANN ARBOR 48109
(734) 936-9814
1105077
CHOI, SUNG WON MD
ANN ARBOR 48109
(734) 936-9814

Page 544
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
PEDIATRIC - HEMATOLOGY/ONCOLOGY (CONTINUED)
1075963
CONNELLY, JAMES A MD
ANN ARBOR 48109
(734) 936-9814
1112665
CONNELLY, JAMES A MD
ANN ARBOR 48109
(734) 936-9814
1103738
HARRIS, ANDREW C MD
ANN ARBOR 48109
(734) 936-9814
1018672
HUTCHINSON, RAYMOND J MD
ANN ARBOR 48109
(734) 936-9814
1072225
KITKO, CARRIE L MD
ANN ARBOR 48109
(734) 936-9814
1034106
LEVINE, JOHN E MD
ANN ARBOR 48109
(734) 936-9814
1018677
MODY, RAJEN MD
ANN ARBOR 48109
(734) 936-9814
1041416
PIPE, STEVEN W MD
ANN ARBOR 48109
(734) 936-9814
1090234
RAO, RAMA J MD
ANN ARBOR 48109
(734) 936-9814
1040575
SHAVIT, JORDAN A MD
ANN ARBOR 48109
(734) 936-9814
1096460
WALKOVICH, KELLY J MD
ANN ARBOR 48109
(734) 936-9814
1096566
YANIK, GREGORY A MD
ANN ARBOR 48109
(734) 936-9814

1018046
BLACKWOOD, ROLAND A MD
ANN ARBOR 48109
(734) 936-4185
1110978
DAWID, SUZANNE R MD
ANN ARBOR 48109
(734) 936-4185
1003254
GILSDORF, JANET R MD
ANN ARBOR 48109
(734) 936-4185
1018299
LIPUMA, JOHN J MD
ANN ARBOR 48109
(734) 936-4185
1100782
STILLWELL, TERRI L MD
ANN ARBOR 48109
(734) 936-4185
1110034
WATSON, MICHAEL E MD
ANN ARBOR 48109
(734) 936-4185
1018284
WEINBERG, JASON B MD
ANN ARBOR 48109
(734) 936-4185
1108977
BLATT, NEAL B MD
ANN ARBOR 48109
(734) 936-4185
1105580
GIPSON, DEBBIE S MD
ANN ARBOR 48109
(734) 936-4185
1110195
LOMBEL, REBECCA M MD
(734) 936-4210
1107482
LOMBEL, REBECCA M MD
ANN ARBOR 48109
(734) 936-4185
1079759
LUCKRITZ, KERA E DO
ANN ARBOR 48109
(734) 936-4185
1077814
SAMPSON, MATTHEW G MD
ANN ARBOR 48109
(734) 936-4185
1071186
SELEWSKI, DAVID T MD
ANN ARBOR 48109
(734) 936-4185
1077815
WICKMAN, LARYSA T MD
ANN ARBOR 48109
(734) 936-4185
1001350
ROBERTSON, PATRICIA L MD
ANN ARBOR 48109
(734) 936-4185
1042304
SHELLHAAS, RENEE A MD
ANN ARBOR 48109
(734) 936-4185
1500 E MEDICAL CENTER DR 7TH FL MED
ANN ARBOR 48109
(734) 936-9814

1113259
AKCASU, NUR NP
1110905
BIERMANN, BERNARD J MD
(734) 936-5900
1110904
ANN ARBOR 48109
(734) 936-9760
1110907
1500 E MEDICAL CENTER DR F6236 MCHC
ANN ARBOR 48109
(734) 764-6879
1110909
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110906
ANN ARBOR 48109
(734) 936-5533
1110908
YPSILANTI 48198
(734) 482-6221
1113157
GHAZIUDDIN, MOHAMMAD MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113155
ANN ARBOR 48109
(734) 936-9760

Page 545
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
PEDIATRIC - PSYCHIATRY (CONTINUED)
1113156
(734) 936-5900
1112147
HUA, LIWEI L MD
ANN ARBOR 48109
(734) 936-5533
1112148
HUA, LIWEI L MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112149
HUA, LIWEI L MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1112146
HUA, LIWEI L MD
(734) 936-5900
1112145
HUA, LIWEI L MD
ANN ARBOR 48109
(734) 936-9760
1112281
MARCUS, SHEILA M MD
(734) 936-5900
1112280
MARCUS, SHEILA M MD
ANN ARBOR 48109
(734) 936-9760
1112282
MARCUS, SHEILA M MD
ANN ARBOR 48109
(734) 936-5533
1112284
MARCUS, SHEILA M MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112283
MARCUS, SHEILA M MD
YPSILANTI 48198
(734) 482-6221
1100175
SWAIN, JAMES E MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111797
SWAIN, JAMES E MD
(734) 936-5900
1111798
SWAIN, JAMES E MD
ANN ARBOR 48109
(734) 936-5533
1040788
ARTETA, MANUEL MD
ANN ARBOR 48109
(734) 936-4185
1111200
CAVERLY, LINDSAY J MD
ANN ARBOR 48109
(734) 936-4185
1075651
FILBRUN, AMY G MD
ANN ARBOR 48109
(734) 936-4185
1112524
FILBRUN, AMY G MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5680
1075968
HASSAN, FAUZIYA MD
ANN ARBOR 48109
(734) 936-4185
1018307
HERSHENSON, MARC B MD
ANN ARBOR 48109
(734) 936-4185
1003668
LEWIS, TOBY C MD
ANN ARBOR 48109
(734) 936-4185
1112632
LUMENG, CAREY N MD
ANN ARBOR 48109
(734) 936-4185
1085964
NASR, SAMYA MD
ANN ARBOR 48109
(734) 936-4185
1076957
POPOVA, ANTONIA P MD
ANN ARBOR 48109
(734) 936-4185
1093608
RAMIREZ, IXSY A MD
ANN ARBOR 48109
(734) 936-4185
1123029
SABA, THOMAS G MD
ANN ARBOR 48109
(734) 936-4185

1110415
HURVITZ, EDWARD A MD
ANN ARBOR 48108
(734) 936-7175
1110412
1500 E MEDICAL CENTER DR 1ST FL
ANN ARBOR 48109
(734) 936-7175
1110414
ANN ARBOR 48104
(734) 973-2400
1110413
ANN ARBOR 48109
(734) 936-8613
1003082
ANN ARBOR 48109
(734) 615-0536
1116990
2205 COMMONWEALTH
ANN ARBOR 48105
(734) 763-2554
1004308
HAFTEL, HILARY M MD
ANN ARBOR 48109
(734) 647-5900
1112274
HAFTEL, HILARY M MD
ANN ARBOR 48109
(734) 936-4185
1103592
HOELTZEL, MARK F MD
ANN ARBOR 48109
(734) 936-4185
1127885
MOHAN, SMRITI MD
ANN ARBOR 48109
(734) 936-4185
1085841
RIEBSCHLEGER, MEREDITH P MD
ANN ARBOR 48109
(734) 936-4185
ANN ARBOR 48109
(734) 936-9068
PEDIATRIC - SPORTS MEDICINE

1110251
SHAMIM-UZZAMAN, QURRATUL A MD

Page 546
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
PEDIATRIC - SURGERY
1116935
ARNOLD, MEGHAN MD
YPSILANTI 48197
(734) 712-5523
1116946
BRUCH, STEVEN W MD
YPSILANTI 48197
(734) 712-5523
1018707
EHRLICH, PETER F MD
ANN ARBOR 48109
(734) 764-4151
1116961
EHRLICH, PETER F MD
YPSILANTI 48197
(734) 712-5523
1116942
GADEPALLI, SAMIR MD
YPSILANTI 48197
(734) 712-5523
1091225
GADEPALLI, SAMIR MD
ANN ARBOR 48109
(734) 764-4151
1000481
GEIGER, JAMES MD
ANN ARBOR 48109
(734) 764-4151
1116941
GEIGER, JAMES MD
YPSILANTI 48197
(734) 712-5523
1116948
YPSILANTI 48197
(734) 712-5523
1000483
ANN ARBOR 48109
(734) 764-4151
1075815
JARBOE, MARCUS MD
ANN ARBOR 48109
(734) 764-4151
1116953
JARBOE, MARCUS MD
YPSILANTI 48197
(734) 712-5523
1116954
YPSILANTI 48197
(734) 712-5523
1067273
ANN ARBOR 48109
(734) 764-4151
1116957
ANN ARBOR 48109
(734) 764-4151
1116958
YPSILANTI 48197
(734) 712-5523
1067274
NEWMAN, ERIKA A MD
ANN ARBOR 48109
(734) 764-4151
1116936
YPSILANTI 48197
(734) 712-5523
1003070
ANN ARBOR 48109
(734) 764-4151
PEDIATRIC - UROLOGY
1004424
BLOOM, DAVID A MD
1500 E MEDICAL CENTER DR 4TH FL CLINIC B
ANN ARBOR 48109
(734) 936-7030
1110033
IVANCIC, VESNA MD
ANN ARBOR 48109
(734) 936-7030
1075655
IVANCIC, VESNA MD
ANN ARBOR 48109
(734) 936-7030
PEDIATRICS
1078900
ADLER, JEREMY MD
ANN ARBOR 48109
(734) 936-4185
1121293
AHMAD, AYESH MD
ANN ARBOR 48109
(734) 936-4185
1111078
AHMED, SANA R MD
ANN ARBOR 48109
(734) 936-4185
1111079
AHMED, SANA R MD
YPSILANTI 48198
(734) 484-7288
1111077
AHMED, SANA R MD
(734) 763-5302
1076418
ARNOLD, MEGHAN MD
ANN ARBOR 48109
(734) 764-4151
1111754
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1111751
ANN ARBOR 48108
(734) 232-2600
1111752
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1111753
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1111749
YPSILANTI 48198
(734) 484-7288
1036608
AZIM, JAMES N MD
(734) 763-5302
1114570
AZIM, JAMES N MD
ANN ARBOR 48109
(734) 936-4185
1114571
AZIM, JAMES N MD
ANN ARBOR 48109
(734) 763-5302
1000473
BRADLEY, DAVID J MD
ANN ARBOR 48109
(734) 764-5176
1122969
BRAVENDER, TERRILL D MD
ANN ARBOR 48109
(734) 936-4185
1122970
ANN ARBOR 48109
(734) 936-4185
1122971
ANN ARBOR 48109
(734) 936-4185
1122972
ANN ARBOR 48109
(734) 936-4185
1112057
BUCHI, ANDREA B MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1112053
BUCHI, ANDREA B MD
YPSILANTI 48198
(734) 484-7288

Page 547
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1112056
BUCHI, ANDREA B MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1112058
BUCHI, ANDREA B MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112055
BUCHI, ANDREA B MD
ANN ARBOR 48108
(734) 232-2600
1018443
CARLSON, MARTHA D MD
ANN ARBOR 48109
(734) 936-4185
1110078
CIVIL, YOLAINE A MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1110073
CIVIL, YOLAINE A MD
YPSILANTI 48198
(734) 484-7288
1110076
CIVIL, YOLAINE A MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1110077
CIVIL, YOLAINE A MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1110075
CIVIL, YOLAINE A MD
ANN ARBOR 48108
(734) 232-2600
1018451
FELT, BARBARA T MD
ANN ARBOR 48109
(734) 936-4185
1123121
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1123120
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1123119
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1123118
ANN ARBOR 48108
(734) 232-2600
1123116
YPSILANTI 48198
(734) 484-7288
1123114
ANN ARBOR 48109
(734) 763-5302
1123115
ANN ARBOR 48109
(734) 936-4185
1076575
HEPPER, AMY E MD
ANN ARBOR 48109
(800) 211-8181
1111847
HEPPER, AMY E MD
(734) 763-5302
1111848
HEPPER, AMY E MD
ANN ARBOR 48109
(734) 936-5582
1111849
HEPPER, AMY E MD
ANN ARBOR 48109
(734) 936-4185
1123802
ICHESCO, INGRID K MD
YPSILANTI 48198
(734) 484-7288
1123804
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1123803
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1018491
JOSHI, SUCHETA M MD
ANN ARBOR 48109
(734) 936-4185
1123875
KAN, KRISTIN H MD
1500 E MEDICAL CENTER DR 6TH FL MOTT
ANN ARBOR 48109
(734) 764-5302
1077247
KEEFER, PATRICIA M MD
(734) 763-5302
1114635
KEEFER, PATRICIA M MD
ANN ARBOR 48109
(734) 936-4185
1018450
KEEGAN, CATHERINE E MD PHD
ANN ARBOR 48109
(734) 936-4185
1112601
LAULE, SARA M MD
ANN ARBOR 48108
(734) 232-2600
1112604
LAULE, SARA M MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1112599
LAULE, SARA M MD
YPSILANTI 48198
(734) 484-7288
1112603
LAULE, SARA M MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1114146
LEDESAI, THUY B MD
ANN ARBOR 48108
(734) 998-7207
1113104
LEVY, MICHAEL MD
ANN ARBOR 48109
(734) 763-5302
1122805
LONG, LINDSEY A MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1122803
LONG, LINDSEY A MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1122800
LONG, LINDSEY A MD
YPSILANTI 48198
(734) 484-7288
1122804
LONG, LINDSEY A MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1122802
LONG, LINDSEY A MD
ANN ARBOR 48108
(734) 232-2600
1123011
LOPEZ, CHRISSY A MD
YPSILANTI 48198
(734) 484-7288
1123013
LOPEZ, CHRISSY A MD
ANN ARBOR 48108
(734) 232-2600
1123014
LOPEZ, CHRISSY A MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1123016
LOPEZ, CHRISSY A MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1123015
LOPEZ, CHRISSY A MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1111335
LUMENG, JULIE C MD
YPSILANTI 48198
(734) 484-7288

Page 548
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1111334
LUMENG, JULIE C MD
ANN ARBOR 48109
(734) 936-4185
1114052
MARKMAN, LISA R MD
ANN ARBOR 48109
(734) 936-4185
1114051
MARKMAN, LISA R MD
(734) 763-5302
1114053
MARKMAN, LISA R MD
555 TOWNER ST
(734) 544-2925
1075898
MOHR, BETHANY A MD
(734) 763-5302
1112721
MOHR, BETHANY A MD
ANN ARBOR 48109
(734) 936-4185
1114208
MURPHY, TERRANCE P MD
ANN ARBOR 48109
(734) 763-5302
1114207
ANN ARBOR 48109
(734) 936-4185
1114206
(734) 763-5302
1111176
MYCHALISKA, KERRY P MD
ANN ARBOR 48109
(734) 936-4185
1111175
MYCHALISKA, KERRY P MD
(734) 763-5302
1018673
ANN ARBOR 48109
(734) 763-5302
1077070
PITUCH, KENNETH MD
(734) 763-5302
1111940
PITUCH, KENNETH MD
ANN ARBOR 48109
(734) 763-5302
1111939
PITUCH, KENNETH MD
ANN ARBOR 48109
(734) 936-4185
1122818
RIEDERER, MARK F MD
ANN ARBOR 48109
(734) 936-5780
1113386
SCHILLER, JOCELYN H MD
(734) 763-5302
1113387
SCHILLER, JOCELYN H MD
ANN ARBOR 48109
(734) 936-4185
1112490
SCHMIDT, JOHN P MD
ANN ARBOR 48109
(734) 936-4185
1077069
SCHMIDT, JOHN P MD
(734) 763-5302
1112489
SCHMIDT, JOHN P MD
ANN ARBOR 48109
(734) 936-5582
1070179
SEILER, ANDREW MD
3200 W LIBERTY STE A
ANN ARBOR 48103
(734) 994-5858
1123150
SHAH, MEERA D MD
ANN ARBOR 48109
(734) 936-4185
1123149
SHAH, MEERA D MD
ANN ARBOR 48109
(734) 763-5302
1112626
SHAH, PRACHI E MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5680
1112625
SHAH, PRACHI E MD
YPSILANTI 48198
(734) 482-6221
1112624
SHAH, PRACHI E MD
ANN ARBOR 48109
(734) 936-4185
1018283
SILVERSTEIN, FAYE S MD
ANN ARBOR 48109
(734) 936-4185
1111745
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1111737
(734) 763-5302
1111738
ANN ARBOR 48109
(734) 936-4185
1111739
ANN ARBOR 48109
(734) 763-5302
1111740
YPSILANTI 48198
(734) 484-7288
1111742
ANN ARBOR 48108
(734) 232-2600
1111744
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1111743
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1002060
VAZQUEZ, DELIA M MD
ANN ARBOR 48109
(734) 936-4185
1122929
WALLACE, DAVID M MD
YPSILANTI 48198
(734) 484-7288
1122933
WALLACE, DAVID M MD
700 E WOODLAND DR
SALINE 48176
(734) 429-2302
1122932
WALLACE, DAVID M MD
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1122931
WALLACE, DAVID M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1122928
WALLACE, DAVID M MD
1500 E MEDICAL CENTER DR 6TH FL MOTT
ANN ARBOR 48109
(734) 764-5302
1036534
WARRIER, KAVITA S MD
(734) 763-5302
1111222
WARRIER, KAVITA S MD
ANN ARBOR 48109
(734) 936-4185
1102392
WOOD, MICHAEL A MD
ANN ARBOR 48109
(734) 936-4185
1100784
WOOLFORD, SUSAN J MD
325 E EISENHOWER B1F2
ANN ARBOR 48108
(734) 615-3829
YPSILANTI 48198

Page 549
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1110292
ZICKAFOOSE, JOSEPH S MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5670
1110291
ANN ARBOR 48108
(734) 232-2600
1110290
YPSILANTI 48198
(734) 484-7288

1112633
AAGESEN, ANDREA L DO
ANN ARBOR 48109
(734) 936-7175
1112634
(734) 936-9020
1112635
ANN ARBOR 48108
(734) 936-7175
1124166
AYYANGAR, RITA N MD
2850 SOUTH INDUSTRIAL HWY STE 400
ANN ARBOR 48104
(734) 936-5017
1018298
AYYANGAR, RITA N MD
ANN ARBOR 48109
(734) 936-8613
1113323
AYYANGAR, RITA N MD
ANN ARBOR 48108
(734) 936-7175
1110563
BAKSHI, RISHI DO
ANN ARBOR 48108
(734) 936-7175
1113546
CHADD, EDMUND H MD
ANN ARBOR 48109
(734) 647-9342
1113550
CHADD, EDMUND H MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6727
1077836
CHADD, EDMUND H MD
ANN ARBOR 48108
(734) 936-7175
1113543
CHADD, EDMUND H MD
ANN ARBOR 48109
(734) 936-9006
1113544
CHADD, EDMUND H MD
ANN ARBOR 48109
(734) 936-7175
1113548
CHADD, EDMUND H MD
ANN ARBOR 48109
(734) 615-7380
1004260
CHIODO, ANTHONY E MD
ANN ARBOR 48108
(734) 936-7175
1112006
ANN ARBOR 48109
(734) 647-9342
1112004
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1112005
ANN ARBOR 48109
(734) 936-7175
1124205
CLAFLIN, EDWARD S MD
24 FRANK LLOYD WRIGHT DR LOBBY M LEVEL 2 ANN ARBOR 48105
(734) 936-9795
1113766
ANN ARBOR 48108
(734) 936-7175
1113768
ANN ARBOR 48105
(734) 975-2600
1124204
355 BRIARWOOD CIRCLE
ANN ARBOR 48108
(734) 998-7888
1111245
COLWELL, MILES O MD
ANN ARBOR 48104
(734) 973-2400
1111246
COLWELL, MILES O MD
ANN ARBOR 48108
(734) 936-7175
1124167
CRAIG, ANITA S DO
1200 EARHART RD
ANN ARBOR 48105
(734) 769-0177
1124168
CRAIG, ANITA S DO
ANN ARBOR 48105
(734) 975-2600
1124169
CRAIG, ANITA S DO
355 HURONVIEW BLVD
ANN ARBOR 48103
(734) 887-8700
1113960
CRAIG, ANITA S DO
ANN ARBOR 48109
(734) 936-7175
1113961
CRAIG, ANITA S DO
ANN ARBOR 48108
(734) 936-7175
1004313
CRAIG, ANITA S DO
ANN ARBOR 48109
(734) 936-7175
1004645
DIPONIO, LISA A MD
ANN ARBOR 48109
(734) 936-7175
1110441
DIPONIO, LISA A MD
ANN ARBOR 48108
(734) 936-7175
1110405
ECKNER, JAMES T MD
ANN ARBOR 48108
(734) 936-7175
1110404
ECKNER, JAMES T MD
(734) 936-9020
1075680
FITCH, DAVID S DO
ANN ARBOR 48108
(734) 936-7175
1125741
FITCH, DAVID S DO
14700 E OLD US HWY 12
CHELSEA 48118
(734) 474-1321
1112794
GREEN, LIZA B MD
ANN ARBOR 48109
(734) 615-0536
1112795
GREEN, LIZA B MD
ANN ARBOR 48109
(734) 936-8613
1018315
GREEN, LIZA B MD
ANN ARBOR 48108
(734) 936-7175
1103951
HAIG, ANDREW J MD
ANN ARBOR 48108
(734) 936-7175
1122892
HALCHISHICK, EVAN R DO
ANN ARBOR 48108
(734) 936-7175
1092331
HARTIGAN, ANNE G MD
ANN ARBOR 48109
(734) 936-7175

Page 550
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1113932
HARTIGAN, ANNE G MD
ANN ARBOR 48108
(734) 936-7175
1102412
HASPALA, HEIDI J MD
ANN ARBOR 48108
(734) 936-7175
1110071
HENNING, PHILLIP T DO
ANN ARBOR 48105
(734) 998-6022
1110070
ANN ARBOR 48109
(734) 936-5780
1110072
ANN ARBOR 48108
(734) 936-7175
1112731
HORNYAK, JOSEPH E MD
ANN ARBOR 48108
(734) 936-7175
1116989
2205 COMMONWEALTH
ANN ARBOR 48105
(734) 763-2554
1004268
ANN ARBOR 48109
(734) 647-3863
1110849
ANN ARBOR 48109
(734) 936-7175
1110851
ANN ARBOR 48108
(734) 936-7175
1044372
KELLY, BRIAN M DO
ANN ARBOR 48104
(734) 973-2400
1018311
LAIDLAW, ANN T MD
ANN ARBOR 48109
(734) 936-7175
1113538
LAIDLAW, ANN T MD
ANN ARBOR 48108
(734) 936-7175
1113537
LAIDLAW, ANN T MD
ANN ARBOR 48104
(734) 973-2400
1112237
LEONARD, JAMES A MD
ANN ARBOR 48104
(734) 973-2400
1003076
LEONARD, JAMES A MD
ANN ARBOR 48109
(734) 936-7175
1114267
LEUNG, DANIEL DO
ANN ARBOR 48108
(734) 936-7175
1124491
MACK, JESSICA L MD
ANN ARBOR 48108
(734) 936-7175
1111101
MILLER, SONYA R MD
1200 EARHART RD
ANN ARBOR 48105
(734) 769-0177
1111102
MILLER, SONYA R MD
ANN ARBOR 48108
(734) 936-7175
1002231
MILLER, SONYA R MD
ANN ARBOR 48104
(734) 973-2400
1018289
NELSON, VIRGINIA S MD
ANN ARBOR 48109
(734) 936-7175
1111369
ANN ARBOR 48108
(734) 936-7175
1111367
ANN ARBOR 48109
(734) 936-8613
1111368
ANN ARBOR 48104
(734) 935-5017
1099833
PANGILINAN, PERCIVAL MD
ANN ARBOR 48108
(734) 936-7175
1126077
PARKE, SUSANNAH DO
ANN ARBOR 48108
(734) 936-7175
1124174
RANGILINAN, PERCIVAL MD
ANN ARBOR 48105
(734) 975-2600
1124175
1200 EARHART RD
ANN ARBOR 48105
(734) 769-0177
1124173
355 HURONVIEW BLVD
ANN ARBOR 48103
(734) 887-8700
1018309
RICHARDSON, JAMES K MD
ANN ARBOR 48109
(734) 936-7175
1113709
RICHARDSON, JAMES K MD
ANN ARBOR 48108
(734) 936-7175
1111285
RODRIGUEZ, GIANNA MARIA M MD
ANN ARBOR 48109
(734) 647-9342
1111286
ANN ARBOR 48108
(734) 936-7175
1076390
ANN ARBOR 48109
(734) 615-7380
1110828
SMITH, SEAN R MD
ANN ARBOR 48109
(734) 936-9814
1110829
SMITH, SEAN R MD
ANN ARBOR 48108
(734) 936-7175
1113347
SPIRES, MARY C MD
ANN ARBOR 48104
(734) 973-2400
1113348
SPIRES, MARY C MD
ANN ARBOR 48108
(734) 936-7175
1076387
SPIRES, MARY C MD
ANN ARBOR 48109
(734) 936-7175
1123024
WHEATON, MICHAEL W MD
(734) 936-9795
1123025
WHEATON, MICHAEL W MD
ANN ARBOR 48108
(734) 936-7175
1110857
YARJANIAN, JOHN A DO
ANN ARBOR 48108
(734) 936-7175
1124172
ZIADEH, MARK J MD
355 HURONVIEW BLVD
ANN ARBOR 48103
(734) 887-8700
1124171
ZIADEH, MARK J MD
ANN ARBOR 48105
(734) 975-2600
1124170
ZIADEH, MARK J MD
1200 EARHART RD
ANN ARBOR 48105
(734) 769-0177

Page 551
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1018310
ZIADEH, MARK J MD
ANN ARBOR 48109
(734) 936-7175
PLASTIC SURGERY
1112743
BROWN, DAVID L MD
ANN ARBOR 48105
(734) 998-6022
1003600
BUCHMAN, STEVEN R MD
ANN ARBOR 48109
(734) 763-8063
1110748
CEDERNA, PAUL S MD
ANN ARBOR 48105
(734) 998-6022
1110719
GILMAN, ROBERT H MD
ANN ARBOR 48105
(734) 998-6022
1111781
HAASE, STEVEN C MD
ANN ARBOR 48105
(734) 998-6022
1110438
KASTEN, STEVEN J MD
ANN ARBOR 48105
(734) 998-6022
1018635
KASTEN, STEVEN J MD
ANN ARBOR 48109
(734) 763-8063
1111835
KOZLOW, JEFFREY H MD
ANN ARBOR 48109
(734) 763-8063
1104364
KOZLOW, JEFFREY H MD
ANN ARBOR 48105
(734) 998-6022
1111551
KUZON, WILLIAM M MD
ANN ARBOR 48105
(734) 998-6022
1123942
LEVI, BENJAMIN MD
ANN ARBOR 48109
(734) 763-8063
1123943
LEVI, BENJAMIN MD
ANN ARBOR 48105
(734) 998-6022
1125729
LEVI, BENJAMIN MD
ANN ARBOR 48109
(734) 936-5738
1113983
MOMOH, ADEYIZA O MD
ANN ARBOR 48105
(734) 998-6022
1113771
VERCLER, CHRISTIAN J MD
ANN ARBOR 48109
(734) 763-8063
1125730
WALJEE, JENNIFER F MD
(734) 936-9795
1110860
ANN ARBOR 48105
(734) 998-7400
1100783
ANN ARBOR 48109
(734) 936-5738
1079123
WILKINS, EDWIN G MD
ANN ARBOR 48105
(734) 998-6022
PODIATRY
1112124
HOLMES, CRYSTAL M DPM
ANN ARBOR 48109
(734) 763-9812
1112125
HOLMES, CRYSTAL M DPM
ANN ARBOR 48105
(734) 998-2450
1111758
MUNSON, MICHAEL E DPM
ANN ARBOR 48105
(734) 998-2450
1099533
MUNSON, MICHAEL E DPM
ANN ARBOR 48109
(734) 763-9812
1114192
WROBEL, JAMES S DPM
ANN ARBOR 48109
(734) 763-9812
1097345
WROBEL, JAMES S DPM
ANN ARBOR 48105
(734) 998-2450
PROSTHETICS
1007303
KOCHS ORTHOTIC PROSTHETIC SE
YPSILANTI 48197
(734) 434-0442
1025580
3330 WASHTENAW
ANN ARBOR 48104
(734) 975-6800
PSYCHIATRY
1043658
ABBASI, TARIQ MD
1785 W STADIUM BLVD STE 203C
ANN ARBOR 48103
(734) 913-1093
1111393
ABELSON, JAMES L MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111391
ABELSON, JAMES L MD
ANN ARBOR 48109
(734) 936-9760
1111392
ABELSON, JAMES L MD
(734) 936-5900
1111056
ATKINS, THOMAS L MD
ANN ARBOR 48109
(734) 936-9760
1111057
ATKINS, THOMAS L MD
(734) 936-5900
1111059
ATKINS, THOMAS L MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111058
ATKINS, THOMAS L MD
YPSILANTI 48198
(734) 482-6221
1122884
BAKER, KATHRYN A MD
(734) 936-5900
1122883
BAKER, KATHRYN A MD
ANN ARBOR 48109
(734) 936-9760
1122885
BAKER, KATHRYN A MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111464
BARAN, ALP S MD
(734) 936-5900

Page 552
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1111461
BARAN, ALP S MD
ANN ARBOR 48109
(734) 763-9259
1111465
BARAN, ALP S MD
(734) 936-9068
1111466
BARAN, ALP S MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111462
BARAN, ALP S MD
ANN ARBOR 48109
(734) 936-9068
1111463
BARAN, ALP S MD
ANN ARBOR 48109
(734) 936-9760
1078992
BELMONTE, DAVID C MD
(734) 936-5900
1113659
ANN ARBOR 48109
(734) 936-9760
1113660
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114165
BLACKWOOD, KARLA A MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114163
(734) 936-5900
1114162
ANN ARBOR 48109
(734) 936-9760
1114164
ANN ARBOR 48109
(734) 936-5533
1114575
BLAZEK, MARY C MD
ANN ARBOR 48109
(734) 936-9760
1114577
BLAZEK, MARY C MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114579
BLAZEK, MARY C MD
805 W MIDDLE ST
CHELSEA 48118
(734) 475-8633
1114578
BLAZEK, MARY C MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1114576
BLAZEK, MARY C MD
(734) 936-5900
1111838
BOZADA, KATRINA A MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111836
ANN ARBOR 48109
(734) 936-9760
1111837
(734) 936-5900
1112412
BROWER, KIRK J MD
(734) 936-5900
1112411
BROWER, KIRK J MD
ANN ARBOR 48109
(734) 936-9760
1112413
BROWER, KIRK J MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110573
CAMERON, OLIVER G MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1004092
(734) 936-5900
1110572
ANN ARBOR 48109
(734) 936-9760
1046395
CASHER, MICHAEL I MD
(734) 936-5900
1112026
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112025
ANN ARBOR 48109
(734) 936-9760
1113956
DALACK, GREGORY W MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113954
ANN ARBOR 48109
(734) 936-9760
1099895
DEBIEC, JACEK MD PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114101
(734) 936-5900
1114100
ANN ARBOR 48109
(734) 936-9760
1112750
DENEKE, DONALD E MD
ANN ARBOR 48109
(734) 936-9760
1112751
DENEKE, DONALD E MD
(734) 936-5900
1112752
DENEKE, DONALD E MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110176
DOPP, RICHARD R MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110174
DOPP, RICHARD R MD
(734) 936-5900
1110175
DOPP, RICHARD R MD
YPSILANTI 48198
(734) 482-6221
1072899
DOPP, RICHARD R MD
ANN ARBOR 48109
(734) 936-5533
1110654
FIGUEROA, SARA R MD
(734) 936-5900
1110653
FIGUEROA, SARA R MD
ANN ARBOR 48109
(734) 936-9760
1084148
FIGUEROA, SARA R MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111866
FITZGERALD, KATE D MD
ANN ARBOR 48109
(734) 936-5533
1111867
ANN ARBOR 48109
(734) 764-6879

Page 553
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1111868
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112614
FLUENT, THOMAS E MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112613
FLUENT, THOMAS E MD
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1112612
FLUENT, THOMAS E MD
YPSILANTI 48198
(734) 482-6221
1112611
FLUENT, THOMAS E MD
ANN ARBOR 48109
(734) 936-5533
1112610
FLUENT, THOMAS E MD
(734) 936-5900
1112609
FLUENT, THOMAS E MD
ANN ARBOR 48109
(734) 936-9760
1005888
FLUENT, THOMAS E MD
ANN ARBOR 48109
(734) 764-6879
1104678
FUELLING, CRAIG A MD
3800 PACKARD RD STE 210
ANN ARBOR 48108
(734) 975-1602
1048894
GAY, TAMARA L MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114334
GAY, TAMARA L MD
(734) 936-5900
1114335
GAY, TAMARA L MD
ANN ARBOR 48109
(734) 936-5533
1114333
GAY, TAMARA L MD
ANN ARBOR 48109
(734) 936-9760
1005886
ANN ARBOR 48109
(734) 936-5533
1110751
GHAZIUDDIN, NEERA MD
(734) 936-5900
1005887
ANN ARBOR 48109
(734) 936-5533
1110750
ANN ARBOR 48109
(734) 936-9760
1110752
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112588
GIH, DANIEL E MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1004363
GLICK, RACHEL L MD
(734) 936-5900
1112327
GLICK, RACHEL L MD
ANN ARBOR 48109
(734) 936-9760
1112328
GLICK, RACHEL L MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110340
GREDEN, JOHN F MD
ANN ARBOR 48109
(734) 936-9760
1110341
GREDEN, JOHN F MD
(734) 936-5900
1110342
GREDEN, JOHN F MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1127850
GREWAL, LUBNA Z MD
(734) 936-5900
1110794
HANNA, GREGORY L MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110792
HANNA, GREGORY L MD
ANN ARBOR 48109
(734) 936-9760
1110793
HANNA, GREGORY L MD
(734) 936-5900
1111937
HERBSTER, STACEY L MD
(734) 936-5900
1111936
ANN ARBOR 48109
(734) 936-9760
1111938
ANN ARBOR 48109
(734) 936-5533
1111471
HIRSHBEIN, LAURA D MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111470
(734) 936-5900
1111469
ANN ARBOR 48109
(734) 936-9760
1113154
HONG, VICTOR Y MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113152
HONG, VICTOR Y MD
ANN ARBOR 48109
(734) 936-9760
1113153
HONG, VICTOR Y MD
(734) 936-5900
1114008
JIBSON, MICHAEL D MD
(734) 936-5900
1114006
ANN ARBOR 48109
(734) 936-9760
1101619
ANN ARBOR 48109
(734) 936-5533
1114010
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114002
JOUNEY, EDWARD A DO
YPSILANTI 48198
(734) 482-6221
1114000
JOUNEY, EDWARD A DO
ANN ARBOR 48109
(734) 764-6879
1114004
JOUNEY, EDWARD A DO
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113998
JOUNEY, EDWARD A DO
(734) 936-5900

Page 554
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1113996
JOUNEY, EDWARD A DO
ANN ARBOR 48109
(734) 936-9760
1075969
JOUNEY, EDWARD A DO
ANN ARBOR 48108
(734) 763-5459
1113995
JOUNEY, EDWARD A DO
ANN ARBOR 48109
(734) 763-6295
1112340
KALES, HELEN C MD
(734) 936-5900
1112338
KALES, HELEN C MD
ANN ARBOR 48109
(734) 232-6366
1112339
KALES, HELEN C MD
ANN ARBOR 48109
(734) 936-9760
1112341
KALES, HELEN C MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1110981
KAMALI, MASOUD MD
ANN ARBOR 48109
(734) 936-5533
1110979
KAMALI, MASOUD MD
ANN ARBOR 48109
(734) 936-9760
1104945
KAMALI, MASOUD MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110980
KAMALI, MASOUD MD
(734) 936-5900
1110629
KERBER, KEVIN B MD
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1110628
KERBER, KEVIN B MD
YPSILANTI 48198
(734) 482-6221
1110630
KERBER, KEVIN B MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110625
KERBER, KEVIN B MD
ANN ARBOR 48109
(734) 936-9760
1110624
KERBER, KEVIN B MD
ANN ARBOR 48109
(734) 763-9259
1110627
KERBER, KEVIN B MD
ANN ARBOR 48109
(734) 936-5533
1110626
KERBER, KEVIN B MD
(734) 936-5900
1112116
KNESPER, DAVID J MD
ANN ARBOR 48109
(734) 936-9760
1112117
KNESPER, DAVID J MD
(734) 936-5900
1122821
LEPLATTE-OGINI, DAYNA J MD
ANN ARBOR 48109
(734) 936-4185
1122824
ANN ARBOR 48109
(734) 936-5533
1122823
(734) 936-5900
1122822
ANN ARBOR 48109
(734) 936-9760
1122825
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1122826
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1113204
LEVIN, STEPHANIE W MD
(734) 936-5900
1111066
LIBERZON, ISRAEL MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1094304
LOPEZ, JUAN F MD
(734) 936-5900
1111827
LOPEZ, JUAN F MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111826
LOPEZ, JUAN F MD
ANN ARBOR 48109
(734) 936-9760
1114079
LYUBKIN, MARK MD
(734) 936-5900
1114080
LYUBKIN, MARK MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1114078
LYUBKIN, MARK MD
ANN ARBOR 48109
(734) 936-9760
1112227
MAIXNER, DANIEL F MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112225
ANN ARBOR 48109
(734) 936-9760
1112226
(734) 936-5900
1114107
MAIXNER, SUSAN M MD
ANN ARBOR 48109
(734) 936-9760
1041510
MAIXNER, SUSAN M MD
(734) 936-5900
1114108
MAIXNER, SUSAN M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1123908
MALAS, NASUH M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1123904
MALAS, NASUH M MD
ANN ARBOR 48109
(734) 936-9760
1123905
MALAS, NASUH M MD
(734) 936-5900
1123906
MALAS, NASUH M MD
ANN ARBOR 48109
(734) 936-5533
1123907
MALAS, NASUH M MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111722
MARTIS, BRIAN MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443

Page 555
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1111721
MARTIS, BRIAN MD
ANN ARBOR 48109
(734) 936-5533
1111720
MARTIS, BRIAN MD
(734) 936-5900
1111719
MARTIS, BRIAN MD
ANN ARBOR 48109
(734) 936-9760
1110783
MAUST, DONOVAN T MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110781
MAUST, DONOVAN T MD
ANN ARBOR 48109
(734) 936-9760
1110782
MAUST, DONOVAN T MD
(734) 936-5900
1110784
MAUST, DONOVAN T MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1111270
MCINNIS, MELVIN G MD
ANN ARBOR 48109
(734) 763-9259
1111272
(734) 936-5900
1111271
ANN ARBOR 48109
(734) 936-9760
1028856
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113736
MELLOW, ALAN M MD
(734) 936-5900
1113734
MELLOW, ALAN M MD
ANN ARBOR 48109
(734) 936-9760
1113738
MELLOW, ALAN M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1111387
MICKEY, BRIAN J MD
ANN ARBOR 48109
(734) 936-9760
1111388
MICKEY, BRIAN J MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1052699
MICKEY, BRIAN J MD
(734) 936-5900
1112258
MILLER, ADAM D MD
ANN ARBOR 48109
(734) 936-9760
1112259
MILLER, ADAM D MD
(734) 936-5900
1112260
MILLER, ADAM D MD
YPSILANTI 48198
(734) 482-6221
1112261
MILLER, ADAM D MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112938
MOHIUDDIN, SARAH S MD
ANN ARBOR 48109
(734) 936-4185
1112939
ANN ARBOR 48109
(734) 936-9760
1112940
(734) 936-5900
1112942
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112941
ANN ARBOR 48109
(734) 936-5533
1112506
MORROW, JONATHAN D MD
(734) 936-5900
1112509
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112505
ANN ARBOR 48109
(734) 936-9760
1112507
ANN ARBOR 48109
(734) 764-6879
1112508
YPSILANTI 48198
(734) 482-6221
1122832
MORTENSON, LINDSEY Y MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1122831
(734) 936-5900
1122830
ANN ARBOR 48109
(734) 936-9760
1111963
MUZIK, MARIA MD
ANN ARBOR 48109
(734) 936-9760
1111965
MUZIK, MARIA MD
ANN ARBOR 48109
(734) 936-5533
1111966
MUZIK, MARIA MD
YPSILANTI 48198
(734) 482-6221
1111967
MUZIK, MARIA MD
400 E EISENHOWER BLDG 2 STE B
ANN ARBOR 48108
(734) 232-2600
1111964
MUZIK, MARIA MD
(734) 936-5900
1111968
MUZIK, MARIA MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111953
NESSE, RANDOLPH M MD
ANN ARBOR 48109
(734) 936-9760
1111954
(734) 936-5900
1111955
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110322
PATEL, PARESH DINUBHAI MD PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110320
ANN ARBOR 48109
(734) 936-9760
1110321
(734) 936-5900

Page 556
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1004680
ANN ARBOR 48109
(734) 936-5533
1053621
PEGERON, JEAN PAUL MD
ANN ARBOR 48103
(734) 913-1093
1092903
PEGERON, JEAN-PAUL MD
4925 PACKARD ST
ANN ARBOR 48108
(734) 971-9781
1123870
PEKRUL, SCOTT R MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1123869
PEKRUL, SCOTT R MD
(734) 936-5900
1112863
PFEIFFER, PAUL N MD
(734) 936-5900
1106139
QUINN, LEON J MD
ANN ARBOR 48108
(734) 975-1602
1111210
RIBA, MICHELLE B MD
(734) 936-5900
1111209
RIBA, MICHELLE B MD
ANN ARBOR 48109
(734) 936-9760
1111211
RIBA, MICHELLE B MD
ANN ARBOR 48109
(734) 764-6879
1111212
RIBA, MICHELLE B MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1085314
ROOT, MARK MD
ANN ARBOR 48103
(734) 913-1093
1111724
ROSINSKI, AMY B MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111723
ROSINSKI, AMY B MD
ANN ARBOR 48109
(734) 936-9760
1044259
ROSINSKI, AMY B MD
(734) 936-5900
1113311
SARAGOZA, PHILIP A MD
(734) 936-5900
1113312
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113310
ANN ARBOR 48109
(734) 936-9760
1125870
SASTRY, DEEPIKA MD
(734) 936-5900
1125869
SASTRY, DEEPIKA MD
ANN ARBOR 48109
(734) 936-9760
1125871
SASTRY, DEEPIKA MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1123043
SCHULTZ, HEATHER E MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1123041
ANN ARBOR 48109
(734) 936-9760
1123042
(734) 936-5900
1112254
SEN, SRIJAN MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112252
SEN, SRIJAN MD
ANN ARBOR 48109
(734) 936-9760
1112253
SEN, SRIJAN MD
(734) 936-5900
1112527
SEYFRIED, LISA S MD
ANN ARBOR 48109
(734) 936-9760
1112528
SEYFRIED, LISA S MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1044261
SEYFRIED, LISA S MD
(734) 936-5900
1124746
SHAMSEDDEEN, WAEL
ANN ARBOR 48109
(734) 936-5900
1124747
SHAMSEDDEEN, WAEL
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1124745
SHAMSEDDEEN, WAEL
1500 E MEDICAL CENTER DR 9TH FLOOR
ANN ARBOR 48109
(734) 936-9760
1006177
SILK, KENNETH R MD
ANN ARBOR 48109
(734) 936-5533
1112067
SILK, KENNETH R MD
ANN ARBOR 48109
(734) 936-9760
1112068
SILK, KENNETH R MD
(734) 936-5900
1112069
SILK, KENNETH R MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111903
SOLIS, OLAYA L MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111902
SOLIS, OLAYA L MD
(734) 936-5900
1111901
SOLIS, OLAYA L MD
ANN ARBOR 48109
(734) 936-9760
1112724
SONG, JOYCE C MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112722
SONG, JOYCE C MD
ANN ARBOR 48109
(734) 936-9760
1112723
SONG, JOYCE C MD
(734) 936-5900
1111038
SRIPADA, SEKHAR C MD
ANN ARBOR 48109
(734) 936-9760
1111039
(734) 936-5900
1111040
4250 PLYMOUTH RD
(734) 764-6443
ANN ARBOR 48109

Page 557
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1123144
SURBER, CHARLES W MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1123143
(734) 936-5900
1123142
ANN ARBOR 48109
(734) 936-9760
1114228
TAYLOR, STEPHAN F MD
(734) 936-5900
1114229
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114227
ANN ARBOR 48109
(734) 936-9760
1114344
VALENSTEIN, MARCIA MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1117304
WOLF, TERI MD
1785 W STADIUM BLVD STE 203 C
ANN ARBOR 48103
(734) 913-1093
1114294
ZUBIETA, JON-KAR MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114293
ZUBIETA, JON-KAR MD
(734) 936-5900
1114292
ZUBIETA, JON-KAR MD
ANN ARBOR 48109
(734) 936-9760
4800 ESCH RD
MANCHESTER 48158
(989) 792-8751

1011007
WASTENAW MOBILE HEALTH CLINIC
PULMONOLOGY
1027740
ARENBERG, DOUGLAS A MD
1500 E MEDICAL CENTER DR B1 LEVEL
ANN ARBOR 48109
(734) 647-8902
1110236
ARENBERG, DOUGLAS A MD
ANN ARBOR 48109
(734) 647-9342
1111584
BAUMAN, KRISTY A MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1075980
BAUMAN, KRISTY A MD
ANN ARBOR 48109
(734) 647-9342
1076568
BHAN, URVASHI MD
ANN ARBOR 48109
(734) 647-9342
1043856
CHAN, KEVIN M MD
ANN ARBOR 48109
(734) 647-9342
1110469
COFFEY, MICHAEL J MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1100762
COFFEY, MICHAEL J MD
ANN ARBOR 48109
(734) 647-9342
1114309
COOKE, COLIN R MD
ANN ARBOR 48109
(734) 936-4000
1067446
COUREY, ANTHONY J MD
ANN ARBOR 48109
(734) 647-9342
1110121
COUREY, ANTHONY J MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1112538
CURTIS, JEFFREY L MD
ANN ARBOR 48109
(734) 647-9342
1123107
DICKSON, ROBERT P MD
ANN ARBOR 48109
(734) 936-4000
1123106
DICKSON, ROBERT P MD
ANN ARBOR 48109
(734) 647-9342
1002198
ANN ARBOR 48109
(734) 647-8902
1116763
ANN ARBOR 48109
(734) 647-9342
1004365
GAY, STEVEN E MD
ANN ARBOR 48109
(734) 647-9342
1043866
GRUM, CYRIL M MD
ANN ARBOR 48109
(734) 647-9342
1111710
GYETKO, MARGARET R MD
ANN ARBOR 48109
(734) 647-9342
1102336
HADLEY, RYAN J MD
ANN ARBOR 48109
(734) 647-9342
1113540
HADLEY, RYAN J MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1113539
HADLEY, RYAN J MD
ANN ARBOR 48109
(734) 936-4000
1111956
HAN, MEILAN K MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1040681
HAN, MEILAN K MD
ANN ARBOR 48109
(734) 647-9342
1018602
HOROWITZ, JEFFREY C MD
ANN ARBOR 48109
(734) 647-8902
1112692
HOROWITZ, JEFFREY C MD
ANN ARBOR 48109
(734) 647-9342
1078806
HUANG, STEVEN K MD
ANN ARBOR 48109
(734) 647-9342
1125852
HUANG, YVONNE J MD
ANN ARBOR 48109
(734) 647-9342
1111884
HYZY, ROBERT C MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1019070
HYZY, ROBERT C MD
ANN ARBOR 48109
(734) 647-9342
1112656
IWASHYNA, THEODORE J MD
ANN ARBOR 48109
(734) 647-9342

Page 558
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1112607
KIM, KEVIN K MD
ANN ARBOR 48109
(734) 647-9342
1112608
KIM, KEVIN K MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1092541
KOVACH, MELISSA A MD
ANN ARBOR 48109
(734) 647-9342
1111135
LAMA, VIBHA N MD
ANN ARBOR 48109
(734) 647-9342
1111553
LOOMIS-KING, HILLARY A MD
ANN ARBOR 48109
(734) 647-9342
1111554
ANN ARBOR 48109
(734) 936-9068
1111555
ANN ARBOR 48109
(734) 936-4000
1111556
ANN ARBOR 48106
(734) 936-9068
1111188
MARTINEZ, CARLOS H MD
ANN ARBOR 48109
(734) 647-9342
1111189
MARTINEZ, CARLOS H MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1112822
MILLER, MELISSA A MD
ANN ARBOR 48109
(734) 647-9342
1075977
OJO, TAMMY R MD
ANN ARBOR 48109
(734) 647-9342
1113205
OJO, TAMMY R MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1112975
OSTERHOLZER, JOHN J MD
ANN ARBOR 48109
(734) 647-9342
1040682
PETERS-GOLDEN, MARC L MD
ANN ARBOR 48109
(734) 647-9342
1124583
PRESCOTT, HALLIE C MD
ANN ARBOR 48109
(734) 936-4000
1124582
PRESCOTT, HALLIE C MD
ANN ARBOR 48109
(734) 647-9342
1062749
SAGANA, ROMMEL L MD
ANN ARBOR 48109
(734) 647-9342
1111208
SCHOTLAND, HELENA M MD
ANN ARBOR 48109
(734) 936-9068
1078226
SCHOTLAND, HELENA M MD
ANN ARBOR 48109
(734) 647-9342
1005674
SIMON, RICHARD H MD
ANN ARBOR 48109
(734) 647-9342
1077065
SISSON, THOMAS H MD
ANN ARBOR 48109
(734) 647-9342
1040688
SITRIN, ROBERT G MD
ANN ARBOR 48109
(734) 647-9342
1113392
SITRIN, ROBERT G MD
325 BRIARWOOD CIR
ANN ARBOR 48108
(734) 647-9000
1113640
STANDIFORD, THEODORE J MD
ANN ARBOR 48109
(734) 647-9342
1077696
WHITE, ERIC S MD
ANN ARBOR 48109
(734) 647-9342
RADIATION ONCOLOGY
1111783
ABU-ISA, EYAD MD
(734) 936-4300
1116873
BOTT-KOTHARI, TERRI MD
ANN ARBOR 48109
(734) 936-4300
1110403
CHAN, JUNE L MD
(734) 936-4300
1113365
CUNEO, KYLE C MD
(734) 936-4300
1116871
1500 E MEDICAL CENTER DR 32 FL UNIVERSITY ANN ARBOR 48109
(734) 936-4300
1121209
ANN ARBOR 48109
(734) 936-4300
1095598
FENG, FELIX Y MD
(734) 936-4300
1086834
FENG, MARY U MD
(734) 936-4300
1116877
FORSTNER, JULIE M MD
ANN ARBOR 48109
(734) 936-4300
1087097
HAMSTRA, DANIEL A MD
(734) 936-4300
1100649
HAYMAN, JAMES A MD
WHITTAKER 48190
(734) 936-4300
1111660
JAGSI, RESHMA MD
(734) 936-4300
1105734
JOLLY, SHRUTI MD
(734) 936-4300
1113527
KIM, MICHELLE M MD
(734) 936-4300
1113795
KRETZLER, ANNETTE E MD
(734) 936-4300
1090741
LAWRENCE, THEODORE S MD
(734) 936-4300
1114176
MCLAUGHLIN, PATRICK W MD
(734) 936-4300
1113638
OWEN, DAWN MD
(734) 936-4300

Page 559
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
1110774
PIERCE, LORI J MD
(734) 936-4300
1112693
SORIANO, JULIE A MD
(734) 936-4300
1114155
STENMARK, MATTHEW H MD
(734) 936-4300
1110970
TROTTER, BROOKE L MD
(734) 936-4300
1116875
WEBB, JENNIFER L MD
ANN ARBOR 48109
(734) 936-4300
1044423
SMITH, YOLANDA MD
ANN ARBOR 48109
(734) 763-6295
1114149
SMITH, YOLANDA MD
ANN ARBOR 48108
(734) 763-4323
RHEUMATOLOGY
1123700
BURNS, REBECCA L MD
ANN ARBOR 48109
(734) 647-5900
1110721
FOX, DAVID A MD
ANN ARBOR 48108
(734) 647-9000
1003234
FOX, DAVID A MD
ANN ARBOR 48109
(734) 647-5900
1102501
GEWURZ-SINGER, ORA B MD
ANN ARBOR 48109
(734) 647-5900
1126829
GUPTA, SAMARDEEP MD
ANN ARBOR 48109
(734) 647-5900
1001226
HOLOSHITZ, JOSEPH MD
ANN ARBOR 48109
(734) 647-5900
1112169
HOLOSHITZ, JOSEPH MD
ANN ARBOR 48108
(734) 647-9000
1111430
IKE, ROBERT W MD
ANN ARBOR 48108
(734) 647-9000
1111431
IKE, ROBERT W MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1003223
IKE, ROBERT W MD
ANN ARBOR 48109
(734) 647-5900
1124552
KADO, RUBA B MD
ANN ARBOR 48109
(734) 647-5900
1112049
KAHLENBERG, JOANNE M MD
1000 WALL ST
ANN ARBOR 48105
(734) 763-5874
1112050
ANN ARBOR 48109
(734) 763-7668
1099851
ANN ARBOR 48109
(734) 647-5900
1112158
KHANNA, DINESH MD
ANN ARBOR 48109
(734) 763-7668
1083489
KHANNA, DINESH MD
ANN ARBOR 48109
(734) 647-5900
1111777
KHANNA, PUJA P MD
ANN ARBOR 48109
(734) 647-5900
1091403
KNIGHT, JASON S MD
ANN ARBOR 48109
(734) 647-5900
1113460
KOCHERIL, SOSA V MD
ANN ARBOR 48108
(734) 647-9000
1113459
KOCHERIL, SOSA V MD
ANN ARBOR 48109
(734) 647-5900
1111772
LAING, TIMOTHY J MD
ANN ARBOR 48108
(734) 647-9000
1092674
LAING, TIMOTHY J MD
ANN ARBOR 48109
(734) 647-5900
1111773
LAING, TIMOTHY J MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1111771
LAING, TIMOTHY J MD
ANN ARBOR 48109
(734) 647-5900
1110914
MARDER, WENDY MD
ANN ARBOR 48109
(734) 647-5900
1112537
MARKS, RORY M MD
ANN ARBOR 48108
(734) 647-9000
1019655
MARKS, RORY M MD
ANN ARBOR 48109
(734) 647-5900
1111084
MARQUARDT, SPRIL L MD
ANN ARBOR 48108
(734) 647-9000
1111083
MARQUARDT, SPRIL L MD
ANN ARBOR 48109
(734) 647-5900
1110465
MCCUNE, WILLIAM J MD
ANN ARBOR 48108
(734) 647-9000
1003810
MCCUNE, WILLIAM J MD
ANN ARBOR 48109
(734) 647-5900
1030105
MONRAD, SEETHA U MD
ANN ARBOR 48109
(734) 647-5900
1113646
MONRAD, SEETHA U MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5650
1113644
MONRAD, SEETHA U MD
ANN ARBOR 48108
(734) 647-9000
1123882
NAMAS, RAJAIE A MBBCH
ANN ARBOR 48109
(734) 647-5900
1000490
OGNENOVSKI, VLADIMIR MD
ANN ARBOR 48109
(734) 647-5900

Page 560
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
RHEUMATOLOGY (CONTINUED)
1018614
OGNENOVSKI, VLADIMIR MD
ANN ARBOR 48108
(734) 647-9000
1111441
PATEL, DIPAK R MD
ANN ARBOR 48109
(734) 763-7668
1111440
PATEL, DIPAK R MD
ANN ARBOR 48109
(734) 647-5900
1114099
PEREDO, RUBEN A MD
ANN ARBOR 48108
(734) 647-9000
1042575
PEREDO, RUBEN A MD
ANN ARBOR 48109
(734) 647-5900
1040684
PHILLIPS, KRISTINE MD
ANN ARBOR 48109
(734) 647-5900
1113350
PHILLIPS, KRISTINE MD
ANN ARBOR 48108
(734) 647-9000
1112034
RICHARDSON, BRUCE C MD
ANN ARBOR 48109
(734) 647-5900
1112035
RICHARDSON, BRUCE C MD
ANN ARBOR 48108
(734) 647-9000
1000493
ROESSLER, BLAKE J MD
ANN ARBOR 48109
(734) 647-5900
1111716
ROESSLER, BLAKE J MD
ANN ARBOR 48108
(734) 647-9000
1111145
SAWALHA, AMR H MD
ANN ARBOR 48109
(734) 647-5900
1110061
SCHIOPU, ELENA MD
ANN ARBOR 48109
(734) 763-7668
1018600
SCHIOPU, ELENA MD
ANN ARBOR 48109
(734) 647-5900
1077231
TRIVEDI, MONA MD
ANN ARBOR 48109
(734) 647-5900

1033692
HEARTLAND HEALTH CARE CENTER- ANN ARBOR
4701 E HURON RIVER RD
ANN ARBOR 48105
(734) 975-2600
1090430
REGENCY AT BLUFFS PARK
355 HURONVIEW BLVD
ANN ARBOR 48103
(734) 887-8700
1074397
REGENCY AT WHITMORE LAKE
8633 NORTH MAIN ST
WHITMORE LAKE 48189
(734) 449-4431
1074643
SUPERIOR WOODS HEALTHCARE CENTER
8380 GEDDES RD
YPSILANTI 48198
(734) 547-7600
11930 WHITMORE LAKE STE I-M
WHITMORE LAKE 48189
(734) 449-4649
ANN ARBOR 48105
(734) 930-7400
SPEECH THERAPY
1047043
LEAPS & BOUNDS THERAPY SERVICES
SPORTS MEDICINE
1113257
DONALDSON, LAURIE D MD

1044393
BOLLING, STEVEN F MD
ANN ARBOR 48109
(888) 287-1082
1111107
BOVE, EDWARD L MD
ANN ARBOR 48109
(888) 287-1082
1098800
BOVE, EDWARD L MD
(734) 936-4978
1114583
CARROTT, PHILIP W MD
ANN ARBOR 48109
(734) 936-8857
1079125
CHANG, ANDREW C MD
ANN ARBOR 48109
(734) 936-8857
1003580
DEEB, GEORGE M MD
ANN ARBOR 48109
(888) 287-1082
1075669
HAFT, JONATHAN W MD
ANN ARBOR 48109
(734) 936-5738
1113656
HAFT, JONATHAN W MD
ANN ARBOR 48109
(888) 287-1082
1078054
LIN, JULES MD
ANN ARBOR 48109
(734) 232-6046
1113607
LIN, JULES MD
ANN ARBOR 48109
(734) 936-8857
1112487
LYNCH, WILLIAM R MD
ANN ARBOR 48109
(734) 936-8857
1112488
LYNCH, WILLIAM R MD
ANN ARBOR 48109
(734) 936-5738
1111329
MASOOD, MUHAMMAD F MD
ANN ARBOR 48109
(888) 287-1082
1003548
OHYE, RICHARD G MD
(734) 936-4978
1113251
OHYE, RICHARD G MD
YPSILANTI 48197
(734) 712-8020
1076383
ORRINGER, MARK B MD
ANN ARBOR 48109
(734) 936-8857
1003581
PAGANI, FRANCIS D MD
ANN ARBOR 48109
(888) 287-1082
1092811
PATEL, HIMANSHU J MD
ANN ARBOR 48109
(888) 287-1082
1112345
PRAGER, RICHARD L MD
ANN ARBOR 48109
(888) 287-1082

Page 561
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
THORACIC CARDIOVASCULAR SURGERY (CONTINUED)
1114187
REDDY, RISHINDRA M MD
ANN ARBOR 48109
(734) 936-8857
1113972
ROMANO, JENNIFER C MD
YPSILANTI 48197
(734) 712-8020
1113970
ANN ARBOR 48109
(734) 764-4151
1113968
(734) 936-4978
1064782
ROMANO, MATTHEW A MD
ANN ARBOR 48109
(888) 287-1082
1110442
SI, MING-SING MD
YPSILANTI 48197
(734) 712-8020
1101236
SI, MING-SING MD
(734) 936-4978
1113815
YANG, BO MD
ANN ARBOR 48109
(888) 287-1082
TRANSPLANT SURGERY
1116866
NEWMAN, LISA A MD
ANN ARBOR 48109
(734) 647-8902
1040792
NEWMAN, LISA A MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 936-6000
UROLOGY
1122754
AMBANI, SAPAN N MD
ANN ARBOR 48109
(734) 936-7030
1076379
CLEMENS, JAMES Q MD
ANN ARBOR 48109
(734) 936-7030
1124773
DUPREE, JAMES M MD
1500 E MEDICAL CENTER DR 2ND FLOOR
ANN ARBOR 48109
(734) 936-7030
1124775
DUPREE, JAMES M MD
475 MARKET PLACE BLDG 1
ANN ARBOR 48108
(734) 936-7030
1005872
FAERBER, GARY J MD
ANN ARBOR 48109
(734) 936-7030
1113377
GHANI, KHURSHID R MD
ANN ARBOR 48109
(734) 936-7030
1076457
HAFEZ, KHALED S MD
ANN ARBOR 48109
(734) 936-7030
1123050
HERREL, LINDSEY A MD
ANN ARBOR 48109
(734) 936-7030
1110335
HOLLENBECK, BRENT K MD
ANN ARBOR 48109
(734) 936-7030
1070036
HOLLENBECK, BRENT K MD
ANN ARBOR 48109
(734) 647-8903
1103723
HOLLINGSWORTH, JOHN M MD
ANN ARBOR 48109
(734) 936-7030
1110439
KOZMINSKI, MIKE MD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1110440
KOZMINSKI, MIKE MD
ANN ARBOR 48109
(734) 936-7030
1075848
KRAFT, KATE H MD
ANN ARBOR 48109
(734) 936-7030
1111652
KRAFT, KATE H MD
ANN ARBOR 48109
(734) 936-7030
1076385
LEE, CHERYL T MD
ANN ARBOR 48109
(734) 647-8903
1110046
LEE, CHERYL T MD
ANN ARBOR 48109
(734) 936-7030
1123080
LENHERR, SARA M MD
ANN ARBOR 48109
(734) 936-7030
1093058
MALAEB, BSPAA S MD
ANN ARBOR 48109
(734) 936-7030
1018089
MILLER, DAVID C MD
ANN ARBOR 48109
(734) 647-8903
1112727
MILLER, DAVID C MD
ANN ARBOR 48109
(734) 936-7030
1084907
MONTGOMERY, JEFFREY S MD
ANN ARBOR 48109
(734) 647-8903
1114106
MONTGOMERY, JEFFREY S MD
ANN ARBOR 48109
(734) 936-7030
1111605
MORGAN, TODD M MD
ANN ARBOR 48109
(734) 936-7030
1094432
MORGAN, TODD M MD
ANN ARBOR 48109
(734) 647-8903
1003074
OHL, DANA A MD
ANN ARBOR 48109
(734) 936-7030
1114349
OHL, DANA A MD
ANN ARBOR 48108
(734) 936-7030
1113160
OLDENDORF, ANN L MD
ANN ARBOR 48109
(734) 936-7030
1110534
PALAPATTU, GANESH S MD
ANN ARBOR 48109
(734) 936-7030
1102432
PALAPATTU, GANESH S MD
ANN ARBOR 48109
(734) 647-8903
1116867
PARK, JOHN M MD
ANN ARBOR 48109
(734) 936-7030
1108346
PELLETIER CAMERON, ANNE K MD
ANN ARBOR 48109
(734) 936-7030
1084928
ROBERTS, WILLIAM W MD
ANN ARBOR 48109
(734) 936-7030

Page 562
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Washtenaw County
UROLOGY (CONTINUED)
1110312
SKOLARUS, TED A MD
ANN ARBOR 48109
(734) 647-8903
1113839
STOFFEL, JOHN T MD
ANN ARBOR 48109
(734) 936-7030
1014003
WAN, JULIAN H MD
ANN ARBOR 48109
(734) 936-7030
1124359
WARNER, JONATHAN N MD
ANN ARBOR 48109
(734) 936-7030
1003698
WEI, JOHN T MD
ANN ARBOR 48109
(734) 936-7030
1110492
WEIZER, ALON Z MD
ANN ARBOR 48109
(734) 936-7030
1077717
WEIZER, ALON Z MD
ANN ARBOR 48109
(734) 647-8903
1003079
WOLF, J STUART S MD
ANN ARBOR 48109
(734) 936-7030
1113344
WOMBLE, PAUL R MD
ANN ARBOR 48109
(734) 936-7030
1113345
WOMBLE, PAUL R MD
ANN ARBOR 48109
(734) 647-8903
VASCULAR SURGERY
1031774
BERGUER, RAMON MD
ANN ARBOR 48109
(888) 287-1082
1097987
COLEMAN, DAWN M MD
ANN ARBOR 48109
(888) 287-1082
1018938
CRIADO-PALLARES, ENRIQUE MD
ANN ARBOR 48109
(888) 287-1082
1042424
ELIASON, JONATHAN L MD
ANN ARBOR 48109
(888) 287-1082
1075964
GALLAGHER, KATHERINE A MD
ANN ARBOR 48109
(888) 287-1082
1018634
HENKE, PETER K MD
ANN ARBOR 48109
(888) 287-1082
1077471
RECTENWALD, JOHN E MD
ANN ARBOR 48109
(888) 287-1082
1018937
STANLEY, JAMES C MD
ANN ARBOR 48109
(888) 287-1082
9324 CONANT STE B
HAMTRAMCK 48212
(313) 891-1500
WAYNE COUNTY
Wayne County

1121671
REDDY, SUDHA MD
ADOLESCENT MEDICINE
1082459
BACKOS, ALCESA A MD
3950 BEAUBIEN ST 4TH FL
DETROIT 48201
(313) 832-8290
1086073
FRIDAY, YVONNE M MD
4201 ST ANTOINE ST UHC 4B
DETROIT 48201
(313) 966-8017
1082463
FRIDAY, YVONNE M MD
3950 BEAUBIEN 4TH FL
DETROIT 48201
(313) 832-8290
1105902
FRIEDMAN, JOY O MD
22201 MOROSS RD STE 70
GROSSE POINTE FARMS 48236
(313) 343-3800
1082462
MARSHALL, SHARON P MD
DETROIT 48201
(313) 832-8290

1076194
BALIAD, ERIN P CNP
4100 JOHN R
DETROIT 48201
(800) 527-6266
1116855
BROCK, DANNA M CNP
4145 CASS
DETROIT 48201
(313) 833-4330
1116854
BROCK, DANNA M CNP
64 VICTOR
HIGHLAND PARK 48203
(313) 852-7700
1089713
BROCK, DANNA M CNP
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1069393
CHAPLEN, RUTH ANN CNP
4100 JOHN R
DETROIT 48201
(800) 527-6266
1091602
DAVIS, BRIANA J CNP
4100 JOHN R
DETROIT 48201
(800) 527-6266
1103241
KIM, HEEJIN B CNP
4100 JOHN R
DETROIT 48201
(800) 527-6266
1103345
WYNN, CAROL A NPC
4160 JOHN R ST STE 925
DETROIT 48201
(313) 831-0777
ALLERGY
1120561
MAHAJAN, RAKA MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1014363
STONE, DALE H DO
20228 FARMINGTON RD
LIVONIA 48152
(248) 478-5221

Page 563
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1079327
17770 MACK AVE
GROSSE POINTE 48230
(810) 885-6367
1110209
BAPTIST, ALAN P MD
LIVONIA 48152
(734) 432-7811
1082498
COTRONEI, CRISTINA MD
DETROIT 48201
(313) 832-8550
1114086
LIVONIA 48152
(734) 432-7811
1110252
MONTEJO, JENNY M MD
LIVONIA 48152
(734) 432-7811
1061804
SECORD, ELIZABETH A MD
DETROIT 48201
(313) 832-8550
1072895
SETH, DIVYA MD
DETROIT 48201
(313) 832-8550
1014363
STONE, DALE H DO
20228 FARMINGTON RD
LIVONIA 48152
(248) 478-5221
1031251
TULIN-SILVER, JEFFREY MD
37595 SEVEN MILE RD STE 320
LIVONIA 48152
(248) 932-0082

1038832
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1099764
PLANNED PARENTHOOD OF MID & SOUTH MI
LIVONIA 48150
(734) 594-6544
1094704
ALROAINI, ABDULWAHHAB MD
15150 FORT ST
SOUTHGATE 48195
(734) 282-4800
1112574
BOGUN, FRANK M MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112568
BOGUN, FRANK M MD
1051 N CANTON CENTER RD
CANTON 48187
(734) 844-5400
1112572
BOGUN, FRANK M MD
LIVONIA 48152
(734) 432-7811
1113393
CHUGH, AMAN MD
CANTON 48187
(734) 844-5400
1113399
CHUGH, AMAN MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1113397
CHUGH, AMAN MD
LIVONIA 48152
(734) 432-7811
1110264
LIVONIA 48152
(734) 432-7811
1110260
CANTON 48187
(734) 844-5400
1110266
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1068198
DIXON, SIMON R MD
21090 ALLEN RD
TRENTON 48183
(248) 898-4163
1104205
GANGASANI, ASHISH MD
18101 OAKWOOD BLVD FIRST FLOOR, NON-
DEARBORN 48124
(313) 593-8957
1114310
GHANBARI, HAMID MD
CANTON 48187
(734) 844-5400
1114314
GHANBARI, HAMID MD
LIVONIA 48152
(734) 432-7811
1114316
GHANBARI, HAMID MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112449
GOOD, ERIC D DO
LIVONIA 48152
(734) 432-7811
1112445
GOOD, ERIC D DO
CANTON 48187
(734) 844-5400
1112451
GOOD, ERIC D DO
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1068202
HAINES, DAVID E MD
21090 ALLEN RD
TRENTON 48183
(248) 898-4163
1027221
HASSAN, SOHAIL MD
30626 FORD RD
GARDEN CITY 48135
(734) 261-9211
1110540
LIVONIA 48152
(734) 432-7811
1110542
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1110536
CANTON 48187
(734) 844-5400
1113473
LIVONIA 48152
(734) 432-7811
1113469
CANTON 48187
(734) 844-5400
1113475
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1033522
LIEBERMAN, RANDY MD
4160 JOHN R STE 827
DETROIT 48201
(313) 993-2557
1121025
LIEBERMAN, RANDY MD
4160 JOHN R STE 817
DETROIT 48201
(313) 993-2557
1112903
MORADY, FRED MD
CANTON 48187
(734) 844-5400
1112907
MORADY, FRED MD
LIVONIA 48152
(734) 432-7811
1112909
MORADY, FRED MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1114238
ORAL, HAKAN MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000

Page 564
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1114232
ORAL, HAKAN MD
CANTON 48187
(734) 844-5400
1114236
ORAL, HAKAN MD
LIVONIA 48152
(734) 432-7811
1112170
PELOSI, FRANK MD
CANTON 48187
(734) 844-5400
1112175
PELOSI, FRANK MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112173
PELOSI, FRANK MD
LIVONIA 48152
(734) 432-7811
1117627
VIQAR SYED, MARIA MD
18101 OAKWOOD BLVD FIRST FL
DEARBORN 48124
(313) 593-8957
1068212
WONG, WAI SHUN MD
21090 ALLEN RD
TRENTON 48183
(248) 898-4163
CARDIOLOGY
1110678
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1110676
LIVONIA 48152
(734) 432-7811
1110672
CANTON 48187
(734) 844-5400
1103478
ABDALLAH, RIMA M PA
6071 W OUTER DR
DETROIT 48235
(313) 966-4954
1105225
23801 W WARREN
DEARBORN HEIGHTS 48127
(313) 359-0200
1048426
ABDULMALIK, AMEEN A MD
15150 FORT ST
SOUTHGATE 48195
(734) 282-4800
1096867
ABU ROMEH, IBRAHIM MD
15150 FORT ST
SOUTHGATE 48195
(734) 282-4800
1118984
AFONSO, LUIS C MD
4160 JOHN R STE 515
DETROIT 48201
(313) 832-1440
1054433
AFONSO, LUIS C MD
4201 ST ANTOINE STE 4C
DETROIT 48201
(313) 745-4525
1083118
AJLUNI, STEVEN C MD
LIVONIA 48152
(248) 267-5050
1107696
AL-AMERI, HAZIM MD
18181 OAKWOOD BLVD STE 207
DEARBORN 48124
(313) 551-3745
1086525
ALESH, ISSA G MD
DETROIT 48201
(313) 745-4525
1118987
ALESH, ISSA G MD
4160 JOHN R STE 515
DETROIT 48201
(313) 832-1440
1089618
ALESH, ISSA G MD
4201 ST ANTOINE STE 5B
DETROIT 48201
(313) 745-1741
1105849
ALI, OMAR MD
261 MACK AVE
DETROIT 48201
(313) 745-1203
1086653
ALI, OMAR MD
2421 MONROE ST STE 101
DEARBORN 48124
(313) 791-3000
1105844
ALI, OMAR MD
DEARBORN 48126
(313) 945-9000
1105845
ALI, OMAR MD
19727 ALLEN RD
TRENTON 48183
(734) 479-8000
1105848
ALI, OMAR MD
4160 JOHN R STREET
DETROIT 48201
(313) 831-9801
1086652
ALI, OMAR MD
4160 JOHN R STE 510
DETROIT 48201
(313) 993-7777
1105850
ALI, OMAR MD
22201 MOROSS STE 380
(313) 343-4437
1126594
ALI, OMAR MD
13200 W WARREN AVE
DEARBORN 48126
(630) 234-0759
1126593
ALI, OMAR MD
5600 ALLEN RD STE 101
ALLEN PARK 48101
(800) 424-6589
1126591
ALI, OMAR MD
19727 ALLEN RD
TRENTON 48183
(734) 479-8000
1126590
ALI, OMAR MD
21800 W 7 MILE RD
DETROIT 48219
(313) 693-4368
1126589
ALI, OMAR MD
1185 MONROE ST
DEARBORN 48124
(313) 274-8100
1126588
ALI, OMAR MD
DEARBORN 48126
(313) 945-9000
1126587
ALI, OMAR MD
261 MACK AVE STE 101
DETROIT 48201
(313) 745-1203
1126585
ALI, OMAR MD
4160 JOHN R STE 101
DETROIT 48201
(313) 831-9801
1126586
ALI, OMAR MD
(313) 343-4437
1083121
ALMANY, STEVEN L MD
LIVONIA 48152
(248) 267-5050
1094704
ALROAINI, ABDULWAHHAB MD
15150 FORT ST
SOUTHGATE 48195
(734) 282-4800
1126086
ANTON, SALWAN P DO
37799 PROFESSIONAL CENTER DR STE 105
LIVONIA 48154
(734) 464-3251
1102772
ARABI, ABDUL RAHMAN MD
29100 GATEWAY BLVD STE 300
FLAT ROCK 48134
(734) 379-0781
1112075
CANTON 48187
(734) 844-5400
1112079
LIVONIA 48152
(734) 432-7811
1112081
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000

Page 565
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1113888
BACH, DAVID S MD
CANTON 48187
(734) 844-5400
1113900
BACH, DAVID S MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1113896
BACH, DAVID S MD
LIVONIA 48152
(734) 432-7811
1112678
BATES, ERIC R MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112676
BATES, ERIC R MD
LIVONIA 48152
(734) 432-7811
1112672
BATES, ERIC R MD
CANTON 48187
(734) 844-5400
1112366
CANTON 48187
(734) 844-5400
1112373
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112371
LIVONIA 48152
(734) 432-7811
1103465
BROWN, MICHAEL A MD
DETROIT 48201
(313) 745-7025
1112782
BYRD, JAMES B MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112780
BYRD, JAMES B MD
LIVONIA 48152
(734) 432-7811
1112775
BYRD, JAMES B MD
CANTON 48187
(734) 844-5400
1073038
CARDOZO, SHAUN J MD
DETROIT 48201
(313) 745-4525
1118983
CARDOZO, SHAUN J MD
4160 JOHN R STE 515
DETROIT 48201
(313) 832-1440
1057778
CHALAM, VENKATA MD
ALLEN PARK 48101
(313) 375-2885
1117578
CHATTAHI, JOSEPH MD
19725 ALLEN RD
TRENTON 48183
(734) 486-4700
1111985
LIVONIA 48152
(734) 432-7811
1111987
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1111980
CANTON 48187
(734) 844-5400
1106190
DABBOUS, SAMIR A MD
19725 ALLEN RD BLDG 2
TRENTON 48183
(734) 429-4250
1106191
DABBOUS, SAMIR A MD
DEARBORN 48124
(313) 563-3640
1116219
DABBOUS, SAMIR A MD
DEARBORN 48124
(313) 563-3640
1111625
DAS, SUNIL K MD
LIVONIA 48152
(734) 432-7811
1111622
DAS, SUNIL K MD
CANTON 48187
(734) 844-5400
1111627
DAS, SUNIL K MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1111303
DAVIS, MELINDA B MD
LIVONIA 48152
(734) 432-7811
1111305
DAVIS, MELINDA B MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1111298
DAVIS, MELINDA B MD
CANTON 48187
(734) 844-5400
1110655
DAY, SHARLENE M MD
CANTON 48187
(734) 844-5400
1110660
DAY, SHARLENE M MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1083069
LIVONIA 48152
(248) 267-5050
1113711
CANTON 48187
(734) 844-5400
1113725
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1113721
LIVONIA 48152
(734) 432-7811
1111500
DYKE, DAVID B MD
CANTON 48187
(734) 844-5400
1111504
DYKE, DAVID B MD
LIVONIA 48152
(734) 432-7811
1111506
DYKE, DAVID B MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112956
EAGLE, KIM A MD
LIVONIA 48152
(734) 432-7811
1112958
EAGLE, KIM A MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112952
EAGLE, KIM A MD
CANTON 48187
(734) 844-5400
1110356
LIVONIA 48152
(734) 432-7811
1110358
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1110352
CANTON 48187
(734) 844-5400
1068160
ELDER, MAHIR D MD
DETROIT 48201
(313) 993-7777
1089186
ELDER, MAHIR D MD
DEARBORN 48124
(313) 791-3000

Page 566
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1124981
ELDER, MAHIR D MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1113287
FARREHI, PETER M MD
CANTON 48187
(734) 844-5400
1113291
FARREHI, PETER M MD
LIVONIA 48152
(734) 432-7811
1113293
FARREHI, PETER M MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1118988
FERENCE, BRIAN A MD
4160 JOHN R STE 515
DETROIT 48201
(313) 832-1440
1056583
FERENCE, BRIAN A MD
DETROIT 48201
(313) 745-4525
1114600
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1114598
LIVONIA 48152
(734) 432-7811
1114594
CANTON 48187
(734) 844-5400
1094726
GANESH, SANTHI K MD
19900 HAGGERTY RD
LIVONIA 48152
(734) 432-7811
1057776
GARG, SURENDRA P MD
15101 SOUTHFIELD RD
ALLEN PARK 48101
(313) 386-3996
1125905
GLAZIER, JAMES MD
4160 JOHN R STE 515
DETROIT 48201
(313) 831-1100
1120760
GODOY, CARLOS A MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1068200
21090 ALLEN RD
TRENTON 48183
(248) 898-4163
1064432
GOMEZ, GINETTE DO
468 CADIUEX RD
GROSSE POINTE 48230
(313) 343-1000
1030453
GOMEZ, GINETTE DO
21090 ALLEN RD
TRENTON 48183
(734) 676-0400
1112837
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112835
LIVONIA 48152
(734) 432-7811
1112830
CANTON 48187
(734) 844-5400
1097887
GOTTAM, NARSIMHA R MD
7633 E JEFFERSON STE 360
DETROIT 48214
(313) 499-4769
1106283
GOWDA, KEMPAIAH A MD
15150 FORT ST
SOUTHGATE 48195
(734) 282-4800
1124347
GOWMAN, DAVID P DO
23801 W WARREN
(313) 359-0200
1119981
GRINES, CINDY L MD
4160 JOHN R STE 817
DETROIT 48201
(844) 372-4639
1113238
GROSSMAN, PAUL M MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1113232
GROSSMAN, PAUL M MD
CANTON 48187
(734) 844-5400
1113236
GROSSMAN, PAUL M MD
LIVONIA 48152
(734) 432-7811
1106189
GUPTA, NARSINGH MD
1660 KINGSWAY CT
TRENTON 48183
(734) 676-8400
1114066
GURM, HITINDER S MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1114064
GURM, HITINDER S MD
LIVONIA 48152
(734) 432-7811
1114060
GURM, HITINDER S MD
CANTON 48187
(734) 844-5400
1125281
GURUJAL, RAVI MD
261 MACK AVE
DETROIT 48201
(313) 745-7025
1111589
HAGAN, PETER G MD
LIVONIA 48152
(734) 432-7811
1111585
HAGAN, PETER G MD
CANTON 48187
(734) 844-5400
1111591
HAGAN, PETER G MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1094832
HAKIM, ARIF MD
14500 W MCNICHOLS RD
DETROIT 48235
(313) 891-0094
1069208
HAKIM, ARIF MD
18254 LIVERNOIS AVE
DETROIT 48221
(313) 341-3511
1069207
HAKIM, ARIF MD
3120 CARPENTER ST STE 209
HAMTRAMCK 48212
(313) 891-0094
1070194
HAKIM, ARIF MD
2020 MIDDLEBELT RD STE C
GARDEN CITY 48135
(313) 891-0094
1030541
HANZEL, GEORGE S MD
21090 ALLEN RD
TRENTON 48183
(734) 676-0400
1068203
HANZEL, GEORGE S MD
21090 ALLEN RD
TRENTON 48183
(248) 898-4163
1107818
HARBER, DANIEL DO
23801 W WARREN
(313) 359-0200
1106268
HASHEM, MUSTAFA A MD
15150 FORT ST
SOUTHGATE 48195
(734) 282-4800
1027221
HASSAN, SOHAIL MD
30626 FORD RD
GARDEN CITY 48135
(734) 261-9211
1110093
HUMMEL, SCOTT L MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1110087
HUMMEL, SCOTT L MD
CANTON 48187
(734) 844-5400
1110091
HUMMEL, SCOTT L MD
LIVONIA 48152
(734) 432-7811

Page 567
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1086678
ISMAIL, HASSAN MD
DEARBORN 48124
(313) 791-3000
1086677
ISMAIL, HASSAN MD
DETROIT 48201
(313) 993-7777
1113883
LIVONIA 48152
(734) 432-7811
1113875
CANTON 48187
(734) 844-5400
1113887
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1104711
JAFRI, SYED M MD
6742 PARK AVE
ALLEN PARK 48101
(313) 928-2333
1116502
JOHN-ROSMAN, SARINE MD
468 CADIEUX RD
GROSSE POINTE 48230
(586) 776-8877
1106592
JURATLI, NOUR MD
5400 FORT ST STE 110
TRENTON 48183
(313) 551-3745
1068807
JURATLI, NOUR MD
18181 OAKWOOD BLVD MEDICAL OFFICE BLDG DEARBORN 48124
(313) 551-3745
1090372
KAKI, AMIR MD
DEARBORN 48124
(313) 791-3000
1090373
KAKI, AMIR MD
DETROIT 48201
(313) 993-7777
1108171
9398 LILLEY RD
PLYMOUTH 48170
(248) 676-8889
1122959
CANTON 48187
(734) 844-5400
1111571
KHAJA, FAREED U MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1111569
KHAJA, FAREED U MD
LIVONIA 48152
(734) 432-7811
1111565
KHAJA, FAREED U MD
CANTON 48187
(734) 844-5400
1118986
KHAN, MAZHAR H MD
4160 JOHN R STE 515
DETROIT 48201
(313) 832-1440
1083581
KHAN, MAZHAR H MD
UNIVERSITY HEALTH CENTER 4201 ST ANTOINE DETROIT 48201
(313) 745-4525
1112285
KOELLING, TODD M MD
CANTON 48187
(734) 844-5400
1112289
KOELLING, TODD M MD
LIVONIA 48152
(734) 432-7811
1112291
KOELLING, TODD M MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112191
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112185
CANTON 48187
(734) 844-5400
1112189
LIVONIA 48152
(734) 432-7811
1104029
KONDUR, ASHOK MD
1660 KINSWAY CT
TRENTON 48183
(734) 676-8400
1127725
KONDUR, ASHOK MD
4160 JOHN R STE 525
DETROIT 48201
(313) 831-1100
1118990
KOTTAM, ANUPAMA REDDY MD
4160 JOHN R STE 515
DETROIT 48201
(313) 832-1440
1065628
KOTTAM, ANUPAMA REDDY MD
DETROIT 48201
(313) 745-4525
1083086
KUTINSKY, ILANA DO
LIVONIA 48152
(248) 267-5050
1105982
LEE, CHENG-CHONG MD
6742 PARK AVE
ALLEN PARK 48101
(313) 928-2333
1106326
MANCINI, PETER II MD
DEARBORN 48124
(313) 563-3640
1116220
DEARBORN 48124
(313) 563-3640
1106325
19725 ALLEN RD BLDG 2
TRENTON 48183
(734) 479-4250
1110922
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1110920
LIVONIA 48152
(734) 432-7811
1110915
CANTON 48187
(734) 844-5400
1110213
MENEES, DANIEL S MD
CANTON 48187
(734) 844-5400
1110217
MENEES, DANIEL S MD
LIVONIA 48152
(734) 432-7811
1110219
MENEES, DANIEL S MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1124984
MOHAMAD, TAMAM MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1086681
MOHAMAD, TAMAM MD
DEARBORN 48124
(313) 791-3000
1086680
MOHAMAD, TAMAM MD
DETROIT 48201
(313) 993-7777
1126570
MOHAMED, TAHIR MD
19727 ALLEN RD
TRENTON 48183
(734) 479-8000
1105857
MOHAMED, TAHIR MD
261 MACK AVE
DETROIT 48201
(313) 745-1203
1126573
MOHAMED, TAHIR MD
13200 W WARREN AVE
DEARBORN 48126
(630) 234-0759
1105876
MOHAMED, TAHIR MD
DEARBORN 48126
(313) 945-9000

Page 568
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1126572
MOHAMED, TAHIR MD
ALLEN PARK 48101
(800) 424-6589
1126569
MOHAMED, TAHIR MD
21800 W 7 MILE RD
DETROIT 48219
(313) 693-4368
1126568
MOHAMED, TAHIR MD
1185 MONROE ST
DEARBORN 48124
(313) 274-8100
1105858
MOHAMED, TAHIR MD
(313) 343-4473
1105855
MOHAMED, TAHIR MD
4160 JOHN R ST
DETROIT 48201
(313) 831-9801
1105854
MOHAMED, TAHIR MD
19727 ALLEN RD
TRENTON 48183
(734) 479-8000
1126566
MOHAMED, TAHIR MD
261 MACK AVE
DETROIT 48201
(313) 745-1203
1086683
MOHAMED, TAHIR MD
DETROIT 48201
(313) 993-7777
1126564
MOHAMED, TAHIR MD
4160 JOHN R
DETROIT 48201
(313) 831-9801
1126567
MOHAMED, TAHIR MD
DEARBORN 48126
(313) 945-9000
1086684
MOHAMED, TAHIR MD
DEARBORN 48124
(313) 791-3000
1126565
MOHAMED, TAHIR MD
(313) 343-4437
1103449
MUNIR, AHMAD MD
DETROIT 48201
(313) 745-7025
1056828
11400 JOSEPH CAMPAU
HAMTRAMCK 48212
(313) 366-5500
1124754
NAHHAS, GEORGE T MD
TRENTON 48183
(734) 486-4700
1079272
NAHHAS, GEORGE T MD
DEARBORN 48124
(313) 562-3232
1112399
NALLAMOTHU, BRAHAMAJEE K MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112397
LIVONIA 48152
(734) 432-7811
1112392
CANTON 48187
(734) 844-5400
1113864
NICKLAS, JOHN M MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1113851
NICKLAS, JOHN M MD
CANTON 48187
(734) 844-5400
1113860
NICKLAS, JOHN M MD
LIVONIA 48152
(734) 432-7811
1086655
OBEID, MUHAMMED DO
DETROIT 48201
(313) 993-7777
1086656
OBEID, MUHAMMED DO
DEARBORN 48124
(313) 791-3000
1105534
PALARDY, MARYSE MD
CANTON 48187
(734) 844-5400
1111018
PINSKY, DAVID J MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1111011
PINSKY, DAVID J MD
CANTON 48187
(734) 844-5400
1111016
PINSKY, DAVID J MD
LIVONIA 48152
(734) 432-7811
1124331
QAZI, MAJID J DO
23801 W WARREN
(313) 359-0200
1109407
QAZI, MAJID J DO
6149 N WAYNE RD
WESTLAND 48185
(734) 728-2130
1109406
QAZI, MAJID J DO
28711 W 8 MILE RD
LIVONIA 48152
(248) 474-2220
1071700
23801 WARREN RD
(313) 359-0200
1104746
RIBA, ARTHUR L MD
DEARBORN 48124
(313) 996-7280
1037218
ROGERS, FELIX MD
5450 FORT STREET
TRENTON 48183
(734) 671-3800
1114655
LIVONIA 48152
(734) 432-7811
1114657
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1114652
CANTON 48187
(734) 844-5400
1110382
SABERI, SARA MD
CANTON 48187
(734) 844-5400
1110386
SABERI, SARA MD
LIVONIA 48152
(734) 432-7811
1110388
SABERI, SARA MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1107779
SABHARWAL, SUBHASH MD
17000 HUBBARD DR STE 200
DEARBORN 48126
(313) 271-2580
1068208
SAFIAN, ROBERT D MD
21090 ALLEN RD
TRENTON 48183
(248) 898-4163
1105860
SATTAR, HAMID MD
261 MACK AVE
DETROIT 48201
(313) 745-1203
1086686
SATTAR, HAMID MD
DETROIT 48201
(313) 993-7777
1124989
SATTAR, HAMID MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1087202
SATTAR, HAMID MD
DEARBORN 48126
(313) 945-9000

Page 569
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1105859
SATTAR, HAMID MD
(313) 343-4473
1086687
SATTAR, HAMID MD
DEARBORN 48124
(313) 791-3000
1105861
SATTAR, HAMID MD
4160 JOHN R STREET
DETROIT 48201
(313) 831-9801
1105862
SATTAR, HAMID MD
19727 ALLEN RD
TRENTON 48183
(734) 479-8000
1126575
SATTAR, HAMID MD
(313) 343-4437
1126577
SATTAR, HAMID MD
261 MACK AVE
DETROIT 48201
(313) 745-1203
1126578
SATTAR, HAMID MD
DEARBORN 48126
(313) 945-9000
1126579
SATTAR, HAMID MD
1185 MONROE ST
DEARBORN 48124
(313) 274-8100
1126580
SATTAR, HAMID MD
21800 W 7 MILE RD
DETROIT 48219
(313) 693-4368
1126581
SATTAR, HAMID MD
19727 ALLEN RD
TRENTON 48183
(734) 479-8000
1126583
SATTAR, HAMID MD
5600 ALLEN RD
ALLEN PARK 48101
(800) 424-6589
1126584
SATTAR, HAMID MD
13200 W WARREN AVE
DEARBORN 48126
(630) 234-0759
1126574
SATTAR, HAMMID MD
4160 JOHN R
DETROIT 48201
(313) 831-9801
1123833
SEARING, SCOTT DO
32754 FARMINGTON RD
LIVONIA 48152
(248) 473-4771
1126497
SEARING, SCOTT DO
28711 W EIGHT MILE RD STE B
LIVONIA 48152
(248) 473-4771
1124355
23801 W WARREN
(313) 359-0200
1112800
SHEA, MICHAEL J MD
LIVONIA 48152
(734) 432-7811
1112802
SHEA, MICHAEL J MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112796
SHEA, MICHAEL J MD
CANTON 48187
(734) 844-5400
1124353
23801 W WARREN
(313) 359-0200
1124012
6071 W OUTER DR
DETROIT 48235
(313) 966-3300
1093292
DETROIT 48201
(313) 993-7777
1093290
DEARBORN 48124
(313) 791-3000
1024039
SOHAL, CHAMAN MD
6742 PARK AVE
ALLEN PARK 48101
(313) 928-2333
1033915
SPEARS, JAMES R MD
DETROIT 48201
(313) 831-1100
1045469
SPEARS, JAMES R MD
4160 JOHN R STE 827
DETROIT 48201
(313) 993-2557
1045468
SPEARS, JAMES R MD
11400 JOSEPH COMPAU
HAMTRAMCK 48212
(313) 366-5500
1102777
SPEARS, JAMES R MD
DEARBORN 48124
(313) 996-7280
1110988
STEIN, ADAM B MD
LIVONIA 48152
(734) 432-7811
1110990
STEIN, ADAM B MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1110983
STEIN, ADAM B MD
CANTON 48187
(734) 844-5400
1113132
TOBIN, KENNETH J DO
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1104670
VAITKEVICIUS, PETER MD
DEARBORN 48124
(313) 996-7280
1019024
VEMURI, RAMACHANDRA MD
13225 NORTHLINE RD
SOUTHGATE 48195
(734) 284-7555
1111526
CANTON 48187
(734) 844-5400
1111533
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1111531
LIVONIA 48152
(734) 432-7811
1114020
WU, AUDREY H MD
LIVONIA 48152
(734) 432-7811
1114024
WU, AUDREY H MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1114014
WU, AUDREY H MD
CANTON 48187
(734) 844-5400
1113923
YAMADA, ELINA MD
CANTON 48187
(734) 844-5400
1113933
YAMADA, ELINA MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1107582
YELLAYI, SUBRAHMANYA MD
6742 PARK AVE
ALLEN PARK 48101
(313) 928-2333
DETROIT 48201
(313) 745-8875
1068667
RITS, YEVGENIY M MD

Page 570
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

CARDIOVASCULAR SURGERY (CONTINUED)
1103463
RUBIN, JEFFREY R MD
DETROIT 48201
(866) 966-8272
1106321
SIEGEL, THOMAS MD
DEARBORN 48124
(313) 593-0810
CLINICAL GENETICS
1099893
FLORE, LEIGH MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1127894
JAY, ALLISON M MD
(313) 647-3152
1113649
STERN, RALPH H MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1113642
STERN, RALPH H MD
LIVONIA 48152
(734) 432-7811
1113628
STERN, RALPH H MD
CANTON 48187
(734) 844-5400

1098315
ALAME, AMER MD
(313) 647-3235
1066772
3106 S WAYNE RD
WAYNE 48184
(734) 722-6300
1066773
15750 NORTHLINE
SOUTHGATE 48195
(734) 722-6300
1104745
DICKASON, ROBERT DO
TRENTON 48183
(734) 676-5353
1125400
SWISTAK, STEPHEN P MD
261 MACK AVE
DETROIT 48201
(866) 966-8272
1104574
SY JR, GUAT MD
17000 HUBBARD DR STE 700
DEARBORN 48126
(313) 271-2990
DERMATOLOGY
1118460
BRUNER, MICHELLE K DO
1500 EUREKA RD
WYANDOTTE 48192
(734) 282-2500
1065056
32669 W WARREN
GARDEN CITY 48135
(734) 762-0798
1086532
DAVELUY, STEVEN MD
DEARBORN 48124
(313) 240-4900
1101785
GOLDSMITH, ARATHI DO
20030 MACK AVE
(313) 884-3380
1118664
HOLLAND, JEAN MD
1500 EUREKA RD
WYANDOTTE 48192
(734) 282-2500
1124357
JAHNKE, MARLA MD
3950 BEAUBIEN ST
DETROIT 48201
(313) 832-9144
1071010
KADO, JESSICA A MD
DEARBORN 48124
(313) 240-4900
1085535
LEGACY, MICHELLE DO
32669 W WARREN
GARDEN CITY 48135
(734) 762-0798
1123129
LEITHAUSER, LAUREL A MD
DEARBORN 48124
(313) 240-4900
1023695
MANZ-DULAC, LISA MD
20030 MACK AVE
(313) 884-3380
1039856
MANZ-DULAC, LISA MD
22201 MOROSS PROF BLDG 2 STE 370
(313) 884-3380
1055668
DEARBORN 48124
(313) 240-4900
1055670
DEARBORN 48124
(313) 240-4900
1030852
MOIIN, ALI MD
14555 LEVAN RD STE 202
LIVONIA 48154
(734) 591-2000
1030851
MOIIN, ALI MD
4160 JOHN R STE 701
DETROIT 48201
(313) 966-7585
1106409
MOOSSAVI, MEENA MD
14801 FARMINGTON
LIVONIA 48154
(734) 542-8100
1122166
NASSER, FARID A MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1104804
PEGOUSKE, DAVID MD
14801 FARMINGTON
LIVONIA 48154
(734) 542-8100
1117698
PRICE, MEREDITH L MD
3950 BEAUBIEN ST
DETROIT 48201
(313) 832-9144
1109275
PRICE, MEREDITH L MD
3901 BEAUBIEN 2ND FL
DETROIT 48201
(313) 745-5791
1023258
SEIGER, ERIC S DO
32669 WARREN RD STE 9
GARDEN CITY 48135
(734) 762-0798
1056102
WATSON, ALICE CHENG MD
4100 JOHN R RD
DETROIT 48201
(800) 527-6266
1095143
ZARKA, MOHAMMAD DO
DETROIT 48201
(313) 966-7585
DERMATOPATHOLOGY
1065743
GONCHARUK, VIKTOR MD
32669 WEST WARREN STE 10
GARDEN CITY 48135
(734) 242-6870
1065742
32669 WEST WARREM STE 10
GARDEN CITY 48135
(734) 242-6870
1117646
SALEH, HUSAIN MD
DEARBORN 48126
(313) 436-4372
1089714
THOMPSON, ANDREW D MD
3990 JOHN R
DETROIT 48201
(313) 745-8555

Page 571
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

DME - P&O
1022502
ADVANCED WOUND CARE LLC
2363 W JEFFERSON STE 219
TRENTON 48183
(734) 362-8630
1085063
ALERT MEDICAL EQUIPMENT
9282 GENERAL DR
PLYMOUTH 48170
(734) 459-2468
1037344
AOM HEALTHCARE SOLUTIONS
11585 FARMINGTON RD
LIVONIA 48150
(866) 397-7060
1093636
2799 W GRAND BLVD STE E-1225
DETROIT 48202
(313) 916-2201
1037493
18800 EUREKA RD
SOUTHGATE 48195
(734) 281-3031
1105346
BINSONS HOSPITAL SUPPLIES
13450 FARMINGTON RD
LIVONIA 48150
(586) 755-2300
1001785
COMPLETE INFUSION SERVICES LLC
31555 INDUSTRIAL RD STE 200
LIVONIA 48150
(734) 425-2550
1101359
CROW CREEK THERAPEUTICS LLC
14916 TELGRAPH RD STE 8
FLAT ROCK 48134
(888) 420-2337
1074154
LIVONIA 48152
(800) 379-1600
1119393
HART MEDICAL EQUIPMENT
7800 W OUTER DR STE 155
DETROIT 48235
(313) 543-6778
1119391
159 KERCHEVAL STE A
(313) 640-2458
1119392
2799 W GRAND BLVD WP 1102A
DETROIT 48202
(313) 916-5834
1119387
19401 HUBBARD DR
DETROIT 48216
(313) 982-4473
1119386
29200 SCHOOLCRAFT RD
LIVONIA 48150
(734) 523-8644
1119394
23400 ALLEN RD
TRENTON 48183
(734) 676-3813
1119390
2333 BIDDLE AVE
WYANDOTTE 48192
(734) 246-8797
1101233
KCI USA INC
31537 W 8 MILE RD
LIVONIA 48152
(888) 275-4524
1024570
14725 NORTHLINE
SOUTHGATE 48195
(734) 281-8144
1071852
MEDLINE INDUSTRIES INC
6505 COGSWELL RD STE 100
ROMULUS 48174
(800) 633-5463
1011046
METRO MEDICAL EQUIPMENT
38415 SCHOOLCRAFT
LIVONIA 48150
(734) 522-8400
1036161
OAKWOOD INFUSION SERVICES LLC
1633 FAIRLANE CIRCLE STE 165
ALLEN PARK 48101
(888) 271-3311
1126139
P & O SERVICES INC
LIVONIA 48154
(734) 744-7787
1026029
1948 FORD AVE
WYANDOTTE 48192
(734) 284-8845
1031630
SHAN MEDICAL EQUIPMENT INC
8607 W VERNOR RD
DETROIT 48209
(313) 843-3006
1055694
SOLARA MEDICAL SUPPLIES
35275 PLYMOUTH RD
LIVONIA 48150
(888) 474-9912
1020067
US MEDICAL EQUIPMENT INC
36967 AMRHEIN RD
LIVONIA 48150
(800) 424-8244
1025589
15044 MICHIGAN AVE
DEARBORN 48126
(313) 584-0070
1025590
4201 ST ANTOINE
DETROIT 48201
(313) 832-5020
1025601
4050 FORT DR
LINCOLN PARK 48146
(313) 386-3330
1025608
261 MACK AVE
DETROIT 48201
(313) 745-9811
1025602
29100 PLYMOUTH RD
LIVONIA 48150
(734) 421-8400

1023020
ABBARAH, THABET MD
6001 W OUTER DR
DETROIT 48235
(313) 863-1551
1022920
ABBARAH, THABET MD
2021 MONROE STE 301
DEARBORN 48124
(313) 274-1130
1103493
AMJAD, ESMAEL H MD
DETROIT 48201
(313) 966-9471
1108210
AMJAD, ESMAEL HOSAIN MD
23822 FORD RD
(313) 274-4793
1108211
AMJAD, ESMAEL HOSAIN MD
DETROIT 48235
(313) 966-1045
1113938
ARTS, HENRY A MD
LIVONIA 48152
(734) 432-7634
1113936
ARTS, HENRY A MD
LIVONIA 48152
(734) 432-7811
1031428
BABU, SEILESH C MD
DEARBORN 48126
(248) 865-4444
1111668
BAKER, SHAN R MD
LIVONIA 48152
(734) 432-7634
1116886
BASURA, GREGORY MD
LIVONIA 48152
(734) 432-7811
1116887
BASURA, GREGORY MD
LIVONIA 48152
(734) 432-7634
1103234
BATHULA, SAMBA SIVA R MD
DETROIT 48201
(313) 966-9471
1108123
BATHULA, SAMBA SIVA REDDY MD
DETROIT 48235
(313) 966-1045

Page 572
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1110123
LIVONIA 48152
(734) 432-7811
1110124
LIVONIA 48152
(734) 432-7634
1103681
BROWN, DAVID J MD
LIVONIA 48152
(734) 432-7811
1054496
DEARBORN 48124
(313) 253-0800
1055013
4100 JOHN R
DETROIT 48201
(800) 527-6266
1103296
CAVALIERE, SALVATORE DO
DETROIT 48235
(313) 966-1045
1108143
CAVALIERE, SALVATORE DO
DETROIT 48201
(313) 966-9471
1035854
CHAN, ELEANOR Y MD
DEARBORN 48126
(248) 865-4444
1124189
COTICCHIA, JAMES MD
DEARBORN 48124
(248) 652-2240
1035208
DICKSON, CLARK B MD
LIVONIA 48152
(248) 569-5985
1113977
LIVONIA 48152
(734) 432-7634
1113975
LIVONIA 48152
(734) 432-7811
1055043
FOLBE, ADAM J MD
4201 ST ANTOINE STE 5G
DETROIT 48201
(313) 745-1731
1055042
FOLBE, ADAM J MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1110333
GARETZ, SUSAN L MD
LIVONIA 48152
(734) 432-7811
1119499
GARLAPATY, VASUDEV R MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1112094
LIVONIA 48152
(734) 432-7811
1114117
HOGIKYAN, NORMAN D MD
LIVONIA 48152
(734) 432-7634
1055489
JACOBS, JOHN R MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1055490
JACOBS, JOHN R MD
DEARBORN 48124
(313) 253-0800
1094031
KIM, JENNIFER C MD
LIVONIA 48152
(734) 432-7634
1112628
KIM, JENNIFER C MD
LIVONIA 48152
(734) 432-7811
1054711
LIN, HO-SHENG MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1055620
LIN, HO-SHENG MD
DEARBORN 48124
(313) 253-0800
1031515
MADGY, DAVID DO
9398 LILLEY RD
PLYMOUTH 48170
(734) 254-0453
1110081
MCKEAN, ERIN L MD
LIVONIA 48152
(734) 432-7811
1110082
MCKEAN, ERIN L MD
LIVONIA 48152
(734) 432-7634
1113503
MCLEAN, SCOTT A MD PHD
LIVONIA 48152
(734) 432-7811
1055717
MONSELL, EDWIN M MD
DEARBORN 48124
(313) 253-0800
1084755
MOYER, JEFFREY S MD
LIVONIA 48152
(734) 432-7634
1103811
NAUMANN, ILKA C MD
DETROIT 48201
(313) 966-9471
1123148
OWUSU, JAMES A MD
LIVONIA 48152
(734) 432-7634
1123147
OWUSU, JAMES A MD
LIVONIA 48152
(734) 432-7811
1112871
LIVONIA 48152
(734) 432-7811
1103511
PASTERNAK, SUZANNE A DDS
4201 ST ANTOINE ST
DETROIT 48201
(313) 745-4696
1114188
PYNNONEN, MELISSA A MD
LIVONIA 48152
(734) 432-7811
1031037
SARGENT, ERIC W MD
DEARBORN 48126
(248) 865-4444
1127535
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1069387
DEARBORN 48124
(313) 253-0800
1069388
4100 JOHN R WERTZ CLINIC
DETROIT 48201
(800) 527-6266
1110041
LIVONIA 48152
(734) 432-7634
1110040
LIVONIA 48152
(734) 432-7811
1089332
STERN, NOAH A DO
DETROIT 48201
(313) 966-9471
1108219
STERN, NOAH AARON DO
9398 LILLEY RD
PLYMOUTH 48170
(734) 254-0453
1108122
STERN, NOAH AARON DO
DETROIT 48235
(313) 966-1045
1069400
STONE, MICHAEL E MD
LIVONIA 48152
(248) 569-5985

Page 573
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1114682
TELIAN, STEVEN A MD
LIVONIA 48152
(734) 432-7811
1114683
TELIAN, STEVEN A MD
LIVONIA 48152
(734) 432-7634
1067935
TERRELL, JEFFREY E MD
LIVONIA 48152
(734) 432-7811
1114197
THORNE, MARC C MD
LIVONIA 48152
(734) 432-7634
1114196
THORNE, MARC C MD
LIVONIA 48152
(734) 432-7811
1033956
LIVONIA 48152
(248) 569-5985
1054919
YOO, GEORGE H MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1113707
ZACHAREK, MARK A MD
LIVONIA 48152
(734) 432-7811
1077220
ZACHAREK, MARK A MD
LIVONIA 48152
(734) 432-7634
1060988
4100 JOHN R
DETROIT 48201
(800) 527-6266
1054923
DEARBORN 48124
(313) 253-0800

1084492
468 CADIEUX
GROSSE POINTE 48230
(248) 577-9352
1090256
DEGARA GARDEN CITY PLLC
6245 INKSTER RD
GARDEN CITY 48135
(734) 458-3426
1122595
DONALD B SMITH MD
35600 CENTRAL CITY PKWY STE 107
WESTLAND 48185
(734) 767-9935
1097556
22101 MOROSS ER
(313) 343-3401
1056415
OBSERVATION EMERGENCY PHYSICIANS
22101 MOROSS ER
(313) 343-3401
1116236
ST JOHN HOSPITAL
22101 MOROSS
(586) 753-0200
1007814
UNIVERSITY PEDIATRICIANS
3901 BEAUBIEN
DETROIT 48201
(313) 745-5437

1095526
BMA DETROIT
9300 CONANT
HAMTRAMCK 48212
(313) 758-0016
1095527
BMA LIVONIA
LIVONIA 48150
(734) 525-0780
1095528
BMA NORTHWEST DETROIT
DETROIT 48223
(313) 837-1530
1095529
BMA ROMULUS
11200 METRO AIRPORT CENTER DR STE 120
ROMULUS 48174
(734) 955-7333
1038637
FMC CONNER DIALYSIS CENTER
5555 CONNER ST STE 2003
DETROIT 48213
(313) 924-0019
1095530
FMC DIALYSIS SERVICES BEWICK
10201 JEFFERSON AVE STE A
DETROIT 48214
(313) 824-3430
1095533
FMC DIALYSIS SERVICES OF EAST DETROIT
22151 MOROSS RD PB1 GTE G-05
(866) 434-2597
1095535
FMC DIALYSIS SERVICES UNIVERSITY
18430 LIVERNOIS AVE
DETROIT 48221
(313) 341-4366
1095541
FRESENIUS MEDICAL CARE BOTSFORD PARK
28425 8 MILE RD
LIVONIA 48152
(248) 427-0089
1095543
FRESENIUS MEDICAL CARE GARDEN CITY
27201 W WARREN
(313) 274-5568
1095613
FRESENIUS MEDICAL CARE SHELDON CORNERS
6064 N SHELDON RD
CANTON 48187
(734) 207-6219
1095615
FRESENIUS MEDICAL CARE TAYLOR
22970 NORTHLINE RD STE 100
TAYLOR 48180
(734) 287-6585
1095619
UNIVERSITY OF MICHIGAN DIALYSIS-LIVONIA
19900 HAGGERTY RD #106
LIVONIA 48152
(734) 432-7870
ENDOCRINOLOGY
1097546
50 E CANFIELD
DETROIT 48201
(313) 745-4525
1054429
4201 S ANTOINE STE 5A
DETROIT 48201
(313) 745-4525
1070061
AHMED, SAADIAH DO
(313) 343-4411
1125428
AKKAD, AYMAN MD
DEARBORN 48124
(313) 914-5591
1070064
ALSABBAGH, RANA MD
(313) 343-4411
1013464
ALZOHAILI, OPADA MD
DEARBORN 48124
(313) 914-5591
1036675
BONE, HENRY G III MD
(313) 640-1217
1117225
ELBADAWI, HUSSEIN S MD
DETROIT 48201
(313) 745-4525
1117226
ELBADAWI, HUSSEIN S MD
4201 ST ANTOINE STE 5A
DETROIT 48201
(313) 745-4525
1066325
FADANELLI, MARGARET E MD
(313) 343-4411

Page 574
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1103529
HAFIDA, SAMAR Y MD
DETROIT 48201
(313) 745-4525
1103528
HAFIDA, SAMAR Y MD
DETROIT 48201
(313) 745-4525
1124468
KRAKAUER, JESSE C MD
DEARBORN 48124
(313) 914-5591
1026440
KURIAN, REGINA T MD
(313) 343-4411
1127841
MALLISHO, ABDULLAH M MD
4201 ST ANTOINE ST STE 5A
DETROIT 48201
(313) 745-7999
1127840
MALLISHO, ABDULLAH M MD
4201 ST ANTOINE ST STE 4C
DETROIT 48201
(313) 745-7999
1094178
RUSSELL, SHERILYN J MD
(313) 343-4411
1101867
SALEH, MOHAMMAD MD
1611 MONROE ST
DEARBORN 48124
(313) 757-0157
1065699
SAMANTRAY, JULIE MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1065698
SAMANTRAY, JULIE MD
4201 ST ANTOINE UHC 5A
DETROIT 48201
(313) 745-4525
1056911
SEYOUM, BERHANE MD
DETROIT 48201
(313) 745-4525
1056912
SEYOUM, BERHANE MD
DETROIT 48201
(313) 745-4525
1064241
TAHA, WAEL MD
4201 ST ANTOINE STE 5A UHC
DETROIT 48201
(313) 745-4525
1127527
TAHA, WAEL MD
4201 ST ANTOINE STE 6B-2
DETROIT 48201
(313) 745-1315
1127526
TAHA, WAEL MD
6071 W OUTER DR
DETROIT 48235
(313) 745-4525
1086058
TAHA, WAEL MD
DETROIT 48201
(313) 745-4525
GASTROENTEROLOGY
1114254
CANTON 48187
(734) 844-5400
1113272
BEDI, AARTI O MD
CANTON 48187
(734) 844-5400
1113276
BEDI, AARTI O MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1113275
BEDI, AARTI O MD
LIVONIA 48152
(734) 432-7811
1113755
CHEN, JOAN W MD
CANTON 48187
(734) 844-5400
1106873
CUTLER, ALAN F MD
2020 MIDDLEBELT RD
GARDEN CITY 48135
(248) 662-4300
1111713
LIVONIA 48152
(734) 432-7811
1056581
EHRINPREIS, MURRAY N MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1106780
FIELDS, JANICE M MD
2020 MIDDLEBELT RD
GARDEN CITY 48135
(248) 662-4300
1106674
2020 MIDDLEBELT RD
GARDEN CITY 48135
(248) 662-4300
1106596
2020 MIDDLEBELT RD
GARDEN CITY 48135
(248) 662-4300
1111497
LIVONIA 48152
(734) 432-7811
1111498
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1104581
HENOCH, MALCOLM MD
4900 MERCURY DR STE 201
DEARBORN 48126
(313) 982-4351
1111945
HIATT, TADD K MD
CANTON 48187
(734) 844-5400
1106522
2020 MIDDLEBELT RD
GARDEN CITY 48135
(248) 662-4300
1083580
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1113568
KAO, JOHN Y MD
LIVONIA 48152
(734) 432-7811
1113570
KAO, JOHN Y MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1106507
LEVINSON, JAY R MD
2020 MIDDLEBELT R
GARDEN CITY 48135
(248) 662-4300
1112139
CANTON 48187
(734) 844-5400
1112164
MENEES, STACY B MD
LIVONIA 48152
(734) 432-7811
1112165
MENEES, STACY B MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1057703
MUTCHNICK, MILTON G MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1112670
LIVONIA 48152
(734) 432-7811
1106484
PIPER, MICHAEL H MD
2020 MIDDLEBELT RD
GARDEN CITY 48135
(248) 662-4300
1113827
CANTON 48187
(734) 844-5400
1113282
RAKOSKI, MINA K MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000

Page 575
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1113281
RAKOSKI, MINA K MD
LIVONIA 48152
(734) 432-7811
1122177
RAMISETTY, ROJA R MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1117960
2020 MIDDLEBELT
GARDEN CITY 48135
(248) 662-4300
1112889
RICE, MICHAEL D MD
LIVONIA 48152
(734) 432-7811
1112618
RIZK, RAFAT S MD
CANTON 48187
(734) 844-5400
1112621
RIZK, RAFAT S MD
LIVONIA 48152
(734) 432-7811
1127830
SAIE, SAID H MD
30900 FORD RD STE B
GARDEN CITY 48135
(734) 524-0920
1056914
SIDDIQUI, FIRDOUS A MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1111998
STIDHAM, RYAN W MD
CANTON 48187
(734) 844-5400
1112000
STIDHAM, RYAN W MD
LIVONIA 48152
(734) 432-7811
1113497
TAI, ANDREW W MD
LIVONIA 48152
(734) 432-7811
1111173
TODISCO, ANDREA MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1110801
LIVONIA 48152
(734) 432-7811
1113005
VOLK, MICHAEL L MD
LIVONIA 48152
(734) 432-7811
1111136
CANTON 48187
(734) 844-5400
1111138
LIVONIA 48152
(734) 432-7811
1106868
YOUSIF, EDWARD A MED
2020 MIDDLEBELT RD
GARDEN CITY 48135
(248) 662-4300
GENERAL SURGERY
1103780
ABOULJOUD, MARWAN MD
3901 BEAUBIEN ST
DETROIT 48201
(313) 745-5604
1108154
ABOULJOUD, MARWAN S MD
3901 BEAUBIEN ST
DETROIT 48201
(313) 745-5585
1104592
ABURABIA, MAJD MD
DEARBORN 48124
(313) 438-7992
1122347
ALAME, AMER MD
2035 MONROE ST
DEARBORN 48124
(313) 671-7353
1060323
ATWAL, MANDIP S DO
4160 JOHN R #615
DETROIT 48201
(313) 745-4195
1106312
BACAL, DANIEL MD
18181 OAKWOOD BLVD SUITE 209
DEARBORN 48124
(313) 271-8560
1048176
BAYLOR, ALFRED E III MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1070228
BERRI, RICHARD MD
(313) 647-3252
1054478
BLAND, KEIVA L MD
18709 MEYERS RD
DETROIT 48235
(313) 864-8456
1061812
BLAND, KEIVA L MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3075
1060599
BLAND, KEIVA L MD
4100 JOHN R RD
DETROIT 48201
(800) 527-6266
1070230
BOCCACCIO, JOHN MD
(313) 855-1520
1118994
BRINTLEY, LA CESHA MD
DETROIT 48208
(248) 569-4228
1112347
BURNEY, RICHARD E MD
LIVONIA 48152
(734) 936-5738
1065703
CHOI-KIM, LYDIA WOO YOUNG MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1055896
DIEBEL, LAWRENCE N MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1054532
DOLMAN, HEATHER S MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1054537
EDELMAN, DAVID A MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1031769
FALK, JEFFREY S MD
19229 MACK STE 34
(313) 647-3900
1104558
FATH, JOHN MD
18105 OAKWOOD BLVD
DEARBORN 48123
(313) 982-5440
1120581
FRANKEL, MAURICE MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1120573
GIMENEZ, ALBINO F MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1054606
GOMEZ, RUBEN MD
4201 ST ANTOINE STE 3S-16
DETROIT 48201
(313) 745-3449
1073995
GONZALEZ, RAQUEL MD
3901 BEAUBIEN BLVD
DETROIT 48201
(313) 831-3220
1054608
GORSKI, DAVID H MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1122938
HOESEL, LASZLO M MD
DETROIT 48235
(248) 851-6767
1122939
HOESEL, LASZLO M MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195

Page 576
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1122940
HOESEL, LASZLO M MD
6071 W OUTER DR
DETROIT 48235
(313) 966-4770
1105972
HUSAIN, AKHTAR MD
14720 KING RD STE B
RIVERVIEW 48193
(734) 675-1150
1103415
HUSSEIN, SHAKIR A MD
DETROIT 48201
(313) 745-4195
1101648
HUTTON, MAX C MD
43050 FORD RD STE 170
CANTON 48187
(248) 855-5355
1055907
JOHNSON, PAMELA D MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1123959
KHARE, MANISH MD
DETROIT 48201
(313) 920-5543
1067647
KIM, STEVE HO-SUK MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1054695
KOSIR, MARY A MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1117196
LAIRD, CRISTEN DO
3851 WEST ROAD STE 3
TRENTON 48183
(734) 676-4996
1117399
LAW, SUZANNE DO
TRENTON 48183
(734) 642-2482
1054705
LEDGERWOOD, ANNA M MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1096261
LLOYD, LARRY R MD
131 KERCHEVAL AVE STE 99
(313) 640-2424
1054716
LUCAS, CHARLES E MD
41601 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1104650
MAVASHEV, EDWARD MD
DEARBORN 48124
(313) 996-7260
1091703
MOSTAFA, GAMAL MD
4100 JOHN R WERTZ CLINIC
DETROIT 48201
(800) 527-6266
1091704
MOSTAFA, GAMAL MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1111074
NEWMAN, ERIKA A MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1126319
36475 FIVE MILE RD
LIVONIA 48154
(248) 990-2469
1100514
TAYLOR 48180
(734) 287-1950
1100515
TAYLOR 48180
(734) 287-1950
1124739
SAXE, JONATHAN MD
6071 W OUTER DR
DETROIT 48235
(313) 966-4770
1103805
SCHNICKEL, GABRIEL MD
3901 BEAUBIEN ST 4TH FL CARLS BLDG
DETROIT 48201
(313) 745-5604
1123844
SCIPIONE, CHRISTOPHER N MD
(313) 640-2424
1093366
SHETH, DHARTI MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1019508
SPOHN JR, EARL W DO
DETROIT 48214
(313) 499-4985
1124549
STOFFAN, ALEXANDER P MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1056918
SUGAWA, CHOICHI MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1086289
TENNENBEREG, STEVEN D MD
4100 JOHN R
DETROIT 48201
(313) 745-8100
1054894
TENNENBERG, STEVEN D MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1054901
TYBURSKI, JAMES G MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1054909
WEAVER, DONALD W MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1046296
WEAVER, DONALD W MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1056103
WEBBER, JOHN D MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1025387
WESEN, CHERYL MD
(313) 647-3900
1055765
WHITE, MICHAEL T MD
4201 ST ANTOINE STE 3S-16
DETROIT 48201
(313) 745-4525
1054912
WHITE, MICHAEL T MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1054915
WILSON, ROBERT F MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
GENETICS
1059883
CONWAY, ROBERT MD
3950 BEAUBIEN ST 3RD FL
DETROIT 48201
(313) 832-9324
1082521
FELDMAN, GERALD L MD
DETROIT 48201
(313) 745-4513
1054588
FELDMAN, GERALD L MD
3990 JOHN R
DETROIT 48201
(313) 745-8555
1065142
MISRA, VINOD K MD
3950 BEAUBIEN ST 3RD FLR CARLS BLDG
DETROIT 48201
(313) 832-9324
1044381
STOCKTON, DAVID W MD
DETROIT 48201
(313) 832-9324
7025 N LILLEY RD
CANTON 48187
(734) 394-3100
GERIATRICS
1125863

Page 577
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1104290
DOMMETI, PARIMALA MD
4900 MERCURY DR SUITE 201
DEARBORN 48126
(313) 982-4351
1106356
MEZA, JAMES MD
2001 S MERRIMAN RD SUITE 100
WESTLAND 48186
(734) 727-1076
1104800
SENGSTOCK, DAVID MD
DEARBORN 48126
(313) 982-4351
1090662
WILLIAMS, CHRISTOPHER MD
DEARBORN 48126
(313) 982-4351
GYN ONCOLOGY
1055894
DEPPE, GUNTER MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1035013
HICKS, MICHAEL L MD
18101 OAKWOOD BLVD
DEARBORN 48124
(313) 593-7000
1111831
CANTON 48187
(734) 844-5400
1113093
LIU, J REBECCA MD
CANTON 48187
(734) 844-5400
1058514
MORRIS, ROBERT T MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1027563
MORRIS, ROBERT T MD
(313) 647-3243
1114650
CANTON 48187
(734) 844-5400
1083590
SEWARD, SHELLY M MD
KARMANOS CANCER CENTER 4100 JOHN R
DETROIT 48201
(800) 527-6266
1058393
SOLOMON, LEIGH A MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
22731 NEWMAN ST STE 200
DEARBORN 48124
(313) 982-0200
GYNECOLOGY
1118624
KHANDWALA, SALIL MD
HAND SURGERY
1095832
BARBOSA, ROBERT DO
22731 NEWMANN ST STE 100A
DEARBORN 48124
(313) 561-4910
1084252
FAILLA, JOSEPH MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5227
1058289
HAASS, EDWARD DO
22731 NEWMAN ST STE 100A
DEARBORN 48124
(313) 561-4910
1104628
NAIK, SHREEPAD MD
DEARBORN 48124
(313) 274-0636
1100370
SAMUEL, SAMSON P MD
DEARBORN 48124
(313) 561-4910
1095103
DEARBORN 48124
(313) 561-4910
1078288
YOUSIF, ZENA MD
(313) 343-4867
1089717
ZINBERG, EPHRAIM M MD
DEARBORN 48124
(313) 429-7977

1083203
E N T SURGICAL ASSOCIATES PC
4160 JOHN R STE 805
DETROIT 48201
(313) 831-1444
1083202
EAR CENTER AUDIOLOGY INC
DEARBORN 48124
(313) 562-4485
1083218
EAR CENTER AUDIOLOGY INC
21142 MACK AVE
(313) 882-4530
1065859
37771 7 MILE RD
LIVONIA 48152
(734) 591-4327
1083219
GROSSE POINTE AUDIOLOGY
20239 MACK AVE
(313) 343-5555
1083227
HEAR USA
31160 5 MILE RD
LIVONIA 48154
(734) 525-3900
1083257
IN HOME HEARING SOLUTIONS
TRENTON 48183
(734) 493-4070
1124995
MIDWEST MEDICAL CENTER HEARING AID
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1096718
17898 MACK AVE
GROSSE POINTE 48230
(989) 799-6603
1096700
2424 E 8 MILE RD
DETROIT 48234
(989) 799-6603
1083261
PERSONALIZED HEARING CARE INC
35337 W WARREN
WESTLAND 48185
(734) 467-5100
1083186
PLATINUM HEARING AIDS
14575 SOUTHFIELD
ALLEN PARK 48101
(313) 381-4810
1083204
PLATINUM HEARING AIDS
4727 ST ANTOINE #312
DETROIT 48201
(313) 993-9999
1083244
RIVERSIDE HEARING SERVICES
14600 KING RD STE D
RIVERVIEW 48193
(734) 486-4444
1083256
ROBINSON HEARING CENTER INC
22391 ECORSE RD
TAYLOR 48180
(313) 551-5526
1083228
SOUND ADVICE HEARING AIDS & AUDIOLOGY
24728 PLYMOUTH RD
LIVONIA 48150
(737) 838-9990
1099060
DEARBORN 48124
(313) 253-0800
1083205
WOODWARD HEARING AID INC
DETROIT 48201
(313) 832-6234

Page 578
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1110086
AHMED, ASRA Z MD
CANTON 48187
(734) 844-5400
1070062
AL-KATIB, AYAD MD
(313) 647-3245
1069371
BEPLER, GEROLD MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1101981
BHUTANI, DIVAYA MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1054475
BISHOP, CARTER R MD
DETROIT 48201
(313) 993-0274
1075796
BISHOP, CARTER R MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1111642
BOCKENSTEDT, PAULA L MD
CANTON 48187
(734) 844-5400
1122783
BURKE, PATRICK W MD
1051 NORTH CANTON CENTER RD
CANTON 48187
(734) 844-5400
1065629
CHOI, MINSIG MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1123799
DEBONO, DAVID J MD
4100 JOHN R
DETROIT 48201
(810) 527-6266
1064281
DEOL, ABHINAV MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1061134
DUL, CARRIE L MD
(313) 884-5522
1054538
EDELSTEIN, MARK B MD
4100 JOHN R
DETROIT 48201
(313) 576-9750
1054593
FLAHERTY, LAWRENCE E MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1054595
FONTANA, JOSEPH A MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1054600
GADGEEL, SHIRISH M MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1110746
GITLIN, SCOTT D MD
CANTON 48187
(734) 844-5400
1024877
GOLDFARB, STEPHEN B DO
GARDEN CITY 48135
(734) 522-0404
1109418
HADID, TARIK H MD
(313) 647-3245
1102776
HAN, RARAVEZ MD
DEARBORN 48124
(313) 441-1569
1103380
JONES, CORTNEY V MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3116
1120127
JONES, CORTNEY V MD
DETROIT 48235
(313) 966-8711
1120128
JONES, CORTNEY V MD
4160 JOHN R STE 708
DETROIT 48201
(313) 745-6817
1124950
KAFRI, ZYAD MD
(313) 647-3245
1070126
KAFRI, ZYAD MD
(313) 647-3245
1072102
KATRAGADDA, VATSALA MD
861 MONROE ST
DEARBORN 48124
(313) 274-1800
1072101
KHAN, PARVEZ MD
861 MONROE ST
DEARBORN 48124
(313) 274-1800
1112003
KUJAWSKI, LISA A MD
CANTON 48187
(734) 844-5400
1074934
LAVASANI, SAYEH M MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1062088
LEHMAN, DANIEL MD
19229 MACK AVE
(313) 884-5522
1062087
LEONARD, ROBERT MD
(313) 884-5522
1056651
LUM, LAWRENCE G MD
4100 JOHN R RD
DETROIT 48201
(800) 527-6266
1114642
MALEK, SAMI N MD
CANTON 48187
(734) 844-5400
1030856
MOMIN, FEROZE A MD
DEARBORN 48123
(313) 593-8600
1033978
MOMIN, FEROZE A MD
7105 ALLEN RD
ALLEN PARK 48101
(313) 388-6299
1107679
ORTEGA, JESUS MD
861 MONROE ST
DEARBORN 48124
(313) 274-1800
1109408
QAMRUZZAMAN, YUSUF MD
861 MONROE ST
DEARBORN 48124
(313) 274-1800
1040427
RATANATHARATHORN, VORAVIT MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1070153
SABIR, TARIQ MD
(313) 884-5522
1062329
SEID, JEROME MD
(313) 884-5522
1056913
SHIELDS, ANTHONY F MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1070156
SHURAFA, MUHAMMAD MD
(313) 884-5522
1111961
SILVER, SAMUEL M MD
CANTON 48187
(734) 844-5400
1056040
VAISHAMPAYAN, ULKA N MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1106035
WOLDIE, INDRYAS L MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1106036
WOLDIE, INDRYAS L MD
DETROIT 48201
(313) 745-2554

Page 579
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1056109
WOZNIAK, ANTOINETTE J MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1070285
YANG, JAY MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1073394
YANG, JAY MD
DETROIT 48201
(313) 745-2554
1056112
ZONDER, JEFFREY A MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
HOME HEALTH CARE

1078313
ANREX HOME CARE INC
37248 FORD RD
WESTLAND 48185
(734) 326-2808
1014404
AT HOME NETWORK CARE
20282 MIDDLEBELT RD
LIVONIA 48152
(248) 987-1320
1117544
CHOICE ONE HOME HEALTH CARE INC
TAYLOR 48180
(313) 295-5911
1061074
FRIENDLY HOME HEALTH SERVICES INC
LIVONIA 48150
(248) 203-6623
1074153
LIVONIA 48152
(800) 379-1600
1096298
HI TECH HOME HEALTH CARE INC
9357 N HAGGERTY RD STE A
PLYMOUTH 48170
(855) 595-9995
1013401
HOSPICE OF MICHIGAN
400 MACK AVE
DETROIT 48201
(313) 578-5000
1056205
ONYX HEALTHCARE
DETROIT 48221
(313) 864-5060
1043649
PRECISE HOME CARE SERVICES LLC
18940 SCHAEFER HWY
DETROIT 48235
(313) 864-9919
HOSPICE
1074155
LIVONIA 48152
(800) 379-1600
1013401
HOSPICE OF MICHIGAN
400 MACK AVE
DETROIT 48201
(313) 578-5000
INFECTIOUS DISEASES
1109399
15470 HAGGERTY RD
PLYMOUTH 48170
(734) 282-2800
1109398
14510 NORTHLINE RD
SOUTHGATE 48195
(734) 282-2800
1035723
ASMAR, BASIM MD
DETROIT 48201
(313) 966-8999
1035722
ASMAR, BASIM MD
3901 BEAUBIEN BLVD 2ND FL
DETROIT 48201
(313) 745-5862
1107711
BAGDASARIAN, NATASHA MD
(313) 343-7280
1104754
BOXWALLA, ASGAR MD
3 HERITAGE CENTER STE 1
SOUTHGATE 48195
(734) 283-3222
1055873
BROWN, PATRICIA D MD
3901 CHRYSLER DR STE 4A
DETROIT 48201
(313) 745-4525
1054498
CHANDRASEKAR, PRANATHARTHI H MD
DETROIT 48201
(313) 745-4525
1055016
CHANDRASEKAR, PRANATHARTHI H MD
4100 JOHN R
DETROIT 48201
(313) 576-9096
1069375
CHOPRA, TEENA MD
3990 JOHN R 5 HUDSON
DETROIT 48201
(313) 745-7105
1054504
COHN, JONATHAN A MD
DETROIT 48201
(313) 745-4525
1054508
CRANE, LAWRENCE R MD
DETROIT 48201
(313) 745-4525
1055895
DHAR, SORABH MD
DETROIT 48201
(313) 745-4525
1015999
FAKIH, MOHAMAD MD
(313) 343-7280
1062470
FISHBAIN, JOEL MD
(313) 343-7280
1086597
14510 NORTHLINE RD
SOUTHGATE 48195
(734) 282-2800
1071319
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1071318
15200 KERCHEVAL AVE
GROSSE POINTE 48230
(313) 473-6100
1070124
JOHNSON, LEONARD MD
(313) 343-7280
1114230
KAPLAN, MARK H MD
CANTON 48187
(734) 647-5899
1086043
KAYE, KEITH S MD
DETROIT 48201
(313) 745-7105
1055909
KAYE, KEITH S MD
DETROIT 48201
(313) 745-4525
1080491
KENNEDY, MICHAEL MD
14510 NORTHLINE RD
SOUTHGATE 48195
(734) 282-2800
1015997
KHATIB, RIAD MD
19251 MACK STE 333
(313) 343-7280
1089411
36475 FIVE MILE
LIVONIA 48154
(248) 615-0889
1089406
2333 BIDDLE AVE
WYANDOTTE 48192
(248) 615-0889

Page 580
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1089418
6245 INKSTER RD
GARDEN CITY 48135
(248) 615-0889
1089419
3990 JOHN R
DETROIT 48201
(248) 615-0889
1089421
3980 JOHN R
DETROIT 48201
(248) 615-0889
1089422
4100 JOHN R
DETROIT 48201
(248) 615-0889
1089397
5450 FORT ST
TRENTON 48183
(248) 615-0889
1089416
4201 ST ANTOINE BLVD
DETROIT 48201
(248) 615-0889
1055922
LEVINE, DONALD P MD
DETROIT 48201
(313) 745-4525
1055923
LEVINE, DONALD P MD
DETROIT 48201
(313) 745-4525
1106101
MODY, RUPAL M MD
(313) 343-7280
1106176
MOVVA, KALYANI T MD
15474 HAGGERTY RD
PLYMOUTH 48170
(734) 335-6103
1106175
MOVVA, KALYANI T MD
14510 NORTHLINE RD
SOUTHGATE 48195
(734) 282-2800
1079692
NAGAPPAN, VIJAYALAKSHMI MD
DEARBORN 48126
(313) 982-4351
1095513
OGNJAN, ANTHONY DO
15474 HAGGERTY RD STE
PLYMOUTH 48170
(734) 335-6103
1095514
OGNJAN, ANTHONY DO
14510 NORTHLINE RD
SOUTHGATE 48195
(734) 282-2800
1106244
OSTERHOLZER, DANIELLE A MD
(313) 343-7280
1086593
PETRAK, RUSSELL MD
14510 NORTHLINE RD
SOUTHGATE 48195
(734) 282-2800
1090421
2333 BIDDLE AVE
WYANDOTTE 48192
(248) 615-0889
1090424
5450 FORT ST
TRENTON 48183
(248) 615-0889
1090422
36475 FIVE MILE
LIVONIA 48154
(248) 615-0889
1124398
REDONDO, VICENTE MD
15474 HAGGERTY RD
PLYMOUTH 48170
(888) 220-6432
1124397
REDONDO, VICENTE MD
14510 NORTHLINE RD
SOUTHGATE 48195
(734) 282-2800
1055730
REVANKAR, SANJAY G MD
3990 JOHN R
DETROIT 48201
(313) 745-4525
1054846
DETROIT 48201
(313) 745-4525
1089723
4100 JOHN R
DETROIT 48201
(313) 576-9096
1056898
REYES, MILAGROS P MD
DETROIT 48201
(313) 745-7105
1070154
SARAVOLATZ, LOUIS MD
(313) 343-7280
1015998
SHARMA, MAMTA MD
19251 MACK STE 333
(313) 343-7280
1106012
15474 HAGGERTY RD
PLYMOUTH 48170
(734) 335-6103
1106011
14510 NORTHLINE RD
SOUTHGATE 48195
(734) 282-2800
1056916
SOBEL, JACK D MD
DETROIT 48201
(313) 745-4525
1126543
SOBEL, JACK D MD
DETROIT 48201
(313) 745-4525
1116218
SUNSTRUM, JAMES MD
2001 MERRIMAN RD STE 300
WESTLAND 48186
(734) 727-1130
1104799
SUNSTRUM, JAMES MD
1934 MONROE ST
DEARBORN 48124
(313) 565-7464
1118521
TAPIA-ZEGARRA, GINO G MD
DEARBORN 48126
(313) 982-4351
1104556
THYAGARAJAN, RAMA MD
DEARBORN 48126
(313) 982-4351
1106211
VACLAV, JOYCE K DO
5450 FORT ST
TRENTON 48183
(734) 208-1406
1104747
VARANASI, NEERAJA MD
DEARBORN 48126
(313) 982-4351
1126702
VELTMAN, JENNIFER A MD
DETROIT 48201
(313) 745-4525
1090474
2333 BIDDLE AVE
WYANDOTTE 48192
(248) 615-0889
1090477
5450 FORT ST
TRENTON 48183
(248) 615-0889
1090475
36475 FIVE MILE
LIVONIA 48154
(248) 615-0889
1105937
ZAFAR, UZMA MD
3 HERITAGE CTR STE 1
SOUTHGATE 48195
(734) 283-3222

1017411
COMPLETE INFUSION SERVICES LLC
32027 INDUSTRIAL RD
LIVONIA 48150
(734) 425-2550
1020266
39201 SCHOOLCRAFT RD STE B5
LIVONIA 48150
(734) 591-1629

Page 581
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
INTERNAL MEDICINE
1106434
28711 W 8 MILE RD
LIVONIA 48152
(248) 474-2220
1106431
6149 W WAYNE RD
WESTLAND 48185
(734) 728-2130
1117533
ABU-SAYF, ALAA MD
DETROIT 48235
(313) 966-9444
1117318
AEJAZ, ZUHAIR MD
DETROIT 48235
(313) 966-9444
1098460
15474 HAGGERTY RD
PLYMOUTH 48170
(734) 282-2800
1098459
14510 NORTHLINE RD
SOUTHGATE 48195
(734) 282-2800
1117292
DETROIT 48235
(313) 966-9444
1075283
AL-HAKIM, ABBAS M MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1117205
ALHASSAN, SULAIMAN MD
DETROIT 48235
(313) 966-9444
1082597
AL-JARRAH, MOHAMAD MD
DEARBORN 48128
(313) 274-6500
1066157
AL-KADHIMI, ZAID S MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1117324
ALKINJ, BASHAR MD
DETROIT 48235
(313) 966-9444
1123066
ALRAYES, AREF MD
DEARBORN 48124
(313) 438-7880
1072151
ALSAWAH, MOHAMMAD Y MD
3991 JOHN R ST
DETROIT 48201
(313) 745-7260
1126499
AMOS, JASON DO
28711 W EIGHT MILE RD STE B
LIVONIA 48152
(248) 473-4771
1103452
ARONOV, MARK M DO
4201 ST ANTOINE ST STE 3R
DETROIT 48201
(313) 745-3330
1114445
ARSLAN, SHUKAIB MD
DETROIT 48235
(313) 966-4800
1090940
BANKSTAHL, ELIZABETH A MD
(313) 343-7280
1113222
BROOK, ROBERT D MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1113220
BROOK, ROBERT D MD
LIVONIA 48152
(734) 432-7811
1113215
BROOK, ROBERT D MD
CANTON 48187
(734) 844-5400
1055614
BROWN, LYNETTE MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1103300
BUTLER, MONIQUE MD
DETROIT 48235
(313) 966-9521
1079857
CARRON, ANNETTE T DO
20317 FARMINGTON RD
LIVONIA 48152
(248) 615-0777
1089191
CROWL, DAVID DO
20317 FARMINGTON RD
LIVONIA 48152
(248) 615-0777
1079826
CYKIERT, ANDREW DO
20317 FARMINGTON RD
LIVONIA 48152
(248) 615-0777
1062015
DAIFALLAH, SULEIMAN A MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1082647
DAKHLALLAH, FOUAD A MD
4201 SAINT ANTOINE ST STE 5C
DETROIT 48201
(313) 966-7680
1080190
DAKROUB, HASSAN N MD
6450 MAPLE ST
DEARBORN 48126
(313) 216-2230
1092986
DAVIS, GARY L MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1125040
DAVIS, MICHAEL C MD
5555 CONNER ST STE 3N
DETROIT 48213
(313) 344-7730
1103381
DEOKER, ABHIZITH MD
DETROIT 48201
(313) 966-7680
1079864
DERDERIAN, KRISTIN M DO
20317 FARMINGTON RD
LIVONIA 48152
(248) 615-0777
1054533
DOSHI, MONA D MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1122778
EL-KHIDER, FARIS A MD
50 E CANFIELD
DETROIT 48201
(313) 745-4525
1114439
ESSANI, SHAZIA MD
DETROIT 48235
(313) 966-9444
1125766
FARHAT, MIRNA H MD
7105 ALLEN RD
ALLEN PARK 48101
(313) 388-6299
1117302
FELDMAN, MARC MD
DETROIT 48235
(313) 966-9444
1126548
FLACK, JOHN M MD
50 E CANFIELD
DETROIT 48201
(313) 745-4525
1054592
FLACK, JOHN M MD
DETROIT 48201
(313) 745-4525
1089312
GEORGE, IMAD M MD
28000 JOY RD
LIVONIA 48150
(734) 513-8050
1120594
GILL, BALJINDER S MD
(313) 343-7280
1106439
GOWMAN, DAVID DO
6149 N WAYNE RD
WESTLAND 48185
(734) 728-2130
1106437
GOWMAN, DAVID DO
28711 W 8 MILE RD
LIVONIA 48152
(248) 474-2220
1125845
GRODMAN, ROBERT S DO
LIVONIA 48154
(734) 464-3251
1122995
GULATI, DHIRAJ MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525

Page 582
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1122341
HAFEEZ, ABDULLA A MD
15101 FORD RD
DEARBORN 48126
(313) 582-2769
1122175
HARPOOL, EBONY C MD
97 MONROE ST
DETROIT 48226
(313) 227-0065
1117268
HETTIARACHCHI, MALITHA MD
DETROIT 48235
(313) 966-9444
1103259
HOWELL, JAMES D MD
261 MACK AVE
DETROIT 48201
(313) 745-4600
1117239
HUSAIN, SYED MD
DETROIT 48235
(313) 966-9444
1094367
IRBY-JOHNSON, NIJUANNA P MD
4700 SCHAEFER STE 240
DEARBORN 48126
(313) 982-4351
1125333
JAFRI, SYED A DO
18101 OAKWOOD BLVD
DEARBORN 48124
(313) 593-8659
1111273
CANTON 48187
(734) 844-5400
1114626
LIVONIA 48152
(734) 432-7811
1114628
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1117218
JDANOVA, ELENA N MD
DETROIT 48235
(313) 966-9444
1122769
JINJUVADIA, CHETNA R MD
4201 ST ANTOINE STE 5V
DETROIT 48201
(313) 745-4525
1118594
JOHN, RAJIV B MD
18101 OAKWOOD BLVD MEDICAL EDUCATION
DEARBORN 48124
(313) 593-8659
1124992
JONES, CAMILLE E MD
1400 WOODBRIDGE
DETROIT 48207
(313) 309-9300
1114485
JOSE, RANEEV MD
DETROIT 48235
(313) 966-9444
1108416
DETROIT 48235
(313) 966-9444
1103799
4201 ST ANTOINE ST UHC 5B
DETROIT 48201
(313) 745-1742
1083440
KARAZIM, JOHN MD
19701 VERNIER RD STE 140
HARPER WOODS 48225
(313) 202-4211
1094456
KISSNER, DANA MD
1400 WOODBRIDGE
DETROIT 48207
(313) 324-9595
1117580
KRISHNAMOORTHY, GEETHA MD
DETROIT 48235
(313) 966-9444
1117287
LACKEY, LAWRENCE S JR MD
DETROIT 48235
(313) 966-9444
1057837
LERNER, STEPHEN A MD
DETROIT 48201
(313) 745-7105
1122900
LOHIA, PRATEEK MD
50 E CANFIELD
DETROIT 48201
(313) 745-4525
1103396
LOUIS, MUTHANNA L MD
3990 JOHN R ST DEPT OF INTERNAL MEDICINE
DETROIT 48201
(313) 745-5111
1114407
MAHMOOD, FAZLEOMAR MD
DETROIT 48235
(313) 966-9444
1117237
MISRA, PREETI G MD
DETROIT 48235
(313) 966-9444
1070142
MIZRAHI, DANIEL DO
7815 E JEFFERSON STE 2A
DETROIT 48214
(313) 499-4890
1117322
MUNASINGHE, RAJIKA MD
DETROIT 48235
(313) 966-9444
1120774
NAIM, RITA W MD
6450 MAPLE ST
DEARBORN 48126
(313) 216-2230
1114397
NASSIF, GEORGE H MD
DETROIT 48235
(313) 966-9444
1124993
OMRAN, AMAL M MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1082517
OMRAN, AMAL M MD
3901 BEAUBIEN ST 2ND FLR
DETROIT 48201
(313) 745-5541
1114428
OPARA, OLUCHI C MD
DETROIT 48235
(313) 966-9444
1104790
ORTIZ-REYES, MARIA MD
15101 FORD ROAD
DEARBORN 48126
(313) 582-2769
1054421
PIEH, MICHAEL S MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1089694
PIEH, MICHAEL S MD
15200 KERCHEVAL AVE
GROSSE POINTE 48230
(313) 473-6100
1085512
PISKOROWSKI, THOMAS J DO
DETROIT 48235
(313) 966-3075
1117307
POPAT, SHITAL MD
DETROIT 48235
(313) 966-9444
1114431
RAHMAN, MD SAIDUR MD
DETROIT 48235
(313) 966-9444
1114426
RAMESH, SINDHU MD
DETROIT 48235
(313) 966-9444
1079843
ROSSI, BENJAMIN M DO
20317 FARMINGTON RD
LIVONIA 48152
(248) 615-0777
1114433
SAIYED JAVED, MUDDASSER MD
DETROIT 48235
(313) 966-9444
1103367
SAKER, SAFWAN A MD
3990 JOHN R ST
DETROIT 48201
(313) 745-5111
1124988
SANGHI, VINOD B MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1117563
SHAIK MOHAMMED, ABU FAZAL MD
DETROIT 48235
(313) 966-9444
1114547
SHIDYAK, AMJAD MD
DETROIT 48235
(313) 966-9444

Page 583
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1114544
SINGERMAN, JOSEPH B MD
DETROIT 48235
(313) 966-9444
1120605
SINYAVSKIY, OLEG MD
(313) 343-7280
1054886
STELLINI, MICHAEL A MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1111364
7025 N LILLEY RD
CANTON 48187
(734) 394-3100
1066132
STREET, SHELLEY V MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1079848
SUNDERMANN, MELISSA R DO
20317 FARMINGTON RD
LIVONIA 48152
(248) 615-0777
1079850
VALENTI, MATTEO DO
20317 FARMINGTON RD
LIVONIA 48152
(248) 615-0777
1103634
VOMMI, ARUNALATHA MD
DETROIT 48235
(313) 966-9444
1114448
WEERAKOON, NILUKA S MD
DETROIT 48235
(313) 966-9444
1120665
WERNS, STEVEN W MD
DEARBORN 48124
(313) 228-0505
1123836
WHITMER, BRADFORD DO
19020 FORT ST
RIVERVIEW 48193
(734) 362-5100
1092552
ZALTZ, IRA MD
3901 BEAUBIEN 1ST FL CARLS BLDG
DETROIT 48201
(313) 745-5227

1055008
BERMAN, SUSAN MD
3980 JOHN R 4 WEBBER
DETROIT 48201
(313) 745-7641
1054466
BERMAN, SUSAN MD
4201 ST ANTOINE STE 4E&F
DETROIT 48201
(313) 745-4380
1103419
BOLNICK, ALAN D MD
3750 WOODWARD STE 200C
DETROIT 48201
(313) 993-4645
1103420
BOLNICK, ALAN D MD
DETROIT 48201
(313) 745-7641
1103421
BOLNICK, ALAN D MD
DETROIT 48201
(313) 745-4380
1086529
BOLNICK, JAY M MD
DETROIT 48201
(313) 745-4380
1086531
BOLNICK, JAY M MD
3990 JOHN R
DETROIT 48201
(313) 745-7641
1068216
CHAIWORAPONGSA, TINNAKORN MD
DETROIT 48201
(313) 745-7641
1031361
DOMBROWSKI, MITCHELL MD
(313) 343-7374
1076852
GARMEL, SARA MD
DEARBORN 48124
(313) 593-5957
1120408
GONIK, BERNARD MD
DETROIT 48201
(313) 745-4525
1041470
GONIK, BERNARD MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3246
1102755
GONIK, BERNARD MD
DETROIT 48201
(313) 745-4525
1054626
HASSAN, SONIA S MD
3750 WOODWARD STE 200-C
DETROIT 48201
(313) 993-4645
1055394
HASSAN, SONIA S MD
DETROIT 48201
(313) 745-7641
1055500
JONES, THEODORE B MD
DETROIT 48201
(313) 745-4380
1085319
33155 ANNAPOLIS ST 2ND FL
WAYNE 48184
(734) 467-4266
1120409
DETROIT 48201
(313) 745-4525
1054684
DETROIT 48201
(313) 745-4525
1106210
MARIONA, FEDERICO MD
DEARBORN 48124
(313) 593-5957
1033316
MASON, BRIAN MD
(313) 343-7374
1104442
MOSES, DAVID MD
DEARBORN 48124
(313) 593-5957
1054763
PARISI, VALERIE M MD
DETROIT 48201
(313) 993-4645
1120410
DETROIT 48201
(313) 745-4525
1091349
DETROIT 48201
(313) 745-7641
1102757
DETROIT 48201
(313) 745-4525
1054802
6071 W OUTER DR
DETROIT 48235
(313) 966-3246
1120431
DETROIT 48201
(313) 745-4525
1117299
4201 ST ANTOINE STE 4E AND 4F
DETROIT 48201
(313) 745-4380
1117298
DETROIT 48201
(313) 745-4525
1054881
SOKOL, ROBERT J MD
DETROIT 48201
(313) 745-4525
1120404
SOKOL, ROBERT J MD
DETROIT 48201
(313) 745-4525

Page 584
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

MATERNAL FETAL MEDICINE (CONTINUED)
1055747
SOROKIN, YORAM MD
DETROIT 48201
(313) 745-7641
1055746
SOROKIN, YORAM MD
DETROIT 48201
(313) 745-4380
1054883
SOROKIN, YORAM MD
DETROIT 48201
(313) 745-4525
1085317
SOROKIN, YORAM MD
WAYNE 48184
(734) 467-4266
1120433
SOROKIN, YORAM MD
DETROIT 48201
(313) 745-4525
1009769
VENGALIL, SHYLA MD
(313) 343-7374
1031210
WRIGHT, DEBRA J MD
(313) 343-7374
MOHS-MICROGRAPHIC SURGERY
1086875
HAMZAVI, FASAHAT H MD
3950 BEAUBIEN
DETROIT 48201
(313) 832-9144
1118663
WHITWORTH, MICHAEL DO
1500 EUREKA RD
WYANDOTTE 48192
(734) 282-2500
NEONATOLOGY
1071387
SALMAN, BASSEL A MD
3901 BEAUBIEN 4TH FL CARLS BLDG
DETROIT 48201
(313) 745-5541
1117700
3901 BEAUBIEN 4TH FLOOR
DETROIT 48201
(313) 745-5638
1104002
3980 JOHN R ST
DETROIT 48201
(313) 745-0511
NEPHROLOGY
1054427
ABU-HAMDAN, DAOUD K MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-0482
1118556
BEHREND, GEORGE MD
6064 NORTH SHELDON RD
CANTON 48187
(734) 712-3470
1023657
BELLOVICH, KEITH DO
(313) 886-8787
1109454
6064 N SHELDON RD
CANTON 48187
(734) 712-3470
1064271
BHAT, ZEENAT YOUSUF MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1064273
4160 JOHN R STE 615
DETROIT 48201
(313) 966-4931
1097547
DETROIT 48201
(313) 745-4525
1072092
(313) 886-8787
1023598
BUTCHER, DAVID MD
(313) 886-8787
1054492
CADNAPAPHORNCHAI, PRAVIT MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1104101
DANCEY, ERIC MD
CANTON 48187
(734) 712-3470
1086042
DOSHI, MONA D MD
4160 JOHN R STE 615
DETROIT 48201
(313) 966-4931
1016567
EL-GHOROURY, MOHAMED A MD
(313) 886-8787
1116853
ELHASSAN, ELWALEED ALI MD
64 VICTOR
HIGHLAND PARK 48203
(313) 852-7700
1089710
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1116857
4727 ST ANTOINE STE 101
DETROIT 48201
(313) 993-2958
1103350
GEBREGEORGIS, WIHIB A MD
4160 JOHN R STE 615
DETROIT 48201
(313) 966-4931
1103349
4100 JOHN R
DETROIT 48201
(800) 527-6266
1116852
64 VICTOR
HIGHLAND PARK 48203
(313) 852-7700
1103351
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1102820
HENDERSON, HEATHER L DO
(313) 866-8787
1111708
HEUNG, MICHAEL MD
LIVONIA 48152
(734) 432-7870
1104647
IMRAN, NASHAT B MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1116851
IMRAN, NASHAT B MD
64 VICTOR
HIGHLAND PARK 48203
(313) 852-7700
1104649
IMRAN, NASHAT B MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-7145
1104648
IMRAN, NASHAT B MD
4160 JOHN R STE 615
DETROIT 48201
(313) 966-4931
1105995
JUNDI, AMIR MD
2040 MONROE ST STE A
DEARBORN 48124
(313) 359-2100
1104142
KARIM, JARIATUL MD
CANTON 48187
(734) 712-3470
1023603
KHAIRULLAH, QURESH MD
(313) 886-8787

Page 585
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1111402
LIVONIA 48152
(734) 432-7870
1104301
MARU, VIDOOSHI MD
CANTON 48187
(734) 712-3470
1104119
MAYER, JUDITH MD
6064 NORTH SHELDON DR
CANTON 48187
(734) 712-3470
1054738
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1055676
4145 CASS
DETROIT 48201
(313) 833-4330
1116856
DETROIT 48201
(313) 993-2958
1059265
22711 GRAND RIVER
DETROIT 48219
(313) 255-0171
1055709
64 VICTOR
HIGHLAND PARK 48203
(313) 852-7700
1086545
MOHANTY, MADHUMITA J MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1073107
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1116858
4145 CASS
DETROIT 48201
(313) 833-4330
1104149
CANTON 48187
(734) 712-3470
1111322
LIVONIA 48152
(734) 432-7870
1078136
(313) 886-8787
1023608
PROVENZANO, ROBERT MD
(313) 886-8787
1111426
LIVONIA 48152
(734) 432-7870
1104255
REHAN, AHMED MD
CANTON 48187
(734) 712-3470
1056899
ROSSI, NOREEN F MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1091039
SATTAR, JOANNA Q MD
DEARBORN 48126
(313) 945-9000
1124990
SATTAR, JOANNA Q MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1105866
SATTAR, JOANNA Q MD
(313) 343-4473
1105865
SATTAR, JOANNA Q MD
4160 JOHN R STREET
DETROIT 48201
(313) 831-9801
1105864
SATTAR, JOANNA Q MD
19727 ALLEN RD
TRENTON 48183
(734) 479-8000
1105867
SATTAR, JOANNA Q MD
261 MACK AVE
DETROIT 48201
(313) 745-1203
1113209
LIVONIA 48152
(734) 432-7870
1109209
SINGH, ATUL K MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-7145
1055744
4145 CASS
DETROIT 48201
(313) 833-4330
1054882
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1023636
STEIGERWALT, SUSAN MD
(313) 886-8787
1023669
TAYEB, JUKAKU MD
(313) 886-8787
1023613
TOPF, JOEL MD
(313) 886-8787
1111168
WEITZEL, WILLIAM MD
LIVONIA 48152
(734) 432-7870
1113513
WRIGHT, JULIE A MD
LIVONIA 48152
(734) 432-7870
NEURO SURGERY
1123051
ELFALLAL, SAMER DO
DEARBORN 48124
(313) 982-5290
1036008
ELTAHAWY, HAZEM MD
4160 JOHN R STE 925
DETROIT 48201
(877) 486-7978
1089722
ELTAHAWY, HAZEM MD
4100 JOHN R
DETROIT 48201
(877) 486-7978
1055384
4100 JOHN R
DETROIT 48201
(877) 486-7978
1022135
4160 JOHN R STE 925
DETROIT 48201
(877) 486-7978
1107316
HARIDAS, ABILASH MD
3901 BEAUBIEN ST 2ND FL
DETROIT 48201
(313) 833-4490
1054633
HORNYAK, MARK J MD
4160 JOHN R STE 925
DETROIT 48201
(877) 486-7978
1121753
GARDEN CITY 48135
(734) 458-3614
1121757
17000 EXECUTIVE PLAZA
DEARBORN 48126
(313) 565-4948
1062264
DETROIT 48201
(313) 966-0357
1063674
14555 LEVAN STE 116
LIVONIA 48154
(734) 464-0400

Page 586
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1063675
4201 ST ANTOINE STE 6B2
DETROIT 48201
(313) 745-4299
1121755
1647 INKSTER RD
GARDEN CITY 48135
(734) 525-8422
1070620
JUNN, FREDRICK S MD
DEARBORN 48124
(313) 982-5290
1055929
MITTAL, SANDEEP MD
4100 JOHN R
DETROIT 48201
(877) 486-7978
1055927
MITTAL, SANDEEP MD
4160 JOHN R STE 925
DETROIT 48201
(877) 486-7978
1069389
4160 JOHN R STE 925
DETROIT 48201
(877) 486-7978
1071046
4100 JOHN R
DETROIT 48201
(877) 486-7978
NEUROLOGY
1064596
ABDULRAZZAK, MAMDOUH MD
DEARBORN 48120
(313) 563-3332
1118539
AHMAD, OMAR I MD
21801 GODDARD RD
TAYLOR 48180
(734) 374-1112
1054462
BARGER, GEOFFREY R MD
4201 ST ANTOINE STE 8A & 8B UHC
DETROIT 48201
(313) 745-4275
1063417
BASHA, MAYSAA M MD
4201 ST ANTOINE UHC 8A & 8B
DETROIT 48201
(313) 745-4275
1075356
BEALL, STEVEN S MD
852 WHITTIER RD
GROSSE POINTE 48230
(989) 980-0810
1054464
BENSON, RANDALL R MD
DETROIT 48201
(313) 745-4275
1071013
BERNITSAS, EVANTHIA MD
4201 ST ANTOINE UHC 8A&8B
DETROIT 48201
(313) 745-4275
1070282
BHATTACHARYA, PRATIK D MD
4201 ST ANTOINE UHC 8A&8B
DETROIT 48201
(313) 745-4275
1089621
BHATTACHARYA, PRATIK D MD
DETROIT 48235
(313) 966-9777
1101569
22101 MOROSS RD
(586) 771-7440
1125557
CORRIGAN, LAURA MD
37504 7 MILE RD
LIVONIA 48152
(734) 779-2377
1123608
DELLY, FADI MD
GARDEN CITY 48135
(734) 458-3614
1123602
DELLY, FADI MD
1647 INKSTER RD
GARDEN CITY 48135
(734) 525-8422
1123603
DELLY, FADI MD
1700 EXECUTIVE PLAZA DR
DEARBORN 48126
(313) 565-4948
1124979
DESOUSA, JOSE MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1054585
FAKHOURI, M MAHER MD
DETROIT 48201
(313) 745-4275
1007937
GARG, RAM S MD
14625 TELEGRAPH RD
TAYLOR 48180
(734) 671-7654
1054604
GEORGE, EDWIN B MD
DETROIT 48201
(313) 745-4275
1054622
HANKS, ROBIN A PHD
DETROIT 48201
(313) 745-9763
1094155
HASAN, SUHEB MD
3815 PELHAM STE 1
DEARBORN 48124
(313) 593-3915
1094156
HASAN, SUHEB M MD
255 N LILLEY RD
CANTON 48187
(934) 981-3300
1004403
HUQ, A.H.M. M MD
DETROIT 48201
(313) 745-5906
1097658
IBRAHIM, MOHAMMAD S MD
DETROIT 48201
(313) 745-4275
1054691
KHAN, OMAR A MD
DETROIT 48201
(313) 745-4275
1054713
LISAK, ROBERT P MD
4201 ST ANTOINE STE 8D
DETROIT 48201
(313) 745-4275
1082504
LUAT, AIMEE L F MD
3901 BEAUBIEN ST 3RD FLR
DETROIT 48201
(313) 745-5906
1080553
MAAZ, BASSAM M MD
5728 SCHAEFER RD STE 103
DEARBORN 48126
(313) 724-0584
1054718
MADHAVAN, RAMESH MD
DETROIT 48201
(313) 745-4275
1085906
MAJJHOO, ANIEL Q MD
DEARBORN 48124
(855) 874-7876
1120660
MARCUS, ANDREW L MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1118651
MAZHARI, ASSADOLLAH MD
4160 JOHN R STE 925
DETROIT 48201
(877) 486-7978
1124555
MOHAMED, WAZIM MD
DETROIT 48201
(313) 745-4275
1124554
MOHAMED, WAZIM MD
DETROIT 48201
(313) 745-4275
1116715
MURSHED, NAWAF H MD
TAYLOR 48180
(734) 374-1112
1095749
DEARBORN 48124
(855) 874-7876
1055932
4160 JOHN R STE 925
DETROIT 48201
(877) 486-7978
1097548
DEARBORN 48124
(877) 486-7978

Page 587
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1055934
4100 JOHN R
DETROIT 48201
(313) 831-0777
1046717
20160 MACK AVE
(313) 882-8600
1054812
RAJAMANI, KUMAR MD
DETROIT 48201
(313) 745-4275
1124987
RANAWAT, NISHANT MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1103928
RAPP, STANFORD DO
35105 WARREN RD
WESTLAND 48185
(734) 722-1500
1054864
SELWA, JAMES F MD
DETROIT 48201
(313) 745-4275
1065845
SERAFINI, RUGGERO MD
DETROIT 48201
(313) 745-4275
1065578
SERAJEE, FATEMA J MD
3901 BEAUBIEN ST
DETROIT 48201
(313) 745-5788
1101731
SERAJI-BOZORGZAD, NAVID MD
DETROIT 48201
(313) 745-4275
1124752
SHANKAR, LAKSHMI MD
4201 ST ANTOINE STE BA & BB
DETROIT 48201
(313) 745-4275
1058392
SHAYA, MARY F MD
4201 ST ANTOINE STE 8D
DETROIT 48201
(313) 745-4275
1083856
TAHIR, SALEEM MD
DEARBORN 48124
(313) 359-9540
1054899
TSELIS, ALEXANDROS C MD
DETROIT 48201
(313) 745-4275
1102138
XAVIER, ANDREW R MD
DETROIT 48201
(313) 745-4275
1095752
XAVIER, ANDREW R MD
DEARBORN 48124
(844) 874-7876
1101832
ZUTSHI, DEEPTI MD
DETROIT 48201
(313) 745-4275
DETROIT 48201
(313) 993-2557
NUCLEAR CARDIOLOGY
1057112
NUCLEAR MEDICINE
1076375
JANABI, MAJID Z MD
DETROIT 48201
(313) 966-8999
1034907
RASHID, KHURRAM MD
21003 MACK
(313) 881-0411
NURSE MIDWIFE
1085324
DETROIT 48201
(313) 745-4525
1120411
DETROIT 48201
(313) 745-4525
1120413
ALLEN, DARLENE J CNM
DETROIT 48201
(313) 745-4525
1085327
DETROIT 48201
(313) 745-4525
1107978
DETROIT 48201
(313) 745-4380
1114250
CANTON 48187
(734) 844-5400
1119946
LIVONIA 48150
(734) 594-6544
1119940
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1111030
BEDIKIAN, KATHRYN P CNM
CANTON 48187
(734) 844-5400
1120414
BILKA, SUSAN M CNM
DETROIT 48201
(313) 745-4525
1085328
BILKA, SUSAN M CNM
DETROIT 48201
(313) 745-4525
1054473
BILKA, SUSAN M CNM
DETROIT 48201
(313) 745-4380
1127879
CARPENTER, ANGELA M CNM
DETROIT 48201
(313) 745-4525
1127875
CARPENTER, ANGELA M CNM
DETROIT 48201
(313) 745-4525
1078265
DETROIT 48201
(313) 745-4525
1120416
DETROIT 48201
(313) 745-4525
1078264
DETROIT 48201
(313) 745-4380
1120417
CRONE, BARBARA A CNM
DETROIT 48201
(313) 745-4525
1085330
CRONE, BARBARA A CNM
DETROIT 48201
(313) 745-4525
1054517
CRONE, BARBARA A NP
DETROIT 48201
(313) 745-4380
1060350
CRONE, BARBARA A NP
DEARBORN 48124
(313) 271-0430
1124772
EIFLER, JENNIFER A CNM
5220 OAKMAN BLVD
DEARBORN 48126
(313) 581-2121

Page 588
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1124771
4201 ST ANTOINE STE 4E & F
DETROIT 48201
(313) 745-4380
1124770
DETROIT 48201
(313) 745-4525
1127876
FAUST, KIM R CNM
DETROIT 48201
(313) 745-2153
1127880
FAUST, KIM R CNM
DETROIT 48201
(313) 745-4525
1054596
FRANCIS, BARBARA J CNM
DETROIT 48201
(313) 745-4380
1120418
DETROIT 48201
(313) 745-4525
1059682
DETROIT 48201
(313) 745-4525
1119929
GLENN, JESSICA CNM
LIVONIA 48150
(734) 594-6544
1119923
GLENN, JESSICA CNM
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1057832
GONZALEZ-PITTMAN, CELINA B CNM
DETROIT 48201
(313) 745-4380
1124160
5220 OAKMAN BLVD
DEARBORN 48126
(313) 581-2121
1085331
DETROIT 48201
(313) 745-4525
1120420
DETROIT 48201
(313) 745-4525
1054611
GRANGER, ANN M CNM
DETROIT 48201
(313) 745-4380
1120421
GRANGER, ANN M CNM
DETROIT 48201
(313) 745-4525
1085332
GRANGER, ANN M CNM
DETROIT 48201
(313) 745-4525
1104766
IZZARD, JULIE CNM
18101 OAKWOOD BLVD
DEARBORN 48124
(313) 593-7000
1054690
DETROIT 48201
(313) 745-4525
1119906
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1055511
5220 OAKMAN BLVD
DEARBORN 48126
(313) 581-2121
1119912
LIVONIA 48150
(734) 594-6544
1120425
DETROIT 48201
(313) 745-4525
1055510
DETROIT 48201
(313) 745-4380
1119878
LIVONIA 48150
(734) 594-6544
1119872
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1078261
DETROIT 48201
(313) 745-4380
1120426
DETROIT 48201
(313) 745-4525
1078262
DETROIT 48201
(313) 745-4525
1028742
LANNEN, BARBARA CNM
DETROIT 48201
(313) 745-4380
1057283
LANNEN, BARBARA CNM
DETROIT 48201
(313) 745-4525
1120427
LANNEN, BARBARA CNM
DETROIT 48201
(313) 745-4525
1055610
LEDWON, DARLENE J NP
4880 LAWNDALE
DETROIT 48210
(313) 846-3718
1057694
14585 GREENFIELD
DETROIT 48227
(313) 838-3332
1054706
DETROIT 48201
(313) 745-4380
1054708
LEWIS, MARY L CNM
DETROIT 48201
(313) 745-4380
1055612
LEWIS, MARY L CNM
DETROIT 48201
(313) 745-4525
1120428
LEWIS, MARY L CNM
DETROIT 48201
(313) 745-4525
1055616
LEWIS, MARY L CNM
5220 OAKMAN BLVD
DEARBORN 48126
(313) 581-2121
1112247
MILKEY, MARY M CNM
CANTON 48187
(734) 844-5400
1120429
MORIARTY, KATHLEEN A CNM PHD CAFCI
DETROIT 48201
(313) 745-4525
1083570
DETROIT 48201
(313) 745-4525
1083572
DETROIT 48201
(313) 745-4380
1085334
RESEIGH, DIANE E CNM
DETROIT 48201
(313) 745-4525
1120430
DETROIT 48201
(313) 745-4525
1124161
5220 OAKMAN BLVD
DEARBORN 48126
(313) 581-2121
1054845
RESEIGH, DIANE E NP
DETROIT 48201
(313) 745-4380

Page 589
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1122035
ROTHENBERG, MARILYN A CNM
1400 WOODBRIDGE
DETROIT 48207
(313) 309-9300
1120251
LIVONIA 48150
(734) 594-6544
1120245
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1120262
SCOTT, MELISA N CNM
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1120268
SCOTT, MELISA N CNM
LIVONIA 48150
(734) 594-6544
1127881
SCOTT, TASHA L CNM
DETROIT 48201
(313) 745-4525
1127877
SCOTT, TASHA L CNM
DETROIT 48201
(313) 745-4525
1124793
STERNBERG, JAMIE L CNM
DETROIT 48201
(313) 745-4525
1106361
SUMMERFIELD, KELLY CNM
6221 N TELEGRAPH RD
(313) 561-2200
1085335
DETROIT 48201
(313) 745-4525
1120217
LIVONIA 48150
(734) 594-6544
1120211
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1124162
5220 OAKMAN BLVD
DEARBORN 48126
(313) 581-2121
1120434
DETROIT 48201
(313) 745-4525
1065700
DETROIT 48201
(313) 745-4380
1085336
TAYLOR, LATRICE M CNM
DETROIT 48201
(313) 745-4525
1120435
DETROIT 48201
(313) 745-4525
1107977
DETROIT 48201
(313) 745-4380
1114400
TOMASELLO, ANNETTE CNM
8040 MIDDLEBELT RD
WESTLAND 48185
(734) 266-8800
1127882
VALADEZ, CARRIE A CNM
DETROIT 48201
(313) 745-4525
1127878
VALADEZ, CARRIE A CNM
DETROIT 48201
(313) 745-4525
1120438
ZIEMKE, SUZANNE M CNM
DETROIT 48201
(313) 745-4525
1085338
ZIEMKE, SUZANNE M CNM
DETROIT 48201
(313) 745-4525
1056577
ZIEMKE, SUZANNE M NP
DETROIT 48201
(313) 745-4380

1103489
DZIURMAN, AMY K NPC
4201 ST ANTOINE ST
DETROIT 48201
(313) 745-4380
1079892
PRITCHETT, STACEY NP
28711 W EIGHT MILE RD STE C
LIVONIA 48152
(248) 474-4590
1103409
SAWICKI, SANDRA M NPC
4201 ST ANTOINE ST UHC
DETROIT 48201
(313) 745-4380
1103501
STEFFENSKY, TERESE M NPC
4201 ST ANTOINE ST DEPT OF OB/GYN
DETROIT 48201
(313) 745-4313
1103467
TIPTON, TONI E NPC
4201 ST ANTOINE ST STE 4E
DETROIT 48201
(313) 745-4316
1107130
TURNER, KATHERINE M NP
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1103307
WOOD, DENISE A NPC
3980 JOHN R ST
DETROIT 48201
(313) 745-4313
OBSTETRICS
1120758
HAMTRAMCK 48212
(313) 745-0499
1120759
9015 JOSEPH CAMPAU
HAMTRAMCK 48212
(313) 664-0777
1120681
ASAAD, RADWAN MD
HAMTRAMCK 48212
(313) 745-0499
1120682
ASAAD, RADWAN MD
9015 JOSEPH CAMPAU
HAMTRAMCK 48212
(313) 664-0777
1098559
AZAM, GHAZALA MD
2500 HAMLIN RD
INKSTER 48141
(313) 561-5100
1120620
9015 JOSEPH CAMPAU
HAMTRAMCK 48212
(313) 664-0777
1120619
HAMTRAMCK 48212
(313) 745-0499
1123490
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1120549
9015 JOSEPH CAMPAU
HAMTRAMCK 48212
(313) 664-0777
1120548
DETROIT 48201
(313) 745-0499
1120643
BOBO, ANDRE MD
9015 JOSEPH CAMPAU
HAMTRAMCK 48212
(313) 664-0777
1120642
BOBO, ANDRE MD
HAMTRAMCK 48212
(313) 745-0499

Page 590
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
OBSTETRICS (CONTINUED)
1106305
FARHAT, IBRAHIM V DO
8040 MIDDLEBELT RD
WESTLAND 48185
(734) 266-8800
1123839
GRAHOVAC, JURE MD
16407 SOUTHFIELD
ALLEN PARK 48101
(313) 382-0244
1123840
GRAHOVAC, JURE MD
18181 OAKWOOD STE 200
DEARBORN 48124
(313) 271-0640
1123911
GRAHOVAC, MARIJA J MD
DEARBORN 48124
(313) 271-0640
1123910
GRAHOVAC, MARIJA J MD
16407 SOUTHFIELD
ALLEN PARK 48101
(313) 382-0244
1059879
HADDAD, CHADI DO
6221 N TELEGRAPH RD
WESTLAND 48185
(313) 561-2200
1094457
JORDAN, WILLIAM MD
1400 WOODBRIDGE
DETROIT 48207
(313) 324-9595
1106248
PARKS, SHERYL L MD
8040 MIDDLE BELT RD
WESTLAND 48185
(734) 266-8800
1120590
HAMTRAMCK 48212
(586) 558-1110
1031913
WILSON, INGRID N MD
GARDEN CITY 48135
(734) 458-3288
1120412
ABRAMOWICZ, JACQUES S MD
DETROIT 48201
(313) 745-4525
1062774
AGUIN, TINA MD
DETROIT 48201
(313) 745-4525
1127525
AGUIN, TINA MD
DETROIT 48201
(313) 745-4525
1063078
AGUIN, TINA MD
DETROIT 48201
(313) 745-4380
1127524
AGUIN, TINA MD
DETROIT 48201
(313) 745-4525
1120714
AL AOUAR, RULA MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1104339
ALAIWAT, MUNTHER MD
23050 WEST RD STE 210
TRENTON 48183
(734) 362-7000
1022175
ALAIWAT, MUNTHER MD
15675 NORTHLINE RD
SOUTHGATE 48195
(734) 282-3600
1095347
ALKHAFAJI, LUNA MD
2500 HAMLIN RD
INKSTER 48141
(313) 561-5100
1080264
AL-WAHAB, ZAID R MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1055791
AL-WAHAB, ZAID R MD
DETROIT 48201
(313) 745-4380
1084802
AMOS, MEGAN DO
15540 BEECH DALY
REDFORD 48239
(313) 387-7476
1084798
AMOS, MEGAN DO
20731 WARREN
(313) 561-1913
1084789
AMOS, MEGAN DO
LIVONIA 48152
(248) 474-4590
1104212
ANDARY, LOUIS MD
TRENTON 48183
(734) 362-7000
1104211
ANDARY, LOUIS MD
15675 NORTHLINE RD
SOUTHGATE 48195
(734) 282-3600
1114264
ANDERSON, FRANK J MD
CANTON 48187
(734) 844-5400
1108165
ARRINGTON, HAROLD M MD
6071 W OUTER DR SGH OB/GYN
DETROIT 48235
(313) 966-3246
1074291
ARRINGTON, HAROLD M MD
DETROIT 48235
(313) 966-4200
1091348
DETROIT 48201
(313) 745-4525
1065632
DETROIT 48201
(313) 745-4380
1120405
DETROIT 48201
(313) 745-4525
1103295
BAKER, DELORES F MD
6071 W OUTER DR SGR OB/GYN
DETROIT 48235
(313) 966-3246
1055868
BAUMANN, PETER MD
DETROIT 48201
(313) 745-4525
1077097
BAUMANN, PETER MD
DETROIT 48201
(313) 745-4525
1055877
BAUMANN, PETER MD
DETROIT 48201
(313) 745-4380
1119844
BELL, CARRIE MD
LIVONIA 48150
(734) 594-6544
1119838
BELL, CARRIE MD
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1119895
BELL, JASON D MD
LIVONIA 48150
(734) 594-6544
1119889
BELL, JASON D MD
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1118649
BELOTTE, JIMMY MD
4201 ST ANTOINE STE 4E & F
DETROIT 48201
(313) 745-4380
1120406
BELOTTE, JIMMY MD
DETROIT 48201
(313) 745-4525
1073039
BELOTTE, JIMMY MD
DETROIT 48201
(313) 745-4525
1118425
BELOTTE, JIMMY MD
4100 JOHN R
DETROIT 48201
(800) 257-6266

Page 591
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1055007
BERMAN, JAY M MD
DETROIT 48201
(313) 745-4380
1104609
BERNAL, HUMBERTO MD
DEARBORN 48124
(313) 336-7400
1097383
BHARGAVA, VASHALI MD
18101 OAKWOOD BLVD
DEARBORN 48124
(313) 593-7500
1069372
DETROIT 48201
(313) 745-7641
1085321
WAYNE 48184
(734) 467-4266
1120415
DETROIT 48201
(313) 745-4525
1069373
DETROIT 48201
(313) 745-4525
1127919
BYRD CARR, ANTIONETTE MD
1400 WOODBRIDGE
DETROIT 48207
(313) 309-9300
1104569
CASH, CHARLES MD
7330 CANTON CENTER RD STE 210
CANTON 48187
(734) 454-8001
1101781
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1101779
LIVONIA 48150
(734) 591-6544
1103237
CHEEK, RONALD E MD
DETROIT 48235
(313) 966-4200
1108124
CHEEK, RONALD EDWARD MD
DETROIT 48235
(313) 966-3246
1120627
COHEN, DELLA MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1103242
COLEMAN, LANETTA A MD
DETROIT 48235
(313) 966-4200
1108127
COLEMAN, LANETTA ANDREA MD
DETROIT 48235
(313) 966-4200
1079862
COOPER, ADAM S MD
15540 BEECH DALY
REDFORD 48239
(313) 387-7476
1079861
COOPER, ADAM S MD
27031 WARREN
(313) 561-1913
1048474
COOPER, ADAM S MD
LIVONIA 48152
(248) 474-4590
1120319
LIVONIA 48150
(810) 600-0053
1120313
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1104295
DANYSH, BOHDAN Z MD
15777 NORTHLINE RD SUITE 201
SOUTHGATE 48195
(734) 246-8645
1118578
ECKENRODE, RITA P MD
2050 N HAGGERTY RD STE 200
CANTON 48187
(734) 973-7203
1094210
FARHAT, MOHAMAD A MD
2142 MONROE STREET
DEARBORN 48124
(313) 563-5743
1101659
FRITZ, RANI B DO
DETROIT 48201
(313) 745-4380
1101658
FRITZ, RANI B DO
DETROIT 48201
(313) 745-4525
1120407
FRITZ, RANI B DO
DETROIT 48201
(313) 745-4525
1109395
FROST, REGINA R MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1122193
FURNARI-BRAZIL, RAINNA M DO
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1109440
GATTOC, LEDA P MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1120608
GENNAOUI, ELIAS MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1066168
GIBSON FOUNTAIN, CHERYL MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1103429
GILLUM, BRENT W DO
4727 ST ANTOINE ST STE 210
DETROIT 48201
(313) 993-0909
1103479
GILLUM, JEFFREY L MD
DETROIT 48201
(313) 993-0909
1123710
GORDON, GEOFFREY H MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1103433
GRAHAM, THEODORE K MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3246
1109463
GRIFFIN, MEGHAN A DO
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1069640
GUMBRECHT, KELLY MD
(313) 881-6488
1089711
DETROIT 48201
(313) 745-4525
1120436
DETROIT 48201
(313) 745-4525
1089712
4201 ST ANTONE STE 4E&F
DETROIT 48201
(313) 745-4380
1120234
HARRIS, LISA H MD
LIVONIA 48150
(734) 594-6544
1120228
HARRIS, LISA H MD
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1099534
HASSOUNEH, SAMAR S MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1079868
HERMAN, RICHARD G DO
LIVONIA 48152
(248) 474-4590
1079871
15540 BEECH DALY
REDFORD 48239
(313) 387-7476

Page 592
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1079870
27031 WARREN
(313) 561-1913
1123958
HERTZ, MICHAEL MD
35000 FORD RD STE 3
WESTLAND 48185
(734) 721-4700
1120422
HOBSON, DESLYN T MD
DETROIT 48201
(313) 745-4525
1086536
HOBSON, DESLYN T MD
DETROIT 48201
(313) 745-4525
1086537
HOBSON, DESLYN T MD
DETROIT 48201
(313) 745-4380
1122217
HOMA, LORI MD
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1122215
HOMA, LORI MD
LIVONIA 48150
(734) 591-6544
1122209
HOMA, LORI MD
2370 W STADIUM BLVD
HIGHLAND PARK 48203
(734) 929-9480
1120423
JAIN, MANISH MD
DETROIT 48201
(313) 745-4525
1055496
JAIN, MANISH MD
DETROIT 48201
(313) 745-4380
1054641
JAIN, MANISH MD
DETROIT 48201
(313) 745-4525
1102775
2142 MONROE STREET
DEARBORN 48124
(313) 563-5743
1073614
JORDAN, WILLIAM L MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3246
1122785
JUNN, JUSTIN H MD
CANTON 48187
(734) 844-5400
1119861
KAHN, CHAVA MD
LIVONIA 48150
(734) 594-6544
1119855
KAHN, CHAVA MD
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1059916
KALO, JACOB MD
15650 E 8 MILE RD
DETROIT 48205
(313) 526-3600
1054689
KAUR, SATINDER MD
DETROIT 48201
(313) 745-4525
1055509
KAUR, SATINDER MD
5220 OAKMAN BLVD
DEARBORN 48126
(313) 581-2121
1120424
KAUR, SATINDER MD
DETROIT 48201
(313) 745-4525
1055507
KAUR, SATINDER MD
DETROIT 48201
(313) 745-4380
1097256
KHALILIAN, SEPIDEH MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1117572
KHAN, SANA N MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1054581
KHOURY, ELIE R MD
15831 MACK AVE
DETROIT 48224
(313) 882-2266
1122748
KIM, SUN KWON MD
DETROIT 48201
(313) 745-4525
1122747
KIM, SUN KWON MD
DETROIT 48201
(313) 745-4525
1122746
KIM, SUN KWON MD
4201 ST ANTOINE STE 4E AND F
DETROIT 48201
(313) 745-4380
1122155
KMAK, DAVID C MD
9015 JOSEPH CAMPAU
HAMTRAMCK 48212
(313) 664-0777
1122154
KMAK, DAVID C MD
DETROIT 48201
(313) 745-0499
1071930
KONIECZNY, MICHELLE A MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1119496
KREIL, DUANE E MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1124982
KUSHNER, ROGER M DO
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1030289
LAASCH-HAND, CASSIE MD
(313) 343-3494
1112638
LIANG, ANGELA C MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112636
LIANG, ANGELA C MD
CANTON 48187
(734) 844-5400
1079882
LINDEN-GROSINGER, TRACEY S DO
27031 WARREN
(313) 561-1913
1079883
15540 BEECH DALY
REDFORD 48239
(313) 387-7476
1079880
LIVONIA 48152
(248) 474-4590
1104694
LINDSEY, TARA Y MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1106114
MALEH, JOUHAINA MD
DEARBORN 48126
(313) 624-3000
1079152
MALEH, JOUHAINA MD
9724 DIX AVENUE
DEARBORN 48120
(313) 841-3400
1103278
MARKOWITZ, JEROME B DO
6071 W OUTER DR
DETROIT 48235
(313) 966-3246
1124669
MAXWELL, SHARI L MD
18101 OAKWOOD BLVD
DEARBORN 48124
(313) 593-8659
1104610
MAXWELL, SHARI L MD
2142 MONROE STREET
DEARBORN 48124
(313) 563-5743
1068284
MCBRIDE, KRISTEN W MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1122876
MERT, ISMAIL MD
DETROIT 48201
(313) 745-4525

Page 593
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1122875
MERT, ISMAIL MD
DETROIT 48201
(313) 745-4380
1122874
MERT, ISMAIL MD
DETROIT 48201
(248) 352-8200
1069645
MESSINA, ANGELA MD
(313) 881-6488
1104561
MILLICAN, SUZANNE M MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1113384
MORGAN, HELEN K MD
CANTON 48187
(734) 844-5400
1124986
MOSES, DAVID MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1098147
MOSES, DAVID MD
LIVONIA 48152
(248) 474-4590
1102773
MOSES, DAVID MD
DEARBORN 48124
(313) 593-5810
1080819
NICHANAMETLA, JYOTHI R MD
42287 CHERRY HILL RD STE D
CANTON 48188
(734) 981-2800
1104346
NORLANDER, CHIRSTA DO
TRENTON 48183
(734) 362-7000
1104345
NORLANDER, CHIRSTA DO
15675 NORTHLINE RD
SOUTHGATE 48195
(734) 282-3600
1117240
ORABI, NOURHAN MD
18101 OAKWOOD BLVD LABOR AND DELIVERY
DEARBORN 48124
(313) 593-7500
1054761
PAGE, RENEE T MD
DETROIT 48201
(313) 993-4645
1055722
PAGE, RENEE T MD
DETROIT 48201
(313) 745-4380
1123672
PALADINO, PAIGE E DO
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1122955
DETROIT 48201
(313) 745-4380
1122957
DETROIT 48201
(313) 745-4525
1122956
DETROIT 48201
(313) 745-4525
1058867
PICKENS, ALEX MD
DETROIT 48235
(313) 272-2400
1082129
PICKENS, ALEX JR MD
DETROIT 48235
(313) 835-5990
1103812
PICKENS, ALEX JR MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3246
1105994
PLYMEL, KAREN MD
DEARBORN 48124
(313) 593-5957
1026632
PRYSAK, MICHAEL F MD
(313) 343-3494
1122485
18101 OAKWOOD BLVD
DEARBORN 48124
(313) 593-7455
1069643
PURAKAL, JOYCE C MD
(313) 881-6488
1069647
(313) 881-6488
1107718
RAPHTIS, CONSTANTINE DO
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1103526
REAVES, PAMELA L MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3246
1101973
REID, VIRGIL C MD
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1119492
ROCHEFORT, BRUCE J MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1124515
RUDDOCK, MARTIN MD
35000 FORD RD STE 3
WESTLAND 48185
(734) 721-4700
1103306
SANDELIN, EMILE L MD
DETROIT 48201
(313) 993-0909
1108145
SANDELIN, EMILE LAMAR MD
4160 JOHN R ST
DETROIT 48201
(313) 745-7445
1020566
SANJAGHSAZ, HAMID DO
24346 W WARREN AVE
(313) 563-1001
1079900
SCHALLMO, SARA K DO
15540 BEECH DALY
REDFORD 48239
(313) 387-7476
1079899
SCHALLMO, SARA K DO
27031 WARREN
(313) 561-1913
1079897
SCHALLMO, SARA K DO
LIVONIA 48152
(248) 474-4590
1026439
SCHNEIDER, ANNE M MD
(313) 343-3494
1119583
SHIN, DONALD S MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1054875
DETROIT 48201
(313) 745-4525
1055739
DETROIT 48201
(313) 745-4380
1120432
DETROIT 48201
(313) 745-4525
1123780
35000 FORD RD STE 3
WESTLAND 48185
(734) 721-4700
1110726
SMITH, ROGER D MD
CANTON 48187
(734) 844-5400
1065101
SOLOMON, LEIGH A MD
(313) 647-3243
1122102
SPROAT, LAURA A MD
CANTON 48187
(734) 844-5400

Page 594
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1055958
SUDAKIN, LEONARD B MD
DETROIT 48235
(313) 966-9333
1104612
THOMSON, MONICA DO
CANTON 48187
(734) 454-8001
1117587
THRONAUM, MAGGIE L DO
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1101923
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1104658
TUMANEG, DAPHNE P DO
2142 MONROE STREET
DEARBORN 48124
(313) 563-5743
1119470
UDO INYANG, ANTHONY MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1068283
WADE, CHRISTINE T MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1025955
WAGSTAFF, NATHAN V MD
(313) 343-3494
1127482
WALKER, ANGELA DO
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1127469
WALKER, ANGELA DO
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1103459
WALLACE, KIMBERLY D MD
DETROIT 48235
(313) 966-4200
1108195
WALLACE, KIMBERLY DENISE MD
DETROIT 48235
(313) 966-3246
1108194
WALLACE, KIMBERLY DENISE MD
DETROIT 48235
(313) 966-9333
1120302
WALLETT, SARAH M MD
LIVONIA 48150
(734) 594-6544
1120296
WALLETT, SARAH M MD
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1124991
WALSWORTH, DESPINA Z MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1123192
DEARBORN 48124
(313) 271-0640
1060071
18400 FARMINGTON RD
LIVONIA 48152
(248) 471-9570
1103422
WEST, BRUCE E MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3246
1069649
WHITE, CHAD R MD
(313) 881-6488
1031913
WILSON, INGRID N MD
GARDEN CITY 48135
(734) 458-3288
1075788
WOODARD, TERRI L MD
5479 SCHAEFER RD
DEARBORN 48126
(313) 581-2121
1099037
WYNN, TANYA MD
2500 HAMLIN RD
INKSTER 48141
(313) 561-5100
1099036
WYNN, TANYA R MD
26650 EUREKA RD STE C
TAYLOR 48180
(734) 941-4991
1083544
YANCY, AMANDA MD
DETROIT 48223
(313) 387-1097
1103229
ZAFRA, RITA M MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3246
1120279
ZAPATA, MYA A MD
4229 CASS AVE
DETROIT 48201
(313) 831-7776
1120285
ZAPATA, MYA R MD
LIVONIA 48150
(734) 594-6544
1106247
ZHU, LIJIA MD
CANTON 48187
(734) 454-8001
1113508
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1054450
ARNETZ, BENGT BIRGER MD
15400 W MCNICHOLS
DETROIT 48235
(313) 340-4300
1059676
ARNETZ, BENGT BIRGER MD
261 MACK AVE
DETROIT 48201
(313) 745-1160
1122004
BLANEY, BEVERLY L MD
4201 ST ANTOINE DEPT OF OCC HEALTH UHC
DETROIT 48201
(313) 993-0509
1054479
BLESSMAN, JAMES E MD
15400 W MCNICHOLS
DETROIT 48235
(313) 340-4300
1063214
BLESSMAN, JAMES E MD
3750 WOODWARD AVE STE 200-C
DETROIT 48201
(313) 745-4525
ONCOLOGY
1040426
AYASH, LOIS MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1070070
BIERNAT, LAURA MD
(313) 884-5522
1113685
BRENNER, DEAN E MD
CANTON 48187
(734) 844-5400
1111799
CANTON 48187
(734) 844-5400
1111583
CHUGH, RASHMI MD
CANTON 48187
(734) 844-5400
1122201
COELLO, EUDORO MD
(313) 884-5522
1110370
COONEY, KATHLEEN A MD
CANTON 48187
(734) 844-5400
1124978
DONTHIREDDY, KAVITHA MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600

Page 595
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
ONCOLOGY (CONTINUED)
1110571
HAYES, DANIEL F MD
CANTON 48187
(734) 844-5400
1054627
HEATH, ELISABETH I MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1110555
HU, PATRICK J MD
CANTON 48187
(734) 844-5400
1111104
HUSSAIN, MAHA H MD
CANTON 48187
(734) 844-5400
1111398
KALEMKERIAN, GREGORY P MD
CANTON 48187
(734) 844-5400
1070131
KHAN, WAJAHAT MD
(313) 884-5522
1101187
KRAUSS, JOHN C MD
CANTON 48187
(734) 844-5400
1112950
LAO, CHRISTOPHER D MD
CANTON 48187
(734) 844-5400
1055924
LORUSSO, PATRICIA MUCCI DO
4100 JOHN R
DETROIT 48201
(800) 527-6266
1112482
MAILLARD, IVAN P MD
CANTON 48187
(734) 844-5400
1112494
MERAJVER, SOFIA D MD
CANTON 48187
(734) 844-5400
1096121
PATEL, MAYUR MD
15750 NORTHLINE RD
SOUTHGATE 48195
(734) 283-7511
1056895
PHILIP, PHILIP A MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1054814
RAMCHANDREN, RADHAKRISHNAN MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1111425
RAMNATH, NITHYA MD
CANTON 48187
(734) 844-5400
1056902
RUNGE-MORRIS, MELISSA A MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1040673
SCHIFFER, CHARLES A MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1113250
SCHOTT, ANNE F MD
CANTON 48187
(734) 844-5400
1054876
SIMON, MICHAEL S MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1111218
SMERAGE, JEFFREY B MD
CANTON 48187
(734) 844-5400
1110791
SMITH, DAVID C MD
CANTON 48187
(734) 844-5400
1122331
THOMAS, SHANTI MD
DETROIT 48214
(313) 441-1569
1096120
THOMAS, SHANTI MD
15750 NORTHLINE RD
SOUTHGATE 48195
(734) 283-7511
1104568
THOMAS, SHANTI MD
DEARBORN 48124
(313) 441-1569
1040495
UBERTI, JOSEPH P MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1111010
VAN POZNAK, CATHERINE H MD
CANTON 48187
(734) 844-5400
1109383
WEISE, AMY M DO
4100 JOHN R
DETROIT 48201
(800) 527-6266
1111170
WICHA, MAX S MD
CANTON 48187
(734) 844-5400
1113125
WORDEN, FRANCIS P MD
CANTON 48187
(734) 844-5400
1112279
ZALUPSKI, MARK M MD
CANTON 48187
(734) 844-5400

1090303
BEST, BENJAMIN J DO
(313) 343-7110
1064237
MORAWA, LAWRENCE G MD
DEARBORN 48124
(313) 429-7977
OPHTHALMOLOGY
1055788
ABRAMS, GARY W MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1060349
ABRAMS, GARY W MD
6071 W OUTER DR STE M-106
DETROIT 48235
(313) 966-2150
1104637
AGGARWAL, HIMANSHU MD
24086 GODDARD RD
TAYLOR 48180
(313) 551-3552
1104636
AGGARWAL, HIMANSHU MD
10474 W JEFFERSON
RIVER ROUGE 48218
(313) 551-3552
1106365
AHMAD, SAAD MD
24800 MICHIGAN AVE
DEARBORN 48124
(313) 561-7255
1106367
AHMAD, SAAD MD
33400 W SIX MILE RD
LIVONIA 48152
(734) 421-2020
1125367
AHMED, SHAREEF B MD
3340 W SIX MILE RD
LIVONIA 48152
(734) 421-2025
1066745
AKLER, MICHELLE MD
2841 MONROE STREET 1ST FLOOR
DEARBORN 48124
(313) 563-3937
1017957
ALBERT, WILLIAM MD
7992 N WAYNE RD
WESTLAND 48185
(734) 522-6131
1126683
22731 NEWMANN ST STE 245
DEARBORN 48124
(313) 561-1777
1126684
3901 BEAUBIEN
DETROIT 48201
(313) 745-3937

Page 596
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1005879
ARCHER, STEVEN M MD
CANTON 48187
(734) 844-5400
1089455
BAHL, REECHA MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-3937
1054476
BLACK, EVAN H MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1121011
BLAU, ROBERT MD
33400 W 6 MILE RD
LIVONIA 48152
(734) 421-2020
1124044
BLAU, ROBERT P MD
24800 MICHIGAN AVE
DEARBORN 48124
(313) 561-7255
1056578
BOYMAN, RUTH MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1065545
BOYMAN, RUTH MD
DEARBORN 48126
(313) 945-8270
1111870
BRICENO, CESAR A MD
CANTON 48187
(734) 844-5400
1055891
CHEYER, CHRISTOPHER J MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1030176
DEARBORN 48124
(313) 565-6102
1038673
DEARBORN 48124
(313) 561-4070
1112934
LIVONIA 48152
(734) 432-7811
1124040
33400 W 6 MILE RD
LIVONIA 48152
(734) 421-2020
1124036
24800 MICHIGAN AVE
DEARBORN 48124
(313) 561-7255
1095401
DASS, ASHVANI B MD
36650 FIVE MILE RD STE 102
LIVONIA 48154
(734) 464-2300
1083579
DIXON, RAY S MD
DEARBORN 48126
(313) 945-8270
1083578
DIXON, RAY S MD
KRESGE EYE INSTITUTE 4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1093082
DU, ELIZABETH MD
LIVONIA 48152
(734) 432-7811
1076768
DUNN, STEVEN P MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-3937
1069379
FAHIM, KAMAL MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1114160
LIVONIA 48152
(734) 432-7811
1114159
CANTON 48187
(734) 844-5400
1054597
FRANK, ROBERT N MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1118654
33400 W 6 MILE RD
LIVONIA 48152
(734) 421-2020
1118653
24800 MICHIGAN AVE
DEARBORN 48124
(313) 561-7255
1106400
100 OAK
WYANDOTTE 48192
(734) 284-2444
1076757
GIANFERMI, ELENA MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-3937
1062305
GIANFERMI, ELENA MD
DEARBORN 48124
(313) 561-0385
1064482
GILES, CONRAD L MD
DEARBORN 48126
(313) 945-8270
1076759
GILES, CONRAD L MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-3937
1055049
GILES, CONRAD L MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1104559
GRANDON, STANLEY MD
15212 MICHIGAN AVE
DEARBORN 48126
(313) 582-8856
1030527
GUPTA, KAMAL MD
19335 ALLEN RD
TRENTON 48183
(734) 479-5580
1030528
GUPTA, KAMAL MD
4030 VENOY RD STE 600
WAYNE 48184
(734) 595-9422
1126129
DEARBORN 48126
(313) 945-8270
1126128
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1033821
HASSAN, TAREK S MD
LIVONIA 48154
(734) 464-2300
1054632
HUGHES, BRET A MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1086539
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1086542
DEARBORN 48126
(313) 945-8270
1118434
ISSA, SAID M MD
23522 MICHIGAN AVE
DEARBORN 48124
(313) 724-2733
1055504
JUZYCH, MARK S MD
15055 PLAZA SOUTH DR
TAYLOR 48180
(734) 287-8000
1054686
JUZYCH, MARK S MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1111872
KAPLAN, ARIANE D MD
CANTON 48187
(734) 844-5400
1069966
DEARBORN 48126
(313) 945-8270
1069380
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900

Page 597
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1104641
33400 W SIX MILE RD
LIVONIA 48152
(734) 421-2020
1104639
24800 MICHIGAN AVE
DEARBORN 48124
(313) 561-7255
1106323
KOEHLER, MATTHEW P MD
31535 FORD RD
GARDEN CITY 48135
(313) 278-4500
1066232
KRESGE EYE INSTITUTE
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1106308
KRONENBERG, ALAINA MD
15212 MICHIGAN AVE
DEARBORN 48126
(313) 582-8856
1064481
LANDOLT, VICTORIA L DO
DEARBORN 48126
(313) 945-8270
1055919
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1055920
6001 W OUTER DR
DETROIT 48235
(313) 966-1045
1122788
LIEU, PHILIP MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1122787
LIEU, PHILIP MD
4700 SCHAEFFER RD STE 260
DEARBORN 48126
(313) 945-7724
1093101
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1093100
4700 SCHAFER RD STE 260
DEARBORN 48126
(313) 945-8270
1033896
LUPOVITCH, JEFFREY R MD
9230 JOSEPH CAMPAU
HAMTRAMCK 48212
(313) 875-9270
1083586
MARCUS, EDWARD I MD
KRESGE EYE INSTITUTE DEARBORN 4700
DEARBORN 48126
(313) 945-8270
1083585
MARCUS, EDWARD I MD
DETROIT 48201
(313) 577-8900
1054729
MCDERMOTT, MARK L MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1083588
MEHTA, ANKUR N MD
KRESGE EYE INSTITUTE DEARBORN 4700
DEARBORN 48126
(313) 945-8270
1083587
MEHTA, ANKUR N MD
DETROIT 48201
(313) 577-8900
1111236
MIAN, SHAHZAD I MD
CANTON 48187
(734) 844-5400
1111237
MIAN, SHAHZAD I MD
LIVONIA 48152
(734) 432-7811
1055930
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1101892
NAGORI, SAYA V MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1035586
NESI, FRANK A MD
4655 S TELEGRAPH RD
(313) 292-6700
1110510
CANTON 48187
(734) 844-5400
1056891
OBERTYNSKI, HANNA MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1060556
LIVONIA 48154
(734) 522-9630
1030908
PAGE, TIMOTHY P MD
9230 JOSEPH CAMPAU
HAMTRAMCK 48212
(248) 644-8060
1101795
PATEL, ANU S MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1119630
PRASAD, ANURADHA MD
14555 LEVAN RD STE E-101
LIVONIA 48154
(734) 464-7800
1119629
PRASAD, ANURADHA MD
5050 SCHAEFER
DEARBORN 48126
(313) 582-7440
1104577
PRICE, MARLA DO
100 OAK
WYANDOTTE 48192
(734) 284-2444
1109412
RAHMANI, REZA DO
TRENTON 48183
(734) 479-4747
1124031
RAMOCKI, JOHN M MD
33400 W 6 MILE RD
LIVONIA 48152
(734) 421-2020
1055943
RAMOCKI, JOHN M MD
TAYLOR 48180
(734) 287-8000
1055942
RAMOCKI, JOHN M MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1123002
RANA, SONIA W MD
4717 ST ATOINE
DETROIT 48201
(313) 577-8900
1074173
LIVONIA 48154
(734) 522-9630
1036242
RICE, ALAN MD
14400 W MCNICHOLS
DETROIT 48235
(313) 341-3450
1036243
RICE, ALAN MD
7992 N WAYNE
WESTLAND 48185
(734) 522-6131
1098779
RINKE, ALLAN R MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1076761
ROARTY, JOHN D MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-3937
1101706
ROSENBERG, KEVIN V MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1101705
ROSENBERG, KEVIN V MD
DEARBORN 48126
(313) 945-8270
1018786
ROTBERG, LEEMOR MD
DEARBORN 48124
(313) 561-0385
1024987
RUBIN, MICHAEL DO
4777 E OUTER DR
DETROIT 48234
(313) 891-3000
1031023
5050 SCHAEFER RD
DEARBORN 48126
(313) 582-7440

Page 598
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1031022
14555 LEVAN RD STE E101
LIVONIA 48154
(734) 464-7800
1033898
RUBY, ALAN J MD
LIVONIA 48154
(734) 464-2300
1086323
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1086324
DEARBORN 48126
(313) 945-8270
1103361
SHAH, RAJIV E MD
TAYLOR 48180
(734) 287-8000
1103363
SHAH, RAJIV E MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1102760
SHUKAIRY, AMAN MD
DETROIT 48235
(313) 966-2024
1061106
SHUKAIRY, AMAN MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1064478
SHUKAIRY, AMAN MD
DEARBORN 48126
(313) 945-8270
1002990
SIEGEL, MARC J MD
DEARBORN 48124
(313) 561-4070
1104695
SIERANT, JOHN X MD
19353 CARLYSLE ST
DEARBORN 48124
(313) 565-9000
1074533
SKAF, AYHAM R MD
4717 SAINT ANTOINE ST
DETROIT 48201
(313) 577-8900
1116512
SOLOMON, MICHAEL S DO
22101 MOROSS
(586) 228-4550
1031155
SOLWAY, ALAN W MD
LIVONIA 48154
(734) 522-9630
1054884
SOSNE, GABRIEL MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1064479
SUCHOMEL, JOHN R MD
DEARBORN 48126
(313) 945-8270
1055956
SUCHOMEL, JOHN R MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1055955
SUCHOMEL, JOHN R MD
DETROIT 48235
(313) 966-1045
1080405
SWITCH, JEROME DO
8950 S TELEGRAPH RD
TAYLOR 48180
(313) 295-3937
1069390
TANNIR, JUSTIN R MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1055755
TEWARI, ASHEESH MD
25230 MICHIGAN AVE
DEARBORN 48124
(313) 441-2227
1054895
TEWARI, ASHEESH MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1064480
TEWARI, ASHEESH MD
DEARBORN 48126
(313) 945-8270
1113193
THOMS, SUSAN R MD
LIVONIA 48152
(734) 432-7811
1060045
TOMSAK, ROBERT L MD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1035540
TRESE, MICHAEL T MD
100 OAK ST
WYANDOTTE 48192
(734) 284-2444
1076763
TRESE, MICHAEL T MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-3937
1104693
VERB, STEPHEN MD
33400 W SIX MILE RD
LIVONIA 48152
(734) 421-2020
1104691
VERB, STEPHEN MD
24800 MICHIGAN AVE
DEARBORN 48124
(313) 561-7255
1111003
VRABEC, JOSHUA P MD
LIVONIA 48152
(734) 432-7811
1083594
WERNER, JANE C MD
DETROIT 48201
(313) 577-8900
1033982
WILLIAMS, GEORGE A MD
LIVONIA 48154
(734) 464-2300
1095404
WOLFE, JEREMY D MD
100 OAK ST
WYANDOTTE 48192
(734) 284-2444
1105949
YALDO, MAZIN K MD
31535 FORD RD
GARDEN CITY 48135
(313) 278-4500
1033985
LIVONIA 48154
(734) 464-2300
1036245
14400 W MCNICHOLS
DETROIT 48235
(313) 341-3450
1036246
7992 N WAYNE
WESTLAND 48185
(734) 522-6131
OPTOMETRY
1104177
ADKINS, TERRY OD
19173 MACK AVE
(313) 882-7883
1125995
BALCUEVA, DANIEL OD
19173 MACK AVE
(313) 882-7883
1118433
BIFANO, CHRISTOPHER OD
26388 FORD RD
(313) 730-5020
1118477
BIFANO, RHONDA M OD
26388 FORD RD
(313) 730-5020
1114527
3110 VAN HORN RD
TRENTON 48183
(734) 675-8197
1073790
BRATT, RICHARD OD
5908 MIDDLEBELT
GARDEN CITY 48135
(734) 458-5181
1089461
BRATT, RICHARD OD
9371 TELEGRAPH RD
REDFORD 48239
(313) 240-7551

Page 599
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1123081
CLARK, JESSICA OD
DETROIT 48227
(313) 836-1666
1125987
DANESHVAR, ELHAM OD
9371 TELEGRAPH
REDFORD 48239
(313) 240-7551
1125979
DANESHVAR, ELHAM OD
16128 MIDDLEBELT
LIVONIA 48154
(734) 421-2844
1125980
DANESHVAR, ELHAM OD
2023 W EIGHT MILE RD
HIGHLAND PARK 48203
(313) 365-3300
1083872
DEFEVER, ALBERT OD
19173 MACK AVE
(313) 882-7883
1083868
DEFEVER, ALBERT OD
6725 PARK AVE
ALLEN PARK 48101
(313) 382-0100
1117183
HIGHLAND PARK 48203
(313) 365-3300
1117181
16128 MIDDLEBELT
LIVONIA 48154
(734) 421-2844
1117184
22320 GOODARD
TAYLOR 48180
(313) 299-8870
1117190
6725 PARK AVE
ALLEN PARK 48101
(313) 382-0100
1117182
9371 TELEGRAPH RD
REDFORD 48239
(313) 240-7551
1117188
5908 MIDDLEBELT
GARDEN CITY 48135
(734) 458-5181
1117187
38110 MICHIGAN AVE
WAYNE 48184
(734) 728-5940
1111488
CANTON 48187
(734) 844-5400
1117590
DORONY, JOELLEN OD
26388 FORD RD
(313) 730-5020
1119446
EALOVEGA, ANDREW OD
217 N SHELDON
PLYMOUTH 48170
(734) 453-4870
1073801
EPPS, TRAYCE OD
5908 MIDDLEBELT
GARDEN CITY 48135
(734) 458-5181
1048343
EPPS, TRAYCE OD
16128 MIDDLEBELT
LIVONIA 48154
(734) 421-2844
1073799
EPPS, TRAYCE OD
9371 TELEGRAPH RD
REDFORD 48239
(313) 240-7551
1073822
ERMETE, TEOMAN A OD
22320 GODDARD
TAYLOR 48180
(313) 299-8870
1073821
ERMETE, TEOMAN A OD
9371 TELEGRAPH RD
REDFORD 48239
(313) 240-7551
1060300
ERMETE, TEOMAN A OD
3100 VAN HORN RD
TRENTON 48183
(734) 675-8197
1108431
ERMETE, TEOMAN A OD
2023 W 8 MILE RD
HIGHLAND PARK 48203
(313) 365-3300
1073824
ERMETE, TEOMAN A OD
38110 MICHIGAN AVE
WAYNE 48184
(734) 728-5940
1122167
FERMAN, GREGORY OD
217 N SHELDON
PLYMOUTH 48170
(734) 453-4870
1036248
GARIN, MARK M OD
14400 W MCNICHOLS
DETROIT 48235
(313) 341-3450
1036249
GARIN, MARK M OD
7992 N WAYNE
WESTLAND 48185
(734) 522-6131
1085187
GAY, RICHARD OD
3110 VAN HORN RD
TRENTON 48183
(734) 675-8197
1085180
GAY, RICHARD OD
3110 VAN HORN RD
TRENTON 48183
(734) 675-8197
1073826
GAY, RICHARD OD
19173 MACK AVE
(313) 882-7883
1057292
GOTTESMAN, LORNE OD
DETROIT 48227
(313) 836-1666
1057297
GOTTESMAN, MAX OD
DETROIT 48227
(313) 836-1666
1046854
GRABOWSKI, GALE OD
5932 MIDDLEBELT
GARDEN CITY 48135
(734) 458-5181
1073835
GRABOWSKI, GALE OD
22320 GODDARD
TAYLOR 48180
(313) 299-8870
1073834
GRABOWSKI, GALE OD
16128 MIDDLEBELT
LIVONIA 48154
(734) 421-2844
1122550
GRABOWSKI, GALE OD
9371 TELEGRAPH RD
REDFORD 48239
(313) 240-7551
1073836
GRABOWSKI, GALE OD
38110 MICHIGAN AVE
WAYNE 48184
(734) 728-5940
1111683
GRENIER, PAUL J OD
CANTON 48187
(734) 844-5400
1125141
GULATI, NEHA OD
1755 DIX HWY
LINCOLN PARK 48146
(313) 382-9650
1093471
6725 PARK AVE
ALLEN PARK 48101
(313) 382-0100
1093453
9371 TELEGRAPH RD
REDFORD 48239
(313) 240-7551
1093455
22320 GODDARD
TAYLOR 48180
(313) 299-8870
1093460
3110 VAN HORN RD
TRENTON 48183
(734) 675-8197
1093469
5908 MIDDLEBELT
GARDEN CITY 48135
(734) 458-5181
1093451
16128 MIDDLEBELT
LIVONIA 48154
(734) 421-2844
1097634
HASSAN, SURA OD
DEARBORN 48126
(313) 945-7724

Page 600
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1097635
HASSAN, SURA OD
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1105183
IRWIN, DANIEL OD
22320 GODDARD
TAYLOR 48180
(313) 299-8870
1105176
IRWIN, DANIEL OD
6725 PARK AVE
ALLEN PARK 48101
(313) 382-0100
1105172
IRWIN, DANIEL OD
3110 VAN HORN RD
TRENTON 48183
(734) 675-8197
1104275
KAUR, SARABJIT OD
38110 MICHIGAN AVE
WAYNE 48184
(734) 728-5940
1104276
KAUR, SARABJIT OD
5908 MIDDLEBELT
GARDEN CITY 48135
(734) 458-5181
1104274
KAUR, SARABJIT OD
3110 VAN HORN RD
TRENTON 48183
(734) 675-8197
1104271
KAUR, SARABJIT OD
22320 GODDARD
TAYLOR 48180
(313) 299-8870
1104270
KAUR, SARABJIT OD
9371 TELEGRAPH RD
REDFORD 48239
(313) 240-7551
1104278
KAUR, SARABJIT OD
6725 PARK AVE
ALLEN PARK 48101
(313) 382-0100
1098431
KAYNER, JILL OD
19173 MACK AVE
(313) 882-7883
1105184
KIEFIUK, WILLIAM OD
5908 MIDDLEBELT
GARDEN CITY 48135
(734) 458-5181
1073852
KIEFIUK, WILLIAM OD
38110 MICHIGAN AVE
WAYNE 48184
(734) 728-5940
1046848
KIEFIUK, WILLIAM OD
22320 GODDARD RD
TAYLOR 48180
(313) 299-8870
1073851
KIEFIUK, WILLIAM OD
3100 VAN HORN RD
TRENTON 48183
(734) 675-8197
1073850
KIEFIUK, WILLIAM OD
16128 MIDDLEBELT
LIVONIA 48154
(734) 421-2844
1123058
16128 MIDDLEBELT
LIVONIA 48154
(734) 421-2844
1123063
38110 MICHIGAN AVE
WAYNE 48184
(734) 728-5940
1123065
6725 PARK AVE
ALLEN PARK 48101
(313) 382-0100
1123064
5908 MIDDLEBELT RD
GARDEN CITY 48135
(734) 458-5181
1123062
3110 VAN HORN RD
TRENTON 48183
(734) 675-8197
1123059
22320 GODDARD
TAYLOR 48180
(313) 299-8870
1111650
LEUNG, HELIOS T OD
CANTON 48187
(734) 844-5400
1058613
LIVONIA 48152
(734) 432-7811
1125409
MONTANA, JOSEPH OD
1755 DIX HWY
LINCOLN PARK 48146
(313) 382-9650
1123074
NAGY, ROBERT OD
23055 OUTER DR
ALLEN PARK 48101
(313) 359-9075
1123075
NAGY, ROBERT OD
29474 W 7 MILE RD
LIVONIA 48152
(248) 615-2815
1123076
NAGY, ROBERT OD
44429 ANN ARBOR RD W
PLYMOUTH 48170
(734) 416-0348
1126030
6725 PARK AVE
ALLEN PARK 48101
(313) 382-0100
1126032
9371 TELEGRAPH
REDFORD 48239
(313) 240-7551
1126027
38110 MICHIGAN
WAYNE 48184
(734) 728-5940
1126025
22320 GODDARD
TAYLOR 48180
(313) 299-8870
1126024
16128 MIDDLEBELT
LIVONIA 48154
(734) 421-2844
1108430
PEIFFER, PAUL M OD
2023 W 8 MILE RD
HIGHLAND PARK 48203
(313) 365-3300
1122549
POPHAM, PHILLIP OD
9371 TELEGRAPH RD
REDFORD 48239
(313) 240-7551
1095245
PULK, BERNARD OD
15204 EUREKA RD
SOUTHGATE 48195
(734) 282-9588
1095244
PULK, BERNARD OD
44433 ANN ARBOR RD WEST
PLYMOUTH 48170
(734) 416-0348
1106406
RAUTIO, JEFFREY E OD
31535 FORD RD
GARDEN CITY 48135
(313) 278-4500
1085149
RIVERA, AXEL OD
19173 MACK AVE
(313) 882-7883
1085164
RIVERA, AXEL OD
5908 MIDDLEBELT
GARDEN CITY 48135
(734) 458-5181
1085159
RIVERA, AXEL OD
38110 MICHIGAN
WAYNE 48184
(734) 728-5940
1073872
RIVERA, AXEL OD
6725 PARK AVE
ALLEN PARK 48101
(313) 382-0100
1073871
RIVERA, AXEL OD
3100 VAN HORN RD
TRENTON 48183
(734) 675-8197
1073870
RIVERA, AXEL OD
22320 GODDARD RD
TAYLOR 48180
(313) 299-8870
1073869
RIVERA, AXEL OD
16128 MIDDLEBELT
LIVONIA 48154
(734) 421-2844
1075772
SCHAFER, EMILY OD
23055 OUTER DR
ALLEN PARK 48101
(734) 416-0348

Page 601
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1095247
SCHAFER, EMILY OD
44433 ANN ARBOR RD WEST
PLYMOUTH 48170
(734) 416-0348
1095246
SCHAFER, EMILY OD
29474 W 7 MILE RD
LIVONIA 48152
(248) 615-2815
1068220
SCHRAUBEN, JEFFREY OD
DETROIT 48227
(313) 836-1666
1125307
SMITH, SHELDON L OD
HIGHLAND PARK 48203
(313) 365-3300
1125306
SMITH, SHELDON L OD
19173 MACK AVE
(313) 882-7883
1125234
STOLLER, KENNETH OD
1755 DIX HWY
LINCOLN PARK 48146
(313) 382-9650
1103549
SWANSON, ROBYN OD
23110 ALLEN RD
TRENTON 48183
(734) 676-4300
1103548
SWANSON, ROBYN OD
15204 EUREKA RD
SOUTHGATE 48195
(734) 282-9588
1103547
SWANSON, ROBYN OD
23055 OUTER DR
ALLEN PARK 48101
(734) 416-0348
1101929
VETOWICH, LEANNE K OD
15336 GRAND RIVER
DETROIT 48227
(313) 836-1666
1048349
WALTERS, MARIE OD
9371 TELEGRAPH RD
REDFORD 48239
(313) 240-7551
1073880
WALTERS, MARIE OD
19173 MACK AVE
(313) 882-7883
1073884
WALTERS, MARIE OD
5908 MIDDLEBELT
GARDEN CITY 48135
(734) 458-5181
1073885
WALTERS, MARIE OD
6725 PARK AVE
ALLEN PARK 48101
(313) 382-0100
1108428
WALTERS, MARIE OD
2023 W 8 MILE RD
HIGHLAND PARK 48203
(313) 365-3300
1096993
WARMUSKERKEN, MICHAEL OD
35119 E MICHIGAN AVE
WAYNE 48184
(734) 721-5442
1057295
WEISHAUS, MICHAEL OD
DETROIT 48227
(313) 836-1666
1057293
WEISHAUS, RANDALL OD
DETROIT 48227
(313) 836-1666
1093477
WHITE, WHITNEY H OD
3100 VAN HORN RD
TRENTON 48183
(734) 675-8197
1093476
WHITE, WHITNEY H OD
22320 GODDARD
TAYLOR 48180
(313) 299-8870
1093478
WHITE, WHITNEY H OD
6725 PARK AVE
ALLEN PARK 48101
(313) 382-0100
1109349
22731 NEWMANN ST STE 245
DEARBORN 48124
(313) 561-1777
1109350
3901 BEAUBIAN
DETROIT 48201
(313) 745-3937
1073887
WINTMAN, HOWARD OD
3100 VAN HORN RD
TRENTON 48183
(734) 675-8197
1085234
WONG, KENNETH OD
5908 MIDDLEBELT
GARDEN CITY 48135
(734) 458-5181
1085219
WONG, KENNETH OD
16128 MIDDLEBELT
LIVONIA 48154
(734) 421-2844
1073888
WOZNIAK, AMY OD
19173 MACK AVE
(313) 882-7883
1108432
WOZNIAK, AMY OD
2023 W 8 MILE RD
HIGHLAND PARK 48203
(313) 365-3300
1060348
DETROIT 48235
(313) 966-2150
1056110
4717 ST ANTOINE
DETROIT 48201
(313) 577-8900
1073716
YEE, GARY OD
38110 MICHIGAN AVE
WAYNE 48184
(734) 728-5940
1108543
YUNG, JEFFREY Y DPM
10798 BELLEVILLE RD
BELLEVILLE 48111
(734) 699-2400
4201 ST ANTOINE ST
DETROIT 48201
(313) 745-4696
4201 ST ANTOINE ST DEPT OF ORAL
DETROIT 48201
(313) 745-4696

1103802
KASPER, ANTHONY DDS
1103412
JOHN, ROBERT C DDS
ORTHOPEDIC SURGERY
1120538
ACKER, STEVEN DO
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1083833
AFSARI, ALAN MD
(313) 343-7110
1126289
ARORA, AVERY A MD
37560 PROFESSIONAL CENTER DR STE 105A
LIVONIA 48154
(734) 943-3838
1122085
BAZZI, AHMED A DO
25325 FORD RD
DEARBORN 48128
(313) 277-4146
1122084
BAZZI, AHMED A DO
45200 CHERRY HILL RD
CANTON 48187
(734) 397-6271
1122083
BAZZI, AHMED A DO
3901 BEAUBIEN
DETROIT 48201
(313) 745-5227
1103788
DARWICHE, HUSSEIN F MD
4201 ST ANTOINE ST STE 6B2
DETROIT 48201
(313) 745-1315

Page 602
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1108161
DEARBORN 48128
(313) 277-4146
1108163
6071 W OUTER DR 1 MAIN
DETROIT 48235
(313) 966-1008
1103379
DONNELLY, LESLIE A MD
DEARBORN 48124
(313) 429-7977
1103425
DOUGHERTY, PAUL J MD
DETROIT 48201
(313) 745-4230
1108178
DOUGHERTY, PAUL JOSEPH MD
DETROIT 48235
(313) 966-1008
1113096
CANTON 48187
(734) 844-5400
1103442
HERZOG, DARREN T MD
DEARBORN 48124
(313) 429-7977
1068668
JONES, ERIC MD
3990 JOHN R
DETROIT 48201
(313) 745-5227
1108121
JONES, ERIC THEODORE MD
CANTON 48187
(734) 397-6271
1103289
KALRA, KUNAL P MD
3901 BEAUBIEN 1ST FL CARLS BLDG
DETROIT 48201
(313) 745-5227
1108140
KALRA, KUNAL PRAVEEN MD
CANTON 48187
(734) 397-6271
1108119
KALRA, KUNAL PRAVEEN MD
DETROIT 48201
(313) 745-4230
1120645
KHOURY, ELIE G MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1056768
KRUGEL, RICHARD MD
DEARBORN 48124
(313) 429-7977
1108191
LEMOS, STEPHEN EDWARD MD
DEARBORN 48128
(313) 277-4146
1113753
LI, GERTRUDE Y MD
CANTON 48187
(734) 844-5400
1103272
LITTLE, BRYAN E MD
4201 ST ANTOINE ST STE 6B2
DETROIT 48201
(313) 745-1315
1125912
LOCHNER, HEATHER V MD
3901 BEAUBIEN 1ST FLOOR MAIN
DETROIT 48201
(313) 745-5227
1103305
MEEHAN, ROBERT E MD
DETROIT 48201
(313) 745-4230
1125182
NASR, KERELLOS A MD
261 MACK AVE
DETROIT 48201
(313) 745-4230
1107013
NASSER, SAM MD
DEARBORN 48124
(313) 429-7977
1068090
NEEDLEMAN, RICHARD L MD
DEARBORN 48124
(313) 429-7977
1125271
NZOMA, JONATHAN DO
261 MACK AVE
DETROIT 48201
(248) 539-8630
1103436
OLIPHANT, BRYANT W MD
DETROIT 48201
(313) 745-4230
1066159
OMARI, ABDULLAH MUAYYAD MD
DEARBORN 48124
(313) 429-7977
1103343
PLAGENS, DOUGLAS G MD
23550 PARK ST STE 100
DEARBORN 48124
(313) 730-0500
1103534
RENTFROW, BENJAMIN E DO
4201 ST ANTOINE ST UHC 6B-2
DETROIT 48201
(313) 745-4230
1105343
25325 FORD RD
DEARBORN 48128
(313) 277-4146
1108218
DETROIT 48235
(313) 966-1008
1104224
REYNOLDS, RICHARD MD
(313) 343-3360
1103257
SETHI, ANIL MD
4201 ST ANTOINE ST UHC STE 6A
DETROIT 48201
(313) 745-4230
1108133
SETHI, ANIL MD
DETROIT 48235
(313) 966-1008
1054893
TEITGE, ROBERT A MD
DEARBORN 48124
(313) 429-7977
1108188
TONNOS, FREDERICK ELIAS DO
DETROIT 48235
(313) 966-1008
1084258
VAIDYA, RAHUL MD
4201 ST ANTOINE ST UHC 6A
DETROIT 48201
(313) 745-4230
1108214
VAIDYA, RAHUL MD
DETROIT 48235
(313) 966-1008
1121028
DETROIT 48201
(313) 745-4230

1066355
MAAZ, BASSAM MD
4407 ROEMER STREET
DEARBORN 48126
(313) 584-0768
1066354
MAAZ, BASSAM MD
4777 GREENFIELD RD
DEARBORN 48126
(313) 945-9119
PAIN CENTER
1118685
1600 S CANTON CENTER RD
CANTON 48188
(734) 398-8705
1083418
10000 TELEGRAPH RD
TAYLOR 48180
(313) 295-6750

Page 603
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
PAIN MANAGEMENT
1124756
AHSAN, MUHAMMAD MD
13636 DIX TOLEDO RD
SOUTHGATE 48195
(734) 283-2262
1094918
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1097671
CONROY, SEAN M MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1097785
DIMON, CAIN E MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1097767
HASS, DANIEL L MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1075970
HILLIARD, PAUL E MD
CANTON 48187
(734) 763-5459
1097866
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1097749
MACON, MYRTICE E MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1127819
MASON, GARY N DO
22101 MOROSS RD
(313) 343-4000
1098704
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1077597
NAKHLEH, TAWFIQ DO
DEARBORN 48124
(313) 730-9260
1062937
OSTA, WALID MD
CANTON 48187
(734) 446-5958
1076451
OSTA, WALID MD
3845 MONROE
DEARBORN 48124
(313) 586-4030
1097930
PAPPAS, JOHN L MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1126680
POLLINA, RYAN C MD
22101 MOROSS RD
(313) 343-4000
1127806
RANA, DANIEL MD
22101 MOROSS RD
(313) 343-4000
1107522
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1097846
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1097904
SKOLNIK, BRUCE J MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000

1036048
BADR, ITEMAD MD
23601 FORD RD
DEARBORN 48128
(313) 724-1124
1106814
DANISH, TALAT MD
1400 WOODBRIDGE
DETROIT 48207
(313) 324-9595
1100369
KOHLI, HARJIT K MD
26650 EUREKA RD
TAYLOR 48180
(734) 941-4991
1100420
POOWUTTIKUL, PAVADEE MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1042129
AGGARWAL, SANJEEV MD
3901 BEAUBIEN ST
DETROIT 48201
(313) 745-5481
1070067
ANNE, PREMCHAND MD
(313) 343-3481
1100689
BALAKRISHNAN, PREETHA L MD
3901 BEAUBIEN 2ND FL MAIN BLDG
DETROIT 48201
(313) 745-5481
1110607
BOCKS, MARTIN L MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1110600
BOCKS, MARTIN L MD
CANTON 48187
(734) 844-5400
1110605
BOCKS, MARTIN L MD
LIVONIA 48152
(734) 432-7811
1111344
COTTS, TIMOTHY B MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1111336
COTTS, TIMOTHY B MD
CANTON 48187
(734) 844-5400
1111342
COTTS, TIMOTHY B MD
LIVONIA 48152
(734) 432-7811
1064045
FORBES, THOMAS J MD
DETROIT 48201
(313) 745-5481
1091374
GALAS, JAMES MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5481
1033774
GUPTA, POOJA MD
DETROIT 48201
(313) 745-5481
1003738
HUMES, RICHARD A MD
DETROIT 48201
(313) 745-5481
1003046
KARPAWICH, PETER P MD
DETROIT 48201
(313) 745-5481
1023476
KHOURI, HANNA M MD
DEARBORN 48124
(248) 335-8500
1109360
KOBAYASHI, DAISUKE MD
3901 BEAUBIEN 2ND FL MAIN BLDG
DETROIT 48201
(313) 745-5481
1116888
NORRIS, MARK D MD
LIVONIA 48152
(734) 432-7811
1116890
NORRIS, MARK D MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1116900
NORRIS, MARK D MD
CANTON 48187
(734) 844-5400
1057707
PRABHU, ANURADHA MD
(313) 343-6840

Page 604
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1003960
ROSS, ROBERT D MD
DETROIT 48201
(313) 745-5481
1094682
SANIL, YAMUNA MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5481
1033092
DEARBORN 48124
(313) 271-3566

1094683
AHMED, TAGELDIN MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1106060
CASHEN, KATHERINE O DO
DETROIT 48201
(313) 745-5629
1104660
CHAUHAN, MONIKA MD
DETROIT 48201
(313) 745-5629
1082509
HEIDEMANN, SABRINA M MD
DETROIT 48201
(313) 745-5629
1099890
HINES, PATRICK MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1125258
MATA, ANGELA F MD
(313) 343-3481
1038272
WITKOWSKI, ALINA A MD
(313) 343-3481
PEDIATRIC - DERMATOLOGY
1075791
3901 BEAUBIEN 2ND FLOOR
DETROIT 48201
(313) 993-8762
1085347
3950 BEAUBIEN 3RD FL
DETROIT 48201
(313) 832-9144
1054621
DEARBORN 48124
(313) 240-4900
1116869
CHEN, MING MD
CANTON 48187
(734) 844-5400
1019952
DEGNAN, BERNARD M MD
(313) 343-3481
1038679
(313) 343-3481
1112020
GREGG, BRIGID E MD
CANTON 48187
(734) 844-5400
1111692
HOPWOOD, NANCY J MD
CANTON 48187
(734) 844-5400
1112857
CANTON 48187
(734) 844-5400
1110462
LEE, JOYCE M MD
CANTON 48187
(734) 844-5400
1112859
MENON, RAM K MD
CANTON 48187
(734) 844-5400
1082512
MOLTZ, KATHLEEN C MD
3950 BEAUBIEN ST 4TH FLR
DETROIT 48201
(313) 832-9220
1114643
OLSON, DAVID P MD
CANTON 48187
(734) 844-5400
1113716
CANTON 48187
(734) 844-5400
1103288
TAHA, DORIS R MD
3901 BEAUBIEN 4TH FL
DETROIT 48201
(313) 832-9220
1114168
THOMAS, INAS H MD
CANTON 48187
(734) 844-5400
1058954
TRANSUE, DAVID MD
(313) 343-3481
1111941
VAZQUEZ, DELIA M MD
CANTON 48187
(734) 844-5400
1113836
WOOD, MICHAEL A MD
CANTON 48187
(734) 844-5400
1022795
3901 BEAUBIEN ST 2ND FL CARLS BLDG
DETROIT 48201
(313) 745-5585
1032248
LYONS, HERNANDO MD
(313) 343-3481
1082513
MACHA, SUHASINI MD
3901 BEAUBIEN ST 2ND FLR CARLS BLDG
DETROIT 48201
(313) 745-5585
1004334
MADANI, SHAILENDER V MD
DETROIT 48201
(313) 745-5585
1103316
3901 BEAUBIEN 2ND FL CARLS BLDG
DETROIT 48201
(313) 745-5585
1046299
CHITLUR, MEERA B MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1073235
HENRY, MERET R MD
3901 BEAUBIEN ST 2ND FL CARL'S BUILDING
DETROIT 48201
(313) 745-5515
1023343
LORENZANA, ADONIS MD
(313) 647-3200
1109468
MARTIN, ALISSA M MD
3901 BEAUBIEN 2ND FL CARLS BLDG
DETROIT 48201
(313) 745-5515

Page 605
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
PEDIATRIC - HEMATOLOGY/ONCOLOGY (CONTINUED)

1046300
RAJPURKAR, MADHVI MD
3901 BEAUBIEN ST
DETROIT 48201
(313) 745-5393
1068528
SARNAIK, SHARADA A MD
DETROIT 48201
(313) 745-5515
1046302
SAVASAN, SUREYYA MD
3901 BEAUBIEN ST
DETROIT 48201
(313) 745-5393
1023342
SAWAF, HADI MD
(313) 647-3200

1082516
ABDEL-HAQ, NAHED M MD
DETROIT 48201
(313) 745-5862
1040542
ABDULNOUR-FARJO, RAND MD
(313) 343-3481
1082515
ANG, JOCELYN Y MD
DETROIT 48201
(313) 745-5862
1082514
ASMAR, BASIM I MD
DETROIT 48201
(313) 745-5862
1008063
RONGKAVILIT, CHOKECHAI MD
3901 BEAUBIEN ST 4TH FL-CARL'S BLDG
DETROIT 48201
(313) 745-5629
1038802
THIRUMOORTHI, MUTHAYIPALAYAM MD
(313) 343-3481
1100339
BARACCO-MAGGI, ROSSANA MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1040585
FLEISCHMANN, LARRY E MD
DETROIT 48201
(313) 745-5604
1077949
GREGORY, MELISSA J MD
DETROIT 48201
(313) 745-5604
1061805
JAIN, AMRISH MD
3901 BEAUBIEN ST 2ND FLR
DETROIT 48201
(313) 745-5604
1040674
KAPUR, GAURAV MD
3901 BEAUBIEN ST 2ND FLR CARLS BLDG
DETROIT 48201
(313) 745-5604
1030208
MATTOO, TEJ K MD
DETROIT 48201
(313) 745-5604
1003177
DETROIT 48201
(313) 745-5604
(313) 343-3481

1069121
RUPRECHT, BEATA J DO
1015520
(313) 343-3481
1062632
TAPOS, DANIELA MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1109402
WILLIAMS, MITCHEL T MD
3901 BEAUBIEN 3RD FL MAIN BLDG
DETROIT 48201
(313) 745-5906
1126539
CHUGANI, HARRY T MD
25614 FORD RD
(313) 745-5906
1004430
CHUGANI, HARRY T MD
3901 BEAUBIEN ST 3RD FL MAIN BLDG
DETROIT 48201
(313) 745-5906
1001342
HAM, STEVEN D DO
DETROIT 48201
(313) 833-4490
1006393
SOOD, SANDEEP MD
DETROIT 48201
(313) 833-4490

1100351
BAWKS, MICHAEL NP
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1100299
BEIERWALTES, PATRICIA NP
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1100361
BESWICK, JENNIFER NP
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1118479
CHICKO, LINDA C NP
3901 BEAUBIEN
DETROIT 48201
(313) 831-0459
1109494
COONEY, JESSICA H NP
3901 BEAUBIEN ER
DETROIT 48201
(313) 745-5260
1100283
DURKIN, CHRISTINA NP
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1118510
GRAHAM, PAMELA S NP
3901 BEAUBIEN
DETROIT 48201
(313) 831-0459
1100287
HANCOCK, ULYSSA NP
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1100346
HOWARD, JOANNE NP
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1100276
JENKINS, NAELA NP
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1100384
KRAMER, DARCY NP
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1118438
LAMBITZ, CARMEN L NP
3901 BEAUBIEN
DETROIT 48201
(313) 831-0459

Page 606
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
PEDIATRIC - NURSE PRACTITIONER (CONTINUED)

1122087
LIVINGSTON, JENNIFER L NP
3901 BEAUBIEN
DETROIT 48201
(313) 831-0459
1100331
MAZUR, CORTNEY NP
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1082533
MCDONALD, MELORI CNP
DETROIT 48201
(313) 745-5585
1100271
MOINEAU, RUTH NP
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1091133
PATTY-RESK, CATHY NP
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1117198
ROOD, KIMBERLY D NP
3901 BEAUBIEN
DETROIT 48201
(313) 831-0459
1003714
BAKER, JOHN D MD
2355 MONROE
DEARBORN 48124
(313) 561-1777
1018784
BAKER, JOHN D MD
DEARBORN 48124
(313) 561-0385
1076767
BAKER, JOHN D MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-3937
1018785
BOHRA, LISA I MD
DEARBORN 48124
(313) 561-0385
1076766
BOHRA, LISA I MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-3937
1076760
RAO, RAJESH C MD
3901 BEAUBIEN BLVD
DETROIT 48201
(313) 745-3937
1003577
RAO, RAJESH C MD
DEARBORN 48124
(313) 561-0385
1034965
ROARTY, JOHN D MD
DEARBORN 48124
(313) 561-0385
1076762
ROTBERG, LEEMOR MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-3937

1103377
YASSIR, WALID K MD
3901 BEAUBIEN 1ST FL MAIN BLDG
DETROIT 48201
(313) 745-5227
1108160
YASSIR, WALID KHALED MD
CANTON 48187
(734) 397-6271
1054792
BELENKY, WALTER MD
9398 LILLEY RD
PLYMOUTH 48170
(734) 254-0453
1054790
BELENKY, WALTER MD
3901 BEAUBIEN 3RD FL ENT DEPT
DETROIT 48201
(313) 745-9048
1046694
3901 BEAUBIEN 3RD FLOOR ENT DEPT
DETROIT 48201
(313) 745-9048
1030548
9398 LILLEY RD
PLYMOUTH 48170
(734) 454-2710
1054787
3901 BEAUBIEN 3RD FL ENT DEPT
DETROIT 48201
(313) 745-9048
1054789
9398 LILLEY RD
PLYMOUTH 48170
(734) 254-0453
1031517
MADGY, DAVID DO
3901 BEAUBIEN 3RD FL-ENT DEPT
DETROIT 48201
(313) 745-9048
1071386
SARAIYA, SONAL MD
3901 BEAUBIEN ST 3RD FL CARLS BLDG
DETROIT 48201
(313) 745-9048
1068289
SARAIYA, SONAL MD
3901 BEAUBIEN 3RD FLOOR ENT DEPT
DETROIT 48201
(313) 745-9048
1068288
SARAIYA, SONAL MD
9398 LILLEY RD
PLYMOUTH 48170
(734) 254-0453
1100280
DIXON, PAMELA PHD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1123489
LELESZI, JIMMIE DO
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1000
1054853
ROSENBERG, DAVID R MD
DETROIT 48201
(313) 745-4878
1066248
ABDULHAMID, IBRAHIM MD
DETROIT 48201
(313) 745-5629
1094554
GUGLANI, LOKESH MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1057907
SRIVASTAVA, RUMA MD
3901 BEAUBIEN ST 3RD FLOOR
DETROIT 48201
(313) 745-5393

1086804
CHINARIAN, JAMES L MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1082942
DONOVAN, EILEEN M MD
18501 ROTUNDA DR STE 200
DEARBORN 48124
(313) 996-1960
1102348
YOUNGS, SUSAN MD
18501 ROTUNDA DR STE 200
DEARBORN 48124
(313) 996-1960

Page 607
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1082540
ADAMS, MATTHEW D MD
DETROIT 48201
(313) 832-8550
PEDIATRIC - SURGERY
1116934
ARNOLD, MEGHAN MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1116947
BRUCH, STEVEN W MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1057332
CULLEN, MARC L MD
(313) 343-3978
1066405
DONOGHUE, LYDIA MD
3901 BEAUBIEN ST 3RD FLOOR
DETROIT 48201
(313) 831-3220
1116963
EHRLICH, PETER F MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1116944
GADEPALLI, SAMIR MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1116940
GEIGER, JAMES MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1116949
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1116952
JARBOE, MARCUS MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1122808
KLEIN, JUSTIN MD
3901 BEAUBIEN BLVD
DETROIT 48201
(313) 831-0459
1058584
KLEIN, MICHAEL MD
9398 LILLEY RD
PLYMOUTH 48170
(313) 831-3220
1058582
KLEIN, MICHAEL MD
18101 OAKWOOD BLVD
DEARBORN 48123
(313) 831-3220
1020698
KLEIN, MICHAEL MD
3901 BEAUBIEN BLVD 3RD FL
DETROIT 48201
(313) 831-3220
1116955
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1058576
9398 LILLEY RD
PLYMOUTH 48170
(313) 831-3220
1001220
DETROIT 48201
(313) 831-3220
1058574
18101 OAKWOOD BLVD
DEARBORN 48123
(313) 831-3220
1058570
LELLI, JOSEPH MD
18101 OAKWOOD BLVD
DEARBORN 48123
(313) 831-3220
1058572
LELLI, JOSEPH MD
9398 LILLEY RD
PLYMOUTH 48170
(313) 831-3220
1015865
LELLI, JOSEPH MD
DETROIT 48201
(313) 831-3220
1116959
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1026899
SHANTI, CHRISTINA M MD
DETROIT 48201
(313) 831-3220
1008303
STOCKMANN, PAUL MD
DETROIT 48201
(313) 831-3220
1058578
STOCKMANN, PAUL MD
18101 OAKWOOD BLVD
DEARBORN 48123
(313) 831-3220
1058580
STOCKMANN, PAUL MD
9398 LILLEY RD
PLYMOUTH 48170
(313) 831-3220
1116937
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
PEDIATRIC - UROLOGY
1089108
REITELMAN, CLAUDE MD
(313) 343-3481
1096444
SUSON, KRISTINA D MD
DETROIT 48201
(313) 745-5588
1108166
SUSON, KRISTINA DAWN MD
CANTON 48187
(313) 745-5588
PEDIATRICS
1049242
ALY, ASHRAF M MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1034154
AMER, AHDI MD
3901 BEAUBIEN BLVD
DETROIT 48201
(313) 343-1000
1108126
ANTONE, STEVEN Z MD
CANTON 48187
(734) 397-6271
1049487
ASMAR, BASIM MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1111750
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1111748
CANTON 48187
(734) 844-5400
1120749
BANISTER, SUHAIL MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1122020
BAUERFELD, CHRISTIAN P MD
DETROIT 48201
(313) 745-5629
1112052
BUCHI, ANDREA B MD
CANTON 48187
(734) 844-5400
1112054
BUCHI, ANDREA B MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1103785
DETROIT 48201
(313) 832-8290

Page 608
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1108189
CARTER-BLANKS, LATISHA NICOLE MD
CANTON 48187
(734) 397-6271
1120631
CATRAMBONE, RENEE MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1108139
CHAKRAVARTHY, NALINI MD
CANTON 48187
(734) 397-6271
1086804
CHINARIAN, JAMES L MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1126537
CHUGANI, HARRY T MD
CANTON 48187
(734) 397-6270
1045922
CIVIL, YOLAINE A MD
CANTON 48187
(734) 844-5400
1110074
CIVIL, YOLAINE A MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1007665
CLARK, JEFF A MD
3901 BEAUBIEN ST 4TH FL-CARL'S BLDG
DETROIT 48201
(313) 745-5629
1120785
EMARA, SALIMA MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1099893
FLORE, LEIGH MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1123113
CANTON 48187
(734) 844-5400
1108131
GABBARA, SAM SARMAD MD
CANTON 48187
(734) 397-6271
1091374
GALAS, JAMES MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5481
1108146
CANTON 48187
(734) 397-6271
1103308
3901 BEAUBIEN ER DEPT MAIN BLDG
DETROIT 48201
(313) 745-5260
1098512
JACKSON, PHILIP J MD
2500 HAMLIN RD
INKSTER 48141
(313) 561-5100
1103795
DETROIT 48201
(313) 745-9048
1108156
KADER, MASIH ABDUL MD
3901 BEAUBIEN ST
DETROIT 48201
(313) 966-7502
1070240
KESSLER, SUSAN L MD
19925 VERNIER
HARPER WOODS 48225
(313) 886-3232
1108181
KOHLI, HARJIT K MD
CANTON 48187
(734) 397-6271
1070218
KOVACEVIC, LARISA MD
3901 BEAUBIEN ST
DETROIT 48201
(313) 745-5588
1108130
KOVACEVIC, LARISA G MD
CANTON 48187
(734) 397-6271
1108176
LAGROU, SUSAN A MD
CANTON 48187
(734) 397-6271
1112600
LAULE, SARA M MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1112598
LAULE, SARA M MD
CANTON 48187
(734) 844-5400
1034153
LEWANDOWSKI, JEANNE G MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1122799
LONG, LINDSEY A MD
CANTON 48187
(734) 844-5400
1123010
LOPEZ, CHRISSY A MD
CANTON 48187
(734) 844-5400
1108159
MCDONALD, MARIE ANN MD
CANTON 48187
(734) 397-6271
1044431
MINANOV, ALEXIA E MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1108177
MULLER, PETER T MD
CANTON 48187
(734) 397-6271
1108144
NAIR, GEETHA MURALI MD
CANTON 48187
(734) 397-6271
1082472
OZGONENEL, BULENT MD
DETROIT 48201
(313) 745-5515
1108137
ROXAS, RENATO MD
CANTON 48187
(734) 397-6271
1111741
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1111736
CANTON 48187
(734) 844-5400
1068749
STANTON, BONITA F MD
3901 BEAUBIEN ST
DETROIT 48201
(313) 745-5629
1070159
SURHIGH, JULIE M MD
(313) 343-3481
1038451
THIRUMOORTHI, MUTHAYIPALAYAM MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1120603
THORP, LEE A MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1108207
TICE, SHARON L MD
CANTON 48187
(734) 397-6271
1126068
TROYER, SARA A MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1120688
TUCKER, MARK H MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1110144
VANDERKOOY, ERICA P MD
CANTON 48187
(734) 844-5400
1122927
WALLACE, DAVID M MD
CANTON 48187
(734) 844-5400
1068618
ZOUBI, NAJEEB F MD
CANTON 48188
(734) 397-6270

Page 609
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1108120
3901 BEAUBIEN ST DEPT OF PEDIATRIC
DETROIT 48201
(313) 745-5585
PHLEBOLOGY
1083862
MESLEMANI, ALI MD
DEARBORN 48120
(248) 855-5355
1083864
WAZNI, GAMAL MD
DEARBORN 48120
(248) 855-5355

1079518
AHMED, SYED RAFEEQ DO
261 MACK AVE
DETROIT 48201
(313) 745-4600
1069365
AJLUNI, MICHAEL M MD
261 MACK AVE
DETROIT 48201
(313) 745-4600
1054440
ALFONSO, LOURDES A MD
261 MACK AVE
DETROIT 48201
(313) 745-4600
1106181
ALHIMIRI, ALI MD
16000 SOUTHFIELD RD
ALLEN PARK 48101
(313) 928-4444
1106064
BARKER, DAVID MD
16000 SOUTHFIELD RD
ALLEN PARK 48101
(313) 928-4444
1075506
BITAR, ALI A MD
261 MACK AVE
DETROIT 48201
(313) 745-4600
1054477
BLACK, KERTIA L MD
261 MACK AVE
DETROIT 48201
(313) 745-4600
1117948
17150 WATERLOO ST
GROSSE POINTE 48230
(248) 898-0179
1064877
DE SANTIS, ANNETTE G MD
DEARBORN 48124
(313) 438-7373
1097622
DEARBORN 48124
(313) 438-7373
1097621
14585 NORTHLINE RD
SOUTHGATE 48195
(734) 284-0865
1120737
EDMOND, ELIZABETH MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1113930
HARTIGAN, ANNE G MD
20321 FARMINGTON RD
LIVONIA 48152
(734) 936-7175
1055397
DEARBORN 48124
(313) 438-7373
1054631
HORN, LAWRENCE J MD
261 MACK AVE
DETROIT 48201
(313) 745-4600
1104792
HUMAYUN, MARIA DO
261 MACK AVE
DETROIT 48201
(313) 745-4600
1110850
LIVONIA 48152
(734) 936-7175
1033548
KARAZIM, JOHN MD
14501 TELEGRAPH RD
REDFORD 48239
(313) 534-0300
1089309
KARO, KATHERINE DO
4700 GREENFIELD RD
DEARBORN 48124
(313) 624-9470
1093641
KARO, KATHERINE MD
35105 WARREN RD
WESTLAND 48185
(734) 722-1500
1070368
KIM, WOOK MD
DETROIT 48201
(248) 651-8344
1106017
KRISWARI, ARI MD
16000 SOUTHFIELD RD
ALLEN PARK 48101
(313) 928-4444
1078706
LEUNG, DANIEL DO
CANTON 48187
(734) 936-7175
1123102
LIU, YONGMIN MD
DEARBORN 48124
(313) 438-7373
1103522
MADHAVAN, SANTHOSH MD
261 MACK AVE
DETROIT 48201
(313) 745-4600
1055675
MEYTHALER, JAY M MD
DEARBORN 48124
(313) 438-7373
1123398
MITHAL, MANOJ MD
16000 SOUTHFIELD RD
ALLEN PARK 48101
(313) 928-4444
1124985
MOOSAVI, SYED MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1102759
9870 TELEGRAPH RD
TAYLOR 48180
(313) 295-5020
1104528
21801 GODDARD RD
TAYLOR 48180
(313) 438-7373
1068214
14585 NORTHLINE RD
SOUTHGATE 48195
(734) 284-0865
1074525
PAPALEKAS, PANO MD
261 MACK AVE
DETROIT 48201
(313) 745-2250
1062262
PELLICANE, ANTHONY J MD
261 MACK AVE
DETROIT 48201
(313) 745-4600
1033558
RAPP, STANFORD DO
21840 EUREKA RD
TAYLOR 48180
(734) 287-6900
1111284
10909 HANNAN RD
ROMULUS 48174
(734) 941-1142
1120601
SANTA ANA, JOHN R DO
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1093678
SIERENS, HARMONY MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5214
1122856
SMITH, RILEY M MD
DEARBORN 48124
(313) 438-7373
1107863
THAMER, JAWAD MD
16000 SOUTHFIELD RD
ALLEN PARK 48101
(313) 928-4444
1107656
TORNE-PEREZ, MONTSERRAT MD
16000 SOUTHFIELD RD
ALLEN PARK 48101
(313) 928-4444

Page 610
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1122814
VILLACORTA, JENNIFER M MD
261 MACK AVE
DETROIT 48201
(313) 745-4600
1110855
LIVONIA 48152
(734) 936-7175
1110856
20321 FARMINGTON RD
LIVONIA 48152
(734) 936-7175
1075144
YOSHIDA, MICHAEL KIYOKAZU MD
14585 NORTHLINE RD
SOUTHGATE 48195
(734) 284-0865
1104527
21801 GODDARD RD
TAYLOR 48180
(313) 438-7373
1075143
DEARBORN 48124
(313) 438-7373
PLASTIC SURGERY
1109314
ALMUFARREJ, FAISAL M MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-0247
1109315
ALMUFARREJ, FAISAL M MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1106220
ALNAJJAR, SAMER MD
17000 EXECUTIVE PLAZA DR STE 101
DEARBORN 48126
(313) 565-4948
1118489
37595 7 MILE RD STE 430
LIVONIA 48152
(586) 992-8300
1112742
BROWN, DAVID L MD
LIVONIA 48152
(734) 432-7811
1113149
BUCHMAN, STEVEN R MD
LIVONIA 48152
(734) 432-7811
1103593
CEDERNA, PAUL S MD
LIVONIA 48152
(734) 432-7811
1074198
37595 7 MILE RD STE 480
LIVONIA 48152
(586) 992-8300
1060602
GURSEL, ETI MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-0247
1054615
GURSEL, ETI MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1072981
GURSEL, TOLGA MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1079947
HAASE, STEVEN C MD
LIVONIA 48152
(734) 432-7811
1073520
HOPE, JAMIE MD
37595 7 MILE RD STE 480
LIVONIA 48152
(586) 992-8300
1110437
KASTEN, STEVEN J MD
LIVONIA 48152
(734) 432-7811
1070261
KOTLUS, BRETT MD
37595 7 MILE RD STE 480
LIVONIA 48152
(586) 992-8300
1002187
KUZON, WILLIAM M MD
LIVONIA 48152
(734) 432-7811
1108225
DETROIT 48201
(313) 745-4230
1119555
37595 7 MILE RD STE 430
LIVONIA 48152
(586) 992-8300
1070260
MOK, CHARLES D DO
37595 7 MILE RD STE 480
LIVONIA 48152
(586) 992-8300
1060601
NAVA, GUILLERMINA MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-0247
1054751
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1058070
4100 JOHN R
DETROIT 48201
(313) 576-9317
1055945
ROZZELLE, ARLENE A MD
3901 BEAUBIEN
DETROIT 48201
(313) 745-0247
1118575
TRUPIANO, JOHN M MD
37595 7 MILE RD STE 430
LIVONIA 48152
(586) 992-8300
1113461
WILKINS, EDWIN G MD
LIVONIA 48152
(734) 432-7811
PODIATRY
1106135
ADERIBIGBE, MODUPE DPM
1628 FORD AVE
WYANDOTTE 48192
(734) 284-1333
1107515
BARNETT, SOPHIA DPM
LIVONIA 48152
(734) 542-9305
1070487
(313) 881-7000
1105974
CRAMBLETT, JEFFREY DPM
29055 FORD RD STE C
GARDEN CITY 48135
(734) 427-6300
1105973
CRAMBLETT, JEFFREY DPM
28477 SEVEN MILE RD
LIVONIA 48152
(248) 471-3312
1030235
(313) 881-7000
1120753
DUNCAN, JAMES DPM
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1104590
EVANS, JOHN N DPM
8025 ALLEN RD
ALLEN PARK 48101
(313) 386-0080
1064247
FALEY, JOSHUA S DPM
1455 LEVAN STE E-302
LIVONIA 48154
(734) 591-6612
1102774
FALLAT, LAWRENCE M DPM
7330 CANTON CENTER RD
CANTON 48187
(734) 454-8001
1100398
FALLAT, LAWRENCE M DPM
26650 EUREKA RD
TAYLOR 48180
(734) 941-4991
1106104
FONG, HON W DPM
15777 NORTHLINE RD STE 202
SOUTHGATE 48195
(734) 324-9514

Page 611
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1106105
FONG, HON W DPM
CANTON 48187
(734) 981-1086
1030405
GALEA, PETER P DPM
LIVONIA 48154
(734) 591-6612
1093126
GERTEISEN, JENNIFER DPM
35210 NANKIN BLVD STE 301
WESTLAND 48185
(734) 525-2555
1030575
15873 MIDDLEBELT STE 400
LIVONIA 48154
(734) 425-0060
1106187
ISMAIL, BILAL DPM
5525 SCHAEFER RD
DEARBORN 48126
(313) 846-9717
1030591
KACZANDER, BRUCE I DPM
LIVONIA 48154
(734) 591-6612
1081738
KANE, HOWARD D DPM
WESTLAND 48185
(734) 525-2555
1104794
KAPLAN, DANNY A DPM
15830 FORT ST
SOUTHGATE 48195
(734) 281-6320
1020919
KEZELIAN, HARRY A DPM
DETROIT 48201
(313) 831-6442
1103596
KHALIL, MOHAMMAD DPM
1628 FORD AVE
WYANDOTTE 48192
(734) 284-1333
1079875
KING, SUSAN DPM
27031 WARREN
(313) 274-5873
1108540
KING, SUSAN P DPM
10798 BELLEVILLE RD
BELLEVILLE 48111
(734) 699-2400
1082314
KIRSCHENBAUM, STUART E DPM
3031 W GRAND BLVD STE 423
DETROIT 48202
(313) 894-5100
1030636
DETROIT 48202
(313) 874-3232
1060141
LIVONIA 48154
(734) 425-0060
1070484
(313) 881-7000
1104783
KRESCH, PHILIP DPM
26031 W WARREN
(313) 563-0660
1104784
KRESCH, PHILIP DPM
9330 TELEGRAPH
TAYLOR 48180
(313) 292-8050
1059394
LOVING, SYLVIA DPM
15324 MICHIGAN AVE
DEARBORN 48126
(313) 581-4325
1105990
MARTINS, DARRYL DPM
LIVONIA 48152
(734) 542-9305
1030834
MEHLER, ALLEN S DPM
LIVONIA 48154
(734) 591-6612
1124983
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1100281
MORRISON, PAMELA J DPM
26650 EUREKA RD
TAYLOR 48180
(734) 941-4991
1023177
MOZEN, NEAL DPM
LIVONIA 48152
(734) 542-9305
1125214
OHLGART, RYAN S DPM
LIVONIA 48154
(734) 591-6612
1062416
REPITOR, STEVEN DPM
DETROIT 48235
(313) 863-1101
1106165
RIVES, AARON DPM
14500 KING RD
RIVERVIEW 48193
(734) 479-1410
1122857
RUBIN, LAWRENCE B DPM
DETROIT 48223
(313) 273-9400
1081739
RUBIN, LEIGH K DPM
WESTLAND 48185
(734) 525-2555
1120584
RUBIN, ROBERT DPM
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1023221
SALAMA, DANIEL DPM
3700 WEST RD STE 2
TRENTON 48183
(734) 675-2440
1023222
SALAMA, DANIEL DPM
2200 MONROE STE 2
DEARBORN 48124
(313) 274-0990
1104653
SALAMA, MAYER DPM
2200 MONROE STE 2
DEARBORN 48124
(313) 274-0990
1104655
SALAMA, MAYER DPM
3408 WEST RD
WESTLAND 48186
(734) 675-2449
1031063
DETROIT 48202
(313) 874-3232
1031067
LIVONIA 48154
(734) 425-0060
1031076
SEHGAL, RAJEEV DPM
25135 W WARREN
(313) 565-2111
1104758
SINGER, LAWRENCE DPM
28477 SEVEN MILE ROAD
LIVONIA 48152
(248) 471-3312
1104759
SINGER, LAWRENCE DPM
29055 FORD RD STE C
GARDEN CITY 48135
(734) 427-6300
1079903
SOLOMON, MARSHALL DPM
27031 WARREN
(313) 274-5873
1108541
10798 BELLEVILLE RD
BELLEVILLE 48111
(734) 699-2400
1106338
TAYLOR, TAMEKA DPM
1628 FORD AVE
WYANDOTTE 48192
(734) 284-1333
1125338
TILL, KEVIN E DPM
DETROIT 48201
(313) 831-6443
1104579
USEN, NSIMA DPM
1628 FORD AVE
WYANDOTTE 48192
(734) 284-1333
1107770
WATSON, WARREN S DPM
CANTON 48187
(734) 981-7800
1070166
WERTHEIMER, STUART DPM
(313) 343-6393

Page 612
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1096239
WEST, BRYAN C DPM
(313) 881-7000
1122237
LIVONIA 48152
(734) 542-9305
1118759
WOODY-VITALE, DEBBIE DPM
33155 ANNAPOLIS ST
WAYNE 48184
(734) 467-4000
1118758
18100 OAKWOOD BLVD
DEARBORN 48124
(313) 438-7900
1118760
18101 OAKWOOD BLVD
DEARBORN 48124
(313) 593-7000
1118761
10000 TELEGRAPH RD
TAYLOR 48180
(313) 295-5000
1100264
26650 EUREKA RD
TAYLOR 48180
(734) 941-4991
1079910
YOUNG, CHARLES DPM
27031 WARREN
(313) 274-5873
1108542
10798 BELLEVILLE RD
BELLEVILLE 48111
(734) 699-2400
1107834
YOUNG, LAWRENCE DPM
22161 W OUTER DR
DEARBORN 48124
(313) 565-8080
1079912
YUNG, JEFFREY DPM
27031 WARREN
(313) 274-5873
1104674
ZAHARI, DANIEL DPM
14535 NORTHLINE
SOUTHGATE 48195
(734) 285-4200
1034435
ZICHERMAN, HERMAN DPM
18663 LIVERNOIS AVE
DETROIT 48221
(313) 341-0953
1127902
ZICHERMAN, RALPH J DPM
18663 LIVERNOIS AVE
DETROIT 48221
(313) 341-0953
PROSTHETICS
1093636
2799 W GRAND BLVD STE E-1225
DETROIT 48202
(313) 916-2201
1037493
18800 EUREKA RD
SOUTHGATE 48195
(734) 281-3031
1024570
14725 NORTHLINE
SOUTHGATE 48195
(734) 281-8144
1126139
P & O SERVICES INC
LIVONIA 48154
(734) 744-7787
1025601
4050 FORT DR
LINCOLN PARK 48146
(313) 386-3330
1025589
15044 MICHIGAN AVE
DEARBORN 48126
(313) 584-0070
1025602
29100 PLYMOUTH RD
LIVONIA 48150
(734) 421-8400
1025590
4201 ST ANTOINE
DETROIT 48201
(313) 832-5020
1025608
261 MACK AVE
DETROIT 48201
(313) 745-9811
PSYCHIATRY
1102240
ABBASI, FARHA MD
19401 NORTHLINE RD
SOUTHGATE 48195
(734) 785-7700
1102239
ABBASI, FARHA MD
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1043660
ABBASI, TARIQ MD
705 SOUTH MAIN ST STE 280
PLYMOUTH 48170
(734) 454-3560
1040355
ADAMO, JAMES MD
131 KERCHEVAL STE 390
(313) 885-6400
1118446
AGARWAL, NALINI MD
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1118447
AGARWAL, NALINI MD
19401 NORTHLINE RD BLDG 5
SOUTHGATE 48195
(734) 785-7700
1054436
AJLUNI, VICTOR C MD
16836 NEWBURGH RD
LIVONIA 48154
(734) 464-4220
1054928
AJLUNI, VICTOR C MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1054446
4201 ST ANTOINE
DETROIT 48201
(313) 745-4644
1054932
DETROIT 48201
(313) 993-3434
1091546
ANDERSON, KAI MD
REDFORD 48240
(313) 533-5652
1104203
ARCHER, PHILLIP MD
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104204
ARCHER, PHILLIP MD
SOUTHGATE 48195
(734) 785-7700
1104729
BALLARD, SPENCER DO
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104730
BALLARD, SPENCER DO
SOUTHGATE 48195
(734) 785-7700
1054460
BALON, RICHARD MD
3901 CHRYSLER DR STE 3B
DETROIT 48201
(313) 993-3434
1104187
BANDLA, HANUMAIAH MD
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104188
SOUTHGATE 48195
(734) 785-7700
1125411
CAPRIO, RICHARD A PHD
261 MACK AVE
DETROIT 48201
(313) 745-9763
1123030
CHAN, HON C DO
14799 DIX TOLEDO RD
SOUTHGATE 48195
(734) 324-8326

Page 613
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1117534
CHRISTENSEN, CARL W MD
3901 WALTER P CHRYSLER SERVICE DR
DETROIT 48201
(313) 993-3964
1091209
FONTENELLE-GILMER, MICHELLE MD
WESTLAND 48186
(734) 727-1000
1102235
FREY, JEFFERY DO
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1102236
FREY, JEFFERY DO
19401 NORTHLINE RD
SOUTHGATE 48195
(734) 785-7700
1064282
GEISZT, GABRIELLA MD
3901 BEAUBIEN 4TH FLR CARLS BLDG
DETROIT 48201
(313) 745-4878
1003023
GUERRERO, RAUL MD
(313) 885-6400
1036040
GUYER, DAN MD
(313) 885-6400
1054619
HADDAD, LUAY L MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1055388
HADDAD, LUAY L MD
261 MACK
DETROIT 48201
(313) 745-9700
1055387
HADDAD, LUAY L MD
3990 JOHN R
DETROIT 48201
(313) 745-1549
1104697
HAQUE, SHAMAEL DO
33155 ANNAPOLIS AVE
WAYNE 48184
(313) 467-4173
1058856
HARRIS, DAVID MD
14799 DIX-TOLEDO RD
SOUTHGATE 48195
(734) 324-8326
1058853
HARRIS, DAVID MD
921 HOWARD ST
DEARBORN 48124
(313) 274-3700
1058855
HARRIS, DAVID MD
2939 RUSSELL
DETROIT 48205
(313) 396-5300
1062166
HEAD, JOHN DO
14799 DIX-TOLEDO RD
SOUTHGATE 48195
(734) 324-8326
1062165
HEAD, JOHN DO
2939 RUSSELL
DETROIT 48205
(313) 396-5300
1062163
HEAD, JOHN DO
921 HOWARD ST
DEARBORN 48124
(313) 274-3700
1119704
HILL, AUDREY MD
DETROIT 48202
(313) 874-8715
1118344
HONG, DOOPYO MD
10 PETERBORO ST
DETROIT 48201
(313) 831-3160
1069001
HRYHORCZUK, LINDA S MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1055405
HUSSAIN, SHAHID MD
14230 W MCNICHOLS
DETROIT 48235
(313) 966-2102
1055406
HUSSAIN, SHAHID MD
6071 W OUTER DR 5 S INPATIENT PSYCHIATRY
DETROIT 48235
(313) 966-3300
1055404
HUSSAIN, SHAHID MD
3990 JOHN R
DETROIT 48201
(313) 745-1549
1054635
HUSSAIN, SHAHID MD
4201 ST ANTOINE STE 3P
DETROIT 48201
(313) 745-4644
1055407
ILLECHUKWU, SUNDAY T C MD
3990 JOHN R
DETROIT 48201
(313) 745-1549
1055408
261 MACK
DETROIT 48201
(313) 745-9700
1054636
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1119692
INGRAM, MICHAEL MD
DETROIT 48202
(313) 874-8715
1125038
JASTY, VENKATA MD
DETROIT 48213
(313) 344-7730
1055904
JASTY, VENKATA R MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1125041
KHEIR, NAGY MD
DETROIT 48213
(313) 344-7730
1055915
KLISZ-HULBERT, REBECCA L MD
16836 NEWBURG RD
LIVONIA 48154
(734) 464-4220
1071009
KRZYSZTOF, MILAK MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-4644
1102233
KUBRAK, ERIC MD
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1102234
KUBRAK, ERIC MD
19401 NORTHLINE RD
SOUTHGATE 48195
(734) 785-7700
1090994
KUBRAK, ERIC J MD
PLYMOUTH 48170
(734) 454-3660
1054702
LACHOVER, LEONARD W MD
14230 W MCNICHOLS
DETROIT 48235
(313) 966-2102
1105443
MAHAL, SURJIT MD
1404 BIDDLE AVE
WYANDOTTE 48192
(734) 324-8000
1097382
MAHR, GREGORY MD
DEARBORN 48126
(313) 982-4351
1118343
MAKKIE, HYDER DO
10 PETERBORO ST
DETROIT 48201
(313) 831-3160
1096242
MALLHI, NAUMAAN DO
PLYMOUTH 48170
(734) 454-3560
1054734
MEKHAEL, HANY Y MD
3901 BEAUBIEN
DETROIT 48201
(313) 966-6833
1055674
MEKHAEL, HANY Y MD
16836 NEWBURGH RD
LIVONIA 48154
(734) 464-4220
1119613
DETROIT 48202
(313) 874-8715
1082618
MLAK, KRZYSZTOF MD
DETROIT 48201
(313) 745-4644
1054746
MORREALE, MARY K MD
4160 JOHN R STE 629
DETROIT 48201
(888) 362-7792

Page 614
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
1055935
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1125039
DETROIT 48213
(313) 344-7730
1028455
DETROIT 48201
(313) 745-4644
1104096
PEARSON, MARLIN MD
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104097
PEARSON, MARLIN MD
SOUTHGATE 48195
(734) 785-7700
1123131
PRECHEL, KATELYN N LLMSW
DETROIT 48201
(313) 993-3964
1091732
LIVONIA 48152
(734) 422-4748
1054842
RAUF, ABDUL MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1085310
ROOT, MARK MD
PLYMOUTH 48170
(734) 454-3560
1125031
SANDAIRE, BENS J DO
15000 GRATIOT AVE
DETROIT 48205
(313) 245-0600
1122059
SANDAIRE, BENS J DO
2925 RUSSELL ST
DETROIT 48205
(313) 396-5300
1125037
SANDAIRE, BENS J DO
DETROIT 48213
(313) 344-7730
1061160
LIVONIA 48150
(734) 422-9340
1031754
SENDI, ISMAIL B MD
20311 FARMINGTON RD
LIVONIA 48152
(248) 427-9430
1061155
SENDI, ISMAIL B MD
LIVONIA 48150
(734) 422-9340
1054867
SHAH, ASHOK R MD
14230 W MCNICHOLS
DETROIT 48235
(313) 966-2102
1126152
SHENAVA, MALINI MD
2500 HAMLIN DR
INKSTER 48141
(313) 561-1500
1126153
SHENAVA, MALINI MD
25650 OUTER DR
LINCOLN PARK 48146
(313) 383-1897
1126151
SHENAVA, MALINI MD
26650 EUREKA RD STE C-1
TAYLOR 48180
(734) 941-4991
1125180
SHERMAN, TANYA E PHD
261 MACK AVE
DETROIT 48201
(313) 745-9763
1127842
SMITH, KYLE G DO
19805 FARMINGTON RD
LIVONIA 48152
(248) 535-5085
1101988
SNELL, TRACY D DO
DETROIT 48201
(313) 993-3434
1055951
STETTNER, SHELLY A DO
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1055954
STROKER, CLAIRE MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1054891
TANCER, MANUEL E MD
DETROIT 48201
(313) 993-3434
1055752
TANCER, MANUEL E MD
DETROIT 48201
(313) 745-4644
1054902
VADLAMUDI, BABU R MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1127760
DETROIT 48201
(313) 993-3434
1056099
WAINEO, EVA MD
DETROIT 48201
(313) 993-3434
1083591
WARNICK, STEPHEN J JR MD
DETROIT RECEIVING HOSPITAL CRISIS CTR
DETROIT 48201
(313) 745-4644
1083592
UNIVERSITY PSYCHIATRIC CENTER LIVONIA
LIVONIA 48154
(734) 464-4220
1118345
WASHINGTON, GREGORY MD
10 PETERBORO ST
DETROIT 48201
(313) 831-3160
1054906
WASHINGTON, GREGORY S MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1098523
WATTS, MICHAEL H MD
DETROIT 48207
(313) 396-1800
1102231
WATTS, MICHAEL H MD
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1098524
WATTS, MICHAEL H MD
20100 GREENFIELD RD
DETROIT 48235
(313) 342-2699
1102232
WATTS, MICHAEL H MD
19401 NORTHLINE RD
SOUTHGATE 48195
(734) 785-7700
1061170
ZAK, DANIAL DO
LIVONIA 48150
(734) 422-9340
PULMONOLOGY
1054457
BADR, M SAFWAN MD
4201 ST ANTOINE UHC-CPAP CLINIC-STE 5V
DETROIT 48201
(313) 745-4525
1089617
BADR, M SAFWAN MD
DETROIT 48201
(313) 745-1741
1054501
CHOWDHURI, SUSMITA MD
DETROIT 48201
(313) 745-4525
1046989
DEEBAJAH, IHAB MD
14031 PENNSYLVANIA AVE STE A
WYANDOTTE 48192
(734) 285-4145
1068599
DEEBAJAH, IHAB MD
1110 N TELEGRAPH RD
DEARBORN 48128
(313) 294-5400
1046982
DEEBAJAH, IHAB MD
CANTON 48187
(734) 844-6042

Page 615
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1068598
DEEBAJAH, IHAB MD
WESTLAND 48185
(313) 294-5400
1069376
DUBAYBO, BASIM A MD
DETROIT 48201
(313) 745-4525
1070291
DUBAYBO, BASIM A MD
DETROIT 48201
(313) 745-4525
1084934
HAAPANIEMI, JOHN R DO
DETROIT 48235
(313) 966-3075
1120709
KHEIRBEK, SAMER MD
23500 PARK ST STE 3
DEARBORN 48124
(313) 292-3500
1120708
KHEIRBEK, SAMER MD
DEARBORN 48124
(313) 438-9800
1054693
KISSNER, DANA G MD
3990 JOHN R 6 BRUSH CENTER
DETROIT 48201
(313) 745-9151
1083582
KLEINOW, PAUL C MD
UNIVERSITY HEALTH CENTER 4201 ST ANTOINE DETROIT 48201
(313) 745-4525
1086050
KRAYEM, HICHAM K MD
DETROIT 48235
(313) 966-3075
1054698
KRELL, WILLANE S MD
DETROIT 48201
(313) 745-4525
1120654
MAHAJAN, DEVINDER MD
23500 PARK ST STE 3
DEARBORN 48124
(313) 292-3500
1120653
MAHAJAN, DEVINDER MD
DEARBORN 48124
(313) 438-9800
1124712
MAKKI, HASSAN MD
DETROIT 48235
(313) 966-3075
1103327
MINA, NADER M MD
DETROIT 48201
(313) 745-4525
1103326
MINA, NADER M MD
3990 JOHN R 6 BRUSH CTR
DETROIT 48201
(313) 745-9151
1056900
ROWLEY, JAMES A MD
DETROIT 48201
(313) 745-4525
1102135
ROWLEY, JAMES A MD
DETROIT 48201
(313) 745-4525
1102136
ROWLEY, JAMES A MD
DETROIT 48201
(313) 745-4525
1086055
SAMAVATI, LOBELIA MD
3990 JOHN R 6 BRUSH CTR
DETROIT 48201
(313) 745-9151
1056907
SAMAVATI, LOBELIA MD
DETROIT 48201
(313) 745-4525
1054858
SANKARI, ABDULGHANI MD
4201 ST ANTOINE UHC-CPAP CLINIC
DETROIT 48201
(313) 745-4525
1056908
SAYDAIN, GHULAM U MD
DETROIT 48201
(313) 745-4525
1094171
SAYDAIN, GHULAM U MD
DETROIT 48201
(313) 745-4525
1120671
SHARBA, ELIAS MD
DEARBORN 48124
(313) 438-9800
1102347
SHARBA, ELIAS MD
23500 PARK ST STE 3
DEARBORN 48124
(313) 292-3500
1056917
SOUBANI, AYMAN O MD
4100 JOHN R ST
DETROIT 48201
(800) 527-6266
1120705
TAHAWI, ZIAD MD
DEARBORN 48124
(313) 438-9800
1120706
TAHAWI, ZIAD MD
23500 PARK ST STE 3
DEARBORN 48124
(313) 292-3500
1106150
VICTOR, LYLE MD
18101 OAKWOOD BLVD CANCER CENTER
DEARBORN 48124
(313) 593-8620
1106151
VICTOR, LYLE MD
CANTON 48187
(734) 844-6042
1106149
VICTOR, LYLE MD
14031 PENNSYLVANIA STE D
RIVERVIEW 48193
(734) 285-4145
RADIATION ONCOLOGY
1122159
AJLOUNI, ELIZABETH A MD
(313) 647-3100
1086526
AMIN, NEHA PRADIP MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1121948
AREF, AMR M MD
(313) 647-3100
1121019
ARTERBERY, V ELAYNE MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3116
1117445
BARBARA ANN KARMANOS CANCER RADIOLOGY
4100 JOHN R
DETROIT 48201
(800) 527-6266
1038790
BROWNE, CYNTHIA H MD
(313) 647-3100
1099642
CHAE, WON MD
17800 NEWBURG RD STE 103
LIVONIA 48152
(734) 464-9540
1099643
CHAE, WON MD
42931 W 7 MILE RD
NORTHVILLE 48167
(248) 348-8700
1099645
CHAE, WON MD
422 N CENTER ST STE B
NORTHVILLE 48167
(248) 449-7156
1099646
CHAE, WON MD
28275 FIVE MILE RD
LIVONIA 48154
(734) 261-1740
1099649
CHAE, WON MD
422 N CENTER ST
NORTHVILLE 48167
(248) 348-1131
1062265
CHANG, JUNG HOON MD
DEARBORN 48124
(313) 593-7337
1063076
CHANG, JUNG HOON MD
15777 NORTHLINE RD
SOUTHGATE 48195
(734) 246-8180

Page 616
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1120588
CHUBA, PAUL J MD
(313) 647-3100
1120616
COOK, CARLA A MD
(313) 647-3100
1086534
DUTTA, SWATI MD
15777 NORTHLINE RD
SOUTHGATE 48195
(734) 246-8100
1086533
DUTTA, SWATI MD
18100 OAKWOOD BLVD LOWER LEVEL
DEARBORN 48124
(313) 593-7337
1064169
HART, KIMBERLY B MD
DEARBORN 48124
(313) 745-9763
1055390
HART, KIMBERLY B MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3116
1064168
HART, KIMBERLY B MD
10000 TELEGRAPH
TAYLOR 48180
(313) 295-5000
1064166
HART, KIMBERLY B MD
33155 ANNAPOLIS ST
WAYNE 48184
(734) 467-4000
1055391
HART, KIMBERLY B MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1064167
HART, KIMBERLY B MD
15777 NORTHLINE RD
SOUTHGATE 48195
(734) 246-8100
1055513
KIM, HAROLD E MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3116
1064163
KIM, HAROLD E MD
33155 ANNAPOLIS ST
WAYNE 48184
(734) 467-4000
1063677
KIM, HAROLD E MD
DEARBORN 48124
(313) 745-9763
1064164
KIM, HAROLD E MD
15777 NORTHLINE RD
SOUTHGATE 48195
(734) 246-8100
1064165
KIM, HAROLD E MD
10000 TELEGRAPH
TAYLOR 48180
(313) 295-5000
1054692
KIM, HAROLD E MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1062263
LEE, CHOON K MD
18101 OAKWOOD BLVD
DEARBORN 48124
(313) 593-7337
1098505
LINCOLN, DENIS R MD
28275 5 MILE RD
LIVONIA 48154
(734) 261-1740
1098508
LINCOLN, DENIS R MD
NORTHVILLE 48167
(248) 449-7156
1098510
LINCOLN, DENIS R MD
42931 W 7 MILE RD
NORTHVILLE 48167
(248) 348-8700
1098509
LINCOLN, DENIS R MD
422 N CENTER ST
NORTHVILLE 48167
(248) 348-1131
1098503
LINCOLN, DENIS R MD
17800 NEWBURGH RD STE 103
LIVONIA 48152
(734) 464-9540
1064155
MAIER, JORDAN M MD
33155 ANNAPOLIS ST
WAYNE 48184
(734) 467-4000
1064158
MAIER, JORDAN M MD
15777 NORTHLINE RD
SOUTHGATE 48195
(734) 246-8100
1064157
MAIER, JORDAN M MD
10000 TELEGRAPH
TAYLOR 48180
(313) 295-5000
1064156
MAIER, JORDAN M MD
DEARBORN 48124
(313) 745-9763
1055624
MAIER, JORDAN M MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3116
1054720
MAIER, JORDAN M MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1064483
MAYER, ERIC G MD
DEARBORN 48124
(313) 745-9763
1060048
MAYER, ERIC G MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1064236
MAYER, ERIC G MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3116
1064484
MAYER, ERIC G MD
33155 ANNAPOLIS ST
WAYNE 48184
(734) 467-4000
1064485
MAYER, ERIC G MD
10000 TELEGRAPH
TAYLOR 48180
(313) 295-5000
1064486
MAYER, ERIC G MD
15777 NORTHLINE RD
SOUTHGATE 48195
(734) 246-8100
1064487
MAYER, ERIC G MD
5450 FORT STREET
TRENTON 48183
(734) 671-3800
1120694
MEADE, SHANNON L PA
(313) 647-3100
1054740
MILLER, STEVEN R MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1064154
MILLER, STEVEN R MD
DEARBORN 48124
(313) 745-9763
1064153
MILLER, STEVEN R MD
10000 TELEGRAPH
TAYLOR 48180
(313) 295-5000
1064152
MILLER, STEVEN R MD
15777 NORTHLINE RD
SOUTHGATE 48195
(734) 246-8100
1064151
MILLER, STEVEN R MD
33155 ANNAPOLIS ST
DEARBORN 48124
(734) 467-4000
1055713
MILLER, STEVEN R MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3116
1125442
PAXIMADIS, PETER MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1120744
RABBANI, ANNA N MD
(313) 647-3100
1073679
RADIATION ONCOLOGY SPECIALISTS
22101 MOROSS
(313) 647-3100
1066101
19725 ALLEN RD
TRENTON 48183
(734) 479-2371

Page 617
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1062258
18101 OAKWOOD BLVD
DEARBORN 48124
(248) 589-5000
1123725
VLACHAKI, MARIA T MD
(313) 647-3100
1064146
WEBB, JENNIFER L MD
DEARBORN 48124
(313) 745-9763
1064143
WEBB, JENNIFER L MD
10000 TELEGRAPH
TAYLOR 48180
(313) 295-5000
1064145
WEBB, JENNIFER L MD
33155 ANNAPOLIS ST
WAYNE 48184
(734) 467-4000
1064144
WEBB, JENNIFER L MD
15777 NORTHLINE RD
SOUTHGATE 48195
(734) 246-8100
1055398
WEBB, JENNIFER L MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1054630
WEBB, JENNIFER L MD
6071 W OUTER DR
DETROIT 48235
(313) 966-3116
1068100
WEBB, JENNIFER L MD
10000 TELEGRAPH RD
TAYLOR 48180
(313) 295-5000
1026084
KASHEF, MUNUCHEHR MD
(313) 343-3494
1066098
4100 JOHN R
DETROIT 48201
(800) 527-6266
1055727
DETROIT 48201
(313) 993-4645
RHEUMATOLOGY
1079516
BENCHAALA, ILYES MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1079517
BENCHAALA, ILYES MD
DEARBORN 48124
(313) 429-7977
1085014
BENCHAALA, ILYES MD
21801 GODDARD RD
TAYLOR 48180
(313) 429-7977
1054590
FERNANDEZ-MADRID, FELIX R MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1054610
GRANDA, JOSE L MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1056904
SAGAR, HARPREET MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1120617
SHAVELL, JOEL M DO
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1035741
SOARES, SURAYYA MD
15200 KERCHEVAL AVE
GROSSE POINTE 48230
(313) 417-6100
1072980
VENKATRAM, MALINI MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1125233
VERWILGHEN, JOHANNA MD
DETROIT 48201
(313) 831-1100
1080265
YORK, RUSSEL H MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1089616
YOUSSEF MAROUN, MARIE-CLAIRE MD
DETROIT 48201
(313) 745-1741
1086544
YOUSSEF MAROUN, MARIE-CLAIRE MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525

1090290
ALPHA MANOR NURSING HOME
409 E GRAND BLVD
DETROIT 48207
(313) 579-2900
1122171
AMBASSADOR NURSING AND REHABILITATION CENTRE
8045 E JEFFERSON AVE
DETROIT 48214
(313) 821-8525
1090293
AUTUMNWOOD OF LIVONIA
14900 MIDDLEBELT RD
LIVONIA 48154
(734) 425-4200
1070630
BOULEVARD TEMPLE CARE CENTER
2567 W GRAND BLVD
DETROIT 48208
(313) 895-5340
1090308
CAMELOT HALL CONVALESCENT CENTER
35100 ANN ARBOR TRAIL
LIVONIA 48150
(734) 522-1444
1074731
DETROIT NURSING CTR
26505 POWERS AVE
(313) 291-6200
1090333
EASTWOOD CONVALESCENT CENTER
626 E GRAND BLVD
DETROIT 48207
(313) 923-5816
1103462
FAIRLANE SENIOR CARE & REHAB CENTER LLC
15750 JOY RD
DETROIT 48228
(313) 273-6850
1103284
FOUR CHAPLAINS NURSING CARE CENTER
28349 JOY RD
WESTLAND 48185
(734) 261-9500
1090352
HARTFORD NURSING AND REHAB CENTER
6700 OUTER DR
DETROIT 48235
(313) 836-1700
1093836
HEARTLAND HEALTH CARE CENTER- DEARBORN HEIGH 26001 FORD RD
(313) 274-4600
1093833
HEARTLAND HEALTH CARE CENTER- DORVIN
LIVONIA 48152
(248) 476-0555
1093823
HEARTLAND HEALTH CARE CENTER- PLYMOUTH COURT 105 HAGGERTY RD
PLYMOUTH 48170
(734) 455-0510
1093834
HEARTLAND HEALTH CARE CENTER- UNIVERSITY
28550 FIVE MILE RD
LIVONIA 48154
(734) 427-2135
1074640
HOPE HEALTHCARE CENTER
38410 CHERRY HILL ROAD
WESTLAND 48185
(734) 326-1200
1103413
LIVONIA WOODS NURSING AND REHABILITATION
33600 LUTHER LANE
LIVONIA 48154
(734) 421-6564
29270 MORLOCK

Page 618
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1122886
MEDILODGE OF PLYMOUTH
395 W ANN ARBOR TRL
PLYMOUTH 48170
(734) 453-3983
1119397
MEDILODGE OF TAYLOR
23600 NORTHLINE
TAYLOR 48180
(734) 287-8580
1080471
NORTHWEST MANOR
16181 HUBBELL ST
DETROIT 48235
(313) 273-8764
1103487
OAKPOINTE SENIOR CARE AND REHAB CENTER LLC
18901 MEYERS RD
DETROIT 48235
(313) 864-8481
1090414
OMNI CONTINUING CARE
5201 CONNER AVE
DETROIT 48213
(313) 571-5555
1124842
OMNI VENT UNIT
5201 CONNER AVE
DETROIT 48213
(313) 571-5555
1090427
QUALICARE NURSING HOME
695 E GRAND BLVD
DETROIT 48207
(313) 925-6655
1090431
REGENCY AT CANTON
45900 GEDDES
CANTON 48188
(734) 879-4100
1078616
REGENCY HEALTHCARE CENTRE
TAYLOR 48180
(734) 287-4710
1090432
REGENCY HEIGHTS- DETROIT
19100 WEST SEVEN MILE RD
DETROIT 48219
(313) 533-5002
1060176
SAMARITAN MANOR
5555 CONNER ST 4TH FL
DETROIT 48213
(313) 344-4100
1090451
SHEFFIELD MANOR NURSING & REHAB CENTER
15311 SCHAEFER HWY
DETROIT 48227
(313) 835-4775
1080472
SOUTHGATE MANOR
15400 TRENTON RD
SOUTHGATE 48195
(734) 284-4620
1122132
ST JOSEPH'S HEALTHCARE CENTER
9400 CONANT ST
HAMTRAMCK 48212
(313) 874-4500
1064950
TENDERCARE HEALTH CNTR TAYLOR
22950 NORTHLINE RD
TAYLOR 48180
(734) 287-1230
1080473
WAYNE HEALTH & REHAB
4427 VENOY ROAD
WAYNE 48184
(734) 326-6424
1103236
WEST OAKS SENIOR CARE AND REBAB CENTER LLC
DETROIT 48219
(313) 255-6450
1122168
WESTLAND NURSING AND REHABILITATION CENTRE
36137 W WARREN RD
WESTLAND 48185
(734) 728-6100
SPEECH THERAPY
1101102
ABC THERAPY SOLUTIONS
HARPER WOODS 48225
(313) 571-3908
1105160
CHILDRENS HOSPITAL OF MI SPEC CTR
3950 BEAUBIEN
DETROIT 48201
(586) 532-3354
1047053
NORTHVILLE PHYSICAL REHABILITATION
215 E MAIN ST
NORTHVILLE 48167
(248) 349-9339
1083857
OAKLAND REGIONAL DEARBORN CENTER
DEARBORN 48124
(313) 359-9540
1127980
22950 NORTHLINE RD
TAYLOR 48180
(734) 287-1230
SPORTS MEDICINE
1121024
HENRY, SCOTT MD
4160 JOHN R STE 817
DETROIT 48201
(313) 993-2557
1082691
TEITGE, ROBERT A MD
DEARBORN 48124
(313) 429-7977

1070226
AZOURY, FOUAD MD
(313) 343-7444
1054938
4100 JOHN R
DETROIT 48201
(800) 527-6266
1054456
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1125803
CAMERO, LUIS G MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1855
1098580
COELLO, MICHAEL MD
(313) 647-3235
1125047
COELLO, MICHAEL C MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 473-1855
1103243
DELIUS, RALPH E MD
DETROIT 48201
(313) 745-5538
1060600
JAHANIA, SALIK A MD
DETROIT 48201
(313) 745-4195
1054640
JAHANIA, SALIK A MD
3750 WOODWARD AVE STE 20-C
DETROIT 48201
(313) 993-4645
1055495
JAHANIA, SALIK A MD
DEARBORN 48124
(313) 982-5533
1024211
MEHTA, VIRENDRA MD
22159 OUTER DR
DEARBORN 48124
(313) 278-7200
1071983
SESHADRI, SHIVAPRAKASH G MD
3901 BEAUBIEN CARLS BLDG STE 2W
DETROIT 48201
(313) 745-5538
1068681
WALTERS, HENRY III MD
DETROIT 48201
(313) 745-5538
TRANSPLANT SURGERY
1103780
ABOULJOUD, MARWAN MD
3901 BEAUBIEN ST
DETROIT 48201
(313) 745-5604
1103783
BRUNO, DAVID MD
3901 BEAUBIEN ST
DETROIT 48201
(313) 745-2191

Page 619
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

TRANSPLANT SURGERY (CONTINUED)
1108138
DENNY, JASON MD
DETROIT 48201
(313) 745-5604
1103789
DENNY, JASON E MD
DETROIT 48201
(313) 745-5604
1070118
GRANGER, DARLA MD
(313) 343-3048
1103803
KAZIMI, MARWAN MD
3901 BEAUBIEN ST
DETROIT 48201
(313) 745-5604
1103804
KIM, DEAN Y MD
DETROIT 48201
(313) 745-5604
1108142
KIM, DEAN Y MD
DETROIT 48201
(313) 745-5604
1108204
MALINZAK, LAUREN E MD
DETROIT 48201
(313) 745-5604
1103808
MALINZAK, LAUREN E MD
DETROIT 48201
(313) 745-5604
1070148
OH, HEUNG MD
(313) 343-3048
1121967
WEST, MIGUEL S MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1108135
YOSHIDA, ATSUSHI MD
DETROIT 48201
(313) 745-5585
1103798
YOSHIDA, ATUSHI MD
DETROIT 48201
(313) 745-5604
UNDERSEA AND HYPERBARIC MEDICINE

1105906
PATEL, BINDESH MD
10000 TELEGRAPH RD
TAYLOR 48180
(313) 295-5343
1105907
PATEL, BINDESH MD
DEARBORN 48124
(313) 438-7900
UROLOGY
1103431
ABDELHADY, MAZEN MD
DETROIT 48235
(313) 966-3222
1108183
ABDELHADY, MAZEN MD
23822 FORD RD
(313) 274-4793
1108182
ABDELHADY, MAZEN MD
DETROIT 48223
(313) 387-1097
1118955
AHMED, MUZAMMIL M MD
WESTLAND 48186
(734) 595-1166
1118956
TAYLOR 48180
(734) 287-8444
1118957
DEARBORN 48124
(313) 359-9880
1118942
ARNKOFF, MARC S MD
GARDEN CITY 48135
(734) 425-7230
1122029
BAZZI, WASSIM MD
DEARBORN 48124
(313) 271-0066
1067521
BRODE, AMY DO
1637 MONROE ST
DEARBORN 48124
(313) 278-1700
1067833
BRODE, AMY DO
2128 W JEFFERSON
TRENTON 48183
(734) 676-4040
1067826
BRODE, AMY DO
DEARBORN 48124
(313) 271-0066
1067519
BRODE, AMY DO
LIVONIA 48154
(734) 261-7401
1119419
BURKS, DAVID MD
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1055019
CHER, MICHAEL L MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1054500
CHER, MICHAEL L MD
DEARBORN 48124
(313) 271-0430
1102753
CHER, MICHAEL L MD
261 MACK AVE
DETROIT 48201
(313) 745-4600
1111614
CLEMENS, JAMES Q MD
LIVONIA 48152
(734) 432-7811
1119526
DAMIANI, JOHN DO
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1067301
DEPOLO, ALBERT DO
1637 MONROE ST
DEARBORN 48124
(313) 278-1700
1067299
DEPOLO, ALBERT DO
LIVONIA 48154
(734) 261-7401
1067726
DEPOLO, ALBERT DO
DEARBORN 48124
(313) 271-0066
1067733
DEPOLO, ALBERT DO
2128 W JEFFERSON
TRENTON 48183
(734) 676-4040
1055028
DHAR, NIVEDITA MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1102749
DHAR, NIVEDITA MD
261 MACK AVE
DETROIT 48201
(313) 745-4600
1107387
DHAR, NIVEDITA MD
4201 ST ANTOINE STE 4E
DETROIT 48201
(313) 966-0029
1054525
DHAR, NIVEDITA MD
DEARBORN 48124
(313) 271-0430
1124774
DUPREE, JAMES M MD
LIVONIA 48152
(737) 443-2781
1103790
ELDER, JACK S MD
3901 BEAUBIEN ST
DETROIT 48201
(313) 745-5588
1111646
FAERBER, GARY J MD
LIVONIA 48152
(734) 432-7811

Page 620
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
UROLOGY (CONTINUED)
1056302
DEARBORN 48124
(313) 271-0066
1056304
2128 W JEFFERSON
TRENTON 48183
(734) 676-4040
1066892
LIVONIA 48154
(734) 261-7401
1066894
1637 MONROE ST
DEARBORN 48124
(313) 278-1700
1110693
HAFEZ, KHALED S MD
LIVONIA 48152
(734) 432-7811
1118958
HAI, MAHMOOD A MD
WESTLAND 48186
(734) 595-1166
1067501
HOFF, MICHAEL DO
LIVONIA 48154
(734) 261-7401
1067793
HOFF, MICHAEL DO
2128 W JEFFERSON
TRENTON 48183
(734) 676-4040
1067503
HOFF, MICHAEL DO
1637 MONROE ST
DEARBORN 48124
(313) 278-1700
1067786
HOFF, MICHAEL DO
DEARBORN 48124
(313) 271-0066
1123032
JOLLY, WAYNE L PA
4100 JOHN R
DETROIT 48201
(800) 527-6266
1108209
KANSARA, VELJI KARSAN MD
DETROIT 48235
(313) 966-3222
1125408
KAZA, RAMARAO MD
DETROIT 48201
(313) 831-2700
1118954
KOTHA, VIJAY K MD
TAYLOR 48180
(734) 287-8444
1118953
KOTHA, VIJAY K MD
DEARBORN 48124
(313) 359-9880
1118952
KOTHA, VIJAY K MD
WESTLAND 48186
(734) 595-1166
1111653
KRAFT, KATE H MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1104773
KUMAR, SURENDRA MD
33116 PALMER RD
WESTLAND 48186
(734) 722-0004
1117931
CANTON 48187
(734) 397-6271
1069845
3901 BEAUBIEN ST
DETROIT 48201
(313) 745-5588
1067310
LANESKY, JOHN DO
1637 MONROE ST
DEARBORN 48124
(313) 278-1700
1067308
LANESKY, JOHN DO
LIVONIA 48154
(734) 261-7401
1067739
LANESKY, JOHN DO
DEARBORN 48124
(313) 271-0066
1067754
LANESKY, JOHN DO
2128 W JEFFERSON
TRENTON 48183
(734) 676-4040
1102750
LUCAS, STEVEN M MD
261 MACK AVE
DETROIT 48201
(313) 745-4600
1071053
LUCAS, STEVEN M MD
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1069382
LUCAS, STEVEN M MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1069381
LUCAS, STEVEN M MD
DEARBORN 48124
(313) 271-0430
1124260
MAITLAND, CONRAD C MD
7441 W 7 MILE RD
DETROIT 48221
(313) 864-4452
1110250
MALAEB, BAHAA S MD
LIVONIA 48152
(734) 432-7811
1121973
MARINKOVIC, SERGE P MD
DETROIT 48201
(866) 437-4227
1067820
2128 W JEFFERSON
TRENTON 48183
(734) 676-4040
1067510
LIVONIA 48154
(734) 261-7401
1067512
1637 MONROE ST
DEARBORN 48124
(313) 278-1700
1067813
DEARBORN 48124
(313) 271-0066
1103158
MERTZ, THOMAS J MD
18325 E 10 MILE RD STE 200
GARDEN CITY 48135
(586) 773-6300
1103282
MIOCINOVIC, RANKO MD
DETROIT 48201
(313) 966-9852
1114348
OHL, DANA A MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1085712
OHL, DANA A MD
LIVONIA 48152
(734) 432-7811
1018706
OLDENDORF, ANN L MD
LIVONIA 48152
(734) 432-7811
1112749
PELLETIER CAMERON, ANNE K MD
LIVONIA 48152
(734) 432-7811
1054797
PONTES, J EDSON MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1102751
PONTES, J EDSON MD
261 MACK AVE
DETROIT 48201
(313) 745-4600
1054800
POWELL, ISAAC J MD
4100 JOHN R
DETROIT 48201
(800) 527-6266
1102752
POWELL, ISAAC J MD
261 MACK AVE
DETROIT 48201
(313) 745-4600
1118949
RAMBHATLA, AMARNATH MD
DEARBORN 48124
(313) 359-9880

Page 621
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County
UROLOGY (CONTINUED)
1118950
WESTLAND 48186
(734) 595-1166
1118951
TAYLOR 48180
(734) 287-8444
1067773
REAUME, DARRYL DO
DEARBORN 48124
(313) 271-0066
1067492
REAUME, DARRYL DO
LIVONIA 48154
(734) 261-7401
1067780
REAUME, DARRYL DO
2128 W JEFFERSON
TRENTON 48183
(734) 676-4040
1067494
REAUME, DARRYL DO
1637 MONROE ST
DEARBORN 48124
(313) 278-1700
1067246
ROTH, STEVEN DO
2128 W JEFFERSON
TRENTON 48183
(734) 676-4040
1067239
ROTH, STEVEN DO
DEARBORN 48124
(312) 271-0066
1067232
ROTH, STEVEN DO
1637 MONROE ST
DEARBORN 48124
(313) 278-1700
1067230
ROTH, STEVEN DO
LIVONIA 48154
(734) 261-7401
1065927
SANTUCCI, RICHARD MD
DETROIT 48201
(866) 437-4227
1118945
SIDDIQI, KASHIF MD
1600 S CANTON CENTER RD STE 350
CANTON 48188
(734) 595-1166
1071054
SINGLA, AJAY K MD
4201 ST ANTOINE UHC STE 4C
DETROIT 48201
(313) 271-0430
1110313
SKOLARUS, TED A MD
LIVONIA 48152
(734) 432-7811
1125387
STEIN, DANIEL M MD
261 MACK AVE
DETROIT 48201
(866) 437-4227
1076452
STOFFEL, JOHN T MD
LIVONIA 48152
(734) 432-7811
1067767
SULESKEY, JON DO
2128 W JEFFERSON
TRENTON 48183
(734) 676-4040
1067483
SULESKEY, JON DO
LIVONIA 48154
(734) 261-7401
1067485
SULESKEY, JON DO
1637 MONROE ST
DEARBORN 48124
(313) 278-1700
1067760
SULESKEY, JON DO
DEARBORN 48124
(313) 271-0066
1120649
13251 E 10 MILE RD STE 200
WYANDOTTE 48192
(586) 323-4200
1120650
17405 HALL RD STE B
DEARBORN 48124
(586) 228-0150
1055756
TRIEST, JEFFREY A MD
DEARBORN 48124
(313) 271-0430
1054898
4100 JOHN R
DETROIT 48201
(800) 527-6266
1102754
261 MACK AVE
DETROIT 48201
(313) 745-4600
1104530
4160 JOHN R STE 917
DETROIT 48201
(313) 745-4525
1114116
WAN, JULIAN H MD
20321 FARMINGTON RD
LIVONIA 48152
(248) 888-9000
1103372
WARNER, JONATHAN N MD
4160 JOHN R ST HARPER PRO BLD STE 1021
DETROIT 48201
(866) 437-4227
1110934
WEI, JOHN T MD
LIVONIA 48152
(734) 432-7811
1090768
WEIGLER, GREGORY L DO
GARDEN CITY 48135
(734) 425-7230
1110117
WOLF, J STUART S MD
LIVONIA 48152
(734) 432-7811
VASCULAR SURGERY
1060144
BASSETT, JOSEPH S MD
DEARBORN 48124
(248) 689-1800
1127870
BAZZI, MAZEN M DO
LIVONIA 48154
(734) 462-8401
1054484
BOVE, PAUL G MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1073100
FLYNN, LISA MAUREEN MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1104615
GUPTA, ASHISH MD
1539 FORD AVE
WYANDOTTE 48192
(734) 283-7248
1104501
ILJAS, JOHN H DO
LIVONIA 48154
(734) 462-8401
1023489
LORELLI, DAVID R MD
22201 MOROSS PROFESSIONAL BLDG 2 STE 150 GROSSE POINTE FARMS 48236
(313) 886-8787
1027977
MATTA, ADNAN H MD
5260 SCHAEFER RD
DEARBORN 48126
(313) 582-0363
1055936
OPPAT, WILLIAM F MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1127940
PATEL, BIPINCHANDRA B DO
LIVONIA 48154
(734) 462-8401
1125335
PENSLER, ELIZABETH A DO
261 MACK AVE
DETROIT 48201
(313) 745-8875
1054848
RIMAR, STEVEN D MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195
1056039
UZIEBLO, MACIEJ R MD
4160 JOHN R STE 615
DETROIT 48201
(313) 745-4195

Page 622
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
Wayne County

1083863
WAZNI, ALI MD
DEARBORN 48120
(248) 855-5355
520 COBB ST
CADILLAC 49601
(231) 929-9090
Wexford County
WEXFORD COUNTY
1034317
DME - P&O
1079499
7800 S US 131
CADILLAC 49601
(231) 775-3577
1037423
AIRWAY OXYGEN INC CADILLAC
1908 N MITCHELL ST
CADILLAC 49601
(800) 828-6160
1016342
1516 N MITCHELL ST
CADILLAC 49601
(231) 779-0813
1069482
205 BELL AVE
CADILLAC 49601
(800) 591-5785
1119749
LINCARE INC
8842 E 34 ROAD
CADILLAC 49601
(231) 775-3468
1016386
CADILLAC 49601
(231) 779-8022
203 PALUSTER ST
CADILLAC 49601
(231) 779-8917
400 HOBART ST
CADILLAC 49601
(231) 876-6420

1094665
FRESENIUS MEDICAL CARE CADILLAC
INTERNAL MEDICINE
1103934
HECTOR-WORD, ZACHARY MD
NURSE MIDWIFE
1107532
521 COBBS ST
CADILLAC 49601
(231) 775-9942
1107530
500 CHESTNUT ST STE 1
CADILLAC 49601
(231) 306-4900
ONCOLOGY
1031665
BURY, MARTIN J MD
520 COBB ST
CADILLAC 49601
(231) 775-6521
1081860
GORDON, DAVID S MD
520 COBB ST
CADILLAC 49601
(231) 775-6521
1074754
SCHWERT, ROBERT C DO
520 COBB ST
CADILLAC 49601
(231) 775-6521
OPHTHALMOLOGY
1091030
RIEMER, ANDREW S DO
7985 MACKINAW TRL
CADILLAC 49601
(800) 974-2020
1091077
WILBERG, CARL W DO
7985 MACKINAW TRL
CADILLAC 49601
(800) 974-2020
1091081
WU, DEBORAH R MD
7985 MACKINAW TRL
CADILLAC 49601
(800) 974-2020
OPTOMETRY
1086635
GOULD, STEVEN M OD
7859 MACKINAW TRAIL
CADILLAC 49601
(800) 974-2020
1086629
HAYES, COREEN L OD
7859 MACKINAW TRAIL
CADILLAC 49601
(800) 974-2020
1086642
LANG, AMANDA L OD
7859 MACKINAW TRAIL
CADILLAC 49601
(800) 974-2020
1126225
NOAH, GREG OD
502 COBB ST
CADILLAC 49601
(231) 775-1248
1086632
NOAH, GREG M OD
7859 MACKINAW TRAIL
CADILLAC 49601
(800) 974-2020
1086639
RITTER, JULIE OD
7859 MACKINAW TRAIL
CADILLAC 49601
(800) 974-2020

1118318
ANDRIESE, STEPHEN J MD
400 HOBART ST
CADILLAC 49601
(800) 770-8109
1118319
AUGENSTEIN, KIMBERLY B MD
400 HOBART ST
CADILLAC 49601
(800) 770-8109
1118320
GRONEK, JULIE A MD
400 HOBART ST
CADILLAC 49601
(800) 770-8109
8805 PINE RIDGE DR
CADILLAC 49601
(231) 779-3668
PODIATRY
1020012
JEYNES, ARTHUR R DPM

Page 623
February 19, 2015

PIN
Provider
Address
WEXFORD COUNTY (CONTINUED)
City and Zip
Phone
Gender
Wexford County
1059319
KRANNITZ, KRISTOPHER W DPM
8805 PINE RIDGE DR
CADILLAC 49601
(231) 779-3668
1082766
RIALSON, JOHN A DPM
8805 PINE RIDGE DR
CADILLAC 49601
(231) 779-3668
PROSTHETICS
1079499
7800 S US 131
CADILLAC 49601
(231) 775-3577
1069482
205 BELL AVE
CADILLAC 49601
(800) 591-5785
1016386
CADILLAC 49601
(231) 779-8022

1106443
CADILLAC 49601
(231) 306-4900
1106442
521 COBBS ST
CADILLAC 49601
(231) 775-9942
RADIATION ONCOLOGY
1093076
400 HOBART ST
CADILLAC 49601
(231) 876-7200
1093062
BOIKE, THOMAS P MD
400 HOBART ST
CADILLAC 49601
(231) 876-7200
1093065
BROWN, DOUGLAS M MD
400 HOBART ST
CADILLAC 49601
(231) 876-7200
1093069
400 HOBART ST
CADILLAC 49601
(231) 876-7200
1093073
400 HOBART ST
CADILLAC 49601
(231) 876-7200
1093059
PRUST, ROBERT M MD
400 HOBART ST
CADILLAC 49601
(231) 876-7200

Page 624
February 19, 2015
HOSPITALS
PIN
Provider
Address
City and Zip
Phone
ALLEGAN COUNTY
1005725
555 LINN ST
ALLEGAN 49010
(269) 673-8424
1048150
BORGESS-PIPP HOSPITAL CENTER
411 NAOMI ST
PLAINWELL 49080
(269) 685-6811
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
805 W CEDAR ST
STANDISH 48658
(989) 846-4521
ALPENA COUNTY
1000945
ALPENA REGIONAL MEDICAL CENTER
ARENAC COUNTY
1000942
BAY COUNTY
1004493
MCLAREN BAY REGION
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3000
1011388
MCLAREN BAY REGION SPECIAL CARE
3250 E MIDLAND RD
BAY CITY 48706
(989) 667-6810
224 PARK AVE
FRANKFORT 49635
(231) 352-2200
(269) 463-3111
BENZIE COUNTY
1012661
PAUL OLIVER MEMORIAL HOSPITAL
BERRIEN COUNTY
1079678
LAKELAND COMM HOSP WATERV
400 MEDICAL PARK DR
WATERVLIET 49098
1083601
LAKELAND HOSPITALS
31 N ST JOSEPH AVE
NILES 49120
(269) 683-5510
1004634
LAKELAND HOSPITALS
1234 NAPIER AVE
SAINT JOSEPH 49085
(269) 983-8398
274 E CHICAGO ST
COLDWATER 49036
(517) 279-8830
BRANCH COUNTY
1001028
CALHOUN COUNTY
1000948
BRONSON BATTLE CREEK
300 NORTH AVE
BATTLE CREEK 49016
(269) 966-8666
1002817
OAKLAWN HOSPITAL
200 N MADISON
MARSHALL 49068
(269) 781-4271
1005972
SOUTHWEST REGIONAL REHAB CENTER
393 E ROOSEVELT AVE
BATTLE CREEK 49017
(269) 965-3206
420 W HIGH ST
DOWAGIAC 49047
(269) 782-8681
14700 LAKESHORE DR
CHARLEVOIX 49720
(231) 547-4024
748 S MAIN ST
CHEBOYGAN 49721
(231) 627-7157
703 N MCEWAN ST
CLARE 48617
(989) 802-5000
805 S OAKLAND ST
ST JOHNS 48879
(989) 224-6881
CASS COUNTY
1025075
BORGESS LEE MEMORIAL HOSPIAL
CHARLEVOIX COUNTY
1001019
CHEBOYGAN COUNTY
1086962
MCLAREN NORTHERN CHEBOYGAN CAMPUS
CLARE COUNTY
1006426
MID MICH MEDICAL CENTER CLARE
CLINTON COUNTY
1000937
SPARROW CLINTON HOSPITAL

Hospitals
Page 625
February 19, 2015
HOSPITALS
PIN
Provider
Address
City and Zip
Phone
1100 E MICHIGAN AVE
GRAYLING 49738
(231) 876-7356
CRAWFORD COUNTY
1000941
MERCY HOSPITAL GRAYLING
EATON COUNTY
202229
EATON RAPIDS MED CENTER
1500 S MAIN
EATON RAPIDS 48827
(517) 663-2671
1002135
HAYES GREEN BEACH HOSPITAL
321 E HARRIS ST
CHARLOTTE 48813
(517) 543-1050
EMMET COUNTY
1000984
MCLAREN NORTHERN MICHIGAN
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-7778
1092087
NORTHERN MICHIGAN REHABILITATION HOSP
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-7778
GENESEE COUNTY
1000934
GENESYS REGIONAL MED CTR
ONE GENESYS PKWY
GRAND BLANC 48439
(810) 606-5000
1002136
HURLEY MEDICAL CENTER
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9953
203314
MCLAREN FLINT
401 S BALLENGER HWY
FLINT 48532
(810) 342-2000
515 QUARTER ST
GLADWIN 48624
(989) 426-9286
1105 6TH ST
TRAVERSE CITY 49684
(231) 935-5000
GLADWIN COUNTY
1000994
MID MICH MEDICAL CENTER GLADWIN

1000987
MUNSON MEDICAL CENTER
GRATIOT COUNTY
1038902
MID MICHIGAN MEDICAL CENTER-GRATIOT
300 E WARWICK DR
ALMA 48801
(989) 423-1101
1001014
MIDMICHIGAN MEDICAL CENTER-GRATIOT
300 E WARWICK DR
ALMA 48801
(989) 463-1101
168 S HOWELL ST
HILLSDALE 49242
(517) 437-4451
HILLSDALE COUNTY
1001636
HILLSDALE COMMUNITY HEALTH CENTER
HURON COUNTY
1003119
HURON MEDICAL CENTER
1100 S VAN DYKE
BAD AXE 48413
(989) 269-9521
1000970
SCHEURER HOSPITAL
170 N CASEVILLE RD
PIGEON 48755
(989) 453-3223
INGHAM COUNTY
1003765
EW SPARROW HOSPITAL
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-1000
202272
MCLAREN GREATER LANSING
401 W GREENLAWN AVE
LANSING 48910
(517) 975-6000
203310
MCLAREN ORTHOPEDIC HOSPITAL
LANSING 48910
(517) 975-6000
1096618
SPARROW SPECIALTY HOSPITAL
1210 W SAGINAW ST
LANSING 48915
(517) 364-6800
520 E WASHINGTON ST
IONIA 48846
(616) 527-4200
200 HEMLOCK
TAWAS CITY 48764
(989) 984-3411
IONIA COUNTY
1001006
SPARROW IONIA HOSPITAL
IOSCO COUNTY
1001030
TAWAS ST JOSEPH HOSPITAL

Hospitals
Page 626
February 19, 2015
HOSPITALS
PIN
Provider
Address
City and Zip
Phone
1221 SOUTH DR
(989) 772-6700
ISABELLA COUNTY
1000952
MCLAREN CENTRAL MICHIGAN
KALAMAZOO COUNTY
1003121
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
1000947
BRONSON METHODIST HOSPITAL-KALAMAZOO
601 JOHN ST
KALAMAZOO 49007
(269) 341-7654
1006660
BRONSON METHODIST HOSPITAL-VICKSBURG
13326 N BOULEVARD ST
VICKSBURG 49097
(269) 649-2321
419 S CORAL ST
KALKASKA 49646
(231) 258-7500
KALKASKA COUNTY
1001004
KALKASKA MEMORIAL HOSPITAL
KENT COUNTY
1083977
HELEN DE VOS CHILDRENS HOSPITAL
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1774
1005727
MARY FREE BED HOSPITAL
235 WEALTHY ST SE
GRAND RAPIDS 49503
(616) 242-0300
1003036
SPECTRUM HEALTH BLODGETT CAMPUS
1840 WEALTHY ST SE
GRAND RAPIDS 49506
(616) 774-7444
1000971
SPECTRUM HEALTH BUTTERWORTH HOSP
100 MICHIGAN NE
GRAND RAPIDS 49503
(616) 391-1774
1375 N MAIN ST
LAPEER 48446
(810) 667-5500
TECUMSEH 49286
(517) 242-3282
BRIGHTON 48116
(810) 227-1211
220 BURDETTE ST
SAINT IGNACE 49781
(906) 643-0400
LAPEER COUNTY
202259
MCLAREN LAPEER REGION
LENAWEE COUNTY
1003611
HERRICK MEMORIAL HOSPITAL
LIVINGSTON COUNTY
1003376
BRIGHTON HOSPITAL
MACKINAC COUNTY
1035956
MACOMB COUNTY
1045044
BEHAVIORAL CENTER OF MICH
4050 E 12 MILE RD
WARREN 48092
(586) 261-2266
1000935
MCLAREN MACOMB
MOUNT CLEMENS 48043
(586) 493-8000
1009504
SOUTHEAST MICHIGAN SURGICAL HOSPITAL
21230 DEQUINDRE RD
WARREN 48091
(586) 427-1000
1068280
ST JOHN MACOMB OAKLAND HOSPITAL
11800 E 12 MILE RD
WARREN 48093
(586) 573-5000
1465 E PARKDALE AVE
MANISTEE 49660
(231) 398-1000
ONE ATKINSON DR
LUDINGTON 49431
(231) 843-2591
605 OAK ST
BIG RAPIDS 49307
(231) 796-8691
4000 WELLNESS DR
MIDLAND 48670
(989) 839-3200
MANISTEE COUNTY
1004722
MASON COUNTY
1000991
MECOSTA COUNTY
1000986
SPECTRUM HEALTH BIG RAPIDS HOSPITAL
MIDLAND COUNTY
1001500
MID-MICH MED CNTR MIDLAND

Hospitals
Page 627
February 19, 2015
HOSPITALS
PIN
Provider
Address
City and Zip
Phone
718 N MACOMB ST
MONROE 48162
(734) 240-8400
MONROE COUNTY
1005655
MERCY MEMORIAL HOSPITAL
MONTCALM COUNTY
1001018
CARSON CITY HOSPITAL
406 E ELM ST
CARSON CITY 48811
(989) 584-3131
1000961
SHERIDAN COMMUNITY HOSPITAL
301 N MAIN ST
SHERIDAN 48884
(989) 291-3261
1003887
SPECTRUM HEALTH KELSEY
418 WASHINGTON AVE
LAKEVIEW 48850
(616) 754-4691
1000958
SPECTRUM HEALTH UNITED HOSPITAL
615 S BOWER ST
GREENVILLE 48838
(616) 754-4691
1026903
SWING BEDS-SHERIDAN COMM HOSPITAL
301 N MAIN ST
SHERIDAN 48884
(989) 291-3261
MUSKEGON COUNTY
1116341
MERCY HEALTH -MERCY CAMPUS
1500 E SHERMAN BLVD
MUSKEGON 49444
(231) 672-2000
1116491
MHP HACKLEY CAMPUS
1700 CLINTON
MUSKEGON 49442
(231) 726-3511
212 S SULLIVAN
FREMONT 49412
(231) 924-3300
NEWAYGO COUNTY
1001020
SPECTRUM HEALTH GERBER MEMORIAL
OAKLAND COUNTY
1005209
BOTSFORD GENERAL HOSPITAL
FARMINGTON 48336
(248) 471-8000
1001025
CRITTENTON HOSPITAL
ROCHESTER 48307
(248) 652-5000
1066227
DMC HURON VALLEY SINAI HOSPITAL
1 WILLIAM CARLS DR
(248) 937-3300
1037089
461 W HURON
PONTIAC 48341
(248) 857-7583
1004696
HAVENWYCK HOSPITAL
1525 UNIVERSITY DR
AUBURN HILLS 48326
(248) 373-9200
1000977
MCLAREN OAKLAND
50 N PERRY ST
PONTIAC 48342
(248) 338-5000
1024910
MCLAREN OAKLAND CLARKSTON
5625 WATER TOWER PL
CLARKSTON 48346
(248) 620-4224
1001658
MCLAREN OAKLAND OXFORD
385 N LAPEER RD
OXFORD 48371
(248) 628-3000
1031384
SOUTHFIELD 48075
(248) 423-5100
1123825
PIONEER SPECIALTY HOSPITAL
50 N PERRY 6TH FLOOR
PONTIAC 48342
(248) 338-5430
1000976
PROVIDENCE HOSPITAL & MEDICAL CENTER
SOUTHFIELD 48075
(248) 849-3000
1035989
PROVIDENCE PARK HOSPITAL
NOVI 48374
(248) 465-4100
1003465
27351 DEQUINDRE RD
(248) 967-7000
1007589
ST JOSEPH MERCY OAKLAND
44405 WOODWARD
PONTIAC 48341
(248) 858-3000
1000929
WILLIAM BEAUMONT HOSPITAL ROYAL OAK
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-5000
1004750
WILLIAM BEAUMONT HOSP-TROY CAMPUS
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000
72 S STATE ST
SHELBY 49455
(231) 861-2156
2463 S M-30
WEST BRANCH 48661
(989) 345-3660
300 PATTERSON RD
REED CITY 49677
(231) 832-3271
825 N CENTER
GAYLORD 49735
(989) 731-2100
OCEANA COUNTY
1116650
MHP LAKESHORE CAMPUS
OGEMAW COUNTY
202319
WEST BRANCH REGIONAL MEDICAL CENTER
OSCEOLA COUNTY
1000972
SPECTRUM HLTH REED CITY
OTSEGO COUNTY
1000979

Hospitals
Page 628
February 19, 2015
HOSPITALS
PIN
Provider
Address
City and Zip
Phone
OTTAWA COUNTY
1000982
NORTH OTTAWA COMMUNITY HOSPITAL
1309 SHELDON RD
GRAND HAVEN 49417
(616) 842-3600
1006073
SPECTRUM HEALTH ZEELAND COMM HOSP
8333 FELCH
ZEELAND 49464
(616) 772-4644
SAGINAW COUNTY
1001031
1447 N HARRISON
SAGINAW 48602
(989) 583-0000
1000967
ST MARYS MEDICAL CENTER SAGINAW
SAGINAW 48601
(989) 907-8000
1068723
ST MARY'S OF MICHIGAN TOWNE CENTRE
4599 TOWNE CENTRE
SAGINAW 48604
(989) 497-3000
SAINT CLAIR COUNTY

1000975
MCLAREN PORT HURON
1221 PINE GROVE AVE
PORT HURON 48060
(810) 987-5000
1005702
ST JOHN RIVER DISTRICT HOSPITAL
4100 RIVER RD
EAST CHINA 48054
(810) 329-7111
SAINT JOSEPH COUNTY

1058611
STURGIS HOSPITAL
916 MYRTLE AVE
STURGIS 49091
(269) 651-7824
1095419
THREE RIVERS HEALTH
701 S HEALTH PKWY
THREE RIVERS 49093
(269) 278-1145
3559 PINE ST
DECKERVILLE 48427
(810) 376-2835
826 W KING ST
OWOSSO 48867
(989) 723-5211
4675 HILL ST
CASS CITY 48726
(989) 872-2121
SANILAC COUNTY
1010092
SHIAWASSEE COUNTY
1000931
MEMORIAL HEALTHCARE CENTER
TUSCOLA COUNTY
1000996
HILLS AND DALES GENERAL HOSPITAL
VAN BUREN COUNTY

1005463
PAW PAW 49079
(269) 657-3141
1004935
SOUTH HAVEN COMMUNITY HOSPITAL
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 637-5271
WASHTENAW COUNTY
1008783
REGENTS OF THE U OF M
ANN ARBOR 48109
(800) 525-5188
1000939
UNIVERSITY OF MICHIGAN MEDICAL CTR
ANN ARBOR 48109
(734) 647-0397
WAYNE COUNTY
1018266
BARBARA ANN KARMANOS CANCER HOSP
4100 JOHN R
DETROIT 48201
(800) 527-6266
1066234
DMC CHILDRENS HOSPITAL OF MICHIGAN
3901 BEAUBIEN BLVD
DETROIT 48201
(313) 745-5437
1066233
DMC DETROIT RECEIVING HOSPITAL
DETROIT 48201
(313) 745-3000
1066229
DMC HARPER UNIVERSITY HOSPITAL
3990 JOHN R
DETROIT 48201
(313) 745-8040
1123391
DMC HEART HOSPITAL
311 MACK AVE
DETROIT 48201
(313) 745-8040
1066230
DMC HUTZEL WOMENS HOSPITAL
3980 JOHN R
DETROIT 48201
(313) 745-7555
1066203
261 MACK AVE
DETROIT 48201
(313) 745-9700
1000944
OAKWOOD ANNAPOLIS HOSPITAL
33155 ANNAPOLIS ST
WAYNE 48184
(734) 467-4175
1006593
OAKWOOD HERITAGE HOSPITAL
10000 TELEGRAPH RD
TAYLOR 48180
(313) 295-5000
1016328
OAKWOOD HOSPITAL AND MEDICAL CTR-DEARBORN
18101 OAKWOOD BLVD
DEARBORN 48124
(313) 593-7000
1006594
OAKWOOD SOUTHSHORE MEDICAL CENTER
5450 FORT ST
TRENTON 48183
(734) 671-3800
1125007
SAMARITAN BEHAVIORAL CENTER
5555 CONNER ST STE 3
DETROIT 48213
(313) 344-7730

Hospitals
Page 629
February 19, 2015
HOSPITALS
PIN
Provider
Address
City and Zip
Phone

1066200
SINAI GRACE HOSPITAL
6071 W OUTER DR
DETROIT 48235
(313) 966-3300
1003024
ST JOHN HOSPITAL & MEDICAL CENTER
22101 MOROSS
(313) 343-4000
1059301
STONECREST CENTER
15000 GRATIOT AVE
DETROIT 48205
(313) 245-0600
1026933
WILLIAM BEAUMONT HOSP-GROSSE POINTE
468 CADIEUX RD
GROSSE POINTE 48230
(800) 303-7315
400 HOBART ST
CADILLAC 49601
(231) 876-7356
WEXFORD COUNTY
1000999
MERCY HOSPITAL CADILLAC

Hospitals
Page 630
February 19, 2015
AMBULATORY SURGERY CENTERS

PIN
Provider
Address
City and Zip
Phone
GENESEE COUNTY
1020293
PARK EYE AND SURGI-CENTER
FLINT 48532
(810) 733-5450
1003017
THE SURGERY CENTER OF GENESEE CNTY
5202 MILLER RD
FLINT 48507
(810) 732-7700
4100 PARK FOREST DR
TRAVERSE CITY 49684
(231) 392-8900
(586) 228-5300

1020839
NORTHWEST MICHIGAN SURGERY
MACOMB COUNTY
1031182
ASC-TCG LLC
1119051
MACOMB ENDOSCOPY CENTER
MACOMB 48044
(586) 726-8436
1118053
MICHIGAN OUTPATIENT SURGERY CENTER INC
33080 UTICA RD STE A
FRASER 48026
(586) 218-5890
1056275
OAKLAND REGIONAL MACOMB CENTER
11012 E 13 MILE RD
WARREN 48093
(586) 751-9800
4228 BAY CITY RD
MIDLAND 48642
(989) 839-6636
750 STEWART RD
MONROE 48162
(734) 240-1900
1298 E SHERMAN BLVDE
MUSKEGON 49444
(888) 739-9009
(248) 619-2020
MIDLAND COUNTY
1079128
GREAT LAKES BAY SURGERY CENTER
MONROE COUNTY
1019168
MERCY MEMORIAL OUTPATIENT SURGERY CENTER
MUSKEGON COUNTY
1069299
SHORELINE ASC INC
OAKLAND COUNTY
1046482
EYE SURGERY CENTER OF MIC
3455 LIVERNOIS RD
TROY 48083
1093083
ORTHOPAEDIC SURGICAL INSTITUTE
ROCHESTER 48307
(248) 601-0040
1117417
SURGICAL CENTERS OF MICHIGAN PC
TROY 48098
(248) 267-5025
1119049
TOWN CENTER ASC, LLC
TROY 48084
(248) 680-9101
9249 W LAKE CITY RD
HOUGHTON LAKE 48629
(989) 422-2181
ROSCOMMON COUNTY
1040017
MID MICHIGAN HEALTH SERVICES
SAGINAW COUNTY
1029774
ANDERSEN EYE SURGERY CENTER
SAGINAW 48603
(989) 249-6270
1040068
GREAT LAKES EYE SURGERY CENTER
2393 SCHUST RD
SAGINAW 48603
(989) 752-6200
1026158
MATRIX SURGERY CENTER
MATRIX SURGERY CENTER 4450 FASHION SQ
SAGINAW 48603
(989) 790-7950
WAYNE COUNTY
1123022
LIVONIA OUTPATIENT SURGERY CENTER LLC
33400 W 6 MILE RD STE B
LIVONIA 48152
(731) 452-7111
1126802
MIDWEST SURGERY CENTER
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600

Ambulatory Surgery Centers

Page 631
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender
445 S US 23
HARRISVILLE 48740
(989) 724-5052
ALCONA COUNTY
1109301
TUREK, ROBERT DC
ALLEGAN COUNTY
1096163
HAFER, KATHRYN DC
279 THOMAS ST
ALLEGAN 49010
(269) 673-5426
1068135
HOARD, CHRISTINA K DC
321 S MAIN
PLAINWELL 49080
(269) 685-5486
1082699
MARTENS, DIAN K DC
321 N MAIN ST
PLAINWELL 49080
(269) 685-5486
1058146
VAN KINTS, RONALD M DC
509 MICHIGAN AVE
HOLLAND 49423
(616) 396-4400
ALPENA COUNTY
1019331
BRACKEN, THOMAS M DC
2568 US HIGHWAY 23 S
ALPENA 49707
(989) 356-6321
1082697
CHURA, RICHARD E DC
ALPENA 49707
(989) 356-4126
1082696
VORRARO, LORIE J DC
ALPENA 49707
(989) 356-4126
ANTRIM COUNTY
1100560
ELIAS, RENEE V DC
126 W STATE ST
MANCELONA 49659
(231) 587-8500
1100263
OLIVER, BRIAN D DC
126 W STATE ST
MANCELONA 49659
(231) 587-8500
1123618
SAKS, GARY DC
4637 S M-88
BELLAIRE 49615
(231) 533-5031
ARENAC COUNTY
252734
KIMBALL, JEFFREY S DC
401 E CEDAR ST
STANDISH 48658
(989) 846-4931
1009826
LECLAIR, LEONARD J DC
806 W CEDAR ST
STANDISH 48658
(989) 846-4660
111 S BROADWAY
MIDDLEVILLE 49333
(269) 205-2300
BARRY COUNTY
1070322
NICHOLAS, NATHAN DC
BAY COUNTY
1020270
BAILEY, MARK JOSEPH DC
863 N PINE RD STE E
ESSEXVILLE 48732
(989) 895-5090
1040710
BENNETT, CHAS DC
807 W MIDLAND RD
AUBURN 48611
(989) 662-4000
1126638
BLAKE, LINDA A DC
807 W MIDLAND RD
AUBURN 48611
(989) 662-4000
1009330
DEBOE, BRUCE A DC
801 W MIDLAND ST
BAY CITY 48706
(989) 684-3993
1008606
HOFFMAN, HARLAN DC
1020 LEDYARD RD STE 18
ESSEXVILLE 48732
(989) 895-9071
1009437
LINK, RICHARD A DC
1341 N JOHNSON
BAY CITY 48708
(989) 892-1421
1010003
MARKLE, ROBERT P DC
19 SALZBURG RD
BAY CITY 48706
(989) 684-3200
1066194
SHARP, DOUGLAS DC
3400 E WILDER RD
BAY CITY 48706
(989) 667-9700
1009171
SONGER, DAVID M DC
4354 E WILDER RD
BAY CITY 48706
(989) 686-1911
1102779
TREICHEL, KELLIE J DC
612 N EUCLID AVE
BAY CITY 48706
(989) 684-0018
1009925
TROMBLEY, THOMAS J DC
1948 N HURON RD PO BOX 706
PINCONNING 48650
(989) 879-8133
1123445
WACKERLY, CATHERINE DC
3400 E WILDER RD
BAY CITY 48706
(989) 667-9700
1122011
WACKERLY, CATHERINE DC
412 SAGINAW ST
BAY CITY 48708
(989) 667-9700
1102780
WEST, BERNADETTE C DC
612 N EUCLID AVE
BAY CITY 48706
(989) 684-0018
52 PALCICH RD
FRANKFORT 49635
(231) 352-4447
7652 RED ARROW HWY
WATERVLIET 49098
(269) 463-4100
BENZIE COUNTY
1082381
LACHARTITE, DARREN R DC
BERRIEN COUNTY
1085869
DEHAVEN, ANDREW DC

Chiropractors
Page 632
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1082417
GOLAS, WILLIAM J DC
1404 E NAPIER AVE
BENTON HARBOR 49022
(269) 926-8213
1103077
HACKETT, MEGAN DC
1776 W JOHN BEERS RD
STEVENSVILLE 49127
(269) 429-1151
1102898
HACKETT, PATRICK DC
STEVENSVILLE 49127
(269) 429-1151
1082062
HAMADANCHI, HOSSEIN DC
2914 DIVISION ST
SAINT JOSEPH 49085
(269) 983-2221
1094712
ILIFF, DANIEL A DC
2560 S CLEVELAND AVE STE 4
SAINT JOSEPH 49085
(269) 983-1800
1107911
MARTIN, SANDRA DC
204 W MAIN ST
BENTON HARBOR 49022
(269) 363-1797
1082265
MCDONALD, JOHN C DC
763 E NAPIER AVE
BENTON HARBOR 49022
(269) 925-3232
1109822
THOMPSON, JAMES DC
208 GRANT ST
NILES 49120
(269) 684-7822
BRANCH COUNTY
1074835
DEMOND, ABRAHAM J DC
601 E CHICAGO RD
COLDWATER 49036
(517) 278-7246
1097676
GROVES, SEAN P DC
601 E CHICAGO RD
COLDWATER 49036
(517) 278-7246
1097062
JAIN, KAVITA DC
601 E CHICAGO RD
COLDWATER 49036
(517) 278-7246
1098789
MILLER, AARON DC
601 E CHICAGO RD
COLDWATER 49036
(517) 248-7246
1097878
MILLER, BAILEY J DC
601 E CHICAGO RD
COLDWATER 49036
(517) 278-7246
CALHOUN COUNTY
1126870
DONNELL, CALEB DC
1230 E COLUMBIA AVE STE A
BATTLE CREEK 49014
(269) 964-1441
1082413
KAHN, AMY R DC
125 REDFIELD PLZ
MARSHALL 49068
(269) 781-7549
1068957
KNIGHT, PHILIP DC
420 E MICHIGAN
MARSHALL 49068
(269) 781-7000
1033730
MYERS, JEROMY DC
1230 COLUMBIA AVE E STE A
BATTLE CREEK 49014
(269) 964-1441
1037765
MYERS, RACHELLE DC
1230 COLUMBIA AVE E STE A
BATTLE CREEK 49014
(269) 964-1441
1082872
PREBISH, RICHARD G DC
310 CAPITAL AVE SW
BATTLE CREEK 49037
(269) 965-3367
1093435
SOLLENBERGER, ALYSSA M DC
125 REDFIELD PLZ
MARSHALL 49068
(269) 781-7549
1095116
TAZZI, JACOB A DC
300 AUSTIN AVE
ALBION 49224
(517) 629-5505
CASS COUNTY
1082784
ECKMAN JR, JAMES R DC
56119 M 51 S
DOWAGIAC 49047
(269) 782-1144
1089881
LIEURANCE, CHERYL A DC
412 E STATE ST
CASSOPOLIS 49031
(269) 663-7777
1096335
MITCHELL, TOBY A DC
69821 M-62 STE 12
EDWARDSBURG 49112
(269) 663-6600
CHARLEVOIX COUNTY
1123970
FAIR, CHRISTOPHER DC
200 AIR INDUSTRIAL PARK DR
BOYNE CITY 49712
(231) 582-2844
1072037
MCCLURE, KRISTEN L DC
1422 S BRIDGE ST
CHARLEVOIX 49720
(231) 547-4691
1091690
MCFADDEN, BRIAN P DC
12900 US 31 N
CHARLEVOIX 49720
(231) 547-0995
1095048
MOSKAL, RYAN C DC
203 RIVER ST
BOYNE CITY 49712
(231) 582-1631
1074246
PETHERS, RICKY L DC
430 BOYNE AVE
BOYNE CITY 49712
(231) 582-6581
1070320
RANDALL, RICK DC
1302 BRIDGE ST
CHARLEVOIX 49720
(231) 237-0665
1086186
RICKS, JEFFREY DC
1422 S BRIDGE ST
CHARLEVOIX 49720
(231) 547-4691
1083845
RICKS, JEFFREY B DC
1422 S BRIDGE ST
CHARLEVOIX 49720
(231) 547-4691
1018726
THOMAS, DANIEL J DC
101 BRIDGE ST
EAST JORDAN 49727
(231) 536-2616
1082027
WILKIN, AARON D DC
1302 BRIDGE ST
CHARLEVOIX 49720
(231) 237-0665
CHEBOYGAN COUNTY
1070998
BENTER, ROGER DC
320 N HURON ST
CHEBOYGAN 49721
(231) 627-4345
1074709
BURT, MICHAEL A DC
401 W ELM ST
CHEBOYGAN 49721
(231) 597-9999
1082767
GILBERT, KRISTIN K DC
401 W ELM ST
CHEBOYGAN 49721
(231) 597-9999

Chiropractors
Page 633
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1074244
HEBERT, DOUGLAS L DC
3722 S STRAITS HWY
INDIAN RIVER 49749
(231) 238-7337
1080432
STROM, LUCILE M DC
6301 M 68
INDIAN RIVER 49749
(231) 238-6161
M
F
1074067
STROM, LUCILE M DC
230 BACKUS ST
CHEBOYGAN 49721
(231) 627-6161
1079403
STROM, RICHARD W DC
323 N MAIN ST
CHEBOYGAN 49721
(231) 627-4300
1068952
WILLEY, GARY E DC
323 N MAIN ST
CHEBOYGAN 49721
(231) 627-4300
CLARE COUNTY
1060279
BENCHLEY, BRYON DC
701 BEECH ST
CLARE 48617
(989) 386-2384
1059395
BOULTON, BRADLEY DC
190 S 2ND ST
HARRISON 48625
(989) 539-5201
1057538
BUGAI, ALAN F DC
1424 N MCEWAN
CLARE 48617
(989) 386-3838
1020569
JACO, LISA M DC
2100 S CLARE AVE
CLARE 48617
(989) 386-2931
1079223
KEPPNER, KURT J DC
218 E 5TH ST
CLARE 48617
(989) 424-6360
1093392
LUCEY, BENJAMIN F DC
701 BEECH ST
CLARE 48617
(989) 386-2384
1056486
RODNICK, ADAM DC
11245 N MISSION RD
CLARE 48617
(989) 386-5437
1056487
RODNICK, COREY B DC
11245 N MISSION RD
CLARE 48617
(989) 386-5437
1056484
SLUSHER, TAMARA DC
11245 N MISSION RD
CLARE 48617
(989) 386-5437
CLINTON COUNTY
1075312
CHAMBERS, RANDALL DC
203 S BRIDGE ST
DEWITT 48820
(517) 668-6750
1036111
MASSA, RODGER W DC
1004 N US-27
ST JOHNS 48879
(989) 224-8228
1084236
MILLER, KIMBERLY DC
13105 SCHAVEY RD STE 6
DEWITT 48820
(517) 668-6215
F
M
1101163
QUARTERMUS, IAN K DC
119 W MAIN ST
WESTPHALIA 48894
(989) 587-2225
1073192
SANDBERG, THOMAS DC
5815 CLARK RD
BATH 48808
(517) 574-8349
1010973
WHITMAN, JENNIFER DC
109 W MAIN ST
DEWITT 48820
(517) 668-0411
1095511
WOHLFERT, MONICA DC
119 W MAIN ST
WESTPHALIA 48894
(989) 587-2225
1101164
WOHLFERT, RYAN DC
119 W MAIN ST
WESTPHALIA 48894
(989) 587-2225
CRAWFORD COUNTY
1014094
DENHOLM, CRAIG B DC
6838 M 93 HWY S
GRAYLING 49738
(989) 348-6600
1121204
SUCHEY, BRANDON DC
1406 S I-75 BUSINESS LOOP
GRAYLING 49738
(989) 348-4560
EATON COUNTY
1118529
ALLEN, BRETT DC
3303 W SAGINAW ST STE A4
LANSING 48917
(517) 253-8123
1076220
BAGINSKI, MEGAN DC
LANSING 48917
(517) 394-3353
1076219
BAGINSKI, MEGAN DC
229 N BRIDGE ST
GRAND LEDGE 48837
(517) 627-7070
1002617
BEETHAM, VIRGINIA DC
3303 W SAGINAW ST STE A-2
LANSING 48917
(517) 323-2500
1107502
BRADFORD, FRANCIS B DC
LANSING 48917
(517) 394-3353
1107500
229 N BRIDGE ST
GRAND LEDGE 48837
(517) 627-7070
1074742
CARTER, TYSON DC
229 N BRIDGE ST
GRAND LEDGE 48837
(517) 627-7070
1074200
CARTER, TYSON DC
LANSING 48917
(517) 394-2723
1009988
CHILDS, ETHAN H DC
229 N BRIDGE ST
GRAND LEDGE 48837
(517) 627-7070
1076355
COLESTOCK, DENISE S DC
802 S MAIN ST
EATON RAPIDS 48827
(517) 663-8825
1003867
CRAFT, DENNIS R DC
11653 HARTEL RD
GRAND LEDGE 48837
(517) 627-9111
1000810
CRAFT, DENNIS R DC
223 LANSING RD
CHARLOTTE 48813
(517) 543-1115
1045853
DAIL, DANIEL DC
722 N CREYTS RD STE B
LANSING 48917
(517) 321-3030
1024457
DAVIS, KEVIN T DC
432 N COCHRAN
CHARLOTTE 48813
(517) 543-2920
1069952
HANSEN, HEIDI DC
710 W LAWRENCE
CHARLOTTE 48813
(517) 543-6360

Chiropractors
Page 634
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1024544
HARRINGTON, ROBERT DC
LANSING 48917
(517) 394-3353
1043077
HILLEBRENNER, LAURIE DC
223 LANSING RD
CHARLOTTE 48813
(517) 543-1115
1090366
ISZLER, AMBER N DC
10160 W GRAND RIVER HWY
GRAND LEDGE 48837
(517) 712-5048
1018739
JOHNSON, KEVIN H DC
5021 W ST JOSEPH STE 6
LANSING 48917
(517) 321-5243
1038692
KILLIAN, BRIAN DC
926 ELMWOOD PLAZA
LANSING 48917
(517) 327-7463
1002958
KORONIOTIS, JEROME DC
4896 E MT HOPE HWY
GRAND LEDGE 48837
(517) 627-3525
1007500
LAKE, CHAD M DC
GRAND LEDGE 48837
(517) 622-8552
1008253
LAUCHER, KEVIN DC
5328 IVAN DR
LANSING 48917
(517) 886-5586
1004078
LEINDECKER, ROBERT J DC
GRAND LEDGE 48837
(517) 627-9111
1062918
LITTLE, SARAH E DC
252 S WAVERLY RD
LANSING 48917
(517) 321-8568
1069461
MARSHALL, MELISSA G DC
LANSING 48917
(517) 394-3353
1069462
229 N BRIDGE ST
GRAND LEDGE 48837
(517) 627-7070
1056188
MCCARTNEY, KEVIN DC
306 S CREYTS RD
LANSING 48917
(517) 319-5818
1001691
MYERS, JAMES D DC
115 W LAWRENCE AVE
CHARLOTTE 48813
(517) 543-5411
1120122
PARKER, DIANN DC
1322 S MAIN ST
EATON RAPIDS 48827
(517) 663-7060
1117228
PFEIFFER, LINDSEY V DC
223 LANSING RD
CHARLOTTE 48813
(517) 543-1115
1094417
QUARTERMUS, IAN K DC
252 S WAVERLY RD
LANSING 48917
(517) 321-8686
1002893
ROLLE, ROBERT D DC
106 S WASHINGTON ST
CHARLOTTE 48813
(517) 543-7595
1008251
ROOST, CHARLES F DC
722 N CREYTS RD STE B
LANSING 48917
(517) 321-3030
1009989
SETTIMI, HARRY A DC
LANSING 48917
(517) 394-3353
1009987
SETTIMI, HARRY A DC
229 N BRIDGE ST
GRAND LEDGE 48837
(517) 627-7070
1006146
SHENEMAN, JOSEPH DC
1322 S MAIN ST
EATON RAPIDS 48827
(517) 663-7060
1002618
STEPANOVICH, DENNIS DC
3303 W SAGINAW STE A2
LANSING 48917
(517) 323-2500
1106388
SUTTON-SETTIMI, CARA B DC
229 N BRIDGE ST
GRAND LEDGE 48837
(517) 627-7070
1106390
LANSING 48917
(517) 394-3353
1024471
TITZE, KURT S DC
306 S CREYTS RD
LANSING 48917
(517) 319-5818
1007164
TITZE, KURT S DC
LANSING 48917
(517) 394-3353
1074741
VERBURG, BRADLEY DC
229 N BRIDGE ST
GRAND LEDGE 48837
(517) 627-7070
1069974
VERBURG, BRADLEY DC
LANSING 48917
(517) 394-3353
1039855
WALLACE, JEFFERY D DC
GRAND LEDGE 48837
(517) 622-2273
1024266
WOHLFERT, MONICA DC
252 S WAVERLY RD
LANSING 48917
(517) 321-8568
1024265
WOHLFERT, RYAN DC
252 S WAVERLY RD
LANSING 48917
(517) 321-8568
EMMET COUNTY
1076818
DENHOLM, KYLE M DC
301 W MITCHELL STE A
PETOSKEY 49770
(231) 622-8828
1022262
EHRNST, JAMES DC
410 PETOSKEY ST
PETOSKEY 49770
(231) 347-3391
1094261
KOLT, STEPHEN DC
1508 US 31N
PETOSKEY 49770
(231) 347-0420
1063536
STEINBACH, WILLIAM J DC
8434 M-119
(231) 347-1917
1080587
WEGMANN, MICHAEL J DC
1125 US 31 N
PETOSKEY 49770
(231) 348-5980
GENESEE COUNTY
1013024
ABDELMALEK, MAZIN MOHAMED DC
1501 S CENTER RD BLDG A
BURTON 48509
(810) 715-7746
1016861
ANDERSON, DANA DC
2201 E HILL RD
GRAND BLANC 48439
(810) 771-7736
1017014
ANDERSON, TERA HAMO DC
2201 E HILL RD
GRAND BLANC 48439
(810) 771-7736
1082893
BAISE-BERGERON, ELIZABETH DC
FLINT 48532
(810) 471-4280
1123862
BAJAJ, ANDREW DC
G3259 BEECHER RD
FLINT 48532
(810) 471-4280
1023452
BENN, DENNIS P DC
2284 S BALLENGER HWY STE F
FLINT 48532
(810) 235-5181

Chiropractors
Page 635
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1122009
BERGEN, JONATHAN DC
FLINT 48507
(810) 275-9153
1030796
BERNARD, JOSEPH E DC
2315 STONEBRIDGE DR BLDG B
FLINT 48532
(810) 233-7228
1069018
CLIFT, JASON DC
3487 S LINDEN RD STE V
FLINT 48507
(810) 230-5500
1094332
COEN, JOSHUA DC
5098 W BRISTOL RD
FLINT 48507
(810) 733-1261
1032259
CORBIN, SUSAN DC
11386 N LINDEN RD STE A
CLIO 48420
(810) 686-3123
1004315
COUSINEAU, MARTIN L DC
143 W VIENNA RD
CLIO 48420
(810) 686-7770
1082898
COZZETTO, SILVIO DC
FLINT 48532
(810) 471-4280
1026253
DAMRON, DARYL G DC
G3239 BEECHER RD
FLINT 48532
(810) 733-7560
1002998
DAMRON, DARYL G DC
102 N ADELAIDE ST
FENTON 48430
(810) 629-2245
1007765
DEEHL, STEVEN T DC
106 N PINE ST
FENTON 48430
(810) 750-9303
1059992
DENNING, KEITH DC
5098 W BRISTOL RD
FLINT 48507
(810) 733-1261
1025018
DOMENICK, WAYNE DC
9037 S STATE RD
GOODRICH 48438
(810) 636-2190
1024493
DOMENICK, WAYNE DC
4085 S CENTER RD
BURTON 48519
(810) 744-4251
1071056
EL-GANAINY, KHALED DC
FLINT 48507
(810) 715-7746
1007258
BURTON 48509
(810) 715-7746
1079185
BURTON 48509
(810) 715-7746
1007735
FARIS, MATHEW G DC
2315 STONEBRIDGE DR
FLINT 48532
(810) 233-0699
1006685
FRIDLINE, CORRINA K DC
11225 S SAGINAW
GRAND BLANC 48439
(810) 694-8031
1022107
GANTOS, DAVID J DC
G 6045 CORUNNA RD STE A
FLINT 48532
(810) 733-5211
M
M
1098144
GOECKEL, ROBERT H DC
4306 RICHFIELD RD
FLINT 48506
(810) 736-0501
1079708
HANCZARYK, CHRISTINE DC
GRAND BLANC 48439
(810) 584-7170
1042060
HANCZARYK, CHRISTINE DC
5098 W BRISTOL RD
FLINT 48507
(810) 733-1261
1079707
HANCZARYK, MICHEIL DC
GRAND BLANC 48439
(810) 584-7170
1001809
HANCZARYK, MICHEIL DC
5098 W BRISTOL RD
FLINT 48507
(810) 733-1261
1034310
HARRIS, LONIE DC
1358 E BRISTOL RD
BURTON 48529
(810) 715-1225
1008347
HEHN, STEVEN D DC
9160 LAPEER RD STE D
DAVISON 48423
(810) 658-9098
1093603
HUGHES, RHONDA DC
9491 VIENNA RD
OTISVILLE 48463
(810) 374-6600
1018732
HUSMILLO, MICHAEL DC
5098 W BRISTOL RD
FLINT 48507
(810) 733-1261
1079709
IDE, JAMES DC
GRAND BLANC 48439
(810) 584-7170
1075297
IDE, JAMES DC
5098 W BRISTOL RD
FLINT 48507
(810) 733-1261
M
M
1117922
IDE, JAMES DC
2803 W SILVER LAKE RD
FENTON 48430
(810) 618-6380
1012387
JACKSON, CHARLES DC
2455 E HILL RD
GRAND BLANC 48439
(810) 695-4090
1068156
KAHIN, KHADRA DC
1170 CHARTER DR STE B
FLINT 48532
(810) 820-4533
1102046
KAPUT, EDWIN R DC
11386 N LINDEN RD STE A
CLIO 48420
(810) 686-3123
1070373
KIDWELL, CHRISTINE DC
GRAND BLANC 48439
(810) 603-1497
1120867
KOTTALIS, LAMBROS DC
7487 CLIO RD
MOUNT MORRIS 48458
(810) 687-6100
1001818
KRIBS, JACK W DC
G-4541 BEECHER RD
FLINT 48532
(810) 733-3370
1107551
MCLAUGHLIN, SHANA L DC
831 FULLER AVE NE
FLINT 48503
(616) 458-8063
1035441
OWUSU, SYLVESTER W DC
3487 S LINDEN RD STE V
FLINT 48507
(810) 230-5500
1089132
PARTRIDGE, GLENN DC
5468 S SAGINAW ST
FLINT 48507
(810) 695-1489
1119006
RAOOFI, HILA DC
5092 W VIENNA RD
CLIO 48420
(248) 978-2799
1002819
SCHELTER, RICK O DC
3058 N STATE RD UNIT D
DAVISON 48423
(810) 658-3383
M
M
1093601
SEEFELDT, BRIAN DC
9491 VIENNA RD
OTISVILLE 48463
(810) 374-6600
1006673
SERGY, DAVID R DC
519 W FLINT ST
DAVISON 48423
(810) 653-5070
1001843
SERVEN, BRUCE D DC
G-4010 W COURT ST
FLINT 48532
(810) 732-2210
1002104
SMITH, MARK DC
1095 S STATE ST
DAVISON 48423
(810) 653-5507
1009399
STONE, DAVID M DC
DAVISON 48423
(810) 654-0550
1032369
STORK, RICHARD DC
1549 N LEROY ST STE B
FENTON 48430
(810) 629-2757

Chiropractors
Page 636
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1121337
TOWERS, ANDREA DC
7487 CLIO RD
MOUNT MORRIS 48458
(810) 687-6100
1106204
TOWERS, ANDREA DC
857 HEALTH PARK BLVD
GRAND BLANC 48439
(810) 344-9279
1029815
WALSH, MICHAEL T DC
1537 N LEROY ST STE F
FENTON 48430
(810) 629-6500
120 COMMERCE CT
GLADWIN 48624
(989) 426-6121
GLADWIN COUNTY
1065052
SAWAYA, ALBERT P DC

1123609
BATTERBEE, CHRISTOPHER DC
3819 4 MILE RD N STE B
TRAVERSE CITY 49686
(231) 938-1710
1082874
BUTTLEMAN, JASON S DC
10975 E BREWERY CREEK LN
TRAVERSE CITY 49684
(231) 941-4030
1098593
CHANDLER, BRIAN J DC
827 W FRONT ST
TRAVERSE CITY 49684
(231) 946-9246
1101707
COSTELLO, MEGHAN DC
1000 E HAMMOND RD
TRAVERSE CITY 49686
(805) 258-8582
1102917
DONALDSON, HOLLY DC
335 DAVIS ST
TRAVERSE CITY 49686
(231) 929-1335
1080842
HULLMAN, JASON T DC
419 WELLINGTON ST
TRAVERSE CITY 49686
(231) 933-9433
1091642
HULLMAN, JENIFER J DC
515 1/2 UNION ST
TRAVERSE CITY 49684
(231) 421-9189
1080560
JASMAN, JAMIE A DC
541 E 8TH ST
TRAVERSE CITY 49686
(231) 947-9056
1080583
KISLING, ROBERT J DC
1323 CASS ST
TRAVERSE CITY 49684
(231) 946-2222
1080585
LYONS, ROBERT J DC
3860 N LONG LAKE RD UNIT 3
TRAVERSE CITY 49684
(231) 922-0219
1092416
MURPHY, DUSTINE K DC
616 E 8TH ST STE 1
TRAVERSE CITY 49686
(231) 929-3253
1082793
MURPHY, MICHAEL P DC
616 E 8TH ST #1
TRAVERSE CITY 49686
(231) 929-3253
1082787
MURPHY, RICHARD T DC
2449 GARFIELD RD N
TRAVERSE CITY 49686
(231) 946-3780
1107759
SEKOL, EDWARD J DC
1209 E 8TH ST
TRAVERSE CITY 49686
(231) 941-8650
1081076
SHAW, JEFFREY K DC
10975 E BREWERY CREEK LN
TRAVERSE CITY 49684
(231) 947-0755
1080584
VAN SKYHOCK, JUSTIN A DC
3860 N LONG LAKE RD UNIT 3
TRAVERSE CITY 49684
(231) 922-0219
1104786
VAN SKYHOCK, JUSTIN A DC
3860 NORTH LONG LAKE RD STE 3
TRAVERSE CITY 49684
(231) 922-0219
GRATIOT COUNTY
1008320
STEDMAN, ELIZABETH A DC
1883 W MONROE RD STE B
SAINT LOUIS 48880
(989) 681-2533
1015821
STUDT, TIMOTHY D DC
1883 W MONROE RD
SAINT LOUIS 48880
(989) 681-6884
1016877
WORLEY, PAUL E DC
304 S MAIN
ITHACA 48847
(989) 875-3500
HILLSDALE COUNTY
1100610
DANIELS, JAMES DC
79 HILLSDALE ST
HILLSDALE 49242
(517) 439-9800
1100359
GARZA, CARLOS DC
735 OLDS ST
JONESVILLE 49250
(517) 849-0000
1090854
GORDON, MATTHEW DC
79 HILLSDALE ST
HILLSDALE 49242
(517) 439-9800
1090853
GRIFFIS, SASHA DC
79 HILLSDALE ST
HILLSDALE 49242
(517) 439-9800
1101902
MALCHEFF, TIMOTHY M DC
735 OLDS ST
JONESVILLE 49250
(517) 849-0000
1104620
SPENCER, JAMES C DC
301 S MAIN ST
CAMDEN 49232
(517) 368-5885
1102799
WALTON, KEVIN DC
401 W CARLETON RD
HILLSDALE 49242
(517) 437-0900
1104093
WARREN, KAREN L DC
130 S MAIN ST
CAMDEN 49232
(517) 368-5885
HURON COUNTY
1028427
BEHNKE, SANDY DC
204 E MAIN ST
SEBEWAING 48759
(989) 883-9919
1028423
BEHNKE, SANDY DC
6827 MICHIGAN ST PO BOX 1042
CASEVILLE 48725
(989) 856-4187
1028426
BEHNKE, SANDY DC
7376 MICHIGAN AVE
PIGEON 48755
(989) 453-7187
1028425
BEHNKE, SANDY DC
28 1/2 WESTLAND DR
BAD AXE 48413
(989) 269-4187
1019338
CROWLEY, JEFFREY L DC
6827 MICHIGAN ST PO BOX 1042
CASEVILLE 48725
(989) 856-4187

Chiropractors
Page 637
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1010921
28 1/2 WESTLAND DR
BAD AXE 48413
(989) 269-4187
1028141
7376 MICHIGAN AVE
PIGEON 48755
(989) 453-7187
M
M
1061082
QUINN, ASHLEY DC
6827 MICHIGAN AVE PO BOX 1042
CASEVILLE 48725
(989) 856-4187
1061083
QUINN, ASHLEY DC
204 E MAIN ST
SEBEWAING 48759
(989) 883-9919
1037669
RIVERS, RICHARD DC
1 NORTH CENTER
SEBEWAING 48759
(989) 883-9090
1007746
VANHOUTTEGHEM, JAMES A DC
1163 N VAN DYKE
BAD AXE 48413
(989) 269-6467
1022249
YEAGER, HEIDI S DC
7376 MICHIGAN AVE
PIGEON 48755
(989) 453-7187
1021587
YEAGER, HEIDI S DC
204 E MAIN ST
SEBEWAING 48759
(989) 883-9919
INGHAM COUNTY
1028428
AMUNDSEN, SANDRA DC
1729 MELROSE AVE
EAST LANSING 48823
(517) 324-3807
1076218
BAGINSKI, MEGAN DC
4500 S HAGADORN RD
EAST LANSING 48823
(517) 324-5433
1066730
BAILEY, JARROD DC
4500 S HAGADORN RD
EAST LANSING 48823
(517) 324-5433
1082891
LANSING 48912
(517) 489-4470
1082894
BERK, JAMIE DC
LANSING 48912
(517) 489-4470
1011988
BOUFFORD, CATHERINE J DC
4573 WILLOUGHBY RD STE B
HOLT 48842
(517) 699-2646
1107501
4500 S HAGADORN RD
EAST LANSING 48823
(517) 324-5433
1020821
BRETZ, DONALD J DC
6810 S CEDAR ST STE D
LANSING 48911
(517) 699-2100
1002095
BROWNRIDGE, DENNIS G DC
LANSING 48910
(517) 887-2515
1074743
CARTER, TYSON DC
4500 S HAGADORN RD
EAST LANSING 48823
(517) 324-5433
1009992
CONLEY, JODY J DC
4500 S HAGADORN RD
EAST LANSING 48823
(517) 324-5433
1082896
COZZETTO, SILVIO DC
LANSING 48912
(517) 489-4470
1003865
DAIGNEAULT, JEAN-GUY DC
537 N CLIPPERT ST
LANSING 48912
(517) 203-2090
1032273
DILTS, ERIC DC
15851 S US 27 STE 83
LANSING 48906
(517) 267-9888
1026568
DOREY, HEATHER DC
HASLETT 48840
(517) 339-3737
1091175
HEINRICH, CRAIG DC
OKEMOS 48864
(517) 381-1880
1067470
HERMAN, RACHEL DC
1995 N CEDAR ST STE 3
HOLT 48842
(517) 699-3000
1079716
HOFFMAN, ALISA DC
3400 PINETREE RD STE 101
LANSING 48911
(517) 574-4291
1122916
HOLMBERG, RACHEL DC
HOLT 48842
(517) 699-3000
1080462
IAFANO, PHAEDRA DC
HOLT 48842
(517) 699-3000
1019397
KRIBS, JOHN D DC
522 W BELLEVUE RD
LESLIE 49251
(517) 589-5610
1037529
KRIBS, JOHN D DC
415 S JEFFERSON ST
MASON 48854
(517) 676-9951
1063329
LEZOTTE, RICHARD A DC
EAST LANSING 48823
(517) 337-7463
1025522
MANUEL, STEVEN DC
1914 E MICHIGAN AVE
LANSING 48912
(517) 487-2225
1069460
4500 S HAGADORN RD
EAST LANSING 48823
(517) 324-5433
1097857
MAURER, RENEE A DC
537 N CLIPPERT ST
LANSING 48912
(517) 203-2090
1028824
MAY, KAREN E DC
801 S CEDAR ST
MASON 48854
(517) 676-7112
1001609
MCHENRY, TROY R DC
LANSING 48911
(517) 393-8800
1012322
MELUCH, GEORGE DC
HASLETT 48840
(517) 339-3737
1091718
OSMER, THERESA A DC
801 S CEDAR ST
MASON 48854
(517) 676-7112
1034324
OWUSU, BETHANY A DC
2119 HASLETT RD STE A
HASLETT 48840
(517) 853-2027
1035440
HASLETT 48840
(517) 853-2027
1034323
HASLETT 48840
(517) 853-2027
1004890
PARKER, KEVIN T DC
OKEMOS 48864
(517) 381-9730
1075763
PATRICK, MEGAN A DC
2045 ASHER CT STE 100
EAST LANSING 48823
(517) 351-9240
1091176
PERRAULT, KIRBY K DC
OKEMOS 48864
(517) 381-1880
1002747
POLETTI, MARK DC
EAST LANSING 48823
(517) 351-9240
1117554
RANDHAWA, RANDY DC
537 N CLIPPERT ST
LANSING 48912
(517) 203-2090

Chiropractors
Page 638
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1054952
RANES, SIMONE N DC
EAST LANSING 48823
(517) 351-9240
253387
RASSEL, DENISE DC
537 N CLIPPERT ST
LANSING 48912
(517) 203-2090
1123421
RASSEL, DENISE DC
4650 DOBIE RD
OKEMOS 48864
(517) 349-2740
1001620
RASSEL, LINDA A DC
4650 DOBIE RD
OKEMOS 48864
(517) 349-2740
1126722
SCHUSTER, NICHOLAS DC
4650 DOBIE RD
OKEMOS 48864
(517) 349-2740
1009990
SETTIMI, HARRY A DC
4500 S HAGADORN RD
EAST LANSING 48823
(517) 324-5433
M
F
1106389
4500 S HAGADORN RD
EAST LANSING 48823
(517) 324-5433
1031857
TIETSORT, SARAH DC
2186 COMMONS PKWY
OKEMOS 48864
(517) 347-2222
1023784
TRELOAR, JOHN W DC
2600 EATON RAPIDS RD STE 100
LANSING 48911
(517) 699-0909
1068290
VERBURG, BRADLEY DC
4500 S HAGADORN RD
EAST LANSING 48823
(517) 324-5433
1016846
VOLZ, KYLENE DC
HOLT 48842
(517) 699-3000
1018484
WALLEY, ERIK J DC
2600 EATON RAPIDS RD STE 100
LANSING 48911
(517) 699-0909
1011381
WEINSTEIN, DENNIS S DC
7045 S CEDAR
LANSING 48911
(517) 694-8881
1009991
WHITFIELD, JODI K DC
4500 S HAGADORN RD
EAST LANSING 48823
(517) 324-5433
1075742
WILLIAMS, WILLIAM DC
EAST LANSING 48823
(517) 333-3366
1100255
ZIMMERMAN, KYLE DC
425 W GRAND RIVER STE D
WILLIAMSTON 48895
(989) 721-6878
1002613
ZUKER, GERALD A DC
OKEMOS 48864
(517) 347-3013
IONIA COUNTY
1032580
BASLER, CLAUDE J DC
351 W MAIN ST
IONIA 48846
(616) 527-6300
1003866
CRAFT, DENNIS R DC
9751 E GRAND RIVER
PORTLAND 48875
(517) 647-5770
1078430
CULP, JENNIFER M DC
PORTLAND 48875
(517) 647-7585
1076623
GOSNELL, ROBERT A DC
9019 W BELDING RD STE 4
BELDING 48809
(616) 794-3540
M
F
1117229
PFEIFFER, LINDSEY V DC
PORTLAND 48875
(517) 647-5770
1021938
ROBINSON, SCOTT DC
1115 W LINCOLN
IONIA 48846
(616) 527-0707
1021579
ROGERS, ROBERT J DC
1439 W STATE ST
BELDING 48809
(616) 794-3100
1126888
WILLIAMSON, JASON DC
PORTLAND 48875
(517) 647-7585
1106203
WILLIAMSON, JASON DC
PORTLAND 48875
(517) 647-7585
IOSCO COUNTY
1056456
CHADWELL, CLINTON M DC
432 W M 55
TAWAS CITY 48763
(989) 362-8991
1026034
CHRIVIA, SHANNON DC
110 E MAIN ST
HALE 48739
(989) 728-6638
1080627
SCHRIBER, MARCI M DC
221 S STATE ST
OSCODA 48750
(989) 739-0888
1013133
TROMBLEY, TERRY D DC
5671 N SKEEL
OSCODA 48750
(989) 739-0077
1127933
WITTE, STEPHANIE DC
432 W M 55
TAWAS CITY 48763
(989) 363-8991
ISABELLA COUNTY
1056967
BARRETT, MICHAEL J DC
(989) 772-1609
1038306
BLUNT, G BRIAN DC
1524 E BROADWAY
(989) 773-9355
1035789
HARTMAN, STEVEN K DC
616 E BROADWAY
(989) 773-2000
1016913
HENRIE, TROY L DC
(989) 779-2225
1040666
ONSTOTT, CRAIG DC
211 S CRAPO ST STE D
(989) 773-2273
1015404
WHITFORD, DENNIS W DC
625 N MAIN
(989) 773-2534
JACKSON COUNTY
1104242
BRZEZINSKI, BRADLEY DC
332 N MAIN ST
BROOKLYN 49230
(517) 938-8358
1018045
MCHENRY, TROY R DC
1308 W MICHIGAN
JACKSON 49201
(517) 783-4201

Chiropractors
Page 639
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender
2301 WILDWOOD AVE STE B
JACKSON 49202
(517) 783-4545

1109182
SEBESKY, BRIAN DC
KALAMAZOO COUNTY
1106194
DONNELL, CALEB DC
2314 GULL RD STE A
KALAMAZOO 49048
(269) 459-1339
1096162
HAFER, KATHRYN DC
1122 S WESTHEDGE AVE
KALAMAZOO 49008
(269) 383-4325
1082607
KARMON, TIMOTHY J DC
6294 W MAIN ST
KALAMAZOO 49009
(269) 372-9242
1095051
MYERS, BRETT A DC
1125 E MILHAM AVE
PORTAGE 49002
(269) 381-2200
1126869
MYERS, JEROMY
2314 GULL RD STE A
KALAMAZOO 49048
(269) 459-1339
1126868
MYERS, RACHELLE DC
2314 GULL RD STE A
KALAMAZOO 49048
(269) 459-1339
1125866
SMITH, JOHN D DC
609 E CENTRE AVE
PORTAGE 49002
(269) 329-1660
1091827
WIEDERHOLD, JEFFREY E DC
7117 S WESTNEDGE AVE STE 1
PORTAGE 49002
(269) 327-4813
798 W MILE RD #1455
KALKASKA 49646
(231) 258-4023
KALKASKA COUNTY
1080713
OOSTERHART, KAREEN L DC
KENT COUNTY
1091550
AWERE, FRANCIS K DC
945 BURTON ST SW
WYOMING 49509
(616) 247-1000
1100415
BALE, AMY L DC
935 52ND STREET SE
GRAND RAPIDS 49508
(616) 531-1500
1107841
BOYKIN, ROBERT DC
KENTWOOD 49548
(616) 431-2001
1080551
BROWN, MATTHEW A DC
970 28TH ST SW
WYOMING 49509
(616) 249-2858
1080682
BURKHART, KEVIN M DC
515 E DIVISION ST STE 125
ROCKFORD 49341
(616) 863-1020
1098420
CANFIELD, JACOB DC
831 FULLER AVE NE
GRAND RAPIDS 49503
(616) 458-8063
1082075
ELLIOTT, JAMES DC
1553 ALPINE AVE NW
GRAND RAPIDS 49504
(616) 364-9485
1105389
HADLEY, HARRY DC
9161 SPARTA AVE
SPARTA 49345
(616) 364-6275
1107791
HADLEY, HARRY DC
GRAND RAPIDS 49525
(616) 364-6275
1080861
KWAST, MICHAEL L DC
GRAND RAPIDS 49525
(616) 447-9888
1091673
LENGKEEK, WILLIAM D DC
1851 44TH ST SW STE N
GRAND RAPIDS 49519
(616) 538-9880
1122163
NEWQUIST, SCOTT DC
6735 CASCADE RD STE 200
GRAND RAPIDS 49546
(616) 464-1091
1030976
SZAGESH, ALAN J DC
3097 29TH ST SE
GRAND RAPIDS 49512
(616) 974-9922
1107804
TALLERIE, PIERRE DC
KENTWOOD 49548
(616) 431-2001
1100392
WILCOX, RANDALL I DC
935 52ND STREET SE
GRAND RAPIDS 49508
(616) 531-1500
LAPEER COUNTY
1101158
BIRKENHAUER, KATIE DC
520 IMLAY CITY RD
LAPEER 48446
(810) 664-4741
1096159
BURGER, MATTHEW J DC
125 E CAPAC RD
IMLAY CITY 48444
(810) 724-0996
1104405
CENTOFANTI, ERNEST R DC
126 N ALMONT AVE
IMLAY CITY 48444
(810) 724-3344
1002094
CLENDENAN, CLIFTON J DC
279 W CAPAC RD
IMLAY CITY 48444
(810) 724-0596
1065994
CUMMINGS, TERESA DC
452 S MAIN ST
LAPEER 48446
(810) 664-4185
1001801
DELL, MICHAEL S DC
4640 PRATT RD
HADLEY 48440
(810) 797-5755
1105933
GWYN, LANCE DC
125 E CAPAC RD
IMLAY CITY 48444
(810) 724-0996
1046457
JACOB, KEVIN C DC
3820 S LAPEER RD
METAMORA 48455
(810) 678-2414
1020269
KAMEGO, GREG DC
716 N VAN DYKE
ALMONT 48003
(810) 798-7500
1001784
KEILS, JOHN P DC
793 S MAIN ST STE A
LAPEER 48446
(810) 664-3333
1094595
KOTCHOUNIAN, ANTOINETTE M DC
5830 N LAPEER RD BLDG 1 STE B
NORTH BRANCH 48461
(810) 793-7376
1001822
MCALPINE, FRED DC
520 IMLAY CITY RD
LAPEER 48446
(810) 664-4741
1004583
OCHADLEUS, MARK H DC
498 S MAIN ST
LAPEER 48446
(810) 664-5310
1005250
PATTERSON, ALBERT DC
3702 HURON ST
NORTH BRANCH 48461
(810) 688-4891

Chiropractors
Page 640
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1033506
SCHAFER, NATHAN DC
92 W NEPESSING ST
LAPEER 48446
(810) 664-8852
1100099
SCHAFER, NATHAN DC
125 E CAPAC RD
IMLAY CITY 48444
(810) 724-0996
1033507
SCHAFER, SARAH DC
92 W NEPESSING ST
LAPEER 48446
(810) 664-8852
1093098
SCHAFER, SARAH DC
125 E CAPAC RD
IMLAY CITY 48444
(810) 724-0996
1059994
SERENKO, STEPHANIE DC
3820 S LAPEER RD
METAMORA 48455
(810) 678-3730
1038229
SHERMAN, BRUCE K DC
1112 S LAPEER RD STE B
LAPEER 48446
(810) 245-1111
1000606
SKOUSON, ROBERT H DC
1811 W GENESEE ST
LAPEER 48446
(810) 664-1111
1001320
SWAIN, MATTHEW C DC
3257 DAVISON RD
LAPEER 48446
(810) 664-8404
1100755
VARGA, DJORDJE DC
125 E CAPAC RD
IMLAY CITY 48444
(810) 724-0996
1093099
WARNARS, MICHAEL R DC
125 E CAPAC RD
IMLAY CITY 48444
(810) 724-0996
LEELANAU COUNTY
1125385
BOGART, CASEY DC
208 W MAIN ST
LAKE LEELANAU 49653
(231) 256-2500
1125910
GENNA PARENT, MARIE DC
208 W MAIN ST
LAKE LEELANAU 49653
(231) 256-2500
1080599
JACKSON, NEIL B DC
9093 S KASSON ST
CEDAR 49621
(231) 228-5233
1082240
LEBLANC, RUSSELL A DC
489 W MAIN ST
LAKE LEELANAU 49653
(231) 256-7877
LENAWEE COUNTY
1082198
LIBS, LARRY L DC
211 W MAUMEE ST
ADRIAN 49221
(517) 263-6181
1104621
SPENCER, JAMES C DC
509 S MERIDIAN RD
HUDSON 49247
(517) 448-3000
1104094
WARREN, KAREN L DC
509 S MERIDIAN RD
HUDSON 49247
(517) 448-3000
LIVINGSTON COUNTY
1126803
BRAJAK, VLADIMIR J DC
BRIGHTON 48114
(810) 494-9300
1010735
LEEDLE, JAMES D DC
11460 W HIGHLAND RD
HARTLAND 48353
(810) 632-7700
1090511
SMITH, STEPHAN J DC
BRIGHTON 48114
(810) 494-9300
1025021
TERSIGNI, TIMOTHY J DC
746 S GRAND
FOWLERVILLE 48836
(517) 223-9276
MACOMB COUNTY
1101361
ADEGBENRO, ADEBOWALE DC
32500 23 MILE RD
NEW BALTIMORE 48047
(586) 725-3100
1034613
AGRUSA, JEROME DC
16651 21 MILE RD
MACOMB 48044
(586) 263-5611
1078759
AHEE, GLEN M DC
30838 SCHOENHERR RD
WARREN 48088
(586) 776-4000
1083651
ARNOLD, DUANE W DC
51940 VAN DYKE
(586) 739-8700
1036514
BAETENS, BRYAN A DC
19416 E TEN MILE RD
EASTPOINTE 48021
(586) 774-7920
1078296
BENCE, PAVEL DC
39573 MOUND RD
(586) 978-9900
1123587
BLENDL, MICHAEL J DC
37211 HARPER STE B-9
(586) 463-3103
1091560
BLOODWORTH, JOHN G DC
(586) 939-1003
1126858
BRENNAN, KEITH A DC
45280 CASS AVE
UTICA 48317
(586) 254-3303
1093111
BRIEDEN, ELIZABETH DC
16782 12 MILE RD
MACOMB 48044
(586) 286-2960
1124302
BRIOC, CHRISTOPHER M DC
36620 GARFIELD RD
(586) 792-1800
1065617
BUTZIN, JASON A DC
2050 CHESLEY DR STE 2
(586) 268-8882
1080402
CLARK, DANIEL S DC
41060 HAYES RD
(586) 228-1500
1086263
CLEMENTS, DEREK DC
51060 HAYES RD
MACOMB 48042
(586) 781-4314
1036610
COOK, WILLIAM S DC
51540 VAN DYKE AVE
(586) 731-7730
M
M
1109506
DIEGEL, ROBERT DC
49780 VAN DYKE AVE
UTICA 48317
(586) 254-2060
1031791
DIMARTINO, ERIC DC
30120 23 MILE RD
NEW BALTIMORE 48047
(586) 949-9248
1045898
DIXON, PATRICK DC
67421 MAIN ST
RICHMOND 48062
(586) 727-7557

Chiropractors
Page 641
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1024180
DUBBS-KHAZNEHKATBI, CAROL DC
122 NEW ST
MOUNT CLEMENS 48043
(586) 468-5381
1090916
DUDEK, GREGORY A DC
117 CROCKER BLVD
MOUNT CLEMENS 48043
(586) 465-7422
F
M
1107856
DUGAN, MARK J DC
45151 CASS AVE 1078993
UTICA 48317
(586) 254-9420
1091961
FOUNTAIN, GREGORY DC
5600 METRO PKWY
(586) 264-2100
1114361
(586) 264-2100
1094993
FRATTINI, EDWARD M DC
22701 GREATER MACK
(586) 777-6056
1036158
GOSS, WILLIAM DC
(586) 264-2100
1062916
GRALEWSKI, LAWRENCE A DC
51210 ROMEO PLANK
MACOMB 48044
(586) 677-7966
1079512
GREINER, MICHAEL DC
2243 E 12 MILE RD
WARREN 48092
(586) 573-8100
1036721
GRUBER, DARRELL DC
41976 HAYES RD
(586) 286-9250
1098477
GUTHRIE, KEITH DC
8187 RHODE DR STE A
UTICA 48317
(586) 731-1188
1063718
GUZZARDO, DAVID DC
39725 GARFIELD RD
(586) 286-6616
1028360
HAMILTON, KENNETH DC
27889 HARPER
(586) 774-7171
1078515
HAMILTON, KENNETH L DC
27889 HARPER AVE
(586) 774-7171
1127824
HANS, SWATI S DC
45637 HAYES RD
UTICA 48315
(586) 991-6471
1033563
HEINZ, STEVEN DC
37136 31 MILE RD
RICHMOND 48062
(586) 727-6750
1077886
HEITMAN, CHRISTOPHER B DC
27889 HARPER AAVE
(586) 774-7171
1118909
HESSLER, JOEL DC
57911 VANDYKE
WASHINGTON 48094
(586) 781-0800
1034311
HOLLAND, LINDA DC
28438 S RIVER RD
HARRISON TOWNSHIP 48045
(586) 468-6009
1074209
HUDSON, JENNIFER DC
43740 GARFIELD RD
(586) 228-0270
1074208
HUDSON, JENNIFER DC
28098 23 MILE RD
NEW BALTIMORE 48051
(586) 949-0123
1127832
HUFFMAN, RYAN M DC
57911 VAN DYKE RD
WASHINGTON 48094
(586) 781-0800
1127831
HUFFMAN, RYAN M DC
28098 23 MILE RD
NEW BALTIMORE 48051
(586) 949-0123
1126221
HUFFMAN, RYAN M DC
43740 GARFIELD RD
(586) 228-0270
M
M
1036368
HUMINSKI, RICHARD F DC
43740 GARFIELD RD
(586) 228-0270
1036369
HUMINSKI, RICHARD F DC
28098 23 MILE RD
NEW BALTIMORE 48051
(586) 949-0123
1068321
JAKSA, NICOLA DC
35040 HELZE LANE
RICHMOND 48062
(810) 392-7373
1062196
KAMINSKI, RAYMOND DC
43297 GARFIELD
(586) 286-1100
1117602
KAPUT, EDWIN DC
21880 23 MILE RD
MACOMB 48042
(586) 949-0500
1066662
KHAN, MOHAMMAD SHAID DC
27850 GRATIOT AVE
ROSEVILLE 48066
(586) 772-5876
1036970
KLEINSTEIN, TODD K DC
28041 CARRIAGE WAY DR
NEW BALTIMORE 48051
(586) 948-7246
1121969
KONARSKI, KIMBERLY DC
57911 VANDYKE
WASHINGTON 48094
(586) 781-0800
1091666
KRAUSENECK, MICHAEL P DC
51 S GRATIOT AVE
MOUNT CLEMENS 48043
(586) 465-7900
1035724
LEFEVER, JULIE DC
22919 W MAIN ST
ARMADA 48005
(586) 784-5470
1063707
LOGAN, BILL DC
27104 DEQUINDRE RD
WARREN 48092
(586) 751-1977
1035830
LUKOSAVICH, MARC A DC
48881 HAYES
UTICA 48315
(586) 532-6373
1097073
LUKOWSKI, RYAN DC
34521 UTICA RD
FRASER 48026
(586) 285-1090
1036372
LUNDGAARD, AARON M DC
43740 GARFIELD RD
(586) 228-0270
1036373
LUNDGAARD, AARON M DC
28098 23 MILE RD
NEW BALTIMORE 48051
(586) 949-0123
1065344
LUPO, JEFFREY DC
27850 GRATIOT
ROSEVILLE 48066
(586) 772-5876
1064319
LUPO, JESSICA DC
27850 GRATIOT
ROSEVILLE 48066
(586) 772-5876
1046254
LUPO, JOSEPH DC
27850 GRATIOT
ROSEVILLE 48066
(586) 772-5876
1117235
MASON, DAVID DC
(586) 264-2100
1096806
MASON, DAVID C DC
5600 METRO PARKWAY
(586) 264-2100
1066746
MATOSHKO, JEFFREY DC
2050 CHESLEY DR STE 2
(586) 268-8882
1030795
MATTAR, JEFFREY J DC
(586) 286-1112
1076477
MCFADDEN, DAVID DC
21360 CASS AVE
(586) 468-6868
1053762
MCLEOD, SCOTT DC
48073 VAN DYKE AVE
UTICA 48317
(586) 739-6262

Chiropractors
Page 642
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1027643
MILLER, MARK A DC
44476 HAYES RD
(586) 263-7300
1027644
MILLER, RYAN DC
44476 HAYES RD
(586) 263-7300
1036359
MINKIEWICZ, ROSE ANN DC
28098 23 MILE RD
NEW BALTIMORE 48051
(586) 949-0123
1036358
MINKIEWICZ, ROSE ANN DC
43740 GARFIEDL RD
(586) 228-0270
1031410
MIRAMONTI, FRANK C DC
MOUNT CLEMENS 48043
(586) 465-5640
1095045
MIROWSKI, RICHARD J DC
35426 HARPER AVE
(586) 668-4234
M
M
1091006
MOSES, JACK A DC
45941 HAYES
UTICA 48315
(586) 323-5060
1028842
NEUNER, THOMAS J DC
32500 23 MILE RD
NEW BALTIMORE 48047
(586) 725-3100
1104741
O'BRIEN, MATTHEW DC
143 W ST CLAIR ST
ROMEO 48065
(586) 752-1515
1095217
PFLAUM, DAVID DC
14445 E 15 MILE RD
(586) 268-6868
1079513
PISPIDIKIS, JOHN DC
2243 E 12 MILE RD
WARREN 48092
(586) 573-8100
1073517
POHLEN, WILLIAM DC
28098 23 MILE RD
NEW BALTIMORE 48051
(586) 949-0123
1071226
POHLEN, WILLIAM DC
43740 GARFIELD RD
(586) 228-0270
1108414
POHLEN, WILLIAM DC
57911 VAN DYKE RD
WASHINGTON 48094
(586) 781-0800
1028913
PRICE, LISA DC
27889 HARPER AVE
(586) 774-7171
1068025
PURDY, WILLIAM A DC
32860 RYAN RD
WARREN 48092
(586) 264-7744
1068026
PURDY-CANTU, NICOLE J DC
32860 RYAN ROAD
WARREN 48092
(586) 264-7744
1027032
RAUCH, JEFFREY K DC
38904 DEQUINDRE
(586) 978-8240
1035556
REINHARDT, RICHARD DC
117 CROCKER BLVD
MOUNT CLEMENS 48043
(586) 463-5400
1037568
RIVERS, RICHARD DC
51547 VAN DYKE AVE
(586) 739-8824
1118243
SALEH, RASHAD DC
30827 HOOVER RD
WARREN 48093
(586) 751-8984
1122225
SARVER, EDWARD DC
57911 VANDYKE
WASHINGTON 48094
(586) 781-0800
1060491
SCHNEIDER, MARK DC
45200 STERRITT DR STE 102
UTICA 48317
(586) 726-1620
1030136
SCHWALM, ALLAN DC
36880 GROESBECK
(586) 791-1800
1106494
SELBY-COOK, ERICA L DC
43740 GARFIELD RD
(586) 228-0270
1123031
SELBY-COOK, ERICA L DC
57911 VANDYKE
WASHINGTON 48094
(586) 781-0800
1124839
SERENKO, STEPHANIE DC
8152 25 MILE RD STE E
(586) 992-6960
1068986
SHAEFFER, CRAIG DC
4110 17 MILE RD
(586) 978-0170
1092322
SHIEMKE, CHARLES DC
30838 SCHOENHERR
WARREN 48088
(586) 393-6455
M
F
1074250
SLAGLE, MICHELLE DC
45637 HAYNES RD
UTICA 48315
(586) 991-6471
1032368
SMITH, BRIAN DC
49560 GRATIOT AVE
NEW BALTIMORE 48051
(586) 949-3788
1057579
SMITH, THOMAS DC
WARREN 48093
(586) 576-0701
M
M
1099723
SMITH, THOMAS DC
30061 SCHOENHERR RD STE B
WARREN 48088
(586) 576-0701
1083425
STANCZAK, JASON DC
30325 GRATIOT AVE
ROSEVILLE 48066
(586) 774-6301
1117929
TOMASZYCKI, PAMELA
NEW BALTIMORE 48051
(586) 598-9120
1061019
VANDEVEEGAETE, JENNIFER DC
19416 EAST TEN MILE RD
EASTPOINTE 48021
(586) 774-7920
1090227
VANHOUTTEGHEM, ARTHUR DC
27206 HARPER AVE
(586) 777-7463
1101360
WASMUND, TIMOTHY M DC
32500 23 MILE RD
NEW BALTIMORE 48047
(586) 725-3100
1086217
WILBRAHAM, NICOLE DC
51060 HAYES RD
MACOMB 48042
(586) 781-4314
1114391
WILLEMIN, ADAM DC
(586) 264-2100
1090103
WILLEMIN, ADAM W DC
(586) 264-2100
1075618
WILLIAMS, THERESA DC
23035 21 MILE RD
MACOMB 48042
(586) 949-5511
1126314
WITINKO, SCOTT DC
6003 26 MILE RD
WASHINGTON 48094
(586) 677-4400
1054835
WOOD, JOHN DC
43901 VAN DYKE
(586) 739-9944
1064098
WOOD, STEVEN DC
35426 HARPER AVE
(586) 790-7400
1083853
WOOD-ZANCHETTA, CAROL DC
19416 E TEN MILE RD
EASTPOINTE 48021
(586) 774-7920
1084267
WRUBEL, SHAWN DC
27850 GRATIOT
ROSEVILLE 48066
(586) 772-5876
1109466
YOUNG, TIMOTHY DC
30838 SCHOENHERR RD
WARREN 48088
(586) 776-4000

Chiropractors
Page 643
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender
MARQUETTE 49855
(906) 228-2765
MARQUETTE COUNTY
1089612
THOMAS, CRAIG DC
MASON COUNTY
1080974
HENDRICKS, JOHN S DC
5828 W US HIGHWAY 10
LUDINGTON 49431
(231) 843-3771
1035986
INGLE, WILLIAM L DC
329 N JEBAVY DR
LUDINGTON 49431
(231) 843-4088
1081945
SQUIRES, LEWIS G DC
414 W US HIGHWAY 10 31
SCOTTVILLE 49454
(231) 757-3356
MIDLAND COUNTY
1018188
6021 EASTMAN AVE
MIDLAND 48640
(989) 835-9500
1068874
BARRIGAR, JASON DC
MIDLAND 48640
(989) 837-5998
1118474
BERARD, JEFFREY T DC
4710 EASTMAN DR
MIDLAND 48641
(989) 341-1070
1090950
CHADWELL, PHILLIP L DC
5103 EASTMAN AVE STE 140
MIDLAND 48640
(989) 832-3066
1014952
COUCH, STANTON A DC
MIDLAND 48640
(989) 923-2225
1010206
DORAIS, JAMES DC
4706 ISABELLA ST
MIDLAND 48640
(989) 631-9520
1094992
FOX, CORBIN DC
MIDLAND 48640
(989) 837-5998
1015752
HERRING, JAMES K DC
4604 N SAGINAW STE A
MIDLAND 48640
(989) 832-7535
1091645
ISAACOFF, IRA B DC
955 E BREASBOIS CT
MIDLAND 48640
(989) 832-9200
1071354
MORGAN-RICH, MARNIE A DC
214 DARTMOUTH
MIDLAND 48640
(989) 832-4400
1031789
NAGEL, RODNEY V DC
MIDLAND 48640
(989) 837-5998
1027798
RODNICK, ADAM DC
MIDLAND 48640
(989) 832-7535
1062245
RODNICK, ALEX H DC
MIDLAND 48640
(989) 832-7535
1017687
RODNICK, COREY B DC
MIDLAND 48640
(989) 832-7535
1106039
RODNICK, NEIL DC
MIDLAND 48640
(989) 832-7535
1058947
RODNICK, PAUL DC
MIDLAND 48640
(989) 832-7535
1058031
SELLE, ERIC DC
MIDLAND 48640
(989) 923-2225
1001608
SIMMONS, STEVEN B DC
MIDLAND 48640
(989) 923-2225
1027799
SLUSHER, TAMARA DC
MIDLAND 48640
(989) 832-7535
1060526
SMITH, ROBERT T DC
328 W SAGINAW
SANFORD 48657
(989) 687-7376
1126008
VANDERLOO, NATHAN DC
214 W WACKERLY STE 100
MIDLAND 48640
(989) 837-5998
1078424
WANGLER, ALEXIS DC
328 W SAGINAW
SANFORD 48657
(989) 687-7376
1026170
WASKEVICH, MELANIE DC
MIDLAND 48640
(989) 923-2225
1109781
WASKEVICH, MELANIE DC
901 E INDIAN ST
MIDLAND 48640
(989) 835-2440
MONROE COUNTY
1091591
CONANT, GARY W DC
MONROE 48161
(734) 241-1191
1098642
CONANT, JAMIE R DC
MONROE 48161
(734) 241-1191
1098262
CONANT, KELLEE DC
MONROE 48161
(734) 241-1191
1024212
LAJINESS, DARYL DC
8100 LEWIS AVE STE A
TEMPERANCE 48182
(734) 847-5758
1097498
LASCALA, JOSEPH DC
6601 LEWIS AVE
TEMPERANCE 48182
(734) 847-7640
1081927
WARNER, DENNIS R DC
8941 LEWIS AVE
TEMPERANCE 48182
(734) 847-1111
MONTCALM COUNTY
1091585
CHOMIC, JEANETTE I DC
960 S LINCOLN ST
LAKEVIEW 48850
(989) 352-8283
1100410
CLAY, DAVID M DC
806 N STATE ST STE B
STANTON 48888
(989) 831-5218
1084830
CUSHMAN, CRAIG DC
710 E WASHINGTON
GREENVILLE 48838
(616) 754-9172
1034306
DEKRAKER, MATTHEW DC
710 E WASHINGTON ST
GREENVILLE 48838
(616) 754-9172
1020033
HAGLUND, MATTHEW DC
10708 E CARSON CITY RD
CARSON CITY 48811
(989) 584-6110

Chiropractors
Page 644
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1022313
HAYES, DENNIS DC
710 E WASHINGTON
GREENVILLE 48838
(616) 754-9172
1018507
MCNINCH, CHARLES J DC
203 E WASHINGTON ST
GREENVILLE 48838
(616) 754-4621
1059556
PADDEN, CATHLEEN M DC
960 LINCOLN AVE
LAKEVIEW 48850
(989) 352-8283
1026189
PADDEN, GARY R DC
960 LINCOLN AVE
LAKEVIEW 48850
(989) 352-8283
1104742
PADDEN, TIFFANY R DC
960 LINCOLN AVE
LAKEVIEW 48850
(989) 352-8283
1072897
RACKHAM, AARON L DC
9396 SW GREENVILLE RD
GREENVILLE 48838
(616) 754-7717
1010600
RACKHAM, AARON L DC
9421 S GREEN VILLE RD
GREENVILLE 48838
(616) 754-7717
1036120
WILLEMIN, DOUGLAS L DC
500 S MAIN ST STE 1
SHERIDAN 48884
(989) 291-3202
4556 SALLING AVE
LEWISTON 49756
(231) 533-5031
MONTMORENCY COUNTY
1080591
WOODRUFF, DANIEL R DC
MUSKEGON COUNTY
1090405
MOREA, MICHAEL T DC
388 N THIRD AVE STE L
FRUITPORT 49415
(231) 865-7474
1080563
SEMLOW, SCOTT R DC
5353 GRAND HAVEN RD STE A
MUSKEGON 49441
(231) 799-9616
NEWAYGO COUNTY
1092695
GEERS, ERIC DC
106 S STEWART AVE
FREMONT 49412
(231) 924-3456
1081939
PALMER, DAMIAN A DC
32 S CHARLES ST
WHITE CLOUD 49349
(231) 689-6070
1096678
SCOTT, JENNIFER N DC
119 N STONE RD
FREMONT 49412
(231) 924-2590
1091757
SEMLOW, BROCK J DC
119 N STONE RD
FREMONT 49412
(231) 924-2590
OAKLAND COUNTY
1037836
APFELBLAT, ADAM DC
5140 HIGHLAND RD
WATERFORD 48327
(248) 618-3467
1123199
BAILEY, JARROD DC
1016 N SAGINAW ST STE C
HOLLY 48442
(248) 328-9800
1093658
BETTS, DAVID DC
5161 W MAPLE RD
(248) 626-6892
1093659
BETTS, DAVID DC
OAK PARK 48237
(248) 352-5851
1122227
BIEHL, ELIZABETH DC
3302 CROOKS RD
ROYAL OAK 48073
(248) 629-6071
1050950
BOOK, HAROLD DC
224 NORTH MAIN ST
MILFORD 48381
(248) 684-2551
1106072
BOOK, REBECCA DC
2140 N MILDFORD RD
HIGHLAND 48357
(248) 887-6500
1125457
BOOK, REBECCA DC
2301 S MILFORD RD STE A
HIGHLAND 48357
(248) 529-3085
1040197
BOSMAN, JEFFREY DC
709 S OPDYKE
AUBURN HILLS 48326
(248) 253-1700
1073460
BULLER, JEFFREY E DC
294 W TIENKEN RD
ROCHESTER 48306
(248) 652-9191
1104306
BULLER, JEFFREY S DC
294 W TIENKEN RD
ROCHESTER 48306
(248) 652-9191
1116229
CARON, KEVIN DC
39680 14 MILE RD
WALLED LAKE 48390
(248) 960-8828
1053667
CARUSO, SAM DC
25 S LAPEER ST
LAKE ORION 48362
(248) 693-4800
1119533
COOPER, KURT R DC
5855 DIXIE HWY
CLARKSTON 48346
(248) 599-7455
1010815
COWAN, JOHN S DC
6507 TOWN CENTER DR STE F
CLARKSTON 48346
(248) 625-7600
1122599
COZZETTO, SILVIO DC
750 S OLD WOODWARD AVE
BIRMINGHAM 48009
(248) 792-6570
1068949
CROMWELL, JONATHAN DC
23280 FARMINGTON RD
FARMINGTON 48336
(248) 477-1492
1092101
DEAN, CHRISTOPHER DC
28931 WOODWARD AVE
BERKLEY 48072
(248) 543-3566
1076004
DEAN, JONATHON DC
28931 WOODWARD AVE
BERKLEY 48072
(248) 543-3566
1074247
DELAP, KEITH I DC
3263 DIXIE HWY
WATERFORD 48328
(248) 673-6400
1079468
DEVARY, SHAWN DC
1121 N SAGINAW ST STE 2
HOLLY 48442
(248) 328-9291
1076058
DILTS, ERIC DC
1186 PONTIAC TRAIL
WALLED LAKE 48390
(248) 624-6111
1067878
DOLECKI, CHRISTOPHER A DC
4110 BALDWIN RD
LAKE ORION 48359
(248) 391-1040
1038473
ELCESER, LEIGH DC
1044 JOSLYN AVE
PONTIAC 48340
(248) 332-0111

Chiropractors
Page 645
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1093649
ELWART, FRANCIS DC
OAK PARK 48237
(248) 352-5851
1093648
ELWART, FRANCIS DC
5761 W MAPLE RD
(248) 626-6892
1037534
FIREBERG, EDWARD DC
23507 JOHN R RD
HAZEL PARK 48030
(248) 543-9380
1094033
626 N MAIN ST
ROCHESTER 48307
(248) 601-6100
1042506
GAVIGLIO, ADRIAN S DC
3801 ELIZABETH LK RD
WATERFORD 48328
(248) 681-7655
1091620
GISCHIA, WILLIAM DC
2141 CASSLAKE RD STE 101/102
KEEGO HARBOR 48320
(248) 681-3090
1065619
GOSS, WILLIAM DC
626 N MAIN ST
ROCHESTER 48307
(248) 601-6100
1033007
GREGG, ROBERT J DC
1079 S BALDWIN RD
LAKE ORION 48360
(248) 391-1600
1057938
GROSSMAN, GARY DC
23507 JOHN R RD
HAZEL PARK 48030
(248) 395-0080
1108277
GUTIERREZ, FRANCISCO DC
4000 W WALTON BLVD STE A
WATERFORD 48329
(248) 599-9450
1012833
HALLETT, ROBERT B DC
3263 DIXIE HWY
WATERFORD 48328
(248) 674-1900
1066192
HAMILTON, LINDSEY DC
1922 S ROCHESTER RD
ROCHESTER 48307
(248) 656-2273
1124875
HARPENAU, KIMBERLY DC
(248) 855-0366
1119589
HUSSAIN, IFTIKHAR DC
115 E THIRD ST
ROCHESTER 48307
(248) 608-2675
1116692
JOHNSON, RICHARD B DC
(248) 626-3030
1119590
KATZ, DAVID DC
5761 W MAPLE RD
(248) 626-6892
1119465
KENDALL, MARK DC
(248) 363-1775
1035947
KOPSCH, THOMAS DC
32268 WOODWARD
ROYAL OAK 48073
(248) 549-0140
1083494
LAJINESS, DEANA A DC
2909 WALTON BLVD
ROCHESTER 48309
(248) 318-5005
1059911
LEWIS, CHRISTOPHER DC
10 WEST SQUARE LAKE STE 306
(248) 451-1609
1056758
LOCKWOOD, KENNETH P DC
2030 CASS LAKE RD
KEEGO HARBOR 48320
(248) 682-5010
1060351
MARSHALL, RONDA DC
3093 SASHABAW RD STE B
WATERFORD 48329
(248) 674-4898
1091460
MASON, DAVID DC
626 N MAIN ST
ROCHESTER 48307
(248) 601-6100
1084438
MCCARTNEY, JENNIFER DC
3302 CROOKS RD
ROYAL OAK 48073
(248) 629-9071
1041456
MCCARTY, PHILIP DC
31170 HAGGERTY RD
(248) 661-8500
1073597
MILLER, AIMEE DC
44 N WASHINGTON ST
OXFORD 48371
(248) 969-8888
1072058
MILLER, RYAN DC
44 N WASHINGTON
OXFORD 48371
(248) 969-8888
1090401
MITCHELL, DAVID T DC
6929 HIGHLAND RD
WATERFORD 48327
(248) 698-6920
1098553
MUKEKU, DUNCAN K DC
23120 COOLIDGE HWY
OAK PARK 48237
(248) 275-1905
1037067
NICHOLSON, LAURA DC
1044 JOSLYN RD
PONTIAC 48340
(248) 332-0111
1040845
O'DELL, CHRISTOPHER DC
1183 PONTIAC TR
WALLED LAKE 48390
(248) 624-6111
1040352
ODELL, KEVIN J DC
28245 SOUTHFIELD RD
SOUTHFIELD 48076
(248) 552-1110
1039841
O'DELL, RANDOLPH DC
1183 PONTIAC TR
WALLED LAKE 48390
(248) 624-6111
1107432
OLVERA, KATHLEEN A DC
114 W 3RD ST
ROCHESTER 48307
(248) 656-6957
1040189
OZA, MAHAVIR DC
530 W HURON ST
PONTIAC 48341
(248) 334-5500
1079717
RAEON, FLOYD DC
31166 GRAND RIVER
FARMINGTON 48336
(248) 477-6400
1114375
RAOOFI, HILA DC
OAK PARK 48237
(248) 352-5851
1114377
RAOOFI, HILA DC
5761 W MAPLE RD
(248) 626-6892
1056485
RODNICK, ADAM DC
2685 UNION LAKE RD
(248) 366-6378
1042323
ROGERS, DAYNE DC
5659 DIXIE HWY
WATERFORD 48329
(248) 623-6200
1091304
RUMPH, BERNARD J DC
5732 WILLIAMS LK RD
WATERFORD 48329
(248) 673-1215
1038580
RUMPH, PAUL A DC
5732 WILLIAMS LK RD
WATERFORD 48329
(248) 673-1215
1093179
RUMPH, REBECCA R DC
5732 WILLIAMS LK RD
WATERFORD 48329
(248) 673-1215
1080484
RYKSE, MICHAEL DC
4000 W WALTON BLVD STE A
WATERFORD 48329
(248) 599-9450
1079528
SABO, BRADLEY DC
25 S LAPEER ST
LAKE ORION 48362
(248) 693-4800
1021939
SANDLER, DAVID DC
15400 LINCOLN STE 3
OAK PARK 48237
(248) 968-2829
1080079
SAYLOR, ANNA M DC
4203 ROCHESTER RD
ROYAL OAK 48073
(248) 616-0900
1002604
SCHAFER, JOHN A DC
4089 W WALTON BLVD STE B
WATERFORD 48329
(248) 674-5433

Chiropractors
Page 646
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1065783
SCHUELER, HEATHER DC
28245 SOUTHFIELD RD
SOUTHFIELD 48076
(248) 552-1110
1119459
SCHULDINGER, MICHAEL S DC
7938 COOLEY LK RD STE 100
WATERFORD 48327
(248) 360-4450
1062714
SCLABASSI, GARY J DC
39680 14 MILE RD
WALLED LAKE 48390
(248) 960-8828
1037525
SEITER, ALLEN DC
5254 DIXIE HWY
WATERFORD 48329
(248) 623-1188
1037524
SEITER, KRISTA DC
5254 DIXIE HIGHWAY
WATERFORD 48329
(248) 623-1188
1091759
SHAH, TIMOTHY R DC
23280 FARMINGTON RD
FARMINGTON 48336
(248) 477-1492
1125825
SINAWI, DAVID DC
916 E 11 MILE RD
ROYAL OAK 48067
(248) 291-6113
1093656
SNIDER, JESSE DC
OAK PARK 48237
(248) 352-5851
1093655
SNIDER, JESSE DC
5761 W MAPLE RD
(248) 626-6892
1058493
STARK, JAY DC
125 N ORTONVILLE RD STE A
ORTONVILLE 48462
(248) 627-9595
1071033
TEZERA, SISSAY DC
2710 DIXIE HWY STE C
WATERFORD 48328
(248) 674-7230
1071032
TEZERA, SISSAY DC
SOUTHFIELD 48076
(248) 443-1995
1016995
UPCHURCH, STEPHEN M DC
2436 ROCHESTER RD
ROYAL OAK 48073
(248) 545-8550
1015646
VAUGHN, JACQUELINE C DC
3093 SASHABAW RD STE B
WATERFORD 48329
(248) 674-4898
1035542
WALTER, MICHAELLA DC
3302 CROOKS RD
ROYAL OAK 48073
(248) 629-6071
1091826
WETHERBEE, JOHN M DC
23280 FARMINGTON RD
FARMINGTON 48336
(248) 477-1492
1021237
WHITE, JASON M DC
1016 N SAGINAW ST
HOLLY 48442
(248) 328-9800
1105380
WILLEMIN, ADAM DC
626 N MAIN ST
ROCHESTER 48307
(248) 601-6100
1093645
WOOLMAN, RICHARD DC
5761 W MAPLE RD
(248) 626-6892
1070337
WOOLMAN, RICHARD DC
SOUTHFIELD 48076
(248) 443-1995
1093646
WOOLMAN, RICHARD DC
OAK PARK 48237
(248) 352-5851
1070338
WOOLMAN, RICHARD DC
2710 DIXIE HWY STE C
WATERFORD 48328
(248) 674-7230
1120770
ZACK, SCOTT DC
5761 W MAPLE RD
(248) 626-6892
81 W SOUTH AVE
HESPERIA 49421
(231) 854-1455
OCEANA COUNTY
1081940
PALMER, DAMIAN A DC
OGEMAW COUNTY
203056
GREENE, DANIEL E DC
1818 GREENWOOD RD
PRESCOTT 48756
(989) 873-4111
1016830
MARENTETTE, DREW J DC
110 E HOUGHTON AVE
WEST BRANCH 48661
(989) 345-3310
1010205
PAULSON, KENDALL DC
3292 N M33
ROSE CITY 48654
(989) 685-2631
1024504
RUDDY, PATRICK DC
2268 S M-76
WEST BRANCH 48661
(989) 345-0010
1074801
WANGLER, ALEXIS M DC
3292 N M33
ROSE CITY 48654
(989) 685-2631
101 S FAIR ST
EVART 49631
(231) 734-2791
1554 N ABBE RD
FAIRVIEW 48621
(989) 848-2265
OSCEOLA COUNTY
1034075
DROUSE, RODNEY E DC
OSCODA COUNTY
1013449
MCKENZIE, CHERIE A DC
OTSEGO COUNTY
1074061
COUSINEAU, SHANE M DC
997 N CENTER AVE
GAYLORD 49735
(989) 732-2225
1024166
ELIAS, RENEE V DC
970 N CENTER AVE
GAYLORD 49735
(989) 731-4050
1084960
GILLING, CRAIG R DC
114 W MAIN
GAYLORD 49735
(989) 748-4400
1022263
LUCAS, RYAN J DC
1001 GORNICK AVE
GAYLORD 49735
(989) 732-1533
1089810
OLIVER, BRIAN D DC
970 N CENTER AVE
GAYLORD 49735
(989) 731-4050
1117491
PERRY, EVAN J DC
997 N CENTER AVE
GAYLORD 49735
(989) 732-2225

Chiropractors
Page 647
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1123617
SAKS, GARY DC
1447 S OTSEGO AVE
GAYLORD 49735
(989) 732-7000
1095864
SUCHEY, BRANDON DC
997 N CENTER AVE
GAYLORD 49735
(989) 732-2225
OTTAWA COUNTY
1078971
FRIESS, JAMES L DC
364 GARDEN AVE
HOLLAND 49424
(616) 392-9500
1091672
LENGKEEK, JEREMY R DC
364 GARDEN AVE
HOLLAND 49424
(616) 392-9500
1091721
PARKHURST, BRIAN S DC
364 GARDEN AVE
HOLLAND 49424
(616) 392-9500
1091722
PARKHURST, KARLA A DC
364 GARDEN AVE
HOLLAND 49424
(616) 392-9500
PRESQUE ISLE COUNTY

1046706
FAIRBANKS, RUSSELL A DC
408 N THIRD ST
ROGERS CITY 49779
(989) 734-3384
1082695
OLREE, DAVID A DC
784 N BRADLEY HWY
ROGERS CITY 49779
(989) 734-7144
1070479
OLREE, DOUGLAS A DC
20417 STATE ST
ONAWAY 49765
(989) 733-2800
1090865
OLREE, SHELLEY K DC
20417 STATE ST PO BOX 74
ONAWAY 49765
(989) 733-2800
1055214
WILLEY, GARY E DC
102 VETERANS DRIVE
ONAWAY 49765
(231) 733-8610
PRUDENVILLE 48651
(989) 366-3636
ROSCOMMON COUNTY
1120704
ZUBECK, BRETT DC
SAGINAW COUNTY
1077401
ARNOLD, HEIDI DC
SAINT CHARLES 48655
(989) 865-6100
1073432
BARRIGAR, JASON
7261 GRATIOT RD
SAGINAW 48609
(989) 781-7700
1118473
BERARD, JEFFREY T DC
398 S MAIN ST STE 5
FREELAND 48623
(989) 341-1070
1024503
CARROLL, APRIL DC
11945 CONQUEST ST
BIRCH RUN 48415
(989) 624-9293
1091584
CHMIELEWSKI, JOSEPH E DC
4266 STATE ST
SAGINAW 48603
(989) 792-6702
1070550
DENSE, MICHAEL J DC
7261 GRATIOT RD
SAGINAW 48609
(989) 781-7700
1026454
DOBSON, GREGORY L DC
139 S SAGINAW ST
CHESANING 48616
(989) 845-5433
1123242
GREENWOOD, TIMOTHY DC
1022 WEISS ST STE 3
FRANKENMUTH 48734
(989) 652-3244
1086936
HORTON, JENNIFER DC
3985 N MICHIGAN AVE
SAGINAW 48604
(989) 771-2225
1084358
HUGHES, RHONDA DC
499 N FRANKLIN STE C
FRANKENMUTH 48734
(989) 652-6003
1086935
JONES, JOSHUA DC
3985 N MICHIGAN
SAGINAW 48604
(989) 771-2225
1087004
KEHRES, DANIEL DC
SAGINAW 48638
(989) 607-4322
1091657
KELLY, JEFFREY A DC
4266 STATE ST
SAGINAW 48603
(989) 792-6702
1067667
MALOCHLEB, LORI DC
143 W GENESEE ST
FRANKENMUTH 48734
(989) 652-2577
1086934
NAGEL, RODNEY V DC
3985 N MICHIGAN AVE
SAGINAW 48604
(989) 771-2225
1002895
NAGEL, RODNEY V DC
3985 N MICHIGAN AVE
SAGINAW 48604
(989) 771-2225
1038476
PARTRIDGE, GLENN DC
139 S SAGINAW ST
CHESANING 48616
(989) 845-5433
1093600
SEEFELDT, BRIAN DC
499 N FRANKLIN ST STE C
FRANKENMUTH 48734
(989) 652-6003
1002844
TILLER, KENNETH R DC
7890 MAIN
BIRCH RUN 48415
(989) 624-6266
SAINT CLAIR COUNTY

1093481
ARMBRUSTER, ADAM DC
1002 10TH AVE
PORT HURON 48060
(810) 989-7429
1098588
ATON-AMON MORGAN, AAFERTI-ELRA DC
2887 KRAFFT RD STE 1400
PORT HURON 48060
(810) 984-1994
1119374
BRADY, WILLIAM DC
406 PTE TREMBLE RD
ALGONAC 48001
(810) 794-5000
1037255
BRADY, WILLIAM J DC
406 POINTE TREMBLE RD
ALGONAC 48001
(810) 794-5000
1109950
BRIEDEN, ELIZABETH DC
1820 SINCLAIR STE A
SAINT CLAIR 48079
(810) 329-9900
1075338
CARPENTER, JEFFREY DC
2100 WATER STREET
PORT HURON 48060
(810) 982-2700

Chiropractors
Page 648
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1013416
EDGERTON, BRENT L DC
7616 BROCKWAY RD
YALE 48097
(810) 387-3342
1027855
GILBERT, KEVIN DC
6640 S RIVER RD
MARINE CITY 48039
(810) 765-4100
1028845
HANRAHAN, THOMAS DC
301 TRUMBULL
SAINT CLAIR 48079
(810) 329-9121
1030857
HANRAHAN, THOMAS DC
901 MICHIGAN AVE
MARYSVILLE 48040
(810) 364-4433
1089957
HARRIS, BENJAMIN DC
2915 LAPEER RD
PORT HURON 48060
(810) 985-0084
1030616
HOHF, KEITH DC
1705 GRATIOT BLVD
MARYSVILLE 48040
(810) 388-9199
1116171
LEVERENZ, BENJAMIN DC
2915 LAPEER RD
PORT HURON 48060
(810) 985-0084
1117247
LEVERENZ, BRANDI DC
2915 LAPEER RD
PORT HURON 48060
(810) 985-0084
1124178
LIPKE, ERIC DC
901 MICHIGAN AVE
MARYSVILLE 48040
(810) 364-4433
1124179
LIPKE, ERIC DC
301 TRUMBULL ST
SAINT CLAIR 48079
(810) 329-9121
1074245
MACNEIL, CRAIG DC
108 HURON BLVD
MARYSVILLE 48040
(810) 364-8884
1031772
MARSHALL, ERIC J DC
1605 FRED MOORE HWY
SAINT CLAIR 48079
(810) 329-6100
1031941
MC MATH, BRADLEY DC
2100 WATER ST
PORT HURON 48060
(810) 982-2700
1120699
MCPHARLIN, MICHAEL P DC
1009 ONTARIO ST
PORT HURON 48060
(810) 982-0730
1124971
MORGAN, ELRA DC
2887 KRAFFT RD STE 1400
PORT HURON 48060
(810) 984-1994
1083879
PAVLOV, JENNIFER DC
1605 FRED MOORE HWY
SAINT CLAIR 48079
(810) 329-6100
1125275
POFF, CASEY M DC
2100 WATER ST
PORT HURON 48060
(810) 982-2700
1076506
SHAW, IAN W DC
1002 10TH AVE
PORT HURON 48060
(810) 989-7429
1090083
SMITH, JODY N DC
2824 STABLE DR
SMITHS CREEK 48074
(810) 966-1900
1120672
SMITH, STACEY C DC
1009 ONTARIO ST
PORT HURON 48060
(810) 982-0730
1030858
SOLOMON, MICHAEL DC
901 MICHIGAN AVE
MARYSVILLE 48040
(810) 364-4433
1028843
SOLOMON, MICHAEL DC
301 TRUMBULL
SAINT CLAIR 48079
(810) 329-9121
1120622
STEPHENS, MEGAN L DC
406 PTE TREMBLE RD
ALGONAC 48001
(810) 794-5000
1096800
SUKSI, JEANNINE M DC
2100 WATER ST
PORT HURON 48060
(810) 982-2700
1082916
VARGA, DAVID D DC
7616 BROCKWAY RD
YALE 48097
(810) 387-3342
1063684
ZIMMER, CHRISTOPHER J DC
610 MINNIE ST
PORT HURON 48060
(810) 987-7500
1060976
ZIMMER, CHRISTOPHER J DC
447 S WATER ST
MARINE CITY 48039
(810) 765-5622
1107 W BROADWAY ST
THREE RIVERS 49093
(269) 273-6712
SAINT JOSEPH COUNTY

1028267
MCLEOD, GARY R DC
SANILAC COUNTY
1073529
BANKS, ASHLEY DC
4444 MAIN ST
BROWN CITY 48416
(810) 346-4300
1118445
CENTOFANTI, ERNEST R DC
3078 S MAIN ST
MARLETTE 48453
(989) 635-3828
1002598
MCCLELLAND, MICHAEL R DC
3168 MAIN ST
MARLETTE 48453
(989) 635-7561
1119237
RUTHERFORD, PHILIP S DC
31 N HOWARD
CROSWELL 48422
(810) 679-5700
SHIAWASSEE COUNTY
1031212
CHAN, SAM DC
1010 E MAIN ST
OWOSSO 48867
(989) 729-2273
1002597
DOBSON, GREGORY L DC
102 W CLINTON
DURAND 48429
(989) 288-5456
1022053
GRALEWSKI, LAWRENCE A DC
200 N SAGINAW ST
DURAND 48429
(989) 288-0800
1126854
KELLER, DOUGLAS E DC
210 W MAIN ST
OWOSSO 48867
(989) 723-2039
1008850
PARTRIDGE, GLENN DC
102 W CLINTON
DURAND 48429
(989) 288-5351
1126791
PLOWMAN, TERRESA J DC
200 HEALTH PARK DR
OWOSSO 48867
(989) 723-8666
1010964
SIMINSKI, ROGER A DC
210 W MAIN ST
OWOSSO 48867
(989) 723-2039
1002619
WEIERSTAHL, ARNDT DC
1089 E M 21
OWOSSO 48867
(989) 723-8864
1100254
ZIMMERMAN, KYLE DC
210 W MAIN ST
OWOSSO 48867
(989) 723-2039

Chiropractors
Page 649
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender
TUSCOLA COUNTY
1020085
195 E HURON AVE
VASSAR 48768
(989) 895-5090
1028424
BEHNKE, SANDY DC
4452 DOERR RD
CASS CITY 48726
(989) 872-4241
1028142
4452 DOERR RD
CASS CITY 48726
(989) 872-4241
1015827
GABRIEL, ROBERT DC
758 STATE ST
CARO 48723
(989) 672-4141
1077091
SALA, TIMOTHY DC
604 S STATE ST
CARO 48723
(989) 672-1095
1011294
SUTTON, KEVIN M DC
8758 STATE RD
MILLINGTON 48746
(989) 871-4733
1070317
SUTTON, MISTY DC
8758 STATE RD
MILLINGTON 48746
(989) 871-4733
1014172
WHITE, MARK O DC
1120 CLEAVER RD
CARO 48723
(989) 673-4241
1049078
WOODBECK, BRIAN D DC
1240 W SANILAC STE E
KINGSTON 48741
(810) 648-1300
1027660
YEAGER, ERIC DC
4456 S SEEGER ST
CASS CITY 48726
(989) 553-2225
1027659
YEAGER, HEIDI S DC
4456 S SEEGER ST
CASS CITY 48726
(989) 553-2225
VAN BUREN COUNTY

1082608
LOTFI, AHAD E DC
60069 COUNTY ROAD 687
HARTFORD 49057
(269) 427-2800
1082602
TATTERSALL, RAYMOND DC
309 S KALAMAZOO ST
PAW PAW 49079
(269) 657-7005
WASHTENAW COUNTY
1091547
ANDREWS, DANA R DC
102 S CLINTON ST STE 1
MANCHESTER 48158
(734) 428-0550
1094978
COUET, SARAH DC
4748 WASHTENAW AVE STE A
ANN ARBOR 48108
(734) 434-1100
1062883
FORD, TUCKER DC
ANN ARBOR 48108
(734) 434-1100
1062885
KLAPP, THOMAS DC
ANN ARBOR 48108
(734) 434-1100
WAYNE COUNTY
1040937
APFELBLAT, AMANDA DC
30900 FORD RD STE C
GARDEN CITY 48135
(734) 838-0353
1098028
BADER, CASS J DC
20700 ECORSE RD
TAYLOR 48180
(313) 294-6000
1082892
HARPER WOODS 48225
(313) 202-4211
1093660
BETTS, DAVID DC
35105 WARREN RD
WESTLAND 48185
(734) 722-1500
1033010
CARTER, TIMOTHY DC
1647 INKSTER RD
GARDEN CITY 48135
(734) 525-8422
1120769
COOPER, RYAN C DC
43059 7 MILE RD
NORTHVILLE 48167
(248) 449-1630
1119500
COUSINEAU, HENRY J DC
14500 KING RD
RIVERVIEW 48193
(734) 479-1880
1106256
COUSINEAU, KRISTIN DC
14500 KING RD
RIVERVIEW 48193
(734) 479-1880
1118528
COUSINEAU, NICOLE DC
14500 KIND RD
RIVERVIEW 48193
(734) 479-1880
1082897
COZZETTO, SILVIO DC
HARPER WOODS 48225
(313) 202-4211
1070343
DRAPLIN, MICHAEL DC
2151 E JEFFERSON LOWR LEVEL
DETROIT 48207
(313) 566-0032
1093650
ELWART, FRANCIS DC
35105 WARREN RD
WESTLAND 48185
(734) 722-1500
1118472
FORBES, CECIL I DC
18984 LIVERNOIS AVE
DETROIT 48221
(313) 397-1930
1033009
GREGG, ROBERT DC
33779 5 MILE RD
LIVONIA 48154
(734) 261-7590
1033008
GREGG, ROBERT DC
1647 INKSTER RD
GARDEN CITY 48135
(734) 525-8422
1098272
HUGHES, KENNETH DC
25010 FORD RD
(313) 562-9966
1082890
KENT, AARON DC
HARPER WOODS 48225
(313) 202-4211
1057286
KRAMER, GREGORY M DC
LIVONIA 48152
(248) 615-1533
1071720
MAKHOOL, SHEILA DC
5452 SCHAEFER RD
DEARBORN 48126
(313) 586-3100
1056760
MCFARLAND, GREG DC
21641 ALLEN RD
TRENTON 48183
(734) 362-0829
1114376
RAOOFI, HILA DC
35105 WARREN RD
WESTLAND 48185
(734) 722-1500
1093725
SALEH, RASHAD DC
5901 W VERNOR HWY
DETROIT 48209
(313) 554-4357
1095097
SCHNEIDER, GRANT A DC
LIVONIA 48150
(734) 462-2262
1065879
SHOEMAKER, GARY DC
17266 MACK AVE
GROSSE POINTE 48230
(313) 886-8030

Chiropractors
Page 650
February 19, 2015
CHIROPRACTORS
PIN
Provider
Address
City and Zip
Phone
Gender

1106285
SHUSTERIC, JOSEPH DC
14500 KIND RD
RIVERVIEW 48193
(734) 479-1880
1074927
SILBERT, DAVID DC
13700 FORT ST
SOUTHGATE 48195
(734) 285-0020
1086703
SIMMONS, PAUL DC
20355 KELLY RD
HARPER WOODS 48225
(313) 839-9100
1093657
SNIDER, JESSE DC
35105 WARREN RD
WESTLAND 48185
(734) 722-1500
1122791
STROIA, SUSAN M DC
13636 DIX-TOLEDO
SOUTHGATE 48195
(734) 283-2262
1100792
SWINDLE, JERRY D DC
13636 DIX-TOLEDO
SOUTHGATE 48195
(734) 283-2262
1033012
TAYLOR, DAVID DC
1647 INKSTER RD
GARDEN CITY 48135
(734) 525-8422
1071035
TEZERA, SISSAY DC
15201 SOUTHFIELD RD
ALLEN PARK 48101
(313) 294-9071
1071034
TEZERA, SISSAY DC
2151 E JEFFERSON LOWER LEVEL
DETROIT 48207
(313) 566-0032
1100372
VANDE VEEGAETE, JAMIE L DC
17108 MACK AVE
GROSSE POINTE 48230
(313) 640-7888
1094862
VANDE VEEGAETE, SCOTT W DC
20817 MACK AVE
(313) 881-7090
1058667
WODA, JAMES J DC
8240 N TELEGRAPH RD
(313) 724-8925
1093647
WOOLMAN, RICHARD DC
35105 WARREN RD
WESTLAND 48185
(734) 722-1500
1070339
WOOLMAN, RICHARD DC
2151 E JEFFERSON LOWER LEVEL
DETROIT 48207
(313) 566-0032
1070340
WOOLMAN, RICHARD DC
15201 SOUTHFIELD RD
ALLEN PARK 48101
(313) 294-9071
302 E CASS ST
CADILLAC 49601
(231) 775-8087
WEXFORD COUNTY
1082598
REAGAN, SCOTT S DC

Chiropractors
Page 651
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
ALCONA COUNTY
1117945
ARMC PHYSICAL THERAPY
117 N BARLOW RD
LINCOLN 48742
(800) 554-8740
1105775
VRC REHABILITATION
923 BARLOW RD
LINCOLN 48742
(989) 340-0535
(517) 686-4070
ALLEGAN COUNTY
1117956
ALLEGAN PHYSICAL THERAPY
555 LINN ST
ALLEGAN 49010
1103938
NORTHERN PHYSICAL THERAPY SERVICES
709 W SUPERIOR ST
WAYLAND 49348
(269) 792-4440
1031705
PHYSIOTHERAPY ASSOCIATES INC
HOLLAND 49423
(616) 392-9430
1031718
1289 W M-89
PLAINWELL 49080
(269) 685-2307
1127286
RIGHT REHAB SERVICES INC
43154 DEQUINDRE RD
BURNIPS 49314
(586) 991-0430
1098158
SENSORY SYSTEMS CLINIC WEST PLC
118 W MAPLE ST
WAYLAND 49348
(269) 792-2353
ALPENA COUNTY
1117947
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7248
1128000
TENDERCARE ALPENA
301 LONG RAPIDS RD
ALPENA 49707
(989) 356-2194
1127979
1234 GOLF COURSE RD
ALPENA 49707
(989) 356-1030
1096016
THUNDER BAY THERAPY & SPORTS MEDICINE
ALPENA 49707
(989) 358-8086
1105774
VRC REHABILITATION
2578 US 23 SOUTH
ALPENA 49707
(989) 340-0535
128 AMES ST
ELK RAPIDS 49629
(231) 264-6682
(989) 876-8375
ANTRIM COUNTY
1085136
ELK RAPIDS PHYSICAL THERAPY
ARENAC COUNTY
1121352
AU GRES PHYSICAL THERAPY & REHAB
400 W HURON
AU GRES 48703
1127088
RENU PHYSICAL THERAPY
401 E HURON
AU GRES 48703
(989) 401-5282
1016991
STANDISH REHAB CENTER INC
529 S MAIN ST STE G
STANDISH 48658
(989) 846-0937
BAY COUNTY
1040442
ACUTE REHABILITATION SERVICES
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3144
1015558
AUBURN PHYSICAL THERAPY
117 E MIDLAND RD
AUBURN 48611
(989) 662-7517
1040440
AUBURN REHABILITATION CENTER
312 MIDLAND RD
AUBURN 48611
(989) 662-6387
1085130
BACK IN MOTION REHABILITATION LLC
946 W MIDLAND RD STE B
AUBURN 48611
(989) 266-3246
1009511
BACK IN MOTION REHABILITATION LLC
2618 CENTER AVE
BAY CITY 48706
(989) 892-4557
1039235
BAIG REHABILITATION SERVICES
3720 KATALIN CT
BAY CITY 48706
(989) 249-7860
1040437
CENTER FOR REHABILITATION
3190 E MIDLAND RD FRONT DESK
BAY CITY 48706
(989) 667-6600
1065984
EVERGREEN PHYSICAL THERAPY BAY CITY
4082 WILDER RD
BAY CITY 48706
(989) 671-9902
1062514
BAY CITY 48706
(989) 894-4428
1009815
903 N EUCLID AVE
BAY CITY 48706
(989) 684-5009
1069257
HORIZON PHYSICAL THERAPY
4121 SHRESTHA DR SE
BAY CITY 48706
(989) 460-0020
1040438
MEDICAL MALL PHYSICAL THERAPY CENTER
1454 W CENTER RD
ESSEXVILLE 48732
(989) 895-4640
1017353
PARAMOUNT REHABILITATION SERVICES
2535 22ND ST
BAY CITY 48708
(989) 891-9800
1040439
PINCONNING REHABILITATION CENTER
4293 N HURON RD
PINCONNING 48650
(989) 879-5500
1122295
PROHEALTH REHABILITATION
4091 N EUCLID
BAY CITY 48706
(989) 402-1438
1084940
PROHEALTH REHABILITATION
3592 CENTER AVE STE B
ESSEXVILLE 48732
(989) 895-3940
1078119
RENUE PHYSICAL THERAPY
4082 WILDER RD
BAY CITY 48706
(989) 402-1215
1064777
SUMMIT PHYSICAL THERAPY PROFESSIONAL
1901 S EUCLID AVE STE 3
BAY CITY 48706
(810) 667-6460
1105884
TUSCOLA PHYSICIANS
714 S TRUMBULL RD
BAY CITY 48708
(989) 893-5541
1040441
WEST SIDE MEDICAL MALL
4175 EUCLID STE 6
BAY CITY 48706
(989) 667-3646

Physical and Occupational Therapy

Page 652
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
1850 PIPESTONE RD STE 202A
BENTON HARBOR 49022
(269) 925-9491
(517) 781-5300
Gender
BERRIEN COUNTY
1091189
MICHIANA THERAPY SERVICES INC
BRANCH COUNTY
1102334
ACCELERATED REHAB CENTERS
398 NORTH WILLOWBROOK RD STES A&B
COLDWATER 49036
1116757
200 VISTA DR
COLDWATER 49036
(517) 278-4621
1031699
398 N WILLOWBROOK RD STE B
COLDWATER 49036
(517) 279-2601
CALHOUN COUNTY
1068119
ADVANTAGE PHYSICAL THERAPY OF BATTLE CREEK
4770 BECKLEY RD
BATTLE CREEK 49015
(269) 979-2100
1122635
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 565-9100
1031694
75 MINGES CREEK PL
BATTLE CREEK 49015
(269) 979-6365
1031695
1579 CAPITAL AVE NE STE 1571-J
BATTLE CREEK 49017
(269) 288-8410
(269) 781-6631
1031713
1200 W MICHIGAN AVE
MARSHALL 49068
1127998
TENDERCARE MARSHALL
879 E MICHIGAN ST
MARSHALL 49068
(269) 781-4251
1090725
URBANDALE PHYSICAL THERAPY
1525 MICHIGAN AVE W
BATTLE CREEK 49037
(269) 565-1080
(231) 582-6365
CHARLEVOIX COUNTY
1067561
BOYNE REHABILITATION CENTER
197 STATE ST
BOYNE CITY 49712
1076690
FIRST CHOICE PHYSICAL THERAPY INC
319 SOUTH LAKE STREET
EAST JORDAN 49727
(231) 536-2168
1032105
JORDAN VALLEY REHAB CNTR
100 E MAIN ST
EAST JORDAN 49727
(231) 536-1451
(231) 627-4347
CHEBOYGAN COUNTY
1127983
TENDERCARE HEALTH CARE CNTR OF CHEBOYGAN
824 S HERON ST
CHEBOYGAN 49721
1068795
3589 S STRAITS HWY
INDIAN RIVER 49749
(231) 238-0199
1061346
XCEL PHYSICAL THERAPY PLC
351 S STRAITS HIGHWAY
INDIAN RIVER 49749
(231) 238-2302
CLARE COUNTY
1058485
EVERGREEN PHYSICAL THERAPY
158 N FIRST ST STE D
HARRISON 48625
(989) 539-4167
1058483
107 SCHOOLCREST AVE
CLARE 48617
(989) 386-9170
1127993
TENDERCARE CLARE
600 SE 4TH ST
CLARE 48617
(989) 386-7723
CLINTON COUNTY
1002889
CAPITOL PHYSICAL THERAPY-DEWITT
DEWITT 48820
(517) 669-7228
1066535
CLINTON COUNTY MEDICAL CENTER
1055 S US 27
ST JOHNS 48879
(989) 224-3000
1058232
MICHIGAN THERAPY CENTER
1507 WATERFORD PKWY
ST JOHNS 48879
(517) 332-3232
1107 E MICHIGAN AVE
GRAYLING 49738
(989) 348-3027
CRAWFORD COUNTY
1100075
DYNAMIC PHYSICAL THERAPY
EATON COUNTY
1069012
ARCH PHYSICAL THERAPY AND SPORTS MEDICINE LP
LANSING 48917
(517) 367-7851
1022187
CAPITOL PHYSICAL THERAPY-CHARLOTTE
616 MEIJER DR STE 106
CHARLOTTE 48813
(517) 543-3459
1002890
CAPITOL PHYSICAL THERAPY-DELTA
701 SNOW RD STE A
LANSING 48917
(517) 323-0593
1006783
EXCLUSIVE PHYSICAL THERAPY
416 S CREYTS RD STE B
LANSING 48917
(517) 327-0966
1039213
GILEAD HEALING CENTER
306 S CREYTS RD
LANSING 48917
(517) 319-5818
1003673
LINDER PHYSICAL THERAPY & REHAB PC
LANSING 48917
(517) 321-7809


Page 653
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

1058231
1500 S MAIN ST
EATON RAPIDS 48827
(517) 332-3232
1058015
PERFORMANCE PHYSICAL THERAPY
6540 MILLENNIUM DR STE 110
LANSING 48917
(517) 703-1930
1004663
6114 WORTHMORE
LANSING 48917
(517) 321-4646
1010359
GRAND LEDGE 48837
(517) 627-9292
1062780
PROTHERAPY PLLC
8741 W SAGINAW HWY STE Q
LANSING 48917
(517) 627-4111
1068427
SAM'S PHYSICAL THERAPY PC
134 S COCHRAN ST
CHARLOTTE 48813
(517) 589-9050
1127992
TENDERCARE WEST
731 STARKWEATHER DR
LANSING 48917
(517) 323-9133
(231) 439-3750
EMMET COUNTY
1078555
FIRST CHOICE PHYSICAL THERAPY INC
2609 CHARLEVOIX AVE
PETOSKEY 49770
1095565
HAND THERAPY OF PETOSKEY
4048 CEDAR BLUFF DR STE 4
PETOSKEY 49770
(231) 347-5155
1092086
NORTHERN MICHIGAN HOSP PHYSICAL THERAPY
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-7778
1092289
ORTHO SPORT PHYSICAL THERAPY
2230 E MITCHELL RD STE B
PETOSKEY 49770
(231) 348-1011
1075606
TIM BONDY PHYSICAL THERAPY
1333 SPRING STREET
PETOSKEY 49770
(231) 487-4638
1075608
1171 W CONWAY RD
(231) 487-6163
1075607
930 STATE ST STE 10
(231) 242-0791
(810) 694-1037
GENESEE COUNTY
1020803
ACTIVE PHYSICAL THERAPY & WELLNESS
5430 S SAGINAW ST
FLINT 48507
1077074
ADVANCED ORTHOPEDIC SOLUTIONS
1140 S LINDEN RD
FLINT 48532
(810) 606-8766
1122596
ADVANCED ORTHOPEDIC SOLUTIONS
2240 E HILL RD STE H
GRAND BLANC 48439
(810) 606-8766
(810) 732-8400
1019820
ADVANCED PHYSICAL THERAPY CENTER
G 2241 S LINDEN RD STE A
FLINT 48532
1065985
2138 FAIRWAY DR
DAVISON 48423
(810) 412-5100
1011271
10809 S SAGINAW ST
GRAND BLANC 48439
(810) 695-8700
1019817
303 S MILL ST
CLIO 48420
(810) 687-8700
1019819
7477 S STATE RD STE B
GOODRICH 48438
(810) 636-8700
1095271
ATI PHYSICAL THERAPY
1429 FLUSHING RD STE A
FLUSHING 48433
(810) 487-9128
1095269
12787 S SAGINAW STE C-4
GRAND BLANC 48439
(810) 771-7631
1116395
10078 LAPEER RD STE B
DAVISON 48423
(630) 296-2223
1057089
CORA HEALTH SERVICES INC
1235 S CENTER RD UNIT 12
BURTON 48509
(810) 743-8820
1010781
FLINT 48532
(810) 733-3833
1046742
CORNERSTONE REHABILITATION
9100 LAPEER RD STE C
DAVISON 48423
(810) 653-0100
1076483
EXCELL THERAPY
4250 N SAGINAW ST STE G
FLINT 48505
(810) 785-8003
1021711
FAMILY CARE PLUS PHYSICAL THERAPY
G 2037 S CENTER RD STE A
BURTON 48519
(810) 743-7950
1078840
FAMILY ORTHOPEDIC ASSOCIATES
4466 W BRISTOL RD
FLINT 48507
(810) 733-3990
1063490
FAMILY ORTHOPEDIC ASSOCIATES
4282 W VIENNA RD
CLIO 48420
(810) 564-2400
1075344
FAMILY PHYSICAL THERAPY
6045 PIERSON RD STE C
FLUSHING 48433
(810) 732-2791
1099959
FENTON PHYSICAL THERAPY
319 S BRIDGE ST
LINDEN 48451
(810) 735-0010
1084723
400 ROUNDS DR
FENTON 48430
(810) 750-1996
1008610
FIRST REHAB THERAPY
1481 S CENTER RD STE B
BURTON 48509
(810) 742-6807
1007293
FIRST REHAB THERAPY
1230 S LINDEN RD
FLINT 48532
(810) 720-2990
1032631
GENESEE VALLEY PHYSICAL THERAPY
6012 S LINDEN RD UNIT 15
SWARTZ CREEK 48473
(810) 655-8244
1118671
GLOBAL PHYSICAL THERAPY
12235 S SAGINAW ST
GRAND BLANC 48439
(810) 919-9459
1086101
GREAT LAKES SPINE CENTER
FLINT 48532
(810) 733-3316
1127539
HOLISTIC PHYSICAL THERAPY CENTER LLC
1170 CHARTER DR STE C
FLINT 48532
(810) 820-4975
1076735
HORIZON PHYSICAL THERAPY
3600 MILLER RD
FLINT 48503
(989) 460-0020
1124383
INFINITY WELLNESS CENTERS INC
G3259 BEECHER RD
FLINT 48532
(810) 471-4280


Page 654
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

1064783
INSIGHT PHYSICAL THERAPY AND REHAB CENTER
FLINT 48507
(810) 275-9610
1070029
INSIGHT PHYSICAL THERAPY AND REHAB CENTER
3390 N STATE ST STE B
DAVISON 48423
(810) 275-9610
1022639
414 PERRY RD
GRAND BLANC 48439
(810) 579-7184
1008285
FLINT 48532
(810) 230-9750
1075343
MAYHEW ENTERPRISES INC
5503 MACNAMARA LN
FLINT 48506
(810) 250-6112
1063487
MICHIGAN EXTREMITY CARE
GRAND BLANC 48439
(810) 603-1100
1083461
17015 SILVER PKWY
FENTON 48430
(810) 496-2424
1061851
MICHIGAN HEALTH SPECIALISTS
2700 ROBERT T LONGWAY BLVD
FLINT 48503
(810) 695-9270
1047047
MICHIGAN PHYSICAL THERAPY ASSOCIATES
5409 GATEWAY CENTER STE B
FLINT 48507
(810) 424-3201
1095283
MICHIGAN REHABILITATION SPECIALISTS
10078 LAPEER RD STE B
DAVISON 48423
(810) 653-6200
1010835
MILLENNIUM PT & REHAB SERVICES PC
G 5245 W PIERSON RD STE 2
FLUSHING 48433
(810) 732-2252
1060516
391 N STATE RD STE A
OTISVILLE 48463
(810) 631-6900
1060515
4181 W VIENNA RD STE C
CLIO 48420
(810) 687-1333
(810) 766-9944
1083904
MOVE IT THERAPY LLC
FLINT 48507
1040453
MRMC DAVISON SPORTS MEDICINE
G-2140 FAIRWAY DR
DAVISON 48423
(810) 653-3962
1040451
MRMC HEAD INJURY PROGRAM
401 S BALLENGER HWY
FLINT 48532
(810) 342-4220
1040450
MRMC PHYSICAL THERAPY BRISTOL
G-4466 W BRISTOL RD
FLINT 48507
(810) 342-5350
1040448
MRMC PHYSICAL THERAPY FENTON
4045 OWEN RD
FENTON 48430
(810) 750-2222
1040452
MRMC PHYSICAL THERAPY ST JOHN
505 DAYTON ST
DAVISON 48423
(810) 658-5631
1062515
OPTIMAX PHYSICAL THERAPY
1539 N LEROY
FENTON 48430
(810) 750-1337
1031700
3240 SILVER LAKE RD
FENTON 48430
(810) 714-4616
1120959
PREMIER MEDICAL AND REHABILITATION
G8285 S SAGINAW ST
GRAND BLANC 48439
(610) 603-2200
1100561
2129 S LINDEN RD
FLINT 48532
(810) 820-3931
1127726
THE CHILDRENS REHAB CLINIC
10182 E COLDWATER RD
DAVISON 48423
(810) 931-8689
1001700
THERAMATRIX
3680 COURT ST
FLINT 48506
(810) 715-1373
1125632
113 N RIVER ST
FENTON 48430
(810) 519-8227
1082969
UNITED WELLNESS CENTERS INC
FLINT 48532
(810) 471-4280
GLADWIN COUNTY
1058484
1206 N STATE ST
GLADWIN 48624
(989) 246-2311
1061302
MISSION PHYSICAL THERAPY DBA NUSTEP
669 E CEDAR AVE
GLADWIN 48624
(989) 426-1100
1093928
US REHAB SERVICES OF MI
100 S ROSS ST
BEAVERTON 48612
(989) 435-3980

1101629
5222 N ROYAL DR
TRAVERSE CITY 49684
(231) 929-0303
1101630
1110 E HAMMOND DR STE 5
TRAVERSE CITY 49686
(231) 995-5210
1109030
5246 N ROYAL DR
TRAVERSE CITY 49684
(231) 929-0303
1100078
1363 DOUGLAS DR STE 104B
TRAVERSE CITY 49696
(231) 421-9533
1078686
ELITE PHYSICAL THERAPY & SPORTS PERFORANCE
4177 VILLAGE PARK DRIVE STE B
TRAVERSE CITY 49685
(231) 421-5805
1078685
GREAT LAKES PHYSICAL THERAPY
224 CIRCLE DR STE A
TRAVERSE CITY 49684
(231) 941-8100
1123373
NORTHWOODS PHYSICAL THERAPY LIMITED
5782 US-31 NORTH
WILLIAMSBURG 49690
(231) 938-2425
1093599
1760 FOREST RIDGE DR STE B
TRAVERSE CITY 49686
(231) 922-3655
1093598
4480 MT HOPE RD STE A
WILLIAMSBURG 49690
(231) 938-2425
1127997
2950 LAFRANIER RD
TRAVERSE CITY 49686
(231) 947-0506
1127991
2585 LAFRANIER RD
TRAVERSE CITY 49686
(231) 947-9511


Page 655
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
GRATIOT COUNTY
1034280
HIGHLAND PHYSICAL THERAPY
3000 W MONROE RD STE B
ALMA 48801
(989) 463-0345
1039215
ITHACA PHYSICAL THERAPY
203 DILTS RD
ITHACA 48847
(989) 875-2266
1060582
MISSION PHYSICAL THERAPY DBA NUSTEP
1586 WRIGHT AVE
ALMA 48801
(989) 463-1705
1105090
PREMIERR PHYSICAL THERAPY AND SPORTS MEDICINE 1586 WRIGHT AVE
ALMA 48801
(989) 463-1705
HILLSDALE COUNTY
1039896
GARY GRAY PHYSICAL THERAPY CLINIC
16 W CARLETON ST STE 1
HILLSDALE 49242
(517) 439-2376
1068887
535 MARSHALL ST
LITCHFIELD 49252
(517) 542-0036
HURON COUNTY
1118996
SCHEURER HOSPITAL
7925 CRESCENT BEACH RD
PIGEON 48755
(989) 856-3004
1118999
SCHEURER HOSPITAL
618 UNIONVILLE RD
SEBEWAING 48759
(989) 883-2617
1118997
SCHEURER HOSPITAL
170 N CASEVILLE RD
PIGEON 48755
(989) 453-3223
INGHAM COUNTY
1009260
AMERICARE REHABILITATION
4600 DUNCKEL RD STE 2
LANSING 48910
(517) 272-5100
1095273
3955 OKEMOS RD
OKEMOS 48864
(517) 349-4030
1119404
BURCHAM HILLS WELLNESS AND REHABILITATION
2700 BURCHAM DR
EAST LANSING 48823
(517) 827-0368
1127977
LANSING 48910
(517) 272-4029
1022188
CAPITOL PHYSICAL THERAPY-EAST LANSING
EAST LANSING 48823
(517) 333-8533
1012925
CROSSROADS PHYSICAL THERAPY
3544 MERIDIAN CROSSING DR STE 260
OKEMOS 48864
(517) 347-2495
1058120
FRANK PHYSICAL THERAPY AND REHAB
LANSING 48911
(517) 272-9100
1116761
2775 E LANSING DR
EAST LANSING 48823
(855) 407-7575
1033289
IRMC CORE REHAB
LANSING 48910
(517) 975-3265
1019896
IRMC HAND CLINIC
3394 E JOLLY RD STE B-LOWER LEVEL
LANSING 48910
(517) 975-3520
1019892
IRMC REBOUND REHAB
3394 E JOLLY RD STE B-LOWER LEVEL
LANSING 48910
(517) 975-3520
1019898
IRMC SPEECH-LANGUAGE PATHOLOGY
LANSING 48910
(517) 975-3253
1059423
JANET MAHONEY PHYSICAL THERAPY LLC
OKEMOS 48864
(517) 896-8551
1123417
LANSING REHAB SERVICES
1568 LAKE LANSING RD STE B
LANSING 48912
(517) 483-2734
1040456
2316 CEDAR
LANSING 48910
(866) 323-5974
1058233
EAST LANSING 48823
(517) 332-3232
1032349
MINDFUL MOVEMENT PHYSICAL THERAPY
2740 E LANSING DR STE B
EAST LANSING 48823
(517) 853-9139
1006014
MSU DEPT OF PHYS MED AND REHAB
EAST LANSING 48823
(517) 355-7648
1095644
NBO MEDICAL
LANSING 48910
(517) 332-7246
1127994
5211 MARSH RD
OKEMOS 48864
(517) 319-1400
1000071
OLIN HEALTH CENTER PHYSICAL THERAPY
EAST LANSING 48824
(517) 884-6546
1059420
ORTHOPAEDIC REHAB SPECIALISTS
HOLT 48842
(517) 268-9040
1031800
PHYSICAL THERAPY SERVICES OF LANSING
LANSING 48911
(517) 272-9320
1006725
OKEMOS 48864
(517) 349-1110
1006727
715 LAKE LANSING RD
EAST LANSING 48823
(517) 337-0475
1010358
MASON 48854
(517) 244-7787
1006726
LANSING 48911
(517) 393-7325
1002917
3370 E JOLLY RD
LANSING 48910
(517) 272-5133
1052131
SAM'S PHYSICAL THERAPY PC
148 S MAIN ST
LESLIE 49251
(517) 589-9050
1118808
THE SPINE CENTER PHYSICAL THERAPY
250 E SAGINAW ST
EAST LANSING 48823
(517) 337-3080
1010002
THE THERAPY INSTITUTE
HASLETT 48840
(517) 339-4050
1082899
LANSING 48912
(517) 489-4470


Page 656
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

1093915
LANSING 48911
(517) 887-9801
1093914
LANSING 48912
(517) 485-9930
1015349
YOUNG REHAB CO PC
OKEMOS 48864
(517) 349-4268
1017659
YOUNG REHAB CO PC
230 S TEMPLE ST STE 2
MASON 48854
(517) 244-0511
IONIA COUNTY
1039239
HEALTH SOURCE PHYS THER CTR
PORTLAND 48875
(517) 647-1000
1102129
SPARROW IONIA HOSPITAL PROS
429 W LINCOLN AVE
IONIA 48846
(616) 527-0558
IOSCO COUNTY
1117944
5671 N SKEEL AVE
OSCODA 48750
(989) 739-2000
1092598
436 W MAIN ST
HALE 48739
(989) 728-5555
1045685
110 BEECH ST
TAWAS CITY 48763
(989) 362-0195
1045684
5939 N HURON RD
OSCODA 48750
(989) 739-6040
1045686
200 HEMLOCK
TAWAS CITY 48763
(989) 362-0195
1045682
116 S CHURCH ST
HALE 48739
(989) 728-3672
1127990
400 W NORTH ST
TAWAS CITY 48763
(989) 362-8645
(989) 772-0258
ISABELLA COUNTY
1019206
CENTRAL MICHIGAN REHAB
1500 W HIGH ST
1116758
(989) 779-9988
1089942
LAKE ISABELLA PHYSICAL THERAPY
50 N COLDWATER RD STE D
WEIDMAN 48893
(989) 546-7490
1048872
MICHIGAN SPINE & PAIN
(989) 772-1609
1010770
MISSION PT DBA NU STEP
555 S MISSION ST
(989) 772-5800
1068196
MOUNTAIN TOWN REHAB INC
1106 W HIGH ST
(989) 779-2920
1100688
MT PLEASANT PHYSICAL THERAPY
314 S BROWN ST
(989) 621-8690
1005892
1234 E BROOMFIELD STE A3
(989) 773-1333
1057128
SUNRISE PHYSICAL THERAPY
314 S BROWN ST
(989) 772-6049
1127986
1524 PORTABELLA RD
(989) 772-2967
1014567
555 S MISSION ST STE B
(989) 560-7591
JACKSON COUNTY
1039893
250 S MAIN ST UNIT 4
BROOKLYN 49230
(517) 592-8695
1059419
113 S EAST AVE
JACKSON 49201
(517) 990-6231
1055195
206 PAGE AVE
JACKSON 49201
(517) 783-6670
1059418
2136 ROBINSON RD STE 1
JACKSON 49203
(517) 750-2540
1078687
ORTHOPAEDIC THERAPY INC
728 WEST FRANKLIN STREET
JACKSON 49201
(517) 783-2739
1093924
766 W MICHIGAN AVE STE A
JACKSON 49201
(517) 796-8200
3003 W MAIN ST
KALAMAZOO 49006
(269) 383-8000
KALAMAZOO COUNTY
1068120
ADVANTAGE PHYSICAL THERAPY OF BATTLE CREEK
1099408
BRONSON HEALTHCARE MIDWEST-HAND & ELBOW SPE 601 JOHN ST STE M230
KALAMAZOO 49007
(269) 349-8601
1094626
FAMILY HEALTH CENTER
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1116756
KALAMAZOO 49009
(269) 532-1470
1086013
PHYSICAL THERAPY SERVICES OF WEST MICHIGAN LLC 6563 W MAIN LOWER LEVEL
KALAMAZOO 49009
(269) 488-3320
1075348
PHYSIOTHERAPPY ASSOCIATES INC
5659 STADIUM DR UNIT 1
KALAMAZOO 49009
(269) 372-0436
1031707
1820 SHAFFER ST
KALAMAZOO 49048
(269) 384-3066


Page 657
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

1031708
2490 S ELEVENTH ST STE 8
KALAMAZOO 49009
(269) 375-9450
1031709
6565 W MAIN STE 101
KALAMAZOO 49009
(269) 372-1027
1031719
3275 COOLEY COURT STE 130
PORTAGE 49024
(269) 329-2653
1080114
REHABILITATION SERVICES
1521 GULL RD
KALAMAZOO 49048
(269) 226-7265
1095493
REHABILITATION WORKS
303 BALCH ST
KALAMAZOO 49001
(269) 343-7100
1127996
TENDERCARE OF KALAMAZOO
1701 S ELEVENTH ST
KALAMAZOO 49009
(269) 375-2020
1127989
2575 N DRAKE RD
KALAMAZOO 49007
(269) 342-0206
1127988
TENDERCARE PORTAGE
7855 CURRIER DR
PORTAGE 49002
(269) 323-7748
1090592
THE THERAPY PLACE LLC
626 MAPLE HILL DR
KALAMAZOO 49009
(269) 544-2901
KENT COUNTY
1104898
ACHIEVE PHYSICAL THERAPY & SPORTS REHAB
8485 ALGOMA AVE STE B
ROCKFORD 49341
(616) 951-5660
1092723
4761 LAKE MICHIGAN DR NW STE A
GRAND RAPIDS 49534
(616) 791-7233
1104897
2911 KNAPP ST NE STE C
GRAND RAPIDS 49525
(616) 975-9078
1109029
3854 28TH ST SE
GRAND RAPIDS 49546
(616) 940-4520
1055576
COMPREHENSIVE PT CENTER
GRAND RAPIDS 49534
(616) 735-4545
1057640
1550 THREE MILE RD NW
GRAND RAPIDS 49544
(616) 785-8535
1055575
1525 E BELTLINE NE STE 101
GRAND RAPIDS 49525
(616) 363-7879
1006035
FOOT & ANKLE SPECIALIST OF WEST MI PC
4540 KALAMAZOO SE
GRAND RAPIDS 49508
(616) 281-0666
1080274
HEALTH MOTION PHYSICAL THERAPY
3826 44TH ST SE
GRAND RAPIDS 49512
(616) 554-0918
1116759
GRAND RAPIDS 49506
(616) 940-0040
1083562
MARY FREE BED MEDICAL GROUP
GRAND RAPIDS 49503
(616) 459-0801
1095270
5131 E PARIS AVE SE
GRAND RAPIDS 49512
(616) 554-1299
1103939
308 S MAIN ST
CEDAR SPRINGS 49319
(616) 696-6555
1103937
31 IDA RED AVE
SPARTA 49345
(616) 887-8152
1031710
2591 44TH ST SE STE 101
GRAND RAPIDS 49512
(616) 281-9237
1031704
3584 FAIRLANES AVE STE D
GRANDVILLE 49418
(616) 531-5025
1072258
R 3 STATION
1152 BURTON ST SE
GRAND RAPIDS 49507
(616) 475-7830
1127981
TENDERCARE HEALTH AND REHABILITATION
2786 56TH ST SW
GRANDVILLE 49418
(616) 261-3960
1075 E WASHINGTON ST STE D
BALDWIN 49304
(231) 745-2155
(810) 793-5282
LAKE COUNTY
1103713
WEST CENTRAL REHABILITATION LLC
LAPEER COUNTY
1109057
5832 N LAPEER RD STE A,B,C
NORTH BRANCH 48461
1057088
396 LAKE NEPESSING RD
LAPEER 48446
(810) 667-1962
1032366
ELITE PHYSICAL THERAPY
4053 S LAPEER RD STE C
METAMORA 48455
(810) 678-3202
1041630
LAPEER REGIONAL PHYSICAL THERAPY CENTER
1057 SUNCREST DR
LAPEER 48446
(810) 667-5514
1019899
LRMC-PHYSICAL REHABILITATION
1375 N MAIN ST
LAPEER 48446
(810) 667-5514
1063489
307 COURT ST
LAPEER 48446
(810) 667-6110
1070764
MICHIGAN SPINE AND JOINT PHYSICAL THERAPY
2401 W GENESEE STE A
LAPEER 48446
(810) 245-7799
1046740
209 S MAIN ST
ALMONT 48003
(810) 798-2927
1028232
THIBODEAU PHYSICAL THERAPY
1794 N LAPEER RD STE C
LAPEER 48446
(810) 664-3000
1028230
1808 S CEDAR ST
IMLAY CITY 48444
(810) 724-0421
1036795
WELLNESS CARE INC
1795 S CEDAR ST
IMLAY CITY 48444
(810) 724-6963


Page 658
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
LEELANAU COUNTY
1101625
71 FOURTH ST
SUTTONS BAY 49682
(231) 271-3939
1127982
124 W FOURTH ST
SUTTONS BAY 49682
(231) 271-1200
(517) 263-3378
LENAWEE COUNTY
1058358
3D PHYSICAL THERAPY
1800 WEST US 223 STE 100
ADRIAN 49221
1056927
ADVANTAGE PHYSICAL THERAPY
227 RIVERSIDE AVE
ADRIAN 49221
(517) 265-4075
1039894
1671 W MICHIGAN AVE STE D
CLINTON 49236
(517) 456-7923
1039897
325 RAILROAD ST
HUDSON 49247
(517) 448-2035
1014715
1801 W MAUMEE ST STE 125
ADRIAN 49221
(517) 264-6141
LIVINGSTON COUNTY
1039881
8491 W GRAND RIVER RD STE 600
BRIGHTON 48116
(810) 225-1187
1039889
HOWELL 48843
(517) 545-5880
1019818
11182 HIGHLAND RD
HARTLAND 48353
(810) 632-8700
1095284
10860 HIGHLAND RD
HARTLAND 48353
(810) 632-1000
1109042
HOWELL 48843
(517) 586-0008
(734) 648-0138
1095280
1201 E M-36 STE A
PINCKNEY 48169
1095684
HAMBURG 48139
(810) 231-6904
1095278
BRIGHTON 48116
(810) 229-6140
1044027
202 E VAN RIPER STE 200
FOWLERVILLE 48836
(517) 223-2100
1071642
BRIGHTON DOCTORS OF PHYSICAL THERAPY
12420 E GRAND RIVER STE B
BRIGHTON 48116
(866) 684-9280
1094136
BRIGHTON PHYSICAL THERAPY
BRIGHTON 48116
(810) 227-3588
1099964
CHILDRENS CENTER FOR GROWTH AND DEVELOPMENT 12319 HIGHLAND RD STE 501
HARTLAND 48353
(810) 991-1211
1067107
11166 HIGHLAND RD
HARTLAND 48353
(810) 632-9623
1031803
FOWLERVILLE PHYSICAL THERAPY SPEC
125 E GRAND RIVER
FOWLERVILLE 48836
(517) 223-8308
1105228
FOWLERVILLE PHYSICAL THERAPY SPEC
HOWELL 48843
(517) 545-3200
1031696
10484 CITATION DR STE 200
BRIGHTON 48116
(810) 225-7638
1085960
PLYMOUTH PT-BRIGHTON
5757 WHITMORE LAKE RD STE 900
BRIGHTON 48116
(810) 220-5793
1085961
PLYMOUTH PT-HOWELL
HOWELL 48843
(517) 540-1060
1100687
PRO-MOTION PHYSICAL THERAPY PLLC
BRIGHTON 48116
(810) 588-4133
MACOMB COUNTY
1093755
1ST CHOICE PHYSICAL THERAPY
13725 19 MILE RD
(586) 247-1178
1096961
1ST CHOICE PHYSICAL THERAPY LLC
21515 21 MILE RD
MACOMB 48044
(586) 421-1486
1039222
AQUATICARE PHYSICAL THERAPY PC
(586) 228-7000
1092594
ASSOCIATED ORTHOPEDISTS OF DET PT
(586) 779-7970
1070277
ASSOCIATED ORTHOPEDISTS OF DETROIT
UTICA 48315
(586) 412-1411
1095275
40097 GROESBECK HWY
(586) 738-6527
1109054
4551 MOUND RD
UTICA 48317
(586) 323-9224
1109055
42615 GARFIELD RD
(586) 286-8280
1125762
43475 DALCOMA DR
(248) 421-7461
1047019
ATLAS PHYSICAL THERAPY
67965 VAN DYKE
WASHINGTON 48095
(586) 336-0070
1047020
BARCLAY PHYSICAL THERAPY
51517 VAN DYKE
(586) 739-4465
1116360
CLEGG GUEST & BRABANT PHYSICAL THERAPY
35413 SCHOENHERR RD
(586) 978-7900
1067441
COMPLETE CARE REHAB LLC
31370 HARPER AVE
(586) 285-0545
1124034
CORE REHABILITATION SERVICES LLC
26000 HOOVER RD STE 101
WARREN 48089
(586) 393-1733
1104821
CRITTENTON OUTPATIENT THERAPY CTR
WASHINGTON 48094
(586) 992-0869


Page 659
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

1067101
(586) 264-1043
1066222
10 N RIVER RD
MOUNT CLEMENS 48043
(586) 465-1872
1101367
42700 GARFIELD RD
(586) 532-3401
1066220
WARREN 48092
(586) 558-2860
1066209
(313) 966-2390
1040919
DYNAMIC REHABILITATION
42450 S HAYES
(586) 412-2225
1047039
GLOBAL PHYSICAL THERAPY
(586) 977-5700
1096481
GOOD HOPE REHAB SERVICES INC
39150 DEQUINDRE RD STE 400B
(248) 825-8483
1029053
GUARDIAN ANGEL OUT PATIENT REHAB
34612 DEQUINDRE STE C
(248) 423-0350
1076475
HEALTHCURE REHABILITATION INC
21647 RYAN RD
WARREN 48091
(586) 757-0317
1086414
INTEGRATED PT WORKS
13439 14 MILE RD
(586) 977-9700
1040447
MCRMC NORTHPOINTE-OUTPATIENT REHABILITATION
37055 S GRATIOT
(586) 783-9581
1085769
MEDCARE PHYSICAL THERAPY
2243 E 12 MILE RD
WARREN 48092
(586) 573-8100
1127495
35724 VAN DYKE AVE
(586) 698-0081
1117002
MICHIGAN SPINE & JOINT CENTER PC
32500 23 MILE RD
NEW BALTIMORE 48047
(586) 725-3100
1058828
MIDWEST HAND THERAPY INC
43417 SCHOENHERR
(586) 532-0803
1047051
MOBILITY PLUS REHAB SERVICES
11554 TWELVE MILE RD
WARREN 48093
(586) 558-0185
1039238
MORC REHAB SERVICES
16200 19 MILE RD
(586) 416-2065
1030751
MT CLEMENS REG MED CTR, PHYSICAL THERAPY
37055 S GRATIOT AVE
(586) 783-9581
1119701
MUNGER PHYSICAL THERAPY
44925 MORLEY DR
(586) 846-4320
1014781
NEUROLAB
28800 RYAN RD #120
WARREN 48092
(586) 558-2860
1068724
ORTHOPEDIC SPINE AND SPORTS THERAPY
54945 MOUND RD
(586) 992-1500
1039219
PHYSICAL THERAPY AND MORE INC
(586) 790-2326
1055424
PHYSICAL THERAPY HEALTH CARE CENTER
54750 MOUND RD
(586) 677-5574
1039824
PHYSICAL THERAPY PROFESSIONALS PC
50475 GRATIOT STE B
NEW BALTIMORE 48051
(586) 598-0050
1031726
5454 E 12 MILE RD
WARREN 48092
(586) 558-3600
1031722
56728 VAN DYKE RD
(586) 677-6084
1124868
PLYMOUTH PT-STERLING HEIGHTS
43314 MOUND RD
(586) 997-0375
1125564
PREMIER PLUS PHYSICAL THERAPY PLLC
13471 23 MILE RD
UTICA 48315
(248) 250-4244
1122712
PROCARE PHYSICAL THERAPY & REHAB
3820 SEVENTEEN MILE RD
(248) 353-3260
(586) 286-9644
1042070
1039246
SILAS INC
(866) 876-2747
1117385
SORBONNE SPORTS MEDICINE REHABILITATION
(586) 977-6500
1118767
ST MARY REHABILITATION SERVICES
(586) 838-2444
1068059
(586) 977-0001
1101104
STRIDE PHYSICAL THERAPY INC
28565 RYAN RD
WARREN 48092
(586) 486-5747
1047066
THE RECOVERY PROJECT
20596 HALL RD
(734) 953-1745
1106473
THE RECOVERY PROJECT LLC
17949 HALL RD
MACOMB 48044
(734) 953-1745
1059382
THERAMATRIX
23411 GRATIOT AVE
EASTPOINTE 48021
(586) 776-0080
1059383
THERAMATRIX
43628 GARFIELD RD
(586) 416-1523
(586) 264-4343
1059378
THERAMATRIX
6041 15 MILE RD
1032307
THERAMAX PHYSICAL THERAPY
47085 GRATIOT
NEW BALTIMORE 48051
(586) 598-1247
1032311
THERAMAX PHYSICAL THERAPY
UTICA 48315
(586) 566-8913
1117386
THERA-PEDS LLC
14153 RICK
UTICA 48315
(586) 566-0326
1076059
TOTAL HEALTH SYSTEMS PC
43740 GARFIELD RD
(586) 228-0270
1076060
28098 23 MILE RD
NEW BALTIMORE 48051
(586) 949-0123
1099969
57911 VAN DYKE RD
WASHINGTON 48094
(586) 781-0800
1039245
UNITED REHAB SERVICES
49974 VAN DYKE AVE
UTICA 48317
(586) 254-4040


Page 660
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
(313) 362-9445
Gender

1039244
UNITED REHAB SERVICES
49974 VAN DYKE RD
UTICA 48317
1093925
(586) 790-2326
1030734
WILLIAM BEAUMONT PHYSICAL THERAPY
BEAUMONT MED CTR-MACOMB TOWNSHIP
MACOMB 48044
(586) 416-8430
1030732
BEAUMONT TROY-EAST CAMPUS 44300
(248) 964-0200
MANISTEE 49660
(231) 723-5479
MANISTEE COUNTY
1100074
MASON COUNTY
1060580
MISSION PHYSICAL THERAPY DBA NU STEP
5511 W US 10 HWY STE B
LUDINGTON 49431
(231) 845-0900
1127987
1000 E TINKHAM AVE
LUDINGTON 49431
(231) 845-6291
MECOSTA COUNTY
1048202
1268 W PERRY AVE
BIG RAPIDS 49307
(231) 796-4419
1116760
745 WATER TOWER RD
BIG RAPIDS 49307
(231) 592-1061
(989) 837-1529
MIDLAND COUNTY
1058486
2618 N SAGINAW RD STE C
MIDLAND 48640
1047049
MIDMICHIGAN PHYSICAL THERAPY
MIDLAND 48640
(866) 625-3570
1103768
2524 W WACKERLY ST
MIDLAND 48640
(989) 423-1240
1012907
SPORT & SPINE PHYSICAL THERAPY & REHAB
317 E WACKERLY RD
MIDLAND 48640
(989) 631-4100
(734) 243-0300
MONROE COUNTY
1090277
ADVANCED PHYSICAL THERAPY
1422 N MONROE ST
MONROE 48162
1109038
1515 N TELEGRAPH
MONROE 48162
(734) 242-4866
1109036
7300 SECOR RD STE 3
LAMBERTVILLE 48144
(734) 854-1260
1047037
FITWELL PHYSICAL THERAPY
1779 N DIXIE HWY
MONROE 48162
(734) 289-1800
1101366
6654 LEWIS AVENUE
TEMPERANCE 48182
(734) 847-1295
1047050
MILAN PHYSICAL THERAPY
905 DEXTER ST
MILAN 48160
(734) 439-8410
1085959
PLYMOUTH PT-MILAN
870 E ARKNOA RD STE 110
MILAN 48160
(734) 439-2200
(989) 584-3184
MONTCALM COUNTY
1102128
CARSON CITY HOSP PHYSICAL REHAB CTR
602 E ELM ST
CARSON CITY 48811
1022314
SELECT CARE PHYSICAL THERAPY INC
7762 N FEDERAL RD PO BOX 256
HOWARD CITY 49329
(231) 937-8485
1093908
1441 S SENSLEY ST STE B
HOWARD CITY 49329
(231) 937-9900
MONTMORENCY COUNTY
1117946
11899 M-32 WEST
ATLANTA 49709
(866) 808-7540
1091939
NORTHSPORT PHYSICAL THERAPY & REHAB
4475 HANSON AVE
LEWISTON 49756
(989) 786-4775
MUSKEGON COUNTY
1060584
1519 E RIVER RD STE A
MUSKEGON 49445
(231) 744-9800
1031716
1712 HOLTON RD STE B
MUSKEGON 49445
(231) 719-1921
1093913
4478 DOWLING ST
MONTAGUE 49437
(231) 894-4531


Page 661
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
NEWAYGO COUNTY
1125525
LIVING HOPE PHYSICAL THERAPY
977 W 72ND ST
NEWAYGO 49337
(231) 652-3860
1103936
17615 W MOORE ST
GRANT 49327
(231) 834-0208
1017976
977 W 72ND ST
NEWAYGO 49337
(231) 652-5913
1031701
1231 W MAIN ST STE B
FREMONT 49412
(231) 924-8777
1041069
WHITE CLOUD PHYSICAL THERAPY
220 S CHARLES ST
WHITE CLOUD 49349
(231) 689-5800
OAKLAND COUNTY
1096955
1ST CHOICE PHYSICAL THERAPY-TROY LLC
3144 JOHN R STE 200
TROY 48083
(248) 743-0850
1039891
29480 WOODWARD AVE
ROYAL OAK 48073
(248) 541-9121
1070760
1940 S TELEGRAPH
(248) 377-2679
1070761
4844 ADAMS RD
ROCHESTER 48306
(248) 377-2679
1039884
3050 UNION LK RD STE 3C
(248) 363-8267
1039883
CLARKSTON 48346
(248) 620-8980
1039886
FARMINGTON 48336
(248) 474-5516
1090274
28933 WOODWARD AVE
BERKLEY 48072
(248) 414-7592
1090276
33200 W 14 MILE RD STE 160
(248) 538-7607
1090278
26025 LASHER RD STE 100
SOUTHFIELD 48033
(248) 663-1906
1090279
ROCHESTER 48307
(248) 853-4431
1073395
5625 WATER TOWER PLACE STE G
CLARKSTON 48346
(248) 620-4260
1126522
ALEXIS REHAB SERVICES PC
4045 W 13 MILE RD
ROYAL OAK 48073
(248) 433-7300
1109026
ATE PHYSICAL THERAPY
ROCHESTER 48307
(248) 402-0326
(248) 960-1600
1109051
29600 WIXOM RD
WIXOM 48393
1121734
1350 KIRTS BLVD
TROY 48084
(248) 519-4900
1109050
33566 8 MILE RD STE A
FARMINGTON 48335
(248) 478-7330
1109034
425 N PARK BLVD #100
LAKE ORION 48362
(248) 693-6835
1095274
31372 WOODWARD AVE
ROYAL OAK 48073
(248) 591-4229
1095282
25700 PONTIAC TR
SOUTH LYON 48178
(248) 446-2801
1095685
2672 S ROCHESTER RD
ROCHESTER 48307
(248) 289-1785
(248) 486-1110
1109041
301 S LAFAYETTE
SOUTH LYON 48178
1109043
(586) 412-2845
1109053
(248) 543-4886
1125765
SOUTHFIELD 48034
(248) 351-6300
1125763
44200 WOODWARD AVE
PONTIAC 48341
(248) 409-3300
1109052
2700 ORCHARD LK RD
KEEGO HARBOR 48320
(248) 683-0185
1125764
NOVI 48377
(248) 869-3999
1101626
WATERFORD 48328
(248) 674-9560
1101627
39500 W 10 MILE RD STE 108
NOVI 48375
(248) 888-6800
1101628
1501 N MILFORD AVE STE 201
MILFORD 48381
(248) 676-0666
1101631
(248) 335-2000
1109044
7164 N MAIN ST
CLARKSTON 48346
(248) 625-6400
1056200
AUBURN HILLS PT CENTER
895 N OPDYKE STE C
AUBURN HILLS 48326
(248) 276-1600
1047001
BARCLAY PHYSICAL THERAPY
ROCHESTER 48307
(248) 853-5853
1084406
BROSTROM PHYSICAL THERAPY
22180 PONTIAC TRAIL STE E
SOUTH LYON 48178
(248) 446-0155
1095549
CENTER FOR ADVANCED ORTHOPEDICS
AUBURN HILLS 48326
(248) 377-8000
1039217
CLINT VERRAN SPORTS MEDICINE
LAKE ORION 48360
(248) 693-9411
1024541
COMPLETE PHYSICAL THERAPY & WELLNESS
CLARKSTON 48346
(248) 625-9466
1057086
(248) 366-1118
1057087
1660 S ORTONVILLE RD
ORTONVILLE 48462
(248) 627-4084


Page 662
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
(248) 252-5315
Gender

1104825
CRITTENTON OUTPATIENT THERAPY CTR
1720 S LIVERNOIS
ROCHESTER 48307
1104822
CRITTENTON SPORTS REHABILITATION CTR
AUBURN HILLS 48326
(248) 652-5653
1104823
CRITTENTON WELLNESS CTR AT OPC
650 LETICA DRIVE
ROCHESTER 48307
(248) 608-8119
1047024
DEQUINDRE PHYSICAL THERAPY
TROY 48085
(248) 879-9400
1066212
1451 W 14 MILE RD
(313) 966-8579
1066204
6475 SASHABAW RD
CLARKSTON 48346
(313) 966-2390
1066210
(248) 960-8237
1066213
42005 W TWELVE MILE RD
NOVI 48377
(248) 305-7575
1066215
400 E BROWN ST
BIRMINGHAM 48009
(313) 966-6132
1066206
8391 E COMMERCE RD STE 108
(248) 360-8700
1066205
OAK PARK 48237
(248) 968-3900
1066211
300 FAMILY DR
MILFORD 48381
(248) 684-9751
1067103
31555 SOUTHFIELD RD
FRANKLIN 48025
(313) 745-9741
1066219
(877) 362-9622
(313) 966-8579
1066218
272 E AUBURN RD
ROCHESTER 48307
1066217
(313) 966-8579
1066216
802 S LAPEER RD
LAKE ORION 48362
(313) 966-8579
1047031
DWIGHT ORTHOPEDIC REHABILITATION
425 N PARK BLVD STE 100
LAKE ORION 48362
(248) 693-6835
1040920
27995 HALSTED
(248) 848-9464
1040916
TROY 48084
(248) 649-2323
1074798
ESSENZA PHYSICAL THERAPY
28480 SOUTHFIELD RD
SOUTHFIELD 48076
(248) 327-6270
1099960
135 S MILFORD RD
MILFORD 48381
(248) 685-7272
1047038
FUNCTIONAL PHYSICAL THERAPY
5225 HIGHLAND RD
WATERFORD 48327
(248) 673-6980
1089625
FUNCTIONAL PHYSICAL THERAPY OF CLARKSTON
7736 ORTONVILLE RD STE C
CLARKSTON 48348
(248) 620-1415
1122559
GREEN REHAB
6481 RUTLEDGE PARK DR
(248) 979-0956
1122558
GREEN REHAB
3000 ORCHARD LK RD STE C
(248) 979-0956
1065925
HANDS ON PHYSICAL THERAPY
5798 HIGHLAND RD
WATERFORD 48327
(248) 618-3050
1069560
HANDS ON PHYSICAL THERAPY
1265 WEST HURON ST STE 101
WATERFORD 48328
(248) 977-5494
1095394
HEALTH SYSTEMS INC
5761 W MAPLE RD
(248) 626-6892
1099952
HEALTH SYSTEMS INC
OAK PARK 48237
(248) 352-5851
1104412
INTEGRATED THERAPY AND DIAGNOSTICS
SOUTHFIELD 48075
(248) 569-3002
1057302
LEVEL 11 PHYSICAL THERAPY
10293 S SAGINAW ST STE O
HOLLY 48442
(810) 771-7686
1069204
MARINA REHABILITATION & HEALTH SERVICES
ROCHESTER 48307
(248) 650-1984
1101316
MAX REHAB PHYSICAL THERAPY LLC
28051 DEQUINDRE RD
(313) 584-4625
1040471
MCLAREN OAKLAND PHYSICAL THERAPY CLINIC
50 N PERRY ST
PONTIAC 48342
(248) 338-5344
9000004
MCLAREN PHYSICAL THERAPY, SPORTS MEDICINE & FIT 5701 BOW POINTE DR STE 310
CLARKSTON 48346
(248) 922-6820
1123503
MICHIGAN COMPREHENSIVE SPINE AND REHAB
SOUTHFIELD 48075
(248) 352-3759
1103923
MICHIGAN REHAB RESOURCES INC
25865 W 12 MILE RD
SOUTHFIELD 48034
(248) 208-7492
1119384
6197 HAGGERETY RD
(248) 560-2505
1127496
1949 W MAPLE RD
TROY 48084
(248) 268-5497
1035560
MIDWEST HAND THERAPY INC
4600 INVEST DR STE 160
TROY 48098
(586) 532-0803
1067849
MKS PHYSICAL THERAPY
20475 W TEN MILE RD STE 101
SOUTHFIELD 48075
(248) 663-0560
1100463
MORC REHAB SERVICES
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1071645
NOVI DOCTORS OF PHYSICAL THERAPY
21600 NOVI RD STE 600
NOVI 48375
(248) 679-5396
1047054
OAKLAND PHYSICAL THERAPY PC
NOVI 48374
(248) 380-3550
1057289
OMPT SPECIALISTS
3435 LIVERNOIS
TROY 48083
(248) 743-1234
1047055
OMPT SPECIALISTS
29255 NORTHWESTERN PKWY STE 300
SOUTHFIELD 48034
(248) 353-1234
1107086
ORTHOPEDIC SPINE & SPORTS THERAPY AH
2558 N SQUIRREL RD
AUBURN HILLS 48326
(248) 340-1100


Page 663
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
(248) 988-8085
Gender

1117913
PERFORMANCE ORTHOPEDICS PLLC
FRANKLIN 48025
1047057
PHYSICAL THERAPY SPECIALISTS PC
1845 LIVERNOIS
TROY 48083
(248) 362-2150
1031717
NOVI 48375
(248) 344-1777
1031725
55 N POND DR STE 4
WALLED LAKE 48390
(248) 668-9355
1031711
LAKE ORION 48360
(248) 814-0500
1031706
HOLLY 48442
(248) 634-4424
1007191
7500 HIGHLAND RD
WATERFORD 48327
(248) 674-8855
1031714
1550 N MILFORD RD STE 203B
MILFORD 48381
(248) 685-9623
1127742
PINNACLE PHYSICAL THERAPY
SOUTHFIELD 48075
(248) 304-7659
1085952
PLYMOUTH PT-COMMERCE TOWNSHIP
(248) 363-2115
1085957
PLYMOUTH PT-NOVI
NOVI 48375
(248) 615-0282
1085958
PLYMOUTH PT-WHITE LAKE
9145 HIGHLAND RD
WHITE LAKE 48386
(248) 698-1277
1024869
POH BACK CARE AND PAIN MGT
CLARKSTON 48346
(248) 620-4266
1040455
POH CLARKSTON BACK CARE
5625 WATER TOWER PL
CLARKSTON 48346
(248) 620-4266
1024914
POH OXFORD OCCUPATIONAL HEALTH
385 N LAPEER RD
OXFORD 48371
(248) 969-7355
1024908
POH OXFORD PHYSICAL THERAPY
385 N LAPEER RD
OXFORD 48371
(248) 969-7360
1024909
POH PHYSICAL THERAPY-COMMERCE
(248) 360-5981
1024911
POH PHYSICAL THERAPY-IP
1 N PERRY ST
PONTIAC 48342
(248) 338-5000
1024913
POH PREMIER OCCUPATIONAL HEALTH
2240 N OPDYKE RD
AUBURN HILLS 48326
(248) 373-7554
1040454
POH WATERFORD CLINIC
WATERFORD 48328
(248) 683-7170
1074252
PREFERRED REHAB CARE INC
SOUTHFIELD 48075
(248) 552-8460
1118867
PROCARE PHYSICAL THERAPY & REHAB
26699 W 12 MILE RD STE 202
SOUTHFIELD 48034
(248) 353-3260
1046739
35 W SQUARE LAKE RD
TROY 48098
(248) 879-5115
1057287
REHAB ALLIANCE PC
17330 NORTHLAND PARK CT STE 201
SOUTHFIELD 48075
(248) 809-2853
1117383
REHABILITATION PHYSICIANS PC
NOVI 48377
(248) 615-0060
1106893
RESTORE PHYSICAL THERAPY LLC
ROCHESTER 48307
(248) 844-2665
(248) 960-2334
1126138
RS PHYSICAL THERAPY
45023 W PONTIAC TRAIL
NOVI 48377
1126130
SPARTAN PHYSICAL THERAPY INC
27031 DEQUINDRE RD
(248) 542-7440
1126131
SPECIALISTS IN REHABILITATION
(248) 335-9099
1126132
(248) 360-8660
1057675
ROCHESTER 48307
(248) 650-5861
1104824
STONEBROOKE PHYSICAL THERAPY
2930 CROOKS RD
ROCHESTER 48309
(248) 853-5410
1101105
STRIDE PHYSICAL THERAPY INC
(248) 334-9003
1117136
SYNERGY REHAB INC
13631 W 11 MILE RD
OAK PARK 48237
(248) 298-0433
1059375
THERAMATRIX
24611 GREENFIELD RD
SOUTHFIELD 48075
(248) 557-0126
1059377
THERAMATRIX
ROCHESTER 48307
(248) 652-1135
1059376
THERAMATRIX
900 AUBURN RD
PONTIAC 48342
(248) 332-8600
1086413
THERAPY CONSULTANTS PC
3901 HIGHLAND RD STE B
WATERFORD 48328
(248) 682-3933
1107879
THERAPY MANAGEMENT ENTERPRISES INC
641 W 9 MILE RD STE D
FERNDALE 48220
(248) 399-5212
1107880
THERAPY MANAGEMENT ENTERPRISES INC
30551 STEPHENSON HWY STE GB
(248) 677-0216
1083438
TRINITY PHYSICAL THERAPY & REHAB INC
21675 COOLIDGE HWY STE B
OAK PARK 48237
(248) 336-9025
1084385
TRINITY PHYSICAL THERAPY PLLC
348 E 8 MILE RD
HAZEL PARK 48030
(248) 291-5534
1076476
UNION LAKE PHYSICAL REHABILITATION
(248) 242-6025
1058016
UNIVERSAL PHYSICAL THERAPY PC
2565 S ROCHESTER RD STE 108A
ROCHESTER 48307
(248) 844-2644
1093916
5710 BELLA ROSA BLVD STE 300
CLARKSTON 48348
(248) 922-3339
1030731
BERKLEY MED CTR 1695 W 12 MILE RD
BERKLEY 48072
(248) 691-4700
1030729
BEAUMONT MED BLDG 6900 ORCHARD LAKE RD WEST BLOOMFIELD 48322
(248) 855-7411
1030722
3601 W 13 MILE RD
(248) 898-0190
ROYAL OAK 48073


Page 664
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

1030730
BEAUMONT HEALTH CENTER 4949 COOLIDGE
ROYAL OAK 48073
(248) 655-5700
1030728
DETROIT SKATING CLUB 888 DENISON CT
(248) 454-0179
(248) 650-1515
1030727
BEAUMONT MED BLDG 6700 N ROCHESTER RD
ROCHESTER 48306
1030724
WATTLES PROFESSIONAL BLDG 1950 E
TROY 48098
(248) 689-4460
1030726
4600 INVESTMENT DR
TROY 48098
(248) 293-0888
1030725
BEVERLY HILLS CLUB 31555 SOUTHFIELD RD
FRANKLIN 48025
(248) 594-6520
OGEMAW COUNTY
1039231
ADVANCED DOWNTOWN AQUATIC PHYSICAL THERAPY
105 W HOUGHTON AVE
WEST BRANCH 48661
(989) 343-9755
1001621
COMMUNITY PHYSICAL THERAPY & REHABILITATION
2388 W M-55
WEST BRANCH 48661
(989) 343-1099
1001366
600 BENNETT
ROSE CITY 48654
(989) 685-8821
1015964
PINNACLE REHAB AND PERSONAL
WEST BRANCH 48661
(989) 343-3000
1121790
PINNACLE REHABILITATION & PERSONAL TRAINING
120 E MAIN ST
ROSE CITY 48654
(989) 685-2500
1039230
PROGRESS PHYSICAL THERAPY INC
565 PROGRESS ST STE C
WEST BRANCH 48661
(989) 345-4300
1060093
WRIGHT REHABILITATION INC
214 W HOUGHTON AVE STE 4
WEST BRANCH 48661
(989) 345-7151
OSCEOLA COUNTY
1100077
105 E MAIN ST
MARION 49665
(231) 743-9900
1060585
4150 225TH AVE
REED CITY 49677
(231) 832-5001
OSCODA COUNTY
1084408
AMERICAN PHYSICAL THERAPY & REHAB
2053 E MILLER RD
FAIRVIEW 48621
(989) 848-8900
1021381
AMERICAN PT & REHAB CENTERS INC
122 S MORENCI
MIO 48647
(989) 826-6830
1045683
1392 MAPLE DR
FAIRVIEW 48621
(989) 848-2723
(989) 705-2700
OTSEGO COUNTY
1092889
ASPEN PHYSICAL THERAPY
1325 S OTSEGO AVE
GAYLORD 49735
1100076
2147 PROFESSIONAL DR STE 2
GAYLORD 49735
(989) 732-0001
1079736
1622 DICKERSON RD
GAYLORD 49735
(989) 731-1777
1127995
TENDERCARE GAYLORD
508 RANDOM LN
GAYLORD 49735
(989) 732-3508
1068794
609 NORTH COURT
GAYLORD 49735
(989) 732-4753
OTTAWA COUNTY
1055573
388 GARDEN AVE STE 130
HOLLAND 49424
(616) 738-7100
1117481
HUDSONVILLE PHYSICAL THERAPY
3152 A PORT SHELDON
HUDSONVILLE 49426
(616) 662-0990
1122413
1309 SHELDON RD
GRAND HAVEN 49417
(616) 847-5293
1103940
25 CONRAN DR
COOPERSVILLE 49404
(616) 997-6172
1067750
801 ROBBINS
GRAND HAVEN 49417
(616) 296-0845
1031690
11301 COMMERCE DR STE B
ALLENDALE 49401
(616) 895-4770
1093923
751 KENMOOR AVE
SPRING LAKE 49456
(616) 954-7013
PRESQUE ISLE COUNTY

1117949
201 S BRADLEY HWY STE 6
ROGERS CITY 49779
(989) 356-7768
1127985
555 N BRADLEY HWY
ROGERS CITY 49779
(989) 734-2151
1096017
THUNDER BAY THERAPY & SPORTS MEDICINE
506 N BRADLEY HWY
ROGERS CITY 49779
(989) 734-7607
1084367
VRC REHABILITATION
4149 MICHIGAN AVE
ONAWAY 49765
(989) 340-0535


Page 665
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender
ROSCOMMON COUNTY
1092597
2430 N ST HELEN RD
SAINT HELEN 48656
(989) 389-7333
1091938
606 LAKE ST
ROSCOMMON 48653
(989) 275-9955
(989) 249-7860
SAGINAW COUNTY
1039233
BAIG REHABILITATION SERVICES
3055 HALLMARK CT STE 101
SAGINAW 48603
1008872
DIVERSIFIED PT SPECIALISTS INC
193 E JEFFERSON ST
FRANKENMUTH 48734
(989) 653-4040
1012124
2575 N MCLEOD DR STE B
SAGINAW 48604
(989) 921-1132
1010598
635 N CENTER
SAGINAW 48603
(989) 684-5009
1084396
OPTIMAL REHABILITATION AND WELLNESS LLC
235 N MAIN ST
FRANKENMUTH 48734
(989) 262-8500
1031720
7916 GRATIOT RD
SAGINAW 48609
(989) 781-0244
1068541
PREMIER CARE PHYSICAL THERAPY PC
2750 BAY RD
SAGINAW 48603
(989) 249-4009
1116656
RENUE 006 SAGINAW STATE ST LLC
4616 STATE ST
SAGINAW 48603
(989) 355-1010
1103707
5460 W ROLLING HILLS DR
BRIDGEPORT 48722
(989) 272-4500
1078105
5703 BAY RD
SAGINAW 48603
(989) 401-5282
1078104
7329 INDUSTRIAL DR
FREELAND 48623
(989) 573-8266
1099621
8680 GRATIOT RD STE B
SAGINAW 48609
(989) 401-4791
1030218
SAGINAW PHYSICAL THERAPY/REHAB SPECIALISTS
190 HEMLOCK PLAZA DR
HEMLOCK 48626
(989) 642-3355
1012910
SPORT & SPINE PHYSICAL THERAPY & REHAB
6942 DIXIE HWY
BRIDGEPORT 48722
(989) 777-8520
1012908
SPORT AND SPINE PHYSICAL THERAPY & REHAB
3901 BAY RD
SAGINAW 48603
(989) 797-6040
1012909
3525 DAVENPORT AVE
SAGINAW 48602
(989) 497-6040
1020110
SAGINAW 48609
(989) 781-1258
9000008
ST MARY'S OF MICHIGAN - GRATIOT REHABILITATION S
5810 GRATIOT STE A
SAGINAW 48638
(989) 791-3771
9000009
ST MARY'S OF MICHIGAN - RIVERFRONT REHABILITATIO 1015 S WASHINGTON AVE
SAGINAW 48601
(989) 907-8180
9000007
ST MARY'S OF MICHIGAN - SPECILATY REHABILITATION
SAGINAW 48604
(989) 497-3123
9000010
ST MARY'S OF MICHIGAN - SPINE AND REHABILITATION
SAGINAW 48604
(989) 498-5100
1085950
SVMI PHYSICAL THERAPY
SAGINAW 48603
(989) 797-3089
1127984
TENDERCARE HLTH CNTR OF FMUTH
500 W GENESEE
FRANKENMUTH 48734
(989) 651-6101
1032520
VALLEY PT PAIN CLINIC REHAB INC
3630 SHATTUCK RD STE 2
SAGINAW 48603
(989) 497-0726
SAINT CLAIR COUNTY

1126120
ADVANCED ORTHOPEDICS PHYSICAL THERAPY
PORT HURON 48060
(810) 985-6300
1063997
MARYSVILLE PHYSICAL THERAPY
3350 GRATIOT AVE
MARYSVILLE 48040
(810) 364-1230
1119722
MICHIGAN NEUROLOGY SPINE CENTER
1201 STONE ST STE 8
PORT HURON 48060
(810) 989-0000
1062418
MUNGER PHYSICAL THERAPY
4351 24TH AVE STE 1
FORT GRATIOT 48059
(810) 385-7405
1063994
PORT HURON PHYSICAL THERAPY
3504 PINE GROVE AVE
PORT HURON 48060
(810) 385-5531
1094121
PROSTAFF PHYSICAL THERAPY
7609 BROCKWAY RD
YALE 48097
(810) 387-4900
1068060
RIVERVIEW PHYSICAL THERAPY AND REHAB
1702 WATER STREET
PORT HURON 48060
(810) 966-9102
1064000
YALE PHYSICAL THERAPY
7470 BROCKWAY RD
YALE 48097
(810) 387-3211
SAINT JOSEPH COUNTY

1121809
STURGIS HOSPITAL INC
916 MYRTLE AVE
STURGIS 49091
(269) 659-4415
1121749
THREE RIVERS HEALTH OCCUPATIONAL & PT
715 S HEALTH PKWY
THREE RIVERS 49093
(269) 273-9682
1121743
THREE RIVERS HEALTH REHABILITATION
715 S HEALTH PKWY
THREE RIVERS 49093
(269) 273-9795
SANILAC COUNTY
1109037
3105 MAIN ST
MARLETTE 48453
(989) 635-3660
1063999
LEXINGTON PHYSICAL THERAPY
5730 MAIN ST
LEXINGTON 48450
(810) 359-8193


Page 666
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

1094120
PROSTAFF PHYSICAL THERAPY
5590 MAIN ST STE 4
LEXINGTON 48450
(810) 359-8700
1028231
4233 MAIN ST
BROWN CITY 48416
(810) 346-4036
SHIAWASSEE COUNTY
1086290
MEMORIAL MEDICAL ASSOCIATES
113 E WILLIAMS ST
OWOSSO 48867
(989) 725-6101
1006719
MEMORIAL PHYSICAL REHAB CTR
8906 E LANSING HWY
DURAND 48429
(989) 288-7215
1055078
PERRY PHYSICAL THERAPY INC
2306 W LANSING RD
MORRICE 48857
(517) 625-0772
4782 HOSPITAL DR
CASS CITY 48726
(989) 872-2175
TUSCOLA COUNTY
1127999
VAN BUREN COUNTY

1105520
ORTHOPEDIC PHYSICAL THERAPY SPEC LLC
02957 73RD ST
SOUTH HAVEN 49090
(269) 637-9099
1117955
SHCH PHYSICAL THERAPY
960 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2976
(734) 926-4710
WASHTENAW COUNTY
1095276
5700 JACKSON RD
ANN ARBOR 48103
1109031
121 E LIBERTY
ANN ARBOR 48104
(734) 794-4619
1109025
6180 W MICHIGAN AVE
SALINE 48176
(734) 434-8800
1095279
2810 BAKER RD STE 101
DEXTER 48130
(734) 424-9710
1109032
2625 PLYMOUTH RD
ANN ARBOR 48105
(734) 585-3313
1109035
4918 W CLARK RD
YPSILANTI 48197
(734) 483-9200
1109039
7057 DEXTER-ANN ARBOR
DEXTER 48130
(734) 426-3768
1109027
1613 S HURON
YPSILANTI 48197
(734) 483-9200
1105227
BACK TO ACTION PHYSICAL THERAPY
3921 JACKSON RD
ANN ARBOR 48103
(734) 665-1626
1047043
LEAPS & BOUNDS THERAPY SERVICES
11930 WHITMORE LAKE STE I-M
WHITMORE LAKE 48189
(734) 449-4649
1095277
3520 GREEN CT STE 165
ANN ARBOR 48105
(734) 585-3313
1064431
MICHIGAN SPINE & ORTHOPEDIC REHAB
4918 W CLARK RD STE 102
YPSILANTI 48197
(734) 572-9800
1089670
PHYSICAL THERAPY IN MOTION
3256 WASHTENAW AVE
ANN ARBOR 48104
(734) 975-9100
1089669
PHYSICAL THERAPY IN MOTION
505 E MICHIGAN AVE
SALINE 48176
(734) 944-1005
1031721
1315 E MICHIGAN AVE
SALINE 48176
(734) 944-5600
1047060
PROBILITY PHYSICAL THERAPY
2058 S STATE ST STE 500
ANN ARBOR 48104
(734) 913-0300
1047061
PT SERVICES OF CHELSEA
350 N MAIN ST
CHELSEA 48118
(734) 475-9925
1099942
RENUE 005 ANN ARBOR LLC
2100 S MAIN ST STE C
ANN ARBOR 48103
(734) 362-2576
1093926
2236 PACKARD RD STE B
YPSILANTI 48197
(734) 528-9900
1093910
ANN ARBOR 48105
(734) 913-9000
1093909
3055 PLYMOUTH RD STE 101
ANN ARBOR 48105
(734) 761-5500
(313) 565-4222
WAYNE COUNTY
1090275
23852 MICHIGAN AVE
DEARBORN 48124
1055564
20225 MACK AVE
(313) 882-6419
1090281
1570 KINGSWAY CT STE 2
TRENTON 48183
(734) 676-7400
1090280
15245 DIX-TOLEDO RD
SOUTHGATE 48195
(734) 284-6582
1127723
ALL PRO PHYSICAL THERAPY LLC
37699 6 MILE RD STE 200
LIVONIA 48152
(734) 953-4155
1071742
ALLY PHYSICAL THERAPY LLC
32858 FIVE MILE RD
LIVONIA 48154
(734) 525-3000
1095281
44191 PLYMOUTH OAKS BLVD STE 600
PLYMOUTH 48170
(734) 259-7102
1109024
11650 BELLEVILLE RD STE 102
BELLEVILLE 48111
(734) 325-2447


Page 667
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

1109028
20311 MACK AVE
(313) 308-0913
1109033
18101 E WARREN AVE
DETROIT 48224
(313) 881-5678
1109046
14349 TELEGRAPH RD
REDFORD 48239
(313) 541-2886
1109047
10636 W 7 MILE RD
DETROIT 48221
(313) 862-1340
1105160
CHILDRENS HOSPITAL OF MI SPEC CTR
3950 BEAUBIEN
DETROIT 48201
(586) 532-3354
1105229
44633 JOY RD STE 200
CANTON 48187
(734) 710-6600
1055574
9800 CONANT ST
HAMTRAMCK 48212
(313) 875-4645
1105230
TRENTON 48183
(734) 675-5016
1066207
15801 MICHIGAN AVE
DEARBORN 48126
(313) 745-1124
1067106
46000 SUMMIT PARKWAY
CANTON 48188
(313) 745-1124
1067105
ONE CAMPUS MARTIUS
DETROIT 48226
(313) 966-2390
1067100
35765 NORTHLINE RD
ROMULUS 48174
(313) 745-9741
1067099
19556 HARPER AVE
HARPER WOODS 48225
(313) 966-8579
1066223
2727 GULLEY RD
DEARBORN 48124
(313) 966-2390
1066226
36301 WARREN
WESTLAND 48185
(734) 722-5535
1066214
15100 HUBBARD DR
LIVONIA 48154
(313) 745-9741
1066221
261 MACK BLVD
DETROIT 48201
(313) 745-1160
1066224
17330 SCHAEFER
DETROIT 48235
(313) 342-4679
1066225
1630 FORT ST
TRENTON 48183
(877) 362-9622
1040921
21840 EUREKA RD
TAYLOR 48180
(734) 287-6900
1076482
EXCELL THERAPY
10501 TELEGRAPH RD STE 100B
TAYLOR 48180
(313) 544-1400
1126508
FITWELL PHYSICAL THERAPY
14931 TELEGRAPH RD
FLAT ROCK 48134
(734) 789-8281
1047040
GOLDEN TRIANGLE REHAB, INC
DEARBORN 48126
(313) 581-4760
1099953
HEALTH SYSTEMS INC
35105 WARREN RD
WESTLAND 48185
(734) 722-1500
1084466
HEALTHCURE REHABILITATION INC
12169 JOSE CAMPAU
HAMTRAMCK 48212
(313) 369-1600
1125566
MAX REHAB PHYSICAL THERAPY LLC
5445 OAKMAN BLVD
DEARBORN 48126
(313) 584-4625
1109045
42955 FORD RD
CANTON 48187
(734) 981-2100
1058018
MICHIGAN THERAPEUTIC SOLUTIONS
25147 W WARREN RD STE 2
(313) 277-5508
1047053
NORTHVILLE PHYSICAL REHABILITATION
215 E MAIN ST
NORTHVILLE 48167
(248) 349-9339
(313) 359-9540
1083857
OAKLAND REGIONAL DEARBORN CENTER
DEARBORN 48124
1123346
PHYSICAL THERAPY GROUP INC
10306 DIX
DEARBORN 48120
(313) 849-8111
1123345
PHYSICAL THERAPY GROUP INC
20278 MIDDLEBELT RD STE 600
LIVONIA 48152
(248) 987-1280
1031697
44555 JOY RD
CANTON 48187
(734) 451-9878
1031712
31151 PLYMOUTH RD
LIVONIA 48150
(734) 422-8600
1073622
PLYMOUTH PT SPECIALISTS
9368 LILLEY RD
PLYMOUTH 48170
(734) 416-3900
1085951
PLYMOUTH PT-CANTON
49650 CHERRY HILL RD STE 230
CANTON 48187
(734) 495-3725
1085953
PLYMOUTH PT-LIVONIA
37250 5 MILE RD
LIVONIA 48154
(734) 462-3240
1085954
PLYMOUTH PT-LIVONIA EAST
29691 SIX MILE RD STE 110D
LIVONIA 48154
(734) 422-0802
1085955
PLYMOUTH PT-LIVONIA SOUTH
38253 ANN ARBOR RD
LIVONIA 48150
(734) 462-3710
1085956
PLYMOUTH PT-NORTHVILLE
NORTHVILLE 48167
(248) 347-1168
1074251
PREFERRED REHAB CARE INC
4020 S VENOY STE 700
WAYNE 48184
(734) 727-1309
1078299
PROFESSIONAL HEALTH GROUP INC
1088 SOUTHFIELD RD
LINCOLN PARK 48146
(313) 388-5033
1078297
PROFESSIONAL HEALTH GROUP INC
4700 GREENFIELD RD
DEARBORN 48126
(313) 624-9470
1056926
PT PLUS THERAPEUTIC RESOURCES
1400 EUREKA RD
WYANDOTTE 48192
(734) 285-6789
1117384
REHABILITATION PHYSICIANS PC
19850 MIDDLEBELT RD
LIVONIA 48152
(248) 893-3200
1047064
ROTH AND BAUM ASSOCIATES PC
LIVONIA 48154
(734) 425-0690
1059360
18311 W WARREN
DETROIT 48228
(313) 982-0002
1127980
22950 NORTHLINE RD
TAYLOR 48180
(734) 287-1230


Page 668
February 19, 2015

PIN
Provider
Address
City and Zip
Phone
Gender

1104859
THE FUTURES HEALTHCORE LLC
3231 S GULLEY RD STE D
DEARBORN 48124
(734) 407-2500
1106474
THE RECOVERY PROJECT LLC
20000 VICTOR PKWY STE 100
LIVONIA 48152
(734) 953-1745
1009916
THERAMATRIX
4945 SCHAEFER RD
DEARBORN 48123
(313) 581-0744
1059374
THERAMATRIX
DETROIT 48201
(313) 831-1414
1059380
THERAMATRIX
8270 N TELEGRAPH RD
(313) 565-6329
1059381
THERAMATRIX
12855 DIX TOLEDO
SOUTHGATE 48195
(734) 283-2526
1059384
THERAMATRIX
24050 OXFORD
DEARBORN 48126
(313) 581-0744
1059385
THERAMATRIX
5811 MIDDLEBELT RD
GARDEN CITY 48135
(734) 513-7755
1059379
THERAMATRIX
18340 MIDDLEBELT RD
LIVONIA 48152
(248) 442-0030
1047045
U S REHABILITATION & HEALTH SERVICE
33020 PALMER RD
WESTLAND 48186
(734) 728-6800
1082967
HARPER WOODS 48225
(313) 202-4211
1047067
UZNIS-DWIGHT PHYSICAL THERAPY
18101 E WARREN AVE
DETROIT 48224
(313) 881-5678
1056687
WYANDOTTE PHYSICAL THERAPY
22357 WEST RD
TRENTON 48183
(734) 262-4861
(231) 269-3500
WEXFORD COUNTY
1100079
11293 N M-37 STE B
BUCKLEY 49620
1022400
CADILLAC 49601
(231) 876-0010
1093927
8842 E 34 RD
CADILLAC 49601
(231) 779-0500


Page 669
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
MENTAL HEALTH
ALCONA COUNTY
1119225
ALCONA CITIZENS FOR HEALTH INC
177 N BARLOW RD
LINCOLN 48742
(989) 736-8157
1080099
CATHOLIC HUMAN SERVICES OF GAYLORD
214 W MAIN ST
HARRISVILLE 48740
(989) 356-6385
ALLEGAN COUNTY
1084838
ALLEGAN MENTAL HEALTH
551 LINN ST STE 230
ALLEGAN 49010
(517) 686-4110
1086877
BORGESS FAMILY MEDICINE BEHAVIORAL
345 NAOMI ST
PLAINWELL 49080
(269) 552-0100
1083094
CATHOLIC CHARITIES OF WEST MICHIGAN
355 SETTLERS RD
HOLLAND 49423
(616) 796-9595
1086368
PATHWAYS MI
217 HUBBARD
ALLEGAN 49010
(269) 673-1896
1086366
PATHWAYS MI
412 CENTURY LANE
HOLLAND 49423
(616) 396-2301
ALPENA COUNTY
1092853
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7580
1080093
CATHOLIC CHARITIES OF MICHIGAN
154 S RIPLEY BLVD
ALPENA 49707
(989) 365-6385
205 GROVE ST
MANCELONA 49659
(989) 732-6761
ANTRIM COUNTY
1083057
BAY COUNTY
1084379
BAY REGIONAL MEDICAL CENTER-PSYCH
690 SOUTH TRUMBALL ST
BAY CITY 48708
(989) 922-4900
1080108
CATHOLIC FAMILY SERVICES OF SAGINAW
915 COLUMBUS AVE
BAY CITY 48708
(989) 892-2504
1060877
MICHIGAN BEHAVIORAL HEALTH
690 S TRUMBULL ST STE 2
BAY CITY 48708
(989) 893-2121
1041087
MPA GROUP NFP LTD
1217 S EUCLID AVE
BAY CITY 48706
(989) 667-9661
1009325
PLANNING FOR LIVING ASSOCIATES INC
2355 DELTA RD
BAY CITY 48706
(989) 684-6832
1019827
SACRED HEART REHABILITATION BAY CITY
1106 WASHINGTON
BAY CITY 48708
(989) 894-2991
1090736
SACRED HEART REHABILITATION CTR
515 ADAMS ST
BAY CITY 48708
(989) 894-2991
6051 FRANKFORT HIGHWAY
BENZONIA 49616
(231) 882-2132
(269) 757-7258
BENZIE COUNTY
1080089
BERRIEN COUNTY
1083088
100 W MAIN ST
BENTON HARBOR 49022
1091092
COMMUNITY HEALING CENTERS
1225 S 11TH ST
NILES 49120
(269) 684-7741
1085277
FAMILY THERAPY & DEVELOPMENTAL CENTERS
2460 LAKESHORE DR
SAINT JOSEPH 49085
(269) 408-8091
1085276
FAMILY THERAPY & DEVELOPMENTAL CENTERS
4384 LAUREL DR
SAINT JOSEPH 49085
(269) 983-3832
1101296
INTERCARE COMMUNITY HEALTH NETWORK
800 M 139
BENTON HARBOR 49022
(269) 927-5400
1108272
LUTHERAN SOCIAL SERVICES OF MICHIGAN
BENTON HARBOR 49022
(855) 319-3734
1120393
PSYCHIATRIC SPECIALITIES
1030 MINERS RD
SAINT JOSEPH 49085
(269) 408-1688
200 VISTA DR
COLDWATER 49036
(517) 278-4621
535 EMMETT ST E
BATTLE CREEK 49017
(269) 965-3247
BRANCH COUNTY
1109726
CALHOUN COUNTY
1083449
FAMILY & CHILDREN SERVICES INC

Mental Health
Page 670
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
MENTAL HEALTH
CHARLEVOIX COUNTY
1080088
12900 US 31 NORTH
CHARLEVOIX 49720
(231) 237-0048
1123332
1025 BOYNE AVE
BOYNE CITY 49712
(231) 347-5832
1098245
220 W GARFIELD AVE
CHARLEVOIX 49720
(231) 547-6523
CHEBOYGAN 49721
(231) 627-9917
(989) 224-3000
CHEBOYGAN COUNTY
1080090
CLINTON COUNTY
1083389
1505 W WATERFORD PKWY
ST JOHNS 48879
1109509
1055 S US HWY 27
ST JOHNS 48879
(989) 224-3000
1109508
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
707 SPRUCE ST
GRAYLING 49738
(989) 732-9791
CRAWFORD COUNTY
1083050
EATON COUNTY
1096656
NEW BEGINNING THERAPY SERVICES
LANSING 48917
(517) 708-8215
1016868
PROFESSIONAL PSYCH & REHAB SERVICES
LANSING 48917
(517) 321-5900
1080232
ST VINCENT CATHOLIC CHARITIES
2800 W WILLOW
LANSING 48917
(517) 323-4734
(231) 838-7155
EMMET COUNTY
1123551
BEAR RIVER HEALTH
PETOSKEY 49770
1123552
BEAR RIVER HEALTH
5397 HOWARD RD
PETOSKEY 49770
(231) 838-7155
1104923
DAUNTER, KELLY PSY D LLP
2040 INTERTOWN RD
PETOSKEY 49770
(231) 838-8560
1120815
WOMENS RESOURCE CENTER OF NORTHERN MI
423 PORTER ST
PETOSKEY 49770
(231) 347-0067
(810) 232-9950
GENESEE COUNTY
1083068
CATHOLIC CHARITIES OF SHIAW & GEN CO
901 CHIPPEWA ST
FLINT 48503
1046940
CONSUMER SERVICES INC
FLINT 48507
(810) 237-0799
1032647
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1032649
FLINT 48507
(810) 391-0662
1020937
DELTA FAMILY CLINIC SOUTH PC
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1106890
EASTER SEALS MICHIGAN
1420 UNIVERSITY AVE
FLINT 48504
(810) 238-0475
1094810
ENNIS CENTER FOR CHILDREN
129 E THIRD ST
FLINT 48502
(810) 233-4031
1062899
FAMILY SERVICE AGENCY
1422 W COURT ST
FLINT 48503
(810) 767-4014
1121521
FENTON WELLNESS
127 N RIVER ST
FENTON 48430
(810) 309-9355
1100082
GENESEE HEALTH SYSTEM
1102 MACKIN RD
FLINT 48503
(810) 257-3736
1090872
GENESEE HEALTH SYSTEM
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1075327
GRAND BLANC THERAPY
8323 OFFICE PARK DR #B2
GRAND BLANC 48439
(810) 659-7242
1007734
HURLEY ADHD CLINIC
ONE HURLEY PLAZA
FLINT 48502
(810) 262-9953
1017774
HURLEY MENTAL HEALTH ASSOCIATES
FLINT 48532
(810) 262-7035
1002972
HURLEY MENTAL HEALTH ASSOCIATES
ONE HURLEY PLAZA
FLINT 48503
(810) 230-3370
1049101
HURLEY SOCIAL WORKERS
FLINT 48532
(810) 262-7035
1051583
MCLAREN BEHAVIORAL HEALTH
4448 OAK BRIDGE DR
FLINT 48532
(810) 342-5333
1099143
NEW PASSAGES
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803

Mental Health
Page 671
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
(810) 235-6812
MENTAL HEALTH
1054315
NEW PASSAGES
2830 CORUNNA RD
FLINT 48503
1056788
SACRED HEART REHABILITATION CTR FLINT
2091 PROFESSIONAL DR STE I-1
FLINT 48532
(810) 732-1652
1091243
SERENITY RECOVERY SERVICES
1122 NORTH LEROY STE A
FENTON 48430
(810) 240-0143
1097144
WELLNESS AIDS SERVICES
311 E COURT ST
FLINT 48502
(810) 232-0888

1100518
AUTISM CENTER OF NORTHERN MICHIGAN
990 GARFIELD WOODS DR STE B
TRAVERSE CITY 49686
(231) 668-4909
1083125
1000 HASTINGS ST
TRAVERSE CITY 49686
(231) 947-8110
1127136
GOSHAWK BEHAVIORAL HEALTH SERVICES
2240 S AIRPORT RD STE C
TRAVERSE CITY 49684
(231) 642-4642
1105606
MUNSON MEDICAL CENTER
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-5000
1117915
NEXUS FAMILY SERVICES
945 E 8TH ST STE A
TRAVERSE CITY 49686
(231) 933-0500
1120829
PINE REST CHRISTIAN MENTAL HEALTH
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1034557
TRAVERSE HEALTH CLINIC
3147 LOGAN VALLEY RD
TRAVERSE CITY 49686
(231) 935-0799
GRATIOT COUNTY
1118691
ABA THERAPIES OF CENTRAL MICHIGAN
11984 E STANTON RD
SUMNER 48889
(352) 650-8563
1014601
GRATIOT COUNTY COMMUNITY MENTAL HEALTH
320 WARWICK DR
ALMA 48801
(989) 463-4971
HILLSDALE COUNTY
1083083
CATHOLIC CHARITIES OF LENAWEE COUNTY
11 N BROAD ST
HILLSDALE 49242
(517) 263-2191
1040305
1360 S HILLSDALE RD
HILLSDALE 49242
(517) 439-4228
(800) 301-7566
INGHAM COUNTY
1007096
CHILD & FAMILY SVS CAP AREA
4287 FIVE OAKS DR
LANSING 48911
1031131
COGNITIVE BEHAVIORAL ASSOCIATES
2121 UNIVERSITY PARK DR STE 110
OKEMOS 48864
(517) 333-8287
1032648
585 JEWETT RD
MASON 48854
(517) 676-5405
(517) 347-2126
1022121
EASTSIDE THERAPY AND COUSELING
4660 MARSH RD
OKEMOS 48864
1101346
GPS GUIDE TO PERSONAL SOLUTIONS
913 W HOLMES RD STE 143
LANSING 48910
(517) 667-0061
1010814
HIGHFIELDS
LANSING 48910
(517) 887-2762
1116762
2775 E LANSING DR
EAST LANSING 48823
(855) 407-7575
1086947
INTEGRATED FAMILY PSYCHIATRY
OKEMOS 48864
(517) 347-6944
1077388
MSU DEPARTMENT OF PSYCHIATRY
EAST LANSING 48824
(517) 353-3070
1075654
MSU HEALTHTEAM
EAST LANSING 48824
(517) 355-7648
1008481
NEW COMMUNITY RESOURCES
5030 NORTHWIND DR
EAST LANSING 48823
(517) 336-4335
1007339
PAR REHAB SERVICES
LANSING 48911
(517) 887-9801
1064349
PLAY BUILD GROW PLC
1905 ABBOT RD STE 1
EAST LANSING 48823
(517) 268-8052
1060213
PSYCH SERV LTD PC
809 CENTER ST STE 8A
LANSING 48906
(517) 853-1925
(517) 253-7901
1100462
RESIDENTIAL OPTIONS INC
LANSING 48912
1075824
SPARROW BEHAVIORAL HEALTH
1210 W SAGINAW ST
LANSING 48915
(517) 364-7700
1105913
THE ASSESSMENT RELATIONSHIP CENTER
1905 ABBOT RD STE 1
EAST LANSING 48823
(517) 282-8249
1079505
TIMMONS, SARA PH D MFT
200 WOODLAND PASS STE G
EAST LANSING 48823
(219) 742-9167
1079504
TIMMONS, SARA PH D MFT
1650 KENDALE BLVD STE 95
EAST LANSING 48823
(219) 742-9167
1063761
VICTORY CLINICAL SERVICES
4902 S CEDAR ST
LANSING 48910
(517) 394-7867
1105635
VOLUNTEERS OF AMERICA-MICHIGAN
430 N LARCH ST
LANSING 48912
(517) 231-3346
1006858
WOMENS PERSONAL GROWTH &PSYCHOTHERAPY
4660 MARSH RD
OKEMOS 48864
(517) 347-2126

Mental Health
Page 672
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
MENTAL HEALTH
IONIA COUNTY
1083089
601 E WASHINGTON ST STE A
IONIA 48846
(616) 522-0836
1074745
INNER ACCESS THERAPY CENTER LL
112 S DEPOT ST
IONIA 48846
(616) 527-2619
211 NEWMAN ST
EAST TAWAS 48730
(800) 356-5755
(989) 773-0102
IOSCO COUNTY
1083053
ISABELLA COUNTY
1060517
BEHAVIORAL MEDICINE ASSOCIATES
115 S FRANKLIN
1083063
210 COURT ST STE A
(989) 773-9328
1079318
CMCH-MENTAL HEALTH
2600 THREE LEAVES DR
(989) 779-5600
1109725
(989) 779-9988
JACKSON COUNTY
1083064
CATHOLIC CHARITIES OF JACKSON COUNTY
1522 JOY AVE
JACKSON 49203
(517) 782-2551
1017279
DOVE HEALTH ALLIANCE
602 W MICHIGAN AVE
JACKSON 49201
(517) 783-5334
1090722
FAMILY SERVICES & CHILDRENS AID INC
330 W MICHIGAN AVE
JACKSON 49201
(517) 787-7920
1106543
209 E WASHINGTON AV STE 284
JACKSON 49201
(855) 319-3734
KALAMAZOO COUNTY
1109070
BORGESS BEHAVIORAL HEALTH SERVICES
1521 GULL RD
KALAMAZOO 49048
(269) 226-7406
1083084
CATHOLIC FAMILY SERVICES OF KALAMAZOO
1441 WESTNEDGE AVE
KALAMAZOO 49008
(269) 381-9800
1076082
CHOICES FOR CHANGE
218 W WALNUT
KALAMAZOO 49007
(269) 344-7997
1090092
COMMUNITY HEALING CENTERS
2615 STADIUM DR
KALAMAZOO 49008
(269) 343-1651
1104352
DOUGLASS COMMUNITY ASSOCIATION INC
1000 W PATERSON ST
KALAMAZOO 49007
(269) 343-6185
1085397
FAMILY HEALTH CENTER
1308 N BURDICK ST
KALAMAZOO 49007
(269) 349-2641
1107495
GFM ENRICHMENT CENTER
118 E PATERSON ST
KALAMAZOO 49007
(269) 903-2610
1107494
GFM ENRICHMENT CENTER
5805 OAKLAND DR
PORTAGE 49024
(269) 323-1957
1109724
KALAMAZOO 49009
(269) 532-1470
1105216
KALAMAZOO COMMUNITY MENTAL HEALTH
418 W KALAMAZOO AVE
KALAMAZOO 49007
(269) 373-6000
1023796
LAZAR, STEPHEN A PH D
7920 KIRKLAND CT
PORTAGE 49024
(269) 345-0669
1106540
1803 WHITES RD STE 5
KALAMAZOO 49008
(269) 345-5776
1122275
STRAIGHT WAYS
7061 W N AVE
KALAMAZOO 49009
(269) 267-6491
KALKASKA COUNTY
1083056
0438 COUNTY RD 612 NE
KALKASKA 49646
(231) 258-5565
1117917
NEXUS FAMILY SERVICES
2525 BEEBE RD
KALKASKA 49646
(231) 933-0500
(616) 957-5850
KENT COUNTY
1027590
ACAC INC
3949 SPARKS DR SE STE 103
GRAND RAPIDS 49546
1116226
ADOLESCENT AND FAMILY BEHAVIORAL HEALTH
3501 LAKE EASTBROOK BLVD STE 258
GRAND RAPIDS 49546
(616) 295-7614
1091360
ARBOR CIRCLE CORPORATION
740 36TH ST SE
KENTWOOD 49548
(616) 475-8300
1089170
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1084451
BETHANY CHRISTIAN SERVICES
901 EASTERN AVE NE
GRAND RAPIDS 49503
(616) 224-7617
1083066
40 JEFFERSON AVE SE
GRAND RAPIDS 49503
(616) 356-6047
1101374
CHERRY ST HEALTH CENTER
550 CHERRY ST SE
GRAND RAPIDS 49503
(616) 235-7272

Mental Health
Page 673
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
MENTAL HEALTH
1039302
CHERRY ST HEALTH SERVICES HEART OF THE CITY
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1083785
CHERRY ST HEALTH SERVICES SOUTHSIDE
2303 KALAMAZOO SE
GRAND RAPIDS 49507
(616) 965-8390
1101373
CHERRY ST WESTSIDE HEALTH CENTER
669 STOCKING AVE NW
GRAND RAPIDS 49504
(616) 235-1480
1085301
507 36TH ST SE
KENTWOOD 49548
(616) 247-4580
1100517
DEVELOPMENTAL ENHANCEMENT PLC
GRAND RAPIDS 49546
(616) 667-9551
1106891
4065 SALADIN DR SE
GRAND RAPIDS 49546
(616) 942-2081
1109722
GRAND RAPIDS 49506
(616) 940-0040
1127145
INTEGRATIVE HEALTH CONSULTANTS
1843 R W BERENDS DR SW
GRAND RAPIDS 49519
(616) 773-2908
1127146
INTEGRATIVE HEALTH CONSULTANTS
4670 E FULTON STE 101
ADA 49301
(616) 773-2908
1090724
NATIONAL FERTILITY SUPPORT CENTER
2180 44TH ST SE
GRAND RAPIDS 49508
(616) 455-1449
1010304
NORTH KENT GUIDANCE SERVICES
GRAND RAPIDS 49525
(616) 361-5001
1116184
200 JEFFERSON SE
GRAND RAPIDS 49503
(616) 281-6329
1118738
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1005547
KENTWOOD 49548
(616) 281-6329
1109946
WEDGWOOD CHRISTIAN SERVICES
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1107490
YWCA WEST CENTRAL MICHIGAN
25 SHELDON BLVD SE
GRAND RAPIDS 49503
(616) 459-4681
1615 MICHIGAN AVE
BALDWIN 49304
(231) 745-4624
LAKE COUNTY
1117732
BALDWIN FAMILY HEALTH CARE
LAPEER COUNTY
1100811
CATHOLIC CHARITIES OF SOUTHEAST MI
LAPEER 48446
(810) 664-4546
1050382
CATHOLIC SERVICES OF LAPEER
LAPEER 48446
(810) 664-4557
1006670
CHRISTIAN FAMILY SERVICES
LAPEER 48446
(810) 664-4557
1007731
LAPEER COUNTY CMH
1570 SUNCREST DR
LAPEER 48446
(810) 667-0500
1120487
LIFE RESOURCE CENTER
431 N COURT ST STE 230
LAPEER 48446
(810) 338-6315
1077470
MCLAREN BEHAVIORAL HEALTH
1375 N MAIN ST
LAPEER 48446
(810) 667-5500
1086153
NALO THERAPY CENTER
1134 S LAPEER RD
LAPEER 48446
(810) 667-4111
LEELANAU COUNTY
1083061
7401 E DUCK LAKE RD
LAKE LEELANAU 49653
(231) 947-8100
1083035
421 S MITCHELL ST
EMPIRE 49630
(231) 775-6581
(517) 263-0191
LENAWEE COUNTY
1083081
CATHOLIC CHARITIES OF LENAWEE COUNTY
199 N BROAD ST
ADRIAN 49221
1107668
HERRICK BEHAVIORAL HEALTH
TECUMSEH 49286
(517) 423-8396
1107669
502 E CUMMINS ST
TECUMSEH 49286
(517) 423-3887
1107670
818 RIVERSIDE AVE
ADRIAN 49221
(517) 265-0411
HOWELL 48843
(517) 545-5944
LIVINGSTON COUNTY
1083080
CATHOLIC SOCIAL SERVCES OF LIVINGSTON
MACOMB COUNTY
1119153
ARAB AMERICAN AND CHALDEAN COUNCIL
(586) 939-5016
1067857
BADDIGAM FAMILY PSYCHIATRIC
(586) 268-6312

Mental Health
Page 674
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
MENTAL HEALTH
1107489
CARE AND TRANSFORMATION CENTER
33146 RYAN RD
(586) 698-2842
1100817
15945 CANAL RD
(586) 416-2300
1050383
CATHOLIC SERVICES OF MACOMB
15945 CANAL RD
(586) 416-2300
1123476
COMPREHENSIVE EARLY AUTISM SERVICES
34159 JEFFERSON AVE
(734) 545-6335
1106892
6900 E 10 MILE RD
CENTER LINE 48015
(586) 501-3070
1108273
EMPOWERING MINDS
22777 HARPER AVE STE 208A
(586) 945-6177
1079463
FISCHER & CARDAMONE
22 CHURCH STREET
MOUNT CLEMENS 48043
(586) 466-5960
1048015
GERIATRIC PSYCHIATRIC SERVICE
28801 RYAN RD
WARREN 48092
(586) 620-8100
1101325
JUDSON CENTER AUTISM CONNECTIONS
12220 13 MILE STE 300
WARREN 48093
(586) 573-1810
1105118
LMR CONSULTING INC
36389 HARPER AVE
(586) 799-3029
1121789
MAAKARON PROFESSIONAL SERVICES
(586) 899-0686
1048388
MACOMB COUNTY COMM MENTAL
43740 GROESBECK
(586) 469-7629
1100055
MACOMB FAMILY SERVICES
UTICA 48315
(586) 254-5660
1100056
RICHMOND 48062
(586) 727-5529
1100057
124 W GATES STE 10
ROMEO 48065
(586) 752-9696
1066822
43200 DEQUINDRE
UTICA 48315
(586) 254-5660
1090248
MICHIGAN HEALTHCARE PROFESSIONALS
WARREN 48092
(248) 544-9050
1122476
MORC REHAB SERVICES
16200 19 MILE RD
(586) 416-2065
1068428
NEW OAKLAND CHILD ADOLESCENT & FAMILY
26522 VAN DYKE AVE
CENTER LINE 48015
(586) 759-4400
1061183
NEW OAKLAND CHILD-ADOLESCENT AND FAMILY CENT
42669 GARFIELD
(248) 412-5321
1099142
NEW PASSAGES
175 N GROESBECK HWY
MOUNT CLEMENS 48043
(586) 627-0024
1116195
PATHWAYS 2
WARREN 48093
(586) 558-6868
1019773
400 STODDARD RD
RICHMOND 48062
(810) 392-2167
1056787
SACRED HEART REHABILITATION CTR WARREN
8150 E OLD 13 MILE RD STE 100
WARREN 48093
(586) 558-7472
1056790
SACRED HEART REHABILITATION NEW HAVEN
58144 GRATIOT PO BOX 480430
NEW HAVEN 48048
(586) 749-5173
1076516
THE CENTER FOR EFFECTIVE LIVING PC
(586) 228-8838
1119642
TOTAL HEALTH & WELLNESS ASSOC
51145 WASHINGTON ST STE E
NEW BALTIMORE 48047
(586) 604-9101
1096940
TRANSITIONS FOR LIFE
16950 19 MILE RD STE 3F
(586) 855-5022
1123306
(586) 532-3350
1062175
WENTWORTH AND ASSOCIATES PC
UTICA 48317
(586) 997-3153
50 FILER ST
MANISTEE 49660
(231) 723-6321
101 W LOOMIS ST STE 206
LUDINGTON 49431
(231) 845-7809
MANISTEE COUNTY
1083058
MASON COUNTY
1086392
CENTER FOR HUMAN POTENTIAL
MECOSTA COUNTY
1083092
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1109723
745 WATER TOWER RD
BIG RAPIDS 49307
(231) 592-1061
MIDLAND COUNTY
1055345
BEHAVIORAL MEDICINE ASSOCIATES
1108 ASHMAN
MIDLAND 48640
(989) 832-9161
1009798
COMMUNITY MENTAL HEALTH FOR CMH
3611 N SAGINAW RD
MIDLAND 48640
(989) 839-6427

Mental Health
Page 675
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
(734) 240-3863
MENTAL HEALTH
MONROE COUNTY
1099164
1070 S TELEGRAPH
MONROE 48161
1083087
CATHOLIC SOCIAL SERVICES OF WASHTENAW
400 NORTH ST
MILAN 48160
(734) 971-9781
1091315
COVENTURES
986 S TELEGRAPH RD
MONROE 48161
(734) 770-7573
1100971
FAMILY MEDICAL CENTER OF MI
8765 LEWIS AVE
TEMPERANCE 48182
(734) 847-3802
1099611
700 STEWART RD STE 105
MONROE 48162
(734) 240-1760
1090729
SELF AND FAMILY BEHAVIORAL HEALTHCARE
7521 N TELEGRAPH STE 1
NEWPORT 48166
(734) 586-0031
CARSON CITY 48811
(989) 584-6472
GREENVILLE 48838
(616) 225-9650
12519 STATE ST
ATLANTA 49709
(989) 785-3030
MONTCALM COUNTY
1083610
CARSON CITY HOSP/MED SVCS GROUP
1080094
CHERRY ST HEALTH SERVICES MONTCALM AREA HEAL 1003 N LAFAYETTE
MONTMORENCY COUNTY
1080101
MUSKEGON COUNTY
1085001
ACAC INC
635 W SUMMIT
MUSKEGON 49441
(616) 957-5850
1121792
BEHAVIORAL HEALTH GROUP OF MUSKEGON
84 S SEAWAY DR
MUSKEGON 49444
(231) 733-9800
1083091
1095 THIRD ST STE 125
MUSKEGON 49441
(231) 726-4735
NEWAYGO COUNTY
1091361
231 W PINE LAKE DR STE 102
NEWAYGO 49337
(231) 652-1780
1121812
BALDWIN FAMILY HEALTH CARE
1035 E WILCOX AVE
WHITE CLOUD 49349
(231) 689-5943
1083093
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1067264
THE FARM: WHERE LIVING THINGS GROW
623 E MAIN ST
FREMONT 49412
(231) 924-2401
(248) 453-4064
OAKLAND COUNTY
1127131
A COMPASS WITHIN PERSONAL CONSULTING
415 S MAIN ST STE E
ROCHESTER 48307
1065402
ABARIS BEHAVIORAL HEALTH
NOVI 48375
(248) 426-9900
1079182
AH/PCC-ROCHESTER HILLS
ROCHESTER 48307
(248) 650-8500
1119154
SOUTHFIELD 48033
(248) 354-8460
1007545
ROYAL OAK 48073
(248) 551-3000
1066187
BLUE WATER MENTAL HEALTH CLINIC
ROCHESTER 48307
(248) 650-6130
1100816
715 N LAPEER RD
LAKE ORION 48362
(248) 693-7525
1099598
1424 E 11 MILE RD
ROYAL OAK 48067
(248) 548-4044
1100814
6637 HIGHLAND RD
WATERFORD 48327
(248) 666-8870
1100815
3300 ADAMS RD
AUBURN HILLS 48326
(248) 537-3300
1095729
CHANGE IS COMING
4631 N QUARRY CREEK ST
WHITE LAKE 48383
(248) 496-1937
1086407
CLARKSTON FAMILY THERAPISTS
5639 SAHSABAW RD
CLARKSTON 48346
(248) 922-9077
1060948
COMMUNITY NETWORK SERVICES
38855 HILLS TECH DR STE 200
(248) 994-8001
1122349
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1122348
SOUTHFIELD 48075
(248) 994-8006
1117135
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1106888
1105 N TELEGRAPH RD
WATERFORD 48328
(248) 475-2759
1106889
1685 BALDWIN AVE STE A
PONTIAC 48340
(248) 706-3450
1106886
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300

Mental Health
Page 676
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
MENTAL HEALTH
1054962
22170 W 9 MILE RD
SOUTHFIELD 48033
(248) 372-6800
1106887
24445 NORTHWESTERN HWYH STE 100
SOUTHFIELD 48075
(248) 483-7804
1126412
EMPOWERMENT PROFESSIONALS PC
310 W HUDSON
ROYAL OAK 48067
(248) 336-2133
1094811
91 S TELEGRAPH RD
PONTIAC 48431
(248) 334-2715
1125528
FAMILY DYNAMICS
SOUTHFIELD 48075
(313) 633-5090
1067847
HERON RIDGE ASSOCS PLC
FRANKLIN 48025
(248) 594-4991
1043652
CLARKSTON 48348
(248) 693-8880
1100545
HOBERMAN CLINIC
(248) 561-0003
1107084
INNER DOOR CENTER
317 E 11 MILE RD
ROYAL OAK 48067
(248) 336-2868
1074234
JOYCE ALEXANDER & ASSOCIATES PC
29260 FRANKLIN RD STE 128
SOUTHFIELD 48034
(248) 355-3301
1038571
4410 W 13 MILE RD
ROYAL OAK 48073
(248) 837-2047
1106542
2170 E BIG BEAVER STE B
TROY 48083
(855) 319-3734
1076860
MICHIGAN BEHAVIORAL MEDICINE
TROY 48084
(248) 731-7305
1102461
MIELKE AND WEEKS PC
1880 STAR-BATT DR
ROCHESTER 48309
(734) 710-3251
(248) 276-8000
1122475
MORC REHAB SERVICES
1270 DORIS RD
AUBURN HILLS 48326
1122470
MORC REHAB SERVICES
TROY 48084
(248) 918-5600
1036983
NEW OAKLAND CHILD ADOLESCENT & FAMILY
CLARKSTON 48346
(248) 620-6400
1061181
32961 MIDDLEBELT RD
(248) 855-1540
1099926
NEW PASSAGES
TROY 48083
(248) 817-2345
1039864
NORTHLAND CLINIC
(248) 559-8190
1089841
NORTHLAND CLINIC
ROCHESTER 48307
(248) 559-8190
1108268
OAKLAND FAMILY SERVICES
ROCHESTER 48307
(248) 853-0750
1036482
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1108269
2351 W 21 MI RD
BERKLEY 48072
(248) 544-4004
1108270
WALLED LAKE 48390
(248) 624-3812
1077574
PERFECT SOLUTIONS INC
3650 DIXIE HIGHWAY
WATERFORD 48329
(248) 674-4630
1045816
PERSPECTIVES OF TROY
TROY 48084
(248) 244-8644
1118772
PEYTON & DAVENPORT INC
5840 LORAC DR STE 10
CLARKSTON 48346
(248) 762-5820
1039067
RIVERS BEND PC
TROY 48083
(248) 585-3239
1065836
1400 E 12 MILE RD
(248) 658-1116
1032405
SENIOR WELLNESS GROUP OF MICHIGAN
ROYAL OAK 48067
(248) 398-6459
1122602
SOLLARS AND ASSOCIATES PC
BIRMINGHAM 48009
(248) 613-5377
1122604
(248) 616-5377
1122606
TROY 48084
(248) 613-5377
1122605
5600 W MAPLE RD STE B204
(248) 613-5377
1084915
THE RELATIONSHIP TIMES
181 STATE ST
PONTIAC 48341
(248) 977-4038
1108339
TOTAL HEALTH & WELLNESS ASSOC
31700 W 12 MILE STE 250
(734) 368-7154
1059817
WARTEL BEHAVIORAL SERVICES
(248) 626-1330
1068946
WILLOWS EDGE
81 INDIANWOOD RD STE 2
LAKE ORION 48362
(248) 834-0614
OGEMAW COUNTY
1006094
AUSABLE VALLEY CMH
511 GRIFFIN AVE
WEST BRANCH 48661
(989) 362-8636
1083076
511 GRIFFIN ST
WEST BRANCH 48661
(800) 356-5755
209 WEST 8TH ST
MIO 48647
(800) 356-6385
OSCODA COUNTY
1083059

Mental Health
Page 677
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
2090 W M-32 STE B
GAYLORD 49735
(989) 732-6761
MENTAL HEALTH
OTSEGO COUNTY
1083047
OTTAWA COUNTY
1100516
DEVELOPMENTAL ENHANCEMENT PLC
7086 8TH AVE
JENISON 49428
(616) 667-9551
1086367
PATHWAYS MI
321 BEECHTREE
GRAND HAVEN 49417
(616) 846-5880
(989) 356-6385
PRESQUE ISLE COUNTY

1080096
20709 STATE ST
ONAWAY 49765
1083070
201 S BRADLEY HWY
ROGERS CITY 49779
(989) 356-6385
1125530
532 W ERIE ST
ROGERS CITY 49779
(989) 734-9150
1125529
10575 MICHIGAN AVE
POSEN 49776
(989) 766-2471
ROSCOMMON COUNTY
1083055
206 HEALTH PARKWAY
HOUGHTON LAKE 48629
(989) 356-6385
1083073
606 LAKE ST
ROSCOMMON 48653
(989) 275-5183
1116345
MID MICHIGAN HEALTH SERVICES
9249 W LAKE CITY RD
HOUGHTON LAKE 48629
(989) 422-2183
SAGINAW COUNTY
1083032
710 N MICHIGAN
SAGINAW 48602
(989) 753-8446
1042511
CHILD & FAMILY SERVICES
2806 DAVENPORT AVE
SAGINAW 48602
(989) 790-7500
1104436
CHILD & FAMILY SERVICES
117 S MAIN ST STE 2
FREELAND 48623
(989) 573-8500
1010078
DOT CARING CENTERS INC
3190 HALLMARK CT
SAGINAW 48603
(989) 790-3366
1010780
6840 MIDLAND RD
FREELAND 48623
(989) 692-2160
1067266
EDM TREATMENT CENTERS
3605 DAVENPORT
SAGINAW 48602
(989) 401-1440
1089726
HALLERS HEALING MINDS INC
3070 KABOBEL DR
SAGINAW 48604
(989) 791-4191
1127271
JAFFERANY PSYCHIATRIC SERVICES PLC
3201 HALLMARK CT
SAGINAW 48603
(989) 790-5989
1071711
3215 HALLMARK CT
SAGINAW 48603
(989) 790-5990
1105148
KAIROS HEALTHCARE
2084 HEMMETER RD
SAGINAW 48603
(989) 401-7506
1093594
KAIROS HEALTHCARE
1321 FAYETTE
SAGINAW 48602
(989) 792-8000
1093593
KAIROS HEALTHCARE
SAGINAW 48601
(989) 755-1072
1119709
PPPS III
SAGINAW 48602
(989) 755-8225
1096670
SACRED HEART REHABILITATION SAGINAW
301 E GENESEE AVE
SAGINAW 48607
(989) 776-6000
1006499
SAGINAW COUNTY CMH AUTHORITY
1040 N TOWERLINE RD
SAGINAW 48601
(989) 797-3400
1023698
SHOEMAKER, RODNEY PH D
4798 WENMAR DR
SAGINAW 48604
(989) 791-3179
1120062
WESTLUND GUIDANCE CLINIC
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
SAINT CLAIR COUNTY

1009854
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1067925
16 SOUTH MAIN ST
YALE 48097
(810) 985-5125
1099599
2601 13TH ST
PORT HURON 48060
(810) 987-9100
1094813
222 HURON AVE
PORT HURON 48060
(810) 990-1424
1127795
IMPACT
1001 MILITARY ST
PORT HURON 48060
(810) 985-5437
1127797
IMPACT
502 MICHIGAN ST
ALGONAC 48001
(810) 794-5768
1060529
NORSERV GROUP LTD
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1092311
PHH PHYSICIAN GROUP
1209 RICHARDSON ST
PORT HURON 48060
(810) 984-5156

Mental Health
Page 678
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
(810) 794-7750
MENTAL HEALTH
1049248
PORT HURON BEHAVIORAL SPECIALISTS
309 MCMORRAN BLVD
PORT HURON 48060
1099105
PORT HURON HOSPITAL
1221 PINE GROVE AVE
PORT HURON 48060
(810) 987-5000
1056797
SACRED HEART REHABILITAITON CTR PORT HURON
1406 8TH ST
PORT HURON 48060
(810) 987-1258
1056791
SACRED HEART REHABILITATION CTR ALGONAC
555 ST CLAIR RIVER DR
ALGONAC 48001
(810) 794-4982
1007666
ST CLAIR COUNTY COMMUNITY MENTAL HEALTH
3111 ELECTRIC AVE
PORT HURON 48060
(810) 985-8900
715 S HEALTH PKWY
THREE RIVERS 49093
(269) 273-9795
SAINT JOSEPH COUNTY

1121742
THREE RIVERS HEALTH
SANILAC COUNTY
1067924
5590 MAIN STREET STE 3
LEXINGTON 48450
(810) 985-5125
1127796
IMPACT
5517 MAIN ST
LEXINGTON 48450
(810) 359-2711
1015974
SANILAC COUNTY HEALTH DEPARTMENT
171 DAWSON ST
SANDUSKY 48471
(810) 648-4098
SHIAWASSEE COUNTY
1083031
OWOSSO 48867
(989) 723-8239
1026114
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1010980
OWOSSO 48867
(989) 725-2229
1078843
MID-MICHIGAN BEHAVIORAL HEALTH PC
OWOSSO 48867
(989) 725-8124
TUSCOLA COUNTY
1102151
CARO 48723
(989) 286-3330
1040600
NEW LIGHT CONSULTANTS INC
8511 STATE ST
MILLINGTON 48746
(989) 871-6695
1058308
NEW LIGHT CONSULTANTS INC
852 S HOOPER ST
CARO 48723
(989) 672-0784
1011442
TUSCOLA CO COMM MNTL HLTH
323 N STATE ST
CARO 48723
(989) 673-6191
VAN BUREN COUNTY

1109738
BANGOR HEALTH CENTER
803 W ARLINGTON ST
BANGOR 49013
(269) 427-6810
1085882
MAPLE VIEW CONSULTATION CENTER
PAW PAW 49079
(269) 657-6025
(734) 971-9781
WASHTENAW COUNTY
1073402
CATHOLIC SOCIAL SERVICE OF WASHTENAW
ANN ARBOR 48108
1123424
HANDS ACROSS THE WATER
20 W FIFTH ST STE 104
ANN ARBOR 48108
(734) 477-0135
1123425
HANDS ACROSS THE WATER
781 AVIS DR STE 200
ANN ARBOR 48108
(734) 477-0135
1067848
ANN ARBOR 48103
(734) 913-1093
1108276
HOME OF NEW VISION
ANN ARBOR 48108
(734) 975-1602
1116658
JEWISH FAMILY SERVICES OF WASHTENAW CO
ANN ARBOR 48104
(734) 769-0209
1101326
ANN ARBOR 48108
(734) 528-1692
1106541
ANN ARBOR 48108
(855) 319-3734
1086985
PHELPS PARTNERS PC
2245 S STATE ST STE 1200 1F
ANN ARBOR 48104
(734) 255-6800
1079753
REGENTS OF UNIV OF MICH
2101 COMMONWEALTH BLVD
ANN ARBOR 48105
(734) 647-5299
WAYNE COUNTY
1100557
AMERICAN INDIAN HEALTH AND FAMILY
4880 LAWNDALE
DETROIT 48210
(313) 846-6030
1124163
16921 W WARREN AVE
DETROIT 48228
(313) 893-6172

Mental Health
Page 679
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
(313) 893-6172
MENTAL HEALTH
1124164
62 W 7 MILE RD
HIGHLAND PARK 48203
1118342
DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH
10 PETERBORO ST
DETROIT 48201
(313) 831-3160
1094812
20100 GREENFIELD RD
DETROIT 48235
(313) 342-2699
1094814
DETROIT 48207
(313) 396-1800
1127733
FRIENDS OF DETROIT AND TRI-COUNTIES
8230 E FOREST AVE
DETROIT 48214
(313) 924-0085
(734) 454-3560
1067846
PLYMOUTH 48170
1100544
HOBERMAN CLINIC
1800 GRINDLEY PARK STE 3
DEARBORN 48124
(248) 561-0003
1061069
INNOVATIVE THERAPEUTIC SOLUTIONS
2051 ROSA PARKS BLVD STE 1B
DETROIT 48216
(313) 658-3346
1061182
LIVONIA 48150
(734) 422-9340
1119710
PPPS III
DETROIT 48202
(313) 874-8715
1056796
17131 GITRE ST
DETROIT 48213
(313) 245-4357
1096070
SLC THERAPY
29240 BUCKINGHAM STE 5
LIVONIA 48154
(734) 266-0640
1122603
496 W ANN ARBOR TRAIL STE 202
PLYMOUTH 48170
(248) 613-5377
1058847
TEAM MENTAL HEALTH SERVICES
14799 DIX-TOLEDO RD
SOUTHGATE 48195
(734) 324-8326
1058844
921 HOWARD ST
DEARBORN 48124
(313) 274-3700
1058846
2939 RUSSELL
DETROIT 48205
(313) 396-5300
1102241
THE GUIDANCE CENTER
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1102242
THE GUIDANCE CENTER
19401 NORTHLINE RD
SOUTHGATE 48195
(734) 785-7700
1124455
DETROIT 48201
(313) 745-5906
1122273
UNIVERSITY PHYSICIAN BEHAVIOR HEALTH
3990 JOHN R
DETROIT 48201
(313) 745-4525
1106513
VHS PHYSICIANS OF MICHIGAN INC
261 MACK BLVD
DETROIT 48201
(313) 745-1203

Mental Health
Page 680
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
214 W MAIN ST
HARRISVILLE 48740
(989) 356-6385
154 S RIPLEY BLVD
ALPENA 49707
(989) 365-6385
SUBSTANCE USE DISORDER CENTER

ALCONA COUNTY
1080099
ALPENA COUNTY
1080093
CATHOLIC CHARITIES OF MICHIGAN
BAY COUNTY
1036758
LIST PSYCHOLOGICAL SERVICES
BAY CITY 48706
(989) 460-1000
1036759
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
6051 FRANKFORT HIGHWAY
BENZONIA 49616
(231) 882-2132
809 W ERIE ST
ALBION 49224
(517) 629-8661
12900 US 31 NORTH
CHARLEVOIX 49720
(231) 237-0048
BENZIE COUNTY
1080089
CALHOUN COUNTY
1070496
NARCONON FREEDOM CENTER
CHARLEVOIX COUNTY
1080088
CHEBOYGAN COUNTY
1080090
CHEBOYGAN 49721
(231) 627-9917
1118096
HARBOR HALL INC
CHEBOYGAN 49721
(231) 597-9235
707 SPRUCE ST
GRAYLING 49738
(989) 732-9791
CRAWFORD COUNTY
1083050
EMMET COUNTY
1118097
HARBOR HALL INC
2236 E MITCHELL ST STE 5
PETOSKEY 49770
(231) 347-9880
1118095
HARBOR HALL INC
704 EMMET ST
PETOSKEY 49770
(888) 880-5511
GENESEE COUNTY
1124644
FLINT ODYSSEY HOUSE INC
1108 LAPEER RD
FLINT 48503
(810) 238-7226
1124642
529 ML KING AVE
FLINT 48502
(810) 238-7226
1124643
1225 ML KING AVE
FLINT 48503
(810) 238-7226
1056788
SACRED HEART REHABILITATION CTR FLINT
2091 PROFESSIONAL DR STE I-1
FLINT 48532
(810) 732-1652
1000 HASTINGS ST
TRAVERSE CITY 49686
(231) 947-8110
7484 W MICHIGAN AVE STE C
PIGEON 48755
(989) 975-0651
IONIA 48846
(616) 522-0836

1083125
HURON COUNTY
1071355
IONIA COUNTY
1083089

Mental Health
Page 681
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
211 NEWMAN ST
EAST TAWAS 48730
(800) 356-5755
218 S WASHINGTON ST
(989) 779-9449
300 W LOUIS GLICK HWY
JACKSON 49201
(517) 782-9905
0438 COUNTY RD 612 NE
KALKASKA 49646
(231) 258-5565

IOSCO COUNTY
1083053
ISABELLA COUNTY
1069849
ADDICTIONS SOLUTIONS COUNSELING CENTER
JACKSON COUNTY
1090723
BORN FREE
KALKASKA COUNTY
1083056
LAPEER COUNTY
1096766
ALCOHOL INFORMATION & COUNSELING CENTER
1800 IMLAY CITY RD
LAPEER 48446
(810) 667-0243
1007731
LAPEER COUNTY CMH
1570 SUNCREST DR
LAPEER 48446
(810) 667-0500
1036760
LAPEER 48446
(810) 667-4500
7401 E DUCK LAKE RD
LAKE LEELANAU 49653
(231) 947-8100
400 STODDARD RD
RICHMOND 48062
(810) 392-2167
50 FILER ST
MANISTEE 49660
(231) 723-6321
12519 STATE ST
ATLANTA 49709
(989) 785-3030
1400 E 12 MILE RD
(248) 658-1116
511 GRIFFIN ST
WEST BRANCH 48661
(800) 356-5755
209 WEST 8TH ST
MIO 48647
(800) 356-6385
2136 W M-32
GAYLORD 49735
(989) 732-1791
LEELANAU COUNTY
1083061
MACOMB COUNTY
1019773
MANISTEE COUNTY
1083058
MONTMORENCY COUNTY
1080101
OAKLAND COUNTY
1065836
OGEMAW COUNTY
1083076
OSCODA COUNTY
1083059
OTSEGO COUNTY
1119007
NORTHERN MICHIGAN SUBSTANCE ABUSE SVCS
PRESQUE ISLE COUNTY

1083070
201 S BRADLEY HWY
ROGERS CITY 49779
(989) 356-6385
1080096
20709 STATE ST
ONAWAY 49765
(989) 356-6385

Mental Health
Page 682
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender

ROSCOMMON COUNTY
1083055
206 HEALTH PARKWAY
HOUGHTON LAKE 48629
(989) 356-6385
1083073
606 LAKE ST
ROSCOMMON 48653
(989) 275-5183
SAGINAW COUNTY
1059452
1600 N MICHIGAN AVE
SAGINAW 48602
(989) 758-3720
1036762
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
81 N HOWARD AVE
CROSWELL 48422
(810) 679-0200
OWOSSO 48867
(989) 723-8239
651 N STATE ST
CARO 48723
(989) 673-5700
SANILAC COUNTY
1071992
ADVANTAGE COUNSELING AND EDUCATION
SHIAWASSEE COUNTY
1083031
TUSCOLA COUNTY
1006309

Mental Health
Page 683
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
ALCONA COUNTY
1074867
LENARD, LISA A LPC
177 N BARLOW
LINCOLN 48742
(989) 736-8157
1080098
MANCINE, STEPHANIE LPC
214 W MAIN ST
HARRISVILLE 48740
(989) 356-6385
1086744
177 N BARLOW RD
LINCOLN 48742
(989) 736-8157
ALLEGAN COUNTY
1117312
ACKLEY, CINDY LLPC
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
1117597
ANDERSON, CHRISTINE LLPC
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
1118636
BODELL, ROBERT LPC
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
1118586
FULLER, STEPHEN K LPC
319 PARK ST
PLAINWELL 49080
(269) 685-9401
1117333
HOIST, MARIBETH LPC
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
1108929
MICHAELIS, JEFFREY S LPC
HOLLAND 49423
(616) 820-3780
1084842
MUXLOW, ALMA J LPC
319 PARK ST
PLAINWELL 49080
(269) 685-9401
1114455
OVERBEY, PANAGIOTA LPC
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
1117527
PAPPAS, NICHOLAS LPC
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
1117608
SENINS, SANDRA LPC
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
1084841
THE COUNSELING CENTER PC
319 PARK ST
PLAINWELL 49080
(269) 685-9401
1117327
TJAPKES, SHELLY LLPC
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
1086377
VAN ALLSBURG, SUSAN LPC
217 HUBBARD
ALLEGAN 49010
(269) 673-1896
1086375
412 CENTURY LANE
HOLLAND 49423
(616) 396-2301
ALPENA COUNTY
1125299
ACHATZ, RACHEL LPC
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7242
1080091
154 S RIPLEY BLVD
ALPENA 49707
(989) 356-6385
1103696
OXFORD INTEGRATED HEALTH SOLUTIONS PLLC
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7379
ANTRIM COUNTY
1107697
KEMPKE, JESSICA LLPC
205 GROVE ST
MANCELONA 49659
(231) 587-9840
1123333
LITZNER, REBECCA MSW
205 GROVE ST
MANCELONA 49659
(231) 587-9840
450 MEADOW RUN STE 400
HASTINGS 49058
(268) 945-9907
BARRY COUNTY
1121628
MEADOW RUN HOLISTIC COUNSELING
BAY COUNTY
1092891
BARNES, JODI L LLPC
690 S TRUMBALL
BAY CITY 48708
(989) 922-4900
1126772
BESON, LISA MA LPC
1420 CENTER AVE
BAY CITY 48708
(989) 686-1990
1094969
BRISSETTE, ELON M LPC
3720 E WILDER RD STE B
BAY CITY 48706
(989) 460-1000
1080537
CHAPIN, DIANE LPC
BAY CITY 48706
(989) 460-1000
1080538
CHAPIN, DIANE LPC
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1005238
DALY, VALERIE B LPC
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1094990
FECHT, NATALIE C LPC
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1094991
FECHT, NATALIE C LPC
3720 E WILDER RD UNIT B
BAY CITY 48706
(989) 460-1000
1063471
FECHTER, CAROL LPC
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7997
1123104
GARDNER, NANCY LPC
690 S TRUMBULL
BAY CITY 48708
(989) 922-4900
1123529
GARDNER, NANCY LPC
2355 DELTA RD
BAY CITY 48706
(989) 684-6832
1080106
HADAWAY, SONDRA LPC
915 COLUMBUS AVE
BAY CITY 48708
(989) 892-2504

Mental Health
Page 684
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1068851
HADAWAY, SONDRA LPC
1420 CENTER AVE
BAY CITY 48708
(989) 686-1990
1123909
HAYNES, STEPHANE LPC
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1123998
HAYNES, STEPHANIE A LLPC
114 TUSCOLA
BAY CITY 48708
(989) 895-0788
1090974
HODGSON, DEANNA LLPC
BAY CITY 48706
(989) 460-1000
1090975
HODGSON, DEANNA LLPC
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1083797
HUGO, MICHELE L MA LPC
1420 CENTER AVE
BAY CITY 48708
(989) 686-1990
1120557
KILBURN-DOXEY, RUTH LPC
651 N STATE ST
BAY CITY 48708
(989) 673-5700
1063748
RECOVERY PATHWAYS LLC
717 E MIDLAND ST
BAY CITY 48706
(989) 298-3566
1057824
ROTH, GARY LPC
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1058275
ROTH, GARY LPC
BAY CITY 48706
(989) 460-1000
1124634
SARASIN, WILLIAM MA LLP
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1103150
SEARS, WENDY LPC
717 E MIDLAND ST
BAY CITY 48706
(989) 928-3566
1091787
SUCHODOLSKI, PAULA LPC
690 S TRUMBALL
BAY CITY 48708
(989) 922-4900
1101402
VANDERLAAN, DOUG MA LPC
BAY CITY 48708
(989) 450-1904
1019342
VANDERLAAN, DOUGLAS G LPC
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1114403
WEAVER, THERESA LPC
690 S TRUMBULL
BAY CITY 48708
(989) 922-4900
BENZIE COUNTY
1091589
CLUTE, CHRISTINE LPC
BENZONIA 49616
(231) 871-0019
1091527
CLUTE, CHRISTINE P MA LPC
BENZONIA 49616
(231) 871-0019
1109347
NEIHARDT, ALISON LPC
6868 SOUTH ST
BENZONIA 49616
(231) 590-4812
BERRIEN COUNTY
1085280
CARING WORKS COUNSELING SERVICES
1804 COLFAX AVE
BENTON HARBOR 49022
(269) 983-0900
1084555
CHAPMAN, GLENN H LPC LMFT
302 CEDAR ST
NILES 49120
(269) 926-6199
1084554
1850 COLFAX AVE
BENTON HARBOR 49022
(269) 926-6199
1122973
DETTMANN, JESSICA LPC
800 M139
BENTON HARBOR 49022
(855) 869-6900
1091230
GENERATIONS COUNSELING SVCS LLC
215 BROADWAY ST STE A
NILES 49120
(269) 262-8119
1086379
HAELAN COUNSELING
109 N THIRD ST
NILES 49120
(269) 683-8972
1101714
HARRIS, ALEXIS LLPC
302 CEDAR ST
NILES 49120
(269) 926-6199
1101713
HARRIS, ALEXIS LLPC
1850 COLFAX AVE
BENTON HARBOR 49022
(269) 926-6199
1103081
HARVELL, ROBIN LPC
1850 COLFAX AVE
BENTON HARBOR 49022
(269) 926-6199
1103082
HARVELL, ROBIN LPC
302 CEDAR ST
NILES 49120
(269) 926-6199
1093498
HILL, RHONDA A LPC
100 MAIN ST
BENTON HARBOR 49022
(269) 757-7258
1090977
HOOLEY, RACHAEL D MA
903 MAIN ST
SAINT JOSEPH 49085
(269) 985-2000
1085272
JOHNSON, MARIJA LPC
903 MAIN ST
SAINT JOSEPH 49085
(269) 985-2000
1084557
KOPP, DIANE J MA
1850 COLFAX AVE
BENTON HARBOR 49022
(269) 926-6199
1084559
KOPP, DIANE J MA
302 CEDAR ST
NILES 49120
(269) 926-6199
1106052
MANDERS, GENNIFER LPC
BENTON HARBOR 49022
(855) 319-3734
1123966
OVERTON, ROBERTO LPC
870 COLFAX AVE
BENTON HARBOR 49022
(269) 605-1277
1084551
SAMARITAN COUNSELING CENTER
1850 COLFAX AVE
BENTON HARBOR 49022
(269) 926-6199
1084552
302 CEDAR ST
NILES 49120
(269) 926-6199
1095084
SAMUELSON, PAUL T LPC
100 MAIN ST
BENTON HARBOR 49022
(269) 757-7258
1085268
SHEPARD HOUSE COUNSELING & PSYCHOLOGICAL SER 903 MAIN ST
SAINT JOSEPH 49085
(269) 985-2000
1091362
STARTUP CENTER FOR INNER PEACE PLLC
6560 RED ARROW HWY
COLOMA 49038
(269) 487-6337
1091784
STEPHENS, BARRY LPC
1225 S 11TH ST
NILES 49120
(269) 684-7741

Mental Health
Page 685
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1100534
VICTORY COUNSELING SERVICES
BENTON HARBOR 49022
(269) 925-8222
1091074
WILBER, TEONNA LPC
215 BROADWAY ST STE A
NILES 49120
(269) 262-8119
BRANCH COUNTY
1057065
DBT CENTER OF MICHIGAN PLLC
44 N HANCHETT ST
COLDWATER 49036
(517) 667-6453
1070393
LOWE, SUSAN LPC
694 W CHICAGO
COLDWATER 49036
(517) 279-8866
CALHOUN COUNTY
1055194
CHRISTIAN COUNSELING CENTER
4625 BECKLEY RD
BATTLE CREEK 49015
(269) 375-6079
1070392
LOWE, SUSAN LPC
120 WEST DR NORTH STE 2
MARSHALL 49068
(517) 279-8866
1114399
MATTHEWS, KEITH H LPC
127 BEACHFIELD DR
BATTLE CREEK 49015
(269) 317-2772
1104078
MONTGOMERY, RENAY LLP
231 NORTH AVE
BATTLE CREEK 49017
(269) 788-8102
1084835
STEWART STEVENS, EMILY L MA
310 W GREEN ST
MARSHALL 49068
(269) 781-0157
1071656
THEISEN, KAREN LPC
4625 BECKLEY RD
BATTLE CREEK 49015
(269) 979-8119
1097801
WING, CHERYL L LPC
424 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 339-3435
(269) 414-4088
CASS COUNTY
1100531
BYRON COUNSELING
69045 M 62 STE B2
EDWARDSBURG 49112
1120120
BYRON COUNSELING LLC
69045 M 62 STE B
EDWARDSBURG 49112
(269) 414-4088
1090976
HOOLEY, RACHAEL D MA
107 N BROADWAY ST
CASSOPOLIS 49031
(269) 445-0999
1085273
JOHNSON, MARIJA LPC
107 N BROADWAY ST
CASSOPOLIS 49031
(269) 445-0999
1085269
SHEPARD HOUSE COUNSELING & PSYCHOLOGICAL SER 107 N BROADWAY ST
CASSOPOLIS 49031
(269) 445-0999
CHARLEVOIX COUNTY
1122037
HOLLAND, ANN LPC
3616 M 75 N
WALLOON LAKE 49796
(231) 675-3150
1090399
MILLER, ROBIN R LPC
12900 US 31 NORTH
CHARLEVOIX 49720
(231) 237-0048
1122681
RUSSELL, SUSAN LPC
103 ESTERLY ST
EAST JORDAN 49727
(231) 459-5606
1067664
WEIDMAN, EMMALINE PHD
18611 CLIPPERVIEW RD
CHARLEVOIX 49720
(231) 547-7323
CHEBOYGAN COUNTY
1126694
KOCH, RANDALL LPC
CHEBOYGAN 49721
(866) 775-8726
1118170
MARRIAGE & FAMILY COUNSELING OF N MI
4071 S STRAITS HWY
INDIAN RIVER 49749
(231) 238-2172
1119462
THOMPSON, ALISHA LPC
4071 S STRAITS HWY
INDIAN RIVER 49749
(231) 238-2172
CLINTON COUNTY
1065785
HIMELRIGHT, JACQUELINE LMFT
13980 SCHAVEY RD
DEWITT 48820
(517) 896-7727
1095396
HJG FARM LLC
5611 LEHMAN RD
DEWITT 48820
(517) 290-5648
1070622
LIIKALA, TAMMY LPC
240 S BRIDGE ST STE 220
DEWITT 48820
(517) 277-0200
1078308
MCLANE, MARILYN RUTH-COOMBS LMSW
DEWITT 48820
(517) 277-0200
1065083
MCMATHIS COUNSELING SERVICES
108 W WALKER ST
ST JOHNS 48879
(989) 224-5065
1066153
MCMATHIS-WEST, DARLENE LMSW
108 W WALKER ST
ST JOHNS 48879
(989) 224-5065
1038262
OLSON, MATTHEW LPC
710 N MEAD ST
ST JOHNS 48879
(989) 224-4110
1125161
PATTERSON, AMANDA LPC
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1038267
PEBBLE CREEK COUNSELING
710 N MEAD ST
ST JOHNS 48879
(989) 224-4110
1073573
PRATT, KAY J LMSW
DEWITT 48820
(517) 277-0100

Mental Health
Page 686
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1001656
ST JOHNS COUNSELING & THERAPY
DEWITT 48820
(517) 277-0100
1077210
SWARTHOUT, PAMELA LPC
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1109513
SWARTHOUT, PAMELA LPC
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1071826
TERRY, MELISSA LPC
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 668-0700
1109512
WHITEHALL, NINA LPC
1055 S US HWY 27
ST JOHNS 48879
(989) 224-3000
1109511
WHITEHALL, NINA LPC
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1070561
WHITEHILL, NINA LPC
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
CRAWFORD COUNTY
1104811
LUBS, KRISTIN LLPC
2375 S BUSINESS I-75
GRAYLING 49738
(989) 390-9991
1083048
SEAGER, CHRISTINE MA, LPC
707 SPRUCE ST
GRAYLING 49738
(989) 732-9791
EATON COUNTY
1060094
ARCHAMBEAU, DOROTHY A LPC
326 E LINCOLN ST
GRAND LEDGE 48837
(517) 488-1977
1083771
BUSSEY-HOOPER, CONNIE LMSW
LANSING 48917
(517) 321-4775
1080236
COOPER, MICHAEL LLMSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1010220
COSCARELLI, KATHY FAYE LPC
13952 N HARTEL RD
GRAND LEDGE 48837
(517) 622-0551
1120740
DALE, ESTHER MA LPC
LANSING 48917
(517) 323-4099
1083772
EVANS, MINDY LMSW
LANSING 48917
(517) 321-4775
1085306
FABER, KATHLEEN LLPC
526 S CREYTS RD
LANSING 48917
(517) 303-3424
1057095
GRAND LEDGE COUNSELING CENTER
207 W JEFFERSON ST
GRAND LEDGE 48837
(517) 627-8357
1116315
GRAND RIVER COUNSELING CENTER
2487 S MICHIGAN RD STE E
EATON RAPIDS 48827
(517) 663-1150
1028160
GUTE, KATHERINE M LMSW
311 HARRISON ST
GRAND LEDGE 48837
(517) 927-3382
1120915
INSIGHT COUNSELING SERVICES OF GREATER LANSIN
1110 OLD POST RD
GRAND LEDGE 48837
(517) 281-9956
1126528
JOHNSON-MASON, CANDACE LPC
LANSING 48917
(517) 323-4099
1068197
LUNSTED, LINDA LMSW
516 S CREYTS RD STE F
LANSING 48917
(517) 323-1767
1106295
MOLLOY, PATRICIA LPC
LANSING 48917
(517) 323-4099
1127502
NEAL, SHIRLEY LPC
LANSING 48917
(517) 323-4099
1126408
QUISENBERRY, CARRIE LLPC
3815 W ST JOSEPH HWY STE A300
LANSING 48917
(517) 927-6963
1101857
RAYNER, HAYLEY LLPC
LANSING 48917
(517) 323-4099
1067683
REFLECTIONS COUNSELING PLC
836 CENTENNIAL WAY
LANSING 48917
(517) 321-4775
1026045
REUSSER, DEBORAH LPC
LANSING 48917
(517) 803-3248
1105192
ROBERSON, KELLY LLPC
LANSING 48917
(517) 323-4099
1100503
SERENE PATHWAYS COUNSELING
LANSING 48917
(517) 323-1767
1120644
STEARNS, BARRY G LPC
LANSING 48917
(517) 323-4099
1094128
TALBOTT, TAMORA LLPC
LANSING 48917
(517) 323-1767
1068845
WILKINS, DORIS LLP
LANSING 48917
(517) 321-5900
1125958
WILLIAMS, PHYLLIS LLPC
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1071059
WISSINK, BRIAN LPC
LANSING 48917
(517) 323-4099
EMMET COUNTY
1102798
BUCCI, PETER S LPC
704 PETOSKEY ST
PETOSKEY 49770
(678) 429-2596
1119451
DRADER, JOELLE LLPC
413 WAUKAZOO
PETOSKEY 49770
(231) 622-5156
1124670
HOLLAND, ANN LPC
1250 LEARS RD
PETOSKEY 49770
(231) 242-1704
1126693
KOCH, RANDALL LPC
PETOSKEY 49770
(231) 347-9880
1126695
KOCH, RANDALL LPC
704 EMMET ST
PETOSKEY 49770
(888) 880-5511

Mental Health
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February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1068813
MUMMAW, MARY LPC
(231) 348-9900
1127955
NATHE, TANA LLPC
1250 LEARS RD
PETOSKEY 49770
(231) 242-1704
1103711
NORTHERN MICHIGAN COUNSELING AND CONSULTING
704 PETOSKEY ST
PETOSKEY 49770
(678) 429-2596
1090601
NORTHSTAR COUNSELING & HERBALS INC
PETOSKEY 49770
(231) 392-6957
1086338
O'BRIEN COUNSELING
PETOSKEY 49770
(231) 487-4694
1123553
RIFE, RACHELLE LPC
172 N PARK ST
PELLSTON 49769
(231) 539-8550
1127923
SCOLNICK INGLESON, KELLY LPC
1250 LEARS RD
PETOSKEY 49770
(231) 242-1704
1091789
SULLIVAN, PAUL M LPC
5397 HOWARD RD
PETOSKEY 49770
(231) 838-7155
1091788
SULLIVAN, PAUL M LPC
PETOSKEY 49770
(231) 838-7155
1122095
WURTSMITH, CASPER LPC
PETOSKEY 49770
(231) 838-8976
GENESEE COUNTY
1114551
ALLEN, KEITH D MA, LPC
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1123941
ARMBRUSTER, NANCY LPC
127 N RIVER ST
FENTON 48430
(810) 309-9355
1101299
ASCEND COUNSELING SERVICES PLLC
2325 W SHIAWASSEE AVE STE 105
FENTON 48430
(810) 629-2500
1006955
AUBURN COUNSELING ASSOCIATES
FLINT 48507
(810) 744-3300
1126070
BAUMGARTNER, KENDRA A LLPC
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803
1007186
BRIGHT HORIZONS PSYCHOLOGICAL CENTER PLLC
6197 MILLER RD STE 1
SWARTZ CREEK 48473
(810) 720-5990
1013228
BRUZ, WENDY S LLP
GRAND BLANC 48439
(810) 695-4520
1061906
CARPENTER, DIANA LPC
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
(248) 854-6341
1102738
CENTERED INSIGHT HEALING PLLC
FLINT 48532
1083099
CHEATOM, HANA LPC
901 CHIPPEWA
FLINT 48503
(810) 232-9950
1122594
CIRCLE OF LIFE COUNSELING SERVICES
2284 S BALLENGER HWY
FLINT 48503
(810) 962-3556
1071633
COUNSELING FOR ALL AGES
FLINT 48502
(810) 618-9968
1107516
CRANDELL-EWING, LESLIE LPC
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1114422
CRIPPS LOONEY, CARMEN LLPC
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1102852
CROUCH, JOHN LPC
344 E COURT ST
FLINT 48502
(810) 820-3432
1102853
CROUCH, JOHN LPC
FLINT 48505
(810) 820-3432
1061287
DANIELS, SHERRY LPC
2325 W SHIAWASSEE AVE STE 105
FENTON 48430
(810) 629-2500
1061899
DANIELS, SHERRY LPC
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1072939
DAVIS, PAMELA LPC
2702 FLUSHING RD
FLINT 48504
(810) 424-5995
1072937
DAVIS, PAMELA LPC
FLINT 48507
(810) 391-0662
1123820
DYE, AMANDA LPC
FLINT 48532
(810) 732-1652
1109299
EISENHARDT, CORINNE A MA
1110 ELDON BAKER DR
FLINT 48504
(810) 213-1303
1084403
FAMILY CHOICE COUNSELING AND CASE MGT
3280 N ELMS RD STE G
FLUSHING 48433
(810) 210-7558
(810) 629-4224
1084398
FENTON BEHAVIORAL HEALTH SERVICES LLC
1122 N LEROY ST STE C
FENTON 48430
1126777
FULTZ, APRIL MA
FLINT 48532
(810) 732-1652
1126715
GORELICK, NANCY LPC
113 N RIVER ST
FENTON 48430
(810) 519-8227
1091631
GRIFFIN, SARA S LPC
FLINT 48507
(810) 744-3300
1107803
GUPTA, SONAL LLP
FLINT 48532
(810) 262-7035
1126735
HALVORSEN, DANIEL LLPC
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1066671
HEXIMER, LISA LPC
FLINT 48507
(810) 391-0662
1066673
HEXIMER, LISA LPC
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1062902
HOLDERIED, DANIEL LPC
1422 W COURT ST
FLINT 48503
(810) 767-4014
1118325
HOLY CROSS COUNSELING SERVICES
FLINT 48504
(810) 249-9924
1055458
INNERLIGHT COUNSELING SERVICES LLC
6199 MILLER RD STE A
SWARTZ CREEK 48473
(810) 630-0904

Mental Health
Page 688
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1086760
ITSON, LINDA LLPC
901 CHIPPEWA
FLINT 48503
(810) 232-9950
1123878
KIEWITT, DAWN D LPC
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1085605
KLECKER, CELINE LLPC
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1122841
KOENIG, SONIA V LPC
1420 UNIVERSITY AVE
FLINT 48504
(810) 238-0475
1104170
KOZAN, EMILY K LLPC
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1086566
KOZUMPLIK, RHONDA LLPC
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1122222
LAIRD, JOSEPH LPC
FLINT 48507
(810) 391-0662
1106219
LIEBENTHAL, ANGELA M MA
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803
1101840
MALONEY, MEGAN LPC
740 CENTER ST
CLIO 48420
(810) 686-7313
1085613
MANDREKY, EVE LPC
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1096260
MCGOVERN, PATRICK MFT
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1085628
MEAD, CAROL LLPC
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1037487
MILLER, MARIA LPC
FLINT 48507
(810) 744-3300
1071640
MORGAN, VERNITA MSW
3350 SPARROW
BURTON 48519
(616) 706-1090
1096884
OASIS COUNSELING
FLINT 48505
(810) 336-8931
1070387
POTTER, DALE LPC
FLINT 48507
(810) 391-0662
1070391
POTTER, DALE LPC
2702 FLUSHING RD
FLINT 48504
(810) 424-5988
1028800
PRZYBYSZ, SANDRA LPC
325A N MAIN ST
DAVISON 48423
(810) 516-3522
1085634
REZANKA, MELODEE LLPC
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1064137
RICHARDSON, RECCO LPC
FLINT 48532
(810) 262-7035
1122197
RUSSELL, PAUL A LPC
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1007211
RYAN, JAMES E LPC
G 4511 MILLER RD
FLINT 48507
(810) 720-3120
1102829
SALAZAR, SHARON S LPC
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803
1121522
SCHILLINGER, NANCY LLPC
127 N RIVER ST
FENTON 48430
(810) 309-9355
1101403
SPARKMAN COUNSELING SERVICES LLC
4212 LENNON RD
FLINT 48507
(517) 676-9788
1028552
STEVENS, CLIFFORD LPC
325 STE A N MAIN ST
DAVISON 48423
(810) 658-7748
1125631
113 N RIVER ST
FENTON 48430
(810) 519-8227
1097403
THOMPSON, LESLIE L LLPC
740 CENTER ST
CLIO 48420
(810) 686-7313
1001873
TROSKO, WILLIAM LLP
FLINT 48507
(810) 744-3300
1104079
TYISKA-JOHNSON, ANDRA LLPC
FLINT 48505
(810) 336-8931
1063910
WALKER, REBECCA LPC
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1063907
WALKER, REBECCA LPC
FLINT 48507
(810) 391-0662
1120751
WALSH, LYNNE MA LLPC
FLINT 48507
(810) 391-0662
1127231
WERTH, MALINDA LPC
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1078977
WERTZ, LAURA LPC
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1109342
WHITE, DEIRDRA D LLPC
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1106350
WOFFORD, ALICIA M LPC
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1099149
WOODWARD COUNSELING INC
FLINT 48504
(810) 249-9924
1121508
WORDS OF ENCOURAGEMENT COUNSELING AGENCY
G3500 FLUSHING RD STE 112
FLINT 48504
(810) 230-8617
1114383
WYSINGER, SHANNON LLPC
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1127920
ZAJAROS, THERESE G MA
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
GLADWIN COUNTY
1063728
CENTRAL MICHIGAN COUNSELING SERVICES
201 S ROSS ST
BEAVERTON 48612
(989) 435-3309
1017899
KRAGER, ARLENE LPC
201 S ROSS ST
BEAVERTON 48612
(989) 435-3309

Mental Health
Page 689
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1117778
ADVANCED COUNSELING SERVICES
2825 S AIRPORT RD
TRAVERSE CITY 49684
(231) 649-4364
1108837
BLEVINS WILHELM, EARLENE B LPC
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1118619
CARROLL, TARA R LPC
225 W 14TH ST
TRAVERSE CITY 49684
(231) 421-5963
1091588
CLUTE, CHRISTINE LPC
109 S UNION ST STE 208
TRAVERSE CITY 49684
(231) 871-0019
1091526
CLUTE, CHRISTINE P MA LPC
TRAVERSE CITY 49684
(231) 871-0019
1079077
CONRAD, CLIFFORD JR LPC
TRAVERSE CITY 49684
(517) 749-7870
1108297
ERBER, NICHOLAUS LPC
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-5000
1074230
ERBER, NICHOLAUS LPC
812 S GARFIELD AVE STE D
TRAVERSE CITY 49686
(231) 886-0808
1106199
FORRESTER, KELLY LPC
3301 VETERANS DR STE 203
TRAVERSE CITY 49684
(231) 735-8338
1091625
GOODYEAR, ANNETTE J LPC
512 S UNION ST
TRAVERSE CITY 49684
(231) 941-6550
1107491
HEALING ARTS COUNSELING
121 S GARFIELD AVE STE D
TRAVERSE CITY 49686
(231) 735-8338
1117576
HEXHAM, CRAIG LPC
945 E 8TH ST STE A
TRAVERSE CITY 49686
(231) 933-0500
1125534
INLAND SEAS COUNSELING LLC
3056 TIBBETS DR
TRAVERSE CITY 49696
(231) 775-7660
1125533
INLAND SEAS COUNSELING LLC
1000 HASTINGS ST STE 105
TRAVERSE CITY 49686
(231) 775-7660
1091656
KATKE, JEFFERY W LPC
512 S UNION ST
TRAVERSE CITY 49684
(231) 941-6550
1117536
KOLLHOFF, NANCY LPC
3056 TIBBETS DR
TRAVERSE CITY 49696
(231) 775-7660
1117535
KOLLHOFF, NANCY LPC
1020 HASTINGS ST STE 105
TRAVERSE CITY 49686
(231) 775-7660
1098411
LATTA, CARRI LLPC
104 JANET ST
FIFE LAKE 49633
(231) 384-1277
1107851
MCDONALD, ELIZABETH LPC
216 E FRONT ST STE 203
TRAVERSE CITY 49684
(989) 239-0589
1121511
MCDONALD, ELIZABETH LPC
9039 OLD M72
WILLIAMSBURG 49690
(989) 239-0589
1108845
MUELLER, KAREN A LPC
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1109348
720 WAYNE ST
TRAVERSE CITY 49684
(231) 590-4812
1109346
4229 MITCHELL CREEK DR STE B5
TRAVERSE CITY 49686
(231) 590-4812
1106174
PAPAZIAN, GERALD N LPC
TRAVERSE CITY 49684
(231) 632-9209
1118730
TC ART THERAPY & COUNSELING
225 W 14TH ST
TRAVERSE CITY 49684
(231) 421-5963
1091798
THOMAS, CRYSTAL M MSW
512 S UNION ST
TRAVERSE CITY 49684
(231) 941-6550
GRATIOT COUNTY
1070267
ALONZI, DANIEL LMSW
116 W SUPERIOR ST STE 4
ALMA 48801
(989) 576-0554
1094960
BAILEY, SHELLY MSW
526 S ALGER RD
ITHACA 48847
(252) 363-8223
1046745
BRICKEL, LINDA LPC
233 E SUPERIOR AVE
ALMA 48801
(989) 233-5966
1006677
FAMILY HEALTH PSYCHIATRIC & COUNSELING CENTER
317 E WARWICK STE B
ALMA 48801
(989) 463-2779
1124973
MBM COUNSELING LLC
ALMA 48801
(231) 972-6017
1079501
PARSONS, NANCY MA LPC LBSW
214 W SAGINAW ST
SAINT LOUIS 48880
(989) 681-5119
HILLSDALE COUNTY
1072934
DAVIS, PAMELA LPC
1360 S HILLSDALE RD
HILLSDALE 49242
(517) 439-4228
1090733
FAMILY COUNSELING CENTER PLLC
11 E CARLETON RD
HILLSDALE 49242
(517) 437-7100
1066668
HEXIMER, LISA LPC
1360 S HILLSDALE RD
HILLSDALE 49242
(517) 439-4228
1127758
HILLTOP COUNSELING
386 W CARLETON RD
HILLSDALE 49242
(517) 610-5539
1100360
JANSEN, TED N LLPC
1360 S HILLSDALE RD
HILLSDALE 49242
(517) 439-4228
1095036
MACIE, MARIANNA LPC
11 E CARLETON RD
HILLSDALE 49242
(517) 437-7100
1098849
NEW HOPE COUNSELING LLC
37 WALDRON ST
HILLSDALE 49242
(517) 439-4596
1091716
NORTH, JULIANNE I LPC
11 E CARLETON RD
HILLSDALE 49242
(517) 437-7100
1095054
NUNEZ, LILLIAN LPC
11 E CARLETON RD
HILLSDALE 49242
(517) 437-7100
1070383
POTTER, DALE LPC
1360 S HILLSDALE RD
HILLSDALE 49242
(517) 439-4228

Mental Health
Page 690
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1084582
SEBRING, SUSAN C MA
55 BARRY ST
HILLSDALE 49242
(517) 437-5538
1063913
WALKER, REBECCA LPC
1360 S HILLSDALE RD
HILLSDALE 49242
(517) 439-4228
HURON COUNTY
1083809
IRELAND, ALLISON MA LPC
PIGEON 48755
(989) 975-0651
1093287
MCPHERSON, TAMMY L LPC
117 S PORT CRESCENT
BAD AXE 48413
(989) 269-5180
1022285
PATHWAYS COUNSELING SERVICES
7575 W PIGEON RD
PIGEON 48755
(989) 453-2106
1091235
PROFESSIONAL COUNSELING SRVC
117 S PORT CRESCENT
BAD AXE 48413
(989) 269-5180
1120658
ROSA-SOUTHWORTH, TERI MA LPC
PIGEON 48755
(989) 453-3051
(517) 898-2513
INGHAM COUNTY
1083170
A BRIGHTER TOMORROW COUNSELING
1710 E MICHIGAN AVE #1712
LANSING 48912
1117643
BANKS, MEGHAN LLPC
LANSING 48911
(517) 887-9801
1056682
BEACON COUNSELING SERVICES LLC
EAST LANSING 48823
(517) 853-2992
1048975
BECKMAN-ELLENWOOD, SUSAN LPC
4660 MARSH RD
OKEMOS 48864
(517) 930-0898
1070518
BELL, JENNIFER R LMSW
OKEMOS 48864
(517) 489-1468
1119711
BLESSING CUP LLC
427 LASALLE BLVD
LANSING 48912
(517) 214-5210
1065766
BLOHM, LINDA LMSW
911 MAPLEHILL AVE STE 2
LANSING 48910
(517) 242-1209
1073409
BOMBRYS, SHANA LMSW
LANSING 48910
(517) 862-9378
1078249
BORGMAN, CYNTHIA MSW
LANSING 48912
(517) 244-8060
1072925
BRACHER, DONNA LPC
4902 S CEDAR ST
LANSING 48910
(517) 394-7867
1075352
BRACHER, DONNA LPC
4660 MARSH RD
OKEMOS 48864
(517) 974-2393
1065694
BROWN, LYNN B LPC
1043 KIMBERLY DR STE 4
LANSING 48912
(517) 449-3800
1123136
BURDICK, KATHERINE LPC
4572 S HAGADORN RD STE 1C
EAST LANSING 48823
(517) 481-2133
1026583
BYERLEY, LISBETH L A LPC
1020 LONG BLVD STE 5
LANSING 48911
(517) 699-1628
1104663
CANNON, T'SHARA LLPC
LANSING 48911
(517) 887-9801
1126773
CARMONEY, DARLA LLPC
913 HOLMES RD STE 227F
LANSING 48910
(517) 256-7314
1107709
CARRASCO, CANDICE M LCSW
2109 HAMILTON RD STE 100A
OKEMOS 48864
(517) 375-2672
1109376
CHRISTENSEN, KIMBERLY LPC
530 S PINE ST
LANSING 48933
(517) 481-3313
1101347
CLARK, ROBERT LLPC
LANSING 48910
(517) 667-0061
1121759
COAT OF MANY COLORS LLC
LANSING 48910
(517) 214-4475
1109538
COMPASSION COUNSELING SERVICES
530 S PINE ST
LANSING 48933
(517) 481-3313
1072277
EAST LANSING 48823
(517) 333-7113
1078736
1800 E MICHIGAN AVE
LANSING 48912
(517) 749-7870
1063778
CORACE, ELLENE LPC
4902 S CEDAR ST
LANSING 48910
(517) 394-7867
1121785
CREATIVE COUNSELING SERVICES
LANSING 48910
(517) 882-6159
1046777
CYPHERS, MARCI RENE-NELSON LPC
LANSING 48911
(517) 887-9801
1071714
DANTUS, DEBORA LMSW
601 ABBPT RD STE 103
EAST LANSING 48823
(517) 927-2365
1072927
DAVID-SUCH, BONNIE LMSW
4902 S CEDAR ST
LANSING 48910
(517) 394-7867
1072935
DAVIS, PAMELA LPC
585 JEWETT RD
MASON 48854
(517) 833-8100
1028781
DAVIS-ROBISON, JERILYN MA LLP MSW
4631 OTTAWA DR
OKEMOS 48864
(517) 775-6276
1056776
4205 CHARLAR DR STE 3
HOLT 48842
(517) 367-0670
1119429
DEAN, MOLLY A LCSW
427 LASALLE BLVD
LANSING 48912
(517) 214-5210
1072926
DOERING, KAYLEA LMSW
4902 S CEDAR ST
LANSING 48910
(517) 394-7867
1073594
DYSTE-BALES, ELIZABETH LMSW
908 E MT HOPE AVE
LANSING 48910
(517) 927-2571
1016765
EARLEY, RHONDA MORSE LPC
2165 COMMONS PKWY STE C
OKEMOS 48864
(517) 381-1770

Mental Health
Page 691
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1118072
ELEMENTS BEHAVIORAL HEALTH PLLC
LANSING 48910
(517) 667-0061
1123895
ESCOBAR-CHEW, ANA-ROCIO LPC
EAST LANSING 48823
(517) 282-2849
1126758
FLEMING, ELIZABETH LLPC
5303 S CEDAR ST
LANSING 48911
(517) 887-4302
1073557
FORTINO, ANNETTE L LMSW
OKEMOS 48864
(517) 505-2135
1109537
FRAWLEY COUNSELING SERVICES LLC
2535 E MT HOPE AVE
LANSING 48910
(517) 290-4051
1071636
GHELANI, ASHITA B LLP
2289 SOWER BLVD STE B
OKEMOS 48864
(517) 347-4645
1126737
GIBSON, TARSHA MA LLPC
LANSING 48911
(517) 887-9801
1036798
GOLDNER, KAREN LMSW
2535 E MT HOPE RD
LANSING 48910
(517) 580-4751
1008274
GOODLAND, ELIZABETH CSW
1210 W SAGINAW
LANSING 48915
(517) 364-7601
1090731
GORDON COUNSELING AND CASE MANAGEMENT
OKEMOS 48864
(517) 281-5718
1090730
GORDON COUNSELING AND CASE MANAGEMENT
4463 CRICKET RIDGE #202
HOLT 48842
(517) 281-5718
1067671
GORMAN, LISA LMFT
4747 OKEMOS RD
OKEMOS 48864
(517) 349-2661
1074574
GRUPP, CHRISTOPHER D CSW
EAST LANSING 48823
(517) 336-0101
M
M
1123963
HALSELL, STEVEN LPC
EAST LANSING 48823
(517) 336-4335
1074164
HANCOCK, CAROLYN LPC
OKEMOS 48864
(517) 881-6006
1072229
HARMON, RALPH L JR LMSW
HASLETT 48840
(517) 339-1963
1122533
HARRIER, SARAH LMFT
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1100448
HEART AND SOUL COUNSELING AND LIFE
513 E GRAND RIVER AVE STE C
LANSING 48906
(517) 712-9736
1066669
HEXIMER, LISA LPC
585 JEWETT RD
MASON 48854
(517) 833-8100
1119624
HMR COUNSELING AND BEHAVIORAL SERVICES
1745 HAMILTON RD
OKEMOS 48864
(517) 579-2441
1107493
HOLISTIC COUNSELING AND ASSESSMENT SVCS
117 W SOUTH ST
LANSING 48910
(517) 410-9494
1013102
HULBERT, MARK E LLP
601 ABBOTT RD STE 103
EAST LANSING 48823
(517) 574-4197
1097798
HUMPHREY, CHRISTINE J LPC
LANSING 48911
(517) 887-9801
1125257
HUNTER, MARY LPC
LANSING 48911
(517) 887-9801
1123165
JOHNSON-MASON, CANDACE LPC
835 W GENESEE ST
LANSING 48915
(517) 974-2402
1126794
JONES, ANDREW LLPC
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1075121
JONES, MICHAEL LLMSW
LANSING 48911
(517) 887-9801
1107636
KAUFFMAN, AIMEE LPC
2001 ABBOT RD
EAST LANSING 48823
(517) 481-2133
1122798
KETNER, JESSICA LPC
908 E MT HOPE AVE
LANSING 48910
(517) 994-5474
1062905
KRUEGER, JESSICA LPC
2160 HAMILTON RD STE C
OKEMOS 48864
(517) 420-1417
1084245
LANDRUM, ANGELA K LLPC
1710-1712 E MICHIGAN AVE
LANSING 48912
(517) 898-2513
1065060
LANSING INST OF BEHAVIORAL MEDICINE PLLC
LANSING 48911
(517) 882-3732
1019130
LARKEY-GREEN, KATHRYN L LPC
3448 E LAKE LANSING RD
EAST LANSING 48823
(517) 332-3870
1119689
LEGACY MENTAL HEALTH SERVICES PLLC
120 N WASHINGTON SQ STE 805
LANSING 48933
(248) 233-3994
1055633
LIFE SOLUTIONS COUNSELING CENTER PC
4225 OKEMOS RD
OKEMOS 48864
(517) 281-5071
1070409
LIIKALA, TAMMY LPC
EAST LANSING 48823
(517) 333-7113
1122121
LOWELL, BETTY LPC
585 JEWETT RD
MASON 48854
(517) 676-5405
1106282
MANY, CARRIE LPC
117 W SOUTH ST
LANSING 48910
(517) 410-9494
1009316
MASSOLL, KAREN J LPC
EAST LANSING 48823
(517) 336-4335
1097888
MCCLOUD, ANNA L LPC
LANSING 48911
(517) 887-9801
1097320
MCLANE, MARILYN RUTH-COMBS LMSW
LANSING 48911
(517) 882-3732
1066154
MCMATHIS-WEST, DARLENE LMSW
LANSING 48912
(517) 267-9720
1009317
MCPHAIL, JOHN D LPC
EAST LANSING 48823
(517) 336-4335
1099966
MCWHORTER, BETH A LPC
EAST LANSING 48823
(517) 488-3964
F
F
1024063
MCWHORTER, BETH A LPC
EAST LANSING 48823
(517) 853-2992
1075919
MICHALOWSKI & WHITEHEAD LLC
2220 UNIVERSITY PARK DR
OKEMOS 48864
(517) 347-4848

Mental Health
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February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1080422
MILLER, AMY LMSW
1591 HADDON HALL
HOLT 48842
(517) 290-0779
1032645
MILLER, DOUG CSW
LANSING 48910
(517) 420-8025
1120092
MUDGETT, MICHAEL LPC
3800 HERITAGE AVE STE A2
OKEMOS 48864
(616) 238-6206
1069510
NEAL, SHIRLEY LPC
EAST LANSING 48823
(517) 574-4197
1122056
NESVACIL, ANNE LPC
LANSING 48911
(517) 887-9801
1024467
NEWELL, ELIZABETH LPC
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1125263
NICHOLS, RENEE M LPC
4660 MARSH RD
OKEMOS 48864
(517) 347-2126
1039835
O'BERRY, DEBRA A LPC
1808 S PENNSYLVANIA AVE STE C
LANSING 48910
(517) 256-6751
1039834
O'BERRY, DEBRA A LPC
3827 W HOWELL RD
MASON 48854
(517) 256-6751
1117201
PARKER, MONIKA LPC
LANSING 48910
(517) 272-2451
1067649
PENA, ANGELA LMSW
LANSING 48911
(517) 887-9801
1008986
PENFIELD, JOAN M ACSW
OKEMOS 48864
(517) 347-4181
1071568
PERSPECTIVES THERAPY SERVICES LLC
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1124464
PERVANIC, SABIRA LPC
585 JEWETT RD
MASON 48854
(517) 676-5405
1120678
PIERCE, AMIE J LLPC
LANSING 48910
(517) 667-0061
1078305
PISCHEA, MICHELE A MA LLP CAAC
EAST LANSING 48823
(517) 574-4197
1070384
POTTER, DALE LPC
585 JEWETT RD
MASON 48854
(517) 833-8100
1076794
POWELL, TOBY J LMSW
LANSING 48911
(517) 887-9801
1073401
POWELL, TOBY J LMSW
EAST LANSING 48823
(517) 853-2992
1068102
PYSCH ONE PLLC
EAST LANSING 48823
(517) 333-7113
1126058
RAINEY, BEVERLY LPC
LANSING 48910
(517) 394-0929
1080481
RANNS, MOLLY LPC CAADC
4660 MARSH RD
OKEMOS 48864
(517) 204-3280
1124052
RAYNER, HAYLEY LLPC
1745 HAMILTON RD
OKEMOS 48864
(517) 579-2441
1104087
RECKER, RACHEL LPC
1310 TURNER ST STE A
LANSING 48906
(517) 449-4875
1120824
RENEWAL COUNSELING SERVICES
4994 PARK LAKE RD
EAST LANSING 48823
(517) 896-4060
1066701
RICHMAN, JEAN LMSW
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6547
1123399
RMM RENTALS LLC
4084 OKEMOS RD
OKEMOS 48864
(517) 347-4848
1102881
513 E GRAND RIVER AVE STE C
LANSING 48906
(517) 712-9736
1107913
EAST LANSING 48823
(517) 333-7113
1058005
ROBERTS, LUANN LPC
LANSING 48910
(517) 887-2762
1119232
RODRIGUEZ, VIVIAN LLP
OKEMOS 48864
(517) 347-4645
1071570
RUSS, DEREK LMSW
LANSING 48911
(517) 887-9801
1101880
SCHULTZ, MESHIA J LPC
1310 TURNER ST STE A
LANSING 48906
(517) 256-2435
1098851
SCHULTZ, MESHIA J LPC
EAST LANSING 48823
(517) 256-2435
1094149
SELL, NORMA J LMSW
4084 OKEMOS RD
OKEMOS 48864
(517) 347-4848
1101877
SHALTRY, JULIE LLPC
430 N LARCH ST
LANSING 48912
(517) 231-3346
1104316
SHELTON, AMELIA MA
LANSING 48911
(517) 887-9801
1059743
SHEPHERDS STAFF COUNS, PLLC
OKEMOS 48864
(517) 333-6700
1120347
SHIRLEY NEAL LLPC
EAST LANSING 48823
(517) 574-4197
1095667
SLABAUGH, LANITA LMSW
LANSING 48911
(517) 882-3732
1071569
SLEP, MELANIE LPC
908 E MT HOPE AVE
LANSING 48910
(517) 996-5474
1070733
SMITH, B CRAIG LPC
1905 ABBOT RD STE 1
EAST LANSING 48823
(517) 930-5768
1105915
SMITH, CRAIG B PC
1905 ABBOT RD STE 1
EAST LANSING 48823
(517) 282-8249
1078148
SOLITRO, ANTHONY LPC
2840 SHADOW WOOD DR
HOLT 48842
(248) 310-4817
1079493
SOLITRO, JON P LLPC
OKEMOS 48864
(517) 347-4645
1065594
SULLIVAN, LAUREN G LLMSW
EAST LANSING 48823
(517) 898-8689

Mental Health
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February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1022128
TAIT, KATHY LPC
EAST LANSING 48823
(517) 676-9788
1060549
TARSA, JULIA LPC
4660 MARSH RD
OKEMOS 48864
(517) 267-0513
F
F
1042964
TARSA, JULIA LPC
LANSING 48911
(517) 267-0513
F
F
1067861
TAYLOR, JEANNINE MSW
LANSING 48912
(517) 244-8060
1084249
TERPSTRA, CATHERINE LLPC
OKEMOS 48864
(616) 340-5732
1076658
TERRY, MELISSA LPC
EAST LANSING 48823
(517) 333-7113
1100536
THERAPY TODAY COUNSELING AND CONSULTING
EAST LANSING 48823
(517) 282-8784
1117341
THOMPSON ORSUA, JENNIFER MFT
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1069214
THRIVE COUNSELING SERVICES
4672 HARPER RD
HOLT 48842
(517) 898-4303
1109228
TYLER, WILLIAM MA LMFT
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1096685
VANAMBERG, GAIL LPC
EAST LANSING 48823
(517) 481-2133
1061086
VANAMBERG, GAIL LPC
5303 S CEDAR ST
LANSING 48911
(517) 887-4302
1117918
W O W COUNSELING SERVICES LLC
913 W HOLMES RD STE 209/211
LANSING 48910
(517) 272-2451
1086649
WAGNER PARKER, ELIZABETH LPC
4660 MARSH RD
OKEMOS 48864
(517) 303-8391
1063916
WALKER, REBECCA LPC
585 JEWETT
MASON 48854
(517) 676-5405
1065683
WALTON, ANNA M LPC
4672 HARPER RD
HOLT 48842
(517) 898-4303
1086364
WEATHERS, DEBORAH LPC
4660 MARSH RD
OKEMOS 48864
(517) 282-2902
1032942
WEATHERS, DEBORAH LPC
LANSING 48911
(517) 887-9801
1032943
WESTFALL, TODD LPC
LANSING 48911
(517) 887-9801
1073480
WHITT, TIYANNA LMSW
OKEMOS 48864
(517) 347-4645
1108503
WHOLE HEARTED LIVING LLC
913 W HOLMES RD STE 220A
LANSING 48910
(517) 303-4185
1083435
WILSON, MELISSA LMSW
LANSING 48910
(517) 882-6159
1068945
WINDISCHMAN, DIANE LMSW
1710-1712 E MICHIGAN AVE
LANSING 48912
(517) 927-4151
1075093
WULFF, TIMOTHY J LMSW
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1031123
ZOUAOUI, CHRISTINE LPC
OKEMOS 48864
(517) 281-0644
IONIA COUNTY
1117314
ACKLEY, CINDY LLPC
601 E WASHINGTON STE B
IONIA 48846
(616) 522-0836
1085542
ADAMS, DIANNE LLPC
601 E WASHINGTON
IONIA 48846
(616) 522-0836
1086557
ALDERINK, LARRY MA
IONIA 48846
(616) 522-0836
1117599
IONIA 48846
(616) 522-0836
1085551
ASH, STEPHANIE LLMFT/LLPC
601 E WASHINGTON
IONIA 48846
(616) 522-0836
1085556
ATCHISON, BELINDA LPC
601 E WASHINGTON ST
IONIA 48846
(616) 522-0836
1080401
BEECH, DANA A LMSW
313 W MAIN ST
IONIA 48846
(616) 523-6537
1118638
BODELL, ROBERT LPC
IONIA 48846
(616) 522-0836
1024929
CALCOTT, DIANA MA LPC
830 JORDAN LAKE ST
LAKE ODESSA 48849
(616) 374-7410
1093497
HILL, RHONDA A LPC
IONIA 48846
(616) 522-0836
1117335
HOIST, MARIBETH LPC
IONIA 48846
(616) 522-0836
1085603
KERN, PRICILLA J LPC/LLMFT
601 E WASHINGTON
IONIA 48846
(616) 522-0836
1121016
LEDIN THERAPIES PLLC
313 W MAIN ST
IONIA 48846
(517) 676-9788
1071002
MASTERSON, RANDY E LPC
910 E LINCOLN AVE
IONIA 48846
(616) 523-9033
1085626
MBURU, PETER LLPC
601 E WASHINGTON STE A
IONIA 48846
(616) 522-0836
1085666
MCKENTRY, CARMEL LLPC
601 E WASHINGTON STE A
IONIA 48846
(616) 522-0836
1114457
IONIA 48846
(616) 522-0836
1117529
IONIA 48846
(616) 522-0836
1086558
POGACEAN-LORSON, ANAMARIA LPC
IONIA 48846
(616) 522-0836

Mental Health
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February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1095089
IONIA 48846
(616) 522-0836
1117610
SENINS, SANDRA LPC
IONIA 48846
(616) 522-0836
1078950
STRAUBEL-SOWER, CANDY LLC
313 W MAIN ST
IONIA 48846
(616) 523-6537
1117329
IONIA 48846
(616) 522-0836
1085654
VAN LOOZENOORD, LONA LPC
IONIA 48846
(616) 522-0836
OSCODA 48750
(989) 739-2550
IOSCO COUNTY
1068812
MUMMAW, MARY LPC
ISABELLA COUNTY
1069849
ADDICTIONS SOLUTIONS COUNSELING CENTER
218 S WASHINGTON ST
(989) 779-9449
1118483
BEERY, KARA L LPC
304 W MICHIGAN ST STE 12
(989) 317-4664
1108464
CHRISTIAN COUNSELING OF MID MICHIGAN
304 W MICHIGAN ST
(989) 317-4664
1069634
COLE, CORY MSW
(989) 772-1609
1055067
COMMUNITY COUNSELING ASSOCIATES PC
500 S MAIN ST STE B
(989) 773-0222
1118449
DEJONG, EMILY B LMFT
(989) 317-4664
1073489
DUNHAM, BRENDA LPC
600 E BROADWAY STE 200
(989) 772-5833
1017112
DUTHIE, ROBIN LPC
500 S MAIN ST STE B
(989) 773-0222
1117316
ELLIS, DUANE LLPC
(989) 317-4664
1083102
EPPERT, CLIFF LPC
118 S WASHINGTON
(989) 773-9328
1083138
EPPERT, CLIFF LPC
210 COURT ST STE A
(989) 773-9358
1073579
FAMILY HEALTH PSYCHIATRIC & COUNSELING CENTER
1621 E BROOMFIELD RD STE B
(989) 463-2779
1032517
FETZER, JANE LPC
500 S MAIN ST STE B
(989) 773-0222
1119528
FROST, COURTNEY MA LPC
218 S WASHINGTON ST
(989) 779-9449
1117925
GALGOCI, TRACEY LPC
(989) 772-5833
1070098
GALGOCI, TRACEY L LPC
600 E BROADWAY ST STE 200
(989) 772-5833
1092893
KAYE, SHIRLEY LPC
118 S WASHINGTON
(989) 773-9328
1070305
NACE, CHRISTINE A LPC
1115 GREENBANKS DR
(989) 775-6209
1079502
PARSONS, NANCY MA LPC LBSW
804 E PALMER ST
(989) 779-7722
1108465
RIDDICK, JOYCE LPC
304 W MICHIGAN ST
(989) 317-4664
1109628
ROBB, DEBBIE PSYD
(989) 400-1122
1083105
ROBINSON, KENT LPC
118 S WASHINGTON
(989) 773-9328
1109362
SCALISE, JOHN E MA
115 S FRANKLIN
(989) 773-0102
1075334
SEIDEL, KIM LPC
110 E BROADWAY STE F
(989) 621-9877
1083107
SHIRLEY, KAYE LPC
210 COURT ST STE A
(989) 773-9328
1117924
TRACEY GALGOCI COUNSELING PLLC
(989) 772-5833
1073578
WATSON, NANETTE NP
(989) 463-2779
1069504
WILEY, ROBERT LPC
218 S WASHINGTON ST
(989) 779-9449
JACKSON COUNTY
1116504
BURBANK, PATRICIA LPC
915 AIRPORT RD
JACKSON 49202
(517) 937-9321
1091609
EASTERLING, BRENDA L LPC
330 W MICHIGAN AVE
JACKSON 49201
(517) 787-7920
1096251
HEIBEL, STACY LLPC
330 W MICHIGAN AVE
JACKSON 49201
(517) 787-7920
1058002
HIGHFIELDS
1206 CLINTON
JACKSON 49202
(517) 783-4250
1095010
HOLSINGER-FRIESEN, SARAH F LPC
330 W MICHIGAN AVE
JACKSON 49201
(517) 787-7920
1106053
209 E WASHINGTON AVE STE 284
JACKSON 49201
(855) 319-3734

Mental Health
Page 695
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1095052
MYERS, CAMBRIA J LPC
330 W MICHIGAN AVE
JACKSON 49201
(517) 787-7920
1058006
ROBERTS, LUANN LPC
1206 CLINTON
JACKSON 49202
(517) 783-4250
1102901
VANCAMPEN, COLLEEN M LLPC
330 W MICHIGAN AVE
JACKSON 49201
(517) 787-7920
1106332
VREDEVELD, MALLORY LLPC
209 E WASHIONGTON AVE STE 284
JACKSON 49201
(855) 319-3734
KALAMAZOO COUNTY
1093511
BACCHUS, MARCELLA L LPC
157 S KALAMAZOO MALL STE 250
KALAMAZOO 49007
(269) 383-1440
1090296
BAGGERMAN, MARY J MA
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1108793
BALDWIN, PATRICIA A LPC
1530 NICHOLS RD
KALAMAZOO 49006
(269) 343-6700
1125236
BROOKS, SUSAN A LPC
KALAMAZOO 49009
(269) 488-5903
1096180
BUCCILLI, MARIA E LLPC
KALAMAZOO 49006
(269) 370-3038
1101305
CARTER, VICKI M LPC
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1090310
CARTER, VICKI M LPC
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1126333
CLINICAL PSYCHOLOGY SERVICES PLLC
KALAMAZOO 49007
(269) 312-8686
1090317
COLEMAN, BARBARA S MA
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1104809
COOPER, ANNE M LPC
1000 W PATERSON ST
KALAMAZOO 49007
(269) 343-6185
1084405
COTTRELL, J CRAIG MSW
148 N RIVERVIEW
KALAMAZOO 49004
(269) 552-9534
1072458
CRABB, ANN E LPC
7895 CURRIER DR
PORTAGE 49002
(269) 321-7090
1119456
DIEGUEZ-MOYA, PRISCILLA LPC
1350 W CENTRE AVE
PORTAGE 49024
(269) 910-7327
1123524
FAMILY COUNSELING AND MEDIATION SVCS
KALAMAZOO 49009
(269) 488-5903
1091931
GLUBKE, MARK LPC
8036 MOORSBRIDGE RD STE 2
PORTAGE 49024
(269) 327-1438
1103022
JOHNSON, PHILLIP D LPC
1000 W PATERSON ST
KALAMAZOO 49007
(269) 343-6185
1090732
KALAMAZOO COUNSELING CONNECTION
225 W WALNUT ST
KALAMAZOO 49007
(269) 370-2899
1089937
KALAMAZOO PSYCHOLOGY LLC
122 W SOUTH ST
KALAMAZOO 49007
(269) 349-4219
1091665
KRACKER, LAURA M MA
122 W SOUTH ST
KALAMAZOO 49007
(269) 349-4219
1095030
LECLEAR, DENNIS A LPC
218 W WALNUT
KALAMAZOO 49007
(269) 344-7997
1095031
LECLEAR, DENNIS A LPC
225 W WALNUT ST
KALAMAZOO 49007
(269) 370-2899
1091671
LEM, KIMBERLY L PSYD
122 W SOUTH ST
KALAMAZOO 49007
(269) 349-4219
1127615
LETTOW, HEATHER LPC
4000 PORTAGE RD STE 208
KALAMAZOO 49001
(269) 548-7218
1106051
KALAMAZOO 49008
(855) 319-3734
1116202
MATTHEWS, KRISTA LPC
1350 W CENTRE AVE
PORTAGE 49024
(269) 910-7327
1108631
MATTHEWS, KRISTA LPC
1530 NICHOLS RD
KALAMAZOO 49006
(269) 343-6700
1123525
MCKINNEY, BRANDON LLPC
KALAMAZOO 49009
(269) 488-5903
1091705
MUINCH, SUSAN C LPC
122 W SOUTH ST
KALAMAZOO 49007
(269) 349-4219
1089142
PARK PLACE COUNSELING & ASSOC
KALAMAZOO 49007
(269) 383-1440
1100003
PENA, ANGELA LMSW
KALAMAZOO 49008
(517) 887-9801
1090426
POPPE, JEAN M MA
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1090463
PRAEDEL, ERIN J LPC
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1123526
RANDOLPH, LAURIE LPC
KALAMAZOO 49009
(269) 488-5903
1091755
SCHUTZ, MICHAEL LPC
1608 LAKE ST
KALAMAZOO 49001
(269) 344-0202
1093412
SHINABARGER-HOWE, BRENDA A LPC
7895 CURRIER DR
PORTAGE 49002
(269) 321-7090
1091767
SMITH, NEDRA MA
1122 MILLER RD
KALAMAZOO 49001
(269) 364-3431
1092700
SOUTH, LINDSAY P LPC
1591 W CENTRE ST STE 103
PORTAGE 49024
(269) 323-2553
1091783
STEEG, DIANE K MA
6011 STADIUM DR
KALAMAZOO 49009
(269) 806-0953
1091785
STEPHENS, BARRY LPC
2615 STADIUM DR
KALAMAZOO 49008
(269) 343-1651
1084837
STEWART STEVENS, EMILY L MA
7920 KIRKLAND CT
PORTAGE 49024
(269) 345-0669

Mental Health
Page 696
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1119527
SWINEHART, SHERRI L LPC
4000 PORTAGE RD STE 208
KALAMAZOO 49001
(269) 501-4729
1103107
THOMAS, MARNIE LLP
122 W SOUTH ST
KALAMAZOO 49007
(269) 349-4219
1100270
TRIPLETT, NICOLE LLP
218 W WALNUT
KALAMAZOO 49007
(269) 344-7997
1097675
VERSLUIS, JILL M LPC
5465 S SPRINKLE RD
PORTAGE 49002
(269) 324-2330
1100000
WESTFALL, TODD LPC
KALAMAZOO 49008
(517) 887-9801
1109434
WHITEHEAD, CHARMEKA MA
KALAMAZOO 49008
(269) 381-9800
1116357
WHITEHEAD, CHARMEKA PHD
1530 NICHOLS RD
KALAMAZOO 49006
(269) 343-6700
KALKASKA COUNTY
1117575
HEXHAM, CRAIG LPC
2525 BEEBE RD
KALKASKA 49646
(231) 933-0500
1109345
1725 W KALKASKA RD
KALKASKA 49646
(231) 590-4812
KENT COUNTY
1117313
ACKLEY, CINDY LLPC
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1126080
ANAYA, DINA M LPC
300 68TH ST SE
KENTWOOD 49548
(616) 820-3780
1123951
ANDERSON, ASHLEY LPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1117598
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1119471
APPLETON, KAREN LLPC
3300 36ST ST SE
GRAND RAPIDS 49512
(616) 942-2110
1085549
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 456-1443
1085557
40 JEFFERSON ST SE
GRAND RAPIDS 49503
(616) 456-1443
1119421
AUPPERLEE, DANIEL LLPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1100513
AUTISM ASPERGER ASSOCIATES OF MI LLC
7027 10 MILE RD
ROCKFORD 49341
(616) 780-1358
1122829
BOATMAN, MARCIA LPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1118637
BODELL, ROBERT LPC
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1119506
BOEVE, JASON LPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1094970
BROWN, CHARLES LPC
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1084566
BROWN, KIMBERLY I LPC
468 KINNEY NW
GRAND RAPIDS 49534
(616) 430-1103
1126612
BURKE GROUP COUNSELING AND CONSULTING
4301 CANAL AVE STE M
GRANDVILLE 49418
(616) 485-9167
1124710
BUSMAN, REBECCA S LPC
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1120781
BUTLER, CAROL LPC
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1080095
CHERRY ST HEALTH SERVICES LEONARD ST COUNSELI 1400 LEONARD NE
GRAND RAPIDS 49505
(616) 957-1991
1119529
CHRISTMAS, KIMBERLY LLPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1098373
CLARK, KERRIE LPC
4829 E BELHINE NE BLDG 1 STE 100
GRAND RAPIDS 49525
(616) 364-3301
1119578
CUPKA, MEGHAN LPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1108665
CURTIS, NANCY L LPC
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1106245
D'ADDARIO, ANDREW J LPC
2050 CELADON DR NE STE A8
GRAND RAPIDS 49525
(616) 490-7766
1108722
DECKER, ELAINE J LPC
GRAND RAPIDS 49525
(616) 364-1500
1083792
FOLEY-BURGESS, MARGARET LPC
2303 KALAMAZOO SE
GRAND RAPIDS 49507
(616) 965-8390
1120656
FRITCH, FAENE R LPC
2118 3 MILE RD
GRAND RAPIDS 49505
(616) 222-3720
1119569
GALMISH, DIANA LPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1125882
GERLOFS, JACQUELINE L LPC
300 68TH ST SE
KENTWOOD 49548
(616) 258-7467
1094995
GLASS, JULIE LMFT
901 EASTERN AVE NE
GRAND RAPIDS 49503
(616) 224-7617
1094996
GRABLE, KARLEE R LLPC
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1102813
HAINES, WAYNE LPC
GRAND RAPIDS 49546
(616) 929-0226
1126710
HALL, CAROLINE L LLPC
4467 CASCADE RD STE 4481
GRAND RAPIDS 49546
(616) 818-6678
1120739
HANSEN, NATHANAEL P LPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110

Mental Health
Page 697
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1114380
HEARNS, KIUAN LLPC
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1126837
HERRERA, SOPHIA MA
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1093501
HILL, RHONDA A LPC
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6247
1117334
HOIST, MARIBETH LPC
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1085266
HOLISTIC COUNSELING SERVICES
2524 WOODMEADOW DR SE STE 6
GRAND RAPIDS 49546
(616) 862-3296
1123897
HOPKE, MINDY L LPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-7294
1121553
ISETHENA PRESS LLC
GRAND RAPIDS 49503
(616) 218-9903
1117443
JENNINGS, PAMELA LPC
3949 SPARKS DR SE
GRAND RAPIDS 49546
(616) 957-5850
1104813
KAMER, LANA LPC
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1085602
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 456-1443
1119449
KUIPERS, CARA LLPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1119132
KUTZLI, GLENN E LPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1119588
LAFONTSEE, JAMIE LLPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1072076
LEE, JACQUELYN LPC
3180 E PARIS AVE STE 100 BLDG 1
GRAND RAPIDS 49525
(616) 949-9006
1119562
LETTINGA, JULIANNE LLPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1122894
LHEUREUX, JASON LPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1083982
LONDON, JENNIFER LPC
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1076488
MARIN, TERI A MSW
5250 NORTHLAND DR NE STE A
GRAND RAPIDS 49525
(616) 361-5001
1097776
MARTINO, JOSEPH P LPC
GRAND RAPIDS 49546
(616) 929-0226
1122001
MAYWARD, BARBARA LPC CAA
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1085624
MBURU, PETER LLPC
40 JEFFERSON AVE SE
GRAND RAPIDS 49503
(616) 356-6047
1085667
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 456-1443
1119414
MULLER, ANTHONY LPC CAC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1119604
MWANGI, REUBEN LPC
740 36TH ST SE
KENTWOOD 49548
(616) 475-8300
1078336
NORTHERN COUNSELING SERVICES
261 N MAIN
CEDAR SPRINGS 49319
(616) 696-4034
1119614
OGLESBY, APRIL LLMFT
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1114456
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1117528
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1120789
PICKETT, JENNIFER LLPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1086559
40 JEFFERSON AVE SE
GRAND RAPIDS 49503
(616) 356-6047
1119524
RAM, KELLY LLPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1107492
RIVENDELL COUNSELING
2050 CELADON DR NE STE A-8
GRAND RAPIDS 49525
(616) 490-7766
1119574
ROWLSON, ERIN LMFT
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1095088
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6247
1126699
SANTEE, BENJAMIN L LLPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1122743
SCOTT, ANGELA LPC
1215 E FULTON ST SE
GRAND RAPIDS 49503
(616) 459-9468
1117609
SENINS, SANDRA LPC
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1117231
SHANEBERGER, AMANDA J LPC
2118 3 MILE RD
GRAND RAPIDS 49544
(616) 222-3720
1117250
SHANKIN, SHAWYN'QUE LPC
GRAND RAPIDS 49546
(616) 719-0194
1121979
SIEGFRIED, SHAWNA LPC
4829 E BELTLINE NE STE 100
GRAND RAPIDS 49525
(616) 364-3301
1122817
SYVERSON, AMANDA LPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1117328
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1085653
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 456-1443
1122108
WAGNER, HANNAH LPC
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1127533
WEICHHAND, GREGORY LLP
GRAND RAPIDS 49525
(616) 364-1500
1119600
WILCOX, SARAH LLPC
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110

Mental Health
Page 698
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1127871
WILLISWILLIAMS, JULIA MA
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1093433
WOLFFIS, DEBRA M LPC
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1126613
ZOMBERLEI, DANIEL LMFT
4301 CANAL AVE STE M
GRANDVILLE 49418
(616) 485-9167
1125424
ZOMERLEI, DAN LMFT
3380 FAIRLANES AVE STE 4
GRANDVILLE 49418
(616) 953-0721
1615 MICHIGAN AVE
BALDWIN 49304
(231) 745-4625
LAKE COUNTY
1125909
DYKES, BRIAN P LPC
LAPEER COUNTY
1120486
CAMPBELL, TIMOTHY LPC
LAPEER 48446
(810) 338-6315
1094980
CRAKE, JENNIFER L LPC
1134 S LAPEER RD
LAPEER 48446
(810) 667-4111
1084399
FENTON BEHAVIORAL HEALTH SERVICES LLC
1570 SUNCREST DR
LAPEER 48446
(810) 667-0500
1055828
FULLER, BERNITA LPC
LAPEER 48446
(810) 667-4500
1059555
HILEWSKY, ALISA LPC
LAPEER 48446
(810) 664-4557
1040986
HUSKEN, SUSAN LPC
LAPEER 48446
(810) 664-4557
1086142
HYRMAN, AMY LPC
1134 S LAPEER RD
LAPEER 48446
(810) 667-4111
1024676
JOLLY, ANITA LPC
5914 N LAPEER RD
NORTH BRANCH 48461
(810) 793-4646
1021833
KASINEC, MICHELLE T LPC
LAPEER 48446
(810) 667-4500
1100930
KLINSKI, WENDALA LPC
LAPEER 48446
(810) 664-4546
1068855
KUSHEL, STEPHANIE LPC
624 W NEPRESSING STE 300
LAPEER 48446
(810) 667-4800
1021140
MURRAY, JAMES E LPC
LAPEER 48446
(810) 667-4500
1055535
NORTH LAPEER COUNSELING CENTER
5914 N LAPEER RD
NORTH BRANCH 48461
(810) 793-4646
1098357
ROGERS, DOROTHEA M MA
LAPEER 48446
(810) 667-4500
1101865
SMITH, RYAN W MSW
255 CLAY ST
LAPEER 48446
(810) 667-0243
1071751
WIGGINS, SHELLY LPC
624 W NEPESSSING STE 300
LAPEER 48446
(810) 667-4500
LENAWEE COUNTY
1059532
ARTINIAN, JULIE LPC
ADRIAN 49221
(517) 417-1717
1091522
BISHOP, DONNA LPC
127 N EVANS
TECUMSEH 49286
(517) 424-7345
1091523
BISHOP, DONNA LPC
108 S MAIN ST STE K
ADRIAN 49221
(517) 918-8443
1091517
COUNSELING OF LENAWEE PC
127 N EVANS
TECUMSEH 49286
(517) 424-7345
1091518
COUNSELING OF LENAWEE PC
108 S MAIN ST STE K
ADRIAN 49221
(517) 918-8443
1057066
108 S MAIN ST
ADRIAN 49221
(517) 902-8907
1077534
HERMAN, IONELA CSW
ADRIAN 49221
(517) 263-5810
1116420
LONGENBARGER, KATHRYN LLPC
ADRIAN 49221
(734) 770-2420
1010840
MASTERPEACE COUNSELING
308 S MAUMEE
TECUMSEH 49286
(517) 423-6889
1102781
138 MAUMEE ST
ADRIAN 49221
(517) 439-8144
1102782
306 W MAIN ST
HUDSON 49247
(517) 448-6442
1057793
OSBORN, DIANA LPC
108 S MAIN ST
ADRIAN 49221
(517) 902-8907
1068942
SEIGNEUR, JUDITH A LPC
ADRIAN 49221
(517) 215-4039
1094830
STAFFORD-MAY, KAREN A LPC
123 E MAUMEE
ADRIAN 49221
(517) 270-0069
1120745
THAYER, ROSS LLP
502 E CUMMINS ST
TECUMSEH 49286
(517) 423-3887
144 SCHROEDER PARK DR
HOWELL 48843
(517) 294-9237
LIVINGSTON COUNTY
1096949
AUTHENTIC THERAPIES LLC

Mental Health
Page 699
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1107710
CARRASCO, CANDICE M LCSW
BRIGHTON 48116
(517) 375-2672
1109230
EMMONS, JANET K LLPC
BRIGHTON 48116
(810) 227-1211
F
F
1126692
GILBERT, MICHAEL LPC
HOWELL 48843
(517) 545-5944
1070308
GOODMAN, KIMBERLY LPC
HOWELL 48843
(517) 507-1507
1122532
HARRIER, SARAH LMFT
120 FLINT RD
BRIGHTON 48116
(810) 494-7180
1126793
JONES, ANDREW LLPC
120 FLINT RD
BRIGHTON 48116
(810) 772-1401
1090375
KATTERMAN, KAYLA LMFT
120 FLINT RD
BRIGHTON 48116
(810) 494-7180
1122797
KETNER, JESSICA LPC
120 FLINT RD
BRIGHTON 48116
(810) 772-1401
1074232
MCCOMBS, SUSAN LMSW
325 GRAND RIVER AVE
BRIGHTON 48116
(810) 772-9490
1098635
MCKEE, KATE S MA
120 FLINT RD
BRIGHTON 48116
(810) 494-7180
1071567
120 FLINT RD
BRIGHTON 48116
(810) 494-7180
1119708
PSYCHOTHERAPY & COUNSELING SERVICES
BRIGHTON 48114
(810) 227-5659
1085646
SCHEPPER, JAMES LPC
HOWELL 48843
(517) 545-5944
1109227
TYLER, WILLIAM MA LMFT
120 FLINT RD
BRIGHTON 48116
(810) 772-1401
MACOMB COUNTY
1105523
AGNEW, CAROL S LMFT
(586) 421-4513
1094955
AGNEW, CAROL S LMFT
(586) 264-3692
1097908
BABST, SUSAN C LPC
(586) 795-0569
1076487
BASHAWATY, KAREN LLP
(586) 286-0639
1090301
BEACH, CORINNE E MSW
25401 HARPER
(586) 466-6912
1092554
BEACON OF HOPE COUNSELING LLC
13854 LAKESIDE CIRCLE STE 210
(586) 697-2475
1070407
BEAUVAIS, LISA LPC
36337 HARPER AVE
(586) 612-1631
1122060
BENOIT, MARION LPC
WARREN 48093
(586) 558-6868
1101992
BENTLEY, TERESA C LPC
175 N GROESBECK
MOUNT CLEMENS 48043
(586) 627-0024
1122147
BIGGS, BARBARA LPC
WARREN 48093
(586) 558-6868
1060284
BLUMBERG, ERIC S LPC
UTICA 48317
(586) 997-3153
1123734
BOHNE, JENNIFER LPC
(586) 263-8700
1062174
BOLOGNA, MELINA LPC
UTICA 48317
(586) 997-3153
1102960
BRADYCHOK, EILEEN LPC
43740 GROESBECK
(586) 469-7629
1094110
BREIDENBACH, BONNIE MA
(586) 226-2822
1104139
BROOKS, KIMBERLY D LPC
175 N GROESBECK HWY
MOUNT CLEMENS 48043
(586) 627-0024
1055601
CARDAMONE, LAURA LMSW
22 CHURCH ST
MOUNT CLEMENS 48043
(586) 466-5960
1098353
CARLSON, KYM LPC
(586) 795-0569
1060136
CHANGE IS POSSIBLE COUNSELING SVCS
(586) 264-3692
1101948
CHARLESTON, KATHY LPC
38251 GROESBECK
(586) 469-6210
1122117
COCHRAN, CARMEN LPC
WARREN 48093
(586) 558-6868
1117260
COLLINS, ERIKA LPC
NEW BALTIMORE 48047
(586) 604-9101
1036543
COMPTON, BARBARA LMSW
(586) 226-3440
1080461
COUCH, JESSICA LPC
117 CASS AVE STE 205
MOUNT CLEMENS 48043
(586) 212-8218
1068806
COUNSELING WELLNESS CENTER
UTICA 48315
(586) 994-8800
1098403
CRIDER, KAREN LPC
(586) 795-0569
1091529
CROSSROADS THERAPY LLC
16950 NINETEEN MILE RD STE 3A
(586) 226-1991
1079510
DAVIDSON, KARSHIBIA LLPC
18325 CHEVAL DR
(888) 788-7145
1125261
DESROCHER, AMY LPC
NEW BALTIMORE 48051
(586) 949-7680
1058017
DUDZINSKI, GREGORY LPC
198 S MAIN ST STE 4
MOUNT CLEMENS 48043
(586) 212-4196

Mental Health
Page 700
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1100352
DULLEA, MARCIE M LLPC
2122 FIFTEEN MILE RD. STE B
(586) 264-3692
1059928
DURISEK, MARION M LPC
UTICA 48317
(586) 997-3153
1102048
DYMPHNA COUNSELING LLC
(586) 913-7006
1074104
EVANS-EBIO, BELINDA LMSW
(586) 264-3692
1070268
FAITA, CHRISTINA LMSW
(586) 264-3692
1122133
FINN, HEATHER LPC
WARREN 48093
(586) 558-6868
1079464
FISCHER, SUZAN LLP
22 CHURCH STREET
MOUNT CLEMENS 48043
(586) 466-5960
1093505
FOLLEBOUT, AMY LPC
38251 GROESBECK
(586) 469-6210
1124738
FREEMAN, MATTHEW LPC
NEW BALTIMORE 48051
(586) 949-7680
1125150
FULLMER, SHEILA LPC
NEW BALTIMORE 48051
(586) 949-7680
1074105
GAWARAN, KAREN LMSW
116 MARKET ST
MOUNT CLEMENS 48043
(586) 465-4444
1096258
GILL, SUSAN MSW
WARREN 48092
(586) 274-0200
1084391
GLORY COUNSELING SERVICES
18600 FLORENCE STE T7
ROSEVILLE 48066
(586) 552-4811
1107857
GOODENOUGH, ROGER C LPC
24401 CAPITAL BLVD
(586) 783-2950
1101660
GRAY, CATHLEEN LPC
132 CASS AVE
MOUNT CLEMENS 48043
(586) 229-9709
1101566
GREAT LAKES COUNSELING
UTICA 48315
(586) 263-1234
1077393
GRZESIAK, SUSAN LMSW
51539 VAN DYKE AVE
(586) 461-2111
1101756
HANSON, CHRISTIAN MSW
25401 HARPER
(586) 466-6912
1065633
HARMAN, JOSEPH LPC
24401 CAPITAL BLVD
(586) 783-2950
1124509
HARRAL, ANDREA LPC
(586) 263-8700
1102794
HARTWAY, LAURA LPC
21885 DUNHAM RD STE 2
(586) 783-8113
1114549
HELINSKI, DONALD M LCSW
(586) 783-8113
1118765
HOLISTIC INTEGRATIVE COUNSELING
UTICA 48317
(313) 942-5073
1036911
HUSKEN, SUSAN LPC
15945 CANAL RD
(586) 416-2300
1123415
ICARE COUNSELING
16950 19 MILE RD STE 3G
(586) 292-3397
1096196
IZZI, MARIE MA
WARREN 48093
(586) 558-6868
1102920
JOHNSON, JULIE MSW
(586) 783-8113
1103043
KINNEY, ROBERT MSW
25401 HARPER
(586) 466-6912
1100936
15945 CANAL RD
(586) 416-2300
1078120
KOMRAUS COMPASSIONATE COUNSELING
UTICA 48315
(586) 243-6655
1078121
KOMRAUS, BERNICE LPC
UTICA 48315
(586) 243-6655
1102888
KORTZ, STEPHANIE MSW
(586) 783-8113
1076155
KRAUSE, STACEY LMSW
51539 VAN DYKE AVE
(586) 461-2111
1036523
KROL, DENNIS LMSW
(586) 226-3440
1062176
LEBEAU, KRISTI LPC
UTICA 48317
(586) 997-3153
1059917
LIFEFORCE COUNSELING
43599 SCHOENHERR RD 200C
(586) 726-8622
1126036
LORIA, MARY R LPC
2122 FIFTEEN MILE RD STE B
(586) 264-3682
1096262
LOVING, DEBRA MA
WARREN 48093
(586) 558-6868
1122234
MANNINA, MICHELLE LPC
UTICA 48317
(313) 942-5073
1084392
MARITIM, ANGELA LMSW
18600 FLORENCE STE T7
ROSEVILLE 48066
(586) 552-4811
1036155
MCCRACKEN, PATTY LMSW
(586) 226-3440
1085691
METRO FAMILY SUPPORT COUNSELING
(586) 274-4394
1075346
MEYERS, JACQUELINE LPC
UTICA 48317
(586) 997-3153
1123595
MILLER, HEATHER LPC
(586) 263-8700
1102934
MILLER, TERRENCE LPC
RICHMOND 48062
(586) 727-5529
1100310
MITTER, CRYSTAL LLPC
132 CASS AVE
MOUNT CLEMENS 48043
(586) 229-9709

Mental Health
Page 701
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1066145
NELSON, BONNIE LPC
(586) 268-6712
1097796
NESTER, NANCY J LPC
(586) 795-0569
1066143
NORDQUIST, ERIC LPC
4151 17 E RD STE D
(586) 268-6712
1121499
ONE STEP AT A TIME COUNSELING SERVICES
28351 GRATIOT AVE
ROSEVILLE 48066
(586) 200-2715
1106031
PEMBERTON, JANICE LPC
2122 15 MILE STE B
(586) 264-3692
1058269
PERCEPTIONS COUNSELING SERVICES PC
116 MARKET STR
MOUNT CLEMENS 48043
(586) 465-4444
1080482
PERSLEY, JUDITH A LMSW
42627 GARFIELD RD SE 216A
(586) 872-7215
1068227
PHILLIPS, JULIE LMSW
116 MARKET STREET
MOUNT CLEMENS 48043
(586) 465-4444
1077945
PIONEER COUNSELING CENTER
(586) 795-0569
(586) 795-0569
1094597
UTICA 48315
1102826
POLDERDYKE, CRYSTAL MSW
(586) 783-8113
1085258
PRETZER, TAMMY LPC
UTICA 48315
(586) 994-8800
1100523
PRIVATE PRACTICE COUNSELING LLC
132 CASS AVE
MOUNT CLEMENS 48043
(586) 229-9709
1096343
RATLIFF, TONYA J LLPC
UTICA 48317
(586) 254-3663
1075333
REA COUNSELING SERVICES PC
51539 VAN DYKE AVE
(586) 461-2111
1075332
REA-MICHALAK, NATALIE LMSW
51539 VAN DYKE AVE
(586) 461-2111
1102950
REGAN, KATHLEEN MSW
(586) 783-8113
1050661
RENEWAL CHRISTIAN COUNSELING & MINISTRY CTR
24401 CAPITAL BLVD
(586) 783-2950
1061162
REVYN, DAWN LPC
42669 GARFIELD
(248) 412-5321
1048277
RICE, TONYA LPC
24401 CAPITAL BLVD
(586) 783-2950
1103024
ROSE, CLAIRE MSW
25401 HARPER
(586) 466-6912
1098629
ROXBURGH, MARY LMSW
(586) 226-3440
1105991
SAFO, HAITHAM LPC
33146 RYAN RD
(586) 983-9280
1106284
SAFO, LYANA LPC
33146 RYAN RD
(586) 983-9280
1078302
SCHALK, DIANE LPC
(586) 649-8410
(248) 884-2701
1117687
SHIMKU SPEAKING PLLC
UTICA 48315
1084423
SHIMMEL, DOUGLAS LLPC
(586) 264-3692
1079491
SLEBODNIK, SHARI LLP
UTICA 48317
(586) 997-3153
1102914
SMITH, STEVEN MSW
(586) 783-8113
1102822
SOBCZYNSKI, JAMES MSW
WARREN 48092
(586) 274-0200
1093507
SOHN, KATHLEEN M LPC
43740 GROESBECK
(586) 469-7629
(586) 421-4513
1062205
SOLUTION BASED COUNSELING SERVICES
1117920
TC COUNSELING TRANSFORMATION PLLC
NEW BALTIMORE 48047
(586) 604-9101
1096226
TROMBLEY, MARILEE MA
WARREN 48093
(586) 558-6868
1061084
TURN THE PAGE COUNSELING SERVICES
18557 CANAL RD STE 3
(586) 226-8440
1107686
VINCENT, JANET K LPC
(586) 226-2822
1036968
WAYLAND, DAWN LMSW
(586) 226-3440
1098687
WILLIAMS-UCHWAT, CAROL J LPC
(586) 421-4513
1086581
YOUNG, GWENDA LPC
24401 CAPITAL BLVD
(586) 783-2950
1075329
ZAMORA-AHLSTROM, GABRIELA LMSW
53375 WHITBY WAY
(586) 291-7557
50 FILER ST STE 210G
MANISTEE 49660
(231) 907-2412
101 W LOOMIS ST STE 206
LUDINGTON 49431
(231) 845-7809
MANISTEE COUNTY
1122772
MCLEARON, MEGAN LPC
MASON COUNTY
1086394
FORGUE, BARBARA LPC

Mental Health
Page 702
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
80 N JEBAVY ST
LUDINGTON 49431
(231) 233-6120
COUNSELOR
MASON COUNTY (CONTINUED)
1057290
GRABOWSKI, CATHRYN LPC
MECOSTA COUNTY
1117315
ACKLEY, CINDY LLPC
605 S THIRD ST STE AA
BIG RAPIDS 49307
(231) 796-1583
1085543
ADAMS, DIANNE LLPC
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1086553
ALDERINK, LARRY MA
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1117600
BIG RAPIDS 49307
(231) 796-1583
1085550
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1085553
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1118639
BODELL, ROBERT LPC
BIG RAPIDS 49307
(231) 796-1583
1089664
COSCARELLI, KATHY FAYE LPC
7297 TAFT RD
MECOSTA 49332
(517) 622-0551
1093500
HILL, RHONDA A LPC
212-1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1117336
HOIST, MARIBETH LPC
BIG RAPIDS 49307
(231) 796-1583
1085604
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1085620
MBURU, PETER LLPC
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1085668
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1114458
BIG RAPIDS 49307
(231) 796-1583
1117530
BIG RAPIDS 49307
(231) 796-1583
1086560
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1095087
212-1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1117611
SENINS, SANDRA LPC
BIG RAPIDS 49307
(231) 796-1583
1117330
BIG RAPIDS 49307
(231) 796-1583
1085655
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
MIDLAND COUNTY
1046657
HEDLUND, JEFFREY LPC
314 W WACKERLY ST STE C
MIDLAND 48640
(989) 631-1880
1060554
LYON, SUSAN LPC
1108 ASHMAN
MIDLAND 48640
(989) 832-9161
1102217
NEW PATHWAYS COUNSELING SERVICE
2801 ASHMAN ST
MIDLAND 48640
(989) 633-9600
1120597
PARELLA, THOMAS LPC
2801 ASHMAN ST
MIDLAND 48640
(989) 633-9600
1121806
ROBINSON, CAROL LPC
2801 ASHMAN ST
MIDLAND 48640
(989) 633-9600
1109363
SCALISE, JOHN E MA
1205 E WACKERLY ST
MIDLAND 48642
(989) 831-9161
1095109
STEVENSON, TERRI L LPC
1108 ASHMUN
MIDLAND 48640
(989) 832-9161
1120791
WERRIES, JENNIFER LPC
2801 ASHMAN ST
MIDLAND 48640
(989) 633-9600
1501 S MOREY RD STE B
LAKE CITY 49651
(517) 673-0553
MISSAUKEE COUNTY
1107680
DUVALL, L KIM LPC
MONROE COUNTY
1074231
AMBER LANGE PH D MA LPC CAACC
8336 MONROE RD STE 119
LAMBERTVILLE 48144
(734) 807-0162
1091563
BOUDRIE, MICHAEL E MSW
986 S TELEGRAPH RD
MONROE 48161
(734) 770-7573
1098685
BUSH, PAMELA M LLPC
LAMBERTVILLE 48144
(313) 610-3049
1118729
CONNECTIONS COUNSELING AND CONSULTING
52 E MAIN ST
MILAN 48160
(734) 508-6140
1099167
CUNNINGHAM, DEVON MARIE LPC
1070 S TELEGRAPH
MONROE 48161
(734) 240-3863
1125188
FRY, AMY MFT
MONROE 48161
(734) 477-0135
1099165
1070 S TELEGRAPH
MONROE 48161
(734) 240-3863

Mental Health
Page 703
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1099168
KURTZ, SARA LPC
1070 S TELEGRAPH
MONROE 48161
(734) 240-3850
1075317
LONGENBARGER, KATHRYN LLPC
25 S MONROE ST
MONROE 48161
(734) 770-2420
F
F
1080439
MERRILL, JANE LLPC
LAMBERTVILLE 48144
(419) 322-4450
1096338
MILLER-CLARKSON, JEAN LPC
7521 N TELEGRAPH RD STE 1
NEWPORT 48166
(734) 586-0031
1099098
MIND BODY HEALTH CONSULTING PLLC
52 E MAIN ST STE 1B
MILAN 48160
(734) 645-4263
1095082
RUMLER, AUDREY L LPC
3554 S CUSTER RD
MONROE 48161
(734) 915-6722
1101622
6 TOLAN ST
MILAN 48160
(517) 215-4039
1108539
52 E MAIN STREET
MILAN 48160
(517) 215-4039
1118581
SHEELEY, SUSAN M LPC
52 E MAIN ST
MILAN 48160
(734) 508-6140
1099169
STANIFER, BONNIE LLPC
1070 S TELEGRAPH
MONROE 48161
(734) 240-3850
1096943
TREE OF LIFE COUNSELING SERVICES
3554 S CUSTER ROAD
MONROE 48161
(734) 915-6722
MONTCALM COUNTY
1122157
ESTILL-LOFTS, AMANDA LPC
507 S NELSON ST
GREENVILLE 48838
(616) 754-9420
1076490
MARIN, TERI A MSW
GREENVILLE 48838
(616) 754-2364
1117695
NORTHSTAR COUNSELING SERVICES
507 S NELSON ST
GREENVILLE 48838
(616) 951-1132
MUSKEGON COUNTY
1117310
ACKLEY, CINDY LLPC
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1085544
ADAMS, DIANNE LLPC
1095 THIRD AVENUE
MUSKEGON 49441
(231) 726-4735
1086554
ALDERINK, LARRY MA
MUSKEGON 49441
(231) 726-4735
1117595
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1102921
ARNDT, LISA N LPC
125 EAST SOUTHERN AVE.
MUSKEGON 49442
(231) 726-3582
1085548
1095 THIRD AVE
MUSKEGON 49441
(231) 796-1583
1085552
1095 THIRD AVENUE
MUSKEGON 49441
(231) 726-4735
1125239
BANKS, ANITA LPC
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1118634
BODELL, ROBERT LPC
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1091594
COOPER, TRACEY A LPC
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1091595
COOPER, TRACEY A LPC
3535 PARK ST
MUSKEGON 49441
(231) 726-3582
1093330
DICKINSON, STEPHANIE B LPC
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1093496
HILL, RHONDA A LPC
1095 THIRD AVE STE 125
MUSKEGON 49441
(231) 726-4735
1117331
HOIST, MARIBETH LPC
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1109745
JENNINGS, PAMELA LPC
635 W SUMMIT
MUSKEGON 49441
(616) 957-5850
1095016
JOHNSON, HANNAH LLPC
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1085599
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1085621
MBURU, PETER LLPC
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1085664
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1086911
MCKENTRY, CARMEL LPC
MUSKEGON 49444
(231) 737-1335
1093338
MCSHANNOCK, MICHAEL LPC
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1114453
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1127746
MUSKEGON 49444
(231) 733-6607
1093341
PALMGREN, KIMBERLY LPC
905 E COLBY ST STE 150
WHITEHALL 49461
(231) 726-3582
1093342
PALMGREN, KIMBERLY LPC
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1117525
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1086561
MUSKEGON 49441
(231) 726-4735
1095085
MUSKEGON 49441
(231) 726-4735

Mental Health
Page 704
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1091042
SCOTT, CEDRIC H MA
2700 BAKER ST 3RD FLOOR
MUSKEGON 49444
(231) 737-1335
1117606
SENINS, SANDRA LPC
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1093285
SHEFFER, DENISE L LPC
2435 E APPLE AVE STE C
MUSKEGON 49442
(231) 744-5100
1117325
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1127518
MUSKEGON 49444
(231) 737-1335
1085656
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1093345
VANDENHEUVEL, JENNIFER LLP
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1095128
WEICHHAND, GREGORY LLP
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1085942
WEIPERT, HEIDI LPC
800 E ELLIS RD STE 201 MALL #555
MUSKEGON 49441
(231) 557-0163
1114398
WIEWIORA, SHELLY LPC
2201 S GETTY
MUSKEGON 49444
(231) 739-9315
NEWAYGO COUNTY
1117311
ACKLEY, CINDY LLPC
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1086555
ALDERINK, LARRY MA
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1093416
ALGER, JOYCE L MSW
NEWAYGO 49337
(231) 652-1780
1117596
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1085545
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1085554
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1118635
BODELL, ROBERT LPC
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1119439
COUSINEAU, RANDY L LPC CAA
NEWAYGO 49337
(231) 652-1780
1117332
HOIST, MARIBETH LPC
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1085600
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1085622
MBURU, PETER LLPC
1195 E WILCOX
WHITE CLOUD 49349
(231) 796-9595
1085661
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1114454
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1117526
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1086562
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1117607
SENINS, SANDRA LPC
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1117326
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1085657
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
OAKLAND COUNTY
1064452
ADALINE, VALERIE LPC
TROY 48084
(248) 244-8644
1107033
ALEXANDER, ERIKA LPC
2045 E WEST MAPLE STE D407
WALLED LAKE 48390
(248) 624-3812
F
F
1107032
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1098681
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1107031
ROCHESTER 48307
(248) 853-0750
1093280
ALLEN, JILL LMSW
TROY 48084
(248) 731-7305
1053840
ALPHA FAMILY COUNSELING
(248) 489-4011
1109007
BABST, SUSAN C LPC
ROCHESTER 48307
(248) 656-0500
1109008
BABST, SUSAN C LPC
77 E LONG LAKE RD
(248) 656-0500
F
F
1106119
BAK, JENNIFER LPC
TROY 48083
(248) 585-3239
1106152
BEDFORD, DIANE LLPC
PONTIAC 48340
(248) 706-3450
1104037
BEHAVIORAL HEALTH ASSOCIATES PLLC
SOUTHFIELD 48075
(248) 809-6732
1102636
BENTLEY, TERESA C LPC
631 BIG BEAVER RD STE 209A
TROY 48083
(248) 817-2345
1109324
BERG, MARGARET M LLPC
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766

Mental Health
Page 705
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1109327
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109326
WALLED LAKE 48390
(248) 624-3812
1109325
ROCHESTER 48307
(248) 853-0750
1099593
BOOTH COUNSELING SERVICES
200 EAST BIG BEAVER RD STE 113
TROY 48083
(248) 321-3396
1107062
BOUDREAU-THOMAS, STEFFANIE LPC
WALLED LAKE 48390
(248) 624-3812
1107063
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
F
F
1107061
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1098575
ROCHESTER 48307
(248) 853-0750
1107059
BROGAN, SHIRLEY LPC
ROCHESTER 48307
(248) 853-0750
1098485
BROGAN, SHIRLEY LPC
WALLED LAKE 48390
(248) 624-3812
1107060
BROGAN, SHIRLEY LPC
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1098486
BROGAN, SHIRLEY LPC
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1106425
BROOKS, KIMBERLY D LPC
631 E BIG BEAVER RD
TROY 48083
(248) 817-2345
1079076
BROWN, ALICIA LPC
3570 DAVID K DR STE 108
WATERFORD 48329
(248) 623-7232
1043722
BROWN, ALICIA LPC
CLARKSTON 48346
(248) 620-1019
1107064
BRUNKE, EMILY LPC
130 HAMPTON CIR STE 100
ROCHESTER 48307
(248) 853-0750
1107065
BRUNKE, EMILY LPC
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1098355
BRUNKE, EMILY LPC
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1107066
BRUNKE, EMILY LPC
WALLED LAKE 48390
(248) 624-3812
1126415
BURNS-WORTHAM, CAROL M LPC
1693 W HAMLIN RD
ROCHESTER 48309
(248) 299-2999
1123226
CARE MATTERS LLC
SOUTHFIELD 48037
(248) 691-9036
1105931
CARLOCK, DANIEL LLPC
TROY 48083
(248) 585-3239
1124024
CARLSON, KYM LPC
ROCHESTER 48307
(248) 853-0750
1124025
CARLSON, KYM LPC
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1124026
CARLSON, KYM LPC
2045 E WEST MAPLE RD STE D-407
WALLED LAKE 48390
(248) 624-3812
1124023
CARLSON, KYM LPC
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1102842
CAVELL, PATRICK LPC
3300 ADANS RD
AUBURN HILLS 48326
(248) 537-3300
1102843
CAVELL, PATRICK LPC
6637 HIGHLAND RD
WATERFORD 48327
(248) 666-8870
1119229
CENTRIA HEALTHCARE LLC
41521 W 11 MILE RD
NOVI 48375
(248) 299-0030
1103096
CLEMENT, STEVE LLPC
6637 HIGHLAND RD
WATERFORD 48327
(248) 666-8870
1075323
COHN, MELANIE LMSW
(248) 821-2957
1098087
CORACE, ELLENE LPC
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1127151
COUNSELING OF MIND CENTER
(248) 977-5930
1046276
COX-WENTZ, JUDITH A LPC
CLARKSTON 48346
(248) 620-1019
1106252
CUBBIN, JASON LLPC
PONTIAC 48340
(248) 706-3450
1084247
CURTIS, LINDA T LPC
TROY 48085
(313) 717-6255
1103832
DALTON, STACEY LPC
77 E LONG LAKE RD
(248) 656-0500
1103831
DALTON, STACEY LPC
ROCHESTER 48307
(248) 656-0500
1126678
DERBABIAN, ANAHID LPC
77 E LONG LAKE RD
(248) 656-0500
1126677
DERBABIAN, ANAHID LPC
ROCHESTER 48307
(248) 656-0500
1106416
DEVEE, KERRY LLPC
SOUTHFIELD 48075
(248) 483-7804
1105883
DONOUGHE, KAREN LPC
336 S MAIN ST 101
ROCHESTER 48307
(248) 321-9425
1080536
ELEMENTS OF CHANGE COUNSELING CENTER
900 WILSHIRE DR STE 202
TROY 48084
(313) 759-9384
1080535
ELEMENTS OF CHANGE COUNSELING CENTER
SOUTHFIELD 48075
(313) 759-9384
1107122
FARLIN, CYNTHIA LPC
2045 E WEST MAPLE STE D-407
WALLED LAKE 48390
(248) 624-3812
1107123
FARLIN, CYNTHIA LPC
ROCHESTER 48307
(248) 853-0750

Mental Health
Page 706
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1107124
FARLIN, CYNTHIA LPC
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1098283
FARLIN, CYNTHIA LPC
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
F
F
1061202
FROST-PORTERFIELD, GINA LPC
CLARKSTON 48346
(248) 620-6400
1101652
GARANT, SHARON LMSW
TROY 48084
(248) 731-7305
1125359
GEIGER, DIX LPC
(248) 613-5377
M
M
1125361
GEIGER, DIX LPC
(248) 613-5377
1127536
GEIGER, DIX LPC
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1125362
GEIGER, DIX LPC
BIRMINGHAM 48009
(248) 613-5377
M
M
1125358
GEIGER, DIX LPC
TROY 48084
(248) 613-5377
1076546
GLIO COUNSELING GROUP PLC
823 S LAPEER RD
OXFORD 48371
(248) 891-2255
1126716
GORELICK, NANCY LPC
3604 CLARKSTON RD
CLARKSTON 48348
(248) 595-9969
1079506
GRAZIOLI-TALBOT, ELIZABETH LMSW
71 N LIVERNOIS AVE STE F
ROCHESTER 48307
(888) 245-3115
1101564
ROCHESTER 48307
(248) 656-8500
1101565
(248) 539-0899
1101567
2501 ROCHESTER CT
TROY 48083
(586) 795-0569
1109265
HAKALA, SARAH L LLPC
ROCHESTER 48307
(248) 853-0750
1109266
WALLED LAKE 48390
(248) 624-3812
1109267
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109264
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1097620
HALL, SCOTT S LLPC
5869 DIXIE HWY
CLARKSTON 48346
(248) 909-1869
1125344
HALLISY, ANGELA LPC
5869 DIXIE HWY
CLARKSTON 48346
(810) 265-4888
1096263
HARDY, GINETTA M LLPC
(248) 543-0033
1098086
HARMAN, JOSEPH LPC
6887 DIXIE HWY
CLARKSTON 48346
(248) 620-1019
1072969
HARRIS, DERRICK LMSW
CLARKSTON 48348
(248) 693-8880
M
F
1106386
HARRIS, SHERRY L LPC
ROCHESTER 48307
(248) 650-6130
1120692
HARTUNG, LYNN LPC
3846 CHERLOT
WATERFORD 48328
(248) 681-0018
1074924
HARVEY, SHARIFA LMSW
5600 W MAPLE RD STE A-110
(313) 422-3109
1097238
HEINZ, JENNIFER LLPC
ROCHESTER 48307
(248) 650-6130
1089630
HILEWSKY, ALISA LPC
(248) 543-0033
1118324
HOLY CROSS COUNSELING SERVICES
PONTIAC 48341
(248) 333-7222
1086521
HOWEY, DAWN LPC
CLARKSTON 48348
(248) 693-8880
1078437
HUBENKA, JOANN LMSW
1460 WALTON STE 218
ROCHESTER 48309
(248) 613-0298
1089631
HUSKEN, SUSAN LPC
(248) 543-0033
1118273
INSIGHT COUNSELING SERVICES LLC
ROCHESTER 48307
(248) 670-2861
1124028
ISBELL, ANETIA K LPC
38855 HILLS TECH DR
(248) 994-8001
1124027
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1096233
ROCHESTER 48307
(248) 656-8500
1124029
SOUTHFIELD 48075
(248) 994-8006
1096234
(248) 539-0899
1076521
JACKSON, SHARON LPC
17348 W 12 MILE RD STE 106
SOUTHFIELD 48076
(888) 492-9386
1102878
JACKSON, TURNER PHD
TROY 48084
(248) 731-7305
1091646
JACOBS, JUDY L LPC
TROY 48084
(248) 731-7305
1125051
JANNAKOS, PAUL M LPC
3604 CLARKSTON RD
CLARKSTON 48348
(248) 595-9969
1017382
JENKINS, CHRISTINE A LPC
CLARKSTON 48346
(248) 620-1019
1125167
JOHNSON, MARY R LPC
ROCHESTER 48307
(248) 656-0500
1125168
JOHNSON, MARY R LPC
77 E LONG LAKE RD
(248) 656-0500

Mental Health
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February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1109444
JONES, JENNIFER C LPC
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109443
WALLED LAKE 48390
(248) 624-3812
1109442
ROCHESTER 48307
(248) 853-0750
1109441
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1079507
KAIROS COUNSELING CENTER
71 N LIVERNOIS AVE STE F
ROCHESTER 48307
(888) 245-3115
1100246
KAROL, TIFFANY LPC
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1106207
KARR, LAUREN LPC
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1076547
823 S LAPEER RD
OXFORD 48371
(248) 891-2255
1065247
823 S LAPEER RD
OXFORD 48371
(248) 891-2255
1098308
KINER, KATIE LPC
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1107092
KINER, KATIE LPC
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1107091
KINER, KATIE LPC
WALLED LAKE 48390
(248) 624-3812
1107090
KINER, KATIE LPC
ROCHESTER 48307
(248) 853-0750
1100934
715 N LAPEER RD
LAKE ORION 48362
(248) 693-7525
1100931
6637 HIGHLAND RD
WATERFORD 48327
(248) 666-8870
1100932
3300 ADAMS RD
AUBURN HILLS 48326
(248) 537-3300
1100929
1424 E 11 MILE RD
ROYAL OAK 48067
(248) 548-4044
1106056
KNIGHT, TRAVIS LPC
TROY 48083
(248) 585-3239
1098761
KNUDSVIG, MATTHEW LPC
WALLED LAKE 48390
(248) 624-3812
1127480
KOENIG, SONIA V LPC
5869 DIXIE HWY
CLARKSTON 48346
(248) 909-1869
1127846
KRUMLINE, RICHARD LPC
5869 DIXIE HWY
CLARKSTON 48346
(810) 265-4888
1104215
LAFFREY, WILLIAM LLP
TROY 48084
(248) 731-7305
1121929
LAKE ORION COUNSELING CENTER
3604 CLARKSTON RD
CLARKSTON 48348
(248) 814-9300
1103862
LAZAR, JOAN F MA LLP LPC
31700 W 13 MILE RD STE 219
(248) 892-4489
1117265
LEIBERT, LYANNA LPC
414 MAIN ST
ROCHESTER 48307
(248) 605-1860
1067668
LEVINE, JOELLE LPC
31555 W 14 MILE RD STE 103
(248) 468-1889
1122076
LEWIS, LINDSEY E LPC
(248) 543-0033
1123894
LIESEN, ANN LPC
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1098965
LIETHEN, LINDA A LLP
ROCHESTER 48307
(248) 650-6130
1127139
LIFELENS PSYCHOLOGICAL AND COUNSELING
WATERFORD 48329
(248) 461-6266
1125568
LIFESTART COUNSELING PLLC
37875 W 12 MILE RD STE 204
(248) 910-1591
1070303
LIVING HOPE COUNSELING
8810 ARLINGTON ST
WHITE LAKE 48386
(248) 770-8242
1074112
LOESEL-STRAUCH, KATHLEEN LMSW
(248) 489-4011
1103006
LOONEY, HEIDI LLPC
6637 HIGHLAND RD
WATERFORD 48327
(248) 666-8870
1102870
LORD, ALISSA PSYD
(248) 539-0899
1102869
LORD, ALISSA PSYD
ROCHESTER 48307
(248) 656-8500
1102871
LORD, ALISSA PSYD
2501 ROCHESTER CT
TROY 48083
(586) 795-0569
1079489
LOVE, REBECCA LPC
1349 S ROCHESTER RD
ROCHESTER 48307
(248) 650-6130
1125991
LUCAS, JENNIFER LPCC
CLARKSTON 48346
(248) 620-1019
1106111
LUCIDO, JENNIFER LPC
SOUTHFIELD 48033
(248) 372-6800
1106054
TROY 48083
(855) 319-3734
1071632
MCCAIN, ANETTE PHD
(313) 952-1963
1106331
MCMURRAY, NATHAN LPC
SOUTHFIELD 48075
(248) 483-7804
1109387
MEERSCHAERT, STEVEN P LPC
WALLED LAKE 48390
(248) 624-3812
1109388
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109385
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766

Mental Health
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February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1109386
ROCHESTER 48307
(248) 853-0750
1078306
MERRITT, MICHELLE LPC
21751 WEST ELEVEN MILE RD STE 105
SOUTHFIELD 48076
(248) 613-9955
M
F
1107085
MEYERS, JACQUELINE LPC
317 E 11 MILE RD
ROYAL OAK 48067
(248) 336-2868
1109367
MICKLAS, COLLEEN M LLPC
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109366
WALLED LAKE 48390
(248) 624-3812
1109364
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1109365
ROCHESTER 48307
(248) 853-0750
1109439
MILLER, THERESA J LLPC
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109437
ROCHESTER 48307
(248) 853-0750
1109438
WALLED LAKE 48390
(248) 624-3812
1109436
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1106130
MILLIGAN, SHAWNA LPC
PONTIAC 48340
(248) 706-3450
1070999
MOMENTUM COUNSELING LLC
ROCHESTER 48307
(248) 705-9263
1126081
MORRISON, LESLIE W LPC
1000 W. UNIVERSITY DR STE 308
ROCHESTER 48307
(248) 923-2099
1105941
MUELLE, PEGGY LPC
TROY 48083
(248) 585-3239
1106037
NASH, OLIVIA-PATRICIA LPC
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1066144
NELSON, BONNIE LPC
TROY 48084
(248) 244-8644
1097797
NESTER, NANCY J LPC
(248) 539-0899
1063768
NORDQUIST, ERIC LPC
TROY 48084
(248) 244-8644
1018044
NORTH OAKLAND FAMILY COUNSELING CENTER
CLARKSTON 48346
(248) 620-1019
1077571
PAMBID, MATTHEW CSW
3650 DIXIE HIGHWAY
WATERFORD 48329
(248) 674-4630
1077359
PARKER-WALKER, ANRISE LPC
SOUTHFIELD 48034
(248) 355-3301
1126827
PASCIAK, CRYSTAL LPC
3604 CLARKSTON RD
CLARKSTON 48348
(248) 595-9969
1098714
PERRAULT, MEGHAN LPC
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1107113
WALLED LAKE 48390
(248) 624-3812
1098713
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1107114
ROCHESTER 48307
(248) 853-0750
1122537
2628 S MILFORD RD
HIGHLAND 48357
(248) 529-3049
1126761
PESSERL, MARINA MA LLPC
37875 W 12 MILE RD STE 204
(248) 910-1591
1094596
(248) 539-0899
1114545
PRICE, DAVID LPC
317 E 11 MILE RD
ROYAL OAK 48067
(248) 336-2868
1105959
PRUNEAU, AMY K LLP
(248) 821-6485
1094623
QUALLS, KRISTEN LPC
1880 STAR BATT
ROCHESTER 48309
(810) 397-4861
1097202
QUALLS, KRISTEN LPC
1880 STAR-BATT DR
ROCHESTER 48309
(810) 397-4861
1103145
RECOVERY PATHWAYS LLC
380 MILL ST
ORTONVILLE 48462
(248) 961-3088
1104337
REEVE, KRISTI LPC
6637 HIGHLAND RD
WATERFORD 48327
(248) 666-8870
1104336
REEVE, KRISTI LPC
3300 ADAMS RD
AUBURN HILLS 48326
(248) 537-3300
1118692
RESOLUTION COUNSELING PLLC
5840 LORAC DR STE C
CLARKSTON 48346
(248) 249-0989
1104062
RICHARDSON, CASSANDRA LPC
1424 E 11 MILE RD
ROYAL OAK 48067
(248) 548-4044
1104063
RICHARDSON, CASSANDRA LPC
6637 HIGHLAND RD
WATERFORD 48327
(248) 666-8870
1127473
RICHARDSON, RECCO MA LLP LPC
6887 DIXIE HWY
CLARKSTON 48346
(248) 620-1019
1063453
RICHEY, JONATHAN LPC
7183 N MAIN ST STE L
CLARKSTON 48346
(248) 425-9138
1068929
ROBERTSON, LEAH LMSW
CLARKSTON 48348
(248) 693-8880
1076620
ROBINSON, MONICA LMSW
823 S LAPEER RD
OXFORD 48371
(248) 891-2255
1099724
ROCHE, AMY LPC
(248) 543-0033
1126670
RONALD, KRISTY LPC
2628 S MILFORD RD
HIGHLAND 48357
(810) 494-7180

Mental Health
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February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1058039
ROZEMA, DENNIS LPC
LAKE ORION 48360
(248) 561-5054
1058038
ROZEMA, DENNIS LPC
600 N OLD WOODWARD STE 304
BIRMINGHAM 48009
(248) 561-5054
1118511
RUDY, SHARON N LPC
2628 S MILFORD RD
HIGHLAND 48357
(810) 494-7180
1106232
SCHIFFER, DEBORAH LPC
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1118476
SCHILLINGER, NANCY D LPC
CLARKSTON 48346
(248) 620-1019
1109415
SCHROER, MARGARET M LPC
ROCHESTER 48307
(248) 853-0750
F
F
1109417
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109414
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1109416
WALLED LAKE 48390
(248) 624-3812
1126414
SCHWARTZ, COLLEEN LPC
1693 W HAMLIN RD
ROCHESTER 48309
(248) 299-2999
1090446
SCOTT-WILLOX, DEBORAH L MA
FRANKLIN 48025
(248) 594-4991
1090447
CLARKSTON 48348
(248) 693-8880
1125944
SIBERSKI, JODI PLLC
(248) 561-5519
1084911
SIMPSON, ROSE LMSW
181 STATE ST
PONTIAC 48341
(248) 977-4038
1123395
77 E LONG LAKE RD
(248) 656-0500
F
F
1123396
ROCHESTER 48307
(248) 656-0500
1068947
SMIGELSKI, KAREN LPC
81 INDIANWOOD RD STE 2
LAKE ORION 48362
(248) 834-0614
1091780
STANISLAW, JAMES R LMSW
TROY 48084
(248) 731-7305
M
F
1109154
STEENBERGH, JENNIFER M LLPC
ROCHESTER 48307
(248) 853-0750
1109153
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1109155
WALLED LAKE 48390
(248) 624-3812
1109156
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1080534
STINSON, BENITA L LPC
900 WILSHIRE DR STE 202
TROY 48084
(313) 759-9384
1080533
STINSON, BENITA L LPC
SOUTHFIELD 48075
(313) 759-9384
1127768
STONEBROOK COUNSELING ASSOCIATE PLLC
ROYAL OAK 48067
(248) 343-4695
1070306
STONEY CREEK PSYCHOLOGICAL CONSULTING PLLC
ROCHESTER 48307
(248) 852-1282
1118731
STRENGTH AND BALANCE COUNSELING
414 S MAIN ST STE 207B
ROCHESTER 48307
(248) 605-1860
1126010
TALBOTS, JENNIFER LPC
20300 CIVIC CENTER DR STE 303
SOUTHFIELD 48076
(248) 559-8190
1126009
TALBOTS, JENNIFER LPC
200 DIVERSION ST STE 10 A
ROCHESTER 48307
(248) 559-8190
1122221
TALLEY, AYANA LPC
SOUTHFIELD 48075
(248) 483-7804
1086619
TALPAZ, SARAH LPC
CLARKSTON 48348
(248) 693-8880
1086622
TALPAZ, SARAH LPC
FRANKLIN 48025
(248) 594-4991
1122749
TEETOR, KAROL LPC
5869 DIXIE HWY
CLARKSTON 48346
(810) 265-4888
1089629
THE MINDFUL SELF LLC
(248) 543-0033
1125184
TOPOR, JESSICA LMFT
28592 ORCHARD RD STE 305
(248) 535-5206
1086644
TRI-COUNTY COUNSELING SERVICES
(248) 298-1000
1127869
VAUGHN, HARVEY LPC
28475 GREENFIELD RD
SOUTHFIELD 48076
(248) 905-3837
1118481
VISOSO-RANGEL, TERESA LPC
414 MAIN ST STE 207B
ROCHESTER 48307
(248) 605-1860
1068928
WALTER, AMITY M LMSW
CLARKSTON 48348
(248) 693-8880
1093521
WARREN, NANCY MA
FRANKLIN 48025
(248) 594-4991
1093524
WARREN, NANCY MA
CLARKSTON 48348
(248) 693-8880
1126752
WASHINGTON, JEAN E LPC
ROCHESTER 48307
(248) 923-2099
1073491
WATT, HOLLY LMSW
CLARKSTON 48348
(248) 693-8880
1091069
WEINBERG, PEGGY G PSYD
FRANKLIN 48025
(248) 626-0636
1091070
WEINBERG, PEGGY G PSYD
CLARKSTON 48348
(248) 693-8880
1107101
WERTH, MALINDA LPC
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766

Mental Health
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February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1098494
WERTH, MALINDA LPC
ROCHESTER 48307
(248) 853-0750
1107099
WERTH, MALINDA LPC
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
F
F
1107100
WERTH, MALINDA LPC
WALLED LAKE 48390
(248) 624-3812
1040818
WESTSIDE COUNSELING
SOUTHFIELD 48076
(248) 443-4932
1100378
WHITFORD, MARISSA B LPC
2888 E LONG LK RD STE 170
TROY 48085
(248) 462-9349
1106121
WOODRUFF, YVETTE LPC
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1084909
WOODS, JESSICA LMSW
181 STATE ST
PONTIAC 48341
(248) 977-4038
1099148
WOODWARD COUNSELING
44428 WOODWARD AVE
PONTIAC 48341
(248) 333-7222
1017381
WORKMAN, HOLLY M LPC
CLARKSTON 48346
(248) 620-1019
1102886
WROBEL, JANUSZ LPC
1424 E 11 MILE RD
ROYAL OAK 48067
(248) 548-4044
F
M
1120786
YOUNG, CHARLES LPC
5840 LORAC DR STE 5
CLARKSTON 48346
(248) 249-0989
1126787
YOUSIF, GLORIA LLPC
6637 HIGHLAND RD
WATERFORD 48327
(248) 666-8870
1126786
YOUSIF, GLORIA LLPC
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1106349
ZELL, KATHERINE LPC
SOUTHFIELD 48033
(248) 372-6800
1107094
ZUBAL-LEGGETT, LISA LPC
WALLED LAKE 48390
(248) 624-3812
1107093
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1098663
ROCHESTER 48307
(248) 853-0750
1107095
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
OGEMAW COUNTY
1126711
BERDAN, SHANDA LPC
337 E HOUGHTON AVE CLINIC A
WEST BRANCH 48661
(989) 701-5836
1125559
BLOOMING CONSULTANTS PLLC
337 HOUGHTON AVE CLINIC A
WEST BRANCH 48661
(989) 728-2364
1125637
SHANDA BERDAN COUNSELING SERVICES
337 E HOUGHTON AVE CLINIC A
WEST BRANCH 48661
(989) 701-5836
1126739
SHAY, ANN MARIE M LPC
337 E HOUGHTON AVE STE A
WEST BRANCH 48661
(989) 728-2364
OTSEGO COUNTY
1093864
COUTURE, DEANNA LPC
440 W MAIN ST STE B
GAYLORD 49735
(989) 619-4390
1091624
GOODYEAR, ANNETTE J LPC
128 N COURT AVE
GAYLORD 49735
(989) 448-8344
1117285
HINTON, ASHLEY LLPC
912 TIMBERLINE TRL
GAYLORD 49735
(989) 614-7080
1106292
HOLMES, KATHRYN LPC
114 NORTH COURT ST
GAYLORD 49735
(989) 370-0564
1091655
KATKE, JEFFERY W LPC
128 N COURT AVE
GAYLORD 49735
(989) 448-8344
1104812
LUBS, KRISTIN LLPC
400 W MAIN ST
GAYLORD 49735
(989) 390-9991
1069982
SEAGER, CHRISTINE LPC
2090 W M-32 STE B
GAYLORD 49735
(989) 732-6761
1083045
SEAGER, CHRISTINE MA, LPC
2090 W M-32 STE B
GAYLORD 49735
(989) 732-6761
1118732
SOUL PURPOSE COUNSELING & CONSULTATION
912 TIMBERLINE TRAIL
GAYLORD 49735
(979) 614-7080
1091797
THOMAS, CRYSTAL M MSW
128 N COURT AVE
GAYLORD 49735
(989) 448-8344
OTTAWA COUNTY
1085538
ADAMS, DIANNE LLPC
6660 BLAIR AVE
HOLLAND 49424
(616) 796-9595
1086556
ALDERINK, LARRY MA
6660 BLAIR AVE
HOLLAND 49424
(616) 796-9595
1085546
6660 BLAIR LANE
HOLLAND 49424
(616) 796-9595
1085555
ATCHINSON, BELINDA LPC
6660 BLAIR LANE
HOLLAND 49424
(616) 796-9595
1108955
DEMPSEY, BRUCE W LPC
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1093502
HILL, RHONDA A LPC
6660 BLAIR LN
HOLLAND 49424
(616) 796-9595
1114441
HOOD, DANA LLPC
GRAND HAVEN 49417
(231) 670-0663
1085601
6660 BLAIR LANE
HOLLAND 49424
(616) 796-9595

Mental Health
Page 711
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1086913
LAWRENCE, GRETCHEN MA
109 S JACKSON
SPRING LAKE 49456
(616) 842-0405
1085623
MBURU, PETER LLPC
6660 BLAIR AVE
HOLLAND 49424
(616) 796-9595
1085663
6660 BLAIR LANE
HOLLAND 49424
(616) 796-9595
1116659
NEW PATH LLC
GRAND HAVEN 49417
(231) 670-0663
1086563
6660 BLAIR AVE
HOLLAND 49424
(616) 796-9595
1095090
6660 BLAIR LN
HOLLAND 49424
(616) 796-9595
1086376
321 BEECHTREE
GRAND HAVEN 49417
(616) 846-5880
1085658
6660 BLAIR AVE
HOLLAND 49424
(616) 796-9595
ROSCOMMON COUNTY
1040005
MILLER, CAROL LPC
9249 W LAKE CITY RD
HOUGHTON LAKE 48629
(989) 422-2181
1059895
MILLER, CAROL LPC
135 LAKE ST
ROSCOMMON 48653
(989) 275-8931
SAGINAW COUNTY
1120057
BOUCKAERT, VICTORIA MA LPC
2100 HEMMETER
SAGINAW 48603
(989) 799-2100
1046744
BRICKEL, LINDA LPC
4364 STATE ST
SAGINAW 48603
(989) 233-5966
1046746
BRICKEL, LINDA LPC
17927 DICE RD
HEMLOCK 48626
(989) 233-5966
1046747
BRICKEL, LINDA LPC
625 W CLINTON ST
SAINT CHARLES 48655
(989) 233-5966
1057094
CONNELLY, BELEN LPC
2100 HEMMETER
SAGINAW 48603
(989) 799-2100
1095630
CST COUNSELING AND TRANSITIONAL SERVICES
SAGINAW 48602
(989) 793-2515
1077520
DAUGHERTY-ROSAS, SARAH LLPC
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1124853
DOERING, KAYLEA MSW
3100 WEBBER
SAGINAW 48601
(989) 399-6120
1127073
GARDNER, NANCY LPC
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1123105
GARDNER, NANCY LPC
710 N MICHIGAN AVE
SAGINAW 48602
(989) 752-8446
1083126
HADAWAY, SONDRA LPC
710 N MICHIGAN
SAGINAW 48602
(989) 753-8446
1067912
HALLER, THOMAS LMSW
3070 KABOBEL DR
SAGINAW 48604
(989) 791-4191
1014834
HAYES, AMY L LPC
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1097821
HEINRICH, KAREN J MA, LPC
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1109779
HOPE AND HEALING COUNSELING
1027 W GENESEE
FRANKENMUTH 48734
(989) 928-3150
1107051
HUGO, MICHELE L MA LPC
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1045635
JURKOWSKI, VICTOR LPC
2100 HEMMETER
SAGINAW 48603
(989) 799-2100
1089467
LIFE CHANGING COUNSELING
SAGINAW 48603
(989) 233-5966
1086665
LIMBERG, ALYSSA LLPC
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1039831
MICHIGAN COMPREHENSIVE PROFESSIONAL COUNSELI 1300 N MICHIGAN AVE
SAGINAW 48602
(989) 752-1668
1086272
MICHIGAN CORE CARE LLC
3070 KABOBEL DR
SAGINAW 48604
(989) 798-0067
1083109
REHMANN, WILLIAM LPC
710 N MICHIGAN AVE
SAGINAW 48602
(989) 753-8446
1107596
ROBINSON, CAROL LPC
2806 DAVENPORT AVE
SAGINAW 48602
(989) 790-7500
1107595
ROBINSON, CAROL LPC
117 S MAIN ST STE 2
FREELAND 48623
(989) 573-8500
1078304
SEARS, WENDY LPC
1027 W GENESEE
FRANKENMUTH 48734
(989) 928-3150
1085265
SOLUTIONS BEHAVIORAL HEALTH LLC
1203 N MICHIGAN AVE
SAGINAW 48602
(989) 401-5563
1083113
SPENCE, NANCY LPC
710 N MICHIGAN AVE
SAGINAW 48602
(989) 753-8446
1104437
STEPHENS, BARRY LPC
2806 DAVENPORT AVE
SAGINAW 48602
(989) 790-7500
1120666
UGOLINI, BRANDON LPC
2100 HEMMETER
SAGINAW 48603
(989) 799-2100
1062516
WAUGH, GLORIA LPC
5090 STATE ST STE 103B
SAGINAW 48603
(989) 529-1855
1127072
WAUGH, GLORIA LPC
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1073493
WOOD, CHARLES LPC
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130

Mental Health
Page 712
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
SAINT CLAIR COUNTY
1127729
BLUE WATER SERENITY COUNSELING PLLC
FORT GRATIOT 48059
(810) 824-4865
1121799
CHANGING COURSE COUNSELING
1111 PINE GROVE AVE
PORT HURON 48060
(810) 357-9318
1118475
COX, SARAH LLPC
PORT HURON 48061
(734) 240-3840
1092582
CUBITT, CRISTY LPC
3899 24TH AVE
FORT GRATIOT 48059
(810) 966-0099
1127462
FULLER, BERNITA LLPC
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1127486
FULLER, BERNITA LPC
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1107858
GOODENOUGH, ROGER C LPC
3899 24TH AVE
FORT GRATIOT 48059
(810) 966-0099
1098963
GORDON, JULIE LPC
16 SOUTH MAIN ST
YALE 48097
(810) 985-5125
1060092
GORDON, JULIE LPC
1501 KRAFT RD
FORT GRATIOT 48059
(810) 985-5125
1125860
GRAY, LISA LLPC
805 SUPERIOR STE A
PORT HURON 48060
(810) 966-1972
1106387
HARRIS, SHERRY L LPC
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1097239
HEINZ, JENNIFER LLPC
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-1525
1116657
HOPE THERAPY RANCH LLC
7479 GIBBONS RD
JEDDO 48032
(810) 327-0077
1067645
HULL, BEVERLY PHD
1600 GRATIOT BLVD STE 10
MARYSVILLE 48040
(810) 364-9600
1086907
JONES PSYCHOLOGICAL SERVICES PLLC
PORT HURON 48060
(810) 966-1972
1060531
KENNER, SUSAN LPC
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1100933
2601 13TH ST
PORT HURON 48060
(810) 987-9100
1100418
KREGER, KARI A LPC
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1098966
16 SOUTH MAIN ST
YALE 48097
(810) 985-5125
1010368
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1061656
PALOMBELLA, KARIN LPC
132 TRUMBULL ST
SAINT CLAIR 48079
(810) 329-5340
F
F
1098870
PAPINAW, SHELLY LPC
16 SOUTH MAIN ST
YALE 48097
(810) 985-5125
1085449
PAPINAW, SHELLY LPC
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1086908
PAPINAW, SHELLY M LPC
PORT HURON 48060
(810) 966-1972
1048278
RICE, TONYA LPC
3899 24TH AVE
FORT GRATIOT 48059
(810) 966-0099
1114478
SCHOENBERG, SARA LPC
7479 GIBBONS RD
JEDDO 48032
(810) 327-0077
1119405
SHARI SMITH PROFESSIONAL COUNSELING
1111 PINE GROVE AVE
PORT HURON 48060
(810) 434-1400
1122172
SMITH, SHARI LPC
1111 PINE GROVE AVE
PORT HURON 48060
(810) 434-1400
1065203
SOLUTION BASED COUNSELING SERVICES
SAINT CLAIR 48079
(586) 421-4513
1117221
VICKERY, KATIE M LLP
1501 KRAFT RD
FORT GRATIOT 48059
(810) 985-5125
1072977
ZHANG, HUI LAN LLP
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 986-5125
SAINT JOSEPH COUNTY

1125420
BALLARD, MICHAEL R LPC
1519 N MAIN ST STE C
THREE RIVERS 49093
(269) 273-2024
1086251
CAUSEY PERRA, ANN LPC
103 S FOURTH ST
STURGIS 49091
(269) 651-3902
1126705
COLBERG, JENNIFER LPC
STURGIS 49091
(269) 651-1471
1092375
FAMILY COUNSELING SERVICES
338 FISHER LN
CENTREVILLE 49032
(269) 467-4270
1086250
MERCHANT, NICOLE LPC
103 S FOURTH ST
STURGIS 49091
(269) 651-3902
1097652
OVERHOLT, LINDA S MFT
338 FISHER LN
CENTREVILLE 49032
(269) 467-4270
1086008
PSYCHOLOGICAL SERVICES OF SW MI
103 S FOURTH ST
STURGIS 49091
(269) 651-3902
SANILAC COUNTY
1071992
ADVANTAGE COUNSELING AND EDUCATION
81 N HOWARD AVE
CROSWELL 48422
(810) 679-0200
1086099
FAMILY RESOURCE COUNSELING
3149 MAIN ST #5
MARLETTE 48453
(989) 635-2400
1059831
GORDON, JULIE LPC
5590 MAIN ST STE 3
LEXINGTON 48450
(810) 985-5125
1100541
KIMBERLY T BURDICK LLC
1240 W SANILAC RD STE D
SANDUSKY 48471
(810) 648-3248

Mental Health
Page 713
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
(810) 404-8362
COUNSELOR
1123408
LAKESHORE THERAPY PLLC
119 E SANILAC RD STE 8
SANDUSKY 48471
1123409
5730 MAIN ST
LEXINGTON 48450
(810) 404-8362
1123410
7150 HOLVERSON RD
CARSONVILLE 48419
(810) 404-8362
1098967
5590 MAIN ST STE 3
LEXINGTON 48450
(810) 985-5125
1093286
MCPHERSON, TAMMY L LPC
1240 W SANILAC AVE STE D
SANDUSKY 48471
(810) 648-3248
1100539
PROFESSIONAL COUNSELING SRVC
1240 W SANILAC AVE STE D
SANDUSKY 48471
(810) 648-3248
SHIAWASSEE COUNTY
1072938
DAVIS, PAMELA LPC
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1033357
DRIFTWOOD COUNSELING SERVICES PLLC
317 S ELM ST STE 202B
OWOSSO 48867
(517) 749-2235
1126734
HALVORSEN, DANIEL LLPC
120 W EXCHANGE ST
OWOSSO 48867
(989) 723-8329
1066672
HEXIMER, LISA LPC
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1114420
HORTON, ALEXIS LPC
120 W EXCHANGE ST
OWOSSO 48867
(989) 723-8329
1070482
JEROME, JOHN PHD
OWOSSO 48867
(989) 729-4190
1000141
JOHNSON, ELIZABETH A LLP
802 W KING ST STE P
OWOSSO 48867
(989) 723-1120
1116193
MARCIA BIRD FAMILY COUNSELING CENTER
401 E COMSTOCK ST
OWOSSO 48867
(989) 723-5678
1070389
POTTER, DALE LPC
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1090435
RICHARDS, CHERYL K MA
120 W EXCHANGE ST
OWOSSO 48867
(989) 723-8239
1063922
WALKER, REBECCA LPC
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1039849
WIGGINS, SHELLY LPC
317 S ELM ST STE 202B
OWOSSO 48867
(517) 749-2235
TUSCOLA COUNTY
1067951
DUCHAM, REBECCA LMSW
651 N STATE ST
CARO 48723
(989) 673-5760
1062873
MAYO-HILL, FATIMA LPC
467 N STATE ST
CARO 48723
(989) 673-5700
1016816
PATRIQUIN, KENNETH W LPC
651 N STATE ST
CARO 48723
(989) 673-5700
1036582
PATRIQUIN, KENNETH W LPC
467 N STATE ST
CARO 48723
(989) 673-5700
1102139
SCHMITZER, MICHELLE LPC
651 N STATE ST
CARO 48723
(989) 673-5700
1122600
THUMB AREA PSYCHOLOGICAL SERVICES LLC
6627 ROSE ST
CASS CITY 48726
(989) 872-1800
1008547
WENDLING, LINDA A LPC
651 N STATE ST
CARO 48723
(989) 673-5700
1008542
WOJEWODA, DONALD LPC
651 N STATE ST
CARO 48723
(989) 673-5700
1064179
WUOBIO, SANDRA LPC
8511 STATE ST
MILLINGTON 48746
(989) 871-6695
VAN BUREN COUNTY

1084556
651 PHOENIX ST
SOUTH HAVEN 49090
(269) 926-6199
1090331
DIGGS, DAWN R LPC
PAW PAW 49079
(269) 657-6025
1109169
DYKSTRA, WENDY LPC
57418 CR 681 STE C
HARTFORD 49057
(269) 921-6251
1084558
KOPP, DIANE J MA
651 PHOENIX ST
SOUTH HAVEN 49090
(269) 926-6199
1123965
OVERTON, ROBERTO LPC
308 CHARLES ST
BANGOR 49013
(269) 427-7937
1090437
ROSS, CANDACE W LPC
PAW PAW 49079
(269) 657-6025
1084553
651 PHOENIX ST
SOUTH HAVEN 49090
(269) 926-6199
1091808
VIETZ, MACHELLE LPC
PAW PAW 49079
(269) 657-6025
1085883
WILSON, TRACY L LPC
PAW PAW 49079
(269) 657-6025
1086781
YELLIG, ADRIANA LPC
PAW PAW 49079
(269) 657-5574

Mental Health
Page 714
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
WASHTENAW COUNTY
1099722
ABA PATHWAYS LLC
637 LAKEVIEW AVE
ANN ARBOR 48103
(734) 972-2550
1127895
ATIYEH, SHADIN R LLPC
ANN ARBOR 48104
(734) 739-0209
1069505
BELONGEA, MARY JO LLP
201 N ASHLEY ST STE 2
ANN ARBOR 48104
(734) 417-8438
1073187
BOWERS, PAMELA LLP
122 S MAIN ST STE 360-B
ANN ARBOR 48104
(734) 474-0625
1076517
COHEN, ADAM E LMSW
916 FULLER STREET
ANN ARBOR 48104
(734) 945-6850
1075325
DAVENPORT-GEER, SUSAN LMSW
111 N FIRST ST
ANN ARBOR 48104
(734) 572-9837
1076816
DONNELLY, SIOBHAN LMSW
218 N FOURTH AVE STE 211
ANN ARBOR 48104
(734) 545-6498
1086605
ELSMAN, JANICE MA
ANN ARBOR 48103
(734) 913-1093
1068936
EVANS, MARION D LMSW
1817 W STADIUM BLVD STE E
ANN ARBOR 48103
(734) 645-5349
1073190
FERO, PATRICIA LMSW
ANN ARBOR 48108
(734) 973-0817
1073191
FINLEY, SUSAN LMSW
202 HOGBACK RD STE 15
ANN ARBOR 48105
(734) 395-2101
1069507
FRALEY, SARAH LMSW
2350 WASHTENAW AVE STE 6A
ANN ARBOR 48104
(734) 645-4262
1125189
FRY, AMY MFT
781 AVIS DR STE 200
ANN ARBOR 48108
(734) 477-0135
1068933
GREENE, CYNTHIA A LMSW
343 S MAIN ST
ANN ARBOR 48104
(734) 476-7111
1068938
GUTMANN, EMILY LMSW
2002 HOGBACK RD
ANN ARBOR 48105
(734) 358-3876
1118442
HOFFMAN, JODY PSYD
230 COLLINGWOOD DR STE 260
ANN ARBOR 48103
(734) 660-9776
1095023
KRAUTH, LAURIE D MA PLC
ANN ARBOR 48105
(734) 973-3100
1068939
KREGER, DIANE B LLP
118 W JEFFERSON ST
ANN ARBOR 48103
(734) 572-0882
1100529
M E RIEVERT COUNSELING PLLC
2301 PACKARD ST FL 2
ANN ARBOR 48104
(734) 756-5240
1068940
MACKENZIE, HEATHER LMSW
ANN ARBOR 48108
(734) 476-5449
1106055
ANN ARBOR 48108
(855) 319-3734
1069506
MIND BODY HEALTH CONSULTING PLLC
2350 WASHTENAW AVE STE 6A
ANN ARBOR 48104
(734) 645-4262
1125634
MOLLOY, PATRICIA M LPC
202 W MICHIGAN AVE
SALINE 48176
(734) 604-3223
1125635
NEW DIRECTIONS LIFE COACHING & COUNSELING
202 W MICHIGAN AVE
SALINE 48176
(734) 604-3223
1076544
PUCCIO, LISA LMSW
2725 PACKARD ROAD STE 102
ANN ARBOR 48108
(734) 904-2122
1073595
ROUSTER, GRETCHEN LMSW
2052 WASHTENAW AVE
YPSILANTI 48197
(734) 657-5247
1077533
SATTI, MELISSA LPC
2350 WASHTENAW AVE STE 6B
ANN ARBOR 48104
(734) 956-0051
1090449
ANN ARBOR 48103
(734) 913-1093
1074242
SHERMAN, ANNETTE M LMSW
2345 S HURON PKWY STE 2
ANN ARBOR 48104
(734) 213-7475
1057071
2311 E STADIUM #212 ROOM 6
ANN ARBOR 48104
(248) 343-4695
1084248
STORIE, MARY SUE LLMSW
ANN ARBOR 48108
(734) 478-2013
1086621
TALPAZ, SARAH LPC
ANN ARBOR 48103
(734) 913-1093
1068943
TAPLEY, BARBARA K LLP
202 E WASHINGTON ST STE 401
ANN ARBOR 48104
(734) 216-1603
1071040
TAPLEY, BARBARA K LLP
ANN ARBOR 48108
(734) 216-1603
1095629
THOMSON SOLUTIONS LLC
210 COLLINGWOOD DR STE 210
ANN ARBOR 48103
(734) 994-8120
1093522
WARREN, NANCY MA
ANN ARBOR 48103
(734) 913-1093
WAYNE COUNTY
1122840
ACCETTA, ADRIAN LPC
62 W 7 MILE RD
HIGHLAND PARK 48203
(313) 893-6172
1091545
AIMONE, BARBARA A LPC
DEARBORN 48124
(313) 274-4570
1057479
ALPHA FAMILY COUNSELING
50430 SCHOOL HOUSE RD STE 100
CANTON 48187
(248) 489-4011
1059602
ANGEL COUNSELING INC
REDFORD 48240
(313) 533-5652
1076486
BASHAWATY, KAREN LLP
DEARBORN 48124
(313) 730-9260
1123621
BEYERSDORF, KOAKI LPC
NORTHVILLE 48167
(734) 237-3589
1073188
BOWERS, PAMELA LLP
37727 PROFESSIONAL CENTER DR
LIVONIA 48154
(734) 474-0625
1121211
CARE COUNSELING SOLUTIONS LLC
3523 CASS AVE
DETROIT 48201
(586) 873-0323

Mental Health
Page 715
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
COUNSELOR
1095627
COUNSELING AND THERAPY ASSOCIATES PC
21751 ECORSE RD
TAYLOR 48180
(313) 406-4493
1090812
DEARBORN PASTORAL COUNSELING CENTER
24110 CHERRY HILL ST
DEARBORN 48124
(313) 274-4570
1099958
EDWARDS, ANNE LPC
PLYMOUTH 48170
(734) 454-3560
1086604
ELSMAN, JANICE MA
PLYMOUTH 48170
(734) 454-3560
1123303
FAMILIES R SPECIAL COUNSELING CENTER
13011 W MCNICHOLS STE 1
DETROIT 48235
(313) 770-9492
1125360
GEIGER, DIX LPC
496 W ANN ARBOR TR STE 202
PLYMOUTH 48170
(248) 613-5377
1104671
GIORIO, JOSHUA LPC
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104672
GIORIO, JOSHUA LPC
SOUTHGATE 48195
(734) 785-7700
1061193
HARTLEY, CAROLYN LPC
LIVONIA 48150
(734) 422-9340
1074925
HARVEY, SHARIFA LMSW
12346 MCDOUGALL
DETROIT 48202
(313) 422-3109
1123100
HOURANI, NESSRIN LPC
16921 W WARREN AVE
DETROIT 48228
(313) 893-6172
1123683
JONES-GOODEN, DAPHNE LPC
1400 WOODBRIDGE
DETROIT 48207
(313) 309-9300
1061191
KALINSKI, LISA LPC
LIVONIA 48150
(734) 422-9340
1122896
KASED, KRISTINA LPC
62 W 7 MILE RD
HIGHLAND PARK 48203
(313) 893-6172
1114450
LEE, EBONY LPC
LIVONIA 48152
(313) 467-6434
1096165
LEWIS, TERRICKA MA
TAYLOR 48180
(313) 406-4493
1120118
LIFESCAPE COUNSELING LLC
NORTHVILLE 48167
(734) 237-3589
1074113
LOESEL-STRAUCH, KATHLEEN LMSW
CANTON 48187
(248) 489-4011
1054722
MARCIANO, ROCCO J LPC
3901 CHRYSLER DR STE 313
DETROIT 48201
(313) 993-3434
1071631
MCCAIN, ANETTE PHD
2141 JEFFERSON AVE STE LL1
DETROIT 48207
(313) 952-1963
1076992
MICHIGAN BEHAVIORAL WELLNESS LLC
8744 WEST WARREN AVE
DEARBORN 48126
(248) 677-1564
1098333
MINTON, BRAD MA
TAYLOR 48180
(313) 406-4493
1074857
POTTER, MICHELLE LMSW
PLYMOUTH 48170
(734) 454-3560
1119707
PSYCHOTHERAPY & COUNSELING SERVICES
640 GRISWOLD STE 300
NORTHVILLE 48167
(248) 348-1100
1090448
PLYMOUTH 48170
(734) 454-3560
1097327
SIMKO, PATRICIA LPC
PLYMOUTH 48170
(734) 454-3560
1116660
SOLID GROUND COUNSELING SERVICES
LIVONIA 48152
(313) 467-6434
1054565
37799 PROFESSIONAL CENTER STE 106
LIVONIA 48154
(248) 343-4695
1086620
TALPAZ, SARAH LPC
PLYMOUTH 48170
(734) 454-3560
1096937
THURBER COUNSELING SERVICES PLC
NORTHVILLE 48167
(248) 347-6110
1109177
TINDALL, ANA K LPC
2500 HAMLIN RD
INKSTER 48141
(313) 561-5100
1109178
TINDALL, ANA K LPC
26650 EUREKA RD
TAYLOR 48180
(734) 941-4991
1093523
WARREN, NANCY MA
PLYMOUTH 48170
(734) 454-3560
1104244
WHITE-HARDY, KRYSTL LPC
SOUTHGATE 48195
(734) 785-7700
1104243
WHITE-HARDY, KRYSTL LPC
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1095141
WRIGHT, DAVID R LPC
TAYLOR 48180
(313) 406-4493
CADILLAC 49601
(231) 306-4900
WEXFORD COUNTY
1123806
RIFE, RACHELLE LPC

Mental Health
Page 716
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
177 N BARLOW RD
LINCOLN 48742
(989) 736-8157
PSYCHIATRY
ALCONA COUNTY
1074868
BARBA, RUDY MD
ALLEGAN COUNTY
1085526
ANDREWS, AURORA MD
551 LINN ST STE 230
ALLEGAN 49010
(269) 686-4110
1108865
HOLLAND 49423
(616) 820-3780
1108652
KHULLAR, MANAV MD
HOLLAND 49423
(616) 820-3780
1108727
HOLLAND 49423
(616) 820-3780
ALPENA COUNTY
1036077
BARBA, RUDY MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
1103699
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7379
1038259
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
1103697
MILLER, HELENE MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7379
1090215
MILLER, HELENE MD
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7390
725 E STATE ST
STERLING 48659
(989) 654-2491
ARENAC COUNTY
1028159
OSSIAN, MICHAEL S DO
BAY COUNTY
1034004
FOSTER, DOUGLAS L MD
863 N PINE ST STE B
ESSEXVILLE 48732
(989) 893-2121
1063932
IBRAHIM, ALI MD
BAY CITY 48706
(989) 460-1000
1063941
IBRAHIM, ALI MD
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1086528
INGRAM, MICHAEL MD
690 S TRUMBULL ST
BAY CITY 48708
(989) 922-4900
1008554
INGRAM, MICHAEL MD
BAY CITY 48706
(989) 460-1000
1063481
BAY CITY 48706
(989) 460-1000
1063476
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1104518
2355 DELTA RD
BAY CITY 48706
(989) 684-6832
1087277
KONDAPANENI, KISHORE B MD
690 S TRUMBULL ST
BAY CITY 48708
(989) 922-4900
1087276
LATHIA, MUKESH MD
690 S TRUMBULL ST
BAY CITY 48708
(989) 922-4900
1091459
MOVVA, USHA R MD
1420 CENTER AVE
BAY CITY 48708
(989) 686-1990
1105946
NICHOLAS, ADAM D MD
690 S TRUMBULL
BAY CITY 48708
(989) 922-4900
1091762
SINGLA, PUNEET MD
690 S TRUMBULL
BAY CITY 48708
(989) 922-4900
1091761
SINGLA, PUNEET MD
1420 CENTER AVE
BAY CITY 48708
(989) 686-1990
1004182
SYED, JAIN MD
2110 16TH ST
BAY CITY 48708
(989) 892-6333
1004183
TALASILA, HEMA N MD
BAY CITY 48706
(989) 893-3212
1004184
TALASILA, VENKAT MD
200 S WENONA G-29
BAY CITY 48706
(989) 893-3212
274 E CHICAGO ST
COLDWATER 49036
(517) 279-5326
126 COLLEGE ST
BATTLE CREEK 49017
(269) 968-4140
520 MAIN ST
DOWAGIAC 49047
(269) 783-3052
BRANCH COUNTY
1125844
KANWAR, RANA MD
CALHOUN COUNTY
1021419
TATINENI, KAMESWARA R MD
CASS COUNTY
1070895
DHATREECHARAN, GEETHA MD

Mental Health
Page 717
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
CLINTON COUNTY
1122572
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1122573
1055 S US HWY 27
ST JOHNS 48879
(989) 224-3000
LANSING 48917
(517) 321-5900
EATON COUNTY
1116207
D'MELLO, DALE A MD
GENESEE COUNTY
204022
AILLS, JAMES T MD
FLINT 48532
(810) 230-7905
1106426
BHRANY, ANJANA MD
2830 CORUNNA RD
FLINT 48503
(810) 234-7022
1097895
BHRANY, ANJANA MD
1110 ELDON BAKER DR
FLINT 48507
(810) 232-2766
1077682
BRUBAKER, RUSSEL MD
FLINT 48507
(810) 391-0622
1077684
BRUBAKER, RUSSEL MD
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1122090
DHADLI, JASVEEN MD
401 S BALLENGERY HWY
FLINT 48532
(810) 342-2076
1127800
ELLIS, ANTHONY R MD
420 W 5TH AVE
FLINT 48503
(810) 257-3724
1101106
FAROOGI, SHAHZAD MD
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1101107
FAROOQI, SHAHZAD MD
1102 MACKIN RD
FLINT 48503
(810) 257-3736
1098084
GOTLIB, MICHAEL MD
1110 ELDON BAKER DR
FLINT 48507
(810) 232-2766
1064091
GOTLIB, MICHAEL MD
FLINT 48532
(810) 262-7035
1102638
GOTLIB, MICHAEL MD
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1102042
HILL, AUDREY MD
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1104202
HILL, AUDREY MD
1102 MACKIN RD
FLINT 48503
(810) 257-3736
1083096
JOHNSON, ELLEN DO
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1097834
KHAN, HANIF A MD
FLINT 48507
(810) 391-0662
1000140
KWON, KANG MD
4448 OAKBRIDGE DR STE C
FLINT 48532
(810) 732-4560
1124859
MACAULEY, LESLIE MD
FLINT 48507
(810) 391-0662
1104268
MAGOON, DUNCAN J MD
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1104267
MAGOON, DUNCAN J MD
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803
204025
MATHEW, K V MD
FLINT 48532
(810) 230-7905
1002464
FLINT 48532
(810) 230-3370
1001655
RHYEE, JAMES T MD
FLINT 48532
(810) 732-8451
1101112
ROSEN, TODD MD
1102 MACKIN RD
FLINT 48503
(810) 257-3736
1100692
ROSEN, TODD MD
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1057930
ROSEN, TODD MD
FLINT 48507
(810) 744-3300
1101108
SHAH, ANANT MD
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1101109
SHAH, ANANT MD
1102 MACKIN RD
FLINT 48503
(810) 257-3736
1064135
SHAH, ANANT M MD
FLINT 48532
(810) 262-7035
1017783
SHAH, ANANT M MD
FLINT 48507
(810) 744-3300
1098085
SHAH, BELA MD
1110 ELDON BAKER DR
FLINT 48507
(810) 232-2766
1060387
SIEGEL, BARRY G MD
8382 HOLLY RD
GRAND BLANC 48439
(810) 771-4019
1001165
SMITH, RODERICK R MD
FLINT 48532
(810) 230-3370
1123481
SONI, PRAVIN MD
1110 ELDON BAKER DR
FLINT 48507
(810) 232-2766
1123480
SONI, PRAVIN MD
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1003041
VIDELA, FELIPE G MD
G-5154 MILLER RD STE C/N
FLINT 48507
(810) 733-0710
1033416
VORA, NIKHIL K MD
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1039070
VORA, NIKHIL K MD
FLINT 48507
(810) 391-0662
1039069
VORA, NIKHIL K MD
303 W WATER ST
FLINT 48503
(810) 424-5998

Mental Health
Page 718
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1094000
WALTERS, BRUCE MD
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1056626
WARNER, JANET MD
303 WATER ST STE 200
FLINT 48503
(810) 392-0662
1098522
WATTS, MICHAEL H MD
129 E THIRD ST
FLINT 48502
(810) 233-4031
1277 E CEDAR AVE
GLADWIN 48624
(989) 426-1100
GLADWIN COUNTY
1122568
MACAULEY, LESLIE MD

1108634
AMEEL, BRIAN A MD
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1090966
GORAL, ZACHARY P DO
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-6382
1120578
HARDING, THOMAS H MD
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-6210
1121376
KUESEL, CRAIG T DO
TRAVERSE CITY 49684
(231) 935-9700
1100987
PALAMARA, JENNIFER A MD
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1100326
PLUM, RACHEL H MD
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-6210
1108732
PROBES, LAWRENCE M MD
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1091061
UMFLEET, JASON T MD
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-5000
1108702
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1034085
YOUNG, STEVEN J MD
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-6210
GRATIOT COUNTY
1057935
CHANDRASEKARAN, GEETHA MD
ALMA 48801
(989) 463-2779
1124628
PACOLD, CHRISTINE M MD
2025 W CHEESMAN RD
ALMA 48801
(989) 463-3451
1006842
RANGWANI, SUNIL R MD
317 E WARWICK STE B
ALMA 48801
(989) 463-2779
168 S HOWELL ST
HILLSDALE 49242
(517) 437-5363
HILLSDALE COUNTY
1100342
SHARMA, RAVINDER MD
INGHAM COUNTY
1109689
ABBASI, FARHA Z MD
909 FEE RD RM B119
EAST LANSING 48824
(517) 353-3070
1063372
ABBASI, FARHA Z MD
EAST LANSING 48824
(517) 884-6546
1118828
ABBASI, FARHA Z MD
1210 W SAGINAW
LANSING 48915
(517) 364-7700
1070294
ADIL, NAZIA MD
401 W GREENLAWN AVE STE W218
LANSING 48910
(517) 975-6475
1036563
AHMED, ZULFIQAR MD
LANSING 48911
(517) 887-9801
1068101
AHMED, ZULFIQAR MD
EAST LANSING 48823
(517) 333-7113
1023108
ANSTETT, LOUIS MD
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1003255
BAKER, JOHN A III MD
1210 W SAGINAW ST
LANSING 48915
(517) 364-7700
1002729
EAST LANSING 48824
(517) 353-3070
1026371
LANSING 48912
(517) 364-7601
1008296
BARBERIO, DOMINIC DO
LANSING 48915
(517) 364-7700
1037536
BARNES, MICHAEL DO
LANSING 48911
(517) 887-9801
1125230
BEASLEY, MARIE DO
463 EAST CIRCLE DR
EAST LANSING 48824
(517) 884-6546
1058794
BLACKMAN, KAREN MD
EAST LANSING 48824
(517) 353-3050
1018909
BLACKMAN, KAREN MD
EAST LANSING 48824
(517) 884-6546
1019288
BLACKMAN, KAREN MD
800 E COLUMBIA AVE
MASON 48854
(517) 244-8940
1026227
BLACKMAN, KAREN MD
1200 E MICHGAIN AVE STE 245A
LANSING 48912
(517) 364-5710

Mental Health
Page 719
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1097072
BRADLEY, RONALD H DO PHD
401 W GREENLAW AVE STE W218
LANSING 48910
(517) 975-6475
1114429
BROWN, LAUREN F MD
LANSING 48911
(517) 882-3732
1127914
BROWN, PAYTON G MD
401 W GREENLAWN AVE
LANSING 48910
(517) 975-7568
1077680
BRUBAKER, RUSSEL MD
585 JEWETT RD
MASON 48854
(517) 833-8100
1107702
CHALLA, ANU MD
1210 W SAGINAW ST
LANSING 48915
(517) 364-7700
1057661
LANSING 48911
(517) 887-9801
1036428
LANSING 48915
(517) 364-7601
1118274
DEMPSEY, ROBERT DO
585 JEWETT RD
MASON 48854
(517) 676-5405
1026391
D'MELLO, DALE A MD
LANSING 48915
(517) 364-7601
1100105
D'MELLO, DALE A MD
909 FEE RD RM B119
EAST LANSING 48824
(517) 353-3070
1026243
DOMINO, LAURENCE MD
LANSING 48915
(517) 364-7700
1000369
DOMINO, VALORIE MD
1210 W SAGINAW
LANSING 48915
(517) 364-7700
1037051
DUXBURY, DEBRA MD
EAST LANSING 48824
(517) 884-6546
1000756
FIELD, DANIEL T MD
OKEMOS 48864
(517) 347-6944
1085390
FREY, JEFFREY DO
909 FEE RD STE B119
EAST LANSING 48824
(517) 353-3070
1091495
FREY, JEFFREY DO
1210 W SAGINAW
LANSING 48915
(517) 364-7700
1065065
HAERING, MARY A DO
LANSING 48911
(517) 882-3732
1026259
HARRIS, JIMMIE L DO
LANSING 48912
(517) 364-7700
1116667
HERRERA, JOSE MD
1210 W SAGINAW ST
LANSING 48915
(517) 364-7700
1091334
HERRERA, JOSE MD
EAST LANSING 48824
(517) 353-3070
1059689
HINGWE, SWAPNA DO
463 EAST CIRCLE DR EAST CIRCLE DR
EAST LANSING 48824
(517) 884-6546
1062919
HOMA, ANDREW J MD
901 E MT HOPE RD
LANSING 48910
(517) 267-3400
1003772
HOMA, ANDREW J MD
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1048889
HOOGTERP, ANGELA A DO
EAST LANSING 48823
(517) 337-1774
1042515
HUNT, MICHAEL E MD
LANSING 48915
(517) 364-7700
1063024
HUSSAIN, SYED MD
LANSING 48915
(517) 364-7700
1101363
JASTY, VENKATA MD
1210 W SAGINAW
LANSING 48915
(517) 364-7700
1026386
JUPALLI, RAJASEKHAR MD
LANSING 48915
(517) 364-7700
1036429
LEY, ALYSE F DO
EAST LANSING 48824
(517) 353-3070
1038325
LEY, ALYSE F DO
LANSING 48915
(517) 364-7700
1097489
909 FEE RD RM B119
EAST LANSING 48824
(517) 353-3070
1086599
OLIN HEALTH CENTER 463 E CIRCLE DR
EAST LANSING 48824
(517) 884-6546
1022125
LIU, PAUL DO
EAST LANSING 48823
(517) 336-4335
1126633
LU, DUNYUE MD
LANSING 48915
(517) 364-7700
M
F
1011892
MACAULEY, LESLIE MD
EAST LANSING 48823
(517) 333-7115
1124858
MACAULEY, LESLIE MD
585 JEWETT RD
MASON 48854
(517) 676-5405
1011724
MACK, DAVID DO
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1001280
MAGEN, JED G DO
EAST LANSING 48824
(517) 353-3070
1026271
MAGEN, JED G DO
LANSING 48912
(517) 364-7601
1101377
MAHABIR, RISHI DO
LANSING 48911
(517) 882-3732
1059336
MAHABIR, RISHI DO
4660 MARSH RD
OKEMOS 48864
(517) 349-5675
1065064
MELAND, ROY DO
LANSING 48911
(517) 882-3732
1055543
MELAND, ROY DO
1210 W SAGINAW
LANSING 48915
(517) 364-7700
1086574
MILLER, NORMAN MD
LANSING 48911
(517) 887-9801
1091161
MUNDRA, SHWETA MD
1210 W SAGINAW ST
LANSING 48915
(517) 364-7700
1120860
MURANJAN, SUNITA MD
4084 OKEMOS RD
OKEMOS 48864
(517) 676-9788

Mental Health
Page 720
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1074203
1210 W SAGINAW ST
LANSING 48912
(517) 364-7700
1074204
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
M
M
1085445
ONWERE, PRINCEWELL DO
401 W GREENLAWN AVE
LANSING 48910
(517) 364-7700
201758
PETERSON, LINDA M MD
401 W GREENLAWN AVE
LANSING 48910
(517) 975-6475
1026325
PICONE, DAVID A DO
LANSING 48915
(517) 364-7601
1065062
PICONE, DAVID A DO
LANSING 48911
(517) 882-3732
1037028
QUINLAN, PAUL E DO
EAST LANSING 48824
(517) 353-3070
1026329
QUINLAN, PAUL E DO
LANSING 48915
(517) 364-7601
1026331
LANSING 48912
(517) 364-7601
1011612
EAST LANSING 48824
(517) 353-3070
1011723
234 MICHIGAN AVE
EAST LANSING 48823
(517) 353-6545
1100122
RIOLO, STEPHANIE A MD
401 W GREENLAWN AVE
LANSING 48910
(517) 975-6475
1016858
ROMAN, ARLENE Z MD
4084 OKEMOS RD
OKEMOS 48864
(517) 347-4844
1066723
ROMAN, ARLENE Z MD
LANSING 48915
(517) 364-7700
1010288
ROSEN, LIONEL W MD
EAST LANSING 48824
(517) 353-3070
1026380
ROSEN, LIONEL W MD
LANSING 48912
(517) 364-7601
1123920
RUEKBERG, BRUCE MD
463 E CIRCLE DR
EAST LANSING 48824
(517) 884-6546
1091749
SANCHEZ, JOEL M MD
LANSING 48911
(517) 887-9801
1124750
SANDERSFELD, NICHOLAS R DO
401 W GREENLAWN AVE
LANSING 48910
(517) 975-7568
1026333
LANSING 48912
(517) 364-7601
1003523
EAST LANSING 48824
(517) 353-3070
1085139
SCHNURR, EMILY DO
EAST LANSING 48824
(517) 353-3070
1071590
SCHNURR, EMILY DO
EAST LANSING 48824
(517) 884-6546
1026341
LANSING 48915
(517) 364-7601
1012635
EAST LANSING 48824
(517) 353-3070
1006360
SIGAL, TATYANA MD
1210 W SAGINAW HWY
LANSING 48915
(517) 364-7700
1037683
SIGAL, TATYANA MD
4084 OKEMOS RD
OKEMOS 48864
(517) 347-4848
1116966
SINGH, RAVINDERJIT MD
LANSING 48915
(517) 364-7700
1011122
SMITH, BRIAN D MD
EAST LANSING 48824
(517) 353-3070
1026376
SMITH, BRIAN D MD
LANSING 48915
(517) 364-7601
M
F
1097807
SMITH, REBECCA M MD
463 EAST CIRCLE DR OLIN HEALTH CENTER
EAST LANSING 48824
(517) 884-6456
1049077
TOKHIE, SARABJIT MD
4084 OKEMOS RD
OKEMOS 48864
(517) 347-4848
1065061
UNDERWOOD, SHEREEN M DO
LANSING 48911
(517) 882-3732
1041222
VORA, NIKHIL K MD
585 JEWETT RD
MASON 48854
(517) 833-8100
1018910
WANG, LEE M MD
EAST LANSING 48824
(517) 884-6546
1017410
WARREN, MARLA J MD
LANSING 48911
(517) 887-9801
1017661
WHITE, LEIGH MD
EAST LANSING 48824
(517) 884-6546
1102889
YANG, KIMBERLY MD
463 EAST CIRCLE DR
EAST LANSING 48824
(517) 884-6546
1094492
ZAK, DANIAL J DO
5303 S CEDAR ST
LANSING 48909
(517) 887-4305
1094491
ZAK, DANIAL J DO
LANSING 48910
(517) 372-9175
1024500
ZHAO, SHUMIN MD
4660 MARSH RD
OKEMOS 48864
(517) 347-2126
1001091
ZHAO, SHUMIN MD
1210 W SAGINAW HWY
LANSING 48915
(517) 364-7700
OSCODA 48750
(989) 739-2550
IOSCO COUNTY
1078161
ALMAAT, HASSAN MD

Mental Health
Page 721
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
ISABELLA COUNTY
1119444
ADAM, RAZVAN MD
1627 E BROOMFIELD
(989) 779-9988
1122569
MACAULEY, LESLIE MD
1111 S MISSION ST
(989) 773-9700
1120976
PICONE, DAVID DO
301 S CRAPO
(989) 839-6427
1125191
PLATH, DIANNE L MD
CENTRAL MICHIGAN UNIVERSITY 202 FOUST
(989) 583-6800
1072135
RALPH, GARY K DO
218 S WASHINGTON ST
(989) 779-9449
1015897
TALASILA, VENKAT MD
210 COURT ST STE A
(989) 772-6263
JACKSON 49201
(313) 993-3434
JACKSON COUNTY
1095688
MORREALE, MARY K MD
KALAMAZOO COUNTY
1123727
AILABOUNI, JULIA MD
418 W KALAMAZOO AVE
KALAMAZOO 49007
(269) 373-6000
1121738
BEDI, GOPAL MD
418 W KALAMAZOO AVE
KALAMAZOO 49007
(269) 373-6000
1123757
HEARD, STEPHANIE MD
418 W KALAMAZOO AVE
KALAMAZOO 49007
(269) 373-6000
1090363
HUSSAIN, IQBAL MD
7895 CURRIER DR
PORTAGE 49002
(269) 321-7090
1072760
MOHAMMAD, NIAZ MD
7895 CURRIER DR
PORTAGE 49002
(269) 321-7090
1123880
OLKEN, NORMAN MD
418 W KALAMAZOO AVE
KALAMAZOO 49007
(269) 373-6000
1108725
1530 NICHOLS RD
KALAMAZOO 49006
(269) 343-6700
1123620
VERMA, MAULI MD
418 W KALAMAZOO AVE
KALAMAZOO 49007
(269) 373-6000
KENT COUNTY
1083979
ACHYTES, ERIC D MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1127534
ALEXANDER, KENYA MD
GRAND RAPIDS 49525
(616) 364-1500
1123915
BRONSON, NATALYA MD
507 36TH ST SE
KENTWOOD 49548
(616) 247-4580
1105821
BUTLER, BARIKA M MD
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1083820
CAMPBELL, JOHN MD
2303 KALAMAZOO SE
GRAND RAPIDS 49507
(616) 965-8390
1097727
CEUS, FAIDHERBE MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8283
1098614
CREPS, PHILIP L DO
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1098615
CREPS, PHILIP L DO
1400 LEONARD ST NE
GRAND RAPIDS 49505
(616) 954-1991
1125356
EERDMANS, INGRID MD
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1123086
EICHER, JAMES MD
300 68TH ST
KENTWOOD 49548
(616) 455-5000
1122961
FAROOQ, UMER MD
300 68TH ST
KENTWOOD 49548
(616) 455-5000
1119505
GRABOWSKI, JOHN MD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1083972
HAITH, L'TANYA A MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1118465
HOLWERDA, ROBERT D DO
1490 E BELTLINE SE
GRAND RAPIDS 49506
(616) 940-0040
1098335
JACOBS, ANGELA M MD
507 36TH ST SE
KENTWOOD 49548
(616) 247-4580
1127854
KOWAL, ELIZABETH MD
GRAND RAPIDS 49503
(616) 267-2850
F
M
1106395
LAMAN, DAVID PHD
2323 E PARIS AVE SE
GRAND RAPIDS 49546
(616) 667-9551
1117282
LONGSTREET, PETER L MD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1086661
MAHESH, DHANASHREE MD
901 EASTERN AVE NE
GRAND RAPIDS 49503
(616) 224-7617
F
F
1124730
MARIC, TATJANA MD
GRAND RAPIDS 49525
(616) 364-1600
1124729
MARIC, TATJANA MD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1126804
MAUGER, THEODORE F MD
1490 E BELTINE SE
GRAND RAPIDS 49506
(616) 940-0040
1084052
MCLEAN, JAMIE S MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1118697
MICHELAKIS, MICHAEL A MD
320 COMMERCE AVE SW
GRAND RAPIDS 49503
(616) 258-7599
1119139
MUNIR, MAZHAR MD
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775

Mental Health
Page 722
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1123684
NAGALLA, MADHAVI-LATHA MD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1108616
NYKAMP, LOUIS MD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
F
M
1064390
ORELLANA, ELBIN MD
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1125873
PATTISON, NANCY MD
1400 LEONARD ST SE
GRAND RAPIDS 49505
(616) 954-1991
1125872
PATTISON, NANCY MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1126646
PETERS, JAYANTHI MD
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1122050
PICKENS, NAUDIA MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1108953
POULOSE, MON C MD
GRAND RAPIDS 49525
(616) 364-1500
1108726
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1121029
ROSS, JEAN M MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1126114
ROSS, JEAN M MD
1400 LEONARD ST SE
GRAND RAPIDS 49505
(616) 954-1991
1108832
SHAH, SHRISTI MD
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1127528
SINGLA, BIBHAS MD
200 JEFFERSON ST SE
GRAND RAPIDS 49503
(616) 685-3035
1083993
STANTON, CASSIE JO DO
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1108949
STOYANOV, RADOSVETA I MD
GRAND RAPIDS 49525
(616) 364-1500
1108889
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1108888
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1108890
9090 S RODGERS CT
CALEDONIA 49316
(616) 891-8770
1108887
2118 3 MILE RD NW
GRAND RAPIDS 49544
(616) 222-3720
1106451
TODD, TIMOTHY L MD
GRAND RAPIDS 49525
(616) 364-1500
1117289
VANDERVELDE, DAVID D DO
GRAND RAPIDS 49525
(616) 364-1500
1097917
VIENS, BONNIE L MD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1117012
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1116351
200 JEFFERSON ST SE
GRAND RAPIDS 49503
(616) 685-3035
F
M
1117555
WALTERS, WILLIAM J DO
GRAND RAPIDS 49525
(616) 364-1500
1108703
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1092586
ZAK, DANIAL J DO
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
LAPEER COUNTY
1011605
KIMPO, LETICIA G MD
LAPEER 48446
(810) 667-4500
1100945
MERCADO, ERLINDA MD
LAPEER 48446
(810) 664-4546
1050388
LAPEER 48446
(810) 664-4557
LENAWEE COUNTY
1085669
ABEDI, AURIF MD
199 N BROAD ST
ADRIAN 49221
(517) 263-0191
1109445
502 E CUMMINS ST
TECUMSEH 49286
(517) 423-3887
1106804
TECUMSEH 49286
(517) 423-8396
1109446
818 RIVERSIDE AVE
ADRIAN 49221
(517) 265-0411
1075342
ITTIARA, THEETHAYE L MD
ADRIAN 49221
(517) 263-5810
1109159
JAMES, JOY MD
502 E CUMMINS ST
TECUMSEH 49286
(517) 423-3887
1105069
JAMES, JOY MD
818 RIVERSIDE AVE
ADRIAN 49221
(517) 265-0411
1109158
JAMES, JOY MD
TECUMSEH 49286
(517) 423-8396
1107266
SYED, MURTAZA MD
TECUMSEH 49286
(517) 423-8396
12851 E GRAND RIVER
BRIGHTON 48116
(810) 227-1211
LIVINGSTON COUNTY
1032968
BROOKS, MICHAEL DO

Mental Health
Page 723
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1066322
DANDAMUDI, VISALA MD
12851 E GRAND RIVER
BRIGHTON 48116
(810) 225-2552
1073811
KANE, THOMAS DO
12851 GRAND RIVER
BRIGHTON 48116
(810) 225-2552
MACOMB COUNTY
1107997
ADIL, NAZIA MD
WARREN 48092
(586) 620-8100
1108060
ADIL, NAZIA MD
WARREN 48092
(586) 620-8100
1094959
BADDIGAM, PRAMEELA D MD
(586) 268-6312
1034340
BAUER, ROBERT DO
24401 CAPITAL BLVD
(586) 783-2950
1090300
BAUTISTA, MARIETA P MD
25401 HARPER
(586) 466-6912
1048287
24401 CAPITAL BLVD
(586) 783-2950
1034493
NEW BALTIMORE 48051
(586) 949-7680
1103857
BUTLER, BARIKA M MD
6900 E 10 MILE RD
CENTER LINE 48015
(586) 501-3070
1096349
DABBAGH, MAMOUN MD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1096116
DABBAGH, MAMOUN MD
42669 GARFIELD
(248) 412-5321
1125033
DABBAGH, MAMOUN MD
4050 E 12 MILE RD
WARREN 48092
(586) 261-2266
1101989
DALATI, SARIH MD
27560 HOOVER RD
WARREN 48093
(586) 757-6400
1102980
DEL BUSTO, NORA MD
WARREN 48092
(586) 274-0200
1100362
DEMCZUK, ROSE MD
RICHMOND 48062
(586) 727-5529
1096248
(586) 795-0569
1109396
FIKSMAN, IRINA MD
WARREN 48092
(856) 620-8100
1061174
GARWOOD, ROBERT MD
42669 GARFIELD
(248) 412-5321
1106428
GOTLIB, MICHAEL MD
175 N GROESBECK HWY
MOUNT CLEMENS 48043
(586) 627-0024
1119155
HADDAD, LUAY MD
(586) 939-5016
1126076
HANSON, SYLVIA MD
43740 GROESBECK
(586) 469-7629
1120715
HEMACHANDRA, SARATH MD
43740 GROESBECK
(586) 469-7629
1125032
JASTY, VENKATA MD
4050 E 12 MILE RD
WARREN 48092
(586) 261-2266
1090153
JASTY, VENKATA MD
25401 HARPER
(586) 466-6912
1066341
KANNEGANTI, RAJENDRA MD
(586) 795-3232
1093274
KHAN, ABDUL A MD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1125035
KHEIR, NAGY MD
4050 E 12 MILE RD
WARREN 48092
(586) 261-2266
1048183
LACOSTE, ROBERT MD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1120674
MACMILLAN, DANA E MD
WARREN 48093
(586) 558-6868
1109865
MAGOON, DUNCAN J MD
175 N GROSBECK HWY
MOUNT CLEMENS 48043
(586) 627-0024
1059929
MEKHAEL, HANY Y MD
UTICA 48317
(586) 997-3153
1105605
MERCADO, ERLINDA MD
15945 CANAL RD
(586) 416-2300
1100951
MERCADO, ERLINDA MD
15645 CANAL RD
(586) 416-2300
1122878
MURTHI, NAGAPRASAD MD
43740 GROESBECK
(586) 469-7629
1125036
4050 E 12 MILE RD
WARREN 48092
(586) 261-2233
1069886
NUCUM, ANTONIO DO
(586) 795-3232
1063565
NUZZARELLO, ANGELA MD
(248) 964-0400
1095057
O'NEIL, THOMAS DO
27560 HOOVER RD
WARREN 48093
(586) 757-6400
1098405
PADLA, DENNIS P MD
WARREN 48092
(586) 620-8100
1102931
PATEL, HETAL MD
NEW BALTIMORE 48051
(586) 949-7680
1091724
PEDRAZA, EDGARD MD
43740 GROESBECK
(586) 469-7629
1090154
PEZHMAN, MAJID MD
43740 GROESBECK
(586) 469-7629
1091727
POWITZ, JACK N MD
28800 RYAN RD
WARREN 48092
(586) 620-8100

Mental Health
Page 724
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1091731
WARREN 48093
(586) 558-6000
1114503
ROTAR, ANA M MD
WARREN 48092
(856) 620-8100
M
F
1123745
ROTBLATT, ELLEN MD
(586) 263-8700
1061158
42669 GARFIELD
(248) 412-5321
1061153
SENDI, ISMAIL B MD
42669 GARFIELD
(248) 412-5321
1107996
SHEIKH, SHABNUM MD
WARREN 48092
(586) 620-8100
1037523
15945 CANAL RD
(586) 416-2300
1090827
SMITH, PETER MD
WARREN 48092
(586) 620-8100
1101807
SONI, PRAVIN MD
175 N GROESBECK HWY
MOUNT CLEMENS 48043
(586) 627-0024
1095114
TAHIR, KISHWAR MD
UTICA 48315
(586) 263-1234
1095113
TAHIR, KISHWAR MD
(586) 795-0569
1125883
VINCH, JENNIFER MD
33146 RYAN RD
(586) 983-9280
1077609
YERAGANI, VIKRAM MD
24401 CAPITAL BLVD
(586) 783-2950
1097141
YERAGANI, VIKRAM K MD
35455 GARFIELD STE C
(586) 792-5335
1091838
YUZON, RICARDO A MD
WARREN 48092
(586) 274-0200
1061169
ZAK, DANIAL DO
42669 GARFIELD
(248) 412-5321
MASON COUNTY
1117475
HUFFSTUTTER, SUE MD
LUDINGTON 49431
(231) 845-3615
1117476
SEUFERER, STANLEY L DO
LUDINGTON 49431
(231) 845-3615
MONROE COUNTY
1126647
JOSHI, SHOBHANA S MD
718 N MACOMB ST
MONROE 48162
(734) 240-5350
1087100
MEMON, MUBEEN MD
8765 LEWIS AVE
TEMPERANCE 48182
(734) 240-4851
1093386
MEMON, MUBEEN A MD
MONROE 48162
(734) 240-1760
1100947
MERCADO, ERLINDA MD
MONROE 48161
(734) 240-3840
1126818
RAJPUT, MANZAR Y MD
718 N MACOMB ST
MONROE 48162
(734) 240-5350
1118584
SARAN, NIHAL MD
718 N MACOMB ST
MONROE 48162
(734) 240-8400
1102833
STEPHENS, JOSIE LLP
MONROE 48161
(734) 240-3840
MONTMORENCY COUNTY
1078163
15774 STATE ST
HILLMAN 49746
(989) 354-2197
1078164
11899 M-32
ATLANTA 49709
(989) 785-4855
MUSKEGON COUNTY
1117520
ERICKSON, ERIC E DO
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 727-4281
1117521
ERICKSON, ERIC E DO
1700 CLINTON ST
MUSKEGON 49442
(616) 847-5145
OAKLAND COUNTY
1043667
ABBASI, TARIQ MD
FRANKLIN 48025
(248) 594-4991
1043657
ABBASI, TARIQ MD
CLARKSTON 48348
(248) 693-8880
1103854
ABBASI, TARIQ MD
PONTIAC 48340
(248) 706-3450
1070189
AJLUNI, SAM K MD
1 WILLIAM CARLS DR
(248) 932-2500
1122360
ALCE, JEAN MD
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1119434
ALCE, JEAN MD
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900

Mental Health
Page 725
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1119435
ALCE, JEAN MD
38855 HILLS TECH DR
(248) 994-8001
1122353
ALCE, JEAN MD
SOUTHFIELD 48075
(248) 994-8006
1097854
ALLEN, J S MD
(248) 539-0899
1054933
(248) 733-2274
1107796
ARENDS, DOUGLAS MD
ROYAL OAK 48067
(248) 398-6459
1078726
ARENDS, DOUGLAS MD
ROYAL OAK 48067
(248) 398-7574
1122340
50 N PERRY ST
PONTIAC 48342
(248) 338-5588
1066732
44201 DEQUINDRE RD
TROY 48085
(248) 964-1007
1106041
ARUNA, CHANDRA MD
SOUTHFIELD 48033
(248) 372-6800
1122356
AZHURULLAH, ABDUL MD
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1098667
BAGGA, JASWANT MD
ROCHESTER 48307
(248) 853-0750
1098668
BAGGA, JASWANT MD
WALLED LAKE 48390
(248) 624-3812
1094370
BAGGA, JASWANT MD
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1098669
BAGGA, JASWANT MD
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
M
F
1038573
BASKIN, VICTORIA MD
4410 W 13 MILE RD
ROYAL OAK 48073
(248) 837-2047
1105626
BAUTISTA, MARIETA MD
ROYAL OAK 48067
(248) 398-6459
1103829
BERNSTEIN, ROBERT MD
ROCHESTER 48307
(248) 656-0500
1103830
BURNSTEIN, ROBERT MD
77 E LONG LAKE RD
(248) 656-0500
1105948
CASTEDO, NICANOR MD
PONTIAC 48340
(248) 706-3450
1103853
DEL BUSTO, NORA MD
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1125243
DUQUETTE, PATRICE MD
SOUTHFIELD 48033
(248) 372-6800
1096247
ROCHESTER 48307
(248) 656-8500
1096249
(248) 539-0899
1106142
FAUST, MARVIN MD
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1121489
FERGUSON, DEBORA MD
CLARKSTON 48348
(248) 693-8880
1121490
FERGUSON, DEBORA MD
FRANKLIN 48025
(248) 594-4991
1084910
FERGUSON, DEBORA MD
181 STATE ST
PONTIAC 48341
(248) 977-4038
1103701
GILES, YOLANDA MD
TROY 48083
(248) 585-3239
1067643
GILES, YOLANDA MD
ROCHESTER 48307
(248) 650-6130
1106427
GOTLIB, MICHAEL MD
TROY 48083
(248) 817-2345
1036742
GREENE, FRANK J MD
10 W SWUARE LK RD STE 222
(248) 858-2238
1106095
GUY, WILLIAM MD
SOUTHFIELD 48033
(248) 372-6800
1119156
HADDAD, LUAY MD
SOUTHFIELD 48033
(248) 354-8460
1046512
HADDAD, LUAY L MD
(248) 733-2274
M
F
1096304
HAMZAVI, ASRA DO
FRANKLIN 48025
(248) 594-4991
1103700
HAMZAVI, ASRA DO
TROY 48083
(248) 585-3239
1126075
HANSON, SYLVIA MD
ROYAL OAK 48067
(248) 398-6459
1105627
HAQUE, SHUJA MD
ROYAL OAK 48067
(248) 398-6459
1125563
HASSAN, ALMAAT MD
32905 W 12 MILE RD STE 410
(248) 957-9184
1124777
HERKOWITZ, RACHAEL PSYD
(248) 642-6066
1060272
HOLLANDER, DEBRA MD
16001 W 9 MILE
SOUTHFIELD 48075
(248) 849-3301
1095871
IZZATHULLAH, LUBNA MD
ROCHESTER 48307
(248) 650-6130
1122350
JAIN, ASHA MD
SOUTHFIELD 48075
(248) 994-8006
1120727
JAIN, ASHA MD
38855 HILLS TECH DR
(248) 994-8001
1120726
JAIN, ASHA MD
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1122357
JAIN, ASHA MD
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288

Mental Health
Page 726
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1103233
JAMIL, SHAHID MD
1 WILLIAM CARLS DR
(248) 333-7100
1104324
JOSEPH, KALAPPURACKAL MD
TROY 48084
(248) 731-7305
M
M
1105632
KHAN, ABDUL A MD
ROYAL OAK 48067
(248) 398-6459
1064252
LACOSTE, ROBERT MD
1101 W UNIVERSITY
ROCHESTER 48307
(248) 652-5000
1106313
LAWTON, ROBERT MD
SOUTHFIELD 48033
(248) 372-6800
1122750
LAZAR, CORINA MD
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1122751
LAZAR, CORINA MD
38855 HILLS TECH DR
(248) 994-8001
1104055
LEE-SCHROEDER, JENNIFER MD
SOUTHFIELD 48033
(248) 372-6800
1123622
LEPARD, OLIN MD
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1101947
LONGS, CURTIS O MD
SOUTHFIELD 48075
(248) 477-0110
1117391
LYONS, LYNNE MD
2300 HAGGERTY STE 2160
(248) 859-2457
1054392
LYONS, LYNNE MD
1050 W UNIVERSITY
ROCHESTER 48307
(248) 650-8383
1054391
LYONS, LYNNE MD
NOVI 48375
(248) 426-9900
1109866
MAGOON, DUNCAN J MD
TROY 48083
(248) 817-2345
1105630
MAKKI, HYDER DO
ROYAL OAK 48067
(248) 398-6459
1096323
MAROOF, SABA MD
FRANKLIN 48025
(248) 594-4991
1055819
NOVI 48375
(248) 426-9900
1055820
1050 W UNIVERSITY
ROCHESTER 48307
(248) 650-8383
1089847
(248) 559-8190
1089846
SOUTHFIELD 48076
(248) 559-8190
1118982
MEKHAEL, HANY Y MD
114 ORCHARD LK RD
PONTIAC 48341
(248) 724-7600
1127369
MENDIRATTA, MADHU MD
(248) 559-8190
1100944
MERCADO, ERLINDA MD
1424 E 11 MILE RD
ROYAL OAK 48067
(248) 548-4044
1100946
MERCADO, ERLINDA MD
6637 HIGHLAND RD
WATERFORD 48327
(248) 666-8870
1100948
MERCADO, ERLINDA MD
3300 ADAMS RD
AUBURN HILLS 48326
(248) 537-3300
1100950
MERCADO, ERLINDA MD
715 N LAPEER RD
LAKE ORION 48362
(248) 693-7525
1103855
MERCADO, ERLINDA MD
1685 BALDWIN RD
PONTIAC 48340
(248) 475-6300
1061021
MURTHY, SANJAY MD
ROCHESTER 48307
(248) 650-8383
1106314
NAIR, MALATHY MD
PONTIAC 48340
(248) 706-3450
1107723
NANNAPANENI, MEENA MD
SOUTHFIELD 48075
(248) 483-7804
1077569
NUCUM, ANTONIO DO
3650 DIXIE HIGHWAY
WATERFORD 48329
(248) 674-4630
1094619
PARSONS, TAFT MD
(248) 539-0899
1049315
PATEL, HITEN C MD
1050 W UNIVERSITY
ROCHESTER 48307
(248) 650-8383
1049314
PATEL, HITEN C MD
NOVI 48375
(248) 426-9900
1030934
PATEL, HITEN C MD
FRANKLIN 48025
(248) 425-5202
1094616
PEARLMAN, ROBERT MD
(248) 539-0899
1109852
POHL, ROBERT MD
317 E 11 MILE RD
ROYAL OAK 48067
(248) 336-2868
1060262
POTEMPA, LESTER E DO
16001 W 9 MILE RD
SOUTHFIELD 48075
(248) 849-3306
1090824
PRASAD, YARLAGADDA MD
TROY 48084
(248) 731-7305
1091733
NOVI 48374
(248) 465-5335
1127592
RANA, LOPA K MD
3535 W 13 MILE RD
ROYAL OAK 48073
(248) 551-1210
1122358
REID, MICHELE MD
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1120722
REID, MICHELE MD
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1120723
REID, MICHELE MD
38855 HILLS TECH DR
(248) 994-8001
1122351
REID, MICHELE MD
SOUTHFIELD 48075
(248) 994-8006
1091742
ROSS, JEAN M MD
TROY 48084
(248) 731-7305

Mental Health
Page 727
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1103256
ROTH, BRUCE L DO
1 WILLIAM CARLS DR
(248) 669-1900
1107649
RUZA, THEODORE DO
ROYAL OAK 48067
(248) 398-6459
1104113
SACKEYFIO, ALEXANDER MD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 594-3142
1061159
CLARKSTON 48346
(248) 620-6400
1024993
SENDI, ISMAIL B MD
12850 FOUNTAIN SQ STE 106
DAVISBURG 48350
(248) 634-6303
1061156
SENDI, ISMAIL B MD
5775 W MAPLE RD
(248) 855-1540
1031753
SENDI, ISMAIL B MD
32961 MIDDLEBELT RD
(248) 855-1540
1061154
SENDI, ISMAIL B MD
CLARKSTON 48346
(248) 620-6400
M
M
1094613
SHUKLA, YOGESH MD
(248) 539-0899
1105624
SIEGEL, BARRY MD
ROYAL OAK 48067
(248) 398-6459
1076663
SIEGEL, BARRY G MD
200 DIVERSION STE 150
ROCHESTER 48307
(248) 651-4200
1122472
SIEGEL, BARRY G MD
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1095105
SINGH, HEMINDER MD
(248) 539-0899
1097124
SINGH, HEMINDER P MD
ROYAL OAK 48067
(248) 398-6459
1102639
SONI, PRAVIN MD
TROY 48083
(248) 817-2345
1095115
TAHIR, KISHWAR MD
(248) 539-0899
1095112
TAHIR, KISHWAR MD
ROCHESTER 48307
(248) 656-8500
1120599
38855 HILLS TECH DR
(248) 994-8001
1120598
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1122359
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1122352
SOUTHFIELD 48075
(248) 994-8006
1116526
VANANDEL, CAROL MD
32961 MIDDLEBELT RD
(248) 855-1540
1105963
VEMURI, LALITHA MD
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1053851
WAINEO, EVA MD
ROCHESTER 48307
(248) 650-6130
1098527
WATTS, MICHAEL H MD
91 S TELEGRAPH RD
PONTIAC 48341
(248) 334-2715
1104604
WEST, HARPER LLP
1424 E 11 MILE RD
ROYAL OAK 48067
(248) 548-4044
1122479
YERAGANI, VIKRAM MD
NOVI 48374
(248) 465-1214
1125900
YONO, JULIANNA LLMSW
SOUTHFIELD 48033
(248) 354-8460
1117137
YOON, DOSYNG MD
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1122361
YOON, DOSYNG MD
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1122355
YOON, DOSYNG MD
SOUTHFIELD 48075
(248) 994-8006
1117138
YOON, DOSYNG MD
38855 HILLS TECH DR
(248) 994-8001
1118463
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1118464
38855 HILLS TECH DR
(248) 994-8001
1122354
SOUTHFIELD 48075
(248) 994-8006
1122362
SOUTHFIELD 48075
(248) 994-8006
1116780
38855 HILLS TECH DR
(248) 994-8001
1120657
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
OTTAWA COUNTY
1108864
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1117522
ERICKSON, ERIC E DO
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1108714
JAWOR, KATHERINE A DO
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1117013
KHULLAR, MANAV MD
17325 VAN WAGONER RD
SPRING LAKE 49456
(616) 847-5145
1106396
LAMAN, DAVID PHD
7086 8TH AVE
JENISON 49428
(616) 667-9551
1108617
NYKAMP, LOUIS MD
8333 FELCH ST
ZEELAND 49464
(616) 741-3790

Mental Health
Page 728
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
8333 FELCH ST
ZEELAND 49464
(616) 741-3790
PSYCHIATRY
1108910
TODD, TIMOTHY L MD
PRESQUE ISLE COUNTY

1078162
205 S BRADLEY HWY
ROGERS CITY 49779
(989) 734-2052
1078183
4549 M 33 ONAWAY
ONAWAY 49765
(989) 733-4980
1078181
21258 W M-68 HWY
ONAWAY 49765
(989) 733-2082
SAGINAW COUNTY
1085497
BRADLEY, RONALD DO
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1093372
DILLON, JAMES MD
1000 HOUGHTON
SAGINAW 48602
(989) 583-6800
1114449
ELLIS, ANTHONY R MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1124567
HAMLETT, FRANK MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1119703
HILL, AUDREY MD
SAGINAW 48602
(989) 755-8225
1063940
IBRAHIM, ALI MD
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1094442
IBRAHIM, ALI MD
4905 BERL DR
SAGINAW 48604
(989) 996-0566
1028837
IBRAHIM, ALI MD
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1119702
INGRAM, MICHAEL MD
SAGINAW 48602
(989) 755-8225
1063473
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1127270
3201 HALLMARK CT
SAGINAW 48603
(989) 790-5989
1063772
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1071712
3085 HALLMARK CT
SAGINAW 48603
(989) 790-5990
1104438
KAUSHIK, RAVAL MD
2806 DAVENPORT AVE
SAGINAW 48602
(989) 790-7500
1006311
KONERU, SUNIL K MD
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1060543
LATHIA, MUKESH MD
3190 HALLMARK CT
SAGINAW 48603
(989) 790-3366
1093589
LATHIA, MUKESHA MD
SAGINAW 48601
(989) 755-1072
1093590
LATHIA, MUKESHA MD
1321 FAYETTE
SAGINAW 48602
(989) 792-8000
1105146
LATHIA, MUKESHA MD
2084 HEMMEKER RD
SAGINAW 48603
(989) 401-7506
1119612
SAGINAW 48602
(989) 755-8225
1094478
MILLER, NORMAN MD
1000 HOUGHTON
SAGINAW 48602
(989) 583-6800
1012263
MOVVA, USHA R MD
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1016309
NAGARKAR, SACHIN B MD
3070 KABOBEL DR
SAGINAW 48604
(989) 799-9230
1085474
PARASHAR, SUNIL MD
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6800
1015103
RAO, CHALICHAMA A MD
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1119437
TADEO, ANNE M MD
229 GALLAGHER ST
SAGINAW 48601
(989) 755-3619
1119438
TADEO, ANNE M MD
501 LAPEER ST
SAGINAW 48601
(989) 759-6000
1014758
TALASILA, HEMA N MD
2578 MCLEOD DR
SAGINAW 48604
(989) 799-5440
1040295
TALASILA, VENKAT MD
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1004185
TALASILA, VENKAT MD
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1015898
TALASILA, VENKAT MD
2578 MCLEOD DR N
SAGINAW 48604
(989) 799-5440
SAINT CLAIR COUNTY

1034341
BAUER, ROBERT DO
3899 24TH AVE
FORT GRATIOT 48059
(810) 966-0099
1057980
BAUER, ROBERT DO
1209 RICHARDSON
PORT HURON 48060
(810) 984-5156
1060530
BOGDANOVIC, MARINA MD
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1048288
3899 24TH AVE
FORT GRATIOT 48059
(810) 966-0099
1058001
BROZOVICH, THOMAS F DO
1209 RICHARDSON ST
PORT HURON 48060
(810) 984-5156

Mental Health
Page 729
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1127938
CUCCHI, CHRISTINE M DO
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1092906
MARSHALL, NANCY MD
PORT HURON 48060
(810) 966-1972
F
F
1100949
MERCADO, ERLINDA MD
2601 13TH ST
PORT HURON 48060
(810) 987-9100
1053850
WAINEO, EVA MD
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1098525
WATTS, MICHAEL H MD
222 HURON AVE
PORT HURON 48060
(810) 990-1424
M
M
1077608
YERAGANI, VIKRAM MD
3899 24TH AVE
FORT GRATIOT 48059
(810) 966-0099
1010366
ZIMMER, LAWRENCE MD
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1093089
309 MCMORRAN BLVD
PORT HURON 48060
(810) 989-5480
3149 MAIN ST STE 5
MARLETTE 48453
(810) 633-9211
SANILAC COUNTY
1036822
SHIAWASSEE COUNTY
1033220
AHMED, ZULFIQAR MD
826 W KING ST
OWOSSO 48867
(989) 723-5211
1009394
AL SAIDI, NAZAR MD
OWOSSO 48867
(989) 725-8124
1077683
BRUBAKER, RUSSEL MD
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1010959
INGRAM, MICHAEL MD
826 W KING ST
OWOSSO 48867
(989) 725-8101
1083042
JOHNSON, ELLEN DO
OWOSSO 48867
(989) 723-8239
1124857
MACAULEY, LESLIE MD
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
TUSCOLA COUNTY
1063475
RASHID, HARUN MD
651 N STATE ST
CARO 48723
(989) 673-5700
1063472
RASHID, HARUN MD
467 N STATE ST
CARO 48723
(989) 673-5700
VAN BUREN COUNTY

1081329
GAJARE, NILANJAN B MD
404 HAZEN ST STE L3
PAW PAW 49079
(269) 657-1595
1098511
MIRZA, NADEEM MD
404 HAZEN ST STE L3
PAW PAW 49079
(269) 657-1595
1086765
RAMESH, BANGALORE K MD
PAW PAW 49079
(269) 657-5574
WASHTENAW COUNTY
1043658
ABBASI, TARIQ MD
ANN ARBOR 48103
(734) 913-1093
1111392
ABELSON, JAMES L MD
(734) 936-5900
1111393
ABELSON, JAMES L MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111391
ABELSON, JAMES L MD
ANN ARBOR 48109
(734) 936-9760
1111059
ATKINS, THOMAS L MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111057
ATKINS, THOMAS L MD
(734) 936-5900
1111058
ATKINS, THOMAS L MD
YPSILANTI 48198
(734) 482-6221
1111056
ATKINS, THOMAS L MD
ANN ARBOR 48109
(734) 936-9760
1122883
BAKER, KATHRYN A MD
ANN ARBOR 48109
(734) 936-9760
1122884
BAKER, KATHRYN A MD
(734) 936-5900
1122885
BAKER, KATHRYN A MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111461
BARAN, ALP S MD
ANN ARBOR 48109
(734) 763-9259
1111463
BARAN, ALP S MD
ANN ARBOR 48109
(734) 936-9760
1111465
BARAN, ALP S MD
(734) 936-9068
1111466
BARAN, ALP S MD
4250 PLYMOUTH RD
(734) 764-6443
ANN ARBOR 48109

Mental Health
Page 730
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1111464
BARAN, ALP S MD
(734) 936-5900
1111462
BARAN, ALP S MD
ANN ARBOR 48109
(734) 936-9068
1113660
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1078992
(734) 936-5900
1113659
ANN ARBOR 48109
(734) 936-9760
1114163
(734) 936-5900
1114165
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114162
ANN ARBOR 48109
(734) 936-9760
1114164
ANN ARBOR 48109
(734) 936-5533
1114577
BLAZEK, MARY C MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114578
BLAZEK, MARY C MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1114575
BLAZEK, MARY C MD
ANN ARBOR 48109
(734) 936-9760
1114579
BLAZEK, MARY C MD
805 W MIDDLE ST
CHELSEA 48118
(734) 475-8633
1114576
BLAZEK, MARY C MD
(734) 936-5900
1111837
(734) 936-5900
1111838
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111836
ANN ARBOR 48109
(734) 936-9760
1112412
BROWER, KIRK J MD
(734) 936-5900
1112411
BROWER, KIRK J MD
ANN ARBOR 48109
(734) 936-9760
1112413
BROWER, KIRK J MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110572
ANN ARBOR 48109
(734) 936-9760
1004092
(734) 936-5900
1110573
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1046395
(734) 936-5900
1112025
ANN ARBOR 48109
(734) 936-9760
1112026
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113954
ANN ARBOR 48109
(734) 936-9760
1113956
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114100
ANN ARBOR 48109
(734) 936-9760
1114101
(734) 936-5900
1099895
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112750
DENEKE, DONALD E MD
ANN ARBOR 48109
(734) 936-9760
1112751
DENEKE, DONALD E MD
(734) 936-5900
1112752
DENEKE, DONALD E MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110174
DOPP, RICHARD R MD
(734) 936-5900
1110175
DOPP, RICHARD R MD
YPSILANTI 48198
(734) 482-6221
1110176
DOPP, RICHARD R MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1072899
DOPP, RICHARD R MD
ANN ARBOR 48109
(734) 936-5533
1110653
FIGUEROA, SARA R MD
ANN ARBOR 48109
(734) 936-9760
1084148
FIGUEROA, SARA R MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110654
FIGUEROA, SARA R MD
(734) 936-5900
1111866
ANN ARBOR 48109
(734) 936-5533
1111867
ANN ARBOR 48109
(734) 764-6879
1111868
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112612
FLUENT, THOMAS E MD
YPSILANTI 48198
(734) 482-6221
1112609
FLUENT, THOMAS E MD
ANN ARBOR 48109
(734) 936-9760

Mental Health
Page 731
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1005888
FLUENT, THOMAS E MD
ANN ARBOR 48109
(734) 764-6879
1112611
FLUENT, THOMAS E MD
ANN ARBOR 48109
(734) 936-5533
1112613
FLUENT, THOMAS E MD
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1112610
FLUENT, THOMAS E MD
(734) 936-5900
1112614
FLUENT, THOMAS E MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1104678
FUELLING, CRAIG A MD
ANN ARBOR 48108
(734) 975-1602
1114334
GAY, TAMARA L MD
(734) 936-5900
1048894
GAY, TAMARA L MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114333
GAY, TAMARA L MD
ANN ARBOR 48109
(734) 936-9760
1114335
GAY, TAMARA L MD
ANN ARBOR 48109
(734) 936-5533
1005886
ANN ARBOR 48109
(734) 936-5533
1110750
ANN ARBOR 48109
(734) 936-9760
1110751
(734) 936-5900
1110752
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1005887
ANN ARBOR 48109
(734) 936-5533
1112588
GIH, DANIEL E MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1004363
GLICK, RACHEL L MD
(734) 936-5900
1112328
GLICK, RACHEL L MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112327
GLICK, RACHEL L MD
ANN ARBOR 48109
(734) 936-9760
1110341
GREDEN, JOHN F MD
(734) 936-5900
1110340
GREDEN, JOHN F MD
ANN ARBOR 48109
(734) 936-9760
1110342
GREDEN, JOHN F MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1127850
GREWAL, LUBNA Z MD
(734) 936-5900
1110792
HANNA, GREGORY L MD
ANN ARBOR 48109
(734) 936-9760
1110793
HANNA, GREGORY L MD
(734) 936-5900
1110794
HANNA, GREGORY L MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111936
ANN ARBOR 48109
(734) 936-9760
1111937
(734) 936-5900
1111938
ANN ARBOR 48109
(734) 936-5533
1111470
(734) 936-5900
1111469
ANN ARBOR 48109
(734) 936-9760
1111471
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113154
HONG, VICTOR Y MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113153
HONG, VICTOR Y MD
(734) 936-5900
1113152
HONG, VICTOR Y MD
ANN ARBOR 48109
(734) 936-9760
1114006
ANN ARBOR 48109
(734) 936-9760
1101619
ANN ARBOR 48109
(734) 936-5533
1114008
(734) 936-5900
1114010
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114004
JOUNEY, EDWARD A DO
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113995
JOUNEY, EDWARD A DO
ANN ARBOR 48109
(734) 763-6295
1113996
JOUNEY, EDWARD A DO
ANN ARBOR 48109
(734) 936-9760
1114000
JOUNEY, EDWARD A DO
ANN ARBOR 48109
(734) 764-6879
1075969
JOUNEY, EDWARD A DO
ANN ARBOR 48108
(734) 763-5459
YPSILANTI 48198
(734) 482-6221
(734) 936-5900
1114002
JOUNEY, EDWARD A DO
1113998
JOUNEY, EDWARD A DO

Mental Health
Page 732
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1112341
KALES, HELEN C MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1112340
KALES, HELEN C MD
(734) 936-5900
1112339
KALES, HELEN C MD
ANN ARBOR 48109
(734) 936-9760
1112338
KALES, HELEN C MD
ANN ARBOR 48109
(734) 232-6366
1110981
KAMALI, MASOUD MD
ANN ARBOR 48109
(734) 936-5533
1110980
KAMALI, MASOUD MD
(734) 936-5900
1110979
KAMALI, MASOUD MD
ANN ARBOR 48109
(734) 936-9760
1104945
KAMALI, MASOUD MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110627
KERBER, KEVIN B MD
ANN ARBOR 48109
(734) 936-5533
1110629
KERBER, KEVIN B MD
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1110624
KERBER, KEVIN B MD
ANN ARBOR 48109
(734) 763-9259
1110628
KERBER, KEVIN B MD
YPSILANTI 48198
(734) 482-6221
1110630
KERBER, KEVIN B MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110626
KERBER, KEVIN B MD
(734) 936-5900
1110625
KERBER, KEVIN B MD
ANN ARBOR 48109
(734) 936-9760
1112116
KNESPER, DAVID J MD
ANN ARBOR 48109
(734) 936-9760
1112117
KNESPER, DAVID J MD
(734) 936-5900
1122821
ANN ARBOR 48109
(734) 936-4185
1122822
ANN ARBOR 48109
(734) 936-9760
1122823
(734) 936-5900
1122824
ANN ARBOR 48109
(734) 936-5533
1122826
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1122825
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113204
LEVIN, STEPHANIE W MD
(734) 936-5900
1111066
LIBERZON, ISRAEL MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111826
LOPEZ, JUAN F MD
ANN ARBOR 48109
(734) 936-9760
1111827
LOPEZ, JUAN F MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1094304
LOPEZ, JUAN F MD
(734) 936-5900
1114078
LYUBKIN, MARK MD
ANN ARBOR 48109
(734) 936-9760
1114080
LYUBKIN, MARK MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1114079
LYUBKIN, MARK MD
(734) 936-5900
1112227
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112226
(734) 936-5900
1112225
ANN ARBOR 48109
(734) 936-9760
1114107
MAIXNER, SUSAN M MD
ANN ARBOR 48109
(734) 936-9760
1114108
MAIXNER, SUSAN M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1041510
MAIXNER, SUSAN M MD
(734) 936-5900
1123904
MALAS, NASUH M MD
ANN ARBOR 48109
(734) 936-9760
1123905
MALAS, NASUH M MD
(734) 936-5900
1123908
MALAS, NASUH M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1123906
MALAS, NASUH M MD
ANN ARBOR 48109
(734) 936-5533
1123907
MALAS, NASUH M MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111721
MARTIS, BRIAN MD
ANN ARBOR 48109
(734) 936-5533
1111722
MARTIS, BRIAN MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111719
MARTIS, BRIAN MD
ANN ARBOR 48109
(734) 936-9760
1111720
MARTIS, BRIAN MD
(734) 936-5900

Mental Health
Page 733
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1110784
MAUST, DONOVAN T MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1110783
MAUST, DONOVAN T MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110782
MAUST, DONOVAN T MD
(734) 936-5900
1110781
MAUST, DONOVAN T MD
ANN ARBOR 48109
(734) 936-9760
1111272
(734) 936-5900
1111271
ANN ARBOR 48109
(734) 936-9760
1111270
ANN ARBOR 48109
(734) 763-9259
1028856
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113734
MELLOW, ALAN M MD
ANN ARBOR 48109
(734) 936-9760
1113738
MELLOW, ALAN M MD
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1113736
MELLOW, ALAN M MD
(734) 936-5900
1052699
MICKEY, BRIAN J MD
(734) 936-5900
1111387
MICKEY, BRIAN J MD
ANN ARBOR 48109
(734) 936-9760
1111388
MICKEY, BRIAN J MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112258
MILLER, ADAM D MD
ANN ARBOR 48109
(734) 936-9760
1112261
MILLER, ADAM D MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112259
MILLER, ADAM D MD
(734) 936-5900
1112260
MILLER, ADAM D MD
YPSILANTI 48198
(734) 482-6221
1112939
ANN ARBOR 48109
(734) 936-9760
1112938
ANN ARBOR 48109
(734) 936-4185
1112940
(734) 936-5900
1112941
ANN ARBOR 48109
(734) 936-5533
1112942
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112509
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112505
ANN ARBOR 48109
(734) 936-9760
1112506
(734) 936-5900
1112507
ANN ARBOR 48109
(734) 764-6879
1112508
YPSILANTI 48198
(734) 482-6221
1122830
ANN ARBOR 48109
(734) 936-9760
1122832
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1122831
(734) 936-5900
1111963
MUZIK, MARIA MD
ANN ARBOR 48109
(734) 936-9760
1111966
MUZIK, MARIA MD
YPSILANTI 48198
(734) 482-6221
1111964
MUZIK, MARIA MD
(734) 936-5900
1111965
MUZIK, MARIA MD
ANN ARBOR 48109
(734) 936-5533
1111968
MUZIK, MARIA MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111967
MUZIK, MARIA MD
ANN ARBOR 48108
(734) 232-2600
1111955
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111954
(734) 936-5900
1111953
ANN ARBOR 48109
(734) 936-9760
1110321
(734) 936-5900
1110320
ANN ARBOR 48109
(734) 936-9760
1110322
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1004680
ANN ARBOR 48109
(734) 936-5533
1053621
PEGERON, JEAN PAUL MD
ANN ARBOR 48103
(734) 913-1093
1092903
PEGERON, JEAN-PAUL MD
4925 PACKARD ST
ANN ARBOR 48108
(734) 971-9781

Mental Health
Page 734
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1123869
PEKRUL, SCOTT R MD
(734) 936-5900
1123870
PEKRUL, SCOTT R MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112863
PFEIFFER, PAUL N MD
(734) 936-5900
1106139
QUINN, LEON J MD
ANN ARBOR 48108
(734) 975-1602
1111210
RIBA, MICHELLE B MD
(734) 936-5900
1111211
RIBA, MICHELLE B MD
ANN ARBOR 48109
(734) 764-6879
1111212
RIBA, MICHELLE B MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111209
RIBA, MICHELLE B MD
ANN ARBOR 48109
(734) 936-9760
1085314
ROOT, MARK MD
ANN ARBOR 48103
(734) 913-1093
1044259
ROSINSKI, AMY B MD
(734) 936-5900
1111723
ROSINSKI, AMY B MD
ANN ARBOR 48109
(734) 936-9760
1111724
ROSINSKI, AMY B MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113311
(734) 936-5900
1113312
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113310
ANN ARBOR 48109
(734) 936-9760
1125869
SASTRY, DEEPIKA MD
ANN ARBOR 48109
(734) 936-9760
1125870
SASTRY, DEEPIKA MD
(734) 936-5900
1125871
SASTRY, DEEPIKA MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1123043
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1123042
(734) 936-5900
1123041
ANN ARBOR 48109
(734) 936-9760
1112254
SEN, SRIJAN MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112253
SEN, SRIJAN MD
(734) 936-5900
1112252
SEN, SRIJAN MD
ANN ARBOR 48109
(734) 936-9760
1044261
SEYFRIED, LISA S MD
(734) 936-5900
1112528
SEYFRIED, LISA S MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112527
SEYFRIED, LISA S MD
ANN ARBOR 48109
(734) 936-9760
1124746
SHAMSEDDEEN, WAEL
ANN ARBOR 48109
(734) 936-5900
1124747
SHAMSEDDEEN, WAEL
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1124745
SHAMSEDDEEN, WAEL
1500 E MEDICAL CENTER DR 9TH FLOOR
ANN ARBOR 48109
(734) 936-9760
1006177
SILK, KENNETH R MD
ANN ARBOR 48109
(734) 936-5533
1112068
SILK, KENNETH R MD
(734) 936-5900
1112067
SILK, KENNETH R MD
ANN ARBOR 48109
(734) 936-9760
1112069
SILK, KENNETH R MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111903
SOLIS, OLAYA L MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111902
SOLIS, OLAYA L MD
(734) 936-5900
1111901
SOLIS, OLAYA L MD
ANN ARBOR 48109
(734) 936-9760
1112723
SONG, JOYCE C MD
(734) 936-5900
1112722
SONG, JOYCE C MD
ANN ARBOR 48109
(734) 936-9760
1112724
SONG, JOYCE C MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111038
ANN ARBOR 48109
(734) 936-9760
1111040
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111039
(734) 936-5900
1123142
ANN ARBOR 48109
(734) 936-9760
1123143
(734) 936-5900
1123144
4250 PLYMOUTH RD
(734) 764-6443
ANN ARBOR 48109

Mental Health
Page 735
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1114229
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114228
(734) 936-5900
1114227
ANN ARBOR 48109
(734) 936-9760
1114344
VALENSTEIN, MARCIA MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1117304
WOLF, TERI MD
1785 W STADIUM BLVD STE 203 C
ANN ARBOR 48103
(734) 913-1093
1114294
ZUBIETA, JON-KAR MD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114293
ZUBIETA, JON-KAR MD
(734) 936-5900
1114292
ZUBIETA, JON-KAR MD
ANN ARBOR 48109
(734) 936-9760
WAYNE COUNTY
1102239
ABBASI, FARHA MD
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1102240
ABBASI, FARHA MD
19401 NORTHLINE RD
SOUTHGATE 48195
(734) 785-7700
1043660
ABBASI, TARIQ MD
PLYMOUTH 48170
(734) 454-3560
1040355
ADAMO, JAMES MD
(313) 885-6400
1118447
AGARWAL, NALINI MD
SOUTHGATE 48195
(734) 785-7700
1118446
AGARWAL, NALINI MD
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1054436
AJLUNI, VICTOR C MD
16836 NEWBURGH RD
LIVONIA 48154
(734) 464-4220
1054928
AJLUNI, VICTOR C MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1054932
DETROIT 48201
(313) 993-3434
1054446
4201 ST ANTOINE
DETROIT 48201
(313) 745-4644
1091546
ANDERSON, KAI MD
REDFORD 48240
(313) 533-5652
1104204
ARCHER, PHILLIP MD
SOUTHGATE 48195
(734) 785-7700
1104203
ARCHER, PHILLIP MD
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104730
BALLARD, SPENCER DO
SOUTHGATE 48195
(734) 785-7700
1104729
BALLARD, SPENCER DO
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1054460
BALON, RICHARD MD
3901 CHRYSLER DR STE 3B
DETROIT 48201
(313) 993-3434
1104188
SOUTHGATE 48195
(734) 785-7700
1104187
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1125411
CAPRIO, RICHARD A PHD
261 MACK AVE
DETROIT 48201
(313) 745-9763
1123030
CHAN, HON C DO
14799 DIX TOLEDO RD
SOUTHGATE 48195
(734) 324-8326
1117534
CHRISTENSEN, CARL W MD
DETROIT 48201
(313) 993-3964
1091209
FONTENELLE-GILMER, MICHELLE MD
WESTLAND 48186
(734) 727-1000
1102236
FREY, JEFFERY DO
19401 NORTHLINE RD
SOUTHGATE 48195
(734) 785-7700
1102235
FREY, JEFFERY DO
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1064282
GEISZT, GABRIELLA MD
3901 BEAUBIEN 4TH FLR CARLS BLDG
DETROIT 48201
(313) 745-4878
1003023
GUERRERO, RAUL MD
(313) 885-6400
1036040
GUYER, DAN MD
(313) 885-6400
1055388
HADDAD, LUAY L MD
261 MACK
DETROIT 48201
(313) 745-9700
1054619
HADDAD, LUAY L MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1055387
HADDAD, LUAY L MD
3990 JOHN R
DETROIT 48201
(313) 745-1549
1104697
HAQUE, SHAMAEL DO
33155 ANNAPOLIS AVE
WAYNE 48184
(313) 467-4173
1058853
HARRIS, DAVID MD
921 HOWARD ST
DEARBORN 48124
(313) 274-3700
1058855
HARRIS, DAVID MD
2939 RUSSELL
DETROIT 48205
(313) 396-5300
1058856
HARRIS, DAVID MD
14799 DIX-TOLEDO RD
SOUTHGATE 48195
(734) 324-8326
1062165
HEAD, JOHN DO
2939 RUSSELL
DETROIT 48205
(313) 396-5300
1062163
HEAD, JOHN DO
921 HOWARD ST
DEARBORN 48124
(313) 274-3700

Mental Health
Page 736
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1062166
HEAD, JOHN DO
14799 DIX-TOLEDO RD
SOUTHGATE 48195
(734) 324-8326
1119704
HILL, AUDREY MD
DETROIT 48202
(313) 874-8715
1118344
HONG, DOOPYO MD
10 PETERBORO ST
DETROIT 48201
(313) 831-3160
1069001
HRYHORCZUK, LINDA S MD
468 CADIEUX RD
GROSSE POINTE 48230
(313) 343-1000
1055406
HUSSAIN, SHAHID MD
6071 W OUTER DR 5 S INPATIENT PSYCHIATRY DETROIT 48235
(313) 966-3300
1055404
HUSSAIN, SHAHID MD
3990 JOHN R
DETROIT 48201
(313) 745-1549
1054635
HUSSAIN, SHAHID MD
DETROIT 48201
(313) 745-4644
1055405
HUSSAIN, SHAHID MD
14230 W MCNICHOLS
DETROIT 48235
(313) 966-2102
1055408
261 MACK
DETROIT 48201
(313) 745-9700
1054636
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1055407
3990 JOHN R
DETROIT 48201
(313) 745-1549
1119692
INGRAM, MICHAEL MD
DETROIT 48202
(313) 874-8715
1125038
JASTY, VENKATA MD
DETROIT 48213
(313) 344-7730
1055904
JASTY, VENKATA R MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1125041
KHEIR, NAGY MD
DETROIT 48213
(313) 344-7730
1055915
KLISZ-HULBERT, REBECCA L MD
16836 NEWBURG RD
LIVONIA 48154
(734) 464-4220
1071009
KRZYSZTOF, MILAK MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-4644
1102233
KUBRAK, ERIC MD
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1102234
KUBRAK, ERIC MD
19401 NORTHLINE RD
SOUTHGATE 48195
(734) 785-7700
1090994
KUBRAK, ERIC J MD
PLYMOUTH 48170
(734) 454-3660
M
M
1054702
LACHOVER, LEONARD W MD
14230 W MCNICHOLS
DETROIT 48235
(313) 966-2102
1105443
MAHAL, SURJIT MD
1404 BIDDLE AVE
WYANDOTTE 48192
(734) 324-8000
1097382
MAHR, GREGORY MD
DEARBORN 48126
(313) 982-4351
1118343
MAKKIE, HYDER DO
10 PETERBORO ST
DETROIT 48201
(313) 831-3160
1096242
MALLHI, NAUMAAN DO
PLYMOUTH 48170
(734) 454-3560
1055674
MEKHAEL, HANY Y MD
16836 NEWBURGH RD
LIVONIA 48154
(734) 464-4220
1054734
MEKHAEL, HANY Y MD
3901 BEAUBIEN
DETROIT 48201
(313) 966-6833
1119613
DETROIT 48202
(313) 874-8715
1082618
MLAK, KRZYSZTOF MD
DETROIT 48201
(313) 745-4644
1054746
MORREALE, MARY K MD
4160 JOHN R STE 629
DETROIT 48201
(888) 362-7792
1028455
DETROIT 48201
(313) 745-4644
1125039
DETROIT 48213
(313) 344-7730
1055935
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1104097
PEARSON, MARLIN MD
SOUTHGATE 48195
(734) 785-7700
1104096
PEARSON, MARLIN MD
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1123131
PRECHEL, KATELYN N LLMSW
DETROIT 48201
(313) 993-3964
1091732
LIVONIA 48152
(734) 422-4748
1054842
RAUF, ABDUL MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1085310
ROOT, MARK MD
PLYMOUTH 48170
(734) 454-3560
1125037
SANDAIRE, BENS J DO
DETROIT 48213
(313) 344-7730
1125031
SANDAIRE, BENS J DO
15000 GRATIOT AVE
DETROIT 48205
(313) 245-0600
1122059
SANDAIRE, BENS J DO
2925 RUSSELL ST
DETROIT 48205
(313) 396-5300
1061160
LIVONIA 48150
(734) 422-9340
1061155
SENDI, ISMAIL B MD
LIVONIA 48150
(734) 422-9340
1031754
SENDI, ISMAIL B MD
20311 FARMINGTON RD
LIVONIA 48152
(248) 427-9430
1054867
SHAH, ASHOK R MD
14230 W MCNICHOLS
DETROIT 48235
(313) 966-2102

Mental Health
Page 737
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHIATRY
1126151
SHENAVA, MALINI MD
26650 EUREKA RD STE C-1
TAYLOR 48180
(734) 941-4991
1126153
SHENAVA, MALINI MD
25650 OUTER DR
LINCOLN PARK 48146
(313) 383-1897
F
F
1126152
SHENAVA, MALINI MD
2500 HAMLIN DR
INKSTER 48141
(313) 561-1500
1125180
SHERMAN, TANYA E PHD
261 MACK AVE
DETROIT 48201
(313) 745-9763
1127842
SMITH, KYLE G DO
19805 FARMINGTON RD
LIVONIA 48152
(248) 535-5085
1101988
SNELL, TRACY D DO
DETROIT 48201
(313) 993-3434
1055951
STETTNER, SHELLY A DO
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1055954
STROKER, CLAIRE MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1054891
TANCER, MANUEL E MD
DETROIT 48201
(313) 993-3434
1055752
TANCER, MANUEL E MD
DETROIT 48201
(313) 745-4644
1127760
DETROIT 48201
(313) 993-3434
1054902
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1056099
WAINEO, EVA MD
DETROIT 48201
(313) 993-3434
1083591
DETROIT RECEIVING HOSPITAL CRISIS CTR
DETROIT 48201
(313) 745-4644
1083592
UNIVERSITY PSYCHIATRIC CENTER LIVONIA
LIVONIA 48154
(734) 464-4220
1118345
WASHINGTON, GREGORY MD
10 PETERBORO ST
DETROIT 48201
(313) 831-3160
1054906
WASHINGTON, GREGORY S MD
4201 ST ANTOINE
DETROIT 48201
(313) 745-2835
1102231
WATTS, MICHAEL H MD
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1098523
WATTS, MICHAEL H MD
DETROIT 48207
(313) 396-1800
M
M
1098524
WATTS, MICHAEL H MD
20100 GREENFIELD RD
DETROIT 48235
(313) 342-2699
1102232
WATTS, MICHAEL H MD
19401 NORTHLINE RD
SOUTHGATE 48195
(734) 785-7700
1061170
ZAK, DANIAL DO
LIVONIA 48150
(734) 422-9340

Mental Health
Page 738
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
ALLEGAN COUNTY
1085226
ALLEGAN GENERAL HOSPITAL PSYCHOLOGICAL
551 LINN ST STE 230
ALLEGAN 49010
(269) 686-4110
1114467
DEBLAAY, BEHTANY TLLP
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
1114540
ELZINGA, PHILIP LLP
217 HUBBART ST
ALLEGAN 49010
(269) 673-1896
1114542
ELZINGA, PHILIP LLP
412 CENTURY LANE
HOLLAND 49423
(616) 396-2301
1086369
SCHAEUFELE, PAT LLP
412 CENTURY LANE
HOLLAND 49423
(616) 396-2301
1086371
SCHAEUFELE, PAT LLP
217 HUBBARD
ALLEGAN 49010
(269) 673-1896
1087172
SILVER, WAYNE R PSYD
217 HUBBART ST
ALLEGAN 49010
(269) 673-1896
1087170
412 CENTURY LANE
HOLLAND 49423
(616) 396-2301
1119424
TOVEY, VALLERY LLP
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
108 DEPOT ST
BELLAIRE 49615
(231) 350-7200
400 W STATE ST
HASTINGS 49058
(616) 891-8770
ANTRIM COUNTY
1070169
WOLZ, PAMELA LMSW
BARRY COUNTY
1108924
ALLEN, APRIL L LLP
BAY COUNTY
1009105
BAY PSYCHOLOGICAL ASSOCIATES PC
1420 CENTER AVE
BAY CITY 48708
(989) 686-1990
1089428
BEARD, WILLIAM W LLP
690 S TRUMBULL ST
BAY CITY 48708
(989) 922-4900
1009328
BUTTERFIELD, LYNN A LLP
2355 DELTA RD
BAY CITY 48706
(989) 684-6832
1021141
CLYNICK, ANN R LLP
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1012020
HASTINGS, DEBORAH ANN LLP
1420 CENTER AVE
BAY CITY 48708
(989) 686-1990
1036759
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1036758
BAY CITY 48706
(989) 460-1000
1080103
MCKINNEY, ROBIN PHD LMSW
915 COLUMBUS AVE
BAY CITY 48708
(989) 892-2504
1009326
MILLER, JOSEPH K PSYD
2355 DELTA RD
BAY CITY 48706
(989) 684-6832
1120607
SCHUTTE, CARYN MA LLPC
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1116317
SHEPPARD, ERIN PHD LP
2919 WILDER RD
BAY CITY 48706
(989) 671-5721
1036908
SHOEMAKER, RODNEY PHD
2355 DELTA RD
BAY CITY 48706
(989) 684-6832
BERRIEN COUNTY
1090312
CHEFF, ANDREW PSYD
1901 NILES AVE STE 102
SAINT JOSEPH 49085
(269) 982-7200
1125879
CONTARDO, CHRISTOPHER PHD
1030 MINERS RD
SAINT JOSEPH 49085
(269) 408-1688
1085270
KATOVSICH, ANDREW LLP
903 MAIN ST
SAINT JOSEPH 49085
(269) 985-2000
1093375
LUBINSKI, LYNETTE MA
1225 S 11TH ST
NILES 49120
(269) 684-7741
1086380
MILHANDER, MARC PHD
109 N THIRD ST
NILES 49120
(269) 683-8972
1086670
PATZER, RONALD L LLP
1850 COLFAX AVE
BENTON HARBOR 49022
(269) 926-6199
1086671
PATZER, RONALD L LLP
302 CEDAR ST
NILES 49120
(269) 926-6199
1084560
PRIES, MICHAEL G PHD
1850 COLFAX AVE
BENTON HARBOR 49022
(269) 926-6199
1084561
302 CEDAR ST
NILES 49120
(269) 926-6199
1084584
RUNKLE, MARGO PSYD
3408 NILES RD
SAINT JOSEPH 49085
(269) 657-5800
1091764
SKINNER, MELANIE M LPC
1225 S 11TH ST
NILES 49120
(269) 684-7741
1098616
SLYE, STEPHANIE PSYD
800 M 139
BENTON HARBOR 49022
(269) 927-5400
1093395
SULIER, FREDERICK PHD
3888 NILES RD
SAINT JOSEPH 49085
(269) 983-4751
1093379
TEITELBAUM, PHILIP PSYD
1225 S 11TH ST
NILES 49120
(269) 684-7741

Mental Health
Page 739
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
BRANCH COUNTY
1086903
COMPTON, GEORGE E JR PHD
10 VANS AVE STE 5
COLDWATER 49036
(517) 278-4741
1070400
CROCE, MICHELLE LLP
694 W CHICAGO
COLDWATER 49036
(517) 279-8866
1070397
MARSHALL, HARRY PHD
694 W CHICAGO
COLDWATER 49036
(517) 279-8866
1070403
NEW BEGINNINGS PSYCHOLOGICAL SERVICES
694 W CHICAGO
COLDWATER 49036
(517) 279-8866
CALHOUN COUNTY
1070398
CROCE, MICHELLE LLP
MARSHALL 49068
(517) 279-8866
1084902
LAZAR PSYCHOLOGICAL SERVICES
211 CAPITAL AVE NE
BATTLE CREEK 49017
(269) 962-2722
1035151
310 W GREEN ST
MARSHALL 49068
(269) 781-0157
1000757
LAZAR, JANICE PHD
310 W GREEN ST
MARSHALL 49068
(269) 781-0157
1084899
LAZAR, STEPHEN A PHD
211 CAPITOL AVE NE
BATTLE CREEK 49017
(269) 962-2722
1070395
MARSHALL, HARRY PHD
MARSHALL 49068
(517) 279-8866
1070402
NEW BEGINNINGS PSYCHOLOGICAL SERVICES
MARSHALL 49068
(517) 279-8866
1047078
PSYCHOLOGICAL CONSULTANTS OF MICHIGAN
151 NORTH AVE
BATTLE CREEK 49017
(269) 968-2811
107 N BROADWAY ST
CASSOPOLIS 49031
(269) 445-0999
CASS COUNTY
1085271
KATOVSICH, ANDREW LLP
CHARLEVOIX COUNTY
1068218
BEYER, BERNADETTE LLP
115 S LAKE ST STE B
BOYNE CITY 49712
(231) 582-0670
1107597
DEMAAGD, KATHRYN F PSYD
1776 WILDWOOD HEIGHTS RD
BOYNE CITY 49712
(231) 675-9766
CHEBOYGAN COUNTY
1071518
ELLSTEIN, CAROL PHD
810 S MAIN ST
CHEBOYGAN 49721
(231) 627-5400
1090159
ELLSTEIN, CAROL PHD
3722 S STRAITS HWY
INDIAN RIVER 49749
(231) 238-0356
301 E 4TH ST
CLARE 48617
(989) 386-8166
CLARE COUNTY
1074923
FACHTING, DANIEL PHD
CLINTON COUNTY
1109525
CARTWRIGHT, ROBERT LLP
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1109526
CARTWRIGHT, ROBERT LLP
1055 S US HWY 27
ST JOHNS 48879
(989) 224-3000
1062926
CARTWRIGHT, ROBERT E MA LLP
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1109523
CHARON, JESSICA LLP
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1065007
CHARRON, JESSICA LLP
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1109524
CHARRON, JESSICA LLP
1055 S US HWY 27
ST JOHNS 48879
(989) 224-3000
1062006
DROZD, GEORGE PSYD
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1064364
DROZD, GEORGE PSYD
400 E WALKER ST
ST JOHNS 48879
(989) 772-2567
1109518
GALLOWAY, KATHLEEN LLP
1055 S US HWY 27
ST JOHNS 48879
(989) 224-3000
1109517
GALLOWAY, KATHLEEN LLP
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1101829
GALLOWAY, KATHLEEN J MA LLP
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1038263
OLSON, ELIZABETH LLP
710 N MEAD ST
ST JOHNS 48879
(989) 224-4110
1250 MICHIGAN AVE STE B
GRAYLING 49738
(989) 348-0550
CRAWFORD COUNTY
1006303
GEDEON, STACEY R PSYD

Mental Health
Page 740
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
EATON COUNTY
1071058
BLAIR, JONATHAN PHD
5123 W ST JOSEPH HWY3 STE 103
LANSING 48917
(517) 323-4099
1036561
BROWN, DAVID L PHD
1500 S MAIN ST
EATON RAPIDS 48827
(517) 337-6545
1010531
DELTA WAVERLY PSYCHOLOGY
LANSING 48917
(517) 323-4099
1024821
DOMBROWSKI, RICHARD PHD
LANSING 48917
(517) 703-0110
1063282
EGGERT, JANET PHD
LANSING 48917
(517) 323-4099
253230
HARLEY, DAVID PHD
LANSING 48917
(517) 321-6858
1028782
HERRING, CARL PSYD
302 S WAVERLY STE 1
LANSING 48917
(517) 321-5900
1040820
HEYDRICH, LEVENTE V LMSW
4515 W SAGINAW HWY
LANSING 48917
(517) 488-7018
1008349
HOFFMAN, KENNETH L PHD
207 W JEFFERSON ST
GRAND LEDGE 48837
(517) 627-8357
1080243
MAYNARD, JESSIE LLP
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1011491
MYERS, ARTHUR PHD
207 W JEFFERSON ST
GRAND LEDGE 48837
(517) 627-8357
1127872
NAKO, NONTLE MLP
LANSING 48917
(517) 323-4099
1017221
SCABBO, RUSSELL E PHD
302 S WAVERLY STE 1
LANSING 48917
(517) 321-5900
1002971
SIMON, MELINDA J LMSW
5123 W ST JOE HWY STE 103
LANSING 48917
(517) 323-4099
1027089
SYSUM, SHELLEY PSYD
600 S MAIN ST
EATON RAPIDS 48827
(517) 667-8447
1041511
THOMAS, HILTON PHD
302 S WAVERLY STE 1
LANSING 48917
(517) 321-5900
1037751
THORNES, RICHARD H PHD
LANSING 48917
(517) 323-4099
1006406
ZAK, HEATHER A PHD
LANSING 48917
(517) 327-7400
EMMET COUNTY
1068219
BEYER, BERNADETTE LLP
150 W MAIN ST
(231) 526-4280
1109797
DAUNTER, KELLY PSYD
321 E LAKE ST STE 7
PETOSKEY 49770
(231) 838-8560
1095475
ELLSTEIN, CAROL PHD
7700 S US-31
ALANSON 49706
(231) 548-1333
1095474
ELLSTEIN, CAROL PHD
8881 M-119 HWY
(231) 347-5400
1094487
FAMILY PSYCHOLOGICAL SERVICES
2040 INTERTOWN RD
PETOSKEY 49770
(231) 347-7665
1093519
GREBE, JOHN K PSYD
560 MITCHELL STE 208
PETOSKEY 49770
(231) 347-5034
1094173
KROEMER, HENRIKE PHD
PETOSKEY 49770
(231) 622-8544
1091714
NICHOLSON, WILLIAM N PHD
PETOSKEY 49770
(231) 347-4700
1014772
REPPUHN, STEVEN PHD
2810 CHARLEVOIX RD STE 102
PETOSKEY 49770
(231) 347-6542
1028595
SULLIVAN, PAUL PHD
PETOSKEY 49770
(231) 347-4700
1123416
WILLIAMS, GERARD R PHD
PETOSKEY 49770
(231) 347-4700
1125990
WOOD, RUSSELL J PHD
1250 LEARS RD
PETOSKEY 49770
(231) 242-1640
GENESEE COUNTY
1017750
BARANSKI, JAMES PHD
4448 OAKBRIDGE DR
FLINT 48532
(810) 342-5333
1003408
BENAWAY, SANDRA LLP
FLINT 48532
(810) 262-7035
1091452
BESLAY, KARLA V LLP
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1000745
BIAFORA, MATTHEW PHD
FLINT 48532
(810) 230-3370
1125284
BURRELL, KATHERINE PSYD
806 TUURI PL
FLINT 48503
(810) 262-9773
1010287
CALLAN, P DOUGLAS PHD
1361 N LONG LAKE RD
FENTON 48430
(810) 629-6549
1083098
CALLAN, P DOUGLAS PHD
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1074100
CEDERNA-MEKO, CRYSTAL PSYD
806 TUURI PL
FLINT 48503
(810) 262-9773
1104330
CRANSTON, SHANNON PSYD
FLINT 48532
(810) 407-7403
1001866
DANKO, DEBORAH LLP
FLINT 48507
(810) 744-3300
1028838
DENNIS, SHANNON PHD
2700 ROBERT T LONGWAY BLVD STE I
FLINT 48503
(810) 239-1975
1028839
DENNIS, SHANNON PHD
ONE HURLEY PLAZA 6TH FL
FLINT 48503
(810) 262-9841

Mental Health
Page 741
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
253151
DOHRENWEND, ANNE PHD
3230 BEECHER RD STE 2
FLINT 48532
(810) 342-5800
1102144
FLACK, JENNIFER LLP
127 NORTH RIVER ST
FENTON 48430
(248) 620-1019
1121525
FLACK, JENNIFER PSYD
127 N RIVER ST
FENTON 48430
(810) 309-9355
1017804
FOSTER, ERIN E PHD
G-3200 BEECHER RD STE ZZZ
FLINT 48532
(810) 342-3900
1020973
FRANKLIN, NICOLE PSYD
401 S BALLENGER HWY
FLINT 48532
(810) 342-1000
1021475
G 3200 BEECHER RD
FLINT 48532
(810) 342-5470
1127922
GATZ, STACY LLP
113 N RIVER ST
FENTON 48430
(810) 519-8227
1007251
GOERGEN, MARIANNE PSYD
SWARTZ CREEK 48473
(810) 720-5990
1018118
GOODENOW, LAWRENCE PHD
4448 OAK BRIDGE DR
FLINT 48532
(810) 342-5333
1064129
GRIFFIN, PAMELA LLP
FLINT 48532
(810) 262-7035
1106423
HANSEN, JAMES PSYD
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803
1102641
HANSEN, JAMES PSYD
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1066133
HOCQUARD, EARL LLP
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1056371
HURLEY PSYCHOLOGISTS
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9953
1078620
JAMAIL PSYCHOLOGICAL CLINIC PC
1114 BEACH ST
FLINT 48502
(810) 767-4114
1100066
JAMAIL PSYCHOLOGICAL CLINIC PC
G 3201 BEECHER RD
FLINT 48532
(810) 767-4114
1100067
JAMAIL, SUZANNE PHD
G 3201 BEECHER RD
FLINT 48532
(810) 767-4114
1122115
JEWELL, COLLEEN PSYD
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1127911
JOHNSON, JOSHUA M TLLP
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1067688
JOHNSON, MARCIA PSYD
G4466 BRISTOL RD
FLINT 48532
(810) 342-4220
1063906
JOHNSON, MARCIA PSYD
G3230 BEECHER RD
FLINT 48532
(810) 342-5620
1007424
KIRKPATRICK, HEATHER A PHD
LINDEN 48451
(810) 304-7227
1079480
KRUPA, KELLY LLP
4448 OAKBRIDGE DR
FLINT 48532
(810) 342-5333
1122226
LAWRASON, JESSICA MA
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1061902
LECLAIR, CRISTINA LLP
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1118337
MARION, DONNA LMSW
FLINT 48504
(810) 249-9924
1061036
MARSHALL, KAREN PSYD
SWARTZ CREEK 48473
(810) 720-5990
1001536
MCKEE, EILEEN PHD
FLINT 48532
(810) 262-7035
1105619
MICHIGAN PSYCHOLOGICAL & CONSULTING
8203 S SAGINAW ST
GRAND BLANC 48439
(810) 919-6735
1106168
MOUNTZ, LINDA LLP
1420 UNIVERSITY AVE
FLINT 48504
(810) 238-0475
1077590
NOVAK, LAURIE PSYD
G1125 S LINDEN RD
FLINT 48532
(810) 262-2100
1125630
RICH, DEBORAH PHD
113 N RIVER ST
FENTON 48430
(810) 519-8227
1021674
RIDGEWAY, JOHN B LMSW
G 4511 MILLER RD 2ND FL
FLINT 48507
(810) 720-0640
1074926
ROSE, ELIZABETH PHD
GRAND BLANC 48439
(810) 695-1900
1064139
SHARICH, CATHRYN LLP
FLINT 48532
(810) 262-7035
1119295
SHEPPARD, ERIN PHD LP
G 3230 BEECHER RD
FLINT 48532
(810) 342-5620
1099145
SMITH, GERALD LLP
FLINT 48504
(810) 249-9924
1064085
SMITH, GERALD LLP
FLINT 48532
(810) 262-7035
1068808
SMITH, GERALD LLP
FLINT 48504
(810) 249-9924
1003145
SOULIA, JESSE PSYD
3456 PIERSON PL
FLUSHING 48433
(810) 732-6111
1107701
STARLING, JOCELYN MA
FLINT 48532
(810) 262-7035
1060302
THURMAN, LORI LLP
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1060301
THURMAN, LORI LLP
FLINT 48507
(810) 391-0662
1105622
VAN HORN, FIROZA PSYD
8203 S SAGINAW ST
GRAND BLANC 48439
(810) 919-6735
1064087
WILLIAMS, GERARD PHD
FLINT 48532
(810) 262-7035
1011693
WILLIAMS, GERARD PHD
4413 CORUNNA RD
FLINT 48532
(810) 630-1152

Mental Health
Page 742
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1017806
WOLF, BARBARA PHD
G-3200 BEECHER RD STE ZZZ
FLINT 48532
(810) 342-5620
1017807
WOLF, BARBARA PHD
G-3200 BEECHER RD STE MBI
FLINT 48532
(810) 342-3900
204404
WOLF, BARBARA PHD
G 3230 BEECHER RD STE 1
FLINT 48532
(810) 342-5620

1120742
HARP, LINDA LLP
3056 TIBBETS DR
TRAVERSE CITY 49696
(231) 775-7660
1120741
HARP, LINDA LLP
105 HASTINGS DR
TRAVERSE CITY 49696
(231) 775-7660
1091636
HAYES, MICHAEL P PHD
512 S UNION ST
TRAVERSE CITY 49684
(231) 941-6550
1096231
HOCKIN, ANTHONY PHD
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-5000
1109876
HOCKIN, ANTHONY PHD
550 MUNSON AVE
TRAVERSE CITY 49686
(231) 935-8540
1117779
HOCQUARD, EARL LLP
2825 S AIRPORT RD
TRAVERSE CITY 49684
(231) 649-4364
1098666
JONES-SMITH, BARBARA PHD
821 S ELMWOOD STE C
TRAVERSE CITY 49684
(231) 947-1444
1126637
KIBBE, LESLIE PSYD
512 S UNION ST
TRAVERSE CITY 49684
(231) 941-6550
1101952
NORTH, GREGORY G PHD
10755 SHREWBURY ST
TRAVERSE CITY 49684
(231) 933-4268
1090727
OLD TOWN PSYCHOLOGICAL SERVICES
512 S UNION ST
TRAVERSE CITY 49684
(231) 941-6550
1097166
SANOK, RICHARD L PHD
3147 LONG VALLEY RD
TRAVERSE CITY 49684
(231) 935-0799
1121978
THEIS, LINDA LP
512 S UNION ST
TRAVERSE CITY 49684
(231) 941-6550
1127137
WINKLER, PAUL PSYD
2240 S AIRPORT RD STE C
TRAVERSE CITY 49684
(231) 642-4642
1095139
WINKLER, PAUL D PSYD
512 S UNION ST
TRAVERSE CITY 49684
(231) 941-6550
GRATIOT COUNTY
1035757
BRADY, MICHAEL PHD
ALMA 48801
(989) 576-0554
1006680
LUCCHESI, MICHELLE LLP
317 E WARWICK STE B
ALMA 48801
(989) 463-2779
1024126
MIKE, EDWARD J PHD
160 WARWICK DR
ALMA 48801
(989) 466-4700
1007175
SCABBO, RUSSELL E PHD
317 E WARWICK STE B
ALMA 48801
(989) 463-2779
1006679
UNRUH, CLAUDIA LLP
317 E WARWICK STE B
ALMA 48801
(989) 463-2779
HILLSDALE COUNTY
1103034
CASE, AMANDA PSYD
37 WALDRON ST
HILLSDALE 49242
(517) 439-4596
1102841
EICHENBERG, STEPHANIE LLP
37 WALDRON ST
HILLSDALE 49242
(517) 439-4596
1060303
THURMAN, LORI LLP
1360 S HILLSDALE RD
HILLSDALE 49242
(517) 439-4228
HURON COUNTY
1126755
ENSING, MATTHEW D MA TLLP
PIGEON 48755
(989) 975-0651
1071356
GRICE, TREVOR PHD
170 N CASEVILLE RD
PIGEON 48755
(989) 975-0651
1071355
PIGEON 48755
(989) 975-0651
1106024
SHAW, JOY R LLP
PIGEON 48755
(989) 453-3051
INGHAM COUNTY
1007240
ALDENBRAND, MARTHA PHD
2290 BENNETT RD
OKEMOS 48864
(517) 349-6396
1086824
ALLSWEDE, JENNIFER S PHD
411 W LAKE LANSING RD STE C-125
EAST LANSING 48826
(517) 336-7366
1125908
ANDERSON, ANDREA T PHD
4572 HAGADORN RD STE 1C
EAST LANSING 48823
(517) 282-8784
1043138
ANISKIEWICZ, ALBERT PHD
EAST LANSING 48824
(517) 353-8122
1029811
ANISKIEWICZ, ALBERT PHD
EAST LANSING 48824
(517) 353-3070
1065069
ANTHONY, CYNTHIA LOGAN LLP
OKEMOS 48864
(517) 960-3669

Mental Health
Page 743
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1080460
BASTANFAR, ROBERT PHD
EAST LANSING 48823
(517) 355-7648
1123423
BASTANFAR, ROBERT PHD
4660 MARSH RD RM 28
OKEMOS 48864
(517) 749-1356
M
M
1062875
BERNTHAL, NANCY PHD
EAST LANSING 48823
(517) 285-4329
1002127
BERTI, BARBARA E PHD
1675 WATERTOWER PLACE STE 300
EAST LANSING 48823
(517) 371-4347
1099625
BLAIR, JONATHAN M PHD
4572 S HAGADORN RD STE 2E
EAST LANSING 48823
(517) 248-5151
1009459
BRACCIO, JOHN H PHD
1401 E LANSING DR STE 111
EAST LANSING 48823
(517) 332-0153
1055322
BRADY, JUDITH E PHD
LANSING 48912
(517) 364-5440
1026398
BRADY, JUDITH E PHD
1200 E MICHIGAN AAVE STE 460
LANSING 48912
(517) 364-5490
1000661
BROWN, DAVID L PHD
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1026041
BUCHANAN, NICOLE T PHD
601 ABBOTT RD STE 103
EAST LANSING 48823
(517) 355-7677
1065787
BURNS-JAGER, KATHLEEN LLP
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1011726
CANNIZZARO, MARK PHD
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1118801
CENTIS HEALTH CLINICAL PSYCHOLOGY
EAST LANSING 48823
(517) 827-1800
1014258
COHEN, LINDA S PHD
425 W GRAND RIVER
EAST LANSING 48823
(517) 332-8900
1002970
COMPREHENSIVE PSYCHOLOGICAL SERVICE
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1073599
CONNELLY, YVONNE LLP
EAST LANSING 48823
(517) 574-4197
1012174
COOK, EDWARD C PHD
LANSING 48906
(517) 853-1925
1101382
COOPER, ROBERT LLP
3475 BELLE CHASE WAY STE 101
LANSING 48911
(517) 552-3732
1123819
DEMATATIS, ANNA PSYD
4747 OKEMOS RD
OKEMOS 48864
(512) 619-7748
1046736
DINES, RICHARD LLP
4084 OKEMOS RD
OKEMOS 48864
(517) 347-4848
1004016
DINES, RICHARD LLP
1210 W SAGINAW
LANSING 48915
(517) 364-7700
1017587
DONESON, STUART L PHD
4572 S HAGADORN RD STE 2-H
EAST LANSING 48823
(517) 203-3300
1002969
DUBOIS-BROUWER, ROSANNE PHD
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1109542
DUPUIS, SARA LP
1905 ABBOT RD STE 1
EAST LANSING 48823
(517) 282-8249
1101372
DUPUIS, SARA LP LMPT
1905 ABBOT RD STE 4
EAST LANSING 48823
(517) 944-4232
1058587
DUTES, JEAN CLAUDE PHD
4660 MARSH RD STE 10
OKEMOS 48864
(517) 303-5300
1008559
LANSING 48910
(517) 351-8888
M
M
1001595
EAST LANSING 48823
(517) 355-7648
1101384
EAST LANSING PSYCHOLOGICAL SERVICES
121 BURCHAM DR
EAST LANSING 48823
(517) 420-1377
1105267
EGGERT, JANET PHD
4111 OKEMOS RD
OKEMOS 48864
(517) 282-7598
1024492
EMERSON, LYNNE E PHD
OKEMOS 48864
(517) 332-3870
1000662
ENGELEKES, JAMES R PHD
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1109208
FABIANO, MAUREEN K LLP
EAST LANSING 48823
(517) 282-8784
1000723
FABIANO, ROBERT PHD
3960 PATIENT CARE CR STE 104
LANSING 48911
(517) 887-9801
M
F
1024512
FORMAN, PATRICIA PHD
2165 COMMONS PKWY
OKEMOS 48864
(517) 349-6370
1011147
FRANK, SUSAN PHD
2422 JOLLY RD
OKEMOS 48864
(517) 347-6944
1074861
FREEL, STEPHANIE PSYD
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1018166
FUGATE, DAVID PHD
HASLETT 48840
(517) 347-8420
1003774
GEIGER, STEVE M PHD
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1009928
GHELANI, ASHITA B LLP
LANSING 48911
(517) 887-9801
F
F
1078255
GILBERTSON, NICOLE PSYD
LANSING 48911
(517) 887-9801
1017250
GIULIANO, CHRISTOPHER PHD
EAST LANSING 48824
(517) 353-3070
1003773
GOTH-OWENS, TIMOTHY L PHD
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1015449
HALE, ROBERTA T PHD
LANSING 48912
(517) 913-6508
1126321
HARPER PSYCHOLOGICAL PLC
4990 NORTHWIND DR
EAST LANSING 48823
(517) 927-9737
1000659
HARRIS, GENE DAVID PHD
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545

Mental Health
Page 744
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1016035
HATCHER, CAROL PHD
3448 E LAKE LANSING RD
EAST LANSING 48823
(517) 332-3870
1070759
HATHAWAY, EILEEN LLP
121 BURCHAM DR
EAST LANSING 48823
(517) 420-1377
1040267
EAST LANSING 48823
(517) 336-4335
1101386
121 BURCHAM DR
EAST LANSING 48823
(517) 420-1377
1119953
OKEMOS 48864
(517) 347-4645
1123682
HERNANDEZ, ANGELICA PSYD
913 W HOLMES RD STE 227 A C
LANSING 48910
(517) 303-4185
1101349
HINES, AMY MA
LANSING 48910
(517) 667-0061
1022957
HOBBS, SHARON R PHD
EAST LANSING 48823
(517) 351-2590
1042585
HOPPE-ROONEY, TIANNA PHD
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1014911
HOSMER, MARGARET PHD
EAST LANSING 48823
(517) 333-4440
1027600
HOWARD, RODNEY C PHD
OKEMOS 48864
(517) 333-8287
1003392
HOWIE-DAY, ALISON M PHD
2109 HAMILTON RD
OKEMOS 48864
(517) 381-2850
1037554
HRANILOVICH, THOMAS LLP
4084 OKEMOS RD
OKEMOS 48864
(517) 348-4848
1003464
HUTCHINS, LARISA K PSYD
OKEMOS 48864
(517) 420-2788
1028956
JENEY, JOSEPH A PHD
415 W GRAND RIVER
EAST LANSING 48823
(517) 332-3939
1118806
JEROME, JOHN PHD
250 S SAGINAW ST
EAST LANSING 48823
(517) 337-3080
1118805
JEROME, JOHN PHD
EAST LANSING 48823
(517) 827-1800
1019677
JEROME, JOHN PHD
3394 E JOLLY RD STE D
LANSING 48910
(517) 492-8330
1014273
JOHNSON, CHRISTINA LPC
913 W HOLMES STE 179
LANSING 48910
(517) 882-6159
1122534
JOHNSON, SANDRA K PHD
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1059816
KARPIHEN, JOANNE M PHD
OKEMOS 48864
(517) 347-4618
1102897
KAZOR, SANDRA LLP
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1007226
KIRK, ALTON R PHD
EAST LANSING 48823
(517) 351-9006
1073978
KRON-NAUGHTON, LORI PSYD
OKEMOS 48864
(517) 648-8628
1006316
LANSING PSYCHOLOGICAL ASSOCIATES
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6547
1000221
LAUB, CAROL D PHD
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1008905
LEPISTO, BRENDA PSYD
4572 S HAGADORN RD STE 2D
EAST LANSING 48823
(517) 333-0332
1059842
LUCAS, CAROLYN PHD
OKEMOS 48864
(517) 333-6700
1120695
MCCORMICK, SANDRA LCP
LANSING 48911
(517) 882-3732
1003777
MEERMANS JR, WILLIAM R PHD
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1000156
MEERMANS, ANNE C PHD
EAST LANSING 48823
(517) 351-1234
1083810
MEFFORD, CRAIG PSYD
LANSING 48906
(517) 853-1925
1035867
MILLER, WILLIAM K PHD
4660 MARSH RD
OKEMOS 48864
(517) 347-2126
1008187
MILLER, WILLIAM K PHD
4660 MARSH RD
OKEMOS 48864
(517) 339-5133
1005654
MINTZES, BARRY PHD
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1122394
NAUGHTON, LORI PSY D
OKEMOS 48864
(517) 648-8628
1023744
NICHOLSON, WENDY LLP
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
F
F
1034213
NIJJER, SUKHVENDER K PHD
OKEMOS 48864
(517) 999-3171
1058313
NOVAK, THOMAS W PHD
4747 OKEMOS RD
OKEMOS 48864
(517) 349-2661
1009398
NOWACK, MARY H PHD
4572 S HAGADORN RD STE 2A-W
EAST LANSING 48823
(517) 332-1580
1056459
OKEMOS PSYCHOLOGICAL CONSULTANTS
2165 COMMONS PKWY
OKEMOS 48864
(517) 349-6370
1097891
ONEESE, CALLIE J PHD
LANSING 48911
(517) 887-9801
1105943
ORLANDO, MATTHEW MA TLLP
LANSING 48911
(517) 887-9801
1001787
OSTIEN, J KEITH PHD
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1118830
PELON, DENNIS PHD
LANSING 48911
(517) 882-3732
1002130
PELON, DENNIS PHD
HASLETT 48840
(517) 339-1686

Mental Health
Page 745
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1012944
POORMAN, MICHELE O PHD
OKEMOS 48864
(517) 347-6912
1086823
PSYCHOLOGICAL AND CONSULTATIONS SVCS
411 W LAKE LANSING RD STE C125
EAST LANSING 48826
(517) 336-7366
1076987
PSYCHOLOGICAL SERVICES OF EAST LANSING
EAST LANSING 48823
(517) 599-4934
1102936
PURO, ERIN G MS
2289 SOWER BLVD
OKEMOS 48864
(517) 347-4645
1014942
ROCCO, LIESA A LLP
4225 OKEMOS RD
OKEMOS 48864
(517) 281-5071
1034227
ROGELL, MICHAEL PHD
2535 E MT HOPE AVE
LANSING 48910
(517) 372-2300
1077529
ROSEMAN, PETER LLP
2535 MT HOPE RD
LANSING 48910
(517) 861-1167
1058037
RUSHBROOK, JOHN C PHD
LANSING 48906
(517) 853-1925
1102745
SCHAFER, ANDREW E MA TLLP
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1008883
SCHEURER, WILLIAM E PHD
2165 COMMONS PKWY
OKEMOS 48864
(517) 230-6875
1080431
SCHWARTZ, CAROL PHD
2535 E MT HOPE AVE
LANSING 48910
(517) 372-2536
1046734
SHAFER, MICHEAL PHD
LANSING 48911
(517) 887-9801
1062214
SHEBROE, VALERIE L PHD
4660 S HAGADORN RD STE 280B
EAST LANSING 48823
(517) 332-4011
1031796
SHY, JONATHAN LLP
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1008263
SINGLETON, DIANNE S PHD
EAST LANSING 48824
(517) 353-3070
1125426
SIVYER, TONIA PHD LP
OKEMOS 48864
(517) 347-4645
1035942
STELMA, MARY B PHD
OKEMOS 48864
(517) 347-6077
1002869
STELMA, MARY B PHD
4660 MARSH RD
OKEMOS 48864
(517) 347-2126
1030476
STENTOUMIS, JASON G PHD
2535 E MT HOPE AVE
LANSING 48910
(517) 999-3935
1123088
TAYLOR, JOHN PSYD
EAST LANSING 48823
(517) 282-8784
1060304
THURMAN, LORI LLP
585 JEWETT RD
MASON 48854
(517) 676-5405
1057563
TITUS, JACQUELINE PHD
1650 KENDALE BLVD
EAST LANSING 48823
(517) 599-4934
F
F
1076988
TITUS, JACQUELINE PHD
EAST LANSING 48823
(517) 599-4934
1106000
UPSHAW, CHARLES LLP
5084 OKEMOS RD
OKEMOS 48864
(517) 347-4848
1091800
VANBUREN-HAY, BROOKE E PHD
LANSING 48911
(517) 887-9801
1091801
OKEMOS 48864
(517) 347-4645
1075065
VANDER MOLEN, TIM PHD
LANSING 48906
(517) 853-1925
1016708
WADE, PRISCILLA PHD
411 W LAKE LANSING RD STE C-125
EAST LANSING 48826
(517) 336-7366
1000414
WAIESS, ELIZABETH PSYD
EAST LANSING 48823
(517) 336-9930
1119690
WHITEHEAD, CHARMEKA PHD
120 N WASHINGTON SQ STE 805
LANSING 48933
(248) 233-3994
F
M
1098316
WILLIAMS, MARK TLLP
LANSING 48911
(517) 887-5922
1098317
WILLIAMS, MARK T CP
790 E COLUMBIA
MASON 48854
(517) 244-0120
1002966
WILSON, BONNIE F PHD
EAST LANSING 48823
(517) 336-8005
IONIA COUNTY
1020918
BENTLEY, DOUGLAS WILLIAM LLP
112 S DEPOT ST
IONIA 48846
(616) 527-2619
1114469
IONIA 48846
(616) 522-0836
1090385
LINDER, CELESTE I PSYD
601 E WASHINGTON
IONIA 48846
(616) 522-0836
1119426
TOVEY, VALLERY LLP
IONIA 48846
(616) 522-0836
ISABELLA COUNTY
1118607
HORNAK, NANCY J PSYD
(989) 317-4664
1083104
RIDDICK, JOYCE LLP
118 S WASHINGTON
(989) 773-9328
1109628
ROBB, DEBBIE PSYD
(989) 400-1122
1027191
RONAN PSYCHOLOGICAL
201 S UNIVERSITY AVE
(989) 779-8999
1060550
SIMONS, LYNN PSYD
115 S FRANKLIN ST
(989) 773-0102

Mental Health
Page 746
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
JACKSON COUNTY
1105934
HUDSON, MEGAN PHD
3333 SPRING ARBOR RD STE 800
JACKSON 49203
(517) 782-2442
1106306
HUTTON, DEBRA PHD
JACKSON 49203
(517) 782-2442
1107612
KEITH, RALPH PHD
JACKSON 49203
(517) 782-2442
1106067
KOLTUNIAK, TIMOTHY PHD
JACKSON 49203
(517) 782-2442
1050672
LAFAVE, PATRICIA PHD
JACKSON 49203
(517) 782-2442
1106196
MARKOWICZ, JOCELYN PHD
JACKSON 49203
(517) 782-2442
1108274
PATRICIA J LAFAVE PHD AND ASSOC
JACKSON 49203
(517) 782-2442
1107675
SPINAZOLA, CHARLES PHD
JACKSON 49203
(517) 782-2442
1091398
WEISBORD, MITCHELL S PSYD
202 N WEST AVE
JACKSON 49201
(517) 544-7700
KALAMAZOO COUNTY
1126334
AJAI-NABORS, MARGARET PHD
KALAMAZOO 49007
(269) 312-8686
1116175
AJAYI-NABORS, MARGARET PSYD
7320 GARDEN LANE STE 110
PORTAGE 49002
(269) 206-1480
1091937
BAIRD, SUSAN PHD
PORTAGE 49024
(269) 327-1438
1074192
BARNES, CHRISTOPHER L PSYD
1521 GULL RD
KALAMAZOO 49048
(269) 226-4858
1091554
BASSETT, CYNTHIA J MA
PORTAGE 49024
(269) 327-1438
1068545
CHILD & FAMILY PSYCHOLOGICAL
5340 HOLIDAY TERRACE
KALAMAZOO 49009
(269) 372-4140
1120546
CORNELIUS, CHIQUITHA PSYD
7061 W N AVE
KALAMAZOO 49009
(269) 267-6491
1100004
FABIANO, ROBERT PHD
KALAMAZOO 49008
(517) 887-9801
1070909
FLACHIER, ROBERTO PHD
1521 GULL RD
KALAMAZOO 49048
(269) 226-4858
1126636
FLORIAN, PHYLLIS M LLP
1608 LAKE ST
KALAMAZOO 49001
(269) 344-0202
1108602
HAMILTON, MARK T LLP
1530 NICHOLS RD
KALAMAZOO 49006
(269) 343-6700
1090362
HUNYADI, DENNIS A PSYD
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1091659
KERR, HOPE PSYD
PORTAGE 49024
(269) 327-1438
1091661
KIEL, SHERYL L PSYD
PORTAGE 49024
(269) 327-1438
1098750
LAIRD, MICHAEL EDD
924 RUSSELL ST
KALAMAZOO 49001
(269) 349-2641
1098748
LAIRD, MICHAEL EDD
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1098749
LAIRD, MICHAEL EDD
1308 N BURDICK
KALAMAZOO 49007
(269) 349-2641
1084836
7920 KIRKLAND CT
PORTAGE 49024
(269) 345-0669
1093376
LUBINSKI, LYNETTE MA
2615 STADIUM DR
KALAMAZOO 49008
(269) 343-1651
1097711
MCCUTCHEON, CAMBRON B PSYD
5937 W MAIN ST
KALAMAZOO 49009
(312) 543-7445
1091693
MCLEAN, EDWARD A LPC
KALAMAZOO 49007
(269) 383-1440
1091532
MID-AMERICA PSYCHOLOGICAL SERVICES
PORTAGE 49024
(269) 327-1438
1070927
MUFFLEY, CHAD EVERETT LLP
1521 GULL ROAD
KALAMAZOO 49048
(269) 226-4858
1091710
MURRAY, PATRICIA R PSYD
PORTAGE 49024
(269) 327-1438
1091717
OGILVIE, JEAN L PSYD
PORTAGE 49024
(269) 327-1438
1106180
ROSENBAUM, CHERYL LLP
KALAMAZOO 49008
(855) 319-3734
F
M
1091748
RUSSELL, DAVID L EDD
PORTAGE 49024
(269) 327-1438
1103064
SAMARAWEERA, DAYANTHI N PSYD
7895 CURRIER DR
PORTAGE 49002
(269) 321-7090
1103063
SAMARAWEERA, DAYANTHI N PSYD
KALAMAZOO 49048
(269) 226-5290
1091751
SANDERSON, RENEE M LPC
KALAMAZOO 49009
(269) 377-1045
1099999
SHAFER, MICHEAL PHD
KALAMAZOO 49008
(517) 887-9801
1108705
SIMPSON, JAMIE B LLP
1530 NICHOLS RD
KALAMAZOO 49006
(269) 343-6700
1091765
SKINNER, MELANIE M LPC
2615 STADIUM DR
KALAMAZOO 49008
(269) 343-1651
1091933
SMITH, DAVID LP
PORTAGE 49024
(269) 327-1438
1090817
SPRADLING, MARY LLP
122 W SOUTH ST
KALAMAZOO 49007
(269) 349-4219

Mental Health
Page 747
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1126064
STOVER, JULIE L MALLP
PORTAGE 49024
(269) 327-1438
1093380
TEITELBAUM, PHILIP PSYD
2615 STADIUM DR
KALAMAZOO 49008
(269) 343-1651
1099317
TRIPLETT, NICOLE LLP
225 W WALNUT ST
KALAMAZOO 49007
(269) 578-3241
1100001
KALAMAZOO 49008
(517) 887-9801
1101161
VILLEGAS, SARA TLLP
1608 LAKE ST
KALAMAZOO 49001
(269) 344-0202
1090818
WALKER, REBECCA LLP
122 W SOUTH ST
KALAMAZOO 49007
(269) 349-4219
1092491
WASSINK, MARY L LLP
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1108718
WEELDREYER, JON S LLP
1530 NICHOLS RD
KALAMAZOO 49006
(269) 343-6700
1126850
WHEELER, JOSEPH B PHD
KALAMAZOO 49007
(269) 341-7500
KENT COUNTY
1077380
AGNEW, VALENCIA LLP
GRAND RAPIDS 49525
(616) 361-5001
1116227
AGNEW, VALENCIA PHD
3501 LAKE EASTBROOK BLVD
GRAND RAPIDS 49546
(616) 295-7614
1069864
ALBRECHT, STEPHEN J PHD
GRAND RAPIDS 49503
(616) 267-2830
1108925
ALLEN, APRIL L LLP
9090 RODGERS CT SE STE D
CALEDONIA 49316
(616) 891-8770
1124798
BAKER, CHRISTOPHER J PHD
300 68TH ST SE
KENTWOOD 49548
(616) 281-6382
1101736
BANDSTRA, NANCY F PHD
GRAND RAPIDS 49503
(616) 486-6870
1123101
BANYASZ, ALISSA LLP
300 68TH ST
KENTWOOD 49548
(616) 364-1500
1123069
BARBER-GARCIA, BRITTANY PHD
35 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 267-2830
1123068
BARBER-GARCIA, BRITTANY PHD
25 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 267-7900
1079465
BENNETT, KATHERINE PSYD
GRAND RAPIDS 49525
(616) 361-5001
1076511
BERG, DOROTHY PHD
GRAND RAPIDS 49525
(616) 361-5001
1090944
BOTTENHORN, JAMES PSYD
901 EASTERN AVE NE
GRAND RAPIDS 49503
(616) 224-7617
1077382
BRAY, LORI LLP
GRAND RAPIDS 49525
(616) 361-5001
1093418
BROWE, NORMAN D PSYD
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1122007
BRUGGINK, SUSAN LP
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1093420
BRUNO, ORIANA C LLP
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1077384
BURNS, SEAN LLP
GRAND RAPIDS 49525
(616) 361-5001
1089462
BURNS, SEAN E LLP
4127 EMBASSY DR SE
GRAND RAPIDS 49546
(616) 264-3200
1101765
CADIEUX, ADELLE PSYD
HDVCH HEALTHY WEIGHT CENTER 330
GRAND RAPIDS 49503
(616) 391-7999
1126795
CAMP, CARA TLLP
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-7294
1120583
CLARK DUNNILL, COURTNEY A PSYD
1870LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1122152
CUDDIHY, LEISHA PSYD
GRAND RAPIDS 49503
(616) 267-2200
1119960
CURTIS, JANETTE D LLP
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1123669
CURYTO, KIMBERLY PHD
2750 BELTLINE AVE NE
GRAND RAPIDS 49525
(616) 267-7104
1077374
DAHL, AMY LLP
GRAND RAPIDS 49525
(616) 361-5001
1114468
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1025403
DURCO, MICHAEL LLP
GRAND RAPIDS 49546
(616) 957-5850
1103041
DYKSTRA, ERIC PSYD
GRAND RAPIDS 49546
(616) 667-9551
1077376
EHLE, BRANDON LLP
GRAND RAPIDS 49525
(616) 361-5001
1077372
EHLE, CHRISTOPHER LLP
GRAND RAPIDS 49525
(616) 361-5001
1108867
ELMORE, KEVIN C LLP
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1083978
FOSTER, KAREN S LLP
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1083779
GAINEY, STEVEN LLP
1400 LEONARD ST NE
GRAND RAPIDS 49505
(616) 954-1991
1109358
GRIFFIOEN, STEVEN PSYD
468 KINNEY AVE NW
GRAND RAPIDS 49534
(616) 735-5491
1108928
GROOTERS, JAMES R LLP
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700

Mental Health
Page 748
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1109185
HAIST, PATRICIA LLP
25 SHELDON BLVD SE
GRAND RAPIDS 49503
(616) 459-4652
1108603
HAMILTON, MARK T LLP
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
F
M
1114368
HEIDT, JENNIFER LLP
25 SHELDON BLVD SE
GRAND RAPIDS 49503
(616) 459-4652
1125246
HELLER, GRANT PSYD
GRAND RAPIDS 49525
(616) 267-7104
1120544
HOLLINGSWORTH, MARCIA A PSY
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1106146
HUSTON, PARKER L PHD
GRAND RAPIDS 49503
(616) 486-6870
1084567
IPPEL, THOMAS PHD
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1118545
JACKSON, LYNN PSYD
GRAND RAPIDS 49546
(616) 719-0194
1123079
JOHNSON, BRITTANY LLP
300 68TH ST
KENTWOOD 49548
(616) 222-3720
1108809
JOHNSON, VALERIE M LLP
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1120697
JUBERG, ARIEL LLP
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1122727
KATTERMAN, SHAWN PSYD
GRAND RAPIDS 49525
(616) 267-7104
1084045
KEMPSTON, DAVID LLP
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1090384
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1116668
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1120604
LOW, REBECCA K PSYD
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1120736
MALLIS, GREGORY V PSYD
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1123972
MCGEE, TRACY MA LLP
GRAND RAPIDS 49503
(616) 218-9903
1120596
NELSON, IAN R LLP
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 965-9619
1095060
PASTYRNAK, JENIFER L PSYD
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1104280
PASTYRNAK, STEVEN L PHD
GRAND RAPIDS 49503
(616) 267-2830
1108674
PATTERSON, BERNICE S LLP
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1109693
PORTER, JEFFREY PHD
GRAND RAPIDS 49503
(616) 685-5600
1109268
PORTER, JEFFREY PHD
GRAND RAPIDS 49503
(616) 954-9800
1119508
RAAYMAKERS, CONNY LLP
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1120630
RAESE, ELIZABETH LP
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1077368
RASHEWSKY, LISA LLP
GRAND RAPIDS 49525
(616) 361-5001
1122779
RO, DIANA LLP
300 68TH ST
KENTWOOD 49548
(616) 222-3700
1083995
SANFORD, MARK LLP
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1004525
SCHAAP, KAREN S LLP
300 68TH ST SE
KENTWOOD 49548
(616) 455-9200
1119432
SCHIPPER, KYLENE LLP
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
F
F
1077378
SHEPHARD, BEVERLY LLP
GRAND RAPIDS 49525
(616) 361-5001
1120728
SHERMAN, GREGORY A PSYD
1870 LEONARD NE
KENTWOOD 49548
(616) 956-9619
1108706
SIMPSON, JAMIE B LLP
9090 RODGERS CT SE STE D
CALEDONIA 49316
(616) 891-8770
1120702
SMITHEE, JULIE PSYD
1870 LEONARD NE
GRAND RAPIDS 49525
(616) 965-9619
1121086
SMITHEE, JULIE PSYD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1127531
STEENWYK, MARK R PSYD
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1120558
STEENWYK, SHERRY PSYD
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1119425
TOVEY, VALLERY LLP
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1120670
VANBUREN, SHAUNENE PSYD
1870 LEONARD NE
KENTWOOD 49548
(616) 965-9619
1120775
VAUGHN, JOANNA K LLP
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1114481
VERMERRIS, DANE LLP
GRAND RAPIDS 49506
(616) 940-0040
1108778
VISSER, LESLIE R LLP
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1121085
VISSER, LESLIE R LLP
9090 SOUTH RODGERS CT SE
CALEDONIA 49316
(616) 891-8770
1114563
WAALKES, MARTIN J PHD
GRAND RAPIDS 49506
(616) 940-0040
1122756
WEATHERHEAD, GARRETT LLP
300 68TH ST
KENTWOOD 49548
(616) 455-5270

Mental Health
Page 749
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
3501 LAKE EASTERBROOK BLVD SE STE 258
GRAND RAPIDS 49546
(616) 719-0194
PSYCHOLOGY
1120690
WILLIS, AMANDA LCP
LAPEER COUNTY
1000760
BOOM, WILLIAM S LLP
162 N CEDAR ST
IMLAY CITY 48444
(810) 724-0598
1072986
BROSH, SHAI PHD
1375 N MAIN ST
LAPEER 48446
(810) 667-5611
1060002
BROSH, SHAI PHD
LAPEER 48446
(810) 667-4500
1018717
GOODENOW, LAWRENCE PHD
LAPEER 48446
(810) 667-4500
1003535
KACHMAN, DANIEL J LLP
700 S MAIN STE 210
LAPEER 48446
(810) 664-4363
1036760
LAPEER 48446
(810) 667-4500
1063929
LIST, DIANE R PHD
LAPEER 48446
(810) 667-4500
LENAWEE COUNTY
1091559
BISHOP, DONNA J LPC
127 N EVANS ST
TECUMSEH 49286
(517) 424-7345
1091558
BISHOP, DONNA J LPC
108 S MAIN ST
ADRIAN 49221
(517) 918-8443
1103033
CASE, AMANDA PSYD
306 W MAIN ST
HUDSON 49247
(517) 448-6442
1103032
CASE, AMANDA PSYD
138 MAUMEE ST
ADRIAN 49221
(517) 439-8144
1102840
306 W MAIN ST
HUDSON 49247
(517) 448-6442
1102839
138 MAUMEE ST
ADRIAN 49221
(517) 439-8144
1091775
ST BERNARD, MELANIE A PHD
308 S MAUMEE ST
TECUMSEH 49286
(517) 423-6889
1091786
STEYAERT, JAMES P PHD
308 S MAUMEE ST
TECUMSEH 49286
(517) 423-6889
LIVINGSTON COUNTY
1114421
EPSTEIN, ELAINE B LLP
12851 E GRAND RIVER
BRIGHTON 48116
(810) 227-1211
1109244
FLEVARIS, CAROLE A PHD
BRIGHTON 48116
(810) 227-1211
1101014
GORDON, LAURA PSYD
12851 E GRAND RIVER
BRIGHTON 48116
(810) 227-1211
1042036
120 FLINT RD
BRIGHTON 48116
(810) 494-7180
1122536
120 FLINT RD
BRIGHTON 48116
(810) 494-7180
1123670
KNIGHT, RACHEL M PHD
711 BYRON RD
HOWELL 48843
(517) 548-1020
1111157
LANCASTER, BLAKE M PHD
711 BYRON
HOWELL 48843
(517) 548-1020
1111158
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
1102746
SCHAFER, ANDREW E MA TLLP
120 FLINT RD
BRIGHTON 48116
(810) 772-1401
1109374
SYTNIAK, MICHAEL B PHD
BRIGHTON 48116
(810) 227-1211
MACOMB COUNTY
1106113
ABELMAN, MAX LLP
UTICA 48315
(586) 263-1234
1101800
ALSTON, MAREITTA LLP
25401 HARPER
(586) 466-6912
1125907
ANDERSON, ANDREA T PHD
(586) 421-4513
1104114
ANDRULIS, KATHLEEN LLP
WARREN 48092
(586) 274-0200
1091549
ASANTE, ASKARI J PSYD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1124518
ATKINSON, DAVID PSYD
(586) 263-8700
1094967
BEARD, JONATHAN LP
43740 GROESBECK
(586) 469-7629
1062894
BINION, JANIFER LLP
UTICA 48317
(586) 997-3153
1060285
BROWN, FRANCES PSYD
UTICA 48317
(586) 997-3153
1103111
BURKE, DANIAL LLP
6555 15 MILE RD
(586) 274-0200
1103060
BYCK, MICHAEL LLP
(586) 783-8113

Mental Health
Page 750
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1057893
CASSADY, MARY PHD
UTICA 48317
(586) 254-7383
1118641
CONRAD-GARRISI, DEBORAH L PHD
(586) 226-8440
1075345
CRAIG, ARLEN LLP
UTICA 48317
(586) 997-3153
1116460
CRAIG, ARLEN PHD LP
(248) 953-2900
1091599
CRITELLI, PAUL PHD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1084188
ECKLEBERRY-HUNT, JODIE PHD
44250 DEQUINDRE RD
(248) 964-0400
1091614
FARRAG, MOHAMED PHD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1093270
FARRELL, MELISSA M PSYD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1108220
FICHTENBERG, NORMAN L PHD
(248) 305-7380
1067436
(313) 745-9763
1094994
FRENDO, DENNIS F PHD
(586) 226-2822
M
M
1108179
GOLA, THOMAS J PHD
(313) 745-9763
1056771
GOLA, THOMAS J PHD
(313) 745-9763
1123801
GROCE, FRANCES LLP
(586) 263-8700
1107598
GUERTIN, SARAH C PSYD
(586) 226-2822
1122473
HAKEOS, NICHOLAS LLP
16200 19 MILE RD
(586) 263-8700
1094818
HAMILTON PSYCHOLOGICAL SERVICES
(586) 226-2822
1098758
HANSEN, JAMES PSYD
175 N GROESBECK
MOUNT CLEMENS 48043
(586) 627-0024
1123782
HARMON, DEBRA LLP
(586) 263-8700
1123936
HOFFMAN, RACHEL LLP
(586) 263-8700
1098263
HOMER, CHRISTINE LLP
(586) 254-5660
1103104
HUGHES, GREGORY LLP
43740 GROESBECK
(586) 469-7629
1093273
ICHIKAWA-DILLON, VERONICA I PSYD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1061085
JACKSON, FREDERICKA PHD
(586) 226-8440
1091921
JAMES, RICHARD E PHD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1119644
JULIAO, TRACY R PHD
NEW BALTIMORE 48047
(586) 604-9101
1107662
KAPLAN, ALI PHD
28800 RYAN RD
WARREN 48092
(586) 620-8100
F
F
1093275
KOENIG-FORBIS, NANCY PSYD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1125219
LACKMAN-ZEMAN, LORI A PHD
44250 DEQUINDRE RD
(248) 964-0400
1098513
LAMPING, DOLORES LLP
(586) 226-3440
1122437
LEVIN, WARREN LLP
58144 GRATIOT
NEW HAVEN 48048
(586) 749-5173
1122439
LEVIN, WARREN LLP
8150 E OLD 13 MILE RD STE 100
WARREN 48093
(586) 558-7472
1090829
LEWANDOWSKI, ARTHUR PHD
WARREN 48092
(586) 620-8100
1037528
LEWIS, CHERYL PHD
42477 GARFIELD RD
(586) 231-0306
F
F
1118513
LEWIS, DEBRA LPC
UTICA 48317
(248) 224-6936
1034885
LONGWORTH-BEATTIE, MELANIE PSYD
116 MARKET ST
MOUNT CLEMENS 48043
(586) 465-4444
1123805
LUCIDO, RICHARD PSYD
(586) 263-8700
1123759
MAAKARON, JOHN PSYD
34514 DEQUINDRE STE B
(586) 899-0686
1069340
MANCZAK, DONNA PHD
(248) 577-9600
1096345
MARTUS, MATTHEW T LLP
UTICA 48315
(586) 263-1234
M
F
1101729
MCKELVIE, DIANE LLP
43740 GROESBECK
(586) 469-7629
1097881
MERZ, MICHAEL A PHD
(586) 226-2822
1102964
MILITELLO, PAUL LLP
(586) 783-8113
1063681
MILLS, CHARLES D PHD
(586) 268-6712
1098358
MOHLER, ROY LLP
(586) 254-5660
1093276
MONTGOMERY, EDITH PHD
28800 RYAN RD
WARREN 48092
(586) 620-8100

Mental Health
Page 751
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1084097
MOURA-THAKKAR, OLIVIA M PSYD
44250 DEQUINDRE RD
(248) 964-6101
1124486
MURDOCK, DANIELLE PSYD
(586) 263-8700
1124626
ORICK, STACEY PSYD
(586) 263-8700
1066142
OTTENBREIT, DAWN LLP
(586) 268-6712
1095059
PASCARETTI, JOHN LLP
38251 GROESBECK
(586) 469-6210
(586) 231-0306
1056342
PSYCHOLOGICAL PROFESSIONAL SERVICES
42477 GARFIELD RD
1098708
PUFFER, MARIAN PHD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1122613
REYNOLDS, NICOLE LLP
NEW BALTIMORE 48047
(248) 613-5377
1107998
RICH, DEBORAH PHD
WARREN 48092
(586) 620-8100
1091746
RUDOLPH, TERRY L PHD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1109462
SAAD, LAURENE TLLP
UTICA 48315
(586) 263-1234
1090828
SAUERBREY, KLAUS PHD
WARREN 48092
(586) 620-8100
1127755
SCHROAT PSYCHOLOGICAL SERVICES
MOUNT CLEMENS 48043
(734) 730-0062
1061157
SEIDER, ANNA PHD
42669 GARFIELD
(248) 412-5321
1109427
SHEPLER, DUSTIN K PHD
(586) 795-0569
1109428
UTICA 48315
(586) 795-0569
1126759
SHIRTZ, LISE LLP
(586) 226-3440
1096289
SILVER, ROBIN LLP
43740 GROESBECK
(586) 469-7629
1091768
SMITH, PAUL C PHD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1101561
SMITH, PAUL LUCKI PHD
UTICA 48315
(586) 263-1234
1094599
UTICA 48315
(586) 263-1234
1094600
(586) 795-0569
1091791
TATTRIE, PATRICIA A PSYD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1124562
THOMAS, DONNA PSYD
(586) 263-8700
1059922
VAN DALE, KIMBERELY PHD
116 MARKET STR
MOUNT CLEMENS 48043
(586) 465-4444
1097771
VANDERMEER, COLLEEN E PSYD
(586) 226-2822
1027127
VANDYKE, ANNE PHD
(248) 964-0400
1067435
VANGEL, STEPHEN J JR PHD
(313) 745-9763
1108128
VANGEL, STEPHEN JAMES PHD
(313) 745-9763
1091805
VAUGHN, RICHARD PHD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1085117
VELINOVA, MILA PHD
(248) 254-5454
1100397
WARD, AGNES LLP
WARREN 48092
(586) 274-0200
F
M
1059926
WENTWORTH, LAWRENCE PHD
UTICA 48317
(586) 997-3153
1091825
WEST, EVAN PSYD
28800 RYAN RD
WARREN 48092
(586) 620-8100
1104334
WOODLIFF, KARA N LLP
UTICA 48315
(586) 263-1234
1063685
WUNSCH, MARTIN G PHD
(586) 263-0947
MECOSTA COUNTY
1114470
BIG RAPIDS 49307
(231) 796-1583
1090383
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1119427
TOVEY, VALLERY LLP
BIG RAPIDS 49307
(231) 796-1583
MIDLAND COUNTY
1060552
OZKAN, ERIC PHD
1108 ASHMAN
MIDLAND 48640
(989) 832-9161
1060551
RIEDINGER, DEBRA LLP
1108 ASHMAN
MIDLAND 48640
(989) 832-9161
1118084
SIMONS, LYNN PSYD
1108 ASHMAN
MIDLAND 48640
(989) 832-9161

Mental Health
Page 752
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
579 WILDERNESS RD
MIDLAND 48640
(989) 631-6990
PSYCHOLOGY
1087190
TRYLCH, SCOTT Ed D
MONROE COUNTY
1104192
HAKEOS, NICHOLAS LLP
NEWPORT 48166
(734) 586-0031
1091643
HUTCHISON, RALPH L PHD
NEWPORT 48166
(734) 586-0031
1121801
JAMES KNOWLES PHD PC
7581 SECOR RD
LAMBERTVILLE 48144
(734) 347-8002
1091648
JAMES, RICHARD E PHD
NEWPORT 48166
(734) 586-0031
1093385
MEDICK, WILLIAM J PHD
MONROE 48162
(734) 240-1760
1096087
PARSIL, JESSICA M MA LLP
8765 LEWIS AVE
TEMPERANCE 48182
(734) 847-3802
1093388
ROZICH, MICHAEL PSYD
MONROE 48162
(734) 240-1760
1093389
SEHGAL, AJAY MD
MONROE 48162
(734) 240-1760
1091779
STANIFER, DAVID PSYD
MONROE 48162
(734) 240-1760
1099166
WILLIAMS, JAMES D PHD
1070 S TELEGRAPH
MONROE 48161
(734) 240-3863
MONTCALM COUNTY
1077381
AGNEW, VALENCIA LLP
GREENVILLE 48838
(616) 754-2364
1079466
BENNETT, KATHERINE PSYD
GREENVILLE 48838
(616) 754-2364
1076512
BERG, DOROTHY PHD
GREENVILLE 48838
(616) 754-2364
1077383
BRAY, LORI LLP
GREENVILLE 48838
(616) 754-2364
1077385
BURNS, SEAN LLP
GREENVILLE 48838
(616) 754-2364
1077375
DAHL, AMY LLP
GREENVILLE 48838
(616) 754-2364
1077377
EHLE, BRANDON LLP
GREENVILLE 48838
(616) 754-2364
1077373
EHLE, CHRISTOPHER LLP
GREENVILLE 48838
(616) 754-2364
1117696
HEIDT, JENNIFER LLP
507 S NELSON DR STE A
GREENVILLE 48838
(616) 951-1132
1077369
RASHEWSKY, LISA LLP
GREENVILLE 48838
(616) 754-2364
1077379
SHEPHARD, BEVERLY LLP
GREENVILLE 48838
(616) 754-2364
MONTMORENCY COUNTY
1125917
MENO, STEVEN PHD
11899 M 32
ATLANTA 49709
(989) 785-4855
1125921
MENO, STEVEN PHD
245 E 3RD ST
HILLMAN 49746
(989) 742-4537
1125918
MENO, STEVEN PHD
15774 STATE ST
HILLMAN 49746
(989) 742-4583
MUSKEGON COUNTY
1091536
ABAKOUI, ROKI A PHD
905 E COLBY ST STE 150
WHITEHALL 49461
(231) 726-3582
1091535
ABAKOUI, ROKI A PHD
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1098530
BORGMAN, AMY PHD
6401 PRAIRIE ST STE 2300
MUSKEGON 49444
(231) 726-3582
1098529
BORGMAN, AMY PHD
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1117283
CONNELL, SHANNON TLLP
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1114465
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1085003
DURCO, MICHAEL LLP
635 W SUMMIT
MUSKEGON 49441
(616) 957-5850
1093331
DYKSTRA, JOYCE M PSYD
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1093333
GOLIN, JULIE G MA
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1090382
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1093337
MCPHERSON, SHONDA Y PSYD
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1093336
MCPHERSON, SHONDA Y PSYD
MUSKEGON 49442
(231) 726-3582

Mental Health
Page 753
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1109695
PORTER, JEFFREY PHD
MUSKEGON 49444
(231) 737-3469
1119422
TOVEY, VALLERY LLP
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
NEWAYGO COUNTY
1114466
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1090992
KOLSKI, TAMMI D LLP
25 W MAIN ST
FREMONT 49412
(231) 924-4472
1085937
LAMAR, DONNA PHD
623 E MAIN ST
FREMONT 49412
(231) 924-2401
1119423
TOVEY, VALLERY LLP
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1126305
TOVEY, VALLERY LLP
623 E MAIN ST
FREMONT 49412
(231) 924-2401
OAKLAND COUNTY
1102014
ABELL, STEVEN C PHD
ROYAL OAK 48067
(248) 546-0407
1007750
AFFILIATED PSYCHOLOGISTS OF MI
(248) 642-6066
1091541
AGOSTA, ANTONINO PSYD
ROCHESTER 48307
(248) 650-6130
1063795
ALEX E COSTINEW PHD PC
31700 W 13 MILE RD STE 201
(248) 588-2104
1086645
AL-HAMANDO, TALIA LLP
(248) 298-1000
1077573
ALSTERBERG, CARL ERIC PHD
3650 DIXIE HIGHWAY
WATERFORD 48329
(248) 674-4630
1089121
ATKINSON, MARGARET LLP
77 E LONG LAKE RD
(248) 656-0500
1089124
ATKINSON, MARGARET LLP
ROCHESTER 48307
(248) 656-0500
1120638
AYAD, AMAL LLP
SOUTHFIELD 48033
(248) 354-8460
1085316
BAIRD MARTIN, HEIDI PHD
44000 W 12 MILE RD STE 205
NOVI 48377
(248) 465-0106
1097890
BARON, SUSAN L PSYD
TROY 48084
(248) 731-7305
1122198
BAZZI, FATEN LLP
SOUTHFIELD 48033
(248) 354-8460
1105628
BEARD, JONATHAN PHD
ROYAL OAK 48067
(248) 398-6459
M
F
1125382
BEARD, NANCI PSYD
ROCHESTER 48307
(248) 656-0500
1125383
BEARD, NANCI PSYD
77 E LONG LAKE RD
(248) 656-0500
1114366
CAMPBELL, ANNE PHD
8898 COMMERCE RD STE 3A
(248) 363-2850
1119635
CAMPBELL, TIMOTHY MA
5869 DIXIE HWY
CLARKSTON 48346
(248) 909-1869
1097120
CAMPBELL, TIMOTHY MA
5869 DIXIE HWY
CLARKSTON 48346
(248) 909-1869
1122768
CAPPS, HARRY PSYD
ROYAL OAK 48067
(248) 398-6459
1117771
CARPENTER, DOUGLAS W PSYD
ROCHESTER 48307
(248) 670-2861
1122179
CHEN, KATHY PHD
317 E 11 MILE RD
ROYAL OAK 48067
(248) 336-2868
1056093
CHEYNE, VALORIE E PHD
ROYAL OAK 48067
(248) 546-0407
1123678
COOPER, CYNTHIA PHD
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1093480
COSTINEW, ALEX E PHD
31700 W 13 MILE RD STE 201
(810) 588-2104
1091596
COSTINEW, BEVERLY A PHD
141 MILFORD RD STE 103
HIGHLAND 48357
(810) 923-8402
1091597
COSTINEW, BEVERLY A PHD
31700 W 13 MILE STE 201
(810) 923-8402
1093894
CURTIS, J ALLISON PHD
5639 SASHABAW RD
CLARKSTON 48346
(248) 922-9077
1094135
DEFLON, MARIANN PHD
FRANKLIN 48025
(248) 594-4991
1012451
DOGARIU, JOSEPH G PHD
(248) 642-6066
1086409
DONNELLY, FRANCIS PHD
5639 SASHABAW RD
CLARKSTON 48346
(248) 922-9077
1098961
DUFFY, MICHAEL J JR LLP
ROCHESTER 48307
(248) 650-6130
1107798
EGAN, THERESA I PHD
ROYAL OAK 48067
(248) 398-6459
1045664
ELSMAN, JANICE LLP
FRANKLIN 48025
(248) 594-4991
1092145
FADELL, LAURA W PSYD
(248) 451-9085
1106401
FALBAUM, JULIE LLP
TROY 48083
(248) 585-3239

Mental Health
Page 754
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1090336
FAUST, SHIRLEY C PHD
115 WALNUT AVE STE 2
ROCHESTER 48307
(248) 650-3200
1106132
FELIX, JENNIFER LLP
TROY 48083
(248) 585-3239
F
F
1109377
FERSHTMAN, LINDA LLP
8898 COMMERCE RD STE 3A
(248) 363-2850
1108221
42005 W 12 MILE RD
NOVI 48377
(248) 305-7380
1054591
42005 W 12 MILE RD
NOVI 48377
(248) 305-6770
1109316
FISCHER, STEVEN PHD
317 E 11 MILE RD
ROYAL OAK 48067
(248) 336-2868
1058972
FLACK, JENNIFER LLP
CLARKSTON 48346
(248) 620-1019
1107610
FLEMING, GEORGE PHD
ROYAL OAK 48067
(248) 398-6459
1040601
CLARKSTON 48346
(810) 342-5470
1106154
FREDERICKS, MEGAN LLP
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1108180
GOLA, THOMAS J PHD
42005 W 12 MILE RD
NOVI 48377
(248) 305-7380
1125221
GOTTLIEB, SUSAN PSYD
(248) 642-6066
1053874
GVENTER, DAWN PSYD
CLARKSTON 48348
(248) 693-8880
1086615
GVENTER, DAWN PSYD
FRANKLIN 48025
(248) 594-4991
1055369
HAGERTY, RACHEL LLP
ROCHESTER 48307
(248) 650-6130
1102640
HANSEN, JAMES PSYD
TROY 48083
(248) 817-2345
1124210
HARDIN, JILL MA
(248) 559-8190
1102915
HARDIN, JILL MA
ROCHESTER 48307
(248) 559-8190
1102916
HARDIN, JILL MA
SOUTHFIELD 48076
(248) 559-8190
1084201
HILLENBERG, J BRUCE PHD
44201 DEQUINDRE RD
TROY 48098
(248) 964-6463
1084200
HILLENBERG, J BRUCE PHD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-1915
1096257
HOBERMAN, MELVIN LLP
(248) 561-0003
1116211
2628 S MILFORD RD
HIGHLAND 48357
(810) 494-1180
F
F
1127952
IVANOFF, KATHLEEN LLP
(248) 613-5377
1127953
BIRMINGHAM 48009
(248) 613-5377
1127950
(248) 613-5377
1127949
TROY 48084
(248) 613-5377
1124627
JACOBS, DENNIS J PYSD
(248) 642-6066
1127514
JAKSA, CHRISTINA LLP
FRANKLIN 48025
(248) 594-4991
1123318
JEFFERS, MICHELLE LLP
ROCHESTER 48307
(248) 670-2861
1093263
JENROW, ATEFEH MA
(248) 559-8190
1093262
JENROW, ATEFEH MA
ROCHESTER 48307
(248) 559-8190
1109173
JOHNSON, MEAGAN E LLP
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109172
WALLED LAKE 48390
(248) 624-3812
1109171
ROCHESTER 48307
(248) 853-0750
1109170
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1122535
2628 S MILFORD AVE
HIGHLAND 48357
(810) 494-7180
1107622
ROYAL OAK 48067
(248) 398-6459
1049852
JONES, JAMES PHD
2565 S ROCHESTER RD STE 108-B
ROCHESTER 48307
(248) 852-7907
M
F
1107781
JONES, SHARON M PHD
ROYAL OAK 48067
(248) 398-6459
1059983
JULIAO, TRACY PHD
461 W HURON
PONTIAC 48341
(248) 857-7583
1080442
JULIAO, TRACY PHD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-5900
1119643
JULIAO, TRACY R PHD
31700 W 12 MILE RD STE 250
(734) 368-7154
1084064
KARLE, DIANE K PHD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-5800
1109274
KATZ, SHOSHANA PHD
FRANKLIN 48025
(248) 470-0231
1127132
KENDER, ROBERT PSYD
415 S MAIN ST STE E
ROCHESTER 48307
(248) 453-4064

Mental Health
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February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1102955
KENDER, ROBERT G PHD
ROCHESTER 48307
(248) 656-8500
1043668
KIRZNER, GERALD S PHD
CLARKSTON 48348
(248) 693-8880
M
M
1043671
FRANKLIN 48025
(248) 594-4991
1043672
KOLB, SUSAN LLP
CLARKSTON 48348
(248) 693-8880
1093893
KOLB, SUSAN LLP
ROCHESTER 48307
(248) 656-5500
1107817
KOWALKOWSKI, JENNIFER D LLP
461 W HURON ST STE 107
PONTIAC 48341
(248) 724-7437
1123576
LACOSTE, AMELIE PSYD
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1107507
LARGO-MARSH, LISA K PHD
ROYAL OAK 48067
(248) 398-6459
1097632
LAZAR, JOAN F PSYD
(248) 539-0482
1054996
CLARKSTON 48348
(248) 693-8880
1123866
LEONE, JOHN PSYD
(313) 806-3316
1121953
LINGAR, DALTON PSYD
4410 W 13 MILE RD
ROYAL OAK 48073
(248) 837-2047
1065058
LITTLE, LORI LLP
5600 W MAPLE RD A-110
(248) 722-2653
1107567
LORD, SHERRY L PHD
ROYAL OAK 48067
(248) 398-6459
1027442
MACNEILL, SUSAN PHD
ROYAL OAK 48073
(248) 551-1756
1068941
MAJCHRZAK, DAVID LLP
5600 W MAPLE RD BLDG A-110
(989) 225-1999
1107823
MAJOR, SAUDIA PHD
ROYAL OAK 48067
(248) 398-6459
1107571
MANCHEL, DAVID H PSYD
ROYAL OAK 48067
(248) 398-6459
1124465
MARINO, LINDA PSYD
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1055116
MARROCCA, LISA F PHD
650 E BIG BEAVER STE A
TROY 48083
(248) 579-1200
1096344
MARTUS, MATTHEW T LLP
ROCHESTER 48307
(248) 656-8500
1124611
MARY, CHRISTINE PSYD
TROY 48084
(248) 918-5600
1107714
MCCALLISTER, CHRISTIAN LLP
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1039818
MCCRANDALL, JANICE LLP
CLARKSTON 48346
(248) 922-2300
1091691
MCGUNN, CHARLENE L PSYD
ROCHESTER 48307
(248) 559-8190
1091692
MCGUNN, CHARLENE L PSYD
(248) 559-8190
1070307
MCPEEK, JANET PHD
ROCHESTER 48307
(248) 852-1282
1122608
MEYERS, JACQUELINE LLP
TROY 48084
(248) 613-5377
1122607
MEYERS, JACQUELINE LLP
BIRMINGHAM 48009
(248) 613-5377
1103917
(248) 858-8412
1059815
MIELKE, ROBERT PHD
1880 STAR-BATT DR
ROCHESTER 48309
(248) 289-6817
1036767
MIJAL, SHARON PHD
ROYAL OAK 48067
(248) 546-0407
1106402
MISKOV, TYANNE LLP
PONTIAC 48340
(248) 706-3450
1107763
MITTELMAN, DAVID PHD
ROYAL OAK 48067
(248) 398-6459
1107664
MORRISON, ANDREA PSYD
ROYAL OAK 48067
(248) 398-6459
1127944
MUENK, ELIZABETH LLP
(248) 613-5377
1127945
MUENK, ELIZABETH LLP
BIRMINGHAM 48009
(248) 613-5377
1059921
ODOM, JAQUELINE PHD
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 655-5900
1076804
O'LEARY, JOHN PHD
BERKLEY 48072
(248) 545-0070
1064944
O'LEARY, JOHN PHD
3535 W 13 MILE RD
ROYAL OAK 48073
(248) 551-1756
1064455
OTTENBREIT, DAWN LLP
TROY 48084
(248) 244-8644
1123198
PASCIAK, ADAM PHD
3604 CLARKSTON RD
CLARKSTON 48348
(248) 814-9300
1127834
PERRAUT, EMILY LLP
BIRMINGHAM 48009
(248) 613-5377
1120790
PEYTON, LYN PHD
CLARKSTON 48346
(248) 762-5820
1124504
PIETROFESA, CATHY J PHD
(248) 642-6066
1030475
PIETROFESA, JOHN J EDD
(248) 642-6066

Mental Health
Page 756
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
(269) 983-4751
PSYCHOLOGY
1100538
PSYCHOLOGY ASSOCIATES
3888 NILES RD
TROY 48085
1093281
RENARD, ANN M PSYD
TROY 48084
(248) 731-7305
1122615
TROY 48084
(248) 613-5377
1122614
(248) 616-5377
1097732
REYNOLDS, NICOLE R PSYD
(248) 539-0482
1109225
ROBINSON, AMORIE PHD
ROCHESTER 48307
(248) 559-8190
1109226
ROBINSON, AMORIE PHD
SOUTHFIELD 48076
(248) 559-8190
1087192
ROCKAFELLOW PSYCHOLOGICAL
ROCHESTER 48307
(888) 208-0351
1089120
ROCKAFELLOW PSYCHOLOGICAL SERVICES
77 E LONG LAKE RD
(248) 656-0500
1095074
ROCKAFELLOW, BRADLEY D PHD
77 E LONG LAKE RD
(245) 656-0500
1095073
ROCKAFELLOW, BRADLEY D PHD
ROCHESTER 48307
(248) 656-0500
1107682
ROGERS, CORINNE PSYD
ROYAL OAK 48067
(248) 398-6459
1117586
ROSKOS, PHILIP T PHD
44000 W 12 MILE RD STE 205
NOVI 48377
(248) 465-0100
1099587
RUSNIAK, KAREN M PHD
FRANKLIN 48025
(248) 594-4991
1097880
RUSNIAK, KAREN M PHD
CLARKSTON 48348
(248) 693-8880
1109461
SAAD, LAURENE TLLP
2501 ROCHESTER CT
TROY 48083
(586) 795-0569
1109460
SAAD, LAURENE TLLP
(248) 539-0899
1109459
SAAD, LAURENE TLLP
ROCHESTER 48307
(248) 656-8500
1045660
SANCHEZ-MURPHY, ANTONIA LLP
CLARKSTON 48348
(248) 693-8880
1048326
SAXE, SHERI LLP
CLARKSTON 48348
(248) 693-8880
1048327
SAXE, SHERI LLP
FRANKLIN 48025
(248) 594-4991
1090823
SCHUMACHER, CARTER PHD
TROY 48084
(248) 731-7305
1040261
SEIDER, ANNA PHD
ROYAL OAK 48067
(248) 546-0407
1124595
SELTZER SUCHER, LINDA PSYD
(248) 642-6066
1079500
SHAW-DRAVES, ELIZABETH LLP
725 S ADAMS RD STE L125
BIRMINGHAM 48009
(248) 207-1499
1109426
(248) 539-0899
1123394
77 E LONG LAKE RD
(248) 656-0500
1123392
ROCHESTER 48307
(248) 656-0500
1095101
SHERIDAN, ANN PHD
77 E LONG LAKE RD
(245) 656-0500
1124597
SMITH, LACEY LLP
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1101563
2501 ROCHESTER CT
TROY 48083
(586) 795-0569
1094598
(248) 539-0899
1074810
ROCHESTER 48307
(248) 656-8500
1109005
ROCHESTER 48307
(586) 747-0206
1101562
(248) 539-0899
1123004
SMITH, WENDY PSYD
300 E LONG LAKE RD STE 130
(248) 792-2104
1126736
SOLOMON, ANNETTE PSYD
911 E 9 MILE RD
FERNDALE 48220
(248) 336-4000
F
M
1016917
SOPHIEA, WILLIAM G LLP
CLARKSTON 48346
(248) 620-1019
1105625
STARKS, GAIL PHD
ROYAL OAK 48067
(248) 398-6459
1091781
STARKS, GAIL A PHD
ROCHESTER 48307
(248) 559-8190
1091782
STARKS, GAIL A PHD
(248) 559-8190
1079483
STEVENSON, ALINA PSYD
1555 W SOUTH BLVD STE 220
ROCHESTER 48309
(248) 655-3235
1107721
SURREY, LYNN PHD
ROYAL OAK 48067
(248) 398-6459
1054793
TIPPEN, MARGARET A LMSW
CLARKSTON 48346
(248) 922-2300
1084135
TOMAKOWSKY, JAN PHD
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-0898
1125270
TOUCHETTE, ERIN LLP
77 E LONG LAKE RD
(248) 656-0500

Mental Health
Page 757
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1125269
TOUCHETTE, ERIN LLP
ROCHESTER 48307
(248) 656-0500
1116217
TOUCHETTE, ERIN PSYD
77 E LONG LAKE RD
(248) 656-0500
F
F
1066196
TRASK, JOHN PHD
650 BIG BEAVER RD STE A
TROY 48083
(248) 689-4600
1107761
TUTTLE, TIFFANY Z PSYD
ROYAL OAK 48067
(248) 398-6459
1107810
UNGAR, LAUREN LP
ROYAL OAK 48067
(248) 398-6459
1049075
(248) 858-8412
1105929
VANDENBOSSCHE, AMY LLP
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1055758
42005 W 12 MILE RD
NOVI 48377
(248) 305-6770
1108129
VANGEL, STEPHEN JAMES PHD
42005 W 12 MILE RD
NOVI 48377
(248) 305-7380
1098869
VELINOVA, MILA PHD
ROCHESTER 48307
(248) 650-6130
1123917
VOWELS, KAYCEE LLP
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1127140
WALL, DANIEL PH D
WATERFORD 48329
(248) 461-6266
1059818
WARTEL, DAVID PHD
(248) 626-1330
1059819
WARTEL, DORIS LLP
(248) 626-1330
1103690
WEINBERG, PEGGY MA LLP
TROY 48083
(248) 585-3239
1124591
WHEAT, EVELYN PSYD
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1104331
ROCHESTER 48307
(248) 656-8500
1104333
2501 ROCHESTER CT
TROY 48083
(586) 795-0569
1104332
(248) 539-0899
1086408
WRIGHT, MARTHA PHD
5639 SASHAABAW RD
CLARKSTON 48346
(248) 922-9077
1124587
WRIGHT, TAMI PSYD
(248) 642-6066
1091836
YELLIN, CARLY R CSW
ROCHESTER 48307
(248) 559-8190
1091837
YELLIN, CARLY R CSW
(248) 559-8190
1107633
YOBANY, PARDO F PHD
ROYAL OAK 48067
(248) 398-6459
OTSEGO COUNTY
1091635
HAYES, MICHAEL P PHD
128 N COURT AVE
GAYLORD 49735
(989) 448-8344
1102979
JONES, JOHN PHD
651 NORTH OTSEGO AVE
GAYLORD 49735
(989) 732-9890
1090728
OLD TOWN PSYCHOLOGICAL SERVICES
128 N COURT AVE
GAYLORD 49735
(989) 448-8344
1092396
REPPUHN, STEVEN D PHD
651 N OTSEGO
GAYLORD 49735
(989) 732-9890
1095138
WINKLER, PAUL D PSYD
128 N COURT AVE
GAYLORD 49735
(989) 448-8344
OTTAWA COUNTY
1108938
CONLI, KATRINA J LLP
8333 FELCH ST
ZEELAND 49464
(616) 741-3790
1118444
DILSWORTH, SUSAN PHD
ALLENDALE 49401
(616) 307-1617
1103042
DYKSTRA, ERIC PSYD
7086 8TH AVE
JENISON 49428
(616) 667-9551
1114541
ELZINGA, PHILIP LLP
321 BEECHTREE
GRAND HAVEN 49417
(616) 846-5880
1108673
EMANUEL, KRISTIN M LLP
8333 FELCH ST
ZEELAND 49464
(616) 741-3790
1108782
HART, ROLAND C LLP
8333 FELCH ST SE
ZEELAND 49464
(616) 741-3790
1108678
LAHAIE, ANDREW H LLP
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1090386
6660 BLAIR LANE
HOLLAND 49424
(616) 796-9595
1109694
PORTER, JEFFREY PHD
12460 RILEY ST
HOLLAND 49424
(616) 399-6500
1086370
SCHAEUFELE, PAT LLP
321 BEECHTREE
GRAND HAVEN 49417
(616) 846-5880
1087171
321 BEECHTREE
GRAND HAVEN 49417
(616) 846-5880
1108683
SPIELMAKER, CYNTHIA A LLP
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1108639
WINDBERG, ANNE M LLP
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145

Mental Health
Page 758
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
PSYCHOLOGY
1108601
ZAMBIASI, MEGAN A LLP
PRESQUE ISLE COUNTY

1125922
MENO, STEVEN PHD
4549 M 33
ONAWAY 49765
(989) 733-4980
1125920
MENO, STEVEN PHD
21258 W M68 HWY
ONAWAY 49765
(989) 733-2082
1125919
MENO, STEVEN PHD
205 S BRADLEY HWY
ROGERS CITY 49779
(989) 734-2052
9249 W LAKE CITY RD
HOUGHTON LAKE 48629
(989) 422-5122
ROSCOMMON COUNTY
1046968
GEDEON, STACEY R PSYD
SAGINAW COUNTY
1106351
ABBENANTE, MARK LLP
2806 DAVENPORT AVE
SAGINAW 48602
(989) 790-7500
1119521
BECK, KARA LLP
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1105278
3215 HALLMARK CT
SAGINAW 48603
(989) 790-5990
1127241
3201 HALLMARK CT
SAGINAW 48603
(989) 790-5989
1107572
CHAMPINE, ANDREW R LLP
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1064459
COOPER, ROBERT LLP
2100 HEMMETER
SAGINAW 48603
(989) 799-2100
1118276
HASTINGS, DEBORAH MA LLP
3215 HALLMARK CT
SAGINAW 48603
(989) 790-5990
1127239
HASTINGS, DEBORAH MA LLP
3201 HALLMARK CT
SAGINAW 48603
(989) 790-5989
1036762
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1059452
1600 N MICHIGAN AVE
SAGINAW 48602
(989) 758-3720
1107783
MARTIN, SHANNON M LLP
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1012149
MENENDES, NATHALIE P PSYD
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1126048
MICHAEL, KATHRYN PSYD
2100 HEMMETER
SAGINAW 48603
(989) 799-2100
1127240
REISS-THOMAS, SHELLI LLP
3201 HALLMARK CT
SAGINAW 48603
(989) 790-5989
1107144
3215 HALLMARK CT
SAGINAW 48603
(989) 790-5990
1120917
ROYAL, DONOVAN PSY D
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1014833
SAGINAW PSYCHOLOGICAL SERVICES
2100 HEMMETER
SAGINAW 48603
(989) 799-2100
1089469
TRYLCH, SCOTT ED D
120 N MICHIGAN STE 220
SAGINAW 48602
(989) 790-5988
1105147
VOLESKY, WILL V LLP
2084 HEMMETER RD
SAGINAW 48603
(989) 401-7506
1096210
VOLESKY, WILL V LLP
1321 FAYETTE
SAGINAW 48602
(989) 792-8000
1096211
VOLESKY, WILL V LLP
SAGINAW 48601
(989) 755-1072
1080228
WEST, KYLE LLP
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1119572
WILBUR, DALE A MA LLP
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1016925
ZAROFF, MARK A PHD
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
SAINT CLAIR COUNTY

1091542
AGOSTA, ANTONINO PSYD
1501 KRAFT RD
FORT GRATIOT 48059
(810) 985-5125
1127851
DEPONIO, FRANCES LLP
1406 8TH ST
PORT HURON 48060
(810) 987-1258
1098962
16 SOUTH MAIN ST
YALE 48097
(810) 985-5125
1067923
HAGERTY, RACHEL LLP
16 SOUTH MAIN ST
YALE 48097
(810) 985-5125
1055368
HAGERTY, RACHEL LLP
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1010391
HORBES, JENNIFER KEIZER LLP
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1066197
JONES, MARK LLP
309 MCMORRAN BLVD
PORT HURON 48060
(810) 794-7750
1092912
JONES, MARK LLP
PORT HURON 48060
(810) 966-1972

Mental Health
Page 759
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1107842
LAFAVE, PATRICIA PHD
6602 LAKESHORE RD
FORT GRATIOT 48059
(810) 385-8331
1122438
LEVIN, WARREN LLP
ALGONAC 48001
(810) 794-4982
1108275
PATRICIA J LAFAVE PHD AND ASSOC
6602 LAKESHORE RD
FORT GRATIOT 48059
(810) 385-8331
1109006
SOUTH, DEVIN PSYD
1201 STONE ST STE 8
PORT HURON 48060
(810) 989-0000
SAINT JOSEPH COUNTY

1086247
BALLARD, CHRISTIE LLP
103 S FOURTH ST
STURGIS 49091
(269) 651-3902
1087274
103 S FOURTH ST
STURGIS 49091
(269) 651-3902
1086248
103 S FOURTH ST
STURGIS 49091
(269) 651-3902
1086249
PATTISON, SUSAN PSYD
103 S FOURTH ST
STURGIS 49091
(269) 651-3902
1086252
PERRA, ROBERT ED D
103 S FOURTH ST
STURGIS 49091
(269) 651-3902
1090480
WISSER, ANITA M MA
714 W MICHIGAN AVE STE B
THREE RIVERS 49093
(269) 569-0318
5590 MAIN ST STE 3
LEXINGTON 48450
(810) 985-5125
SANILAC COUNTY
1098960
SHIAWASSEE COUNTY
1077199
CONNELLY, YVONNE LLP
OWOSSO 48867
(989) 725-8124
1083133
DOERSCHER, DARLENE LLP
OWOSSO 48867
(989) 723-8239
1118807
JEROME, JOHN PHD
100 HEALTH PARK DR
OWOSSO 48867
(989) 723-3168
1006500
JOHNSON, TERRENCE J PHD
802 W KING ST STE P
OWOSSO 48867
(989) 723-1120
1042364
MINTZES, BARRY PHD
OWOSSO 48867
(989) 725-8124
1096161
SCHAFER, ANDREW E MA
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1060306
THURMAN, LORI LLP
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
TUSCOLA COUNTY
1105276
CARO 48723
(989) 286-3330
1058423
GRICE, TREVOR PHD
651 N STATE ST
CARO 48723
(989) 673-5700
1053827
HESSON, LINDA LLP
8511 STATE ST
MILLINGTON 48746
(989) 871-6695
1006309
651 N STATE ST
CARO 48723
(989) 673-5700
1008541
LIST, DIANE R PHD
651 N STATE ST
CARO 48723
(989) 673-5700
1107145
CARO 48723
(989) 286-3330
VAN BUREN COUNTY

1106163
BERGLUND, FRANCENE MLP
57418 CR 681 STE C
HARTFORD 49057
(269) 621-6251
1086381
CHRISTENSEN, MARILYN R LLP NCP
304 W MICHIGAN AVE
PAW PAW 49079
(269) 655-6740
1104715
FOX, NORA MLP
57418 CR 681 STE C
HARTFORD 49057
(269) 921-6251
1090989
JOHNSON, RODERICK LLP
PAW PAW 49079
(269) 657-6025
1089209
PATZER, RONALD L PSYD
651 PHOENIX ST
SOUTH HAVEN 49090
(269) 926-6199
1084562
651 PHOENIX ST
SOUTH HAVEN 49090
(269) 926-6199
1126849
WHEELER, JOSEPH B PHD
404 HAZEN ST STE L3
PAW PAW 49079
(269) 657-1595
WASHTENAW COUNTY
1111063
ADAMS, KENNETH M PHD
ANN ARBOR 48109
(734) 763-9259
1111065
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443

Mental Health
Page 760
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1111064
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1113090
AIKENS, JAMES E PHD
1801 BRAIRWOOD CIR
ANN ARBOR 48108
(734) 998-7390
1113091
AIKENS, JAMES E PHD
YPSILANTI 48198
(734) 482-6221
1076038
ARGENTO, ANGELA G PHD
ANN ARBOR 48108
(734) 936-7052
1114219
ANN ARBOR 48109
(734) 936-4185
1114220
1500 E MEDICAL CENTER DR F2593 MOTT
ANN ARBOR 48109
(734) 936-7052
1114218
ANN ARBOR 48109
(734) 936-6379
1112561
ARNEDT, JOHN T PHD
ANN ARBOR 48109
(734) 763-9259
1112562
ARNEDT, JOHN T PHD
(734) 936-9068
1112563
ARNEDT, JOHN T PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110418
AVI-YONSP, ORLI K PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110417
AVI-YONSP, ORLI K PHD
YPSILANTI 48198
(734) 482-6221
1112729
BERENT, STANLEY PHD
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1112728
BERENT, STANLEY PHD
ANN ARBOR 48109
(734) 763-9259
1112730
BERENT, STANLEY PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1075960
BIALIK, KIMBERLY PHD
ANN ARBOR 48108
(734) 763-5459
1113010
BIELIAUSKAS, LINAS A PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113009
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1113008
ANN ARBOR 48109
(734) 763-9259
1114185
BONAR, ERIN E PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114184
BONAR, ERIN E PHD
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1114183
BONAR, ERIN E PHD
YPSILANTI 48198
(734) 482-6221
1114182
BONAR, ERIN E PHD
ANN ARBOR 48109
(734) 936-9760
1114181
BONAR, ERIN E PHD
ANN ARBOR 48109
(734) 763-9259
1102433
BUCHTEL, HENRY A PHD
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1111707
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111706
ANN ARBOR 48109
(734) 763-9259
1111678
BUTCHER, JENNIFER L PHD
ANN ARBOR 48109
(734) 936-4185
1113675
CONROY, DEIRDRE A PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113674
(734) 936-9068
1113671
ANN ARBOR 48109
(734) 763-9259
1111118
DORE-STITES, DAWN J PHD
ANN ARBOR 48109
(734) 936-4185
1110109
DRAYTON, AMY K PHD
ANN ARBOR 48109
(734) 936-4185
1112385
EVANS, JEFFREY E PHD
ANN ARBOR 48108
(734) 936-7052
1112694
EWELL FOSTER, CYNTHIA J PHD
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1112695
EWELL FOSTER, CYNTHIA J PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114179
FAVORITE, TODD K PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114178
FAVORITE, TODD K PHD
(734) 936-9068
1117273
FLEISHANS, ANGELA M PHD
ANN ARBOR 48109
(734) 936-5533
1117272
ANN ARBOR 48109
(734) 936-4185
1117274
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110171
FREDERICKS, EMILY M PHD
ANN ARBOR 48109
(734) 936-4185
1122936
GABEL, NICOLETTE M PHD
ANN ARBOR 48108
(734) 936-7175
1122937
GABEL, NICOLETTE M PHD
355 BRIARWOOD CIR
ANN ARBOR 48108
(734) 998-7888
1114612
GAFFKA, BETHANY J PHD
ANN ARBOR 48109
(734) 936-4185
1001397
GEISSER, MICHAEL E PHD
ANN ARBOR 48108
(734) 936-7175

Mental Health
Page 761
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1111055
GIARDINO, NICHOLAS D PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113728
GIORDANI, BRUNO J PHD
ANN ARBOR 48109
(734) 763-9259
1113730
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1113732
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111091
GIPSON, POLLY Y PHD
ANN ARBOR 48109
(734) 763-9259
1111092
GIPSON, POLLY Y PHD
ANN ARBOR 48109
(734) 936-5533
1111093
GIPSON, POLLY Y PHD
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1111094
GIPSON, POLLY Y PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114180
GOESLING, JENNA Z PHD
ANN ARBOR 48108
(734) 763-5459
1086614
GVENTER, DAWN PSYD
1785 W STADIUM BLVD STE 203
ANN ARBOR 48103
(734) 913-1093
1075983
HALPERN, ROSS F PHD
ANN ARBOR 48108
(734) 763-5459
1125202
HAMPSTEAD, BENJAMIN M PSYD
201 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1053876
HANSEN, SUSAN LLP
ANN ARBOR 48103
(734) 913-1093
1110376
HEINRICH, KIMBERLEY P PHD
ANN ARBOR 48109
(734) 936-9760
1110377
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1110375
ANN ARBOR 48109
(734) 763-9259
1110378
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113592
HODGES, ELISE K PHD
ANN ARBOR 48109
(734) 936-5533
1113596
HODGES, ELISE K PHD
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1113591
HODGES, ELISE K PHD
ANN ARBOR 48109
(734) 763-9259
1113589
HODGES, ELISE K PHD
ANN ARBOR 48109
(734) 936-9760
1113600
HODGES, ELISE K PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113507
HOSTE, RENEE D PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114622
HOSTE, RENEE D PHD
ANN ARBOR 48109
(734) 936-9760
1114621
HOSTE, RENEE D PHD
ANN ARBOR 48109
(734) 936-4185
1114624
HOSTE, RENEE D PHD
ANN ARBOR 48109
(734) 936-5533
1114623
HOSTE, RENEE D PHD
(734) 936-5900
1085598
JACOBS, ANGELITA LLP
4925 PACKARD ST STE 16
ANN ARBOR 48108
(734) 971-9781
1114194
KAUFMAN, JACQUELINE N PHD
ANN ARBOR 48108
(734) 936-7052
1114193
KAUFMAN, JACQUELINE N PHD
ANN ARBOR 48109
(734) 936-7052
1111100
KEES, MICHELLE R PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1114636
KING, CHERYL A PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113453
KIRSCH, NED L PHD
355 BRIARWOOD CIR
ANN ARBOR 48108
(734) 998-7888
1043669
ANN ARBOR 48103
(734) 913-1093
1123665
ANN ARBOR 48109
(734) 936-4185
1123668
ANN ARBOR 48109
(734) 936-4185
1123667
ANN ARBOR 48109
(734) 936-4185
1123666
1500 E MEDICAL CENTER DR 6H FL CS MOTT
ANN ARBOR 48109
(734) 936-4185
1076689
KULLGREN, KRISTIN A PHD
ANN ARBOR 48109
(734) 936-4185
1111155
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5680
1111156
4900A JACKSON RD
ANN ARBOR 48103
(734) 998-7380
1110823
MARSHALL, DAVID F PHD
ANN ARBOR 48109
(734) 936-9760
1110826
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110825
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1110824
(734) 936-5900
1113981
MEADE, MICHELLE A PHD
355 BRIARWOOD CIR
(734) 998-7888
ANN ARBOR 48108

Mental Health
Page 762
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1113979
MEADE, MICHELLE A PHD
ANN ARBOR 48108
(734) 936-7175
1111129
MERBITZ, NANCY K PHD
355 BRIARWOOD CIR
ANN ARBOR 48108
(734) 998-7888
1111128
MERBITZ, NANCY K PHD
ANN ARBOR 48109
(734) 936-7052
1099236
NEWPOL PSYCHOLOGICAL SERVICES
2301 PACKARD ST 2ND FL
ANN ARBOR 48104
(734) 355-8216
1098730
NEWPOL, SHERRI L PHD
2301 PACKARD ST 2ND FLOOR
ANN ARBOR 48104
(734) 355-8216
1124571
PATTERSON, ELISSA H PHD
ANN ARBOR 48109
(734) 763-9259
1124572
ANN ARBOR 48109
(734) 936-9760
1124573
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1124574
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1110506
PERSAD, CAROL C PHD
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1110505
PERSAD, CAROL C PHD
ANN ARBOR 48109
(734) 763-9259
1110507
PERSAD, CAROL C PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1096325
PHELPS, SHELLY M LLP
ANN ARBOR 48104
(734) 255-6800
1111213
ROMANO, SAMUEL E PHD
14700 E OLD US 12
CHELSEA 48118
(734) 475-1321
1111214
ROMANO, SAMUEL E PHD
YPSILANTI 48198
(734) 482-6221
1111412
ROSENBLUM, KATHERINE L PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111411
ANN ARBOR 48108
(734) 232-2600
1111410
ANN ARBOR 48109
(734) 936-5533
1111409
(734) 936-5900
1002182
ROTH, RANDY S PHD
ANN ARBOR 48108
(734) 936-7052
1112032
ROWAN, JAMES M PHD
355 BRIARWOOD CIR
ANN ARBOR 48108
(734) 998-7888
1110331
RYAN, KELLY A PHD
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1112469
SANDBERG, DAVID E PHD
ANN ARBOR 48109
(734) 763-5533
1112468
SANDBERG, DAVID E PHD
ANN ARBOR 48109
(734) 936-4185
1124741
SHAPIRO, DANIELLE PHD
ANN ARBOR 48109
(734) 936-7052
1113071
SWANSON, LESLIE M PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1113070
SWANSON, LESLIE M PHD
(734) 936-9068
1110058
THEISEN-GOODVICH, MARY E PHD
ANN ARBOR 48108
(734) 936-7052
1097657
THOMPSON, WENDY L PHD
2345 S HURON PKWY
ANN ARBOR 48104
(734) 358-0477
1111205
TSO, IVY F PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1111204
TSO, IVY F PHD
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1111203
TSO, IVY F PHD
ANN ARBOR 48109
(734) 763-9259
1112748
VANTUBBERGEN, MARIE PHD
400 E EISENHOWER BLDG 2 STE A
ANN ARBOR 48108
(734) 998-7710
1112747
ANN ARBOR 48108
(734) 936-7052
1112746
ANN ARBOR 48109
(734) 936-7052
1112557
VOTRUBA, KRISTEN L PHD
2101 COMMONWEALTH
ANN ARBOR 48105
(800) 525-5188
1114039
WARREN, RICKS PHD
4250 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6443
1112726
WARSCHAUSKY, SETH A PHD
ANN ARBOR 48108
(734) 936-7052
1112725
WARSCHAUSKY, SETH A PHD
ANN ARBOR 48109
(734) 936-7052
WAYNE COUNTY
1080261
BAIRD MARTIN, HEIDI PHD
DEARBORN 48124
(313) 438-7373
1126673
BARBAT, SALLY MA TLLP
62 W 7 MILE RD
HIGHLAND PARK 48203
(313) 893-6172
1125536
BEHEN, MICHAEL PHD
4160 WOODWARD AVE 2ND FL
DETROIT 48201
(313) 354-3920
1125538
BEHEN, MICHAEL PHD
194 EAST MAIN ST
NORTHVILLE 48167
(313) 354-3920
1126721
BLAU, ELLEN LLP
PLYMOUTH 48170
(248) 613-5377

Mental Health
Page 763
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
PSYCHOLOGY
1080466
BROOKS, DENISE PSYD
595 FOREST AVE STE 7A
PLYMOUTH 48170
(734) 446-5466
1054490
BUTKUS, MICHAEL PHD
DETROIT 48201
(313) 745-4878
1123054
CERVI, MONA LPC
16921 W WARREN AVE
DETROIT 48228
(313) 893-6172
1103786
CHASE, SARA PHD
3901 BEAUBIEN ST
DETROIT 48201
(248) 305-6172
1102228
DUNCAN, KIRK PSYD
19401 NORTHLINE RD
SOUTHGATE 48195
(734) 785-7700
1102227
DUNCAN, KIRK PSYD
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1054540
ELROM, LISA R PHD
16836 NEWBURGH RD
LIVONIA 48154
(734) 464-4220
1104200
FISCHETTI, LAWRENCE PHD
WESTLAND 48186
(734) 727-1076
1054605
GOLA, THOMAS J PHD
DETROIT 48201
(313) 745-9763
1086613
GVENTER, DAWN PSYD
PLYMOUTH 48170
(734) 454-3560
1065586
HARPER, FELICITY W LLP
4100 JOHN R
DETROIT 48201
(800) 527-6266
1103383
HERMAN, ERIC J LLP
3901 BEAUBIEN CHM-4TH FL CARL'S
DETROIT 48201
(313) 745-4878
1096256
HOBERMAN, MELVIN LLP
1800 GRINDLEY PARK STE 3
DEARBORN 48124
(248) 561-0003
1127951
PLYMOUTH 48170
(248) 613-5377
1127515
JAKSA, CHRISTINA LLP
PLYMOUTH 48170
(734) 454-3560
1053841
JOSEPH, SANDRA PHD
CANTON 48187
(248) 489-4011
1043670
PLYMOUTH 48170
(734) 454-3560
1125972
KUEBLER, CARMEN LLP
21751 ECORSE RD
TAYLOR 48180
(313) 409-4493
1056924
PLYMOUTH 48170
(734) 454-3560
1054712
LINEHAN, KATHLEEN E LLP
DETROIT 48201
(313) 993-3964
1103240
MCCRAE, JOCELYN D PSYD
3901 BEAUBIEN CHM SICKLE CELL CENTER
DETROIT 48201
(313) 745-5613
1108536
MCMILLAN, MICHAEL PHD
(313) 343-3481
1055926
MEADE, JILL A PHD
DETROIT 48201
(313) 745-4878
1057975
MEADOWS, AUROLEE PHD
PLYMOUTH 48170
(734) 454-3560
1054737
MICHALOPOULOU, GEORGIA PHD
DETROIT 48201
(313) 745-4878
1105621
TAYLOR 48180
(248) 647-8412
1054745
MOORE, KATHLEEN PHD
DETROIT 48201
(313) 993-3434
1127833
PERRAUT, EMILY LLP
PLYMOUTH 48170
(248) 613-5377
1054847
RHODES, GARY L LLP
3901 WALTER P CHRYSLER SERVICES
DETROIT 48201
(313) 993-3964
1103506
ROBIN, ARTHUR L PSYD
3901 BEAUBIEN 4 TH FLOOR CARLS BLDG
DETROIT 48201
(313) 745-4878
1117585
ROSKOS, PHILIP T PHD
DEARBORN 48124
(313) 438-7373
1103312
ROTHERMEL, ROBERT D PSYD
3901 BEAUBIEN
DETROIT 48201
(313) 745-4878
1121954
SNYDER, DEBORAH PSYD
1400 WOODBRIDGE
DETROIT 48207
(313) 309-9300
1054892
TAORMINA, SHIBANY P PHD
DETROIT 48201
(313) 745-4878
1124330
THE IMAGINE CENTER FOR PSYCHOLOGICAL
194 EAST MAIN ST
NORTHVILLE 48167
(313) 354-3920
1125537
THE IMAGINE CENTER FOR PSYCHOLOGICAL
4160 WOODWARD AVE 2ND FL
DETROIT 48201
(313) 354-3920
1123868
TOBEY, JACQUELYN PSYD
PLYMOUTH 48170
(248) 613-5377
1049076
TAYLOR 48180
(248) 647-8412
1054903
DETROIT 48201
(313) 745-9763
1055759
4201 ST ANTOINE STE C
DETROIT 48201
(313) 745-9763
1103500
WALDRON-PERRINE, BRIGID R PSYD
261 MACK AVE
DETROIT 48201
(313) 745-9763
1096342
WILAMOWSKI, TERRY PSYD
PLYMOUTH 48170
(734) 454-3560
1103228
WOLFE-CHRISTENSEN, CORTNEY B PSYD
3901 BEAUBIEN
DETROIT 48201
(313) 745-5588
11293 N M-37
BUCKLEY 49620
(231) 933-4268
WEXFORD COUNTY
1101953
NORTH, GREGORY G PHD

Mental Health
Page 764
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
ALCONA COUNTY
1074875
BENGHAUSER, KRISTEN A MSW
177 N BARLOW RD
LINCOLN 48742
(989) 736-8157
1074872
CLARK, BRIAN R LMSW
419 E MAIN ST
HARRISVILLE 48740
(989) 724-5655
1074874
COLAGROSS, PHYLLIS L LMSW
177 N BARLOW RD
LINCOLN 48742
(989) 736-8157
ALLEGAN COUNTY
1108625
BAZUIN, JULIE R MSW
HOLLAND 49423
(616) 820-3780
1107661
CHARLESTON, LETIZIA LMSW
412 CENTURY LANE
HOLLAND 49423
(616) 396-2301
1108818
CLIFTON, BROOKE L MSW
HOLLAND 49423
(616) 820-3780
1117621
CORNELL, PATRICIA LMSW
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
1070820
DEHAAN, AMANDA K LMSW
345 NAOMI ST
PLAINWELL 49080
(269) 552-0100
1107788
DEMNY, KATHARINE LLMSW
412 CENTURY LANE
HOLLAND 49423
(616) 396-2301
1117210
FOX, LISA LLMSW
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
1086372
HAGE, KIM MSW
412 CENTURY LANE
HOLLAND 49423
(616) 396-2301
1086374
HAGE, KIM MSW
217 HUBBARD
ALLEGAN 49010
(269) 673-1896
1107831
KAREL, KRISTI MSW
217 HUBBART ST
ALLEGAN 49010
(269) 673-1896
1107833
KAREL, KRISTI MSW
412 CENTURY LANE
HOLLAND 49423
(616) 396-2301
1070922
MEYERS, RYAN ROMAYNE LMSW
345 NAOMI STREET
PLAINWELL 49080
(269) 552-0100
1108862
MODLIN, AMY K MSW
HOLLAND 49423
(616) 820-3780
1108855
NYKAMP, TRACY L MSW
HOLLAND 49423
(616) 820-3780
1085455
PARENTE ROGGOW, CHERYL CSW
319 PARK ST
PLAINWELL 49080
(269) 685-1655
1118599
PATTERSON, KRISTINE R LCSW
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
1126763
POSTON, ABRAHAM LMSW
319 PARK ST
PLAINWELL 49080
(269) 685-9401
1084839
ROOD, SUSAN L MSW
551 LINN ST STE 230
ALLEGAN 49010
(269) 686-4110
1084777
SHOOK, MICHAEL T LMSW
345 NAOMI ST
PLAINWELL 49080
(269) 552-0100
1086576
STEINBACH, VICTOR MSW
412 CENTURY LANE
HOLLAND 49423
(616) 396-2301
1086578
217 HUBBARD
ALLEGAN 49010
(269) 673-1896
1118499
VANDERKOLK, DARLENE LCSW
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
1117255
VANDERVELDE, REBECCA LMSW
355 SETTERS RD
HOLLAND 49423
(616) 796-9595
1108831
VEREYKEN, JUDITH A MSW
HOLLAND 49423
(616) 820-3780
ALPENA COUNTY
1074870
CLARK, BRIAN R LMSW
11745 US 23 N
OSSINEKE 49766
(989) 471-2156
1035408
KNUDSON, GARY LMSW
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7242
1097912
SCHAEDIG, KARIE L CSW
201 N RIPLEY RD
ALPENA 49707
(989) 358-5950
1097913
SCHAEDIG, KARIE L CSW
3500 S THIRD AVE
ALPENA 49707
(989) 358-5400
ANTRIM COUNTY
1095047
MOORE, TIFFANY LMSW
205 GROVE ST
MANCELONA 49659
(231) 547-6523
1095126
WALSH-HOOBLER, STACEY A MSW
205 GROVE ST
MANCELONA 49659
(231) 547-6523
ARENAC COUNTY
1097735
CISSE, AMANDA L CSW
725 E STATE ST
STERLING 48659
(989) 654-2491
1122080
LATULIP, LINDA LCSW
725 E STATE ST
STERLING 48659
(989) 654-2491

Mental Health
Page 765
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
BARRY COUNTY
1124533
KOSTELEC, KRISTYN LMSW
330 W WOODLAWN AVE
HASTINGS 49058
(269) 945-4220
1108786
LYONS, RUTH E MSW
450 MEADOW RUN
HASTINGS 49058
(616) 891-8770
1125301
SHUMAKER, VICKI L LCSW
HASTINGS 49058
(268) 945-9907
1125064
SONKSEN, LARRY L LMSW
2351 WASABINANG
HASTINGS 49058
(616) 706-7610
1125302
YOUNG, AMY E LCSW
HASTINGS 49058
(269) 945-8806
BAY COUNTY
1036917
ANDRUS, RUTH LMSW
126 WASHINGTON AVE
BAY CITY 48706
(989) 684-7977
1127863
ANTHONY, GERARD MSW
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1100412
ANTHONY-RIVETTE, LINDSAY S MSW LLM
BAY CITY 48706
(989) 460-1000
1089427
BOUCKAERT, VICTORIA MA LLPC
690 S TRUMBULL ST
BAY CITY 48708
(989) 922-4900
1046735
BROCK, KATRINA LMSW
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1117558
BURTON, JANICE MSW
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1091587
CLARK, RACHAEL M MSW
690 S TRUMBULL
BAY CITY 48708
(989) 922-4900
1019360
FICK, STEVEN LMSW
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1019361
FICK, STEVEN LMSW
126 WASHINGTON AVE
BAY CITY 48706
(989) 684-7977
1123578
HALEY, LORRAINE LMSW
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1011596
HOBSON, DIANE M MSW
BAY CITY 48706
(989) 460-1000
1089429
JANDO, DONNA J LSW
690 S TRUMBULL ST
BAY CITY 48708
(989) 922-4900
1080105
KERN, BARBARA LMSW
915 COLUMBUS AVE
BAY CITY 48708
(989) 892-2504
1053860
KERN, KIM M MSW
BAY CITY 48706
(989) 460-1000
1091678
LONGUSKI, KAMI J MSW
690 S TRUMBULL
BAY CITY 48708
(989) 922-4900
1080104
LUBOLD, WILLIAM LMSW
915 COLUMBUS AVE
BAY CITY 48708
(989) 892-2504
1104338
MATHEWS, MISHELL LMSW
690 S TRUMBULL
BAY CITY 48708
(989) 922-4900
1101885
MCKENZIE-SIMMONS, DANA LLMSW
3884 MONITOR RD
BAY CITY 48706
(989) 671-2000
1119597
MITCHELL, MATTHEW L LMSW
717 E MIDLAND ST
BAY CITY 48706
(989) 928-3566
1090417
PERZ-LEONARD, MARGO LLMSW
123 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1060336
2355 DELTA RD
BAY CITY 48706
(989) 684-6832
1011338
ROBBINS, JUNE MSW
BAY CITY 48706
(989) 460-1000
1093413
SCHATZER, BYRON L MSW
BAY CITY 48706
(989) 460-1000
1093414
SCHATZER, BYRON L MSW
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1118605
SEAVER, CHELSEA LLMSW
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1093394
SHMINA, DORIS E LLP
2355 DELTA RD
BAY CITY 48706
(989) 684-6832
1089430
SOTO, CYNTHIA K MSW
690 S TRUMBULL
BAY CITY 48708
(989) 922-4900
1097772
VAN BUREN, HOLLY MSW
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1032386
VAN BUREN, HOLLY MSW
BAY CITY 48706
(989) 460-1000
1095124
WACHOWSKI, LISA MSW
690 S TRUMBULL
BAY CITY 48708
(989) 922-4900
1114413
WEBB, BEVERLY A LCSW
717 E MIDLAND ST
BAY CITY 48706
(989) 928-3566
1012112
WILSON LONGLET, REBECCA LMSW
126 WASHINGTON AVE
BAY CITY 48708
(989) 684-7977
1080102
WURDOCK, DEBRA LMSW
915 COLUMBUS AVE
BAY CITY 48708
(989) 892-2504
425 N MICHIGAN AVE STE C
BEULAH 49617
(231) 882-5514
109 N THIRD ST
NILES 49120
(269) 683-8972
BENZIE COUNTY
1107850
GULLIVER-KLINE, JAN L MSW
BERRIEN COUNTY
1086082
BRAUN, MICHELE LSW

Mental Health
Page 766
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1084832
CASSAR, JOSEPHINE LMSW
1850 COLFAX AVE
BENTON HARBOR 49022
(269) 926-6199
1084834
302 CEDAR ST
NILES 49120
(269) 926-6199
1090327
DEVRIES, MARGARET J MSW
100 MAIN ST
BENTON HARBOR 49022
(269) 757-7258
1085278
DONARSKI, JANENE MSW
4384 LAUREL DR
SAINT JOSEPH 49085
(269) 983-3832
1085279
DONARSKI, JANENE MSW
2460 LAKESHORE DR
SAINT JOSEPH 49085
(269) 408-8091
1086107
DRAPER, MARILYN CSW
109 N THIRD ST
NILES 49120
(269) 683-8972
1091669
LAUGEMAN, NANCY L LMSW
1225 S 11TH ST
NILES 49120
(269) 684-7741
1100380
MCGINNIS, VONETTA MSW
BENTON HARBOR 49022
(269) 925-8222
1106004
MORRILL, KATHLEEN MSW
BENTON HARBOR 49022
(855) 319-3734
1085281
MURRAY, PATTY MSW
1804 COLFAX AVE
BENTON HARBOR 49022
(269) 983-0900
1093377
NELLER, SUSAN E MSW
1225 S 11TH ST
NILES 49120
(269) 684-7741
1091085
PERRY, SHELLY J MSW
1850 COLFAX AVE
BENTON HARBOR 49022
(269) 926-6199
1091018
PERRY, SHELLY J MSW
302 CEDAR ST
NILES 49120
(269) 926-6199
1085274
PIERCE, PATRICIA MSW
903 MAIN ST
SAINT JOSEPH 49085
(269) 985-2000
1089208
RAPPLEYE, MARCIA MSW
100 MAIN ST
BENTON HARBOR 49022
(269) 757-7258
1091048
SMITH, AMBER D MSW
903 MAIN ST
SAINT JOSEPH 49085
(269) 985-2000
1091776
ST JOHN, SHARYL L MSW
1225 S 11TH ST
NILES 49120
(269) 684-7741
1092084
STARTUP, SUSAN L LMSW
6560 RED ARROW HWY
COLOMA 49038
(269) 487-6337
F
F
1093381
WESTFALL, RUTH LMSW
1225 S 11TH ST
NILES 49120
(269) 684-7741
1087163
WIGGINS, SUSAN M CSW
100 MAIN ST
BENTON HARBOR 49022
(269) 757-7528
1084565
WOLD, CARMELLA A MSW
302 CEDAR ST
NILES 49120
(269) 926-6199
1084563
1850 COLFAX AVE
BENTON HARBOR 49022
(269) 926-6199
44 N HANCHETT ST
COLDWATER 49036
(517) 667-6453
BRANCH COUNTY
1056780
STEWART, REED M LMSW
CALHOUN COUNTY
1127864
EVERETT, MARGARET MSW
181 W EMMETT ST
BATTLE CREEK 49037
(269) 965-8866
1069509
LINDBERG, EDWIN LMSW
535 EMMET STREET E
BATTLE CREEK 49017
(269) 965-3247
1089480
LINDBERG, EDWIN(TED) LMSW
778 W COLUMBIA AVE
BATTLE CREEK 49015
(269) 965-3247
1019748
MANLEY, PAULA LMSW
535 E EMMET ST E
BATTLE CREEK 49017
(269) 965-3247
1089482
MANLEY, PAULA LMSW ACSW
778 W COLUMBIA AVE
BATTLE CREEK 49015
(269) 965-3247
1089484
WRIGHT, LINDA LMSW
778 W COLUMBIA AVE
BATTLE CREEK 49015
(269) 965-3247
1069508
WRIGHT, LINDA LMSW
535 EMMET ST E
BATTLE CREEK 49017
(269) 965-3247
CASS COUNTY
1097366
BYRON, DIANA MSW
69045 M-62 STE B2
EDWARDSBURG 49112
(269) 414-4088
1121968
KEEL, SARAH LCSW
69045 M 62 STE B2
EDWARDSBURG 49112
(269) 414-4088
1085275
PIERCE, PATRICIA MSW
107 N BROADWAY ST
CASSOPOLIS 49031
(269) 445-0999
1091047
SMITH, AMBER D MSW
107 N BROADWAY ST
CASSOPOLIS 49031
(269) 445-0999
1123219
TRIEMSTRA, MELINDA MSW
407 LOUISE AVE
DOWAGIAC 49047
(269) 364-5302
1097757
TRIEMSTRA, MELINDA MSW
520 MAIN ST
DOWAGIAC 49047
(269) 783-3052
6127 BAY SHORE WEST DR
CHARLEVOIX 49720
(231) 838-2322
CHARLEVOIX COUNTY
1090959
FERENC, THALIA M MSW

Mental Health
Page 767
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
CHEBOYGAN COUNTY
1092003
LISSFELT, DIANE E MSW
580 SOUTH NICOLET ST
MACKINAW CITY 49701
(231) 436-7577
1123774
MCGINN, PATRICK LCSW
CHEBOYGAN 49721
(866) 775-8726
1123645
SCHUIL, CATHRYN LCSW
CHEBOYGAN 49721
(866) 775-8726
1125379
WARNER, LARRY LCSW
CHEBOYGAN 49721
(866) 775-8726
125 ARLINGTON ST STE 2
(906) 635-1390
CHIPPEWA COUNTY
1121612
AKKANEN, CHRISTINE LCSW
CLINTON COUNTY
1094958
AVENALL, SHANNON CSW
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1030431
BICKERT, ROSIE MSW
1591 W PRATT RD
DEWITT 48820
(517) 490-7712
1109521
CREMINS, KELLI LMSW
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1109522
CREMINS, KELLI LMSW
1055 S US HWY 27
ST JOHNS 48879
(989) 224-3000
1107715
CREMINS, KELLI K LCSW
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1109520
DARLING, TRACEY LLMSW
1055 S US HWY 27
ST JOHNS 48879
(989) 224-3000
1107690
DARLING, TRACEY LLMSW
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1109519
DARLING, TRACY LLMSW
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1053837
GLEW, HEIDI J LMSW
5611 LEHMAN RD
DEWITT 48820
(517) 290-5648
1109516
MESSENGER, BRAD LMSW
1055 S US HWY 27
ST JOHNS 48879
(989) 224-3000
1109515
MESSENGER, BRAD LMSW
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1062003
MESSENGER, BRAD A LMSW
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1001769
MINNICK, MOLLY A LMSW
DEWITT 48820
(517) 277-0100
1123589
STINSON, SARAH LCSW
1505 WATERFORD PKWY
ST JOHNS 48879
(989) 224-3000
1123590
STINSON, SARAH LCSW
PSYCHOLOGICAL SERVICES PLLC
ST JOHNS 48879
(989) 224-3000
EATON COUNTY
1080234
ADAWE, IKRAM MSW
2800 WILLOW
LANSING 48917
(517) 323-4734
1040698
AMPEY, DERRICK ACSW
302 S WAVERLY STE 1
LANSING 48917
(517) 321-5900
1099967
BELL, JENNIFER R LMSW
LANSING 48917
(517) 323-4099
1036283
BEUERLE, MARTHA A LMSW
6206 W SAGINAW ST
LANSING 48917
(517) 285-3031
1080235
BOMBRYS, SHANA LMSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1040697
BOWDEN, SUSAN MSW
302 S WAVERLY STE 1
LANSING 48917
(517) 321-5900
1093517
CHEBLI, KATHY S MSW
LANSING 48917
(517) 708-8215
1117773
DASEN-GIORDANO, JOANNE LMSW
LANSING 48917
(989) 277-7069
1060631
DASEN-GIORDANO, JOANNE M LMSW
5123 W ST JOSEPH HWY STE C
LANSING 48917
(517) 323-4099
1000133
DAVIS, ZOE ANN MSW
LANSING 48917
(517) 321-6668
1009060
DAVIS, ZOE ANN MSW
121 S COCHRAN AVE
CHARLOTTE 48813
(517) 321-6668
1080237
DELCAMP, DEBORAH CSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1080238
DINGWELL, NICOLE LMSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1080239
DUBEY, AMANDA LMSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1021709
DUNHAM, KAREN MSW
LANSING 48917
(517) 321-4775
1041529
GRIFFIN, JACQUALINE ACSW
302 S WAVERLY STE 1
LANSING 48917
(517) 321-5900
1084980
GROSS, LINDSAY MSW
2800 WILLOW
LANSING 48917
(517) 323-4734
1095583
GUNDRUM, PATRICIA A LMSW
LANSING 48917
(517) 323-1767
1002116
HACKNEY, FRANCES LMSW
LANSING 48917
(517) 323-4099
1063438
HACKNEY, FRANCES LMSW
LANSING 48917
(517) 323-4099

Mental Health
Page 768
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1062221
HAWKINS, HOMER LMSW
302 S WAVERLY STE 1
LANSING 48917
(517) 321-5900
1080240
HELMA, THOMAS R LMSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1080241
HINES, AMY LMSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1125828
ISBELL, DAVID LLMSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1125414
JACKINCHUK, LISA LMSW
1500 S MAIN ST
EATON RAPIDS 48827
(517) 999-4500
1117774
JOANNE DASEN-GIORDANO LMSW
LANSING 48917
(989) 277-7069
1016670
JOHNSON, SANDRA LMSW
LANSING 48917
(517) 285-8775
1035169
JOLLY, ILENE LMSW
5123 W ST JOSEPH HWY STE C
LANSING 48917
(517) 323-4099
1080242
LAGROU, MICHAEL MSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1015022
LANGE, ANNE ACSW
EATON RAPIDS 48827
(517) 663-1150
1020808
LOWE, DAVID L ACSW
4984 BAILEY RD
DIMONDALE 48821
(517) 646-8276
1080244
MCCARTHY, JAMES A LMSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1006065
MCGINN, MELODY ACSW
325 S CLINTON
GRAND LEDGE 48837
(517) 627-7118
1007889
MCGUIRE, ANGELA E LMSW
GRAND LEDGE 48837
(517) 627-7118
1109715
MILLER, AMY LMSW
2800 WILLOW
LANSING 48917
(517) 323-4734
1080245
MILLER, KENNETH S LMSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1058237
MITCHELL, ROSE M LMSW
LANSING 48917
(517) 321-4475
1015593
MITCHELL, VIOLA LMSW
LANSING 48917
(517) 321-5900
1029807
MOLONEY, MAUREEN ACSW
LANSING 48917
(517) 323-4099
1036562
MONAGHAN, PAMELLA D CSW
1500 S MAIN ST
EATON RAPIDS 48827
(517) 337-6545
1018766
MYERS, CINDY ACSW
207 W JEFFERSON ST
GRAND LEDGE 48837
(517) 627-8357
1062220
PALOMBA, ANTONIO LMSW
302 S WAVERLY STE 1
LANSING 48917
(517) 321-5900
1025515
PERRY, NANCY S LMSW
6206 W SAGINAW HWY STE B
LANSING 48917
(517) 242-3619
1036500
POLZIN, STEPHEN ACSW
1500 S MAIN ST
EATON RAPIDS 48827
(517) 337-6545
M
F
1017107
POYER, LORNA ANN MSW
2024 LANSING RD STE B
CHARLOTTE 48813
(517) 543-1150
1003125
RENWICK-PIPER, ROBIN LMSW
207 W JEFFERSON ST
GRAND LEDGE 48837
(517) 627-8357
1109747
RICHARDS, JANET M LMSW
1500 S MAIN ST
EATON RAPIDS 48827
(517) 999-4500
1011470
RICHARDS, JANET M LMSW
101 SPICERVILLE HWY STE 2
EATON RAPIDS 48827
(517) 331-0772
1126836
SCHAFER, JOANN M LMSW
LANSING 48917
(517) 980-0411
1018174
SELL, NORMA J LMSW
325 S CLINTON ST
GRAND LEDGE 48837
(517) 627-7118
1063437
SIMON, MELINDA J LMSW
LANSING 48917
(517) 323-4099
1037507
SOMERVILL, DEBRA LMSW
LANSING 48917
(517) 323-4099
1109714
SPEDOSKE, MEGAN N LCSW
2800 WILLOW
LANSING 48917
(517) 323-4734
1080247
SWOPE, BRENDA MSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1062218
TAYLOR, JEANNINE MSW
302 S WAVERLY STE 1
LANSING 48917
(517) 321-5900
1061300
THORNES, BARBARA L LMSW
LANSING 48917
(517) 323-4099
1029806
VANDENBERG, HEIDI ACSW
LANSING 48917
(517) 323-4099
1080248
VILLAS, GINA MSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1080249
WILLIAMS-HECKSEL, CHERYL LMSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1080250
WILSON, MELISSA MSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
1024076
WOJACK, MATTHEW P LMSW
EATON RAPIDS 48827
(517) 663-1150
1040217
ZEMAN, JOEL LMSW
LANSING 48917
(517) 323-4099
1080251
ZERBY, RUTH LMSW
2800 W WILLOW ST
LANSING 48917
(517) 323-4734
423 PORTER ST
PETOSKEY 49770
(231) 347-0067
EMMET COUNTY
1123652
BISSELL, SUE LCSW

Mental Health
Page 769
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1090602
DREWS, WENDY K MSW
523 E MITCHELL STE 2
PETOSKEY 49770
(231) 392-6957
1104171
ENNIS, BRENDA MSW
2202 MITCHELL PARK DR STE 2B
PETOSKEY 49770
(231) 487-1740
1120816
FINLEY, SUSAN LMSW
423 PORTER ST
PETOSKEY 49770
(231) 347-0067
1118470
FINLEY, SUSAN C LCSW
172 N PARK ST
PELLSTON 49769
(231) 539-8616
1089651
GOODMAN, BARBARA E MSW
PETOSKEY 49770
(231) 330-4618
1097444
HARRINGTON, PATRICIA LMSW
3434 M 119 STE C
(231) 348-9900
1120668
HOFFMAN, SUSAN LCSW
231 STATE ST
PETOSKEY 49770
(231) 881-3970
1119518
JUNEAU, AMY MSW
600 CHARLEVOIX AVE
PETOSKEY 49770
(231) 622-5216
1107755
KASIBORSKI, NATALIE LMSW
172 N PARK ST
PELLSTON 49769
(231) 539-8550
1120817
KEMPKE, JESSICA LMSW
423 PORTER ST
PETOSKEY 49770
(231) 347-0067
1123773
PETOSKEY 49770
(231) 347-9880
1123775
704 EMMET ST
PETOSKEY 49770
(888) 880-5511
1125211
NORTON, ELIZABETH LCSW
5397 HOWARD RD
PETOSKEY 49770
(231) 838-7155
1086339
O'BRIEN, ROBERT J LMSW
PETOSKEY 49770
(231) 487-4694
1123649
PEDERSEN-LEDINGHAM, REBEKAH LCSW
2236 E MITCHELL RD STE 5
PETOSKEY 49770
(231) 347-9880
1123646
704 EMMET ST
PETOSKEY 49770
(888) 880-5511
1123644
PETOSKEY 49770
(231) 347-9880
1123924
SKINNER, TRACY LCSW
423 PORTER ST
PETOSKEY 49770
(231) 347-0067
1122744
STEFANSKI, JESSICA LCSW
3434 M 119 STE C
(231) 348-9900
1125913
TOWNS, JENNIFER LMSW
3434 M 119 STE C
(231) 348-9900
1123566
TOWNSEND, JOANN LCSW
423 PORTER ST
PETOSKEY 49770
(231) 347-0067
1120818
WALSH-HOOBLER, STACEY LMSW
423 PORTER ST
PETOSKEY 49770
(231) 347-0067
1125378
WARNER, LARRY LCSW
PETOSKEY 49770
(231) 347-9880
1125380
WARNER, LARRY LCSW
704 EMMET ST
PETOSKEY 49770
(888) 880-5511
GENESEE COUNTY
1125532
ABRAHAM, KIMBERLY MSW
GRAND BLANC 48439
(810) 695-1900
1123241
ADAMS, ALLEN MSW
129 E THIRD ST
FLINT 48502
(810) 233-4031
1118626
AL-HACHAMI, WAFAA LLMSW
FLINT 48507
(517) 676-5405
1123903
ARMBRUSTER, HUGH LCSW
127 N RIVER ST
FENTON 48430
(810) 309-9355
1042341
ARRAND, JUDY L CSW
FLINT 48532
(810) 262-7035
1105985
AUSTIN, DIANE MSW
1420 UNIVERSITY AVE
FLINT 48504
(810) 238-0475
1118735
BAKER, REGINA LMSW
FLINT 48507
(810) 237-0799
1096243
BAKER, REGINA A LMSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1061900
BAUDYS, HANA LMSW
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1109332
BEAGLE, JOLEEN M LMSW
129 E THIRD ST
FLINT 48502
(810) 233-4031
1126801
BEASLEY, HOLLY LLMSW
FLINT 48532
(810) 732-1652
1017120
BERGFELD, SANDRA M LMSW
SWARTZ CREEK 48473
(810) 630-0904
1073930
BERGFELD, SANDRA M LMSW
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1104667
BLOCK, DEBORAH J MSW
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1102635
BLOSS, TRISH LMSW
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1086759
BOWERS, ARCHIE J LMSW
901 CHIPPEWA
FLINT 48503
(810) 232-9950
1033473
BROOKS, DEBORAH LMSW
1626 N GRAND TRAVERSE
FLINT 48503
(810) 908-7320
1114392
BROUGHTON, DANIEL LLMSW
SWARTZ CREEK 48473
(810) 630-1152
1123151
BROWN, CRECENDRA LCSW
740 CENTER ST
CLIO 48420
(810) 686-7313
1103079
BROWN, MARY MSW
1102 MACKIN RD
FLINT 48503
(810) 257-3736

Mental Health
Page 770
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1103080
BROWN, MARY MSW
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1102957
BRUCKNER, KERRIE MSW
1102 MACKIN RD
FLINT 48503
(810) 257-3736
1102958
BRUCKNER, KERRIE MSW
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1085559
BURGESS, TAMERA LMSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1006275
BUTZ, LYNN LMSW
FLINT 48507
(810) 744-3300
1073931
CALLARD-MOORE, THERESA LMSW
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1078760
CANDELARIA, CHRISTINE M LLMSW
740 CENTER ST
CLIO 48420
(810) 686-7313
1038697
CARMEAN, JUDITH K CSW
FLINT 48532
(810) 262-7035
1084211
CARSTEN, SUSAN LMSW
G-3375 S SAGINAW ST
BURTON 48529
(810) 743-6830
1084212
CARSTEN, SUSAN LMSW
5710 CLIO RD
FLINT 48504
(810) 787-4445
1084210
CARSTEN, SUSAN LMSW
2900 N SAGINAW ST
FLINT 48505
(810) 789-9141
1126525
CASEY, DEBORAH LMSW
740 CENTER ST
CLIO 48420
(810) 686-7313
1102945
CASEY, DEBORAH A LMSW
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803
1124001
CAVETTE, BRIDGETTE LMSW
FLINT 48507
(810) 391-0662
1094119
311 E COURT ST
FLINT 48502
(810) 820-3432
1033405
311 E COURT ST
FLINT 48502
(810) 232-0888
1094118
CAVETTE, BRIDGETTE M LMSW
FLINT 48505
(810) 336-8931
1003506
CHAMBERS, ANDREA MICHAELE LMSW
3456 PIERSON PL
FLUSHING 48433
(810) 720-5258
1042200
CHANEY, GERALDINE CSW
FLINT 48532
(810) 262-7035
1085560
CHASE, PATRICK LMSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1109239
COOPER, RHEA LMSW
129 E THIRD ST
FLINT 48502
(810) 233-4031
1094979
COURNEY, DIANE G LMSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1064090
COX, JANIS CSW
FLINT 48532
(810) 262-7035
1093495
CRAWLEY, CANDACE R LMSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1117060
DAILEY-GIBSON, DIANNE L MSW
5462 LAHRING RD
LINDEN 48451
(810) 265-5698
1021328
DANIELS, WILLIAM DAWSON LMSW
G 4511 MILLER RD
FLINT 48507
(810) 230-2640
1100250
DARIS, MARIE A LMSW
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1106408
DEWITT, KANDY A LLMSW
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1080522
DEYOUNG, KEVIN LMSW
FLINT 48507
(810) 391-0622
1080524
DEYOUNG, KEVIN LMSW
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1042198
DUNN MCKAMIE, KATHLEEN CSW
FLINT 48532
(810) 262-7035
1003407
EDELEN, FUTURE M CSW
FLINT 48532
(810) 262-7035
1097646
ENNIS, ROBERT E CSW
129 E THIRD ST
FLINT 48502
(810) 233-4031
1061898
ESSENMACHER, PATRICIA MSW
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1104608
FAIR, DONNA L MSW
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1037488
FARNER, DANE LMSW
FLINT 48507
(810) 744-3300
1121523
FERME, ERIN LMSW
127 N RIVER ST
FENTON 48430
(810) 309-9355
1039674
FORD, BRUCE K LMSW
3600 S DORT HWY
FLINT 48507
(810) 744-3300
1101904
FRY, LEIV A LLMSW
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803
1120766
GARZA-SAKALIS, JULIE LCSW
422 W 5TH AVE
FLINT 48503
(810) 496-5777
1123323
GARZA-SAKALIS, JULIE LMSW
740 CENTER ST
CLIO 48420
(810) 686-7313
1123227
GASPAR, CHERYL LMSW
6201 MILLER RD STE B
SWARTZ CREEK 48473
(810) 630-6784
1033418
GASPAR, CHERYL LMSW
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1124648
GIBSON, LAJUAN LMSW
529 ML KING AVE
FLINT 48502
(810) 238-7226
1124649
GIBSON, LAJUAN LMSW
1225 ML KING AVE
FLINT 48503
(810) 238-7226
1124650
GIBSON, LAJUAN LMSW
1108 LAPEER RD
FLINT 48503
(810) 238-7226

Mental Health
Page 771
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1084404
GIBSON, LAJUAN LMSW
3280 N ELMS RD STE G
FLUSHING 48433
(810) 210-7558
1103110
GRIFFIN, BONNIE MSW
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1103109
GRIFFIN, BONNIE MSW
1102 MACKIN RD
FLINT 48503
(810) 257-3736
1123717
GRUBB, KERI LCSW
FLINT 48532
(810) 732-1652
1100375
HARRISON, TAMARA J LLMSW
FLINT 48507
(810) 237-0799
1097756
HEALEY, PETER J CSW
1122 N LEROY STE A
FENTON 48430
(810) 240-0143
1032255
HILLIKER, GREGORY M LMSW
4011 VILLAGE DR
FLINT 48507
(810) 235-2500
1106319
HUNT, LISA LMSW
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1076625
INGRAM, JOANNE K LMSW
129 N RIVER ST
FENTON 48430
(810) 516-7552
1013306
INGRAM, JUDITH LMSW
2041 BRIAR HILL
FLINT 48503
(810) 732-9633
1075324
JACKSON, VALERIE LMSW
2710 W COURT ST STE 8
FLINT 48503
(810) 845-6465
1058431
JANSEN, PENNY LMSW
FLINT 48507
(810) 391-0662
1058430
JANSEN, PENNY LMSW
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1069085
JOHNSON, BETTIE MSW
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1109322
JOHNSON, LEVAUGHN MSW
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1090374
KARANJA, KATHRYN M MSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1074898
KIACZ, GAIL MSW
FLINT 48507
(810) 391-0662
1074900
KIACZ, GAIL MSW
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1090376
KILLINGER, KATHERINE J LCSW
740 CENTER ST
CLIO 48420
(810) 686-1313
1120577
KNUREK, JESSICA MSW
FLINT 48507
(810) 391-0662
1086565
KRAEMER, MICHAEL LCSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1126812
KRAUT, MICHELLE LLMSW
FLINT 48502
(810) 250-5812
1086674
KRICHBAUM, ANN LMSW
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1086667
KRICHBAUM, ANN LMSW
FLINT 48507
(810) 391-0662
1090996
LABRECQUE, LYNNETTE S MSW
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1084400
LAGUIRE-QUINN, DUANE MSW
1122 N LEROY ST STE C
FENTON 48430
(810) 629-4224
1103015
LEAMY, CHRISSANDRA MSW
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1103014
LEAMY, CHRISSANDRA MSW
1102 MACKIN RD
FLINT 48503
(810) 257-3736
1126019
LEIGHTON, ARGYRO LLMSW
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803
1126020
LEIGHTON, ARGYRO LLMSW
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1104041
LIED, DANIELLE S LLMSW
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1042343
LIEFFERS, JUDITH CSW
FLINT 48532
(810) 262-7035
1063397
MACIAS-BROWN, LAURA LMSW
1422 W COURT ST
FLINT 48503
(810) 767-4014
1075328
MAKIDON, YVONNE LMSW
8323 OFFICE PARK DR STE B
GRAND BLANC 48439
(810) 659-7242
1109421
MARKS, SHATINA LLMSW
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1100320
MARSHALL, AVELYN E LMSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1101697
MAYER, MICHELLE MSW
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1101696
MAYER, MICHELLE MSW
1102 MACKIN RD
FLINT 48503
(810) 257-3736
1125953
MCCLELLAN, COURTNEY L MSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1060373
MCDONALD, WILLIAM K LMSW
129 N RIVER ST
FENTON 48430
(810) 629-0760
1027300
MCGREGORY-MORGAN, VERNITA MSW
FLINT 48507
(810) 744-3300
1096399
740 CENTER ST
CLIO 48420
(810) 686-7313
1085627
MCNEAL, CECELLIA LLMSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1125896
MERRILL, KAYLA M LLMSW
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1061905
MILLER, JOHN LMSW
4413 CORUNNA RD
FLINT 48532
(810) 630-1152
1101942
MILLER, VICTORIA MSW
420 W 5TH AVE
FLINT 48503
(810) 257-3736

Mental Health
Page 772
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1101941
MILLER, VICTORIA MSW
1102 MACKIN RD
FLINT 48503
(810) 257-3736
1019737
MOODY-ULMER, MARGARET RAE MSW
G4466 BRISTOL RD
FLINT 48532
(810) 342-4220
1118329
MOSBY, PHILLIP LMSW
FLINT 48504
(810) 249-9924
1099147
MOSBY, PHILLIP S LMSW
FLINT 48504
(810) 249-9924
1086564
MYERS, KATHERINE LLMSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1097870
NELSON-POUGET, CINDY M CSW
129 E THIRD ST
FLINT 48502
(810) 233-4031
1106307
NICKOLA, JESSICA L MSW
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803
1106042
OSEGUERA-WITHAM, ROSE J MSW
740 CENTER ST
CLIO 48420
(810) 686-7313
1123236
PALMER-ALBIN, KELLY L LMSW
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803
1104218
PALMER-ALBIN, KELLY L LMSW
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1085358
PARMER, MARY LMSW
4448 OAKBRIDGE DR
FLINT 48532
(810) 342-5333
1119601
PATRICK, DORIS E MSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1118598
1195 E WILCOX
GRAND BLANC 48439
(231) 689-6701
1123971
PETOSKEY, TYRA M MSW
2284 S BALLENGER HWY
FLINT 48503
(810) 962-3356
1102739
PITLANISH, PAMELA LMSW
FLINT 48532
(248) 854-6351
1083095
POWELL, LAURIE D MSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1102918
QUINN, TIFFANY J LLMSW
FLINT 48507
(810) 237-0799
1064136
RAHN, DAVID CSW
FLINT 48532
(810) 262-7035
1003141
RAHN, NAN CSW
FLINT 48532
(810) 262-7035
1091267
REED, TERESA L CSW
740 CENTER ST
CLIO 48420
(810) 686-7313
1085632
REEDY, GREG LLMSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1121524
REEN, TERRY LMSW
127 N RIVER ST
FENTON 48430
(810) 309-9355
1094834
REEN, TERRY LMSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1121509
RETT, FERD LMSW
G3500 FLUSHING RD STE 112
FLINT 48504
(810) 230-8617
1107825
RETT, FERD MSW
FLINT 48532
(810) 262-7035
1017371
ROBINET, DIANE M LMSW
4448 OAKBRIDGE DR
FLINT 48532
(810) 342-5333
1120490
ROLAND, RONALD P LLMSW
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1101656
ROLAND, RONALD P LLMSW
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803
1125160
ROSE, ERIN M LCSW
422 W 4TH AVE
FLINT 48503
(810) 496-5777
1125159
ROSE, ERIN M LCSW
1309 KLEINPELL
FLINT 48507
(810) 422-5834
1104167
SALAZAR, BENJAMIN LLMSW
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1121977
SANDERS, KATHLEEN LCSW
5462 LAHRING RD
LINDEN 48451
(810) 265-5698
1101954
SCHLAGER, ABBIE K MSW, LM
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1103026
SCHMELZER, MEGHAN MSW
420 W 5TH AVE
FLINT 48503
(810) 257-3736
1103025
SCHMELZER, MEGHAN MSW
1102 MACKIN RD
FLINT 48503
(810) 257-3736
1107618
SCHUMACHER, BETH MSW
1409 GRAHAM RD
FLINT 48532
(810) 257-9953
1114471
SCHURING, MARY E LMSW
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803
1114472
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1107861
SHELTON, STEVEN R LMSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1085649
SHOCK, HEIDI LLMSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1127974
SIMINSKI, STACEY L LMSW
FLINT 48507
(810) 237-0799
1098276
SIMINSKI, STACEY L LMSW
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1042339
SIMMONS, DEBRA R CSW
FLINT 48532
(810) 262-7035
1123673
SIMMONS, TAKILA LCSW
129 E THIRD ST
FLINT 48502
(810) 233-4031
1104327
SLEDGE, CHARLITA L MSW
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1098531
SMITH, JANET M CSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950

Mental Health
Page 773
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1101404
SPARKMAN, VIRGINIA A LMSW
4212 LENNON RD
FLINT 48507
(517) 676-9788
1073603
SPARKMAN, VIRGINIA A LMSW
740 CENTER ST
CLIO 48420
(810) 686-7313
F
F
1107554
STARK, LYNN L LMSW
901 CHIPPEWA ST
FLINT 48503
(810) 232-9950
1125833
SZOSTAK, CHRISTINE LMSW
129 E THIRD ST
FLINT 48502
(810) 233-4031
1125838
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1040309
TAYLOR, KATHLEEN LMSW
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1010704
TAYLOR, SUZANNE S ACSW
10683 S SAGINAW ST STE C
GRAND BLANC 48439
(810) 695-9466
1060805
THARP, JAMIE LMSW
303 S WATER ST STE 200
FLINT 48503
(810) 391-0662
1039666
THARP, JAMIE LMSW
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1058481
THOMPSON, PAUL LMSW
4444 W BRISTOL RD STE 130
FLINT 48507
(810) 733-0100
1075287
TIDWELL, HENRY LMSW
4448 OAKBRIDGE DR
FLINT 48532
(810) 342-5337
1105521
TIDWELL, HENRY LMSW
FLINT 48532
(810) 262-7035
1062904
TUMMALA, SABITA LMSW
1422 W COURT ST
FLINT 48503
(810) 767-4014
1004420
TUNIS, PHYLLIS CSW
FLINT 48532
(810) 262-7035
1119605
TURNER, SCOTT MSW
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1124645
TYSON, RONNIE LMSW
529 ML KING AVE
FLINT 48502
(810) 238-0483
1124646
TYSON, RONNIE LMSW
1225 ML KING AVE
FLINT 48503
(810) 238-7226
1124647
TYSON, RONNIE LMSW
1108 LAPEER RD
FLINT 48503
(810) 238-7226
1085652
VACK, DIANE LLMSW
901 CHIPPEWA
FLINT 48503
(810) 232-9950
1117254
1195 E WILCOX
GRAND BLANC 48439
(231) 689-6701
1104249
WARD, AUTUMN D LLMSW
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1094116
WARREN, MARTEZ LMSW
FLINT 48505
(810) 336-8931
1094117
WARREN, MARTEZ LMSW
311 E COURT ST
FLINT 48502
(810) 820-3432
1001877
WEDDA, SUSAN LMSW
FLINT 48507
(810) 744-3300
1069258
WESTBROOK, DAWNA LMSW
4448 OAKBRIDGE DR
FLINT 48532
(810) 342-5337
1091072
WESTFALL, BRITTNEY L MSW
2702 FLUSHING RD
FLINT 48504
(810) 424-5998
1124127
WHEATLEY, JASON LMSW
740 CENTER ST
CLIO 48420
(810) 686-7313
1019007
WILES, JANET LMSW
4011 VILLAGE DR
FLINT 48507
(810) 235-2500
1049083
WILLIAMS, VERONICA LMSW
2900 N SAGINAW ST
FLINT 48505
(810) 789-9141
1101669
WIROSTEK, CRYSTAL L LLMSW
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
1098393
WORTHAM, THOMASINE T MSW
FLINT 48532
(810) 230-8955
1001880
WRIGHT, DIANNE LMSW
FLINT 48507
(810) 744-3300
1064140
YACHCIK, MICHAEL CSW
FLINT 48532
(810) 262-7035
1122005
YOUNG, CAROL LCSW
1110 ELDON BAKER DR
FLINT 48507
(810) 213-1803
1122006
YOUNG, CAROL LCSW
2830 CORUNNA RD
FLINT 48503
(810) 235-6812
439 S ROSS ST
BEAVERTON 48612
(989) 246-3500
GLADWIN COUNTY
1127076
MCCALLUM-HERBERT, ROSEMARY LCSW

1108717
BERGER, STEPHANIE D LMSW
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1083122
DARROW, JOHN LMSW
1000 HASTINGS
TRAVERSE CITY 49686
(231) 947-8100
1094983
DEBRUYN, KEVIN M MSW
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-5000
1096339
ELBEN, SUSAN M MSW
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-5000
1070205
HEXHAM, JACQUELYN MSW
945 E 8TH ST STE A
TRAVERSE CITY 49686
(231) 933-0500
1108695
KAUFMAN, THERESE MSW
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255

Mental Health
Page 774
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1084569
KINDT, CAROL U MSW
697 HANNAH AVE STE C
TRAVERSE CITY 49686
(231) 935-1766
1117639
KIRT, SUSAN A LLMSW
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1118508
LACROIX-KELTY, TERRI A LCSW
1105 SIXTH ST
TRAVERSE CITY 49684
(231) 935-5000
1108689
MOSES, KERRI D MSW
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1123758
NAPLES, JOHN G MSW
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1117248
NYDAM, KENNETH J SW
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1121960
PHELAN, JENNIFER A LCSW
512 S UNION ST
TRAVERSE CITY 49684
(231) 941-6550
1086359
ROELOFS-HAUGHN, SUSAN LMSW ACSW
402 S UNION
TRAVERSE CITY 49684
(231) 342-1002
1083119
SHARROW, PATRICIA LMSW
1000 HASTINGS
TRAVERSE CITY 49686
(231) 947-8100
1117781
THOMAS, CRYSTAL LLMSW
821 S ELMWOOD AVE STE C
TRAVERSE CITY 49684
(231) 735-0144
1098467
THOMPSON, ELIZABETH MSW
814 C SOUTH GARFIELD AVE
TRAVERSE CITY 49686
(231) 646-9740
1124732
VILLANUEVA, MELANIE S LMSW
1050 SILVER DR
TRAVERSE CITY 49684
(231) 947-2255
1097164
WIERSEMA, KRISTINA MSW
TRAVERSE CITY 49684
(231) 935-0799
1096145
ZOUTENDYK, PETER J MSW
814 S GARFIELD STE C
TRAVERSE CITY 49686
(231) 947-0511
GRATIOT COUNTY
1124974
MAXON, MARCY LMSW
ALMA 48801
(231) 972-6017
1125170
MCGEE, KAREN LMSW
317 E WARWICK STE B
ALMA 48801
(989) 463-2779
1055229
RADAZ, WENDY LMSW
ALMA 48801
(989) 463-2779
1123008
RADEY, CHAD LCSW
175 WARWICK DR
ALMA 48801
(989) 296-7252
1006678
SATTLER, MARJORIE LMSW
317 E WARWICK STE B
ALMA 48801
(989) 463-2779
1031261
STEIMEL, JON J LMSW
ALMA 48801
(989) 968-4017
HILLSDALE COUNTY
1122169
BOOTH, LUCILLE A LMSW
1360 S HILLSDALE RD
HILLSDALE 49242
(517) 439-4228
1080525
DEYOUNG, KEVIN LMSW
1360 S HILLSDALE RD
HILLSDALE 49242
(517) 439-4228
1058432
JANSEN, PENNY LMSW
1360 S HILLSDALE RD
HILLSDALE 49242
(517) 439-4228
1074901
KIACZ, GAIL MSW
1360 S HILLSDALE RD
HILLSDALE 49242
(517) 439-4228
1086673
KRICHBAUM, ANN LMSW
1360 S HILLSDALE RD
HILLSDALE 49242
(517) 439-4228
1093297
LISKA, MICHELLE L MSW
101 E BACON ST STE 201
HILLSDALE 49242
(517) 414-7749
1101702
MITCHELL, KELLI MSW
37 WALDRON ST
HILLSDALE 49242
(517) 439-4596
1119523
SHORTER, KATRINE LMSW
1360 S HILLSDALE
HILLSDALE 49242
(517) 439-4228
1090453
SIEGRIST, LORRAINE K LMSW
1360 S HILLSDALE
HILLSDALE 49242
(517) 439-4228
1060806
THARP, JAMIE LMSW
1360 S HILLSDALE RD
HILLSDALE 49242
(517) 439-4228
HURON COUNTY
1083794
GEIGER, ANDREA LMSW
7484 W MICHIGAN AVE
PIGEON 48755
(989) 975-0651
1122091
GOULET, BRYANT LCSW
PIGEON 48755
(989) 975-0651
1114482
HYZER, MICHELLE LMSW
PIGEON 48755
(989) 453-3051
1022267
KEIM, WAYNE J MSW
7575 W PIGEON RD
PIGEON 48755
(989) 453-2106
1083806
STINSON, CATHLEEN MSW
PIGEON 48755
(989) 975-0651
1083808
WASIERSKI, HOLLY LLMSW
PIGEON 48755
(989) 975-0651
LANSING 48910
(517) 882-6159
INGHAM COUNTY
1097323
ADAME, IKRAM LMSW

Mental Health
Page 775
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1036539
ADAMS, CATHERINE CAMPBELL LMSW
EAST LANSING 48823
(517) 853-2992
1063777
ADAWE, IKRAM MSW
4902 S CEDAR ST
LANSING 48910
(517) 394-7867
1125209
ALLEN, MARK E LCSW
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-2890
1008453
ARELLANO LOPEZ, JUAN LMSW
OKEMOS 48864
(517) 349-4111
1026584
AREND-RITTER, TELKA ACSW
EAST LANSING 48823
(517) 332-9310
1034826
AULD, LESLIE LMSW
EAST LANSING 48823
(517) 282-8784
1021445
BARNES, PEGGY A LMSW
EAST LANSING 48823
(517) 485-7572
1123778
BARTILSON, MARY A LMSW
5303 S CEDAR ST
LANSING 48911
(517) 887-4302
1010994
BARTON, ANNETTE E ACSW
4660 MARSH RD
OKEMOS 48805
(517) 347-7457
1003776
BOLTZ, MARYANNE K ACSW
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1063781
BOMBRYS, SHANA LMSW
4902 S CEDAR ST
LANSING 48910
(517) 394-7867
1121786
BOMBRYS, SHANA MSW
LANSING 48910
(517) 882-6159
1101379
BORGMAN, CYNTHIA MSW
LANSING 48911
(517) 882-3732
1123567
BOVE, SARAH LCSW
EAST LANSING 48823
(517) 333-3741
1026399
BOWDEN, SUSAN MSW
1210 W SAGINAW
LANSING 48915
(517) 364-7700
1125952
BOYER, JANET M LMSW
4660 MARSH RD
OKEMOS 48864
(517) 347-2126
1032643
BRADEN, THERESA F LMSW
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1097626
BRIERE, JENNIFER E CSW
EAST LANSING 48823
(517) 481-2133
1109409
BRINKLOW, SUSAN MSW
EAST LANSING 48823
(517) 574-4197
1054564
BROOKS, SANDRA MSW
EAST LANSING 48823
(517) 881-1549
1000654
BROWN, THERESA A MSW
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1126664
BURTON, AMY LMSW
EAST LANSING 48823
(517) 282-8784
1102922
CANNON, NEDRA LMSW
EAST LANSING 48823
(517) 333-7113
1109010
CANNON, NEDRA Y LMSW
LANSING 48910
(517) 303-4185
1118565
CAVANAGH, MARY T LCSW
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1120348
CAVANAUGH, JORDAN LLMSW
220 N PENNSYLVANIA AVE
LANSING 48912
(517) 755-1050
1107815
306 W WILLOW ST
LANSING 48906
(517) 702-3500
1107814
102 S MCPHERSON
LANSING 48915
(517) 244-8041
1107816
5303 S CEDAR ST
LANSING 48911
(517) 887-4320
1118593
CHOI, DANIKA LLMSW
585 JEWETT RD
MASON 48854
(517) 833-8100
1058009
CLARK, JILL B LMSW
LANSING 48910
(517) 887-2762
1018919
CLARKE, EDWARD A LMSW
3700 JOSEPHINE LANE
MASON 48854
(517) 676-9577
1127505
COBBS, JANICE LMSW
LANSING 48911
(517) 882-3732
1063892
COBBS, JANICE LMSW
1106 N CEDAR ST
LANSING 48906
(517) 643-1975
1101748
COLLARD, PATRICA CSW
EAST LANSING 48823
(517) 574-4197
1125292
COMBS-WISE, CLAUDIA LCSW
EAST LANSING 48823
(517) 282-8784
1007878
COOK, FRANCES LMSW
LANSING 48910
(517) 393-5830
1003428
COOK, GREGORY D CSW
2165 COMMONS PKWY
OKEMOS 48864
(517) 349-6370
1122538
COOPER, MICHAEL LMSW
LANSING 48910
(517) 667-0061
1026393
COTTRELL, STEPHEN M MSW
LANSING 48915
(517) 364-7700
1027537
COTTRELL, STEPHEN M MSW
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1096308
CROWGEY, SARAH LMSW
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1026392
CUDNOHUFSKY, FRED W CSW
LANSING 48915
(517) 364-7601
1027071
CULTON, BARBARA LMSW
2535 E MT HOPE AVE
LANSING 48910
(517) 374-7388
1127925
CZUBAK, SARA LMSW
4990 NORTHWIND DR
EAST LANSING 48823
(517) 927-9737
1063683
DANOWSKI, ELIZABETH S LMSW
1905 ABBOT RD STE 1
EAST LANSING 48823
(517) 268-8052

Mental Health
Page 776
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1119783
DAVID-SUCH, BONNIE LMSW
913 W HOLMES STE 179
LANSING 48910
(517) 882-6159
1121760
DAVIS, CHERI LMSW
LANSING 48910
(517) 214-4475
1056883
DAVIS, CHERI L LMSW
5303 S CEDAR ST
LANSING 48911
(517) 887-4302
1116563
DENNEY, ANGELA C LMSW
4121 OKEMOS DR STE 15
OKEMOS 48864
(517) 449-6343
1062965
DENNEY, ANGELA C MSW
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1080520
DEYOUNG, KEVIN LMSW
585 JEWETT RD
MASON 48854
(517) 833-8100
1101348
LANSING 48910
(517) 667-0061
1093088
LANSING 48910
(517) 667-0061
1008903
DYME, RHANA J MSW
EAST LANSING 48823
(517) 333-3345
1116210
DYSTE-BALES, ELIZABETH LMSW
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1120349
EHNIS, CAROLYN M LMSW
OKEMOS 48864
(517) 347-4645
1055571
EHNIS, CAROLYN M LMSW
LANSING 48911
(517) 694-6188
1120571
ELLIOTTREMES, RAELYN LMSW CA
EAST LANSING 48823
(517) 853-2992
1086136
ENOS, LAURA LLMSW
584 JEWETT RD
MASON 48854
(517) 676-5405
1123573
EVANS, DEMARCUS LCSW
LANSING 48911
(517) 887-9801
1118608
FAUST, MEGHAN M LCSW
LANSING 48911
(517) 882-3732
1117574
FORTIER-LICK, JESSICA LMSW
EAST LANSING 48823
(517) 481-2133
1123842
FRANCEK, LISA LCSW
585 JEWETT RD
MASON 48854
(517) 676-5405
1003775
FRANKFORTER, NICK LMSW
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1109447
FRAWLEY, KERRY MSW
2535 E MT HOPE AVE
LANSING 48910
(517) 290-4051
1037549
GALLAGHER, KAREN LMSW
OKEMOS 48864
(517) 347-4645
1026769
GAMBER, PHILIP LMSW
EAST LANSING 48823
(517) 853-2992
1107689
GATES, ERIN LLMSW
LANSING 48910
(517) 267-3400
1107688
GATES, ERIN LLMSW
5303 S CEDAR ST
LANSING 48911
(517) 887-4305
1106259
GAYLE, CAREN LMSW
4660 MARSH RD
OKEMOS 48864
(517) 347-2126
1117194
GELLNER, SARA LLMSW
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1071641
GLASS SCHMOCK, ALISA LMSW
OKEMOS 48864
(517) 375-4018
1089211
GORDON, LAURIE R MSW
4463 CRICKET RD STE 202
HOLT 48842
(517) 281-5718
1089213
GORDON, LAURIE R MSW
OKEMOS 48864
(517) 281-5718
1058421
GROSZKO, ROBIN O ACSW
5303 S CEDAR ST
LANSING 48911
(517) 887-4302
1060514
GUPTA, KIRAN LMSW
3611 BEECH TREE LN
OKEMOS 48864
(517) 349-3016
1086648
HAMPTON, STEVEN D LMSW
14875 FRANCIS RD
LANSING 48906
(231) 944-6139
1015001
HANSEN, MARTA B MSW
LANSING 48910
(517) 882-6159
1058003
HANSEN, SHARLA LMSW
LANSING 48910
(517) 887-2762
1009927
HAWKINS, VICKI LMSW
LANSING 48911
(517) 887-9801
1124534
HAYES, ASHLEY LCSW
585 JEWETT RD
MASON 48854
(517) 676-5405
1047101
HINES, JAMES LMSW
OKEMOS 48864
(517) 347-6944
1096181
HOLZMAN, KRISTIN K LMSW
LANSING 48911
(517) 887-9801
1089531
HOWES, JANET ACSW
EAST LANSING 48823
(517) 853-2992
1125829
ISBELL, DAVID LLMSW
EAST LANSING 48823
(517) 282-8784
1039820
JAMES, NANCY LMSW
4660 MARSH RD
OKEMOS 48864
(517) 420-2908
1058433
JANSEN, PENNY LMSW
585 JEWETT RD
MASON 48854
(517) 676-5405
1101381
JOLLY, ILENE LMSW
LANSING 48911
(517) 882-3732
1001182
JONES, THOMAS S MSW
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1098850
K M KIMMERLY COUNSELING LLC
EAST LANSING 48823
(517) 333-3741
1048147
KALDER-CAMPBELL, NANCY MSW
901 E MT HOPE RD
LANSING 48910
(517) 267-3400

Mental Health
Page 777
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1041653
KALDER-CAMPBELL, NANCY MSW
5303 S CEDAR ST
LANSING 48911
(517) 887-4443
1026265
KANIA, CATHERINE CSW
LANSING 48915
(517) 364-7601
1099962
KANIA, CATHERINE L LMSW
4084 OKEMOS RD
OKEMOS 48864
(517) 347-4848
1108108
KAREN GALLAGHER LMSW ACSW PROFESSIONAL
OKEMOS 48864
(517) 347-4645
1019486
KARIM, FRANCINE L LMSW
EAST LANSING 48823
(517) 332-3870
1106202
KARINEN, MEGAN LMSW
4660 MARSH RD
OKEMOS 48864
(517) 347-2126
1121561
KESTER, JANET G CSW
1905 ABBOT RD STE 1
EAST LANSING 48823
(517) 282-8249
1098156
KIMMERLY-KIEBLER, KERSTEN LMSW
EAST LANSING 48823
(517) 333-3741
1087179
KIMMERLY-KIEBLER, KERSTEN MSW
4463 CRICKET RIDGE STE 202
HOLT 48842
(517) 281-5718
1087180
KIMMERLY-KIEBLER, KERSTEN MSW
OKEMOS 48864
(517) 281-5718
1010325
KLEIN, DAVID LMSW
EAST LANSING 48823
(517) 332-8275
1118592
KOSTIAL-JANOS, MELISSA S LCSW
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1126534
KREUTZBERG, ALAN LMSW
EAST LANSING 48823
(517) 853-2992
1086672
KRICHBAUM, ANN LMSW
585 JEWETT RD
MASON 48854
(517) 676-5405
1058471
LA CHARITE, DAVID R MSW
4747 OKEMOS RD
OKEMOS 48864
(517) 349-3755
1123964
LABOND, CHRISTINA LMSW
585 JEWETT RD
MASON 48854
(517) 676-5405
1063774
LAGROU, MICHAEL MSW
4902 S CEDAR ST
LANSING 48910
(517) 394-7867
1034211
LARKEY, MARILYN LMSW
1970 N HARRISON RD
EAST LANSING 48823
(517) 323-4004
1071061
LAWRENCE, LINDA
5030 NORTHWIND DR
EAST LANSING 48823
(517) 336-4335
1118831
LOREE, JAMES F LMSW
LANSING 48911
(517) 882-3732
1097321
LOTT, GREGORY MSW
LANSING 48911
(517) 882-3732
1058011
LUCIER, JOANNE LMSW
LANSING 48910
(517) 887-2762
1091681
MAHABIR, GITA LLPC
4660 MARSH RD
OKEMOS 48864
(517) 347-2126
1118588
5303 S CEDAR ST ADULT HEALTH SERVICES
LANSING 48909
(517) 887-4302
1037692
MCCARTHY, JAMES A LMSW
4084 OKEMOS RD
OKEMOS 48864
(517) 347-4848
1097319
MCDANIEL, CHRISTIAN LMSW
LANSING 48911
(517) 882-3732
1010353
MCDANIEL, CHRISTIAN LMSW
LANSING 48911
(517) 882-3732
1058622
MCLANE, JUDY I MSW
LANSING 48912
(517) 364-7700
1058420
MCQUAID, CONSTANCE LMSW
5303 S CEDAR ST
LANSING 48911
(517) 887-4302
1107914
MILLER, AMY LMSW
EAST LANSING 48823
(517) 282-8784
1114418
MILLER, DOMINIQUE M LMSW
LANSING 48912
(517) 253-7901
1116208
MINNICK, MOLLY A LMSW
EAST LANSING 48823
(517) 333-7113
1118480
MITCHAM, CHRISTINA M LCSW
EAST LANSING 48823
(517) 333-7113
1116518
MITCHELL, ROSE M MSW
4084 OKEMOS RD
OKEMOS 48864
(517) 347-4848
1086573
MOHR, SUZANNE MSW
LANSING 48911
(517) 887-9801
1101378
MOLONEY, MAUREEN ACSW
LANSING 48911
(517) 882-3732
1004256
MONAGHAN, PAMELLA D CSW
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1058013
MONROE, TIMOTHY M LMSW
LANSING 48910
(517) 887-2762
1007523
MONTA, MARIA DEL PILAR A ACSW
OKEMOS 48864
(517) 999-3171
1040098
MONTGOMERY, PAMELLA LMSW
OKEMOS 48864
(517) 347-7736
1120559
MOODY, NICOLE LCSW
913 W HOLMES RD STE 227AC
LANSING 48910
(517) 303-4185
1036764
MURRAY MCKENNA, JOYCE LMSW
EAST LANSING 48823
(517) 324-5426
1016334
NAIR, LEELA LMSW
1401 E MICHIGAN AVE
LANSING 48912
(517) 908-0855
1094833
NORMAN, CRESCENT S LPC
OKEMOS 48864
(517) 347-4645
1085261
NOVELLO, JENNIFER LMSW ACSW
525 HILLCREST AVE
EAST LANSING 48823
(517) 749-4074
1124425
OGLE, JENNIFER K MSW
OKEMOS 48864
(517) 490-7048

Mental Health
Page 778
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1119468
PAYNE, KATHRYN L LCSW
415 W GRAND RIVER
EAST LANSING 48823
(517) 897-0507
1123435
PENFIELD, RONALD MSW
LANSING 48910
(517) 667-0061
1027787
PENFIELD, RONALD MSW
EAST LANSING 48823
(517) 853-2992
1104054
PERRY, JESSICA MSW
LANSING 48910
(517) 667-0061
1003629
PHILLIPS, DAVID MSW
1210 W SAGINAW
LANSING 48915
(517) 364-7601
1123664
PODMORE, KIMBERLY LCSW
EAST LANSING 48823
(517) 333-3741
1126115
POFF, MONICA LCSW
HOLT 48842
(517) 623-6260
1122052
POFF, MONICA LCSW
4994 PARK LK RD
EAST LANSING 48823
(517) 896-4060
1000663
POLZIN, STEPHEN ACSW
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
1013454
PRATT, KAY J LMSW
3640 E ARBUTUS DR
OKEMOS 48864
(517) 347-2988
1126823
RAHME, MILISA K LMSW
306 W WILLOW ST
LANSING 48906
(517) 702-3500
1126822
RAHME, MILISA K LMSW
1032 S MCPHERSON AVE
LANSING 48915
(517) 755-1075
1026877
RASKOLNIKOV, LENNA MSW
EAST LANSING 48823
(517) 853-2992
1116319
RASSI, STEPHEN L PHD LMSW
OKEMOS 48864
(517) 347-4645
1098463
RITCHEY, MEGHAN LMSW
306 W WILLOW
LANSING 48906
(517) 702-3500
F
F
1098464
RITCHEY, MEGHAN LMSW
500 E THOMAS ST
LANSING 48906
(517) 702-3555
1045702
ROBERTS, BETH A MSW
4747 OKEMOS RD
OKEMOS 48864
(517) 349-2661
1022127
ROBERTS, MICHELLE LMSW
EAST LANSING 48823
(517) 336-4335
1089544
RODRIGUEZ, STEVEN LMSW
OKEMOS 48864
(517) 410-5049
1023229
ROGELL, DEBRA A LMSW
2535 E MT HOPE AVE
LANSING 48910
(517) 881-5375
1007203
RORABACK, JANE MSW
EAST LANSING 48823
(517) 332-3697
1117269
ROUSE, KRISTIN LMSW
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1121787
SAXON, SHANI MSW
LANSING 48910
(517) 882-6159
1091753
SAXON, SHANI K LCSW
306 W WILLOW
LANSING 48906
(517) 702-3500
1091752
SAXON, SHANI K LCSW
102 S MCPHERSON AVE
LANSING 48915
(517) 244-8041
1121723
SAXON, SHANI K LMSW
EAST LANSING 48823
(517) 282-8784
1109355
SCHIMPKE, SARA LLMSW
306 W WILLOW ST
LANSING 48906
(517) 702-3500
1109354
220 N PENNSYLVANIA AVE
LANSING 48912
(517) 244-8014
1109353
1032 S MCPHERSON AVE
LANSING 48915
(517) 244-8041
1062874
SCHMA, GREGORY S LMSW
LANSING 48911
(517) 887-9801
1095095
SCHMIDT-NUTT, NICOLE LMSW
LANSING 48912
(517) 887-4647
1095094
500 E THOMAS ST
LANSING 48906
(517) 702-3555
1095096
5303 S CEDAR ST ADULT HEALTH
LANSING 48911
(517) 887-4302
1122158
SCHNEPP, JAMIE B LMSW
LANSING 48912
(517) 244-8060
1126096
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6547
1072947
SEGAL, KATHERINE LMSW
585 JEWETT RD
MASON 48854
(517) 833-8100
1010351
SELL, NORMA J LMSW
LANSING 48911
(517) 882-3732
1012900
SELL, NORMA J LMSW
3971 WOODPASS LN
WILLIAMSTON 48895
(517) 490-0203
1092894
SELL, NORMA J LSW
HOLT 48842
(517) 281-5718
1092895
SELL, NORMA J LSW
OKEMOS 48864
(517) 281-5718
1065784
SHAW, JOHN R MSW
EAST LANSING 48823
(517) 230-1993
253234
SLATER, DEBBIE MSW
OKEMOS 48864
(517) 349-3090
1006603
SLATER, DEBBIE MSW
4660 MARSH RD
OKEMOS 48864
(517) 347-2126
1056777
SMITH, JOSHUA M LMSW
LANSING 48910
(517) 367-0670
1122195
SNEED, DOLORES LCSW
LANSING 48910
(517) 667-0061
1012063
SNYMAN, LAURIE ACSW
LANSING 48911
(517) 699-4357

Mental Health
Page 779
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1124590
SOLIT, MATTHEW MSW
585 JEWETT RD
MASON 48854
(517) 676-5405
1107666
SPEDOSKE, MEGAN N LCSW
4660 MARSH RD
OKEMOS 48864
(517) 347-2126
1100371
SPENCER, MARGARET M LMSW
585 JEWETT RD
MASON 48854
(517) 676-5405
1062216
SPOTTS, HEATHER LMSW
2535 E MT HOPE AVE
LANSING 48910
(517) 372-2535
1089915
SPOTTS, HEATHER LMSW
EAST LANSING 48824
(517) 353-4941
253402
ST KING, JUDITH A MSW
4660 MARSH RD
OKEMOS 48864
(517) 347-2126
1119961
STANTON, CORINNE ACSW
OKEMOS 48864
(517) 347-4645
1037553
STANTON, CORINNE ACSW
4123 OKEMOS RD #15
OKEMOS 48864
(517) 347-0993
1103084
STARLING, BARBARA LMSW
LANSING 48911
(517) 882-3732
1086276
STECH, SARA M LMSW
EAST LANSING 48823
(517) 337-9460
1056778
STEWART, REED M LMSW
LANSING 48910
(517) 367-0670
1033467
STONG, TERRI ACSW
4660 MARSH
OKEMOS 48864
(517) 614-1819
1064846
STRATTON, MICHAEL P LMSW
EAST LANSING 48823
(517) 336-7721
1117539
TATROE, LAURA B LMSW
LANSING 48912
(517) 253-7901
1063405
TAYLOR, BRIAN MSW
585 JEWETT RD
MASON 48854
(517) 676-5405
1040307
585 JEWETT RD
MASON 48854
(517) 833-8100
1123438
TAYLOR, SARAH LMSW
LANSING 48910
(517) 303-4185
1060804
THARP, JAMIE LMSW
585 JEWETT RD
MASON 48854
(517) 676-5405
1032960
THELEN, KENDRA J LMSW
OKEMOS 48864
(517) 282-0679
1015162
THIBEAULT, BARBARA LMSW
1800 E MICHIGAN AVE
LANSING 48912
(517) 374-6577
1063776
THOMAS, KELLY LMSW
4902 S CEDAR ST
LANSING 48910
(517) 394-7867
1083448
THOMAS, KELLY LMSW
2720 E LANSING DR
EAST LANSING 48823
(517) 337-2900
1125891
THOMPSON, NICOLE H LLMSW
908 E MT HOPE AVE
LANSING 48910
(517) 993-5474
1063771
TILLERY, RICARDO LMSW
4902 S CEDAR ST
LANSING 48910
(517) 394-7867
1125941
TOBEY, CAROLYN R LLMSW
EAST LANSING 48823
(517) 336-4335
1109285
TREFRY, MARA LMSW
585 JEWETT RD
MASON 48854
(517) 676-5405
1024511
TRIESTRAM, HOLLY LMSW
4660 MARSH RD
OKEMOS 48864
(517) 281-5296
1028510
TRIESTRAM, HOLLY LMSW
4660 MARSH RD
OKEMOS 48864
(517) 347-2126
1075127
TYSON, RONNIE LMSW
LANSING 48911
(517) 887-9801
1059820
VINCENT, TISH LMSW
EAST LANSING 48823
(517) 332-2433
1098776
VINTON, ALLISON LMSW
306 W WILLOW
LANSING 48906
(517) 702-3500
F
F
1124998
VLIEK, EMILY LMSW
EAST LANSING 48823
(517) 282-8784
1102940
VLIEK, EMILY LMSW
EAST LANSING 48824
(517) 355-1300
1058040
WARE, DAVID E LMSW
LANSING 48910
(517) 393-5830
1126762
WAY, CAROL MSW
EAST LANSING 48823
(517) 574-4197
1066195
WHITE, ETHEL LMSW
EAST LANSING 48823
(517) 487-6559
1037551
WHITEHEAD, LISA ACSW
4084 OKEMOS RD
OKEMOS 48864
(517) 347-4848
1117601
WILKES, SHARON K LMSW
LANSING 48912
(517) 253-7901
1063773
WILSON, MELISSA MSW
4902 S CEDAR ST
LANSING 48910
(517) 394-7867
1046722
WOOSTER, RICHARD LMSW
2220 UNIVERSITY PARK DR
OKEMOS 48864
(517) 347-4848
1100824
WORSLEY, JEREMY S LMSW
5303 S CEDAR ST ADULT HEALTH
LANSING 48911
(517) 887-4302
1100823
WORSLEY, JEREMY S LMSW
LANSING 48912
(517) 244-8060
1032343
WRIGHT, DEBRA LMSW
4287 FIVE OAKS DR
LANSING 48911
(517) 882-4000
1056606
EAST LANSING 48823
(517) 853-2992
1126778
YARGER, KELLY LMSW
5303 S CEDAR ST
LANSING 48911
(517) 887-4305
1126779
YARGER, KELLY LMSW
LANSING 48910
(517) 267-3400

Mental Health
Page 780
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
234 MICHIGAN AVE
EAST LANSING 48823
(517) 337-6545
SOCIAL WORKER
1017297
YESMUNT, JULIE F CSW
IONIA COUNTY
1062879
ANDERSON, BEVERLY LMSW
524 W MAIN ST
IONIA 48846
(616) 523-9033
1020916
BENTLEY, RENEE A W MSW
112 S DEPOT ST
IONIA 48846
(616) 527-2619
1085567
COLEMAN, ASHLEY LLMSW
601 E WASHINGTON
IONIA 48846
(616) 522-0836
1117623
IONIA 48846
(616) 522-0836
1084977
DAVIS, BROOKE MSW
IONIA 48846
(616) 522-0836
1090329
IONIA 48846
(616) 522-0836
1085573
FLORES, OMAR LMSW
601 E WASHINGTON
IONIA 48846
(616) 522-0836
1085577
FOWLER, SARA N LMSW
601 E WASHINGTON
IONIA 48846
(616) 522-0836
1117212
FOX, LISA LLMSW
IONIA 48846
(616) 522-0836
1084989
HAHN, JUDITH MSW
IONIA 48846
(616) 522-0836
1085588
HARSEVOORT, ELIZABETH LLMSW
601 E WASHINGTON
IONIA 48846
(616) 522-0836
1085597
HECTOR, PETER JR LMSW
601 E WASHINGTON
IONIA 48846
(616) 522-0836
1090486
HOPWOOD, DANIELLE MSW
601 WASHINGTON
IONIA 48846
(616) 552-0836
1090982
IRIZARRY, EDWARD N MSW
601 E WASHINGTON
IONIA 48846
(616) 522-0836
1085608
KOWALSKI, MARY ANNE LMSW
601 E WASHINGTON 48846
IONIA 48846
(616) 522-0836
1123087
LEDIN, MEGAN LCSW
313 W MAIN ST
IONIA 48846
(616) 523-6537
1085618
MARTINSON, ALBERT LMSW
601 E WASHINGTON
IONIA 48846
(616) 522-0836
1091002
MCGUIRE, MARY C MSW
313 W MAIN ST
IONIA 48846
(616) 523-6537
1020917
NELSON, FORREST BERTREND LMSW
112 S DEPOT ST
IONIA 48846
(616) 527-2619
1091012
OGADINMA-UCHENDU, LEONARD MSW
601 E WASHINGTON
IONIA 48846
(616) 522-0836
1118601
IONIA 48846
(616) 522-0836
1086758
IONIA 48846
(616) 522-0836
1091036
SABALA, GENEVIEVE M MSW
601 E WASHINGTON
IONIA 48846
(616) 522-0836
1090901
TARKOWSKI, SARAH B CSW
313 W MAIN ST
IONIA 48846
(616) 523-6537
1118501
IONIA 48846
(616) 522-0836
1117257
IONIA 48846
(616) 522-0836
1087168
IONIA 48846
(616) 522-0836
OSCODA 48750
(989) 739-2550
IOSCO COUNTY
1074871
STEVENS, DWIGHT H LMSW
ISABELLA COUNTY
1024826
BALLINGER, KATHRYN LMSW
218 S WASHINGTON ST
(989) 779-9449
1104223
HEATH, DEANNA MSW
201 S UNIVERSITY
(989) 572-0246
1014755
MACNIELL, MARSHA A LMSW
210 COURT ST STE A
(989) 799-5440
1114385
MAXON, MARCY MSW
(989) 779-9988
1125169
MCGEE, KAREN LMSW
(616) 463-2779
1127964
MIKULIN, CHRISTINE M LMSW
115 S FRANKLIN
(989) 773-0102
1097715
MOORADIAN, ROBERT R CSW
600 EAST BROADWAY STE 200
(989) 772-5833
1096136
STEWART, KAREN LMSW
313 W MICHIGAN ST
(989) 798-0067
1083130
WALTERREIT, LINDA LMSW
118 S WASHINGTON
(988) 773-9328
1118623
WATERMAN, GARRY D LCSW
115 S FRANKLIN
(989) 773-0102
1069503
WOODCOCK, JANET L LMSW
218 S WASHINGTON ST
(989) 779-9449

Mental Health
Page 781
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
JACKSON COUNTY
1105983
BASSETT, CHERYL MSW
JACKSON 49203
(517) 782-2442
1106272
BUSH, JAYMIE MSW
602 W MICHIGAN AVE
JACKSON 49201
(517) 783-5334
1058010
CLARK, JILL B LMSW
1206 CLINTON
JACKSON 49202
(517) 783-4250
1126002
CONNELLY, EVELYN M MSW
JACKSON 49201
(855) 319-3734
1093508
GEISLER, ELIZABETH A CSW
330 W MICHIGAN AVE
JACKSON 49201
(517) 787-7920
1106075
GROGAN, MARIJO MSW
612 W MICHIGAN AVE
JACKSON 49201
(734) 433-4213
1036909
GUERRIERO, SUSAN LMSW
612 W MICHIGAN AVE
JACKSON 49201
(517) 780-9680
1124121
GURNEY, SARAH MSW
JACKSON 49201
(855) 319-3734
1058004
HANSEN, SHARLA LMSW
1206 CLINTON
JACKSON 49202
(517) 783-4250
1073721
HARRISON, KAREN MSW
JACKSON 49203
(517) 782-2442
1093509
KRUSKY, COLLEEN K CSW
330 W MICHIGAN AVE
JACKSON 49201
(517) 787-7920
1058012
LUCIER, JOANNE LMSW
1206 CLINTON
JACKSON 49202
(517) 783-4250
1058014
MONROE, TIMOTHY M LMSW
1206 CLINTON
JACKSON 49202
(517) 783-4250
1093510
PALMER, MICHELLE L CSW
330 W MICHIGAN AVE
JACKSON 49201
(517) 787-7920
1125365
PENSYL, ANGELA LCSW
330 W MICHIGAN AVE
JACKSON 49201
(517) 787-7920
1106198
PRYOR, KATHARINE MSW
602 W MICHIGAN AVE
JACKSON 49201
(517) 783-5334
1106337
PUTNEY, LAURA LLMSW
330 W MICHIGAN AVE
JACKSON 49201
(517) 787-7920
1085635
ROWLAND, ADRIENNE LMSW
1522 JOY AVE
JACKSON 49203
(517) 782-2551
KALAMAZOO COUNTY
1090292
ANDERSON, SHERYL L MSW
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1094962
BAKOS, MARY MSW
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1090297
BATTANI, RINA M MSW
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1091593
CONWAY, DAVID S MSW
225 W WALNUT ST
KALAMAZOO 49007
(269) 370-2899
1091592
CONWAY, DAVID S MSW
218 W WALNUT
KALAMAZOO 49007
(269) 344-7997
1091598
CRAWFORD, TIMOTHY L MSW
KALAMAZOO 49007
(269) 383-1440
1106398
CUNNINGHAM, VALARIE MSW
118 E PATERSON
KALAMAZOO 49007
(269) 903-2610
1126834
DODSON, ELIZABETH LMSW
117 W PATERSON
KALAMAZOO 49007
(269) 349-2641
1096329
ERK, LORI LPC
924 RUSSELL ST
KALAMAZOO 49001
(269) 349-2641
1126644
FALING, DEBORAH LMSW
1608 LAKE ST
KALAMAZOO 49001
(269) 344-0202
1084995
GEYER, SUSAN MSW
KALAMAZOO 49008
(269) 381-9800
1114474
GIDDINGS, RACHEL MSW
KALAMAZOO 49009
(269) 532-1470
1104684
GUSTAFSON, TRACY MSW
KALAMAZOO 49008
(855) 319-3734
1090349
GUSTIN, BARBARA W MSW
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1100002
HAWKINS, VICKI LMSW
KALAMAZOO 49008
(517) 887-9801
1098759
HOEKSTRA, MARY LMSW
1308 N BURDICK ST
KALAMAZOO 49007
(269) 349-2641
1084993
JORGENSON, PATRICIA MSW
KALAMAZOO 49008
(269) 381-9800
1090370
KAFIL, BARBARA A LCSW
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1091670
LAUGEMAN, NANCY L LMSW
2615 STADIUM DR
KALAMAZOO 49008
(269) 343-1651
1095028
LAVALLEY, WILLIAM J MSW
906 S WESTNEDGE AVE
KALAMAZOO 49008
(269) 744-5293
1089481
LINDBERG, EDWIN(TED) LMSW
1608 LAKE ST
KALAMAZOO 49001
(269) 344-0202
1090388
LISS, PEGGY S MSW
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1091936
LUTES, CONNI MSW
PORTAGE 49024
(269) 327-1438
1089483
MANLEY, PAULA LMSW ACSW
1608 LAKE ST
KALAMAZOO 49001
(269) 344-0202
1095042
MEIJA-RIVERA, MARIA MSW
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1090400
MIRA-AMAYA, LISSETTE MSW
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202

Mental Health
Page 782
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1090402
MITCHELL, NANCY MSW
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1091701
MITCHELL-BATTLES, MERRY S MSW
157 S KALAMAZOO STE 117
KALAMAZOO 49001
(269) 492-7246
1095046
MOORE, CARRIE L MSW
KALAMAZOO 49007
(269) 383-1440
1106003
MORRILL, KATHLEEN MSW
KALAMAZOO 49008
(855) 319-3734
1119431
MORROW, FRANCES LMSW
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1093378
NELLER, SUSAN E MSW
2615 STADIUM DR
KALAMAZOO 49008
(269) 343-1651
1091935
NELSON-HOLMES, JANE MSW
PORTAGE 49024
(269) 327-1438
1096183
NUTTING, REBECCA LMSW
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1100407
PETERSON, RONALD MSW
KALAMAZOO 49007
(269) 383-1440
1125804
RIGGS, SIMONE S LMSW
KALAMAZOO 49009
(269) 488-5903
1090436
ROBBERT, THOMAS D MSW
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1070947
ROGERS, CHERYL A CSW
1521 GULL ROAD
KALAMAZOO 49048
(269) 226-4858
1091934
RUDER, SUE MSW
PORTAGE 49024
(269) 327-1438
1101824
SALVATORE, ELIZABETH LMSW
117 W PATERSON ST
KALAMAZOO 49007
(269) 349-2641
1098307
SALVATORE, JOSEPH LMSW
924 RUSSELL ST
KALAMAZOO 49001
(269) 349-2641
1098306
1308 N BURDICK
KALAMAZOO 49007
(269) 349-2641
1098305
117 W PATERSON ST
KALAMAZOO 49001
(269) 349-2641
1108960
SCHIPPER, CASE MSW
1530 NICHOLS RD
KALAMAZOO 49006
(269) 343-6700
1091758
SERLIN, MICHELLE I MSW
218 W WALNUT
KALAMAZOO 49007
(269) 344-7997
1102925
SHAW, JESSICA A LMSW
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1125617
SHOOK, MICHAEL T MSW
7895 CURRIER DR
PORTAGE 49002
(269) 321-7090
1091777
ST JOHN, SHARYL L MSW
2615 STADIUM DR
KALAMAZOO 49008
(269) 343-1651
1090457
STEINHAUER, LYNN MSW
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1098275
TABIADON, KRISTIN LMSW
924 RUSSELL ST
KALAMAZOO 49001
(269) 349-2641
1098273
117 W PATERSON ST
KALAMAZOO 49001
(269) 349-2641
1098274
1308 N BURDICK
KALAMAZOO 49007
(269) 349-2641
1095117
THOMAS, CYNTHIA MSW
KALAMAZOO 49007
(269) 383-1440
1072460
THOMPSON, PAULETTE LEVY LMSW
7895 CURRIER DR
PORTAGE 49002
(269) 321-7090
1072363
THOMPSON, PAULETTE LEVY LMSW
1701 GULL RD
KALAMAZOO 49048
(269) 226-7133
1116205
TINDALL, SHELLEY R MSW
1350 W CENTRE AVE
PORTAGE 49024
(269) 910-7327
1108627
TINDALL, SHELLEY R MSW
1530 NICHOLS RD
KALAMAZOO 49006
(616) 343-6700
1090464
TOMACARI, ANDREW LCSW
1608 LAKE STREET
KALAMAZOO 49001
(269) 344-0202
1093382
WESTFALL, RUTH LMSW
2615 STADIUM DR
KALAMAZOO 49008
(269) 343-1651
1091932
WHITE, JEFFERY MSW
PORTAGE 49024
(269) 327-1438
1046425
WISE, SHIRLEY LMSW
5340 HOLIDAY TERRACE
KALAMAZOO 49009
(269) 372-4140
1089485
WRIGHT, LINDA LMSW
1608 LAKE ST
KALAMAZOO 49001
(269) 965-3247
1098269
ZUKOWSKI, TROY L LMSW
218 W WALNUGT
KALAMAZOO 49007
(269) 344-7997
KENT COUNTY
1096259
AARDEMA, HOLLIE LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1125971
ABED, KIMBERLY M MSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1083989
ACHTYES, KATIE LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1101950
ADAMS, LINDSEY E LMSW
1800 TREEMONT BLVD NW
GRAND RAPIDS 49504
(616) 791-6593
1118573
ANDERSON, JASON LCSW
515 E DIVISION ST STE 120
ROCKFORD 49341
(616) 890-6828
1083988
BALKON, MARY LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1094964
BARTH, LAVANGE E LMSW
740 36TH ST SE
KENTWOOD 49548
(616) 457-8300

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MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1119231
BELASCO, KAYLA LMSW
2303 KALAMAZOO SE
GRAND RAPIDS 49507
(616) 965-8390
1104771
BELASCO, KAYLA LMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1101810
BENDER, NICOLE LMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1107790
BERTAPELLE, BETHANY MSW
25 SHELDON BLVD SE
GRAND RAPIDS 49503
(616) 459-4652
1125933
BLURY, TARA LMSW
1838 PORTADOWN SW
BYRON CENTER 49315
(248) 930-5620
1108899
BONN, GARY L MSW
GRAND RAPIDS 49525
(616) 364-1500
1108720
BOSCH, CAROL J MSW
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1125926
BOSCH, RON MSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1108635
BOSMA, HENRY W MSW
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1123879
BOYNTON, CAROLINE LCSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-6571
1096232
BRADLEY, ERICA LMSW
GRAND RAPIDS 49507
(616) 965-8390
1108875
BRESLIN, KATHY A MSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1108926
BRINK, RHONDA L MSW
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1107651
BROPHY, MELISSA CSW
901 EASTERN AVE NE
GRAND RAPIDS 49503
(616) 224-7617
1083987
BROWN, JOLIE LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1093419
BROWN, OTHA MSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1119538
BUFKIN, JUNE MSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1083986
BURGESS, DANIEL LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1124589
CARRUTHERS, KATHY LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1083782
CHISHOLM, ANGIE LMSW
1400 LEONARD ST NE
GRAND RAPIDS 49505
(616) 954-1991
1093421
CINGLIE, COURTNEY R CSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1083985
CLARK, MELISSA LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1125401
COLE, KAY LCSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-6571
1085565
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 456-1443
1104806
COOKE, DANIEL LMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1117622
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1083984
CORNELL, SARA LMSW
1400 LEONARD ST NE
GRAND RAPIDS 49505
(616) 954-1991
1119130
CRAIG, KIYOI J MSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1083983
CROSS, JAMES C LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1083970
CURTIS, SANDRA LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1092590
CURTIS, SANDRA R LMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1117214
CUSHMAN, DOUGLAS W MSW
9090 S RODGERS CT SE
CALEDONIA 49316
(616) 891-8770
1104326
DAME-GIBES, EMILY LLMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1103292
DAVIS, ASHLEY CSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1084976
DAVIS, BROOKE MSW
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6247
1123709
DEBOE, MATTIE LCSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1108927
DECKROW, LEE C MSW
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1109282
DEJARNETT, JESSICA MSW
25 SHELDON BLVD SE
GRAND RAPIDS 49503
(616) 459-4652
1083981
DENDRINOS, ALYSIA LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1117569
DESHAW, KANDIS LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1090328
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6247
1126704
DRUMM, DANIELLE L LMSW
2303 KALAMAZOO SE
GRAND RAPIDS 49507
(616) 965-8390
1023417
DYER, JANE LMSW
GRAND RAPIDS 49546
(616) 957-5850
1098270
EDWARDS, MELODY LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1093422
EISEN, EMILEY J CSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1083781
ELENBAAS, KATHERINE LLMSW
1400 LEONARD ST NE
GRAND RAPIDS 49505
(616) 954-1991

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February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1094989
ELSEN, ERIN M CSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1124535
EVERETT, WILLIAM LCSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1093423
EYRE, WILLIAM J LMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1083990
FALKINBURG, HOWARD LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1085575
FLORES, OMAR LMSW
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 456-1443
1120585
FONGERS, JAMES MSW
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1085583
FOWLER, SARA N LMSW
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1117211
FOX, LISA LLMSW
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1083791
FOX, THOMAS LMSW
2303 KALAMAZOO SE
GRAND RAPIDS 49507
(616) 965-8390
1083780
FRANTZ, SARAH LLMSW
1400 LEONARD ST NE
GRAND RAPIDS 49505
(616) 954-1991
1108682
FREENEY, CYNTHIA J MSW
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1104676
FULLER, RENEE LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1120779
GALINSKI, JOAN MSW
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1122072
GARVIN, KENNETH LLMSW
2118 3 MILE RD
GRAND RAPIDS 49544
(616) 455-5000
1083974
GEORGE, AARON LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1122999
GICHEMI, DEWANDA MSW
300 68TH ST
KENTWOOD 49548
(616) 455-5270
1126712
GOLDSMITH, MEAGAN LMSW
740 36TH ST SE
KENTWOOD 49548
(616) 475-8300
1108696
GORT, TRACEY M MSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-9200
1122150
GORT, WAYNE LCSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1122230
GRABILL, REBECCA LMSW
GRAND RAPIDS 49503
(616) 486-5933
1122051
GRABOW, JAMES LMSW
2118 3 MILE RD
GRAND RAPIDS 49544
(616) 222-3720
1014900
GREENE, SHERRY E MSW
901 EASTERN AVE NE
GRAND RAPIDS 49503
(616) 224-7617
1083973
GROENHOUT, JAMES LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1125210
GROOTERS, RONALD LCSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1122139
GUTTERSEN, LAUREN MSW
2118 3 MILE RD
GRAND RAPIDS 49544
(616) 256-7599
1102797
HADSTEDT, HEATHER LMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1101995
HAGE, KIMBERLY K LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1084988
HAHN, JUDITH MSW
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6247
1085586
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 456-1443
1108691
HART, NANCY MSW
GRAND RAPIDS 49525
(616) 364-1500
1122093
HAVERKAMP, KELLI LCSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1085595
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 456-1443
1101864
HERNANDEZ-GUZMAN, KIRSIS LMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 446-7775
1120787
HIBMA, TIMOTHY MSW
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1108962
HIGHTOWER, LAMART MSW
523 LYON ST NE
GRAND RAPIDS 49503
(616) 222-6861
1108961
HIGHTOWER, LAMART MSW
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1101805
HILL, BENJAMIN L LLMSW
507 36TH ST SE
KENTWOOD 49548
(616) 247-4580
1108667
HOGARTH, VANESSA P MSW
GRAND RAPIDS 49525
(616) 364-1500
1093424
HOLMES, LISA M CSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1090485
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1102919
HORVATH, DEANNA LMSW
1720 PLAINFIELD NE
GRAND RAPIDS 49505
(616) 776-5120
1120711
HOUCK, KIM LCSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1120575
HUINIL, THAVONE MSW
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1077398
HUNT, NAN LMSW
GRAND RAPIDS 49546
(616) 957-5850
1109263
INGERSOLL, KARIE MSW
25 SHELDON BLVD SE
GRAND RAPIDS 49503
(616) 459-4652
1090981
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047

Mental Health
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February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1126728
JANDERNOA, DANIELLE LMSW
2303 KALAMAZOO SE
GRAND RAPIDS 49507
(616) 965-8390
1085267
JANDLE, DEBORAH MSW
2524 WOODMEADOW DR SE STE 1
GRAND RAPIDS 49546
(616) 862-3296
1108849
JASPERSE, RUTH M LMSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1083971
JENNINGS, CAROL LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1127829
JOHNSON, COURTNEY J LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1119138
JOHNSON, MONICA LMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1098351
550 CHERRY ST
GRAND RAPIDS 49503
(616) 235-7272
1098352
669 STOCKING NW
GRAND RAPIDS 49504
(616) 235-1480
1108935
JONKER, PATRICE L MSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1083773
JUDSON, DOUGLASS LMSW
1400 LEONARD ST NE
GRAND RAPIDS 49505
(616) 954-1991
1125190
KEECH, NORMA LCSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1120716
KEENER, CHRISTINE MSW
GRAND RAPIDS 49503
(616) 364-1500
1108670
KELLY, BRENDAN N MSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1083778
KERWICK, NANETTE LMSW
1400 LEONARD ST NE
GRAND RAPIDS 49505
(616) 954-1991
1118580
KERWIN, THOMAS M LCSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1095022
KEUHS, ADELE LMSW
550 CHERRY ST
GRAND RAPIDS 49503
(616) 965-8200
1108986
KEY, LISA LMSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1109340
KLEMP, MATHEW MSW
25 SHELDON BLVD SE
GRAND RAPIDS 49503
(616) 459-4652
1084047
KNOLLENBERG, LAURA LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1083790
KOLB, ANNETTE LMSW
2303 KALAMAZOO SE
GRAND RAPIDS 49507
(616) 965-8390
1119599
KOOL, ANA LLMSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1085606
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 456-1443
1125186
KROHN, TAYLOR LMSW
507 36TH ST SE
KENTWOOD 49548
(616) 248-4580
1083789
KUIPER, DONNA LMSW
2303 KALAMAZOO SE
GRAND RAPIDS 49507
(616) 965-8390
1098637
LASKY-ALBRIGHT, JULIE LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1104718
LEONARD, KELSEY LLMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1120765
LOCKMAN, ELSA MSW
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 959-9619
1083777
LONDON, REBECCA LMSW
1400 LEONARD ST NE
GRAND RAPIDS 49505
(616) 954-1991
1101655
LORD, LEAH LMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1083788
LUCKY-MARKLE, JUDITH LMSW
2303 KALAMAZOO SE
GRAND RAPIDS 49507
(616) 965-8390
1083787
MARSHALL, THERESA LMSW
2303 KALAMAZOO SE
GRAND RAPIDS 49507
(616) 965-8390
1107830
MARSMAN, JULIE LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1101685
MARTIN, ANDREA LLMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1126662
MARTINEAU, ALLYSSA LLMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1085617
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 456-1443
1124743
MCANELLY, CHARLES N MSW
300 68TH ST SE
KENTWOOD 49548
(616) 645-5500
1118587
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1106324
MCDANIEL, LATRECE LMSW
1400 LEONARD ST NE
GRAND RAPIDS 49505
(517) 954-1991
1095041
MCGOVERN, TERRY MSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1117191
MCKENNEY, CANDY S LMSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1120652
MCNICHOLS, SHAYNE LCSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1108774
MENEREY, NOAH J MSW
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1122162
METTS, LINDSEY C LMSW
1400 LEONARD ST SE
GRAND RAPIDS 49505
(616) 954-1991
1084051
MICHALAK, JENNIFER LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1127532
MICHAUD, CHERIE LMSW
1870 LEONARD ST NE
GRAND RAPIDS 49505
(616) 956-9619
1084050
MILLER, JANET LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200

Mental Health
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February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1101875
MILLER, JESSICA LLMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1118829
MOJET, JOSEPH E LMSW
2303 KALAMAZOO SE
GRAND RAPIDS 49507
(616) 965-8390
1120792
MONROE, TODD MSW
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1120574
MOORE, DAVID LCSW
GRAND RAPIDS 49546
(616) 719-0194
1109201
MORRIS-DOYLE, KAYLA LMSW
669 STOCKING AVE NW
GRAND RAPIDS 49504
(616) 235-1480
1084049
MULLETT, SHANNON LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1084048
MURRAY, BETHANY LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1083991
MUSIC, SHARON LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1120629
NEWBERG, CARRIE LMSW
1115 BALL AVE
GRAND RAPIDS 49505
(616) 456-7775
1038666
NIENHUIS, PHILLIP L LMSW
901 EASTERN AVE NE
GRAND RAPIDS 49501
(616) 224-7617
1127530
NORMAN, SHERRY L MSW
9090 S RODGERS CT SE
CALEDONIA 49316
(616) 891-8770
1108651
NORMAN, SHERRY L MSW
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1123749
NORTON, KIMBERLY LCSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1091011
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1119131
OLEXA, MARK LCSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1090413
OLEXA, MARK LCSW
901 EASTERN AVE NE
GRAND RAPIDS 49503
(616) 224-7617
1095056
OLMAN, BRUCE R CSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1084046
OOSTVEEN, MARIANNE LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1108795
PALMER-HORNBROOK, REBECCA M LMSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1118600
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1125325
PEACOCK, DANIEL LCSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-7294
1119514
PELL, TAMRA LMSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1119573
PEPLINSKI, JULIE LLMSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1090418
PETERS, DEBRA LCSW
2180 44TH ST SE STE 108
GRAND RAPIDS 49508
(616) 455-1499
1102815
PEVIC, CHRISTINE LMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1093427
PRENTISS, ADRIANNE L LMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1119488
PRINS, JANELL LMSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1121984
PYLE, ELIZABETH LCSW
1115 BALL AVE
GRAND RAPIDS 49505
(616) 456-7775
1108692
PYLMAN, DAWN E MSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-9200
1108713
QUINIFF, LAUREN A MSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1122110
QUINTANILLA, MIGUEL LMSW
GRAND RAPIDS 49546
(616) 719-0194
1086757
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6247
1120582
REYBURN, SCOTT MSW
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 956-9619
1093429
RIDDER, CHARLES H LMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1083776
RINI, MARTIN LMSW
1400 LEONARD ST NE
GRAND RAPIDS 49505
(616) 954-1991
1124602
RIVERA, RONALD C LCSW
1400 LEONARD ST SE
GRAND RAPIDS 49505
(616) 954-1991
1124603
RIVERA, RONALD C LCSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1122733
ROGERS, RUQAIYAH LCSW
740 36TH ST
KENTWOOD 49548
(616) 475-8300
1083996
ROSE, MARGARET LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1124466
ROSE, SHARYN LCSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1126050
ROUDABUSH, MEGAN L MSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1095081
ROZEMA, REBECCA L CSW
901 EASTERN AVE NE
GRAND RAPIDS 49503
(616) 224-7617
1091035
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1114510
SCHAFER, BARBARA MSW
901 EASTERN AVE NE
GRAND RAPIDS 49503
(616) 224-7617
1104789
SCOGGINS, MARY I LMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1073652
SEACORD, CAROL MSW
519 ADA DR SE STE 103
ADA 49301
(616) 676-4003

Mental Health
Page 787
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1095102
SIEGENTHALER, KATHRYN M CSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1108766
SOMMER, LOUIS A MSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-9200
F
F
1069925
SONKSEN, LARRY L MSW LMSW
2020 RAYBROOK SE STE 104A
GRAND RAPIDS 49546
(616) 706-7610
1108618
SPEARS, TAMARA D LMSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1083994
SPYKERMAN, KRISTIN LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1083786
STACEY, WILLIAM LMSW
2303 KALAMAZOO SE
GRAND RAPIDS 49507
(616) 965-8390
1108663
STARK, JEANNE L MSW
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1093430
STEININGER, SHANDRA C CSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1093346
STERK, KRISTYN MSW
901 EASTERN AVE NE
GRAND RAPIDS 49503
(616) 224-7617
1083992
STRODTBECK, JENNA LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1125886
SUEING, GRADY E LLMSW
1115 BALL AVE
GRAND RAPIDS 49505
(616) 456-7775
1122136
TEBEEST, SUZANNE M MSW
2118 3 MILE RD
GRAND RAPIDS 49544
(616) 455-5000
1093402
THOME, MARGARET A CSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1083775
THOMPSON, KAREN LMSW
1400 LEONARD ST NE
GRAND RAPIDS 49505
(616) 954-1991
1083774
TREW, NANCY LMSW
1400 LEONARD ST NE
GRAND RAPIDS 49505
(616) 954-1991
1083883
TROMBLY, ANN LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1109546
VANBUSKIRK, ERIC LMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(646) 456-7775
1122008
VANDENBOSCH, JULIA LCSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1120768
VANDENBOSCH, KEVIN LCSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1108933
VANDERBIE, HOLLY J MSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1118500
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1125295
VANDERLAAN, KAREN LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1108641
VANDERMAY, JAMES H MSW
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1108630
VANDERVEEN, TANYA M MSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-9200
1117256
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6047
1107693
VANDERWORP, MARIEL LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1084579
VANSETTERS, REBECCA BROWN LMSW
261 N MAIN ST
CEDAR SPRINGS 49319
(616) 696-4034
1108659
VANTONGEREN, THOMAS A MSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-9200
1108640
VANWEELDEN, KERRIE A MSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-9200
1062011
VANWOERKOM, WILLIAM C LMSW
GRAND RAPIDS 49546
(616) 957-5850
1096309
VASS-REINHOLTZ, BECKY L LMSW
740 36TH ST SE
KENTWOOD 49548
(616) 457-8300
1108644
VEENEMAN, GORDON J MSW
4211 PARKWAY PL
GRANDVILLE 49418
(616) 222-3700
1093432
VERHAGE, KARLA S CSW
740 36TH ST SE
KENTWOOD 49548
(616) 457-8300
1109307
VILLANUEVA, NICOLE MSW
25 SHELDON BLVD SE
GRAND RAPIDS 49503
(616) 459-4652
1122776
VU, REBEKAH LLMSW
300 68TH ST
KENTWOOD 49548
(616) 455-5000
1123796
WAHL, LAURA LCSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110
1127529
WAN, JESSICA J LMSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1084570
WANG, LI WANDA LCSW
1400 LEONARD ST NE
GRAND RAPIDS 49503
(616) 965-8200
1098350
WESTERHOF, JUSTIN LMSW
1400 LEONARD ST NE
GRAND RAPIDS 49505
(616) 954-1991
1120687
WHITE, CHRISTINA MSW
320 COMMERCE AVE SW
GRAND RAPIDS 49544
(616) 258-7599
1124778
WHITE, EMILY L LLMSW
300 68TH ST SE
GRAND RAPIDS 49501
(616) 258-7467
1083882
WHITTEN, PHILLIP LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1108613
WIERS-WINDEMULLER, CICELY D MSW
300 68TH ST SE
KENTWOOD 49548
(616) 455-5000
1087167
40 JEFFERSON SE
GRAND RAPIDS 49503
(616) 356-6247
1101670
WILLIAMS, LISA LMSW
1720 PLAINFIELD NE CRESTON HS HEALTH
GRAND RAPIDS 49505
(616) 776-5120
1119467
WIXON, HOLLY LLMSW
3300 36TH ST SE
GRAND RAPIDS 49512
(616) 942-2110

Mental Health
Page 788
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1085458
WOLF, SUSAN LMSW
550 CHERRY ST SE
GRAND RAPIDS 49503
(616) 235-7272
1084053
WOOD, JAMES LMSW
100 CHERRY ST SE
GRAND RAPIDS 49503
(616) 965-8200
1120793
WRIGHT HACHET, PAMELA A MSW
1870 LEONARD NE
GRAND RAPIDS 49505
(616) 965-9619
1105930
YOUNG, COURTNEY LLMSW
1115 BALL AVE NE
GRAND RAPIDS 49505
(616) 456-7775
1077370
ZIELINSKI, TIM LMSW
GRAND RAPIDS 49525
(616) 361-5001
1123787
ZWART, STEPHANIE J MSW
GRAND RAPIDS 49525
(616) 364-1500
LAKE COUNTY
1098568
KENDALL, MARY JO LMSW
1615 MICHIGAN AVE
BALDWIN 49304
(231) 745-4624
1122228
WHITEHEAD, MICHAEL LCSW
525 4TH ST
BALDWIN 49304
(231) 745-3116
LAPEER COUNTY
1125216
BROWN, SHIRLEY LMSW
LAPEER 48446
(810) 667-4500
1015664
CAFFERTY, DEBRA L MSW
LAPEER 48446
(810) 667-4500
1012293
CHERITT, JOHN S ACSW
LAPEER 48446
(810) 664-4363
1030442
CORRIGAN, JENNIFER MSW
LAPEER 48446
(810) 667-4500
1008596
DALEY ULLRICH, DIANE LMSW
LAPEER 48446
(810) 667-4500
1125977
DRENTH, ARTHUR C LMSW
204 W MAIN ST
ATTICA 48412
(231) 924-1800
1025020
FERGUSON, PHYLLIS LMSW
5914 N LAPEER RD
NORTH BRANCH 48461
(810) 793-4646
1060347
FORD, BRUCE K LMSW
608 FOX ST
LAPEER 48446
(810) 538-0229
1100938
GOETZE, LAURIE LMSW
LAPEER 48446
(810) 664-4546
1021443
GREENHAW, DONNA J MSW
LAPEER 48446
(810) 667-4500
1084401
LAGUIRE-QUINN, DUANE MSW
1570 SUNCREST DR
LAPEER 48446
(810) 667-0500
1086143
MCELROY KREMM, ELIZABETH LMSW
1134 S LAPEER RD
LAPEER 48446
(810) 667-4111
1032890
MURPHY, MELISSA LMSW
LAPEER 48446
(810) 667-4500
1123177
REYNOLDS, SARAH LCSW
1134 S LAPEER RD
LAPEER 48446
(810) 667-4111
1018644
ROBINET, DIANE M LMSW
LAPEER 48446
(810) 667-4500
1086144
STACHIW, BEA LMSW
1134 S LAPEER RD
LAPEER 48446
(810) 667-4111
1024646
STEWART, MARY LOU LMSW
LAPEER 48446
(810) 667-4500
1008548
VANLANDEGHEM, BARBARA MSW
624 W NEPRESSING STE 300
LAPEER 48446
(810) 667-4450
421 S MITCHELL ST
EMPIRE 49630
(231) 775-6581
LEELANAU COUNTY
1083034
EVANS, THERESA MSW
LENAWEE COUNTY
1091551
BAILEY, JAN S MSW
308 S MAUMEE ST
TECUMSEH 49286
(517) 423-6889
1091553
BARNES, LARAE A MSW
308 S MAUMEE ST
TECUMSEH 49286
(517) 423-6889
1122034
DOCK, JOYCE LMSW
502 E CUMMINS ST
TECUMSEH 49286
(517) 423-3887
1093408
DRAYTON, CAROL A CSW
308 S MAUMEE ST
TECUMSEH 49286
(517) 423-6889
1122046
MCNULTY, ELISE LCSW
502 E CUMMINS ST
TECUMSEH 49286
(517) 423-3887
1091700
MILLER, CRAIG A MSW
308 S MAUMEE ST
TECUMSEH 49286
(517) 423-6889
1101700
MITCHELL, KELLI MSW
138 MAUMEE ST
ADRIAN 49221
(517) 439-8144
1101701
MITCHELL, KELLI MSW
306 W MAIN ST
HUDSON 49247
(517) 448-6442
1126757
NOVAK, KARI LMSW
142E MAUMEE ST
ADRIAN 49221
(810) 338-4455
1091719
PAGEL, MARLEY G MSW
308 S MAUMEE ST
TECUMSEH 49286
(517) 423-6889

Mental Health
Page 789
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
LENAWEE COUNTY (CONTINUED)
1085638
ROWLAND, ADRIENNE LMSW
199 BROAD ST
ADRIAN 49221
(517) 263-0191
1093409
SALENBIEN, JAMES H MSW
308 S MAUEMEE ST
TECUMSEH 49286
(517) 423-6889
1120628
SAUNDERS, TARA E MSW
502 E CUMMINS ST
TECUMSEH 49286
(517) 423-3887
1123307
SKYLIS, NICOLE E LMSW
1200 N MAIN ST
ADRIAN 49221
(517) 263-1800
F
F
1091803
VANLOOCKE, DIANE MSW
308 S MAUMEE ST
TECUMSEH 49286
(517) 423-6889
1091833
WOODARD, JOHN C MSW
127 N EVANS ST
TECUMSEH 49286
(517) 424-7345
1091832
WOODARD, JOHN C MSW
108 S MAIN ST STE K
ADRIAN 49221
(517) 918-9443
1070195
WOODWORTH, DORA A LMSW
ADRIAN 49221
(517) 403-3728
LIVINGSTON COUNTY
1084969
BELLOLI, JOANNE MSW
2020 S GRAND RIVER STE 104
HOWELL 48843
(517) 545-5944
1101932
BERGBOWER, KAREN MSW
10299 GRAND RIVER AVE STE P
BRIGHTON 48116
(810) 225-9550
1109425
COLLER, ROBERT W LMSW
BRIGHTON 48114
(810) 220-2787
1117288
COOPER, JEANNE LMSW
120 FLINT ST
BRIGHTON 48116
(810) 494-7180
1125320
CORRIGAN, MICHAEL LCSW
BRIGHTON 48116
(810) 599-9591
1127504
COSTELLO, ANNE LMSW
BRIGHTON 48116
(810) 599-9591
1084979
DERAS, REBECCA MSW
HOWELL 48843
(517) 545-5944
1120633
FUREY, JOHN D MSW
BRIGHTON 48116
(810) 227-1211
1117192
GELLNER, SARA LLMSW
120 FLINT ST
BRIGHTON 48116
(810) 494-7180
1101937
GIRZ, PETER A MSW
10299 GRAND RIVER AVE STE P
BRIGHTON 48116
(810) 225-9550
1109341
HANTULA MILLER, ELISE A MSW
BRIGHTON 48116
(810) 227-1211
1119545
KELLER, ARNOLD MSW
BRIGHTON 48114
(810) 227-5659
1120677
KELLY, SHIJUAN LLSW
HOWELL 48843
(231) 737-1335
1118590
120 FLINT ST
BRIGHTON 48116
(810) 494-7180
1109389
LAMBERT, SARA A MSW
BRIGHTON 48116
(810) 227-1211
1119567
MANELA, PAMELA MSW
BRIGHTON 48114
(810) 227-5659
1120536
MANELA, ROGER MSW
BRIGHTON 48114
(810) 227-5659
1120551
MITCHELL, THOMAS S LMSW
BRIGHTON 48116
(810) 227-1211
1109184
QUICK, JUDITH A MSW
BRIGHTON 48116
(810) 227-1211
1126725
RILEY, KELLY A MSW
BRIGHTON 48116
(810) 599-9591
1086909
ROBINSON, MARK T MSW
HOWELL 48843
(517) 545-5944
1109193
SCHAFER, PATRICIA L MSW
BRIGHTON 48116
(810) 227-1211
1095111
STRATTON, RUSSELL A MSW
144 SCHROEDER PARK DR
HOWELL 48843
(517) 294-9237
1107884
STRATTON, RUSSELL A MSW
BRIGHTON 48116
(810) 227-1211
1097637
STUART, MICHAEL D MSW
HOWELL 48843
(517) 545-5944
1125890
THOMPSON, NICOLE H LLMSW
120 FLINT RD
BRIGHTON 48116
(810) 772-1401
1085651
VACCARO, MEGAN LMSW
HOWELL 48843
(517) 545-5944
1085659
WIDMAYER, LYNDA LMSW
HOWELL 48843
(517) 545-5944
MACOMB COUNTY
1118609
AKRIGG, PEGGY J LCSW
17937 HALL RD
MACOMB 48044
(586) 770-2465
1107712
ARNOLD, TAMEKA K MSW
22777 HARPER AVE STE 208A
(586) 945-6177
1098410
BEACHEM, CHARLOTTE LMSW
116 MARKET ST
MOUNT CLEMENS 48043
(586) 465-4444
1046137
BEYER, ADAM MSW
28800 RYAN RD
WARREN 48092
(586) 620-8100
1062173
BILINSKY, CYNTHIA MSW
UTICA 48317
(586) 997-3153
1091568
BRAUHER, RODNEY MSW
28800 RYAN RD
WARREN 48092
(586) 620-8100

Mental Health
Page 790
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1093279
BUCKINGHAM, STACY L LMSW
24401 CAPITAL BLVD
(586) 783-2950
1101719
CANADY, SHEILA MSW
43740 GROESBECK
(586) 469-7629
1062177
CLECK, SUZANNE LMSW
UTICA 48317
(586) 997-3153
1032562
CLOR, LINDA LMSW
(586) 228-8838
1036543
COMPTON, BARBARA LMSW
(586) 226-3440
1097879
DAYTON, KRYSTAL L CSW
UTICA 48315
(586) 263-1234
1097820
DEVNANI, CAROL CSW
(586) 795-0569
1037280
DOBAT, JOHN LMSW
NEW BALTIMORE 48051
(586) 949-7680
1034344
DRYGALSKI, MARYA MSW
24401 CAPITAL BLVD
(586) 783-2950
1119466
EISENBERG, SARAH K LMSW
(586) 421-4513
1103056
ENRIGHT, BRIAN MSW
43740 GROESBECK
(586) 469-7629
1034336
FAIR, STEVEN MSW
24401 CAPITAL BLVD
(586) 783-2950
1092916
FAITA, CHRISTINA LMSW
WARREN 48092
(586) 620-8100
1036903
FLOOD-ESPINOZA, COLLEEN LMSW
MOUNT CLEMENS 48043
(586) 466-6130
1090343
FRANCISCO, DEBRA LCSW
51539 VAN DYKE AVE
(586) 461-2111
1102049
FRANCISCO, DEBRA LMSW
(586) 913-7006
1102811
FREED, DEANNA MSW
43740 GROESBECK
(586) 469-7629
1098561
GAI, DIANE R LMSW
175 N GROESBECK
MOUNT CLEMENS 48043
(586) 627-0024
1118535
GARRISI, MICHAEL LCSW
(586) 226-8440
1064451
GAWLIK, CHERYL LMSW
(586) 268-6712
1124785
GHOUGOIAN, JOAN LCSW
NEW BALTIMORE 48051
(586) 949-7680
1114411
GIBSON, DAYRELL LLMSW
175 N GROESBECK HWY
MOUNT CLEMENS 48043
(586) 627-0024
1100943
GOETZE, LAURIE LMSW
15945 CANAL RD
(586) 416-2300
1093271
GOLDSMITH, MICHAEL R CSW
28800 RYAN RD
WARREN 48092
(586) 620-8100
1098534
GREWE, SARINA LMSW
UTICA 48315
(586) 263-1234
1098533
GREWE, SARINA LMSW
(586) 795-0569
1097739
HAMEL, DAVID CSW
UTICA 48315
(586) 263-1234
1099957
HARBOUR, KARLENE LMSW
124 W GATES STE 10
ROMEO 48065
(586) 752-9696
1048285
24401 CAPITAL BLVD
(586) 783-2950
1099955
(586) 254-5660
1099954
(586) 226-3440
1099956
RICHMOND 48062
(586) 727-5529
1107766
HAYSMER, LISA M LCSW
8255 HALL RD
UTICA 48317
(586) 265-0836
1100419
HEMBERG, CANDICE LMSW
UTICA 48315
(586) 254-5660
1098579
HUBERT, DENISE M MSW
(586) 855-5022
1097789
HUSTON, ASHLEY M CSW
(586) 226-2822
1098586
JEAN, KATHRYN M LMSW
WARREN 48092
(586) 620-8100
1061151
JOHNSON, SUZANNE LMSW
42669 GARFIELD
(248) 412-5321
1121220
JONES, JEANINE M MSW
5995 19 MILE RD
(586) 254-5454
1095017
JONES, MATTHEW D CSW
(586) 264-3692
1091652
JORDAN, KAREN M MSW
5995 19 MILE RD
(586) 215-0727
1124181
KASPER, THEODORE MSW
(586) 725-8500
1096268
KELLY, HELENA MSW
(586) 855-5022
1034338
KENNEDY, THOMAS LPC
24401 CAPITAL BLVD
(586) 783-2950
1094605
KLEIN, DAVID LMSW
50505 SCOENHERR STE 270
UTICA 48315
(586) 263-1234
1114382
KOPER, LAWRENCE LCSW
WARREN 48092
(856) 620-8100

Mental Health
Page 791
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1101709
KORPUSIK, PHILLIP F LMSW
2122 FIFTEEN MILE RD. STE B
(586) 264-3692
1092908
KRAUSE, STACEY LSW
(586) 697-2475
M
F
1036523
KROL, DENNIS LMSW
(586) 226-3440
M
F
1107801
LAWRENCE, AMY L LMSW
(586) 421-4513
1036055
LAWTON, CHRISTINA LMSW
NEW BALTIMORE 48051
(586) 949-7680
1092082
LUNDBLAD, DANIEL LMSW
24401 CAPITAL BLVD
(586) 783-2950
1060131
MAPLES, LILLIAN LMSW
(586) 264-3692
1101837
MARTIN, DEBORAH C MSW
175 N GROESBECK HWY
MOUNT CLEMENS 48043
(586) 627-0024
1036155
MCCRACKEN, PATTY LMSW
(586) 226-3440
1098552
MEDVEDIK, BEATRICE LMSW
(586) 254-5660
1096169
MERTENS, LINDA A MSW
(586) 855-5022
1105954
MICKLES-BURNS, LEONA PHD LMS
2122 15 MILE STE B
(586) 264-3692
1098651
MONCREIFF, CAROL LMSW
(586) 254-5660
1125915
MONK, SHIRLEY LMSW
175 N GROESBECK HWY
MOUNT CLEMENS 48043
(586) 627-0024
1096189
MOTRINC, KATRINA M MSW
6303 26 MILE RD STE 120
WASHINGTON 48094
(586) 207-2077
1103010
MUNSON, KATHERINE MSW
43740 GROESBECK
(586) 469-7629
1096307
NEZICH, JOYELL S MSW
(586) 855-5022
1107840
OLSON, CHRISTIAN D LMSW
(586) 226-2822
1048280
PEMBERTON, JOLENE LMSW
24401 CAPITAL BLVD
(586) 783-2950
1102884
PERKINS, DAVID MSW
43740 GROESBECK
(586) 469-7629
1093506
PITLANISH, PAMELA M CSW
25401 HARPER
(586) 466-6912
1120626
PITTERS, BECKY LCSW
WARREN 48093
(586) 558-6868
1109504
RICHARDS, KURT L LMSW
51539 VAN DYKE AVE
(586) 461-2111
1096320
(586) 795-0569
1061161
ROHDE, SUSAN LMSW
42669 GARFIELD
(248) 412-5321
1090831
ROSE, SHARON R LSW
37399 GARFIELD RD STE 200A
(586) 741-5111
1098775
RUDE, SHARON LMSW
UTICA 48315
(586) 263-1234
1098774
RUDE, SHARON LMSW
(586) 795-0569
1059356
RUPPEL, LORI A LMSW
15945 CANAL RD
(586) 416-2300
1104673
RUSSO, LISA MSW
36389 HARPER AVE
(586) 799-3029
1107645
SCHOENHERR, STACEY L LMSW
(586) 226-2822
1096272
SEEDORFF, JOYCE L LMSW
UTICA 48315
(586) 263-1234
1098331
SHAR, ANN LMSW
124 W GATES STE 103
ROMEO 48065
(586) 752-9696
1091044
SHAW, KATHLEEN C LMSW
(586) 264-3692
1117688
SHIMKU, ANNETTE M MSW
UTICA 48315
(248) 884-2701
1100277
SHUKWIT, TRACY L LMSW
UTICA 48315
(586) 263-1234
1114371
SIVALELLI, AMBER M LLMSW
175 N GROESBECK HWY
MOUNT CLEMENS 48043
(586) 627-0024
1117605
SLATER, MEGHAN E LMSW
175 N GROESBECK HWY
MOUNT CLEMENS 48043
(586) 627-0024
1061152
SMITH, KIMBERLY LMSW
42669 GARFIELD
(248) 412-5321
1106183
SPENCER, DENISE MSW
(586) 274-4394
1059918
STAJICH, CASSANDRA LMSW
43599 SCHOENHERR RD 200C
(586) 726-8622
1125834
175 N GROESBECK HWY
MOUNT CLEMENS 48043
(586) 627-0024
1122777
TOLBERT, YOLANDA LCSW
28351 GRATIOT AVE STE 4
ROSEVILLE 48066
(313) 978-1854
1065631
TRUDGEON, CAROL LMSW
24401 CAPITAL BLVD
(586) 783-2950
1066151
TUCKER-LLOYD, IRIS LMSW
24401 CAPITAL BLVD
(586) 783-2950
1098794
UHLAR, IRIS LMSW
RICHMOND 48062
(586) 727-5529

Mental Health
Page 792
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1097758
VENEGONI, ANGELA L CSW
UTICA 48315
(586) 263-1234
1038784
VINCENT, EDWARD T CSW
(586) 795-0569
F
M
1099934
WALTERS, KATHLEEN LMSW
(586) 226-3440
1091530
WARCHOL, MARK LMSW
16950 NINETEEN MILE RD STE 3A
(586) 226-1991
1091818
WARCHOL, MARK F MSW
16950 19 MILE RD STE 3A
(586) 226-1991
1036968
WAYLAND, DAWN LMSW
(586) 226-3440
1062206
WILLIAMS, SUSAN LMSW
(586) 421-4513
1098497
WILLIFORD, GALE LMSW
175 N GROESBECK
MOUNT CLEMENS 48043
(586) 627-0024
1125266
WILLIFORD, GALE J LCSW
16950 19 MILE RD STE 3G
(586) 292-3397
F
F
1098596
WILSON, HELEN H LMSW
(586) 421-4513
1126337
WILSON, JOHN D MSW
5995 19 MILE RD
(586) 254-5454
1097894
WIXSON, BERNADETTE M CSW
(586) 855-5022
1037279
WOODARD, MARYANN LCSW
NEW BALTIMORE 48051
(586) 949-7680
1059930
UTICA 48317
(586) 997-3153
1098323
ZAPORSKI, DAVID LMSW
(586) 254-5660
1093278
ZIMBERG, SANDRA LMSW
28800 RYAN RD
WARREN 48092
(586) 620-8100
1108427
ZIMBERG, SANDRA LMSW
28800 RYAN RD
WARREN 48092
(586) 620-8100
1060134
ZITNY, CYNTHIA LMSW
(586) 264-3692
MANISTEE COUNTY
1007252
FAIRGRIEVE, MARY ACSW
MANISTEE 49660
(231) 889-7555
1126687
KIMM, KRISTEN M LMSW
50 FILER ST
MANISTEE 49660
(231) 887-4033
239 N JEBAVY APT 3
LUDINGTON 49431
(231) 425-4036
MASON COUNTY
1126760
KOCH, LINDA MSW
MECOSTA COUNTY
1085568
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1117624
BIG RAPIDS 49307
(231) 796-1583
1084975
DAVIS, BROOKE MSW
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1090326
212-1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1085576
FLORES, OMAR LMSW
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1085578
FOWLER, SARA N LMSW
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1117213
FOX, LISA LLMSW
BIG RAPIDS 49307
(231) 796-1583
1084986
HAHN, JUDITH MSW
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1085589
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1085593
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1090484
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1090980
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1085609
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1085614
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1117241
NICKISSON, JOHN MSW
745 WATER TOWER RD
BIG RAPIDS 49307
(231) 592-1061
1091010
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1118602
BIG RAPIDS 49307
(231) 796-1583
1089205
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
1091034
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583

Mental Health
Page 793
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1118502
BIG RAPIDS 49307
(231) 796-1583
1117258
BIG RAPIDS 49307
(231) 796-1583
1087166
212 1/2 MAPLE
BIG RAPIDS 49307
(231) 796-1583
MIDLAND COUNTY
1122854
ESTRADA, JERILYNN LCSW
2801 ASHMAN ST
MIDLAND 48640
(989) 633-9600
1061080
FARISON, NANCY S LMSW
314 W WACKERLY STE C
MIDLAND 48640
(989) 832-1978
1122015
GILMORE, HEATHER LCSW
2801 ASHMAN ST
MIDLAND 48640
(989) 633-9600
1056427
GONIEA, KATHALINA M LMSW
2718 ASHMAN
MIDLAND 48640
(989) 486-1373
1034525
HARTMAN, KATHLEEN ALLISON LMSW
5103 EASTMAN STE 123
MIDLAND 48640
(989) 274-9890
1098672
KUTCHEY, PATRICIA J MSW
2205 RIDGEWOOD STE 204
MIDLAND 48642
(989) 839-2292
1060553
MCATEE, JUDY LMSW
1108 ASHMAN
MIDLAND 48640
(989) 832-9161
1127963
MIKULIN, CHRISTINE M LMSW
1108 ASHMAN
MIDLAND 48640
(989) 832-9161
1107802
MILES, LAURIE LLP
1205 E WACKERLY ST
MIDLAND 48642
(989) 831-9161
1118622
WATERMAN, GARRY D LCSW
1108 ASHMAN
MIDLAND 48640
(989) 832-9161
MONROE COUNTY
1094957
ANTIS, SANDRA J MSW
NEWPORT 48166
(734) 586-0031
1091569
BROMAN, MARI A MSW
MONROE 48162
(734) 240-1760
1091575
BUTLER, AMAL MSW
MONROE 48162
(734) 240-1760
1091612
EITEL, BARRY C MSW
MONROE 48162
(734) 240-1760
1099100
FRALEY, SARAH LMSW
52 E MAIN ST STE 1B
MILAN 48160
(734) 645-4263
1100940
GOETZE, LAURIE LMSW
1070 S TELEGRAPH RD
MONROE 48161
(734) 240-3840
1091674
LENTNER, TIMOTHY H CSW
MONROE 48162
(734) 240-1760
1097730
MASSAD, DAVID K CSW
700 STEWARD RD STE105
MONROE 48162
(734) 240-1760
1091698
MIKELS, PAUL W MSW
986 S TELEGRAPH RD
MONROE 48161
(419) 250-0169
1091697
MIKELS, PAUL W MSW
NEWPORT 48166
(734) 586-0031
1100261
MORICH, STEPHANIE MSW
NEWPORT 48166
(734) 586-0031
1093387
REEVES, SHERRILL E MSW
MONROE 48162
(734) 240-1760
1091738
REVELS, SUSAN J MSW
MONROE 48162
(734) 240-1760
1125142
ROESCH, JULIE LCSW
MONROE 48161
(734) 477-0135
1091747
RUDY, JAMES M MSW
NEWPORT 48166
(734) 586-0031
1118503
8765 LEWIS AVE
TEMPERANCE 48182
(734) 847-3802
1123308
130 MEDICAL CENTER DR
CARLETON 48117
(734) 654-2169
1100286
STRAND, YVONNE MSW
700 STEWARD RD STE105
MONROE 48162
(734) 240-1760
1091830
WILSON, STEFFANY M CSW
MONROE 48162
(734) 240-1760
MONTCALM COUNTY
1058504
HAGLUND, OLJA MSW
110 WEST GREENVILLE DR STE B
GREENVILLE 48838
(616) 712-6080
1062462
HAGLUND, OLJA MSW
CARSON CITY 48811
(989) 581-6472
1096150
HOSKINS, ERICA A MSW
CARSON CITY 48811
(989) 584-6472
1095021
KEUHS, ADELE LMSW
1002 N LAFAYETTE
GREENVILLE 48838
(616) 225-9650
1122862
LAVENDAR, KIMBERLY LCSW
507 S NELSON ST
GREENVILLE 48838
(616) 255-3963
1118519
SPYKER, BRIAN C LCSW
507 S NELSON ST
GREENVILLE 48838
(616) 255-3963
1057839
WAGNER, JULIE MSW
CARSON CITY 48811
(989) 584-6472
1085457
WOLF, SUSAN LMSW
306 S MAPLEWOOD ST
GREENVILLE 48838
(616) 225-9650

Mental Health
Page 794
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
GREENVILLE 48838
(616) 754-2364
SOCIAL WORKER
1077371
ZIELINSKI, TIM LMSW
MONTMORENCY COUNTY
1078178
ARNOLD, LEAH MSW
15774 STATE ST
HILLMAN 49746
(989) 742-4583
1078190
ARNOLD, LEAH MSW
11899 M-32
ATLANTA 49709
(989) 785-4855
1084845
BLACKMER, TANYA J MSW
5375 E SANDY TRAIL
ATLANTA 49709
(989) 785-4444
1078207
JUNG, VERONICA MSW
11899 M -32
ATLANTA 49709
(989) 785-4855
1078209
JUNG, VERONICA MSW
15774 STATE ST
HILLMAN 49746
(989) 742-4583
1095119
15774 STATE ST
HILLMAN 49746
(989) 742-4583
1126765
ROMEL, TRACY LLMSW
15774 STATE ST
HILLMAN 49746
(989) 742-4583
1126768
ROMEL, TRACY LLMSW
245 E THIRD ST
HILLMAN 49746
(989) 733-2082
1126764
ROMEL, TRACY LLMSW
11899 M 32
ATLANTA 49709
(989) 785-4855
MUSKEGON COUNTY
1093327
ALCORN, MARY LMSW
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1086266
ALGER, SANDRA K LMSW
1633 PECK
MUSKEGON 49441
(231) 747-6908
1086265
ALGER, SANDRA K LMSW
84 SEAWAY DR
MUSKEGON 49444
(231) 747-3908
1100365
BLACKBURN, SUSAN LMSW
3535 PARK STREET
MUSKEGON 49444
(231) 727-4281
1100364
BLACKBURN, SUSAN LMSW
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 727-4281
1086457
BOUWMA, JOAN LMSW
2201 S GETTY ST
MUSKEGON 49444
(231) 739-9315
1123771
BUCHAN, SUE LCSW
84 S SEAWAY DR
MUSKEGON 49444
(231) 733-9800
1086451
CANALES, JOSI LMSW
2201 S GETTY ST
MUSKEGON 49444
(231) 739-9315
1085569
1095 THIRD AVENUE
MUSKEGON 49441
(231) 726-4735
1093328
COOPER, SANDY LMSW
1223 MERCY DR
MUSKEGON 49444
(231) 726-3582
1093329
COOPER, SANDY LMSW
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1117619
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1084973
DAVIS, BROOKE MSW
MUSKEGON 49441
(231) 726-4735
1090325
MUSKEGON 49441
(231) 726-4735
1091920
DUTTON, TONYA CSW
MUSKEGON 49444
(231) 737-1335
1085002
DYER, JANE LMSW
635 W SUMMIT
MUSKEGON 49441
(616) 957-5850
1123881
ENGEL, JOEL M LCSW
84 S SEAWAY DR
MUSKEGON 49444
(231) 733-9800
1100145
ESCARENO, JULIE LMSW
MUSKEGON 49444
(231) 733-6607
1096293
ESCARENO, JULIE LMSW
2201 S GETTY
MUSKEGON 49444
(231) 737-1773
1085572
FLORES, OMAR LMSW
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1093332
FOREMAN, JAMEY J CSW
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1085579
FOWLER, SARA N LMSW
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1117208
FOX, LISA LLMSW
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1084982
HAHN, JUDITH MSW
MUSKEGON 49441
(231) 726-4735
1085590
1095 THIRD AVENUE
MUSKEGON 49441
(231) 726-4735
1085594
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1090483
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1085005
HUNT, NAN LMSW
635 W SUMMIT
MUSKEGON 49441
(616) 957-5850
1090979
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1105998
KIDD, CATHERINE A MLSW
905 E COLBY STE 150
WHITEHALL 49461
(231) 726-3582
1105997
KIDD, CATHERINE A MLSW
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1093334
KLEIN HORSMAN, SANDRA LMSW
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582

Mental Health
Page 795
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1124879
KOSTEN, NICHOLE LMSW
3611 HENRY ST
MUSKEGON 49441
(616) 802-7596
1104733
KOSTEN, NICHOLE LMSW
2201 S GETTY
MUSKEGON 49444
(231) 739-9315
1085611
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1093335
LONG, JORDAN LMSW
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1085616
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1093339
NORDER-NEWTON, KAREN LMSW
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1093340
NORDER-NEWTON, KAREN LMSW
3535 PARK ST
MUSKEGON 49441
(231) 726-3582
1091009
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1120054
OXENDALE, GARY L LMSW
905 E COLBY STE 150
WHITEHALL 49461
(231) 726-3582
1119441
OXENDALE, GARY L LMSW
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1118597
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1124460
PORENTA, VALERIE LCSW
84 S SEAWAY DR
MUSKEGON 49444
(231) 733-9800
1089207
MUSKEGON 49441
(231) 726-4735
1093344
READY, MATTHEW LMSW
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1091033
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1086499
SHAW, KIMBERLY LMSW
2201 S GETTY ST
MUSKEGON 49444
(231) 739-9315
1095232
THOMPSON, KAREN LMSW
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1125282
TOGUNDE, TEMITOPE MSW
125 E SOUTHERN AVE
MUSKEGON 49442
(231) 726-3582
1109205
TYLER, MARY LMSW
2201 S GETTY
MUSKEGON 49444
(231) 739-9315
1098294
VALDEZ, ANGELITA E MSW
427 SEMINOLE RD STE 200A
MUSKEGON 49444
(231) 343-1360
1102130
MUSKEGON 49444
(231) 737-1335
1118497
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1117253
1095 THIRD AVE
MUSKEGON 49441
(231) 726-4735
1091802
VANDYKE, KEITH LMSW
MUSKEGON 49444
(231) 737-1335
1085004
VANWOERKOM, WILLIAM C LMSW
635 W SUMMIT
MUSKEGON 49441
(616) 957-5850
1091807
VERMEULEN, MARY C MSW
2201 S GETTY ST
MUSKEGON 49444
(231) 739-9315
1087164
MUSKEGON 49441
(231) 726-4735
1124220
WILSON, ANN LMSW
MUSKEGON 49444
(231) 737-1335
1124058
WILSON, ANN LMSW
MUSKEGON 49444
(231) 737-1335
1086579
WILSON, ANN LMSW
2201 S GETTY ST
MUSKEGON 49444
(231) 739-9315
NEWAYGO COUNTY
1075179
BEACH, GALE A LMSW
231 W PINE LAKE DRIVE STE 102
NEWAYGO 49337
(231) 652-1780
1125893
BYRNE, RHONDA S LMSW
204 W MAIN ST
FREMONT 49412
(231) 924-1800
1085563
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1117620
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1084974
DAVIS, BROOKE MSW
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1085574
FLORES, OMAR LMSW
1198 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1085580
FOWLER, SARA N LMSW
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1117209
FOX, LISA LLMSW
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1084984
HAHN, JUDITH MSW
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1085587
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1085591
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1124791
JAMES-WITTEVEEN, JENNIFER LCSW
96 E 120TH ST
GRANT 49327
(231) 834-1350
1085610
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1085615
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701

Mental Health
Page 796
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1089206
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1118498
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1075178
WIEGERS, ROGER H LMSW
NEWAYGO 49337
(231) 652-1780
1087165
1195 E WILCOX
WHITE CLOUD 49349
(231) 689-6701
1127899
WOODISON-EVANS, MICHELLE L LMSW
623 E MAIN ST
FREMONT 49412
(231) 924-2401
OAKLAND COUNTY
1107609
ABRAMS-REDMAN, ELISSA LMSW
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1123240
ADAMS, ALLEN MSW
91 S TELEGRAPH RD
PONTIAC 48431
(248) 334-2715
1125146
ADAMS, HENRY LCSW
SOUTHFIELD 48075
(248) 994-8006
1125147
ADAMS, HENRY LCSW
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1125148
ADAMS, HENRY LCSW
(248) 994-8001
1125145
ADAMS, HENRY LCSW
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1109310
ALDERSON, MEGHAN L LLMSW
ROCHESTER 48307
(248) 853-0750
1109311
WALLED LAKE 48390
(248) 624-3812
1109309
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1109312
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1126701
ALDRICH, MELISSA LMSW
77 E LONG LAKE RD
(248) 656-0500
1126700
ALDRICH, MELISSA LMSW
ROCHESTER 48307
(248) 656-0500
1074235
ALEXANDER, JOYCE LMSW
SOUTHFIELD 48034
(248) 355-3301
1109196
ALLISTON, WILLIAM T LLMSW
WALLED LAKE 48390
(248) 624-3812
1109194
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1109197
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109195
ROCHESTER 48307
(248) 853-0750
1127769
ANDERSON, JUDITH A MSW
ROYAL OAK 48067
(248) 343-4695
1053875
ARNOLD, SUSAN LMSW
CLARKSTON 48348
(248) 693-8880
1106131
BABB, GAIL LMSW
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1109293
BARBOSA, AMANDA C LMSW
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109292
WALLED LAKE 48390
(248) 624-3812
F
F
1109291
ROCHESTER 48307
(248) 853-0750
1109290
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1107853
BARSON, KATHLEEN LMSW
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1107632
BARTON, KATHY MSW
ROYAL OAK 48067
(248) 398-6459
1107029
BARTOS, PAMELA J LMSW
ROCHESTER 48307
(248) 853-0750
1098271
WALLED LAKE 48390
(248) 624-3812
1107028
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1107030
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1059924
BARZONE, ROXANNE LMSW
ROYAL OAK 48067
(248) 546-0407
1109336
91 S TELEGRAPH RD
PONTIAC 48341
(248) 334-2715
1126651
BEASLEY, PATRICIA MSW
TROY 48084
(248) 613-5377
1126652
BEASLEY, PATRICIA MSW
BIRMINGHAM 48009
(248) 613-5377
1107575
BEGGS, CAROL LMSW
WALLED LAKE 48390
(248) 624-3812
F
F
1107574
BEGGS, CAROL LMSW
ROCHESTER 48307
(248) 853-0750
1107573
BEGGS, CAROL LMSW
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1107576
BEGGS, CAROL LMSW
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1127772
BENDIX, BROOKE J LMSW
ROYAL OAK 48067
(248) 343-4695

Mental Health
Page 797
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1125303
BERNARD, MAUREEN L LCSW
524 E 4TH ST
ROYAL OAK 48067
(248) 546-1115
1126703
BIRMINGHAM, KIMBERLY LMSW
ROCHESTER 48307
(248) 923-2099
1107056
BLECHINGER, KAREN LMSW
WALLED LAKE 48390
(248) 624-3812
1107058
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1107057
ROCHESTER 48307
(248) 853-0750
1098319
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1109253
BONK, KIMBERLY A LLMSW
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109252
WALLED LAKE 48390
(248) 624-3812
1109251
ROCHESTER 48307
(248) 853-0750
1109250
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1099592
BOOTH, ELAINE LMSW
200 EAST BIG BEAVER RD STE 113
TROY 48083
(248) 321-3396
1106251
BOWMAN, CASSANDRA LMSW
SOUTHFIELD 48033
(248) 372-6800
1109450
BRADLEY, CHASITY D LLMSW
WALLED LAKE 48390
(248) 624-3812
1109449
ROCHESTER 48307
(248) 853-0750
1109448
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1109451
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
F
M
1061206
BRINGMAN, ROBERT LMSW
5775 W MAPLE RD
(248) 855-1540
1061204
12850 FOUNTAIN SQUARE STE 106
DAVISBURG 48350
(248) 634-6303
1104798
BUTLER, MATTHEW L MSW
4949 COOLIDGE HWY
ROYAL OAK 48073
(248) 594-3142
1106380
BYLES, SHARON MSW
TROY 48083
(885) 319-3734
1059348
CAMPIONE, NAN LMSW
CLARKSTON 48346
(248) 620-1019
1117772
CARPENTER, MARY LMSW
ROCHESTER 48307
(248) 670-2861
1123320
CARVER, LINDA LMSW
ROCHESTER 48307
(248) 670-2861
1120812
CARVER, LINDA LMSW
ROCHESTER 48307
(248) 496-1612
1107069
CHUNG, MISTY LMSW
ROCHESTER 48307
(248) 853-0750
1098409
CHUNG, MISTY LMSW
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1107068
CHUNG, MISTY LMSW
WALLED LAKE 48390
(248) 624-3812
1107067
CHUNG, MISTY LMSW
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1123859
COLEMAN, ALISHA LCSW
(248) 994-8001
1123858
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1123857
SOUTHFIELD 48075
(248) 994-8006
1123856
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1106029
COOK, TRACEY LMSW
SOUTHFIELD 48075
(248) 483-7804
1109243
COOPER, RHEA LMSW
91 S TELEGRAPH RD
PONTIAC 48341
(248) 334-2715
1106310
CORTE, PAUL E MSW
10603 GAMEWOOD DR
SOUTH LYON 48178
(248) 486-7976
1117573
DADE, CARL MSW
2501 ROCHESTER CT
TROY 48083
(586) 795-2761
1062865
DANTO, KAREN LMSW
(248) 737-5155
1123705
DANTON, DEBRA LCSW
SOUTHFIELD 48075
(248) 994-8006
1123706
DANTON, DEBRA LCSW
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1123704
DANTON, DEBRA LCSW
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1123707
DANTON, DEBRA LCSW
(248) 994-8001
1120673
DAVENPORT, ROSEANNE MSW
CLARKSTON 48346
(248) 762-5820
1123913
DAVID, BARBARA LCSW
BIRMINGHAM 48009
(248) 613-5377
1123912
DAVID, BARBARA LCSW
TROY 48084
(248) 613-5377
1096950
DAYTON, KRYSTAL MSW
LAKE ORION 48360
(248) 730-2715
1096951
DAYTON, KRYSTAL MSW
71 N LIVERNOIS RD
ROCHESTER 48307
(248) 730-2715

Mental Health
Page 798
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1126015
DELUCA, BRITTNEY LCSW
46 NORTH SAGINAW ST
PONTIAC 48342
(248) 322-6747
1049308
DEUTSCH, SUSAN MSW
NOVI 48375
(248) 426-9900
1049309
DEUTSCH, SUSAN MSW
1020 W UNIVERSITY
ROCHESTER 48307
(248) 650-8383
1098795
DICKINSON, REBECCA LMSW
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1107115
ROCHESTER 48307
(248) 853-0750
1107116
WALLED LAKE 48390
(248) 624-3812
1107117
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1118494
DINES, TAMMY LCSW
FRANKLIN 48025
(248) 594-4991
1122895
DIONISIO, MARIA-ELENA LCSW
ROCHESTER 48307
(248) 670-2861
1098406
DORNBUSCH, KRISTA MSW
30685 BARRINGTON ST STE 140
(248) 414-4080
1097286
DRIVER, LORI A LMSW ACSW
NOVI 48375
(734) 975-2757
1106126
DUPREE, ABIGAIL LMSW
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1100237
ECKERT-SMITH, KAREN V MSW
ROCHESTER 48307
(248) 434-8227
1098630
EDDY, LEZLEE LMSW
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1107120
EDDY, LEZLEE LMSW
ROCHESTER 48307
(248) 853-0750
1107119
EDDY, LEZLEE LMSW
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1107118
EDDY, LEZLEE LMSW
WALLED LAKE 48390
(248) 624-3812
1057974
EDELSTEIN, PHYLLIS LMSW
CLARKSTON 48348
(248) 693-8880
1086618
FRANKLIN 48025
(248) 594-4991
1106399
EHLE, REBECCA MSW
TROY 48083
(248) 585-3239
1125165
ELLIOT, STEPHANY LMSW
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1125164
SOUTHFIELD 48075
(248) 994-8006
1125166
(248) 994-8001
1125163
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1097650
ENNIS, ROBERT E CSW
91 S TELEGRAPH RD
PONTIAC 48341
(248) 334-2715
1086612
EVANS, M DOUGLAS LMSW
FRANKLIN 48025
(248) 594-4991
1086609
CLARKSTON 48348
(248) 693-8880
1057478
FEIJOO, JOSEPHINE LMSW
(248) 489-4011
1117261
FERME, ERIN E MSW
CLARKSTON 48346
(248) 620-1019
1016968
FINCH-SOPHIEA, ELISE LMSW
CLARKSTON 48346
(248) 620-1019
1106280
FISCHER, LAURA LMSW
SOUTHFIELD 48033
(248) 372-6800
1102951
FOLEY, ANDREA LMSW
1424 E 11 MILE RD
ROYAL OAK 48067
(248) 548-4044
1076148
FORD, BEVERLY LMSW
29260 FRANKLIN RD #128
SOUTHFIELD 48034
(248) 355-3301
1012026
FORD, BRUCE K LMSW
ROYAL OAK 48067
(248) 546-0407
1106159
FOY, KHALEA LMSW
SOUTHFIELD 48075
(248) 483-7804
1106134
FREDERIKSEN, KATHLEEN LLMSW
SOUTHFIELD 48075
(248) 483-7804
1086916
FRIEDMAN, SAMANTHA LMSW
CLARKSTON 48348
(248) 693-8880
1086915
FRANKLIN 48025
(248) 594-4991
1127943
FRON, DRITA MSW
1460 WALTON BLVD STE 90A
ROCHESTER 48309
(586) 201-0992
1102637
GAI, DIANE R LMSW
631 BIG BEAVER RD STE 209A
TROY 48083
(248) 817-2345
1093260
GAMMA, KATHERINE LMSW
ROCHESTER 48307
(248) 559-8190
1093261
GAMMA, KATHERINE LMSW
(248) 559-8190
1127836
GANT, LARRY LMSW
310 W HUDSON
ROYAL OAK 48067
(248) 336-2133
1126826
GARRET-ALAN, SCOTT LMSW
SOUTHFIELD 48033
(248) 372-6800
1040693
GARWOOD, STANLEY MSW
9340 DIXIE HWY
CLARKSTON 48348
(248) 625-3123
1124497
GASSEL, TATYANA LMSW
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900

Mental Health
Page 799
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1124495
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1124496
SOUTHFIELD 48075
(248) 994-8006
1124498
(248) 994-8001
1117193
GELLNER, SARA LLMSW
2628 S MILFORD RD
HIGHLAND 48357
(810) 494-7180
1114412
GIBSON, DAYRELL LLMSW
TROY 48083
(248) 817-2345
1060127
GOETZ, JEREMY D MSW
(248) 855-4867
1100937
GOETZE, LAURIE LMSW
1424 E 11 MILE RD
ROYAL OAK 48067
(248) 548-4044
1100941
GOETZE, LAURIE LMSW
3300 ADAMS RD
AUBURN HILLS 48326
(248) 537-3300
1100939
GOETZE, LAURIE LMSW
6637 HIGHLAND RD
WATERFORD 48327
(248) 666-8870
1100935
GOETZE, LAURIE LMSW
715 N LAPEER RD
LAKE ORION 48362
(248) 693-7525
1104633
GOLDBERG, BRUCE MSW
TROY 48083
(248) 585-3239
1091623
GOLDMAN, LOUIS LMSW
(248) 559-8190
1091622
GOLDMAN, LOUIS LMSW
ROCHESTER 48307
(248) 559-8190
1103020
GRAY, LINDSAY MSW
(248) 414-4080
1119019
GREGORY, DEBRA LMSW
7360 ELLINGROVE DR
WHITE LAKE 48383
(248) 392-1623
1086412
GREGORY, DEBRA LMSW
5639 SASHABAW RD
CLARKSTON 48346
(248) 922-9077
1122609
GREGORY, DEBRA MSW
(248) 616-5377
1091629
GREIFER, ANDREW CSW
CLARKSTON 48348
(248) 693-8880
1091628
GREIFER, ANDREW CSW
FRANKLIN 48025
(248) 594-4991
1109279
HARRINGTON, EARL A LMSW
ROCHESTER 48307
(248) 853-0750
1109280
WALLED LAKE 48390
(248) 624-3812
1109281
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109278
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1086608
HARTMAN, DIANNE LMSW
FRANKLIN 48025
(248) 594-4991
1086606
CLARKSTON 48348
(248) 693-8880
1123685
HAYNES, CHARLES LCSW
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1123686
SOUTHFIELD 48075
(248) 994-8006
1123687
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1107765
HAYSMER, LISA M LCSW
TROY 48084
(586) 265-0836
1061201
HERMANSON, ROBERT LMSW
CLARKSTON 48346
(248) 620-6400
1123872
HOOKER, WENDY D LCSW
SOUTHFIELD 48037
(248) 691-9036
1106192
HOWEY, STEPHANIE MSW
TROY 48083
(248) 585-3239
1090364
HUTCHINSON, CONNIE LCSW
1000 JOHN R STE 260
TROY 48083
(248) 990-6959
1126789
JOHNSON PALAZZOLO, MARY E LMSW
ROCHESTER 48307
(248) 923-2099
1109234
JOHNSON, JULAYNE V LLMSW
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1109237
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109235
ROCHESTER 48307
(248) 853-0750
1109236
WALLED LAKE 48390
(248) 624-3812
1050673
JOHNSON, LORRAYNE K LMSW
18711 W TEN MILE RD STE 110A
SOUTHFIELD 48075
(248) 395-3701
1098964
JONES, JEANINE LMSW
1349 S ROCHESTER RD
ROCHESTER 48307
(248) 650-6130
1067919
JONES, JEANINE LMSW
1349 SOUTH ROCHESTER RD STE 220
ROCHESTER 48307
(248) 650-6130
1105961
JUNCAJ, SOFIA LMSW
SOUTHFIELD 48075
(248) 483-7804
1106185
JUNG, EMILY LMSW
SOUTHFIELD 48033
(248) 372-6800
1097642
KALIL, MARY A MSW
(248) 539-0899
1125894
KAMINSKAS, EMILY MSW
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1040819
KAROUGIAN-MOORE, WENDY LMSW
SOUTHFIELD 48076
(248) 443-4932

Mental Health
Page 800
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1109161
KATZENSTEIN, LAURIN B LLMSW
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1109162
ROCHESTER 48307
(248) 853-0750
1109163
WALLED LAKE 48390
(248) 624-3812
1109164
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1103856
KELLY, HELENA MSW
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1109319
KERCORIAN, ABIGAIL MSW
317 E 11 MILE RD
ROYAL OAK 48067
(248) 336-2868
1106093
KILDOW-POLYMENEAS, KELI LMSW
SOUTHFIELD 48033
(248) 372-6800
1106394
KILLIAN, CATHERINE LMSW
SOUTHFIELD 48075
(248) 483-7804
1100562
KINNER, AMY D LMSW
TROY 48084
(313) 478-7531
1103835
KLEIN, DAVID LMSW
ROCHESTER 48307
(248) 656-0500
1095730
KLEIN, DAVID LMSW
4631 N QUARRY CREEK ST
WHITE LAKE 48383
(248) 496-1937
1103836
KLEIN, DAVID LMSW
77 E LONG LAKE RD
(248) 656-0500
1094601
KLEIN, DAVID LMSW
(248) 539-0899
1096146
KLEIN, MICHELLE MSW
FRANKLIN 48025
(248) 626-0636
1109295
KOSSMAN, SHARON M LLMSW
ROCHESTER 48307
(248) 853-0750
1109294
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1109296
WALLED LAKE 48390
(248) 624-3812
1109297
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1118591
2628 S MILFORD RD
HIGHLAND 48357
(810) 494-7180
1086410
KOZLOWSKI, MARLENE LMSW
5639 SASHABAW RD
CLARKSTON 48346
(248) 922-9077
1122030
KUSHNER, HURI LCSW
PONTIAC 48340
(248) 706-3450
1105944
LAGARDE-TAYLOR, MONIQUE LMSW
1424 E 11 MILE RD
ROYAL OAK 48067
(248) 548-4044
1104053
LALONDE, NICOLE LMSW
6637 HIGHLAND RD
WATERFORD 48327
(248) 666-8870
1122104
LATRA, KATHRYN LCSW
4410 W 13 MILE RD
ROYAL OAK 48073
(248) 837-2047
1122151
LEGAKIS, MATINA LCSW
4410 W 13 MILE RD
ROYAL OAK 48073
(248) 837-2047
1099951
LEIKIN, CELIA MSW
CLARKSTON 48348
(248) 693-8880
1046803
LEIKIN, CELIA MSW
FRANKLIN 48025
(248) 594-4991
1121976
LEPOUDRE-JOHNSTON, KRYSTAL LCSW
4410 W 13 MILE RD
ROYAL OAK 48073
(248) 837-2047
1095033
LEVY, LISA MSW
10044 EGIN AVE
(248) 547-1384
1106158
LUEBS, PENNY LMSW
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1107813
MARTIN, JAMES MSW
TROY 48083
(248) 585-3239
1061048
MARTIN, ROBERT MSW
CLARKSTON 48348
(248) 693-8880
1107685
MARTIN-DUNN, JANE MSW
TROY 48083
(855) 319-3734
1106261
MCFARLIN, SANDRA LMSW
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1069339
MCGREGOR, LEA LMSW
CLARKSTON 48348
(248) 693-8880
1106197
MCLAUGHLIN, TERRY MSW
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1093265
MENUCK, LISA M CSW
(248) 559-8190
1093264
MENUCK, LISA M CSW
ROCHESTER 48307
(248) 559-8190
F
F
1122074
MILASZEWSKI, LISA LCSW
4410 W 13 MILE RD
ROYAL OAK 48073
(248) 837-2047
1105958
MILLER, RHONDA LMSW
SOUTHFIELD 48033
(248) 372-6800
1124022
MITCHELL, KATHLEEN LCSW
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1124021
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1124019
2045 E WEST MAPLE RD STE D-407
WALLED LAKE 48390
(248) 624-3812
F
F
1124020
ROCHESTER 48307
(248) 853-0750
1102534
461 W HURON ST STE 107
PONTIAC 48341
(248) 727-9600
1127821
MITCHELL, MARK LMSW
3885 HILLS TECH DR SUITE 200
WATERFORD 48328
(248) 745-4900

Mental Health
Page 801
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1125916
MONK, SHIRLEY LMSW
TROY 48083
(248) 817-2345
1118328
MOSBY, PHILLIP LMSW
PONTIAC 48341
(248) 333-7222
1099146
MOSBY, PHILLIP S LMSW
44428 WOODWARD AVE
PONTIAC 48341
(248) 333-7222
1097753
MOUNTS, SHEILA A CSW
(248) 414-4080
F
F
1091707
MURPHY, CAROL J LMSW
FRANKLIN 48025
(248) 594-4991
1091708
CLARKSTON 48348
(248) 693-8880
1106376
MURRAY, SARAH LMSW
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1097874
91 S TELEGRAPH RD
PONTIAC 48341
(248) 334-2715
1097858
NUSBAUM, HILLARY F MSW
4950 HIGHLAND RD
WATERFORD 48328
(248) 674-3382
1102942
O'BERRY, PAMELA S LMSW
(248) 414-4080
1109331
O'GUIN, MEGAN N LMSW
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109330
WALLED LAKE 48390
(248) 624-3812
1109329
ROCHESTER 48307
(248) 853-0750
1109328
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1127765
PAGEL, MEAGHEN LMSW
ROYAL OAK 48067
(248) 343-4695
1106133
PARDALES, MELISSA LMSW
PONTIAC 48340
(248) 706-3450
1126740
PATCHETT, BEVERLY J LMSW
310 W HUDSON
ROYAL OAK 48067
(248) 336-2133
1127766
PETRIDES, NANCY LMSW
ROYAL OAK 48067
(248) 343-4695
1122027
PIERCE, CHELSEA LMSW
2628 S MILFORD RD
HIGHLAND 48357
(810) 494-1180
1123681
RANSLEY, HUGH MA
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1125286
RAY, LAURA LCSW
ROCHESTER 48307
(248) 656-0500
1125287
RAY, LAURA LCSW
77 E LONG LAKE RD
(248) 656-0500
1106048
REED, MICHELLE LMSW
SOUTHFIELD 48033
(248) 372-6800
1106277
RET, HEIDI LMSW
SOUTHFIELD 48033
(248) 372-6800
1123663
REUTER-HURLEY, SALLY LCSW
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
F
F
1125231
REYES, GERALDINE LCSW
ROCHESTER 48307
(248) 670-2861
1124358
CLARKSTON 48348
(248) 693-8880
1096319
ROCHESTER 48307
(248) 656-8500
1117593
RIES, DARCIE LMSW
2628 S MILFORD RD
HIGHLAND 48357
(810) 494-7180
1109272
RINKE, JUSTIN M LLMSW
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109271
WALLED LAKE 48390
(248) 624-3812
M
M
1109270
ROCHESTER 48307
(248) 853-0750
1109269
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1126413
ROMANA, AMY M LLPC
1693 W HAMLIN RD
ROCHESTER 48309
(248) 299-2999
1103089
ROMANCHIK, BRENDA LMSW
1424 E 11 MILE RD
ROYAL OAK 48067
(248) 548-4044
1107112
ROSE-BRISSETTE, KATHERINE LMSW
ROCHESTER 48307
(248) 853-0750
F
F
1107110
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1100353
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1107111
WALLED LAKE 48390
(248) 624-3812
1107973
ROSEN, ELLIOT LMSW
FRANKLIN 48025
(248) 594-4991
1120047
RUPPEL, LORI A LMSW
(248) 543-0033
1100349
RUSSELL, TOBI MSW
ROCHESTER 48307
(248) 434-8227
1046475
RYBERG, AMY MSW
(248) 895-7321
1040573
SABO, CATHY LMSW
CLARKSTON 48346
(248) 620-1019
1106025
SALVADOR, ISA LMSW
SOUTHFIELD 48075
(248) 483-7804
1106166
SAUNDERS, SARAH LMSW
SOUTHFIELD 48033
(248) 372-6800

Mental Health
Page 802
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1061303
SCARPACE, THERESE MSW
FRANKLIN 48025
(248) 594-3142
1043656
SCHECK, DEBRA LMSW
FRANKLIN 48025
(248) 594-4991
1043653
SCHECK, DEBRA LMSW
CLARKSTON 48348
(248) 693-8880
1098476
SCHMIDT, DEBORAH LMSW
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1098474
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1098475
ROCHESTER 48307
(248) 853-0750
1066741
SELESNY, CHAYA LMSW
23135 LAUREL VALLEY ST
SOUTHFIELD 48034
(248) 231-2488
1034215
SENKOWSKI, KARL LMSW
ROCHESTER 48307
(248) 650-6130
1089843
(248) 559-8190
1089842
200 DIVERSION ST STE 10
ROCHESTER 48307
(248) 559-8190
1123319
SHAR, ANN LMSW
ROCHESTER 48307
(248) 670-2861
1054389
SHERMAN, LINDA LMSW
NOVI 48375
(248) 426-9900
1054390
SHERMAN, LINDA LMSW
1050 W UNIVERSITY
ROCHESTER 48307
(248) 650-8383
1098265
SHIMKUS, ANNETTE LMSW
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1098267
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1098266
ROCHESTER 48307
(248) 853-0750
1123677
91 S TELEGRAPH RD
PONTIAC 48341
(248) 334-2715
1124123
SLATER, MEGHAN E LMSW
TROY 48083
(248) 817-2345
1107109
SMITH, DEBORAH LCSW
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1107108
SMITH, DEBORAH LCSW
WALLED LAKE 48390
(248) 624-3812
1107107
SMITH, DEBORAH LCSW
ROCHESTER 48307
(248) 853-0750
1098895
SMITH, DEBORAH LCSW
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1125822
SMITH, JACQUELINE LMSW
1424 E 11 MILE RD
ROYAL OAK 48067
(248) 548-4044
1020153
SMITH, NANCY ACSW
CLARKSTON 48346
(248) 620-1019
1098768
SOCHOWICZ, AMY LMSW
WALLED LAKE 48390
(248) 624-3812
F
M
1107106
SOLANSKEY, GARY LMSW
ROCHESTER 48307
(248) 853-0750
1098741
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1098742
WALLED LAKE 48390
(248) 624-3812
1098743
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1091770
SOLOMON, JENNIFER A LMSW
FRANKLIN 48025
(248) 594-4991
1091771
CLARKSTON 48348
(248) 693-8880
1098416
SOMMERS, MICHELINE LMSW
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1098417
ROCHESTER 48307
(248) 853-0750
1098418
WALLED LAKE 48390
(248) 624-3812
1107105
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1067665
STANLEY, DOUGLAS MSW
10645 HIGHLAND RD
WHITE LAKE 48386
(248) 698-2250
1122075
STONE, ALEXIS LCSW
4410 W 13 MILE RD
ROYAL OAK 48073
(248) 837-2047
1043651
SUMBUR, MICHAEL P LMSW
3415 KNIARD DR
OXFORD 48370
(248) 693-4955
1041380
SUMBUR, MICHAEL P LMSW
CLARKSTON 48346
(248) 620-1019
1118332
SZADYR, VICTOR LMSW
PONTIAC 48341
(248) 333-7222
1099144
SZADYR, VICTOR LMSW
44428 WOODWARD AVE
PONTIAC 48341
(248) 333-7222
1125840
91 S TELEGRAPH RD
PONTIAC 48341
(248) 334-2715
1125839
TROY 48083
(248) 817-2345
1109306
TEACHWORTH, CAROL A LMSW
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109305
WALLED LAKE 48390
(248) 624-3812
1109304
ROCHESTER 48307
(248) 853-0750

Mental Health
Page 803
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1109303
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1102893
TERIBERY, LYNN LMSW
1424 E 11 MILE RD
ROYAL OAK 48067
(248) 548-4044
F
F
1107102
TERRY, JANET LMSW
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1098469
TERRY, JANET LMSW
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1107103
TERRY, JANET LMSW
ROCHESTER 48307
(248) 853-0750
F
F
1107104
TERRY, JANET LMSW
WALLED LAKE 48390
(248) 624-3812
1107648
TERRY, JOANNE MSW
ROYAL OAK 48067
(248) 398-6459
1123945
THOMAS, SUSAN LCSW
1270 DORIS RD
AUBURN HILLS 48326
(248) 276-8000
1086411
THOMPSON, MARILYN LMSW
5639 SAHSABAW RD
CLARKSTON 48346
(248) 922-9077
1049311
THURBER, JANET MSW
1050 W UNIVERSITY
ROCHESTER 48307
(248) 650-8383
1049310
THURBER, JANET MSW
NOVI 48375
(248) 426-9900
1046381
TIPPEN, MARGARET A LMSW
CLARKSTON 48346
(248) 620-1019
1102872
TOBEY, SUZANNE C LMSW
ROCHESTER 48307
(248) 656-8500
1096184
TOWNSEND, TERESA L CSW
FRANKLIN 48025
(248) 594-4991
1098515
VANCAMP, ALOHA LMSW
SOUTHFIELD 48076
(248) 559-8190
1098514
VANCAMP, ALOHA LMSW
ROCHESTER 48307
(248) 559-8190
1122611
VULPE, PATRICIA MSW
BIRMINGHAM 48009
(248) 613-5377
1122612
VULPE, PATRICIA MSW
TROY 48084
(248) 613-5377
1091811
VULPE, PATRICIA L LMSW
CLARKSTON 48348
(248) 693-8880
1091810
FRANKLIN 48025
(248) 594-4991
1119472
WALLACE, JENNIFER LCSW
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1091820
WARSH, DEBORAH U MSW
FRANKLIN 48025
(248) 594-4991
1091821
CLARKSTON 48348
(248) 693-8880
1109432
WATSON, MELANIE A LMSW
WALLED LAKE 48390
(248) 624-3812
1109431
ROCHESTER 48307
(248) 853-0750
1109433
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
1109430
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1098678
WILLIAMS, CHRISTINA LMSW
114 ORCHARD LK RD
PONTIAC 48341
(248) 858-7766
1107096
2351 W 12 MILE RD
BERKLEY 48072
(248) 544-4004
F
F
1107097
WALLED LAKE 48390
(248) 624-3812
1107098
114 ORCHARD LAKE RD
PONTIAC 48341
(248) 858-7766
1118471
WILLIAMSON, ANNE M LCSW
FRANKLIN 48025
(248) 594-4991
1105942
WILLIAMSON, JENNIFER LMSW
2387 E WALTON BLVD
AUBURN HILLS 48326
(248) 475-6300
1127767
WINES, DAVID MSW
ROYAL OAK 48067
(248) 343-4695
1045663
WOLF, PETER LMSW
FRANKLIN 48025
(248) 594-4991
1045661
WOTRING, SUSAN M LMSW
CLARKSTON 48348
(248) 693-8880
1126303
WRATKOWSKI, JAMES LMSW
ROCHESTER 48307
(248) 670-2861
1123642
YOKLEY, FRANCES LCSW
(248) 994-8001
1123640
SOUTHFIELD 48075
(248) 994-8006
1123639
1841 N PERRY ST
PONTIAC 48340
(248) 409-4288
1123641
279 SUMMIT DR
WATERFORD 48328
(248) 745-4900
1122092
YOUHANA, CLAUDIA LPC
SOUTHFIELD 48033
(248) 354-8460
1120640
YOUKHANNA, FERIAL MSW
SOUTHFIELD 48033
(248) 354-8460
1106239
YOUNGBLOOD, MARISA MSW
SOUTHFIELD 48075
(248) 483-7804
1102804
ZUSEL, REBECCA K LMSW
(248) 539-0899

Mental Health
Page 804
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
36 STATE ST
HART 49420
(231) 343-1360
300 N PATTERSON
REED CITY 49677
(232) 832-7170
SOCIAL WORKER
OCEANA COUNTY
1098293
OSCEOLA COUNTY
1093531
FOLEY, JAMES CSW
OTTAWA COUNTY
1118574
ANDERSON, JASON LCSW
ALLENDALE 49401
(616) 890-6828
1108817
CLIFTON, BROOKE L MSW
8333 FELCH ST
ZEELAND 49464
(616) 741-3790
1085564
6660 BLAIR LANE
HOLLAND 49424
(616) 796-9595
1084978
DAVIS, BROOKE MSW
6660 BLAIR LN
HOLLAND 49424
(616) 796-9595
1107787
DEMNY, KATHARINE LLMSW
312 BEECHTREE ST
GRAND HAVEN 49417
(616) 846-5880
1090330
6660 BLAIR LN
HOLLAND 49424
(616) 796-9595
1085571
FLORES, OMAR LMSW
6660 BLAIR LANE
HOLLAND 49424
(616) 796-9595
1085581
FOWLER, SARA N LMSW
6660 BLAIR LANE
HOLLAND 49424
(616) 796-9595
1117451
FOWLER, SARA N MSW
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1086373
HAGE, KIM MSW
321 BEECHTREE
GRAND HAVEN 49417
(616) 846-5880
1084992
HAHN, JUDITH MSW
6660 BLAIR LN
HOLLAND 49424
(616) 796-9595
1108740
HALL, SHARITA M MSW
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1085585
6660 BLAIR LN
HOLLAND 49424
(616) 796-9595
1085592
6660 BLAIR AVE
HOLLAND 49424
(616) 796-9595
1108909
HINSHAW, VICKIE M MSW
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1090360
6660 BLAIR LANE
HOLLAND 49424
(616) 796-9595
1108853
HUNT, SUSAN M LMSW
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1090983
6660 BLAIR LANE
HOLLAND 49424
(616) 796-9595
1107832
KAREL, KRISTI MSW
321 BEECHTREE
GRAND HAVEN 49417
(616) 846-5880
1085612
6660 BLAIR LANE
HOLLAND 49424
(616) 796-9595
1086623
6660 BLAIR LN
HOLLAND 49424
(616) 796-9595
1091013
6660 BLAIR LANE
HOLLAND 49424
(616) 796-9595
1089204
6660 BLAIR LN
HOLLAND 49424
(616) 796-9595
1093343
READY, MATTHEW LMSW
1101 COLUMBUS AVE STE 1
GRAND HAVEN 49417
(231) 726-3582
M
F
1091037
6660 BLAIR LANE
HOLLAND 49424
(616) 796-9595
1108629
SAYERS, TIMOTHY S MSW
8333 FELCH ST
ZEELAND 49464
(616) 741-3790
1108857
SLEAFORD, LIBBY J MSW
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1086577
321 BEECHTREE
GRAND HAVEN 49417
(616) 846-5880
1108642
VANDENTOORN, AMY L MSW
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
1087169
6660 BLAIR LN
HOLLAND 49424
(616) 796-9595
1108919
ZUKER, VICKI L MSW
17325 VANWAGONER RD
SPRING LAKE 49456
(616) 847-5145
PRESQUE ISLE COUNTY

1078193
ARNOLD, LEAH MSW
4549 M 33
ONAWAY 49765
(989) 733-4980
1078184
ARNOLD, LEAH MSW
205 S BRADLEY HWY
ROGERS CITY 49779
(989) 734-5052
1078192
ARNOLD, LEAH MSW
21258 W M-68 HWY
ONAWAY 49765
(989) 733-2082
1078210
JUNG, VERONICA MSW
21258 W M-68 HWY
ONAWAY 49765
(989) 733-2082
1078211
JUNG, VERONICA MSW
4549 M 33
ONAWAY 49765
(989) 733-4980
1078203
JUNG, VERONICA MSW
205 S BRADLEY HWY
ROGERS CITY 49779
(989) 734-2052
1097435
4549 M-33
ONAWAY 49765
(989) 733-4980

Mental Health
Page 805
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
PRESQUE ISLE COUNTY (CONTINUED)
1097436
21258 W M-68 HWY
ONAWAY 49765
(989) 733-2082
1127910
O'BRIEN, CATHY L LLMSW
532 W ERIE ST
ROGERS CITY 49779
(989) 734-2052
1127908
10575 MICHIGAN AVE
POSEN 49776
(989) 734-2052
1127909
205 S BRADLEY HWY
ROGERS CITY 49779
(989) 734-2052
1126769
ROMEL, TRACY LLMSW
4549 M 33 HWY
ONAWAY 49765
(989) 733-4980
1126767
ROMEL, TRACY LLMSW
21258 W M 68 HWY
ONAWAY 49765
(989) 733-2082
1126766
ROMEL, TRACY LLMSW
205 S BRADLEY HWY
ROGERS CITY 49779
(989) 734-2052
ROSCOMMON COUNTY
1116348
FORREST, SARAH LMSW
299H W SUNSET BLVD
ROSCOMMON 48653
(989) 275-6658
1100260
FORREST, SARAH L LMSW
HOUGHTON LAKE 48629
(989) 366-2061
1116350
MICHAUD, CHERIE LMSW
229 H W SUNSET BLVD
ROSCOMMON 48653
(989) 275-6658
SAGINAW COUNTY
1104440
ALONZI, DANIEL LMSW
117 S MAIN ST STE 2
FREELAND 48623
(989) 573-8500
1090291
ANDERSON, ANDRIENE L MSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1037513
ANDRUS, RUTH LMSW
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1096847
ANKLAM, JULIE MSW
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1101990
ARKELL, KATHERINE D MSW
5090 STATE ST STE 102-B
SAGINAW 48603
(479) 685-7830
1048974
ARMSTRONG, REGGIE LMSW
SAGINAW 48602
(989) 245-3770
1096174
BERKOBIEN, SHARON R MSW
1321 FAYETTE
SAGINAW 48602
(989) 792-8000
1096175
3400 S WASHINTON RD
SAGINAW 48601
(989) 755-1072
1105150
2084 HEMMETER RD
SAGINAW 48603
(989) 401-7506
1086519
BLOSS, TRISH LMSW
1203 N MICHIGAN AVE
SAGINAW 48602
(989) 401-5563
1096280
BOETTCHER, KELLY L MSW
1321 FAYETTE
SAGINAW 48602
(989) 792-8000
1096281
BOETTCHER, KELLY L MSW
SAGINAW 48601
(989) 755-1072
1101808
BOHLINGER, JANE MSW
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1010278
BOWNS, SUZANNE K LMSW
713 N MICHIGAN AVE
SAGINAW 48602
(989) 754-0080
1022947
BROOME, REBECCA LMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1060540
BUDDE, DAVID LMSW
3190 HALLMARK CT
SAGINAW 48603
(989) 790-3366
1033472
CLARK, STEVEN LMSW
3605 DAVENPORT
SAGINAW 48602
(989) 401-1440
1083111
CONKLIN, THOMAS LMSW
710 N MICHIGAN AVE
SAGINAW 48602
(989) 753-8446
1057814
CURTIS, KRIS LMSW
2100 HEMMETER
SAGINAW 48603
(989) 799-2100
1106208
DEMIJOHN, SARA MSW
2806 DAVENPORT AVE
SAGINAW 48602
(989) 790-7500
1096270
DIIAK, HEIDI L MSW
SAGINAW 48601
(989) 755-1072
1096269
DIIAK, HEIDI L MSW
1321 FAYETTE
SAGINAW 48602
(989) 792-8000
1016919
DILLON, VICKIE H MSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1054576
DOMAN, CAROL LMSW
10294 LAKEWOOD
SAGINAW 48609
(989) 781-5606
1054575
DOMAN, CAROL LMSW
120 M MICHIGAN AVE STE 220
SAGINAW 48602
(989) 781-5606
1021442
DONALDSON, SANDRA R LMSW
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1090953
DUNN, DAVID MSW
1300 N MICHIGAN AVE
SAGINAW 48602
(989) 752-1668
1015919
ERWIN, FRANCES A MSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1057348
ERWIN, SHARAWN LMSW
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1008549
FENLON, ROBIN MSW
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1096485
FRALEIGH, JOHN W MSW
1321 FAYETTE
SAGINAW 48602
(989) 792-8000
1105149
2084 HEMMETER RD
SAGINAW 48603
(989) 401-7506

Mental Health
Page 806
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1096484
SAGINAW 48601
(989) 755-1072
1076157
GOSS, BARBARA LMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1057815
GRAY, TWANNIE LMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1084576
GRAY, TWANNIE LSW
1203 N MICHIGAN AVE
SAGINAW 48602
(989) 401-5563
1125144
HECHT, DAVID LCSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1017198
HERD, HERBERT LMSW
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1096279
HIGHT, ALEXIS MSW
SAGINAW 48601
(989) 755-1072
1096278
HIGHT, ALEXIS MSW
1321 FAYETTE
SAGINAW 48602
(989) 792-8000
1120698
HUNT, STEPHANIE LMSW
2100 HEMMETER
SAGINAW 48603
(989) 799-2100
1021471
JOHNSON, HENRY STEVE LMSW
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1012103
JOHNSON, HENRY STEVE LMSW
5024 N CENTER
SAGINAW 48604
(989) 790-3130
1039832
JOHNSON, NANCY LMSW
1300 N MICHIGAN AVE
SAGINAW 48602
(989) 752-1668
1083136
JOHNSON, NANCY LMSW
710 N MICHIGAN AVE
SAGINAW 48602
(989) 753-8446
1105145
JONES, EDDIE V LMSW
1203 N MICHIGAN AVE
SAGINAW 48602
(989) 401-5563
1015921
JONES, JANICE C MSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1036801
JOSEPH, CYNTHIA A MSW
SAGINAW 48602
(989) 793-2515
1028836
JOSWIAK, SHERRI LMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1106164
KELLER, AMANDA MSW
117 S MAIN ST STE 2
FREELAND 48623
(989) 573-8500
1083129
KERN, BARBARA LMSW
710 N MICHIGAN AVE
SAGINAW 48602
(989) 753-8446
1083134
KULHANEK, NOREEN LMSW
710 N MICHIGAN AVE
SAGINAW 48602
(989) 753-8446
1048322
LAFLEUR, KATIE LMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1016812
LAWRENCE, PAMELA K MSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1091868
LAZZARO, ANN M MSW
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1053854
LITTLE, SHIELA LMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1021926
LORENTZEN, KATHY LMSW
SAGINAW 48638
(989) 497-9704
1092907
LORENTZEN, KATHY MSW
710 N MICHIGAN AVE
SAGINAW 48602
(989) 753-8446
1060280
LUPLOW, ASHELY LMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1090392
LUPTOWSKI, KEVIN J LLMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1127242
MARKHAM, WILLARD LMSW
3201 HALLMARK ST
SAGINAW 48603
(989) 790-5989
1083127
710 N MICHIGAN AVE
SAGINAW 48602
(989) 753-8446
1105189
3215 HALLMARK ST
SAGINAW 48603
(989) 790-5990
1119502
MARTINEZ, GLENDA LCSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1119501
MARTINEZ, GLENDA LCSW
1203 N MICHIGAN AVE
SAGINAW 48602
(989) 401-5563
1105932
MAYS, PAMELA MSW
2806 DAVENPORT AVE
SAGINAW 48602
(989) 790-7500
1020767
MCALLISTER, DARNEAL M MSW
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1125967
MCDOWELL, MELVIN MSW LLM
2100 HEMMETER
SAGINAW 48603
(989) 799-2100
1101886
501 LAPEER
SAGINAW 48607
(989) 755-3619
1101887
6297 DIXIE HWY
BRIDGEPORT 48722
(989) 759-6460
1101883
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1101882
SAGINAW 48602
(989) 793-2515
1101884
229 GALLAGHER
SAGINAW 48602
(989) 755-3616
1008540
MERSY, MICHAEL H MSW
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1039833
MILAM, HAZEL LMSW
1300 N MICHIGAN AVE
SAGINAW 48602
(989) 752-1668
1016815
MOTEN-ELLIOTT, LINDA D MSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1076158
MUIRHEAD, STEPHANIE LLMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1125351
NOBBS, JESSICA LCSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100

Mental Health
Page 807
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1091869
NOSTRANDT, ERIN M MSW
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1045624
OHLENDORF, DAWN LMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
F
F
1107643
OSBURN, RICHARD MSW
117 S MAIN ST
FREELAND 48623
(989) 573-8500
1016924
O'TOOLE, CARRIE A MSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1107563
PARKER, PATSY MSW
2806 DAVENPORT AVE
SAGINAW 48602
(989) 790-7500
1032194
PRIMAS-GILYARD, MICHELLE MSW
2100 HEMMETER
SAGINAW 48603
(989) 799-2100
1085357
RAMANI, MARIA LMSW
2578 MCLEOD DR N STE 1
SAGINAW 48604
(989) 799-5440
1040897
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1086664
ROBINSON, SASHA LLMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1098628
ROBINSON, TONYA LMSW
1522 JANES ST
SAGINAW 48601
(989) 755-0316
1091870
RODRIQUEZ, MARIAN K MSW
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1125578
RYDER-PETRE, ELLEN LMSW
3215 HALLMARK CT
SAGINAW 48603
(989) 790-5990
1127236
RYDER-PETRE, ELLEN LMSW
3201 HALLMARK CT
SAGINAW 48603
(989) 790-5989
1083002
RYDER-PETRE, ELLEN K MSW
2578 MCLEOD DR N STE 1
SAGINAW 48604
(989) 749-5440
1019345
RYDER-PETRE, ELLEN K MSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1100291
SCHADE, CARA L MSW LMS
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1124623
SCHUETTE, KACIE LCSW
3215 HALLMARK CT
SAGINAW 48603
(989) 790-5990
1127237
3201 HALLMARK CT
SAGINAW 48603
(989) 790-5989
1091766
SMITH, BETTY MSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1086273
STEWART, KAREN LMSW
3070 KABOBEL DR
SAGINAW 48604
(989) 791-2455
1063947
STEWART, KAREN LMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1091871
STOCKFORD, CHRISTINE M MSW
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1120056
SUCHODOLSKI, PAULA LMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1091872
VARY, JILL E MSW
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1042774
VIAN, SUSAN LMSW
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1091873
VIAN, SUSAN M MSW
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1084575
WARREN, MARTEZ S LMSW
1203 N MICHIGAN AVE
SAGINAW 48602
(989) 401-5562
1079503
WELCH, MARY LMSW
302 S WASHINGTON
SAGINAW 48601
(989) 274-0129
1040294
WENDLING, KARSTIN MSW
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1095606
WHITE, KATHRYN J MSW
3253 CONGRESS
SAGINAW 48602
(989) 793-4790
1091874
WHYTE, JANICE R MSW
3253 CONGRESS AVE
SAGINAW 48602
(989) 793-4790
1080493
WILSON, KATIE LLMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
1012113
WITHROW, KIM ALLEN LMSW
5024 N CENTER RD
SAGINAW 48604
(989) 790-3130
1038595
WOLFE, MICHAEL LMSW
2100 HEMMETER RD
SAGINAW 48603
(989) 799-2100
SAINT CLAIR COUNTY

1123238
ADAMS, ALLEN MSW
222 HURON AVE
PORT HURON 48060
(810) 990-1424
1109335
222 HURON AVE
PORT HURON 48060
(810) 990-1424
1036118
BEISCHER, ADELE MSW
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1118543
BOUCHER, KAREN L LCSW
2601 13TH ST
PORT HURON 48060
(810) 987-9100
1102971
BURNS-SCHUSTER, SANDRA LMSW
2601 13TH ST
PORT HURON 48060
(810) 987-9100
1104216
CIESLINSKI, TERESA LMSW
2601 13TH ST
PORT HURON 48060
(810) 987-9100
1109242
COOPER, RHEA LMSW
222 HURON AVE
PORT HURON 48060
(810) 990-1424
1060535
COTTER, NOELLE LMSW
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1097649
ENNIS, ROBERT E CSW
222 HURON AVE
PORT HURON 48060
(810) 990-1424
1103051
EVANS, STEPHANIE LMSW
2601 13TH ST
PORT HURON 48060
(810) 987-9100

Mental Health
Page 808
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1060533
EVENINGRED, COURTNEY LMSW
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1016935
FABICK, AMY LMSW
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1034337
FAIR, STEVEN MSW
3899 24TH AVE
FORT GRATIOT 48059
(810) 966-0099
1060539
FRASER, JEFFREY LMSW
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1103087
GILD, CAMELLA LMSW
2601 13TH ST
PORT HURON 48060
(810) 987-9100
1100942
GOETZE, LAURIE LMSW
2601 13TH ST
PORT HURON 48060
(810) 987-9100
1049850
501 GRATIOT STE 4
MARYSVILLE 48040
(810) 388-9437
1048286
3899 24TH AVE
FORT GRATIOT 48059
(810) 966-0099
1106315
HAZEL, KIMBERLY LMSW
2601 13TH ST
PORT HURON 48060
(810) 987-9100
1010389
JONES, JEANINE LMSW
1501 KRAFFT RD
FORT GRATIOT 48059
(810) 985-5125
1016937
JONES, JEANINE LMSW
16 SOUTH MAIN ST
YALE 48097
(810) 985-5125
1034339
KENNEDY, THOMAS LPC
3899 24TH AVE
FORT GRATIOT 48059
(810) 966-0099
1102868
LEPINE-DOAN, JOELEN LMSW
2601 13TH ST
PORT HURON 48060
(810) 987-9100
1059391
LUNDBLAD, DANIEL LMSW
824 HURON AVE
PORT HURON 48060
(810) 985-7380
1125897
NANDAMUDI, DEEPA LMSW
3030 COMMERCE DR
FORT GRATIOT 48059
(810) 385-9559
1097873
222 HURON AVE
PORT HURON 48060
(810) 990-1424
1010398
OSWELL, SANDRA LMSW
1501 KRAFT RD
FORT GRATIOT 48059
(810) 985-5125
1048281
PEMBERTON, JOLENE LMSW
3899 24TH AVE
FORT GRATIOT 48059
(810) 966-0099
1034503
PERRIN, ROBERT LMSW
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1065634
RANDOLPH, JAYME LMSW
3899 24TH AVE
FORT GRATIOT 48059
(810) 966-0099
1104199
SCURTO, TIFFANY LMSW
2601 13TH ST
PORT HURON 48060
(810) 987-9100
1123676
222 HURON AVE
PORT HURON 48060
(810) 990-1424
1106894
SPENCER, TANJA MSW
2301 13TH ST
PORT HURON 48060
(810) 987-9100
1104282
SPRESSER, AIDANA LMSW
2601 13TH ST
PORT HURON 48060
(810) 987-9100
1125837
222 HURON AVE
PORT HURON 48060
(810) 990-1424
1127873
THOEN, MARINUS LMSW
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1060532
WHITING, WILLIAM LMSW
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1060534
WILCOME, CYNTHIA LMSW
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1104107
WILLEY-KING, CYNTHIA LMSW
2601 13TH ST
PORT HURON 48060
(810) 987-9100
1065201
WILLIAMS, SUSAN LMSW
SAINT CLAIR 48079
(586) 421-4513
1060537
WOLAK, SHEILA LMSW
1322 N RIVER RD
SAINT CLAIR 48079
(810) 329-4798
1123636
WOOD, KELLE LCSW
1111 PINE GROVE AVE
PORT HURON 48060
(810) 357-9318
SAINT JOSEPH COUNTY

1124780
AUSTIN, JENNIFER LCSW
THREE RIVERS 49093
(269) 273-2024
1124792
COON-BALLARD, STACEY LCSW
THREE RIVERS 49093
(269) 273-2024
1122058
DUCZYMINSKI, KAREN LCSW
STURGIS 49091
(269) 651-7114
1118633
HAGERTY, JENNIFER L LCSW
721 6TH AVE STE B
THREE RIVERS 49093
(269) 273-9782
1117296
HENSON-BOHLEN, MARK MSW
401 S FOURTH ST
STURGIS 49091
(269) 503-0336
1124550
KANAAN, PAULA LCSW
THREE RIVERS 49093
(269) 273-2024
SANILAC COUNTY
1091574
BURDICK, KIMBERLY T MSW
1240 W SANILAC RD STE D
SANDUSKY 48471
(810) 648-3248
1016938
FABICK, AMY LMSW
5590 MAIN ST STE 3
LEXINGTON 48450
(810) 985-5125
1083805
HOSTERMAN, JERRY LMSW
51 BROWN ST STE 6
CROSWELL 48422
(810) 679-0200
1109289
KLEE, BUFFIE MSW
3466 MAIN ST STE 1
DECKERVILLE 48427
(989) 975-1334

Mental Health
Page 809
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1124130
PATERSON, MILLIE A LMSW
SANDUSKY 48471
(810) 689-4760
1124131
PATERSON, MILLIE A LMSW
5730 MAIN ST
LEXINGTON 48450
(810) 689-4760
1098729
PATERSON, MILLIE A MSW
119 E SANILAC STE 8
SANDUSKY 48471
(810) 689-4760
1086275
WARDEN, LISA LLMSW
171 DAWSON ST
SANDUSKY 48471
(810) 648-4098
1123411
WITKOWSKI, HELENA MSW
SANDUSKY 48471
(810) 404-8362
1123413
7150 HOLVERSON RD
CARSONVILLE 48419
(810) 404-8362
1123412
5730 MAIN ST
LEXINGTON 48450
(810) 404-8362
1098566
WITKOWSKI, HELENA E MSW
SANDUSKY 48471
(810) 404-8362
1098567
WITKOWSKI, HELENA E MSW
7150 HOLVERSON RD
CARSONVILLE 48419
(810) 404-8362
SHIAWASSEE COUNTY
1000135
BIRD, DAVID MSW
401 E COMSTOCK ST STE 1
OWOSSO 48867
(989) 723-5678
1116194
BIRD, MARCIA LMSW
401 E COMSTOCK ST
OWOSSO 48867
(989) 723-5678
1016820
BRADEN, THERESA F LMSW
625 N MAIN
PERRY 48872
(517) 974-0137
1124863
CASEY, DEBORAH LMSW
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1085561
CHASE, PATRICK LMSW
OWOSSO 48867
(989) 723-8239
1085562
CHIMOVITZ, MARYRITA LMSW
OWOSSO 48867
(989) 723-8239
1080523
DEYOUNG, KEVIN LMSW
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1098488
FISHER, BRANDI L LLMSW
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1106001
HUTTON, KIMBERLY A MSW, LM
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1091457
JANDO-GROGAN, DONNA LMSW
OWOSSO 48867
(989) 725-8124
1058435
JANSEN, PENNY LMSW
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1109716
KARANJA, KATHRYN M MSW
OWOSSO 48867
(989) 723-8239
1074899
KIACZ, GAIL MSW
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1086668
KRICHBAUM, ANN LMSW
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1118736
MARSHALL, AVELYN LMSW
OWOSSO 48867
(989) 725-8124
1109717
MARSHALL, AVELYN E LMSW
OWOSSO 48867
(989) 723-8239
1085619
MARTUS, KIMBERLY LLMSW
120 W EXCHANGE STE 204
OWOSSO 48867
(989) 723-8239
1124522
MCCABE, ALISHA MSW
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1097980
NORMAN, CRESCENT S LPC
632 N SHIAWASSEE ST
OWOSSO 48867
(517) 833-8100
1127866
PERRY, REBECCA MSW
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1080518
ROSSELLO, MELISSA MSW
OWOSSO 48867
(989) 725-8124
1123922
ROWELL, STEPHANIE LCSW
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1097038
SCHAUFELE, STACY L CSW
802 W KING ST STE P
OWOSSO 48867
(989) 723-1120
1107860
SHELTON, STEVEN R LMSW
OWOSSO 48867
(989) 723-8239
1040310
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
1060807
THARP, JAMIE LMSW
632 N SHIAWASSEE ST
OWOSSO 48867
(989) 723-0330
TUSCOLA COUNTY
1104164
BALL, KENNETH T MSW
852 S HOOPER ST
CARO 48723
(989) 672-0784
1015540
BELICH, CATHY A MSW
651 N STATE ST
CARO 48723
(989) 673-5700
1036585
BELICH, CATHY A MSW
467 N STATE ST
CARO 48723
(989) 673-5700
1036581
BRADY, DEBORAH L LMSW
467 M STATE ST
CARO 48723
(989) 673-5700
1012101
BRADY, DEBORAH L LMSW
651 N STATE ST
CARO 48723
(989) 673-5700
1076146
BUDDE, DAVID LMSW
8511 STATE ST
MILLINGTON 48746
(989) 871-6695
1076147
BUDDE, DAVID LMSW
852 S HOOPER ST
CARO 48723
(989) 672-0784

Mental Health
Page 810
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1124545
DIAZ, DENISE LMSW
651 N STATE ST
CARO 48723
(989) 673-5700
1083796
GEIGER, ANDREA LLMSW
651 N STATE ST
CARO 48723
(989) 673-5700
1083795
GEIGER, ANDREA LLMSW
467 N STATE ST
CARO 48723
(989) 672-2016
1125402
GILLIES, JOLENE MSW
8511 STATE ST
MILLINGTON 48746
(989) 871-6695
1103067
HARPER, JOSEPH A LLMSW
8511 STATE RD
MILLINGTON 48746
(989) 871-6695
1103068
HARPER, JOSEPH A LLMSW
852 S HOOPER ST
CARO 48723
(989) 672-0784
1062872
JONES, EDDIE V LMSW
651 N STATE ST
CARO 48723
(989) 673-5700
1036763
KERN, KIM M MSW
651 N STATE ST
CARO 48723
(989) 673-5700
1008553
KERN, KIM M MSW
467 N STATE ST
CARO 48723
(989) 673-5700
1123923
LANGENBURG, HEATHER LCSW
6627 ROSE ST
CASS CITY 48726
(989) 872-1800
1105186
CARO 48723
(989) 286-3330
1126813
MCLEOD, DONALD B LLMSW
8511 STATE ST
MILLINGTON 48746
(989) 871-6695
1126814
MCLEOD, DONALD B LLMSW
852 S HOOPER ST
CARO 48723
(989) 672-0784
1015923
MORFORD, AMY J MSW
651 N STATE ST
CARO 48723
(989) 673-5700
1036583
MORFORD, AMY J MSW
467 N STATE ST
CARO 48723
(989) 673-5700
1122601
MROZ, KATHLEEN MSW
6627 ROSE ST
CASS CITY 48726
(989) 872-1800
1100396
MROZ, KATHLEEN A MSW, LM
651 N STATE ST
CARO 48723
(989) 673-5700
1123861
NEWTON, JENNA LCSW
651 N STATE ST
CARO 48723
(989) 673-5700
1053861
SCHALK, SAMANTHA LMSW
126 WASHINGTON AVE
CARO 48723
(989) 684-7977
1124622
CARO 48723
(989) 286-3330
1104582
STEWART, MICHELLE L LLMSW
651 N STATE ST
CARO 48723
(989) 673-5700
1083807
STINSON, CATHLEEN MSW
651 N STATE ST
CARO 48723
(989) 673-5700
1027823
TRUDELL, MICHELLE LMSW
651 N STATE ST
CARO 48723
(989) 673-5700
1036584
TRUDELL, MICHELLE LMSW
467 N STATE ST
CARO 48723
(989) 673-5700
1028935
WATKINS, RICHARD LMSW
8511 STATE ST
MILLINGTON 48746
(989) 871-6695
1012115
WYSKIEL, JOHN RAYMOND LMSW
651 N STATE ST
CARO 48723
(989) 673-5700
VAN BUREN COUNTY

1106404
BELL PITCHFORD, MARCELLA MSW
57418 CR 681 STE C
HARTFORD 49057
(269) 921-6251
1106016
CARUSO, CRISTINA CSW
57418 CR 681 STE C
HARTFORD 49057
(269) 621-6251
1084833
651 PHOENIX ST
SOUTH HAVEN 49090
(269) 926-6199
1090961
FRENCH, LAURIE MSW
PAW PAW 49079
(269) 657-6025
1106069
FUENTES, RUTH CSW
57418 CR 681 STE C
HARTFORD 49057
(269) 621-6251
1090964
GILBERT, NANCY MSW
PAW PAW 49079
(269) 657-6025
1117582
HENSON, TIMOTHY MSW
803 W ARLINGTON ST
BANGOR 49013
(269) 427-6810
1126340
KRUK, MICHAEL MSW
451 HEALTH PKWY STE A
PAW PAW 49079
(269) 657-1595
1100405
KRUK, MICHAEL MSW
404 HAZEN STREET STE. L3
PAW PAW 49079
(269) 657-1595
1084564
651 PHOENIX ST
SOUTH HAVEN 49090
(269) 926-6199
WASHTENAW COUNTY
1126733
ABNEY, REGINA MSW
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1096198
ALBERTSON, CHERYL LMSW
ANN ARBOR 48103
(734) 913-1093
1127770
2311 E STADIUM STE 212
ANN ARBOR 48104
(248) 343-4833
1117319
ASKEW, SHEREE MSW
ANN ARBOR 48104
(734) 769-0209
1084968
BARKSDALE, JOSEPH MSW
4925 PACKARD ST
ANN ARBOR 48108
(734) 971-9781
1085558
BARRIE, JULIA LMSW MSW
ANN ARBOR 48108
(734) 971-9781

Mental Health
Page 811
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1127773
2311 E STADIUM STE 212
ANN ARBOR 48104
(248) 343-4833
1118437
BLOM, BARBARA A LCSW
ANN ARBOR 48108
(734) 646-6031
1127247
BOULEHIA, ASMAA LCSW
ANN ARBOR 48104
(734) 769-0209
1084970
BOYCE, VIRGINIA MSW
4925 PACKARD ST
ANN ARBOR 48108
(734) 971-9781
1084971
BURGESS, LORIN MSW
4925 PACKARD ST
ANN ARBOR 48108
(734) 971-9781
1106381
BYLES, SHARON MSW
ANN ARBOR 48108
(855) 319-3734
1124621
CASE, KATHARINE MSW
781 AVIS DR STE 200
ANN ARBOR 48108
(734) 477-0135
1101878
CONNALLY, DALTON MSW
122 SOUTH MAIN ST STE 110C
ANN ARBOR 48104
(734) 277-7565
1053873
CRESSMAN, MARGARET MSW
ANN ARBOR 48103
(734) 913-1093
1104708
CUSHMAN, JULIE D MSW
ANN ARBOR 48108
(734) 975-1602
1119372
DENGIZ, LISA LCSW
118 W JEFFERSON ST
ANN ARBOR 48103
(734) 945-6393
1090634
ANN ARBOR 48108
(734) 975-2757
1125799
DUNKLE, RUTH E MSW
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1086617
ANN ARBOR 48103
(734) 913-1093
1126756
EDWARDS, SARA O MSW
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1085570
ENCELEWSKI, JULIE LMSW MSW
4925 PACKARD ST
ANN ARBOR 48108
(734) 971-9781
1083967
ANN ARBOR 48103
(734) 913-1093
1086611
1785 W STATIUM BLVD STE 203C
ANN ARBOR 48103
(734) 913-1093
1125289
FITZGERALD, EMILY LMSW
ANN ARBOR 48103
(734) 913-1093
1126659
FOGLER, JANET L MSW
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1126006
FOULK, MARIKO A MSW
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1085308
ANN ARBOR 48103
(734) 913-1093
1118454
GARNETT, JACQUELINE A LCSW
455 E ESIENHOWER PKWY STE 15
ANN ARBOR 48108
(734) 756-6027
1091627
GREIFER, ANDREW CSW
ANN ARBOR 48103
(734) 913-1093
1126824
GRIFFITH, DIANE K MSW
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1106074
GROGAN, MARIJO MSW
107 APRIL DR STE 4
ANN ARBOR 48103
(734) 433-4213
1104668
GURNEY, SARAH MSW
ANN ARBOR 48108
(855) 319-3734
1123753
HARTFORD, CAROLYN LCSW
ANN ARBOR 48104
(734) 680-6425
1086607
ANN ARBOR 48103
(734) 913-1093
1117589
HIRSHON, ROBERTA MSW
4925 PACKARD
ANN ARBOR 48108
(734) 971-9781
1122148
HONG, SARAH LCSW
ANN ARBOR 48104
(734) 769-0209
1048324
IRVIN, KATHLEEN LMSW
ANN ARBOR 48103
(734) 913-1093
1126815
KEATING, MARIA ANGELICA MSW
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1126808
KELLEY, ELIZABETH L MSW
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1126088
KONIGSBERG, ANNA MSW
24 FRANK LLOYD WRIGHT DR LOBBY C STE
ANN ARBOR 48105
(734) 647-5871
1117242
KRAJCIK, ERIN MSW
2301 PACKARD ST
ANN ARBOR 48104
(734) 834-9997
1123505
KREGER, KELLY LMSW
ANN ARBOR 48104
(734) 355-3216
1096224
KREGER, KELLY J LMSW
ANN ARBOR 48103
(734) 913-1093
1117568
KRUGER, SARAH LLMSW
4925 PACKARD
ANN ARBOR 48108
(734) 971-9781
1099949
LEIKIN, CELIA MSW
ANN ARBOR 48103
(734) 913-1093
1061049
MARTIN, ROBERT MSW
1785 WEST STADIUM BLVD STE 203C
ANN ARBOR 48103
(734) 913-6988
1054406
MCCREA, KIMBERLY MSW
ANN ARBOR 48103
(734) 913-1093
1106201
MILLIKEN, HEATHER M MSW
ANN ARBOR 48108
(734) 975-1602
1091706
ANN ARBOR 48103
(734) 913-1093
1106015
NORDMAN, BARBARA N MSW
ANN ARBOR 48108
(734) 975-1602
1054569
PAGEL, MEAGHEN LMSW
ANN ARBOR 48104
(248) 343-4695

Mental Health
Page 812
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1125413
PAPACHRISTOU, CATHERINE LCSW
ANN ARBOR 48104
(734) 769-0209
1123719
PATEL, SHRINA LCSW
ANN ARBOR 48104
(734) 769-0209
1054571
ANN ARBOR 48104
(248) 343-4695
1101944
RASSI, STEPHEN L MSW
210 LITTLE LAKE DR STE 7
ANN ARBOR 48103
(734) 945-9100
1085629
REAUME, LUANNE LMSW
ANN ARBOR 48108
(734) 971-9781
1100258
RIEVERT, MARY E MSW
2301 PACKARD ST FL 2
ANN ARBOR 48104
(734) 756-5240
1127865
ROBERTS, SHARON L LMSW
ANN ARBOR 48104
(734) 739-0209
1125143
ROESCH, JULIE LCSW
781 AVIS DR STE 200
ANN ARBOR 48108
(734) 477-0135
1125976
RUMMAN, MARY E MSW
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1085642
RUST, JIM MSW LLMSW
ANN ARBOR 48108
(734) 497-9781
1085313
SARNOFF, BONNIE LMSW
ANN ARBOR 48103
(734) 913-1093
1043654
SCHECK, DEBRA LMSW
ANN ARBOR 48103
(734) 913-1093
1054567
SHERMAN, LINDA LMSW
ANN ARBOR 48104
(248) 343-4695
1085650
SHOUP, DAVID MSW LMSW
ANN ARBOR 48108
(734) 497-9781
1091769
ANN ARBOR 48103
(734) 913-1093
1125810
SPENCER, ELIZABETH B MSW
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1126087
STERN, LYNN E MSW
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1126825
TAMBORRIELLO, DOMENIC LMSW
210 COLLINGWOOD ST STE 120
ANN ARBOR 48103
(734) 649-7092
1126788
THOMAS PALMER, KATHRYN LMSW
ANN ARBOR 48104
(734) 769-0209
1058482
THOMPSON, PAUL LMSW
4645 SCIO CHURCH RD
ANN ARBOR 48103
(734) 646-5591
1095118
THOMSON, BRUCE H MSW
210 COLLINGWOOD STE 210
ANN ARBOR 48103
(734) 994-8120
1104616
THORNTON, CURTIS A MSW
ANN ARBOR 48108
(734) 975-1602
1125975
TOLIS, ANNA J MSW
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 764-6831
1095120
TOTH, PAUL L MSW
ANN ARBOR 48104
(734) 255-6800
1091809
ANN ARBOR 48103
(734) 913-1093
1123843
WALL, KRYSTEN LCSW
ANN ARBOR 48105
(734) 395-3433
1091819
ANN ARBOR 48103
(734) 913-1093
1085660
WILLARD-ROBLES, HEATHER LLMSW MSW
ANN ARBOR 48108
(734) 497-9781
1057565
WINES, DAVID MSW
ANN ARBOR 48104
(248) 343-4695
1090481
WITKOWSKI, MARGARET A MSW
4925 PACKARD ST
ANN ARBOR 48108
(734) 971-9781
WAYNE COUNTY
1123239
ADAMS, ALLEN MSW
20100 GREENFIELD RD
DETROIT 48235
(313) 342-2699
1123237
ADAMS, ALLEN MSW
DETROIT 48207
(313) 396-1800
1127771
LIVONIA 48154
(248) 343-4695
1104111
ANDERSON, SHELIA LMSW
SOUTHGATE 48195
(734) 785-7700
1104110
ANDERSON, SHELIA LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104328
ANDREWS, KAREN LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104329
ANDREWS, KAREN LMSW
SOUTHGATE 48195
(734) 785-7700
1122774
BARRITT, REBECCA LCSW
1400 WOODBRIDGE
DETROIT 48207
(313) 309-9300
1109333
DETROIT 48207
(313) 396-1800
1109334
20100 GREENFIELD RD
DETROIT 48235
(313) 342-2699
1104226
BECKMAN, DEBRA LMSW
SOUTHGATE 48195
(734) 785-7700
1104225
BECKMAN, DEBRA LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1127774
LIVONIA 48154
(248) 343-4695
1126781
25650 OUTER DR
LINCOLN PARK 48146
(313) 383-1897

Mental Health
Page 813
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1120724
BLANTON, DAVID MSW
10 PETERBORO
DETROIT 48201
(313) 831-3160
1118436
BLOM, BARBARA A LCSW
190 N MAIN ST
PLYMOUTH 48170
(734) 646-6081
1094968
BOLAN, MICHAEL W CSW
TAYLOR 48180
(313) 406-4493
1074902
BORCHAK, COURTNEY D LMSW
16836 NEWBURG RD
LIVONIA 48154
(734) 464-4220
1123139
BOULEHIA, ASMAA LCSW
16921 W WARREN AVE
DETROIT 48228
(313) 893-6172
1061205
LIVONIA 48150
(734) 422-9340
1104072
BROOKS, TAMYRA LMSW
SOUTHGATE 48195
(734) 785-7700
1104071
BROOKS, TAMYRA LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1122137
BROWN, CHRIS LCSW
1400 WOODBRIDGE
DETROIT 48207
(313) 309-9300
1094971
BROWNE, SUSAN MSW
(313) 882-1430
1126853
BUCHINSKY, CATHERINE MSW
10 PETERBORO
DETROIT 48201
(313) 831-3160
1124620
CASE, KATHARINE MSW
PLYMOUTH 48170
(248) 613-5377
1106010
CASTEELS, RICHARD LMSW
SOUTHGATE 48195
(734) 785-7700
1106009
CASTEELS, RICHARD LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1109241
COOPER, RHEA LMSW
20100 GREENFIELD RD
DETROIT 48235
(313) 342-2699
1109240
COOPER, RHEA LMSW
DETROIT 48207
(313) 396-1800
1123867
CORPOLONGO, CARLY LCSW
PLYMOUTH 48170
(248) 613-5377
1104115
COSTELLO, ANNE LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104116
COSTELLO, ANNE LMSW
SOUTHGATE 48195
(734) 785-7700
1119009
COZART-BOSLEY, TRACIE LMSW
10 PETERBORO ST
DETROIT 48201
(313) 831-3160
1104090
SOUTHGATE 48195
(734) 785-7700
1104089
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1123038
DAVIS, KRYSTAL M LCSW
3523 CASS AVE
DETROIT 48201
(586) 873-0323
1061185
DECAPITE, DANA LMSW
LIVONIA 48150
(734) 422-9340
1054521
DECOURCY, PATRICIA I LMSW
16836 NEWBURGH RD
LIVONIA 48154
(734) 464-4220
1123145
DOKTORCIK, JENNIFER LCSW
26650 EUREKA RD STE C1
TAYLOR 48180
(734) 941-4991
1104727
DRIVER, KRISTYN LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104728
DRIVER, KRISTYN LMSW
SOUTHGATE 48195
(734) 785-7700
1107874
NORTHVILLE 48167
(734) 975-2757
1086616
PLYMOUTH 48170
(734) 454-3560
1104155
EDWARDS, TERRY LMSW
SOUTHGATE 48195
(734) 785-7700
1104154
EDWARDS, TERRY LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1097648
ENNIS, ROBERT E CSW
20100 GREENFIELD RD
DETROIT 48235
(313) 342-2699
1097647
ENNIS, ROBERT E CSW
DETROIT 48207
(313) 396-1800
1086610
PLYMOUTH 48170
(734) 454-3560
1121805
EVANS-EBIO, BELINDA MSW
15222 E JEFFERSON AVE STE B
GROSSE POINTE 48230
(313) 610-8267
1053839
FEIJOO, JOSEPHINE LMSW
CANTON 48187
(248) 489-4011
1104323
FIELD, LEONARD LMSW
SOUTHGATE 48195
(734) 785-7700
1104322
FIELD, LEONARD LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1125290
FITZGERALD, EMILY LMSW
PLYMOUTH 48170
(734) 454-3560
1104666
FORSYTHE, RENEE LMSW
SOUTHGATE 48195
(734) 785-7700
1104665
FORSYTHE, RENEE LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1086914
PLYMOUTH 48170
(734) 454-3560
1120555
GALVIN, DON T LLMSW
16836 NEWBURGH RD
LIVONIA 48154
(734) 464-4220
1120556
GALVIN, DON T LLMSW
3901 CHRYSLER SERVICE DR
DETROIT 48201
(313) 993-3964
1122610
GARANT, SHARON MSW
496 W ANN ARBOR TRAIL STE 202
PLYMOUTH 48170
(248) 613-5377

Mental Health
Page 814
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1104130
GILLESPIE, WILLIAM LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104131
GILLESPIE, WILLIAM LMSW
SOUTHGATE 48195
(734) 785-7700
M
M
1079521
GILLIATT, AUDREY L LMSW
DETROIT 48201
(313) 993-3434
1091630
GREIFER, ANDREW CSW
PLYMOUTH 48170
(734) 454-3560
1054620
HAIRSTON, ELESE L LMSW
16836 NEWBURGH RD
LIVONIA 48154
(734) 464-4420
1085309
PLYMOUTH 48170
(734) 454-3560
1104196
HARTMAN, JOSHUA LMSW
SOUTHGATE 48195
(734) 785-7700
1104195
HARTMAN, JOSHUA LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1102864
HOFFMAN EILER, ABIGAIL MSW
4880 LAWNDALE ST
DETROIT 48210
(313) 846-6030
1119603
HOLLO, MICHELLE L LCSW
640 GRISWOLD ST STE 300
NORTHVILLE 48167
(248) 348-1100
1061192
HOPPE-RYAN, CHARISSE LMSW
LIVONIA 48150
(734) 422-9340
1091641
HUGHES, DORINDA M MSW
DEARBORN 48124
(313) 274-4570
1118432
HUGHES-ZABAWA, SARA E LCSW
4880 LAWNDALE ST
DETROIT 48210
(313) 846-3718
1104157
HURLEY, MARSHA LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104158
HURLEY, MARSHA LMSW
SOUTHGATE 48195
(734) 785-7700
1104160
HURME, KIMBERLY LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104161
HURME, KIMBERLY LMSW
SOUTHGATE 48195
(734) 785-7700
1048323
IRVIN, KATHLEEN LMSW
PLYMOUTH 48170
(734) 454-3560
F
F
1118618
JAWORSKI, ELIZABETH LCSW
PLYMOUTH 48170
(734) 454-3560
1120646
JOHNSON, GAIL MSW
10 PETERBORO
DETROIT 48201
(313) 831-3160
1095018
JONES, MATTHEW D CSW
TAYLOR 48180
(313) 406-4493
1091525
JORDAN, KAREN M LMSW
HARPER WOODS 48225
(586) 215-0727
1091524
JORDAN, KAREN M LMSW
HARPER WOODS 48225
(586) 215-0727
1091651
JORDAN, KAREN M MSW
HARPER WOODS 48225
(586) 215-0727
1095020
KEELER, ELLEN LMSW
TAYLOR 48180
(313) 406-4493
1119544
KELLER, ARNOLD MSW
640 GRISWOLD RD STE 300
NORTHVILLE 48167
(248) 348-1100
1126022
LAMBRIX, RITA M LMSW
SOUTHGATE 48195
(734) 785-7700
1126021
LAMBRIX, RITA M LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1099950
LEIKIN, CELIA MSW
PLYMOUTH 48170
(734) 454-3560
1104092
LENTZ, CATHERINE LMSW
SOUTHGATE 48195
(734) 785-7700
1104091
LENTZ, CATHERINE LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1106342
LEWIS, EUGENIE LMSW
SOUTHGATE 48195
(734) 785-7700
1106341
LEWIS, EUGENIE LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1091679
LOUDON, BEVERLY J MSW
DEARBORN 48124
(313) 274-4570
1100300
LOUISE, TINA MSW
4880 LAWNDALE ST
DETROIT 48210
(313) 846-6030
1104343
MACLELLAN, AMY LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104344
MACLELLAN, AMY LMSW
SOUTHGATE 48195
(734) 785-7700
1123044
MAGDALENIC, MEGHAN LCSW
26650 EUREKA RD STE C1
TAYLOR 48180
(734) 941-4991
1097582
MANELA, PAMELA MSW
NORTHVILLE 48167
(248) 348-1100
1120535
MANELA, ROGER MSW
NORTHVILLE 48167
(248) 348-1100
1104134
MARSHALL, CYNTHIA LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104135
MARSHALL, CYNTHIA LMSW
SOUTHGATE 48195
(734) 785-7700
1120683
MATTA, NADIA LCSW
4880 LAWNDALE ST
DETROIT 48210
(313) 846-3718
1104265
MCNEAR, VIVIAN LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104266
MCNEAR, VIVIAN LMSW
SOUTHGATE 48195
(734) 785-7700
1124761
MISCHEL, EDWARD F MSW
DETROIT 48201
(313) 993-3964

Mental Health
Page 815
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1091709
PLYMOUTH 48170
(734) 454-3560
1097871
DETROIT 48207
(313) 396-1800
1097872
20100 GREENFIELD RD
DETROIT 48235
(313) 342-2699
1098268
NICHOLS, JUNG M LMSW
2500 HAMLIN RD
INKSTER 48141
(313) 561-5100
1104047
NOVELL, VICKIE LMSW
SOUTHGATE 48195
(734) 785-7700
1104046
NOVELL, VICKIE LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1122781
OSMAN, HEBA LCSW
62 W 7 MILE RD
HIGHLAND PARK 48203
(313) 893-6172
1054568
PAGEL, MEAGHEN LMSW
LIVONIA 48154
(248) 343-4695
1104752
PETERS, SHAENA LMSW
SOUTHGATE 48195
(734) 785-7700
1104751
PETERS, SHAENA LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1091725
PETERSON-ROCHON, GIAWANNA MSW
REDFORD 48240
(313) 533-5652
1054570
LIVONIA 48154
(248) 343-4695
1091726
POLYS, MARJORIE C LMSW
2514 BIDDLE
WYANDOTTE 48192
(734) 365-2417
1054799
POURCHO, JUDY L LMSW
16836 NEWBURGH RD
LIVONIA 48154
(734) 464-4220
1121970
POWELL, KELLY MSW
DETROIT 48201
(313) 993-3434
1123944
RADWAN, LABIBA LCSW
62 W 7 MILE RD
HIGHLAND PARK 48203
(313) 893-6172
1123304
REASON, THOMAS MSW
13011 W MCNICHOLS STE 1
DETROIT 48235
(313) 770-9492
1120572
REASON, THOMAS MSW
10 PETERBORO
DETROIT 48201
(313) 831-3160
1114374
REILLY, JOSEPH A LLMSW
4880 LAWNDALE ST
DETROIT 48210
(313) 846-3718
1104045
REITMAN, JANE LMSW
SOUTHGATE 48195
(734) 785-7700
1104044
REITMAN, JANE LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1107972
ROSEN, ELLIOT LMSW
PLYMOUTH 48170
(734) 454-3560
1096197
RUSSEL, DIANE G MSW
640 GRISWOLD STE 300
NORTHVILLE 48167
(248) 996-5383
1117215
SANTEIU, ADELE LMSW
PLYMOUTH 48170
(734) 454-3560
1085311
SARNOFF, BONNIE LMSW
PLYMOUTH 48170
(734) 454-3560
1043655
SCHECK, DEBRA LMSW
PLYMOUTH 48170
(734) 454-3560
1121966
SCHEPPMAN, SHELIA LCSW
10 PETERBORO
DETROIT 48201
(313) 831-3160
1098311
SCHINZEL, DENNIS W LMSW
26650 EUREKA RD
TAYLOR 48180
(734) 941-4991
1095100
SHEEHY, JOSEPHINE CSW
TAYLOR 48180
(313) 406-4493
1054566
SHERMAN, LINDA LMSW
LIVONIA 48154
(248) 343-4695
1120719
SIEGL, WALTER O LMSW
3901 CHRYSLER SERVICE DR
LIVONIA 48154
(313) 993-3964
1123675
20100 GREENFIELD RD
DETROIT 48235
(313) 342-2699
1123674
DETROIT 48207
(313) 396-1800
1104585
SKERRITT, DAVID LMSW
SOUTHGATE 48195
(734) 785-7700
1104584
SKERRITT, DAVID LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104228
SLATER, KAREN LMSW
SOUTHGATE 48195
(734) 785-7700
1104227
SLATER, KAREN LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1090813
SMITH, STEPHEN LMSW
24110 CHERRY HILL ST
DEARBORN 48124
(313) 274-4570
1104319
SOBH, NICOLE LMSW
SOUTHGATE 48195
(734) 785-7700
1104318
SOBH, NICOLE LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1091772
PLYMOUTH 48170
(734) 454-3560
F
F
1104077
SOUEIDAN, RIMA LMSW
SOUTHGATE 48195
(734) 785-7700
1104076
SOUEIDAN, RIMA LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1099935
SPENCE, PATRICIA LMSW
TAYLOR 48180
(313) 406-4493
1125836
20100 GREENFIELD RD
DETROIT 48235
(313) 342-2699
1125835
DETROIT 48207
(313) 396-1800

Mental Health
Page 816
February 19, 2015
MENTAL HEALTH
PIN
Provider
Address
City and Zip
Phone
Gender
SOCIAL WORKER
1093305
TAYLOR, JAMES M MSW
4981 HILLCREST
(313) 433-3780
1106375
TAYLOR, RACHEL LLMSW
SOUTHGATE 48195
(734) 785-7700
1106374
TAYLOR, RACHEL LLMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1102894
TERIBERY, LYNN LMSW
SOUTHGATE 48195
(734) 785-7700
1102892
TERIBERY, LYNN LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1106383
THOMAS, HAROLD LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1106384
THOMAS, HAROLD LMSW
SOUTHGATE 48195
(734) 785-7700
1097260
THURBER, JANET MSW
NORTHVILLE 48167
(248) 347-6110
1122077
URBANO-SPENCER, ROSEMARY LCSW
1400 WOODBRIDGE
DETROIT 48207
(313) 309-9300
1091812
PLYMOUTH 48170
(734) 454-3560
F
F
1102229
WACHOWSKI, LISA MSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1102230
WACHOWSKI, LISA MSW
19401 NORTHLINE RD
SOUTHGATE 48195
(734) 785-7700
1091822
PLYMOUTH 48170
(734) 454-3560
1104566
WEND, ELLEN LMSW
SOUTHGATE 48195
(734) 785-7700
1104565
WEND, ELLEN LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1075149
WILLIAMS, ROBERT D LMSW
DETROIT 48201
(313) 993-3964
1061070
WILLIAMS, TASHA LMSW
2051 ROSA PARKS BLVD STE 1B
DETROIT 48216
(313) 658-3346
1106034
WILLIAMS-HOUILLES, YVONNE LMSW
SOUTHGATE 48195
(734) 785-7700
1106033
WILLIAMS-HOUILLES, YVONNE LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1104768
WILLIAMSON, STACEY LMSW
SOUTHGATE 48195
(734) 785-7700
1104767
WILLIAMSON, STACEY LMSW
13101 ALLEN RD
SOUTHGATE 48195
(734) 785-7700
1057564
WINES, DAVID MSW
LIVONIA 48154
(248) 343-4695
1045662
WOLF, PETER LMSW
PLYMOUTH 48170
(734) 454-3560
WEXFORD COUNTY
1097179
DAVIS, MICHELLE L LLMSW
520 COBB ST
CADILLAC 49601
(231) 775-6521
1102389
EVANS, THERESA LMSW
520 COBBS ST
CADILLAC 49601
(231) 775-6521

Mental Health
Page 817
February 19, 2015
LABORATORY SITES
PIN
Provider
Address
City and Zip
Phone
ALLEGAN COUNTY
9000338
9000286

555 LINN STREET

411 NAOMI STREET
ALLEGAN 49010
PLAINWELL 49080
(269) 686-4030
(269) 685-0746
ALPENA COUNTY
9000127
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7249
1117941
ARMC PATHOLOGY
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7000
ANTRIM COUNTY
1056986
DETROIT BIO-MEDICAL LABORATORIES INC
307 E CAYUGA
BELLAIRE 49615
(231) 533-8649
9000069
115 BRIDGE ST
ELK RAPIDS 49629
(231) 264-0399
9000294
419 W STATE ST
MANCELONA 49659
(231) 587-4752
805 W CEDAR (M-61)
STANDISH 48658
(989) 846-3465
11320 S. M-43, SUITE 2
DELTON 49046
(269) 623-2334
ARENAC COUNTY
9000406
BARRY COUNTY
9000429
BAY COUNTY
1019958
ALLEN MEDICAL BLDG DRAW STATION, FIRST FL
200 S WENONA ST
BAY CITY 48706
(989) 667-6255
1005745
BAY PATHOLOGY
1900 COLUMBUS AVE
BAY CITY 48708
(800) 383-1656
1019960
BRMC AUBURN CLINIC DRAW STATION
312 E MIDLAND RD
AUBURN 48611
(989) 662-6362
1019956
BRMC MAIN CAMPUS, LAB AND PATHOLOGY
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-3753
1019957
1023960
BRMC-WESTSIDE MEDICAL MALL

KATALIN COURT DRAW STATION
4175 EUCLID STE 4

3720 KATALIN CT
BAY CITY 48706

BAY CITY 48706
(989) 667-3655
(989) 684-4520
(989) 894-5861
9000425
MCLAREN BAY REGION
901 S HENRY
BAY CITY 48706
9000156
MCLAREN BAY REGION
1900 COLUMBUS AVENUE FIRST FLOOR
BAY CITY 48708
(989) 894-3753
9000231
9000168
MCLAREN BAY REGION

MCLAREN BAY REGION
312 E MIDLAND RD
200 S WENONA
AUBURN 48611
BAY CITY 48706
(989) 662-6362
(989) 667-6255
9000109
MCLAREN BAY REGION
ESSEXVILLE 48732
(989) 895-4611
9000386
MCLAREN BAY REGION
714 S TRUMBULL
BAY CITY 48708
(989) 891-8800
9000302
MCLAREN BAY REGION
4293 N HURON RD
PINCONNING 48650
(989) 879-1593
9000238
9000288
MCLAREN BAY REGION

MCLAREN BAY REGION
3270 KATALIN COURT

4175 EUCLID STE 4
BAY CITY 48706

BAY CITY 48706
(989) 684-4520
(989) 667-3195
1019959
MEDICAL MALL LAB
1456 W CENTER RD
ESSEXVILLE 48732
(989) 895-4611
1024363
QUEST DIAGNOSTICS INC
3720 KATALIN CT
BAY CITY 48706
(989) 686-5186
1024364
714 S TRUMBULL ST
BAY CITY 48708
(989) 895-8509
1024365
1019962

RIVERVIEW MEDICAL ASSOCIATES
200 S WENONA ST
901 S HENRY ST
BAY CITY 48706

BAY CITY 48706
(989) 892-6593
(989) 894-5861
1019961
TUSCOLA MEDICAL BUILDING
714 S TRUMBULL ST
BAY CITY 48708
(989) 891-8801
1019964
WOMENS HEALTH PAVILLION, LAB
BAY CITY 48706
(989) 667-6351
BENZIE COUNTY
9000365
6277 FRANKFORT HWY
BENZONIA 49616
(231) 882-1062
9000164
1975 STIRLING DRIVE
INTERLOCHEN 49643
(231) 275-6980
9000414
9000179

826 FOREST AVENUE

224 PARK AVENUE
FRANKFORT 49635
FRANKFORT 49635
(231) 352-5271
(231) 352-2204
3900 HOLLYWOOD ROAD

31 N ST JOSEPH AVENUE
ST JOSEPH 49085
NILES 49120
(269) 556-2810
(269) 556-2810
BERRIEN COUNTY
9000262
9000228
LAKELAND CENTER FOR OUTPATIENT SERVICES

LAKELAND HOSPITALS, NILES
9000369
PAW PAW LAKE MEDICAL CENTER
6559 PAW PAW AVENUE
COLOMA 49038
(269) 468-4100
1024411
2500 NILES RD STE 10B
SAINT JOSEPH 49085
(269) 428-2622
BATTLE CREEK 49015
(269) 565-9100
CALHOUN COUNTY
9000224

Laboratory Sites
Page 818
February 19, 2015
LABORATORY SITES
PIN
Provider
Address
City and Zip
Phone
3035 CAPITAL AVE SW

3600 CAPITAL AVENUE SW SUITE 206
BATTLE CREEK 49015

BATTLE CREEK 49015
(269) 565-9170
(269) 979-6420

1122637
9000252

BROOKSIDE PATIENT SERVICE CENTER
9000146
COLLEGE ST. PATIENT SERVICE CENTER
175 COLLEGE STREET
BATTLE CREEK 49037
(269) 969-6161
1056992
231 NORTH AVE
BATTLE CREEK 49017
(269) 964-7215
9000265
1029821
OAK RIDGE PATIENT SERVICE CENTER

REGIONAL MEDICAL LAB
391 SOUTH SHORE DRIVE SUITE 216

175 COLLEGE ST
BATTLE CREEK 49014

BATTLE CREEK 49017
(269) 969-6294
(269) 969-6161
CASS COUNTY
9000295
9000059

LAKELAND HOSPITALS, CASSOPOLIS

109 SCHOOL STREET
DOWAGIAC 49047
CASSOPOLIS 49031
(269) 783-3020
(269) 445-3874
9000060
THREE RIVERS HEALTH
110 E MAIN
MARCELLUS 49067
(269) 646-0443
CHEBOYGAN COUNTY
9000018
CHEBOYGAN COMMUNITY MEDICAL CENTER
740 S MAIN ST
CHEBOYGAN 49721
(231) 627-1482
9000358
INDIAN RIVER COMMUNITY MEDICAL CENTER
6135 CRESSY ST
INDIAN RIVER 49749
(231) 238-8908
9000020
INDIAN RIVER COMMUNITY MEDICAL CENTER
6135 CRESSY ST
INDIAN RIVER 49749
(866) 487-4219
9000403
9000019

802 S MAIN ST
810 S MAIN ST
CHEBOYGAN 49721
CHEBOYGAN 49721
(231) 627-5400
(231) 439-3288
10785 S GRANT
703 N MCEWAN STREET
CLARE 48617
CLARE 48617
(989) 386-2899
(989) 802-5000
12775 ESCANABA DR
12775 ESCANABA DR
DEWITT 48820
DEWITT 48820
(517) 367-5545
(517) 669-3082
CLARE COUNTY
1056994
9000383

MID MICHIGAN MEDICAL CENTER CLARE
CLINTON COUNTY
1019936
1023382
INGHAM COMMUNITY MED CTR-DEWITT

LABORATORY CORPORATION OF AMERICA
9000088
12775 ESCANABA DRIVE
DEWITT 48820
(517) 975-9740
9000023
McLaren Greater Lansing
12775 Excanaba Dr
Dewitt 488208615
(517) 975-9740
9000405
SPARROW LABORATORY
805 S OAKLAND
ST JOHNS 48879
15173647800
CRAWFORD COUNTY
9000086
MERCY COMMUNITY HEALTH CENTER GRAYLING
1250 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0550
9000061
1100 E MICHIGAN AVE
GRAYLING 49738
(989) 348-0352
EATON COUNTY
1053686
EATON RAPIDS MEDICAL CENTER
1500 S MAIN ST
EATON RAPIDS 48827
(517) 663-9445
9000125
9000234

1500 S MAIN ST
321 EAST HARRIS STREET
EATON RAPIDS 48827

CHARLOTTE 48813
(517) 663-9445
(517) 543-9505
9000036
Hayes Green Beach Hospital
321 E Harris St
Charlotte 488131629
(517) 543-9505
1079720
321 E HARRIS ST
CHARLOTTE 48813
(517) 541-5927
9000055
9000368

1035 CHARLEVOIX DRIVE

6465 MILLENIUM DRIVE SUITE 100
GRAND LEDGE 48837

LANSING 48917
(517) 626-3100
(517) 975-3710
1024386
11615 S HARTEL RD
GRAND LEDGE 48837
(517) 627-6495
EMMET COUNTY
9000014
BURNS PROFESSIONAL BUILDING DRAW STATION
560 W MITCHELL ST
PETOSKEY 49770
(231) 487-3426
9000015
DIVISION ROAD MEDICAL OFFICE BUILDING
405 N DIVISION RD, STE 2
PETOSKEY 49770
(231) 487-9172
1094378
INTERNAL MEDICINE OF NORTHERN MICHIGAN PLLC
PETOSKEY 49770
(231) 487-2460
9000016
JOHN & MARNIE DEMMER WELLNESS PAVILION
820 ARLINGTON AVE, ROOM 152
PETOSKEY 49770
(866) 487-4219
9000017
1010084

NORTHERN PATHOLOGY ASSOCIATES
8881 M 119
416 CONNABLE AVE

PETOSKEY 49770
(231) 439-3288
(231) 487-4000
(810) 733-7741
GENESEE COUNTY
1001132
FLINT CLINICAL PATHOLOGISTS
3490 CALKINS RD
FLINT 48532
1000564
FLINT MEDICAL LAB
3490 CALKINS RD
FLINT 48532
(810) 733-8885
9000432
GENESYS REGIONAL MEDICAL CENTER
ONE GENESYS PARKWAY
GRAND BLANC 48439
(810) 606-5500

Laboratory Sites
Page 819
February 19, 2015
LABORATORY SITES
PIN
Provider
Address
City and Zip
Phone

1091458
1019919
M HAITHAM AL-MIDANI MD PC
MCLAREN COMMUNITY MED CTR-FLINT TWP
4050 WALLI STRASSE DR

1314 S LINDEN RD
BURTON 48509
FLINT 48532
(810) 743-0680
(810) 342-1710
1019926
MCLAREN COMMUNITY MED CTR-GR BLANC
2313 E HILL RD
GRAND BLANC 48439
(810) 953-6460
1019926
MCLAREN COMMUNITY MED CTR-GR BLANC
2313 E HILL RD
GRAND BLANC 48439
(810) 953-6460
1019915
1019916
MCLAREN FAMILY CARE CENTER-DAVISON

MCLAREN FAMILY CARE CENTER-FENTON
10090 E LIPPINCOTT BLVD

2420 OWEN RD
DAVISON 48423
FENTON 48430
(810) 658-6529
(810) 629-3232
9000327
MCLAREN FLINT
5095 BRISTOL RD STE 1
FLINT 48507
(810) 733-7364
9000075
MCLAREN FLINT
1170 CHARTER DRIVE STE E
FLINT 48532
(810) 720-4974
9000326
MCLAREN FLINT
5050 VILLA LINDE PKWY STE B
FLINT 48532
(810) 720-5515
9000093
9000331
MCLAREN FLINT
MCLAREN FLINT
1314 S LINDEN RD
5202 MILLER RD
FLINT 48532
FLINT 48507
(810) 342-1700
(810) 732-9369
(810) 496-2502
9000190
MCLAREN FLINT
2420 OWEN RD
FENTON 48430
9000275
MCLAREN FLINT
4001 WALLI STRASSE STE F
BURTON 48509
(810) 742-9611
9000193
MCLAREN FLINT
2500 N ELMS RD
FLUSHING 48433
(810) 342-5580
9000240
9000236
MCLAREN FLINT
MCLAREN FLINT
3296 W VIENNA RD
3230 BEECHER RD
CLIO 48420
FLINT 48503
(810) 687-2567
(810) 342-5690
9000053
MCLAREN FLINT
10090 E LIPPINCOTT
DAVISON 48423
(810) 658-6529
9000092
MCLAREN FLINT
1314 S LINDEN RD
FLINT 48532
(810) 342-1710
9000184
9000243
MCLAREN FLINT
MCLAREN FLINT
2313 E HILL RD
3400 FLECKENSTEIN DRIVE STE 2
GRAND BLANC 48439

FLINT 48507
(810) 953-6460
(810) 230-0699
1019922
MCLAREN LAB PATIENT SER CTR FLUSHING
2500 N ELMS RD
FLUSHING 48433
(810) 487-3520
1019917
MCLAREN LAB PATIENT SER CTR-CHARTER POINTE
1170 CHARTER RD
FLINT 48532
(810) 720-4974
1019914
MCLAREN LAB PATIENT SER CTR-CLIO
3296 W VIENNA RD
CLIO 48420
(810) 687-2567
1019918
1019921
MCLAREN LAB PATIENT SER CTR-SPECIALITY CENTER

MCLAREN LAB PATIENT SVC CTR-THE SURGERY CENTER
G 3200 BEECHER RD
5202 MILLER RD
FLINT 48532
FLINT 48502
(810) 720-4974
(810) 732-9369
1032413
MCLAREN LABORATORY-BURTON
4001 WALLI STRASSE STE F
BURTON 48509
(810) 742-9611
1121529
MCLAREN MEDICAL MGMT INC
401 S BALLENGER HWY
FLINT 48532
(810) 342-2000
1125005
MCLAREN VISITING NURSE AND HOSPICE
4000 S SAGINAW ST
FLINT 48507
(810) 396-5700
1006637
1022902
PATHOLOGY ASSOCIATES PC
ONE HURLEY PLAZA PATHOLOGY DEPT

FLINT 48503
FLINT 48504
(810) 257-9134
(810) 232-4559
1024369
4067 E COURT ST STE 4
BURTON 48509
(810) 742-5780
1024370
1096 S BELSAY RD STE H
BURTON 48509
(810) 744-1206
1024376
1024379

1094 S STATE RD STE C

234 CAROLINE
DAVISON 48423
FENTON 48430
(810) 653-7651
(810) 629-9643
1024380
FLINT 48532
(810) 733-8460
1024383
8447 HOLLY RD
GRAND BLANC 48439
(810) 695-2053
1024399
11515 N SAGINAW ST
MOUNT MORRIS 48458
(810) 686-3002
1024384
1078827

UROLOGICAL SERVICES
6011 PORTER RD
1121 W HILL RD
GRAND BLANC 48439

FLINT 48507
(810) 695-5369
(810) 232-8888
515 QUARTER STREET
GLADWIN 48624
(989) 426-9286
GLADWIN COUNTY
9000328
MID MICHIGAN MEDICAL CENTER GLADWIN

9000337
9000066
MUNSON COMMUNITY HEALTH CENTER, TRAVERSE CITY

MUNSON MEDICAL CENTER, TRAVERSE CITY
550 MUNSON AVE

1105 6TH ST
TRAVERSE CITY 49686

TRAVERSE CITY 49684
(231) 935-5000
(231) 935-6100
1024413
1225 W FRONT ST
TRAVERSE CITY 49684
(231) 922-0758
300 E WARWICK DR
ALMA 48801
(989) 466-2877
168 SOUTH HOWELL STREET

451 HIDDEN MEADOWS DRIVE SUITE 285
HILLSDALE 49242
HILLSDALE 49242
(517) 437-5160
(517) 437-8390
GRATIOT COUNTY
1078267
MIDMICHMEDCTR GRATIOT OTH
HILLSDALE COUNTY
9000139
9000311

HURON COUNTY
9000062
1100 S VAN DYKE RD
BAD AXE 48413
(989) 269-8933
9000141
SCHEURER HOSPITAL
170 N CASEVILLE RD
PIGEON 48755
(989) 453-3223

Laboratory Sites
Page 820
February 19, 2015
LABORATORY SITES
PIN
Provider
Address
City and Zip
Phone
AFP LABORATORY & DNA LABORATORY

Burcham Hills
B236-238 LIFE SCIENCE MSU

2700 Burcham Dr
EAST LANSING 48824

East Lansng 488233898
(517) 353-2032
(517) 827-1076
1003356
CAP LAB PLC
2508 S CEDAR ST
LANSING 48910
(517) 372-5520
1006088
CAPITAL AREA PATHOLOGISTS
401 W GREENLAWN AVE
LANSING 48910
(517) 975-6465
1006005
1118794
CAPITAL PATHOLOGY PC
CAPITAL UROL PATHOLOGY ASSOCIATES
1215 E MICHIGAN AVE

LANSING 48912
OKEMOS 48864
(517) 364-2560
(517) 349-3900
(517) 913-1515
INGHAM COUNTY
1003757
9000034
1121436
COMPASS HEALTHCARE PLC
1625 RAMBLEWOOD DR
EAST LANSING 48823
1078275
EDWARD W SPARROW HOSPITAL ASSOC
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-2560
1023383
LABORATORY CORPORATION OF AMERICA
1100 CEDAR ST
MASON 48854
(517) 676-0263
1118777
9000052
LANSING INSTITUTE OF UROLOGY

1625 RAMBLEWOOD DR
1003 E MT HOPE
EAST LANSING 48823

LANSING 48910
(517) 324-3700
(517) 975-4079
9000032
1288 W Grand River Ave
Williamston 488958305
(517) 975-2340
9000033
2104 Jolly Rd, Ste 220
Okemos 488646038
(517) 975-1430
9000031
2450 Delhi Commerce Dr, Ste 16
Holt 488422193
(517) 975-3774
9000212
9000035


2025 Abbot Rd, Ste 200
LANSING 48910
East Lansng 48823857
(517) 975-9730
(517) 975-7052
9000207
LANSING 48910
(517) 975-7000
9000277
401 W GREENLAWN AVE
LANSING 48910
(517) 975-7049
9000028
9000027

2316 S Cedar St
401 W Greenlawn Ave
Lansing 489103152
Lansing 489102819
(517) 975-9730
(517) 975-7000
9000174
2104 JOLLY RD SUITE 220
OKEMOS 48864
(517) 975-1430
9000191
2450 DELHI COMMERCE SUITE 16
HOLT 48842
(517) 975-3774
9000089
WILLIAMSTON 48895
(517) 975-2340
9000204
9000025

2700 BURCHAM DR
6465 Millenium Dr, Ste 100
EAST LANSING 48823

Lansing 489177831
(517) 827-1076
(517) 975-3710
9000030
McLaren Orthopedic Hospital
2727 S Pennsylvania Ave
Lansing 489103490
(517) 975-7000
1118787
MESSENGER DERMATOLOGY-COMPASS
LANSING 48912
(517) 487-0128
1003678
MSU GENETICS LAB
B120 LIFE SCIENCES BLDG
EAST LANSING 48824
(517) 353-2030
1007534
1024394
MSU HEALTHTEAM PEDS HUMAN DV

B123 LIFE SCIENCES BLDG

3955 PATIENT CARE DR STE C
EAST LANSING 48824

LANSING 48910
(517) 353-2032
(517) 882-1765
1000169
SPARROW REGIONAL LAB
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-7800
1000169
SPARROW REGIONAL LABORATORY SERVICE CENTERS
6254 W SAGINAW
LANSING 48917
(517) 364-7800
1000169
1000169

11615 S HARTEL RD, STE 107

800 E COLUMBIA RD
GRAND LEDGE 48837

MASON 48854
(517) 364-7800
(517) 364-7800
1000169
6030 S PENSYLVANIA AVE, STE 12
LANSING 48911
(517) 364-7800
1000169
2909 E GRAND RIVER AVE, STE 103
LANSING 48912
(517) 364-7800
1000169
2035 ASHER CR, STE 500
EAST LANSING 48823
(517) 364-7800
1000169
1000169

138 SERVICE RD, STE A203

EAST LANSING 44824

EAST LANSING 48823-5608
(517) 364-7800
(800) 844-2522
1000169
1200 E MICHIGAN AVE, 1ST FL
LANSING 48912
(517) 364-7800
1000169
1600 W GRAND RIVER AVE, STE 3
OKEMOS 48864
(517) 364-7800
1000169
13191 SCHAVEY RD, STE 2
DEWITT 48820
(517) 364-7800
1000169
1000169

1650 HASLETT RD
805 S OAKLAND
HASLETT 48840-7615
ST JOHNS 48879
(800) 844-2522
(517) 364-7800
1000169
1210 W SAGINAW
LANSING 48915
(517) 364-7800
1000169
5303 S CEDAR ST
LANSING 48911-3800
(800) 844-2522
1000169
1650 RAMBLEWOOD DR, STE 100
EAST LANSING 48823-7396
(800) 844-2522
IONIA COUNTY
9000329
520 E WASHINGTON ST
IONIA 48846
16165231550
1000169
9000084

SPECTRUM HEALTH UNITED
479 LAFAYETTE ST
1227 W STATE STREET
IONIA 48879-1834
BELDING 48809
(800) 844-2522
(616) 794-3604
IOSCO COUNTY
9000349
9000071

5939 NORTH HURON RD

116 SOUTH CHURCH ST
OSCODA 48750
HALE 48739
(989) 739-6040
(989) 728-3672
1077822
200 HEMLOCK
TAWAS CITY 48763
(989) 984-3411
ISABELLA COUNTY
1077626
CENTRAL COMM HOSPITAL
1221 SOUTH DR
(989) 772-6744
9000276
401 S CRAPO STREET
MT PLEASANT 48858
(989) 956-3120

Laboratory Sites
Page 821
February 19, 2015
LABORATORY SITES
PIN
Provider
Address
City and Zip
Phone

9000082
9000215

1221 SOUTH DRIVE

2935 HEALTH PARKWAY
MT PLEASANT 48858
MT PLEASANT 48858
(989) 772-6776
(989) 772-6776
(989) 779-4049
9000213
2853 HEALTH PARKWAY
MT PLEASANT 48858
1024400
(989) 779-0280
1000169
922 MISSION ST
MT PLEASANT 48858-3548
(800) 844-2522
JACKSON COUNTY
1024368
107 W CHICAGO ST
BROOKLYN 49230
(517) 592-2404
1024390
300 W WASHINGTON AVE
JACKSON 49201
(517) 782-8900
KALAMAZOO COUNTY
9000129
BORGESS LEE MEMORIAL HOSPITAL
1521 GULL RD
KALAMAZOO 49048
(269) 226-7000
9000434
1084330

1535 GULL RD SUITE 030

1521 GULL RD
KALAMAZOO 49048
KALAMAZOO 49048
(269) 226-8317
(586) 753-0165
9000370
KALMAZOO 49009
(269) 372-7459
9000397
7901 ANGLING ROAD
PORTAGE 49024
(269) 324-8400
9000396
9000130

7895 CURRIER DRIVE

1521 GULL RD
PORTAGE 49002
KALAMAZOO 49048
(269) 321-7100
(269) 226-5917
(269) 327-3200
9000200
2640 W CENTRE AVE
PORTAGE 49024
9000343
5629 STADIUM DRIVE
KALAMAZOO 49009
(269) 372-5973
9000201
2640 W CENTRE AVE
PORTAGE 49024
(269) 327-3200
9000378
9000303

6789 ELM VALLEY DRIVE

KALAMAZOO 49009
KALAMAZOO 49008
(269) 544-3200
(269) 373-4646
(269) 341-6789
9000333
534 S PARK ST
KALAMAZOO 49007
9000352
601 JOHN ST 1ST FLOOR MEDICAL OFFICE
KALAMAZOO 49007
(269) 341-7723
9000096
13326 N BOULEVARD ST
VICKSBURG 49097
(269) 649-9107
9000344
1007981

MIDWESTERN PATHOLOGY PC
5629 STADIUM DRIVE

1521 GULL RD
KALAMAZOO 49009
KALAMAZOO 49048
(269) 372-5973
(800) 288-8325
1024391
KALAMAZOO 49048
(269) 349-4370
419 S CORAL STREET
KALKASKA 49646
(231) 258-7508
(616) 774-0209
KALKASKA COUNTY
9000293
KENT COUNTY
1005391
KENT PATHOLOGY LABORATORY PLLC
2650 HORIZON DR SE STE B
GRAND RAPIDS 49546
1024807
PATHOLOGY LABORATORY
2620 HORIZON DR SE STE 100
GRAND RAPIDS 49546
(616) 530-3344
1024393
6231 WEST RIVER DR NE
BELMONT 49306
(616) 361-6984
1024388
515 E MICHIGAN AVE NE STE 101
GRAND RAPIDS 49544
(616) 453-1700
1024417
1024387

2740 28TH ST SW STE A

847 PARCHMENT DR SE
GRAND RAPIDS 49519

GRAND RAPIDS 49546
(616) 249-1100
(616) 957-1330
1024392
2000 44TH ST SE
GRAND RAPIDS 49508
(616) 281-0528
1024389
3935 LAKE MICHIGAN DR NW STE 1
GRAND RAPIDS 49503
(616) 453-1700
1084549
9000045
SEQUENOM CENTER FOR MOLECULAR MEDICINE

SPECTRUM HEALTH BUTTERWORTH

100 MICHIGAN ST NE
GRAND RAPIDS 49503

GRAND RAPIDS 49503
(616) 284-3804
(616) 391-3195
1084384
UNIVERSAL DERMATOPATHOLOGY LAB
2650 HORIZON DR SE STE 233
GRAND RAPIDS 49546
(616) 419-3607
LAPEER COUNTY
1056989
601 BRIDGE ST
CLIFFORD 48727
(231) 536-2930
9000011
LAPEER REGIONAL MEDICAL CENTER
1375 N MAIN ST
LAPEER 48446
(810) 667-5500
1019925
MCLAREN COMMUNITY MED CTR-LAPEER
1254 N MAIN ST
LAPEER 48446
(810) 667-7302
1019924
MCLAREN LAB PATIENT SRV CTR LAPEER
3257 DAVISON RD
LAPEER 48446
(810) 245-5841
9000237
9000148

3257 DAVISON RD
1794 LAPEER RD
LAPEER 48446
LAPEER 48446
(810) 245-5841
(810) 245-5290
9000098
1375 N MAIN STREET
LAPEER 48446
(810) 667-5788
9000087
1254 N MAIN STREET
LAPEER 48446
(810) 678-4000
1024395
1024396

237 DAVIS LAKE RD STE 6

LAPEER 48446
LAPEER 48446
(810) 667-9638
(810) 245-4596

Laboratory Sites
Page 822
February 19, 2015
LABORATORY SITES
PIN
Provider
Address
City and Zip
Phone
LEELANAU COUNTY
9000428
9973 OTTAWA AVENUE
EMPIRE 49630
(231) 326-2053
LIVINGSTON COUNTY
9000394
9000361
ST. JOSEPH MERCY BRIGHTON

ST. JOSEPH MERCY LIVINGSTON
7575 GRAND RIVER ROAD SUITE 104

620 BYRON RD
BRIGHTON 48114
HOWELL 48843
(810) 844-7522
(517) 545-6350
9000401
UNIVERSITY OF MICHIGAN MEDICAL CENTER
8001 CHALLIS RD
BRIGHTON 48116
(810) 494-2648
1140 N STATE
ST IGNACE 49781
(906) 643-0421
MACOMB TWP 48044

WARREN 48093
(586) 416-8420
(586) 393-3020
MACKINAC COUNTY
9000067
MACOMB COUNTY
9000137
9000422
BEAUMONT HEALTH SYSTEM


9000196
ST CLAIR SHORES 48081
(586) 443-2920
9000306
44250 DEQUINDRE RD
(248) 964-6123
9000258
9000347
CRITTENTION HOSPITAL
37771 SCHOENNER RD SUITE 104

57850 VAN DYKE RD

WASHINGTON TOWNSHIP 48094
(248) 601-6964
(586) 677-2364
1056998
(586) 826-9130
1056987
43600 GARFIELD
(586) 263-7108
1056993
36535 HARPER AVE STE G
(586) 792-4221
9000300
9000214
DETROIT MEDICAL CENTER

42700 GARFIELD RD STE G 50

CLINTON TWP 48038

WARREN 48092
(586) 416-1574
(586) 573-6811
1075310
MANGINI DERMAPATHOLOGY PLLC
42469 GARFIELD ROAD
(586) 690-8983
9000048
MCLAREN MACOMB
MOUNT CLEMENS 48043
(586) 493-2222
9000372
MCLAREN MACOMB
66440 GRATIOT AVE
LENOX TOWNSHIP 48050
(586) 430-4022
9000409
9000320
MCLAREN MACOMB
MCLAREN MACOMB
8180 26 MILE RD SUITE 101 B


(586) 992-9050
(586) 627-2925
9000246
MCLAREN MACOMB
35429 SCHOENHERR RD
(586) 381-4589
1067444
MIDWEST CENTER FOR DERMATOLOGY & PATHOLOGY
(586) 286-0112
1030671
1092559
MT CLEMENS OUTPATIENT LAB

PARAMOUNT MEDICAL GROUP PC

27540 HOOVER RD

WARREN 48093
(586) 493-8000
(586) 757-6400
1007027
PATHOLOGY ASSOC OF MT CLEMENS
MOUNT CLEMENS 48043
(586) 412-4449
1030687
PROMPT CARE 1 LAB
32901 23 MILE RD
NEW BALTIMORE 48047
(586) 725-9600
1030688
PROMPT CARE II LAB
(586) 228-3880
1024375
1024374

36535 HARPER STE G


(586) 792-6010
(586) 263-3209
1024378
22850 KELLY RD
EASTPOINTE 48021
(586) 772-2990
9000077
11800 E 12 MILE RD
WARREN 48093
(586) 573-5840
9000172
20225 E 9 MILE RD
(810) 985-2663
9000076
ST. JOHN MACOMB OAKLAND HOSPITAL
11800 E 12 MILE RD
WARREN 48093
(586) 573-5840
14477 CABERFAE HWY

8225 LAKE STREET
WELLSTON 49689
BEAR LAKE 49614
(231) 848-4915
(231) 864-5002
MANISTEE COUNTY
9000104
9000410

9000176
2198 US-31 S
MANISTEE 49660
(231) 398-2018
1103930
1465 E PARKDALE AVE
MANISTEE 49660
(231) 398-1000
MASON COUNTY
1013392
KEEN, MARC E MD PC
1 ATKINSON DR
LUDINGTON 49431
(231) 845-2362
9000431
ONE ATKINSON DRIVE
LUDINGTON 49431
(231) 843-2591
MECOSTA COUNTY
9000355
605 OAK ST
BIG RAPIDS 49307
(231) 592-4221
9000419
8354 100TH AVE
CANADIAN LAKES 49346
(231) 972-0909
9000420
8540 105TH AVE
STANWOOD 49346
(231) 972-8274

Laboratory Sites
Page 823
February 19, 2015
LABORATORY SITES
PIN
Provider
Address
City and Zip
Phone
MIDLAND COUNTY
9000274
1051611
MID MICHIGAN MED CENTER MIDLAND

MIDLAND PATHOLOGY ASSOCIATES
4000 WELLNESS DRIVE

4000 WELLNESS DR
MIDLAND 48670
MIDLAND 48670
(989) 633-1350
(989) 839-3498
1024414
111 E WACKERLY ST STE C
MIDLAND 48642
(989) 835-5182
MONROE COUNTY
9000423
MONROE 48162
(734) 240-4127
9000046
100 POWELL DRIVE
DUNDEE 48131
(734) 240-4124
1022160
PINKUS DERMATOPATHOLOGY LAB
1314 N MACOMB ST
MONROE 48162
(734) 242-6870
1024398
734 N MONROE ST
MONROE 48162
(734) 241-0360
MONTCALM COUNTY
9000279
406 E ELM STREET
CARSON CITY 48811
(989) 584-3131
1078276
9000222

406 E ELM ST
301 NORTH MAIN ST
CARSON CITY 48811

SHERIDAN 48884
(989) 584-3971
(989) 291-3261
9000290
418 WASHINGTON AVE
LAKEVIEW 48850
(989) 352-7211
9000385
705 GREENVILLE WEST DRIVE
GREENVILLE 48838
(616) 754-2205
9000291
9000359

418 WASHINGTON AVE

615 S BOWER ST
LAKEVIEW 48850
GREENVILLE 48838
(989) 352-1550
(616) 754-9811
(231) 728-4916
(231) 727-7979
MUSKEGON COUNTY
9000142
9000366
MERCY HEALTH-HACKLEY CAMPUS

MERCY HEALTH-MERCY CAMPUS
1700 CLINTON STREET

6401 PRAIRIE STREET SUITE 1400
MUSKEGON 49442
MUSKEGON 49444
9000070
1150 E SHERMAN BOULEVARD SUITE 1200
MUSKEGON 49444
(231) 672-6785
9000124
1500 E SHERMAN BOULEVARD
MUSKEGON 49444
(231) 672-3910
9000144
1700 OAK AVENUE
MUSKEGON 49442
(231) 672-6494
1024401
433 SEMINOLE RD
MUSKEGON 49444
(231) 739-2295
OAKLAND COUNTY
9000187
9000107


1455 S LAPEER RD

LAKE ORION 48360
(248) 615-3314
(248) 656-4390
9000251
3535 W 13 MILE RD
ROYAL OAK 48073
(248) 551-3431
9000244
35046 WOODWARD AVE STE L10
BIRMINGHAM 48009
(248) 633-2040
9000315
TROY 48098
(248) 293-0808
9000245
9000239

3535 W 13 MILE RD
ROYAL OAK 48073

TROY 48084
(248) 551-8000
(248) 816-2245
9000250
3535 W 13 MILE RD
ROYAL OAK 48073
(248) 551-2458
9000324
4949 COOLIDGE RD
ROYAL OAK 48073
(248) 655-3088
9000379
(248) 855-7430
9000375
9000210

6700 N ROCHESTER RD
ROCHESTER HILLS 48306

BERKLEY 48072
(248) 650-1506
(248) 542-0638
9000254
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 898-5000
1066572
ROYAL OAK 48073
(248) 964-4866
1056232
1030746

BEAUMONT REFERENCE LABORATORY
3601 W 13 MILE RD
3601 W 13 MILE RD
ROYAL OAK 48073

ROYAL OAK 48073
(248) 551-5000
(248) 551-1155
9000211
(248) 471-8000
1019086
BOTSFORD OUTREACH LAB
FARMINGTON 48336
(800) 701-9960
9000387
72 S WASHINGTON STREET
OXFORD 48371
(248) 969-3200
9000393
9000064
75 BARCLAY CIRCLE SUITE 118

1101 W UNIVERSITY DRIVE
ROCHESTER 48307
ROCHESTER 48307
(248) 856-6620
(248) 652-5000
(248) 266-6057
9000106
145 ROCHDALE SUITE D
ROCHESTER 48309
9000230
3100 CROSS CREEK PARKWAY SUITE 220
AUBURN HILLS 48326
(248) 377-0600
9000097
135 BARCLAY CIRCLE SUITE 100 B
ROCHESTER 48307
(248) 852-2277
1056990
1001240

911 E NINE MILE RD

23955 FREEWAY PARK DR
FERNDALE 48220
FARMINGTON 48335
(248) 545-6882
(248) 471-4111
1056997
ROCHESTER 48307
(248) 853-3967
1056991
CLARKSTON 48346
(248) 620-1450
9000199
9000183

26206 W 12 MILE RD STE 202

SOUTHFIELD 48034
SOUTHFIELD 48075
(248) 352-8486
(248) 557-3129
9000427
9640 COMMERCE ROAD STE 105
COMMERCE TWP 48382
(248) 360-0197
9000101
1435 N MILFORD RD 2ND FLOOR
MILFORD 48381
(248) 685-9520

Laboratory Sites
Page 824
February 19, 2015
LABORATORY SITES
PIN
Provider
Address
City and Zip
Phone

27209 LAHSER BUILDING 4 STE 126
COMMERCE 48382
SOUTHFIELD 48034
(248) 937-3412
(248) 357-4132

9000041
9000205

1098842
461 W HURON
PONTIAC 48341
(248) 857-7583
1124360
FLINT CLINICAL PATHOLOGISTS
50 NORTH PERRY
PONTIAC 48342
(248) 338-5000
1089256
9000005
LABCORP WELLPOINTE
MCLAREN LABORATORY SERVICES

ROCHESTER 48307
CLARKSTON 48346
(248) 852-4231
(248) 922-6870
9000345
MCLAREN OAKLAND
5680 BOW POINTE DRIVE
CLARKSTON 48346
(248) 922-6645
9000341
MCLAREN OAKLAND
5625 WATER TOWER PLACE
CLARKSTON 48346
(248) 620-4240
9000346
MCLAREN OAKLAND
5701 BOW POINTE DRIVE STE 115
CLARKSTON 48346
(248) 922-6870
9000259
9000325
MCLAREN OAKLAND
MCLAREN OAKLAND
385 N LAPEER RD
50 N PERRY
OXFORD 48371
PONTIAC 48342
(248) 628-3000
(248) 338-5000
9000261
385 N LAPEER RD
OXFORD 48371
(248) 969-7384
1091325
MICHIGAN DIAGNOSTIC PATHOLOGISTS
47601 GRAND RIVER
NOVI 48374
(314) 849-3535
1051603
MICHIGAN DIAGNOSTIC PATHOLOGISTS
16001 W 9 MILE RD
SOUTHFIELD 48075
(248) 424-3000
1094085
1087104

POH REGIONAL MEDICAL CENTER
31157 WOODWARD AVE

50 N PERRY
ROYAL OAK 48073

PONTIAC 48342
(248) 851-1422
(800) 241-3891
9000013
POH REGIONAL MEDICAL CENTER
50 N PERRY ST
PONTIAC 48342
(248) 338-5000
9000202
PROVIDENCE HOSPITAL AND MEDICAL CENTER
26850 PROVIDENCE PARKWAY
NOVIE 48374
(248) 465-4590
9000203
1024372


5825 ORTONVILLE RD STE 202
NOVIE 48374
CLARKSTON 48346
(248) 465-4590
(248) 625-9441
1024415
TROY 48083
(248) 526-1698
1032743
1424 S LAPEER RD
LAKE ORION 48360
(248) 693-0893
1024416
1255 N OAKLAND BLVD STE 135
WATERFORD 48327
(248) 666-7920
1024406
1024405

455 LIVERNOIS STE C-21

ROCHESTER 48307
ROCHESTER 48307
(248) 656-0505
(248) 852-2639
1008449
4444 GIDDINGS RD
AUBURN HILLS 48326
(248) 373-9120
1024402
40015 GRAND RIVER RD STE 115
NOVI 48375
(248) 427-1037
1022903
SOUTHFIELD 48075
(248) 443-1752
1024366
1024373



CLAWSON 48017
(248) 332-8390
(248) 435-6426
(248) 620-2940
1030668
ST JOSEPH MERCY OAKLAND LAB
7210 ORTONVILLE RD STE 100
CLARKSTON 48346
1030666
KEEGO HARBOR 48320
(248) 253-0220
1030667
1030665


44405 WOODWARD AVE

PONTIAC 48341
(248) 366-0612
(248) 858-3250
1030669
1240 LAPEER RD
LAKE ORION 48360
(248) 814-7310
1030664
PONTIAC 48341
(248) 858-3258
1030747
WILLIAM BEAUMONT LABORATORY
UNASOURCE BUILDING 4600 W INVESTMENT DR TROY 48084
(248) 293-0808
1030749
1030748

BEAUMONT MEDICAL BLDG 6900 ORCHARD

NORTH POINT MEDICAL BLDG 27901

BERKLEY 48072
(248) 855-7430
(248) 542-0638
1030745
BEAUMONT MEDICAL BLDG 6700 N
ROCHESTER 48306
(248) 650-1506
2463 MICHIGAN 30
WEST BRANCH 48661
(989) 343-3624
1392 MAPLE DRIVE
FAIRVIEW 48621
(989) 848-2723
918 N CENTER AVE

825 N CENTER AVENUE
GAYLORD 49735
GAYLORD 49735
(231) 487-3502
(989) 731-2187
OGEMAW COUNTY
9000192
WEST BRANCH REGIONAL MEDICAL CENTER
OSCODA COUNTY
9000099
OTSEGO COUNTY
9000021
9000413
MCLAREN NORTHERN MICHIGAN SPECIALTY CLINIC

OSTEGO MEMORIAL HOSPITAL
9000094
1320 E M-32
GAYLORD 49735
(989) 731-2187
1024382
1371 W MAIN ST LOWER LEVEL
GAYLORD 49735
(989) 732-1399
OTTAWA COUNTY
9000090
1309 SHELDON RD
GRAND HAVEN 49417
(616) 847-5382
9000418
SPECTRUM HEALTH ZEELAND COMM HOSPITAL
8333 FELCH ST
ZEELAND 49464
(616) 772-4664
573 N BRADLEY HWY
ROGERS CITY 49779
(989) 734-2171
PRESQUE ISLE COUNTY

9000022
ROGERS CITY MEDICAL GROUP

Laboratory Sites
Page 825
February 19, 2015
LABORATORY SITES
PIN
Provider
Address
City and Zip
Phone

234 LAKE STREET
PRUDENVILLE 48651
ROSCOMMON 48653
(989) 366-2900
(989) 275-1200
(989) 583-6272
ROSCOMMON COUNTY
9000198
9000186
MERCY COMMUNITY HEALTH CENTER PRUDENVILLE

MERCY COMMUNITY HEALTH CENTER ROSCOMMON
SAGINAW COUNTY
9000103
1447 NORTH HARRISON
SAGINAW 48602
1009460
COVENANT PATHOLOGY ASSOCIATES PC
1000 HOUGHTON AVE
SAGINAW 48602
(989) 583-6767
1024409
3550 SHATTUCK RD STE C
SAGINAW 48603
(989) 792-1414
1024367
6185 DIXIE HWY CENTER SUITE
BRIDGEPORT 48722
(989) 777-0390
1024410
1024408

4705 TOWNE CENTER PSC MEDICAL ARTS

2062 N CENTER RD
SAGINAW 48604
SAGINAW 48603
(989) 791-3707
(989) 755-4659
202288
2062 N CENTER RD
SAGINAW 48603
(989) 790-3430
1024407
926 N MICHIGAN AVE
SAGINAW 48602
(989) 752-8393
1024381
487 N MAIN ST STE E
FRANKENMUTH 48734
(989) 652-2374
9000400
1063192
ST MARY'S MEDICAL CENTER SAGINAW

ST MARYS SPECIALISTS PATHOLOGY

800 S WASHINGTON
SAGINAW 48601
SAGINAW 48601
(989) 907-8230
(989) 907-8230
9000313
ST. MARY'S OF MICHIGAN TOWN CENTER
4599 TOWN CENTER RD
SAGINAW 48604
(989) 497-3020
1108005
WEST BRANCH REGIONAL MED CTR
1000 HOUGHTON AVE
SAGINAW 48602
(989) 345-3660
SAINT CLAIR COUNTY

1035502
BLUE WATER PATHOLOGY PC
1221 PINE GROVE AVE
PORT HURON 48060
(810) 989-3270
1065117
MERCY PATHOLOGY
2601 ELECTRIC AVE
PORT HURON 48060
(810) 985-1387
1099106
1090066
PORT HURON HOSPITAL

1221 PINE GROVE AVE

4100 S RIVER RD
PORT HURON 48060

EAST CHINA 48054
(810) 989-3233
(810) 329-7111
SAINT JOSEPH COUNTY

1090670
1120838
STURGIS HOSPITAL
STURGIS HOSPITAL
916 MYRTLE AVE

916 MYRTLE AVE
STURGIS 49091
STURGIS 49091
(269) 659-4415
(269) 659-4415
1121740
THREE RIVERS HEALTH SYSTEM INC
701 S HEALTH PKWY
THREE RIVERS 49093
(269) 273-9795
3559 PINE STREET
DECKERVILLE 48427
(810) 376-2835
SANILAC COUNTY
9000248
SHIAWASSEE COUNTY
1032415
MCLAREN LABORATORY-PERRY
3737 W LANSING RD
PERRY 48872
(517) 625-4544
9000232
317 S ELM ST
OWOSSO 48867
(989) 723-9488
9000416
826 W KING
OWOSSO 48867
(989) 723-5211
9000389
721 N SHIAWASSEE
OWOSSO 48867
9000188
9000043

239 N STATE ROAD

100 HEALTH PARK DRIVE
OWOSSO 48867
OWOSSO 48867
(989) 725-7704
(989) 725-8847
1021974
MEMORIAL OUTPATIENT SVCS-DURAND
9099 E LANSING RD
DURAND 48429
(989) 288-5573
1021973
MEMORIAL STATE RD HEALTH SERVICES
239 N STATE RD
OWOSSO 48867
(989) 725-7704
1021975
MEMORIAL WOMEN'S CENTER
100 HEALTH PARK DR
OWOSSO 48867
(989) 725-8847
ST. CLAIR COUNTY

9000079
PORT HURON HOSPITAL
1221 PINE GROVE
PORT HURON 48060
(810) 989-3285
9000074
9000392
PORT HURON HOSPITAL

PORT HURON HOSPITAL
117 S MAIN
7470 BROCKWAY RD
CAPAC 48014
YALE 48097
(810) 395-4840
(810) 387-3211
9000285
4100 RIVER RD
EAST CHINA TOWNSHIP 48054
(810) 985-2663
ST. JOSEPH COUNTY

9000426
STURGIS HOSPITAL
916 MYRTLE AVE
STURGIS 49091
(269) 659-4471
9000381
THREE RIVERS HEALTH
THREE RIVERS 49093
(269) 273-9675
9000054
THREE RIVERS HEALTH
1021 HILL ST SUITE 300
THREE RIVERS 49093
(269) 273-8511
4675 HILL STREET
CASS CITY 48726
(989) 872-2121
TUSCOLA COUNTY
9000316

Laboratory Sites
Page 826
February 19, 2015
LABORATORY SITES
PIN
Provider
Address
City and Zip
Phone
VAN BUREN COUNTY

9000309
9000308

451 HEALTH PARKWAY

451 HEALTH PARKWAY
PAW PAW 49079

PAW PAW 49079
(269) 655-3060
(269) 657-8300
9000281
408 HAZEN ST
PAW PAW 49079
(269) 657-1440
9000185
MATTAWAN 49071
(269) 283-5200
1117951
1121796
SHCH PATHOLOGY
SOUTH HAVEN COMMUNITY HOSPITAL
955 S BAILEY AVE

955 S BAILEY AVE
SOUTH HAVEN 49090

SOUTH HAVEN 49090
(269) 637-5271
(269) 637-5271
5230 S STATE RD
2144 WASHTENAW
ANN ARBOR 48108

YPSILANTI 48197
(855) 293-2639
(734) 544-0947
(734) 936-4000
WASHTENAW COUNTY
1069754
1024418
PROGENITY INC
1048130
REGENTS OF THE U OF M PATHOLOGY
ANN ARBOR 48109
9000132
1540 E HOSPITAL DR RECEPTION B
ANN ARBOR 48109
(734) 647-8913
9000257
375 BRIARWOOD CIRCLE BUILDING 3
ANN ARBOR 48108
(734) 998-0284
9000117
9000270

1500 E MEDICAL CENTER DR 3RD FLOOR 2126

39901 TRADITIONS DRIVE STE 140
ANN ARBOR 48109

NORTHVILLE 48168
(734) 232-5111
(248) 615-6532
9000271
400 E EISENHOWER PKWY BUILDING 2 STE B
ANN ARBOR 48108
(734) 998-4413
9000166
YPSILANTI 48198
(734) 544-3277
9000298
9000149

4260 PLYMOUTH RD
1801 BRIARWOOD CIRCLE BUILDING 10
ANN ARBOR 48109

ANN ARBOR 48108
(734) 647-5685
(734) 913-0167
9000120
1500 E MEDICAL CENTER DRIVE FLOOR 2
ANN ARBOR 48109
(734) 936-6781
9000116
ANN ARBOR 48109
(734) 647-8913
9000114
1500 E MEDICAL CENTER DR FLOOR 3
ANN ARBOR 48109
(734) 936-6760
9000113
9000111


14700 E OLD US HIGHWAY 12
ANN ARBOR 48109

CHELSEA 48118
(734) 647-6304
(734) 475-4483
9000323
4900A JACKSON RD
ANN ARBOR 48103
(743) 998-7036
(313) 473-1637
WAYNE COUNTY
9000317
468 CADIEUX RD
GROSSE POINT 48230
1056995
5728 SCHAEFER LOWER LEVEL
DEARBORN 48126
(248) 471-4111
1056988
15121 W MCNICHOLS
DETROIT 48235
(313) 273-3590
1056985
9000160

10501 TELEGRAPH RD LOWER LEVEL

19141 GREENFIELD
TAYLOR 48180
DETROIT 48235
(313) 292-2640
(313) 273-7821
9000266
3950 BEAUBIEN
DETROIT 48201
(313) 832-8618
9000287
4160 JOHN R STE 802
DETROIT 48201
(313) 993-0598
9000319
DETROIT 48201
(313) 993-8858
9000162
9000100


14071 E 7 MILE RD
DETROIT 48223
DETROIT 48205
(313) 538-1696
(313) 527-1945
9000297
4201 ST ANTOINE STE 4-D
DETROIT 48201
(313) 745-4112
9000351
6001 W OUTER DRIVE STE 310
DETROIT 48235
(313) 966-4018
9000312
45250 CHERRY HILL
CANTON 48187
(734) 397-6271
9000367
1076624

GREAT LAKES MEDICAL LABORATORIES
6450 MAPLE
DEARBORN 48126
DEARBORN 48126
(313) 216-2212
(313) 436-4372
1022878
LABCORP LIVONIA
32355 CAPITOL AVE
LIVONIA 48150
(734) 513-3500
1116232
MAINWARING PATHOLOGY GROUP PC
5450 FORT ST
TRENTON 48183
(734) 642-2138
1116231
1116230

1000 TELEGRAPH RD
33155 ANNAPOLIS
TAYLOR 48180
WAYNE 48184
(313) 593-7965
(734) 467-4276
1009952
18101 OAKWOOD
DEARBORN 48124
(313) 593-7965
1040746
MIDWEST MEDICAL LAB
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
9000334
5400 FORT STREET SUITE 220
TRENTON 48183
(734) 671-3367
9000169
9000241

2001 MERRIMAN
33155 ANNAPOLIS
WESTLAND 48186
WAYNE 48184
(734) 727-1025
(734) 467-4234
9000194
25045 FORD RD
DEARBORN 48128
(313) 791-5017
9000391
7330 CANTON CENTER
CANTON 48187
(734) 454-2808
9000151
DEARBORN 48124
(313) 438-7778
9000050
9000095

10000 S TELEGRAPH
1331 MONROE
TAYLOR 48180
DEARBORN 48124
(313) 295-5389
(313) 724-4055
9000134
15777 NORTHLINE
SOUTHGATE 48195
(734) 246-8660
9000135
15915 SOUTHFIELD RD
ALLEN PARK 48101
(313) 294-1104
9000153
9000159


19020 FORD ST
DEARBORN 48124
RIVERVIEW 48193
(313) 593-7949
(734) 362-5125
9000170
201 THIRD STREET
BELLEVILLE 48111
(734) 697-9047
9000163
19725 ALLEN RD
BROWNSTOWN 48183
(734) 479-2506

Laboratory Sites
Page 827
February 19, 2015
LABORATORY SITES
PIN
Provider
Address
City and Zip
Phone
32669 WEST WARREN STE 10

2050 S HAGGERTY RD
GARDEN CITY 48135

CANTON 48188
(734) 242-6870
(734) 397-0286

1065741
1024371
PINKUS DERMATOPATHOLOGY LAB

1024362
ALLEN PARK 48101
(313) 383-5575
1024377
3735 MONROE ST STE C
DEARBORN 48124
(313) 562-2637
1024397
1024412

11583 FARMINGTON RD
LIVONIA 48150
TAYLOR 48180
(734) 427-2660
(734) 287-4914
9000173
20321 FARMINGTON RD
LIVONIA 48152
(248) 615-6532
9000056
CANTON 48187
(734) 844-5280
1125438
UNIVERSITY PATHOLOGISTS PC
3901 BEAUBIEN
DETROIT 48201
(313) 745-5315
1021226
1116995
UNIVERSITY PATHOLOGISTS PC
UNIVERSITY PHYSICIAN GROUP
4100 JOHN R
3901 BEAUBIEN ST
DETROIT 48201
DETROIT 48201
(313) 745-8100
(313) 745-2553
1030750
17916 FARMINGTON RD
LIVONIA 48152
(734) 466-9697
WEXFORD COUNTY
1011392
MERCY HEALTH SERVICES NORTH
400 HOBART ST
CADILLAC 49601
(800) 383-1656
9000073
117 E 7TH ST
MANTON 49663
(231) 824-9414
9000272
400 HOBART ST
CADILLAC 49601
(231) 876-7295

Laboratory Sites
Page 828
February 19, 2015
RADIOLOGY SITES
PIN
Provider
Address
City and Zip
Phone
555 LINN STREET

555 LINN ST
ALLEGAN 49010
ALLEGAN 49010
(269) 686-4210
(517) 686-4070
ALLEGAN COUNTY
9000339
1121195

ALLEGAN RADIOLOGY
1121180
PREMIER MEDICAL CARE RADIOLOGY
411 NAOMI STREET
PLAINWELL 49080
(269) 388-6350
1006352
SOUTHWEST MICHIGAN RADIOLOGY
555 LINN ST
ALLEGAN 49010
(414) 423-4100
ALPENA COUNTY
9000128
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7249
1117943
ARMC RADIOLOGY
1501 W CHISHOLM ST
ALPENA 49707
(989) 356-7575
1096925
ARMC RADIOLOGY
ALPENA 49707
(989) 356-7570
1009 W GREEN ST
HASTINGS 49058
(269) 945-3451
BARRY COUNTY
1090845
SOUTHWEST MICHIGAN RADIOLOGY PLLC
BAY COUNTY
1015858
BAY IMAGING PLC
1900 COLUMBUS AVE
BAY CITY 48708
(989) 894-6503
1015785
1015010
INTEGRIS MEDICAL PLLC

LAKESHORE DIAGNOSTICS ULTRASOUND CO
5966 REDFEATHER DR
1003 WOODSIDE AVE
BAY CITY 48706

ESSEXVILLE 48732
(989) 893-6573
(989) 892-8444
9000155
MCLAREN BAY REGION
1900 COLUMBUS AVENUE
BAY CITY 48708
(810) 894-3800
9000006
ST MARY'S OF MICHIGAN - BAY CITY
4040-A N EUCLID AVE
BAY CITY 48706
(989) 684-4300
224 PARK AVE
FRANKFORT 49635
(231) 352-2200
(866) 814-7275
BENZIE COUNTY
9000178
BERRIEN COUNTY
1092483
LAKELAND COMM HOSP WATERVLIET
400 MEDICAL PARK DR
WATERVLIET 49098
9000229
LAKELAND HOSPITALS, NILES
31 NORTH ST JOSEPH STREET
NILES 49120
(269) 556-2880
9000085
LAKELAND HOSPITALS, ST JOSEPH
1234 NAPIER AVENUE
ST JOSEPH 49085
(269) 556-2880
(269) 979-9400
CALHOUN COUNTY
1024106
BECKLEY ROAD MED IMAGING/MRI
5232 BECKLEY RD STE A
BATTLE CREEK 49015
1122636
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 565-9215
9000225
9000218


300 NORTH AVE
BATTLE CREEK 49015

BATTLE CREEK 49017
(269) 565-9100
(269) 245-8660
9000217
300 NORTH AVE
BATTLE CREEK 49017
(269) 245-8660
9000219
OAKLAWN HOSPITAL
300 NORTH AVE
BATTLE CREEK 49017
(269) 245-8660
1122565
3035 CAPITAL AVE SW
BATTLE CREEK 49015
(269) 388-6350
1003575
RADIOLOGY CONSULTANTS PLC
5352 BECKLEY RD STE C
BATTLE CREEK 49015
(269) 979-9400
420 W HIGH ST
DOWAGIAC 49047
(586) 753-0165
CASS COUNTY
1083612
BORGESS LEE MEMORIAL HOSPITAL
CHARLEVOIX COUNTY
1118390
14700 LAKESHORE DR
CHARLEVOIX 49720
(231) 547-4024
9000112
1054340

NORTHERN RADIOLOGY ASSOC PC
14700 LAKE SHORE DRIVE

14700 LAKE SHORE DR
CHARLEVOIX 49720
CHARLEVOIX 49720
(231) 547-4024
(231) 547-4024
CHEBOYGAN COUNTY
1099947
1096366
NORTHERN IMAGING ASSOC PC

810 S MAIN ST STE 5

748 S MAIN ST
CHEBOYGAN 49721
CHEBOYGAN 49721
(231) 347-5400
(231) 627-1259
1099946
6135 CRESSY ST
INDIAN RIVER 49749
(231) 238-8908
703 N MCEWAN STREET
CLARE 48617
(989) 802-5000
CLARE COUNTY
9000384
MID MICHIGAN MEDICAL CENTER CLARE

Radiology Sites
Page 829
February 19, 2015
RADIOLOGY SITES
PIN
Provider
Address
City and Zip
Phone
CLINTON COUNTY
1066535
9000404

CLINTON RADIOLOGY AND IMAGING SERVICES
1055 S US 27
805 S OAKLAND
ST JOHNS 48879
ST JOHNS 48879
(989) 224-3000
(989) 227-3330
1003050
LANSING RADIOLOGY ASSOCIATES
805 S OAKLAND CLINTON MEMORIAL HOSPITAL ST JOHNS 48879
(989) 224-6881
809 MICHIGAN AVE
GRAYLING 49738
(989) 348-6610
CRAWFORD COUNTY
9000407
EATON COUNTY
1045718
ADVANCED RADIOLOGY SERVICES
1500 S MAIN ST
EATON RAPIDS 48827
(517) 663-9426
1045717
321 E HARRIS ST
CHARLOTTE 48813
(517) 543-1050
9000126
1500 S MAIN ST
EATON RAPIDS 48827
(517) 663-9426
9000235
321 EAST HARRIS STREET
CHARLOTTE 48813
(517) 541-5948
9000037
9000024
Hayes Green Beach Hospital

321 E Harris St
11615 S Hartel Rd
Charlotte 488131629
Grand Ledge 488379165
(517) 543-1050
(517) 627-5100
9000072
11615 S HARTEL ROAD SUITE 208
GRAND LEDGE 48837
(517) 627-5100
EMMET COUNTY
1091185
IMAGE NORTH
1114 CHARLEVOIX AVE
PETOSKEY 49770
(231) 439-9700
1008212
416 CONNABLE AVE
PETOSKEY 49770
(231) 487-4000
1019606
PETOSKEY RADIOLOGY
1114 CHARLEVOIX AVE
PETOSKEY 49770
(231) 439-9700
1103635
VISCONTI IMAGING AND VEIN INS
1114 CHARLEVOIX AVE
PETOSKEY 49770
(231) 439-9700
GENESEE COUNTY
1006501
ASSOCIATED RADIOLOGIST OF FLINT PC
ONE HURLEY PLAZA
FLINT 48503
(810) 424-4761
1029383
1036648
BALLENGER ROAD SCANNER LLC

BRISTOL ROAD IMAGING CENTER

G 5067 W BRISTOL RD STE K
FLINT 48504
FLINT 48507
(810) 235-0668
(810) 733-0333
1029393
CENTER ROAD SCANNER LLC
4201 WALLI STRASSE STE A
BURTON 48509
(810) 742-4022
1083602
COMPLETE HEALTH SYSTEMS INC
FLINT 48532
(810) 720-3891
1126309
1065244
COMPREHENSIVE PAIN SPECIALISTS PLLC

CT CENTERS OF FLINT LLC

FLINT 48507
FLINT 48532
(810) 877-7370
(810) 600-6300
1002915
DIAGNOSTIC RADIOLOGY ASSOC OF FLINT
501 S BALLENGER HWY
FLINT 48532
(810) 342-4800
1116671
GENESYS HURLEY CANCER INSTITUTE
FLINT 48503
(810) 762-8226
9000223
GENESYS HURLEY CANCER INSTITUTE
302 KENSINGTON AVE
FLINT 48503
(810) 762-8226
9000433
1038397
GENESYS REGIONAL MEDICAL CENTER

GRAND BLANC MEDICAL IMAGING PLC
ONE GENESYS PARKWAY

GRAND BLANC 48439

GRAND BLANC 48439
(810) 606-5000
(810) 603-9700
1003233
GREATER FLINT IMAGING CENTER
4001 WALLI STRASSE
BURTON 48509
(810) 742-4022
1029354
1100 S LINDEN RD
FLINT 48532
(810) 732-9131
1029625
FLINT 48504
(810) 235-0668
1093907
1056688
GREATER FLINT MRI

GREATER GENESEE MRI
G3231 BEECHER RD
FLINT 48532
FLINT 48507
(810) 230-2411
(810) 391-5057
1120492
HURLEY GRAND POINT HEALTH
5494 S DORT HWY
FLINT 48507
(810) 262-7740
1117050
HURLEY MEDICAL CENTER
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9953
1061847
1033603
INSIGHT IMAGING
LINDEN ROAD IMAGING

1100 S LINDEN RD
FLINT 48507
FLINT 48532
(810) 275-9688
(810) 732-9131
9000283
MCLAREN FLINT
4100 BEECHER ROAD
FLINT 48532
(810) 342-3800
9000039
MCLAREN IMAGING CENTER
501 S BALLENGER HWY
FLINT 485323641
(810) 342-4800
1078678
MCLAREN IMAGING-FENTON
2420 OWEN RD STE B
FENTON 48430
(810) 496-2458
1079081
1038694
MICHIGAN INTERVENTIONAL RADIOLOGY ASSOCIATES

MID MICHIGAN DIAGNOSTIC

FLINT 48532
GRAND BLANC 48439
(810) 230-9833
(810) 606-0656
1059550
PREMIER IMAGING CENTER
FLINT 48532
(810) 600-6300
1092335
PREMIER MEDICAL CLINICS
FLINT 48532
(810) 733-1453
1008611
REGIONAL MEDICAL IMAGING PC
8483 HOLLY RD
GRAND BLANC 48439
(810) 694-8201
1002963
1010640

3346 LENNON RD
221 W ROBERTS ST
FLINT 48532
FENTON 48430
(810) 244-7109
(810) 629-4192
1002961
1141 S STATE RD STE 26
DAVISON 48423
(810) 658-4454
1002962
FLINT 48532
(810) 732-8870
10850 TRAVERSE HIGHWAY SUITE 60
TRAVERSE CITY 49684
(231) 935-6400

9000058
GRAND TRAVERSE RADIOLOGISTS P.C

Radiology Sites
Page 830
February 19, 2015
RADIOLOGY SITES
PIN
Provider
Address
City and Zip
Phone
GRATIOT COUNTY
9000216
MID MICHIGAN MEDICAL CENTER GRATIOT
300 E WARWICK DRIVE
ALMA 48801
(989) 463-1101
168 SOUTH HOWELL STREET

168 S HOWELL ST
HILLSDALE 49242
HILLSDALE 49242
(517) 437-1719
(269) 388-6350
(734) 677-7400
(866) 961-1450
HILLSDALE COUNTY
9000140
1121181

HURON COUNTY
1117134
1009497
ACCURATE RADIOLOGY PC
ACCURATE RADIOLOGY PC
1100 SOUTH VAN DYKE RD

170 N CASEVILLE RD
BAD AXE 48413

PIGEON 48755
1090501
ASSOCIATED RADIOLOGISTS OF FLINT PC
210 S FIRST ST
HARBOR BEACH 48441
(989) 479-3201
9000063
1100 S VAN DYKE RD
BAD AXE 48413
(989) 269-8933
1119000
SCHEURER HOSPITAL
170 N CASEVILLE RD
PIGEON 48755
(989) 453-3223
1118998
1023776
SCHEURER HOSPITAL
THUMB MEDICAL IMAGING
618 UNIONVILLE RD
1100 S VAN DYKE
SEBEWAING 48759
BAD AXE 48413
(989) 883-2617
(989) 269-9521
1109489
THUMB MEDICAL IMAGING PC
170 N CASEVILLE
PIGEON 48755
(734) 677-7400
(616) 363-7272
INGHAM COUNTY
1001684
401 W GREENLAWN AVE
LANSING 48910
1024058
BREAST CENTER OF LANSING PLLC
3960 PATIENT CARE DR STE 109B
LANSING 48911
(517) 853-9123
1024057
GENESIS DIAGNOSTIC CENTER INC
3960 PATIENT CARE DR STE 109A
LANSING 48911
(517) 853-9124
1019931
1026852
IRMC-BREAST CARE CENTER

401 W GREENLAWN WOMENS & CHILDRENS

LANSING 48910
EAST LANSING 48823
(517) 334-2100
(517) 332-3500
1025048
1215 E MICHIGAN AVE 1ST FL
LANSING 48909
(517) 364-2300
1025049
1210 W SAGINAW
LANSING 48915
(517) 364-7300
9000278
401 W GREENLAWN AVE
LANSING 48910
(517) 975-7000
9000206
9000026


401 W Greenlawn Ave
LANSING 48910
Lansing 489102819
(517) 975-7000
(517) 975-7000
9000029
McLaren Orthopedic Hospital
2727 S Pennsylvania Ave
Lansing 489103490
(517) 975-7000
1025051
MID-MICHIGAN MRI INC
138 SERVICE RD STE D-100
EAST LANSING 48824
(517) 664-1704
1005710
1127201
MID-MICHIGAN MRI INC

MID-MICHIGAN PHYSICIANS IMAGING CTR
1215 E MICHIGAN AVE 1ST FL

LANSING 48909
LANSING 48912
(517) 364-2877
(517) 913-3800
1002954
MSU RADIOLOGY
EAST LANSING 48824
(517) 353-4920
1070434
MSU WOMENS IMAGING CENTER
EAST LANSING 48823
(517) 884-9000
1026032
RAMBLEWOOD BONE DENSITY CTR
1575 RAMBLEWOOD DR
EAST LANSING 48823
(517) 332-3500
1067475
LANSING 48912
(517) 483-7550
520 E WASHINGTON ST
IONIA 48846
16165231560
IONIA COUNTY
9000330
IOSCO COUNTY
1120951
ADVANCED DIAGNOSTIC IMAGING PC
200 HEMLOCK
TAWAS CITY 48763
(989) 362-9301
9000167
200 HEMLOCK
TAWAS CITY 48763
(989) 362-0170
ISABELLA COUNTY
1067533
F & S RADIOLOGY PC
1220 SOUTH DR
(216) 255-5700
1048179
1048180
FRANKLIN & SEIDELMANN SUBSPECIALTY

FSH RADIOLOGY INC
1221 SOUTH DR
1221 SOUTH DR

(989) 772-6777
(989) 772-6700
1102276
MCL CENTRAL MI
1221 SOUTH DR
(989) 772-6700
9000083
1221 SOUTH DRIVE
MT PLEASANT 48858
(989) 772-6811
1006369
MID MI RADIOLOGY ASSOC PC
211 S CRAPO STE F
(989) 773-2081
1074398
OPEN MRI MT PLEASANT
211 S CRAPO STE H
(989) 953-6736

1535 GULL RD SUITE 3030
KALMAZOO 49009
KALAMAZOO 49048
(269) 372-7494
(269) 226-4830
KALAMAZOO COUNTY
9000371
9000436

9000398
7901 ANGLING ROAD
PORTAGE 49024
(269) 324-8425
1012190
BRONSON ADVANCED RADIOLOGY SERVICES
524 S PARK ST
KALAMAZOO 49007
(269) 341-6789

Radiology Sites
Page 831
February 19, 2015
RADIOLOGY SITES
PIN
Provider
Address
City and Zip
Phone

9000332
9000353

534 S PARK ST
601 JOHN ST SUITE M-515 5TH FLOOR
KALAMAZOO 49007
KALAMAZOO 49007
(269) 341-6789
(269) 341-8358
1021936
KALAMAZOO 49048
(269) 388-6350
1121179
8001 ANGLING RD
PORTAGE 49024
(269) 388-6350
1121176
1121177

1521 GULL RD
7901 ANGLING RD
KALAMAZOO 49048
PORTAGE 49024
(269) 388-6350
(269) 388-6350
1121178
8450 NORTH 32ND ST
RICHLAND 49083
(269) 388-6350
1121183
1700 GULL RD
KALAMAZOO 49048
(269) 388-6350
1121184
6565 W MAIN ST
KALAMAZOO 49009
(269) 388-6350
1121182
4200 S WESTNEDGE
KALAMAZOO 49008
(269) 388-6350
419 S CORAL STREET
KALKASKA 49646
(231) 258-7500
KALKASKA COUNTY
9000292
KENT COUNTY
1060860
EAST BELTLINE IMAGING
743 E BELTLINE NE
GRAND RAPIDS 49525
(616) 301-7500
9000154
9000044
SPECTRUM HEALTH BLODGETT CAMPUS

SPECTRUM HEALTH BUTTERWORTH
1840 WEALTHY ST SE
100 MICHIGAN ST NE
GRAND RAPIDS 49506

GRAND RAPIDS 49503
(616) 774-7826
(616) 391-1812
1099574
1545 68TH ST SE STE B
GRAND RAPIDS 49508
(616) 267-2626
1099573
7751 BYRON CENTER SW
BYRON CENTER 49315
(616) 267-2626
1099572
3322 BELTLINE CT NE
GRAND RAPIDS 49525
(616) 267-2626
LAPEER COUNTY
1029365
LAPEER 48446
(810) 245-5675
1107169
KELLAM AND ASSOCIATES PC
1254 N MAIN ST
LAPEER 48446
(734) 677-7400
1005759
1120503

LAPEER MEDICAL DIAGNOSTICS PC
1375 N MAIN ST
944 BALDWIN RD STE F
LAPEER 48446
LAPEER 48446
(810) 667-5744
(810) 245-7812
9000012
LAPEER REGIONAL MEDICAL CENTER
1375 N MAIN ST
LAPEER 48446
(810) 667-5500
1079995
MCLAREN LAPEER
1254 N MAIN ST
LAPEER 48446
(810) 664-4531
1086149
MID MICHIGAN DIAGNOSTIC
1794 N LAPEER RD #D
LAPEER 48446
(810) 245-0800
LIVINGSTON COUNTY
9000395
ST. JOSEPH MERCY BRIGHTON
7575 GRAND RIVER ROAD SUITE 104
BRIGHTON 48114
(810) 844-7050
9000362
9000171
ST. JOSEPH MERCY LIVINGSTON

ST. JOSEPH MERCY LIVINGSTON DIAGNOSTIC CENTER
620 BYRON ROAD

202 E VAN RIPER SUITE 300
HOWELL 48843
FOWLERVILLE 48836
(800) 396-1313
(517) 223-3716
9000402
8001 CHALLIS RD
BRIGHTON 48116
(810) 227-9510
MACKINAC COUNTY
9000068
1140 N STATE
ST IGNACE 49781
(906) 643-8585
1099943
220 BURDETTE ST
SAINT IGNACE 49781
(906) 643-8585
MACOMB COUNTY
1126122
ADVANTAGE VEIN INSTITUTE
21230 DEQUINDRE RD
WARREN 48091
(586) 426-1000
1117009
AMERICAN HEALTHCARE NETWORK
28755 SCHOENHERR RD
WARREN 48088
(586) 920-2546
1057513
BASHA DIAGNOSTICS PC
13753 19 MILE RD
(586) 566-8680
9000136
9000197

15959 HALL RD
25631 LITTLE MACK
MACOMB 48044
(800) 328-8452
(800) 328-8542
9000421
8545 COMMON RD
WARREN 48093
(800) 328-8542
1055412
BEAUMONT PROF SVCS RADIOLOGY
15979 HALL RD
MACOMB 48044
(248) 964-5190
1055411
BEAUMONT PROF SVCS RADIOLOGY
44250 DEQUINDRE RD
(248) 964-5190
1092758
9000301
BEAUMONT PROFESSIONAL SERVICES RADIOLOGY

21400 E 11 MILE RD
42700 GARFIELD RD

CLINTON TWP 48038
(248) 577-9352
(586) 532-3401
1126442
DR L REYNOLDS ASSOCIATES PC
WARREN 48092
(248) 359-1008
1033229
EASTPOINTE RADIOLOGISTS PC
21000 12 MILE RD STE 120
(586) 447-5127
1058292
1033224
36175 HARPER AVE

15717 15 MILE RD

(586) 741-3772
(586) 285-3800
1033225
80650 VAN DYKE
ROMEO 48065
(810) 798-8551
1006439
15855 19 MILE RD
(586) 263-2595

Radiology Sites
Page 832
February 19, 2015
RADIOLOGY SITES
PIN
Provider
Address
City and Zip
Phone
(586) 465-5501
(586) 416-7530

1033227
1033232
25990 CROCKER BLVD

17700 23 MILE RD

MACOMB 48044
1108443
(586) 777-2050
1108434
50505 SCHOENHERR RD
UTICA 48315
(586) 323-5460
1108435
1033223
25990 CROCKER BLVD

30795 23 MILE RD

NEW BALTIMORE 48047
(586) 465-5501
(586) 421-3000
1108433
12150 30 MILE RD
WASHINGTON 48095
(586) 336-2400
1108442
21099 MASONIC BLVD
(586) 296-6213
1108436
MACOMB 48044
(586) 226-6226
1108437
1108438

13355 E 10 MILE RD

WARREN 48089
(586) 566-8240
(586) 759-7900
1002973
ECG SCANNING & MED SVCS
ROSEVILLE 48066
(800) 346-5837
1003122
GENERAL RADIOLOGY ASSOC
MOUNT CLEMENS 48043
(734) 677-7400
1009868
GREAT LAKES MRI OF MICHIGAN LLC
WARREN 48088
(586) 427-7226
1056944
9000408
HARPER METRO CT PARTNERSHIP

MCLAREN MACOMB
36561 HARPER AVE STE F

8180 26 MILE RD

(586) 791-0620
(586) 992-9010
9000373
MCLAREN MACOMB
66440 GRATIOT AVE
LENOX TOWNSHIP 48050
(586) 430-4020
9000049
MCLAREN MACOMB
MOUNT CLEMENS 48043
(586) 493-8187
9000256
1031284
MCLAREN MACOMB
MCRMC COMPREHENSIVE BREAST HLTH CTR
36561 HARPER AVE STE F

CLINTON TWP 48035

(586) 791-0620
(586) 412-5150
1092722
11900 E 12 MILE RD STE 300
WARREN 48093
(248) 851-1422
1083560
RADIOLOGY MEDICAL CONSULTANTS PC
239 S MAIN ST
ROMEO 48065
(248) 723-5555
9000175
21099 MASONIC BLVD
(586) 296-6213
9000078
9000147

11800 E 12 MILE RD
17900 23 MILE RD
WARREN 48093
MACOMB TOWNSHIP 48044
(586) 573-5000
(866) 246-4673
1074775
VHS PHYSICIANS OF MICHIGAN INC
(586) 532-3401
1030736
WILLIAM BEAUMONT DIAGNOSTIC SERVICES
BEAUMONT MED CTR 15979 HALL RD
MACOMB 48044
(586) 416-8400
1030738
BEAUMONT MEDICAL CENTER-WARREN 8545
WARREN 48093
(586) 393-3000
1030737
BEAUMONT MEDICAL CENTER 25631 LITTLE
(586) 443-2900
MANISTEE COUNTY
9000110
9000105

1465 E PARKDALE AVE

14477 CABERFAE HWY
MANISTEE 49660
WELLSTON 49689
(231) 398-1114
(231) 848-4915
9000411
8225 LAKE STREET
BEAR LAKE 49614
(231) 864-5002
ONE ATKINSON DRIVE
LUDINGTON 49431
(231) 845-2357
605 OAK ST
BIG RAPIDS 49307
(231) 796-8691
111 E WACKERLY STE A

4000 WELLNESS DRIVE
MIDLAND 48642
MIDLAND 48670
(989) 372-0348
(989) 839-3000
(989) 633-8000
MASON COUNTY
9000430
MECOSTA COUNTY
9000354
MIDLAND COUNTY
1068703
9000273
MICHIGAN IMAGING
MID MICHIGAN MED CENTER MIDLAND
1109064
MID MICHIGAN PHYSICIANS GROUP
4000 WELLNESS DR
MIDLAND 48670
1118773
MIDLAND GENERAL PRACTICE
2525 WASHINGTON ST
MIDLAND 48642
(989) 832-8803
1075819
MM MEDICAL CENTER MIDLAND
4000 WELLNESS DR
MIDLAND 48670
(989) 839-3366
MONROE COUNTY
1095996
DRS HARRIS BIRKHILL WANG SONGE & ASSOC
718 N MACOMB ST
MONROE 48162
(734) 240-5600
9000047
100 POWELL DRIVE
DUNDEE 48131
(734) 240-3343
9000424
1100084

MONROE CANCER TREATMENT CENTER

800 STEWART RD
MONROE 48162
MONROE 48162
(734) 240-4113
(734) 240-1800
MONTCALM COUNTY
1089118
CARSON CITY CENTER FOR WOMEN'S HEALTHCARE PC
639 E MAIN ST
CARSON CITY 48811
(989) 584-3107
9000280
406 E ELM STREET
CARSON CITY 48811
(989) 584-3131
1027012
406 E ELM ST
CARSON CITY 48811
(989) 584-3971

Radiology Sites
Page 833
February 19, 2015
RADIOLOGY SITES
PIN
Provider
Address
City and Zip
Phone
(989) 291-3261
(989) 291-6336

1038459
9000221
LAPEER RADIOLOGISTS
301 N MAIN
301 NORTH MAIN ST
SHERIDAN 48884
SHERIDAN 48884
9000289
418 WASHINGTON AVE
LAKEVIEW 48850
(989) 352-1505
1089503
GREENVILLE 48838
(616) 267-2626
9000360
615 S BOWER ST
GREENVILLE 48838
(616) 754-4691
MUSKEGON COUNTY
9000143
MERCY HEALTH-HACKLEY CAMPUS
1700 CLINTON
MUSKEGON 49442
(231) 728-4948
9000123
1500 E SHERMAN BLVD
MUSKEGON 49444
(231) 672-3927
OAKLAND COUNTY
1126123
26454 WOODWARD AVE STE B
ROYAL OAK 48067
(248) 465-4100
1123418
1117008

AMERICAN HEALTHCARE NETWORK
26711 WOODWARD AVE STE LL1


(248) 268-4634
(248) 419-6050
1046949
ASSOCIATED RADIOLOGY OF CLARKSTON
CLARKSTON 48346
(248) 620-9199
1053897
ASSOCIATED RADIOLOGY OF CLARKSTON
CLARKSTON 48346
(248) 620-5012
1056204
1011595
BARBARA ANN KARMANOS CANCER INSTITUTE


30701 WOODWARD AVE STE LL

ROYAL OAK 48073
(248) 527-6266
(248) 288-1600
1046315
ROYAL OAK 48073
(248) 435-8066
9000374
6700 N ROCHESTER RD
(800) 328-8542
9000305
44201 DEQUINDRE RD
TROY 48085
(800) 328-8542
9000255
9000253

3601 W 13 MILE RD
3601 W 13 MILE RD
ROYAL OAK 48073

ROYAL OAK 48073
(800) 328-8542
(800) 328-8542
9000108
1455 S LAPEER RD
LAKE ORION 48360
(800) 328-8542
9000380
(800) 328-8542
1054544
44201 DEQUINDRE RD
TROY 48098
(248) 964-5190
1046586
1078849

BEAUMONT SPECIAL RAD PROC

44201 DEQUINDRE RD
ROYAL OAK 48073

TROY 48085
(248) 964-4866
(248) 964-5000
1007154
ROYAL OAK 48073
(586) 412-4450
9000435
28080 GRAND RIVER AVE SUITE 101
(248) 471-8100
9000208
9000209


27900 GRAND RIVER AVE SUITE 110

(248) 471-8120
(248) 471-8622
1118361
FARMINGTON 48336
(248) 442-1631
1048201
CENTRAL MEDICAL IMAGING
26454 WOODWARD AVE STE A
ROYAL OAK 48067
(248) 543-7226
1100800
CENTRAL MEDICAL IMAGING INC
26454 WOODWARD AVE STE A
ROYAL OAK 48067
(248) 543-7226
1056929
9000247
CONTEMPORARY IMAGING ASSOC PC

24285 KARIM BLVD

355 BARCLAY CIRCLE SUITE B
NOVI 48375
(248) 449-7103
(248) 601-6161
9000145
1701 SOUTH BOULEVARD EAST SUITE B50
(248) 997-9020
9000181
2251 N SQUIRREL RD
AUBURN HILLS 48326
(248) 652-5437
9000065
1101 W UNIVERSITY DRIVE
ROCHESTER 48307
(248) 652-5000
9000388
1104827
CRITTENTON BARCLAY IMAGING CENTER
72 S WASHINGTON STREET
305 BARCLAY CIRCLE STE B
OXFORD 48371
ROCHESTER 48307
(248) 969-3200
(248) 601-6161
(248) 652-5437
1104828
CRITTENTON OUTPATIENT IMAGING CTR
AUBURN HILLS 48326
1104826
CRITTENTON OXFORD OUTPATIENT IMAGING CTR
OXFORD 48371
(248) 969-3200
1104829
9000304
CRITTENTON WELLPOINT IMAGING CENTER

1701 S BOULEVARD E STE B50

44000 W 12 MILE RD #100
ROCHESTER 48307
NOVI 48377
(248) 997-9020
(248) 277-3560
9000195
(248) 937-3440
9000040
1 WILLIAMS CARL DR
COMMERCE 48382
(248) 937-3300
9000226
(248) 733-2200
9000180
9000042

2525 TELEGRAPH RD SUITE 202

1 WILLIAMS CARLS DRIVE

COMMERCE 48382
(248) 937-3440
(248) 937-3300
1092998
DIAGNOSTIC RADIOLOGY ASSOC
5701 BOW POINTE DR
CLARKSTON 48346
(248) 922-6818
1058478
DR L REYNOLDS ASSOC PC
1 WILLIAM CARLS DR
(248) 359-1008
1108439
(248) 624-5410
1033234
1108445

320 TOWN CENTER BLVD STE C101
LAKE ORION 48360

WHITE LAKE 48386
(248) 814-7800
(248) 758-7800
1108441
2110 E MAPLE RD
BIRMINGHAM 48009
(248) 816-3951
1108440
1695 W 12 MILE RD
BERKLEY 48072
(248) 336-9150
1108444
1033231

44405 WOODWARD AVE
WATERFORD 48327
PONTIAC 48341
(248) 673-2474
(248) 858-3039
1099632
ENVISION DIAGNOSTIC CENTER PLLC
NOVI 48377
(248) 679-1646
1071514
FARMINGTON 48336
(248) 476-2420

Radiology Sites
Page 834
February 19, 2015
RADIOLOGY SITES
PIN
Provider
Address
City and Zip
Phone

29829 TELEGRAPH RD STE L103
NOVI 48377
SOUTHFIELD 48034
(248) 374-2977
(248) 352-9525

1099631
1036185

FARMBROOK RADIOLOGY ASSOCIATES
1096971
GASSAN SHAHIN MD PC
(248) 737-4800
1067526
GENERAL RADIOLOGY ASSOC
50 N PERRY
PONTIAC 48342
(734) 677-7400
1122283
1008852
INFINITY PRIMARY CARE

LIFETEST MICHIGAN LLC

26400 W 12 MILE RD STE 114
NOVI 48377
SOUTHFIELD 48034
(248) 553-0050
(248) 358-3223
1121803
M1 IMAGING
BERKLEY 48072
(248) 220-3335
9000002
MCLAREN BREAST CENTER
CLARKSTON 48346
(248) 922-6810
9000376
MCLAREN OAKLAND
6770 DIXIE HWY SUITE 100
CLARKSTON 48346
(248) 922-9353
9000342
9000377

5625 WATER TOWER PLACE

6770 DIXIE HWY SUITE 100
CLARKSTON 48346
CLARKSTON 48346
(248) 922-2800
(248) 922-9353
9000260
385 N LAPEER RD
OXFORD 48371
(248) 969-7384
1093992
MICHIGAN IMAGING
4800 HIGHLAND RD
WATERFORD 48328
(855) 593-1087
1094503
MICHIGAN IMAGING
937 N OPDYKE RD
AUBURN HILLS 48326
(855) 593-1087
1124841
1084455
MICHIGAN INSTITUTE OF UROLOGY

MICHIGAN RADIOLOGY PC

1 WILLIAM CARLS DR

(248) 539-9036
(313) 745-3000
1084459
(248) 733-2200
1017997
MICHIGAN RESONANCE IMAGING
ROCHESTER 48307
(248) 299-8000
1022671
1022157
MIDWEST DIAGNOSTIC IMAGING INC

MRI OF SOUTHFIELD
5463 ELIZABETH LAKE RD

29877 TELEGRAPH STE L-11
WATERFORD 48327
SOUTHFIELD 48034
(248) 681-2000
(248) 354-5511
1048153
NATIONAL DIAGNOSTIC SERVICES LLC
NOVI 48375
(248) 476-6980
1066201
NOVI IMAGING CENTER
44000 W 12 MILE RD STE 100
NOVI 48377
(248) 277-3560
1058218
(248) 544-9050
1058220
1058217

3950 S ROCHESTER RD
ROCHESTER 48307
(248) 299-0000
(248) 544-9050
1058219
(248) 544-9050
1108061
SOUTHFIELD 48075
(248) 423-5100
1048265
OPDYKE DIAGNOSTIC CENTER PLLC
719 S OPDYKE RD
AUBURN HILLS 48326
(248) 874-4908
1054001
1054000
POH REG MED CNT CLARKSTON-RADIOLOGY

POH REG MED CNT OXFORD-RADIOLOGY
5625 WATER TOWER PL

385 N LAPEER RD
CLARKSTON 48346
OXFORD 48371
(248) 620-4224
(248) 628-3000
1053999
POH REGIONAL MED CNT-RADIOLOGY
50 N PERRY ST
PONTIAC 48342
(248) 338-5000
9000321
NOVI 48374
(248) 465-4120
9000220
9000138

30055 NORTHWESTERN HIGHWAY

16001 W 9 MILE RD

SOUTHFIELD 48075
(248) 865-4111
(248) 849-3043
(866) 228-9729
9000322
NOVI 48374
1083561
RADIOLOGY MEDICAL CONSULTANTS PC
FRANKLIN 48025
(248) 723-5555
1117168
RADIOLOGY SUBSPECIALTY ASSOC
1305 N OAKLAND BLVD
WATERFORD 48327
(248) 666-5562
1075512
1042271
ROCHESTER DIAGNOSTIC & SPECIALTY CE

SARA IMAGING PLLC
543 MAIN ST STE 421

519 BROWNLEY CT
ROCHESTER 48307
(248) 656-3100
(810) 230-0338
1069209
SILVER PINE IMAGING LLC
20475 W 10 MILE RD
SOUTHFIELD 48075
(248) 595-0505
1116850
SOUTHFIELD RADIOLOGY ASSOCIATES PC
SOUTHFIELD 48075
(248) 569-4353
9000267
3950 S ROCHESTER RD
(248) 844-6000
9000307
9000182

44555 WOODWARD AVENUE SUITE 1070

2300 HAGGERTY RD
PONTIAC 48341
(248) 338-0491
(248) 624-5410
9000233
320 TOWN CENTER BLVD
WHITE LAKE 48386
(248) 624-5410
9000348
ST. JOSEPH MERCY OAKLAND
5800 HIGHLAND RD
WATERFORD 48327
(248) 673-2474
1034071
1102184
TRIAD DIAGNOSTIC TECHNOLOGIES LLC

ULTRA DIAGNOSTIC SERVICES
39625 LEWIS DR
NOVI 48377
SOUTHFIELD 48034
(248) 698-4109
(248) 799-9780
1096965
UNITED DIAGNOSTICS PLLC
1688 STAR BATT DR
ROCHESTER 48309
(248) 852-3359
1070734
WATERFORD AMBULATORY CARE CENTER
1305 N OAKLAND BLVD
WATERFORD 48327
(248) 666-5528
1030743
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 989-5000
1030739
1030742

BEAUMONT MEDICAL BLDG 1455 S LAPEER RD

BEAUMONT HEALTH CENTER 4949 COOLIDGE
LAKE ORION 48360

ROYAL OAK 48073
(248) 656-4300
(248) 655-5700
1030735
TROY 48098
(800) 328-8542
1030740
BEAUMONT MEDICAL BLDG 6900 ORCHARD
(248) 855-7435
1030741
BEAUMONT MEDICAL BLDG 6700 N
ROCHESTER 48306
(248) 650-1500
1030744
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000
2463 S M-30
WEST BRANCH 48661
(989) 345-3660
OGEMAW COUNTY
1055138

Radiology Sites
Page 835
February 19, 2015
RADIOLOGY SITES
PIN
Provider
Address
City and Zip
Phone
OTSEGO COUNTY
1099944
9000412

835 N CENTER AVE

825 N CENTER AVENUE
GAYLORD 49735
GAYLORD 49735
(989) 731-2222
(989) 731-2176
1091184
PETOSKEY RADIOLOGY
2922 D&M DRIVE
GAYLORD 49735
(989) 705-1100
OTTAWA COUNTY
1032953
ENVISION RADIOLOGY PLLC
1309 SHELDON RD
GRAND HAVEN 49417
(616) 842-3600
9000091
1309 SHELDON RD
GRAND HAVEN 49417
(616) 847-5430
1122415
1309 SHELDON RD
GRAND HAVEN 49417
(616) 814-4800
1099571
1099569

3152 PORT SHELDON ST STE C

588 E LAKEWOOD
HUDSONVILLE 49426
HOLLAND 49424
(616) 267-2626
(616) 494-5870
1099570
GRAND HAVEN 49417
(616) 846-9891
9000417
SPECTRUM HEALTH ZEELAND COMM HOSPITAL
8333 FELCH ST
ZEELAND 49464
(616) 772-4664
PRESQUE ISLE COUNTY

1117942
ARMC RADIOLOGY
555 N BRADLEY HWY
ROGERS CITY 49779
(989) 734-9061
1099945
573 N BRADLEY HWY
ROGERS CITY 49779
(989) 734-2171
(989) 583-4000
SAGINAW COUNTY
1084886
ADVANCED DIAGNOSTIC IMAGING
1447 N HARRISON
SAGINAW 48602
1105064
4599 TOWNE CENTRE
SAGINAW 48604
(989) 753-9000
1100802
1101232

800 S WASHINGTON
705 COOPER ST
SAGINAW 48601
SAGINAW 48602
(989) 753-9000
(877) 616-2325
1055137
SAGINAW 48603
(989) 753-9000
1083462
ASSOCIATED RADIOLOGISTS OF FLINT PC
SAGINAW 48603
(989) 797-3000
1044366
COVENANT BREAST IMAGING CENTER
5570 STATE ST STE 3
SAGINAW 48603
(989) 583-0115
9000102
9000340

1447 NORTH HARRISON

5570 STATE ST
SAGINAW 48602
SAGINAW 48603
(989) 583-0115
9000350
600 NORTH MAIN
FRANKENMUTH 48734
(989) 583-0115
9000335
5400 MACKINAW
SAGINAW 48604
(989) 583-5260
1021972
1067262
MEMORIAL OUTPATIENT SVCS-CHESANING

MICHIGAN IMAGING
305 S SAGINAW ST
5815 BAY RD STE 600
CHESANING 48616
SAGINAW 48604
(989) 845-4575
(989) 372-0348
1016874
PROGRESSIVE MEDICAL IMAGING & MINIMAL
SAGINAW 48603
(989) 797-3000
1097981
SAGINAW 48603
(810) 732-1919
1075777
SAGINAW VALLEY MEDICAL IMG
SAGINAW 48603
(989) 797-3089
9000399
9000314
ST MARY'S MEDICAL CENTER SAGINAW

ST. MARY'S OF MICHIGAN TOWN CENTER

4599 TOWN CENTER RD
SAGINAW 48601
SAGINAW 48604
(989) 907-8210
(989) 497-3097
(810) 985-0029
(810) 989-7700
SAINT CLAIR COUNTY

1099109
1057945
PORT HURON HOSPITAL

TRI-HOSPITAL MRI CENTER
1530 PINE GROVE STE 7

4190 24TH AVE
PORT HURON 48060

FORT GRATIOT 48059
1057943
1221 PINE GROVE AVE
PORT HURON 48060
(810) 987-2428
1057944
4100 RIVER RD
EAST CHINA 48054
(810) 329-7111
1060218
1060216
X RAY ASSOCIATES OF PORT HURON PC

4100 RIVER RD
1221 PINE GROVE AVE
EAST CHINA 48054

PORT HURON 48060
(810) 329-7111
(810) 987-5000
1060217
2601 ELECTRIC AVE
PORT HURON 48060
(810) 985-1500
1095286
X-RAY ASSOCIATES OF PORT HURON PC
7470 BROCKWAY
YALE 48097
(800) 224-3420
SAINT JOSEPH COUNTY

1121185
1241 W BROADWAY
THREE RIVERS 49093
(269) 388-6350
1121186
701 S HEALTHWAY PKWY
THREE RIVERS 49093
(269) 388-6350
1121811
STURGIS HOSPITAL
916 MYRTLE AVE
STURGIS 49091
(269) 659-4415
1121748
THREE RIVERS HEALTH SYSTEM INC
701 S HEALTH PKWY
THREE RIVERS 49093
(269) 278-1145
SANILAC COUNTY
1076498
9000249

3559 PINE ST
3559 PINE STREET
DECKERVILLE 48427
DECKERVILLE 48427
(810) 376-2835
(810) 376-2835
1060219
120 N DELAWARE
SANDUSKY 48471
(810) 648-3770

Radiology Sites
Page 836
February 19, 2015
RADIOLOGY SITES
PIN
Provider
Address
City and Zip
Phone
SHIAWASSEE COUNTY
1061104
9000415

826 W KING ST
826 W KING
OWOSSO 48867
OWOSSO 48867
(989) 723-5211
(989) 729-4876
1021974
MEMORIAL OUTPATIENT SVCS-DURAND
9099 E LANSING RD
DURAND 48429
(989) 288-5573
1021975
MEMORIAL WOMEN'S CENTER
100 HEALTH PARK DR
OWOSSO 48867
(989) 725-8847
1006037
SHIAWASSEE OSTEOPOROSIS CENTER
1457 N M 52
OWOSSO 48867
(989) 725-7512
ST. CLAIR COUNTY

9000080
PORT HURON HOSPITAL
1221 PINE GROVE
PORT HURON 48060
(810) 989-3270
9000081
PORT HURON HOSPITAL
1221 PINE GROVE
PORT HURON 48060
(810) 985-2663
THREE RIVERS 49093
(269) 278-1145
ST. JOSEPH COUNTY

9000382
THREE RIVERS HEALTH
TUSCOLA COUNTY
1116598
KELLAM & ASSOCIATES PC
401 N HOOPER ST
CARO 48723
(866) 744-1452
1028551
1007997
RADIOLOGY SUBSPECIALTY ASSOC

THUMB MRI
4675 HILL ST
6320 VAN DYKE
CASS CITY 48726

CASS CITY 48726
(989) 872-2121
(989) 872-8070
(269) 657-1440
(269) 655-3060
VAN BUREN COUNTY

9000282
9000310

408 HAZEN ST
451 HEALTH PARKWAY
PAW PAW 49079

PAW PAW 49079
1117953
SHCH RADIOLOGY
960 S BAILEY AVE
SOUTH HAVEN 49090
(269) 639-2976
1117952
SHCH RADIOLOGY
SOUTH HAVEN 49090
(269) 639-2828
WASHTENAW COUNTY
1003271
REGENTS OF THE U OF M RADIOLOGY
ANN ARBOR 48109
(734) 936-4000
9000131
1540 E HOSPITAL DR LEVEL 3 RECEPTION A
ANN ARBOR 48109
(743) 936-4500
9000122
9000157

1500 E MEDICAL CENTER DR FLOOR B1

ANN ARBOR 48109

ANN ARBOR 48108
(734) 936-4500
(734) 936-4500
9000121
ANN ARBOR 48109
(734) 936-4500
9000119
1500 E MEDICAL CENTER DR ROOM 331
ANN ARBOR 48109
(734) 844-5277
9000158
ANN ARBOR 48108
(734) 998-7491
9000165
9000115


ANN ARBOR 48109

ANN ARBOR 48109
(734) 542-1586
(734) 936-4500
9000118
ANN ARBOR 48109
(734) 936-4500
9000299
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-6452
9000189
ANN ARBOR 48105
(734) 936-4500
WAYNE COUNTY
9000284
BARBARA ANN KARMANOS CANCER HOSPITAL
4100 JOHN R
DETROIT 48201
18005276266
1026082
1057515
BARBARA ANN KARMANOS CANCER INSTITUTE

4100 JOHN R
4407 ROEMER ST
DETROIT 48201
DEARBORN 48126
(800) 527-6266
(313) 584-0768
1057514
4777 GREENFIELD RD
DEARBORN 48126
(313) 945-9119
9000318
468 CADIEUX RD
GROSSE POINT 48230
(800) 328-8542
1086133
BEAUMONT PRESSIONAL SERVICES
468 CADIEUX
GROSSE POINTE 48230
(248) 577-9352
1078850
9000263

468 CADIEUX RD
3901 BEAUBIEN
GROSSE POINTE 48230

DETROIT 48201
(586) 412-4450
(313) 745-6501
9000296
4201 ST ANTOINE
DETROIT 48201
(313) 745-3000
9000269
3990 JOHN R
DETROIT 48201
(313) 745-8040
9000268
3980 JOHN R ST
DETROIT 48201
(313) 745-7555
9000356
9000264

6071 W OUTER DR
3901 BEAUBIEN
DETROIT 48235
DETROIT 48201
(313) 966-3300
(313) 745-5437
1058474
DETROIT 48201
(248) 359-1008
1058475
3990 JOHN R
DETROIT 48201
(248) 359-1008
1058476
1058477
3980 JOHN R
6071 W OUTER DR
DETROIT 48201
DETROIT 48235
(248) 359-1008
(248) 359-1008
1007220
3901 BEAUBIEN
DETROIT 48201
(248) 359-1008
1105502
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600

Radiology Sites
Page 837
February 19, 2015
RADIOLOGY SITES
PIN
Provider
Address
City and Zip
Phone
8850 S TELEGRAPH RD
TAYLOR 48180
DEARBORN 48124
(313) 299-2360
(313) 438-7701

1105499
1105497

1105496
15777 NORTHLINE RD
SOUTHGATE 48195
(734) 246-8140
1105500
1676 FORT ST
TRENTON 48183
(734) 362-0900
1105501
1105495

25045 FORD RD
29150 FORD RD
DEARBORN 48128
GARDEN CITY 48135
(313) 791-5070
(734) 762-3600
1007043
2333 BIDDLE AVE
WYANDOTTE 48192
(734) 246-6005
1105493
4491 VENOY RD
WAYNE 48184
(734) 595-0316
1105492
DEARBORN 48124
(313) 438-7715
1105491
1105490

33155 ANNAPOLIS ST
18101 OAKWOOD BLVD
WAYNE 48184
DEARBORN 48124
(734) 467-4186
(313) 593-7280
(734) 246-9601
1105503
23050 WEST RD
TRENTON 48183
1105489
10000 TELEGRAPH RD
TAYLOR 48180
(313) 295-5142
1102390
5450 FORT ST
TRENTON 48183
(734) 671-3877
1105498
1105494


CANTON 48187
CANTON 48187
(734) 446-9700
(734) 454-8026
1033226
22101 MOROSS
(313) 343-3248
1033228
19229 MACK AVE
(313) 647-3323
1099633
1099630

422 N CENTER ST
28275 FIVE MILE RD
NORTHVILLE 48167
LIVONIA 48154
(248) 348-1131
(734) 261-1740
1099629
NORTHVILLE 48167
(248) 449-7156
1099628
42931 W 7 MILE RD
NORTHVILLE 48167
(248) 348-8700
1099627
17800 NEWBURG RD STE 103
LIVONIA 48152
(734) 464-9540
1033230
1084448
GROSSE POINTE PHYSICIANS XRAY CENTER PC

21003 MACK
4201 ST ANTOINE

DETROIT 48201
(313) 881-0411
(313) 745-3000
1095349
4100 JOHN R
DETROIT 48201
(313) 745-3000
1084462
6071 W OUTER DR
DETROIT 48235
(313) 966-3300
1084460
261 MACK AVE
DETROIT 48201
(313) 745-1203
1084457
1084450
3980 JOHN R
3990 JOHN R
DETROIT 48201
DETROIT 48201
(313) 745-7555
(313) 745-8040
1084454
3901 BEAUBIEN
DETROIT 48201
(313) 745-5437
1102417
MIDWEST MEDICAL CENTER
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
9000051
9000390

10000 TELEGRAPH RD
TAYLOR 48180
CANTON 48187
(313) 295-5142
(734) 454-8001
9000336
5450 FORT STREET
TRENTON 48183
(734) 671-3877
9000242
33159 ANNAPOLIS
WAYNE 48184
(734) 467-4000
9000152
18101 OAKWOOD BLVD
DEARBORN 48124
(313) 593-7280
9000150
9000133


15777 NORTHLINE RD
DEARBORN 48124
SOUTHGATE 48195
(313) 438-7701
(734) 246-8100
9000357
SINAI GRACE HOSPITAL
6071 W OUTER DR
DETROIT 48235
(313) 966-4800
9000177
22151 MOROSS
DETROIT 48236
(313) 343-3553
9000161
19229 MACK AVE
GROSSE POINTE WOODS 48236
(313) 647-3000
9000057
1102043


4100 JOHN R ST
CANTON 48187
DETROIT 48201
(734) 844-5277
(313) 745-0511

Radiology Sites
Page 838
February 19, 2015
URGENT CARE CENTERS

PIN
Provider
Address
City and Zip
Phone
725 E STATE ST
STERLING 48659
(989) 654-2491

BAY CITY 48706

ESSEXVILLE 48732
(989) 667-0491
(989) 895-4860
5352 BECKLEY RD STE B

25 COLUMBIA AVE E
BATTLE CREEK 49017

BATTLE CREEK 49015
(269) 979-6888
(269) 964-4751
14700 LAKESHORE DR
1249 M-75 SOUTH
CHARLEVOIX 49720
BOYNE CITY 49712
(231) 547-4024
(231) 582-1515
810 S MAIN ST STE 5
CHEBOYGAN 49721
(231) 627-5400
12970 S US HIGHWAY 27
DEWITT 48820
(517) 669-8345
Gender
ARENAC COUNTY
1000715
STERLING AREA HEALTH CENTER
BAY COUNTY
1007493
1030617
REDIMED BAY CITY

REDIMED ESSEXVILLE
CALHOUN COUNTY
1036765
1125574
BECKLEY ROAD URGENT CARE

MEDEXPRESS URGENT CARE PC MICHIGAN
CHARLEVOIX COUNTY
1083611
1102339

QUICK CARE MEDICAL CENTER
CHEBOYGAN COUNTY
1072090
CLINTON COUNTY
1006313
DELTA MEDICAL CENTER-DEWITT
EATON COUNTY
1006312
DELTA MEDICAL CENTER-SAGINAW
6130 W SAGINAW HWY
LANSING 48917
(517) 321-8265
1038769
1117767
EATON RAPIDS MEDICAL CENTER URGENT CARE

GRAND LEDGE URGENT CARE
1500 S MAIN ST
1015 CHARLEVOIX DR
EATON RAPIDS 48827

GRAND LEDGE 48837
(517) 663-2671
(517) 627-0100
(517) 543-1050
1026586
HGB URGENT CARE
321 E HARRIS ST
CHARLOTTE 48813
1123325
LANSING URGENT CARE PLC
4440 W SAGINAW HWY
LANSING 48917
(517) 327-6400
1109748
1068298
MCLAREN GREATER LANSING GRAND LEDGE, AFTER H 1035 CHARLEVOIX DR

644 MIGALDI LN STE 300
READY CARE OF GRAND LEDGE
GRAND LEDGE 48837

LANSING 48917
(517) 626-3100
(517) 627-6024
EMMET COUNTY
1012408
1072088

8881 M-119 HWY

7700 S US-31

ALANSON 49706
(231) 347-5400
(231) 548-1333
1102297
QUICK CARE MEDICAL CENTER
116 W MITCHELL
PETOSKEY 49770
(231) 582-1515
(810) 564-7995
GENESEE COUNTY
1121779
AMD URGENT CARE SWARTZ CREEK
SWARTZ CREEK 48473
1095268
AMD URGENT MEDICAL CARE
11307 N LINDEN RD STE B
CLIO 48420
(810) 564-7995
1077165
BURTON OCCUPATIONAL & CONVENIENT CARE
2313 E HILL RD
GRAND BLANC 48439
(810) 496-0900
1119185
1003729
CLIO URGENT CARE

EMERGENCY MEDICAL CENTRE OF FLINT
4290 VIENNA RD
2284 S BALLENGER HWY STE 2
CLIO 48420
FLINT 48503
(810) 687-2850
(810) 232-6101
1119283
EXPRESS URGENT CARE
8434 N SAGINAW RD
MOUNT MORRIS 48458
(810) 686-1997
1077166
FENTON CONVENIENT CARE CENTER
2420 OWEN RD
FENTON 48430
(810) 496-2400
1026684
FENTON LATE HOURS CLINIC
102 N ADELAIDE ST
FENTON 48430
(810) 629-7511
1040431
1092556
FLUSHING ROAD URGENT CARE

FLUSHING URGENT CARE
1301 FLUSHING RD
6020 W PIERSON RD
FLINT 48504
FLUSHING 48433
(810) 424-0759
(810) 720-1200
1108470
GB URGENT CARE
8143 S SAGINAW ST STE 2B
GRAND BLANC 48439
(810) 584-7689
253394
GENESEE URGENT CARE
2265 S LINDEN RD
FLINT 48532
(810) 720-8700
1119312
GRAND BLANC URGENT CARE
5494 S DORT HWY
FLINT 48507
(810) 262-7731
1039926
1045666
HILL ROAD URGENT CARE CENTER

HOPE URGENT CARE
54945 DORT HWY

FLINT 48507
DAVISON 48423
(810) 233-9901
(810) 412-5590
1076554
HURLEY HEALTH SERVICES URGENT CARE
4272 W VIENNA RD
CLIO 48420
(810) 687-2850
1102244
HURLEY URGENT CARE
ONE HURLEY PLAZA
FLINT 48503
(810) 262-9000
550 MUNSON AVE
TRAVERSE CITY 49686
(231) 935-8686

1006702
URGENT CARE-UCN

Urgent Care Centers

Page 839
February 19, 2015
URGENT CARE CENTERS

PIN
Provider
Address
City and Zip
Phone
321 E WARWICK DR
ALMA 48801
(989) 466-3332
1040 S VAN DYKE RD
BAD AXE 48413
(989) 269-9521
Gender
GRATIOT COUNTY
1053707
MIDMICHIGAN URGENT CARE ALMA
HURON COUNTY
1077819
HMC AFTER HOURS CLINIC
INGHAM COUNTY
1025019
BOSWORTH URGENT CARE PC
1623 HASLETT RD
HASLETT 48840
(517) 339-2100
1054553
1124999
HIS HEALING HANDS HEALING CTR

2025 W HOLMES RD
320 E JOLLY RD
LANSING 48910
LANSING 48910
(517) 882-0056
(517) 999-4700
1123324
OKEMOS 48864
(517) 349-2300
1028792
505 N CLIPPERT ST
LANSING 48912
(517) 333-9200
1095663
MCLAREN REDI CARE SOUTH
6910 S CEDAR ST
LANSING 48911
(517) 975-3110
1046858
1127110
RED CEDAR VALLEY MEDICINE PLLC

SOUTHSIDE MEDICAL CENTER
6110 ABBOT RD
5525 S MLK BLVD
EAST LANSING 48823

LANSING 48911
(517) 332-5342
(517) 394-3175
1026071
SPARROW URGENT CARE EAST LANSING
EAST LANSING 48823
(517) 333-6562
1026072
SPARROW URGENT CARE MASON
800 E COLUMBIA ST
MASON 48854
(517) 244-8900
IONIA 48846
(616) 523-1644
IONIA COUNTY
1095414
SPARROW IONIA WALK IN CLINIC
ISABELLA COUNTY
1075778
CENTRAL MICHIGAN URGENT CARE
520 N MISSION ST
(989) 584-3029
1035643
ISABELLA HEALTH CARE CENTER
4950 E BLUEGRASS
(989) 317-0565
1036422
READY CARE
1523 S MISSION ST
(989) 773-1166
1325 N WEST AVE
JACKSON 49202
(517) 768-0384
JACKSON COUNTY
1125573
KALAMAZOO COUNTY
1124907
7901 ANGLING RD
PORTAGE 49024
(269) 324-8400
1120821
PORTAGE 49002
(269) 329-0202
1079479
WOODBRIDGE IMMEDIATE MEDICAL CARE
7901 ANGLING RD
PORTAGE 49024
(586) 753-0165
LAPEER COUNTY
1119183
COMPREHENSIVE URGENT CARE OF LAPEER
1257 N MAIN ST
LAPEER 48446
(810) 338-2257
1109903
1077126
LAPEER URGENT CARE

MCLAREN LAPEER
1794 N LAPEER RD STE D

1254 N MAIN ST
LAPEER 48446
LAPEER 48446
(810) 245-1800
(810) 667-7040
LIVINGSTON COUNTY
1062575
HARTLAND URGENT CARE PLLC
11166 HIGHLAND RD
HARTLAND 48353
(810) 632-0305
1070555
REDICARE
HOWELL 48843
(517) 546-9200
MACOMB COUNTY
1076993
BRIDGEVIEW URGENT CARE
39833 BRIDGEVIEW ST
(586) 627-2727
1057014
CONVENIENT CARE AFTER HOURS CLINIC
34336 HARPER AVE
(586) 791-9173
1118690
GLUCE
19070 E 10 MILE RD
EASTPOINTE 48021
(586) 773-1383
1087263
HOOVER URGENT CARE OF WARREN
26000 HOOVER RD
WARREN 48089
(586) 872-2288
1040855
1120913
LAKESIDE URGENT CARE

MADISON HEIGHTS URGENT CARE PC
44472 HAYES RD
31200 DEQUINDRE RD

WARREN 48092
(586) 412-0890
(586) 939-1800
1055569
MAPLECREST MEDICAL GROUP
(586) 795-2980
1055295
NORTHEAST MACOMB URGENT CARE
(586) 868-2600
1073051
1068400
ROSEVILLE URGENT CARE

SAINT CLAIR SHORES PROMPT CARE PLLC
20769 E 13 MILE RD
ROSEVILLE 48066
(586) 872-2288
(586) 884-2727
1074228
SHELBY URGENT CARE PC
(586) 799-4082
1055435
STERLING HEIGHTS URGENT CARE
(586) 978-1300

Urgent Care Centers

Page 840
February 19, 2015
URGENT CARE CENTERS

PIN
Provider
Address
City and Zip
Phone
STILSON SPECIALTY CENTER-PEDS URGENT

SUMMIT URGENT CARE INC

21844 23 MILE RD

MACOMB 48042
(586) 532-3401
(586) 840-4916
1060097
SUNRISE URGENT CARE
34580 DEQUINDRE RD
(586) 939-9500
1074248
UTICA SHELBY URGENT CARE
UTICA 48317
(586) 799-4471
1038767
1062925
WARREN URGENT CARE PC

WASHINGTON URGENT CARE
31700 VAN DYKE RD

WARREN 48093
WASHINGTON 48094
(586) 276-8200
(586) 935-4000
1100213
WASHINGTON URGENT CARE PLLC
WASHINGTON 48094
(586) 935-4000
Gender

1117939
1061072
MIDLAND COUNTY
1014019
EUCLID MEDICAL GROUP
4615 EASTMAN AVE
MIDLAND 48640
(989) 631-7110
1098089
HOPE URGENT CARE MIDLAND
111 E WACKERLY ST STE D
MIDLAND 48642
(989) 631-9900
MONROE COUNTY
1035195
ASPEN URGENT CARE LTD
7581 SECOR RD
LAMBERTVILLE 48144
(734) 854-1800
1026914
MONROE URGENT CARE INC
337 STEWART RD
MONROE 48162
(734) 243-3200
(248) 960-0934
OAKLAND COUNTY
1116185
ALL PATIENTS CARE PLLC
31208 BECK RD
NOVI 48377
1058967
BI-COUNTY URGENT CARE PC
116 W 8 MILE RD STE A
HAZEL PARK 48030
(248) 541-7606
1083326
BIRMINGHAM URGENT CARE
2110 E MAPLE RD
BIRMINGHAM 48009
(248) 816-3951
1076813
1059308
BLOOMFIELD URGENT MEDICAL CARE

CEDAR MEDICAL SERVICES
43141 WOODWARD AVE

1010 N CAMPBELL RD STE 3

ROYAL OAK 48067
(248) 333-0333
(248) 850-8395
1064831
CLARKSTON URGENT CARE
CLARKSTON 48346
(248) 625-2621
1123402
ELIZABETH LAKE URGENT CARE PLLC
2446 ELIZABETH LAKE RD
WATERFORD 48328
(248) 561-1291
1054572
GREENFIELD MEDICAL URGENT CARE
24261 GREENFIELD RD STE A
SOUTHFIELD 48075
(248) 569-9523
1070210
1064798
HEALING HANDS URGENT CARE MEDICAL

HEALTHY URGENT CARE

KEEGO HARBOR 48320

(248) 857-7878
(248) 865-7444
(248) 437-4625
1043631
HEALTHY URGENT CARE PLLC
30488 MILFORD RD
NEW HUDSON 48165
1076509
KEEGO HARBOR URGENT CARE
3435 ORCHARD LAKE RD STE A
KEEGO HARBOR 48320
(248) 977-4516
1084578
1071661
LAKE ORION URGENT CARE

M-15 URGENT CARE PC

250 N ORTONVILLE RD STE C
LAKE ORION 48360

ORTONVILLE 48462
(248) 693-9040
(248) 793-7113
1053869
MADISON HEIGHTS URGENT CARE PC
28037 DEQUINDRE RD BLDG B
(248) 546-7300
1126378
MCLAREN OAKLAND CONVENIENT CARE
385 N LAPEER RD
OXFORD 48371
(248) 628-3000
1126563
OAK PARK URGENT CARE PLLC
24661 COOLIDGE HWY
OAK PARK 48237
(248) 398-4000
1077721
1046720
ORION OXFORD URGENT CARE INC

OXFORD URGENT CARE

LAKE ORION 48360

OXFORD 48371
(248) 232-1000
(248) 236-8333
1036432
PEDIATRIC AFTER HOURS CLINIC AT BEAUMONT
44201 DEQUINDRE RD EC
TROY 48085
(248) 964-2888
1036434
PEDIATRIC AND ADULT AFTER HOURS CLINIC
ROYAL OAK 48073
(248) 551-1210
1079074
REGAL AFTER HOURS CLINIC PC
2502 S ROCHESTER RD
ROCHESTER 48307
(248) 852-5177
1092555
1038091
ROCHESTER HILLS MEDICAL CENTER

ROCHESTER URGENT CARE PC

215 E AUBURN RD
ROCHESTER 48309
ROCHESTER 48307
(248) 858-9290
(248) 853-2009
1066995
WATERFORD 48328
(248) 673-2674
1058674
LAKE ORION 48360
(248) 693-9040
1098073
1073049
SOMERSET URGENT CARE PLLC

SOUTHFIELD CITY URGENT CARE PC

23832 SOUTHFIELD RD
TROY 48084
SOUTHFIELD 48075
(248) 649-4444
(248) 569-2600
1106523
URGENT CARE OF FARMINGTON HILLS
(248) 331-1700
1037496
WATERFORD URGENT CARE
4185 HIGHLAND RD
WATERFORD 48328
(248) 648-8930
1075925
WATERFORD URGENT CARE
WATERFORD 48328
(248) 858-6144
1075419
1076905
WHITE LAKE URGENT CARE

WILLIAM BEAUMONT HOSPITAL-ROYAL OAK
320 TOWN CENTER BLVD

3601 W 13 MILE RD
WHITE LAKE 48386

ROYAL OAK 48073
(248) 758-7800
(248) 551-6712
1076904
WILLIAM BEAUMONT HOSP-TROY CAMPUS
44201 DEQUINDRE RD
TROY 48085
(248) 964-5000
OTSEGO COUNTY
1083536
MED CARE WALK-IN CLINIC
1996 WALDEN DR
GAYLORD 49735
(989) 731-4111
1104959
MED CARE WALK-IN CLINIC
2572 N US HWY 131
ELMIRA 49730
(989) 731-7777
3020 BOARDWALK
SAGINAW 48603
(989) 791-3888
SAGINAW COUNTY
1097982
VALLEY URGENT CARE

Urgent Care Centers

Page 841
February 19, 2015
URGENT CARE CENTERS

PIN
Provider
Address
City and Zip
Phone

3550 PINE GROVE AVE

10127 MARINE CITY HWY
PORT HURON 48060

FAIR HAVEN 48023
(810) 989-2530
(248) 716-1371
Gender
SAINT CLAIR COUNTY

1120820
1054248
1054249
4190 24TH AVE
FORT GRATIOT 48059
(810) 989-7770
1054250
3350 GRATIOT AVE
MARYSVILLE 48040
(810) 364-4000
1054251
1641 10TH ST
PORT HURON 48061
(810) 984-5700
SHIAWASSEE COUNTY
1105191
CONVENIENT URGENT CARE
1485 E MAIN ST
OWOSSO 48867
(989) 494-0300
1033619
1004612
MEMORIAL URGENT CARE-STATE RD

PERRY URGENT CARE
239 N STATE RD
3337 W BRITTON RD
OWOSSO 48867
PERRY 48872
(989) 720-5400
(517) 625-2273
1005883
SHIAWASSEE COUNTY MEDICAL GROUP
208 N SHIAWASSEE ST
OWOSSO 48867
(989) 725-2667
TUSCOLA COUNTY
1016046
CARO EXPRESS CLINIC PLC
1525 W CARO RD
CARO 48723
(989) 672-2113
1097122
4672 HILL ST
CASS CITY 48726
(989) 912-6114
955 S BAILEY AVE
SOUTH HAVEN 49090
(269) 637-5271
VAN BUREN COUNTY

1100591
SHCH URGENT CARE
WAYNE COUNTY
1036435
AM URGENT CARE
13031 CONANT
HAMTRAMCK 48212
(313) 893-5490
1096588
COMMUNITY URGENT CARE PLLC
1816 GRINDLEY PK STE 1
DEARBORN 48124
(313) 792-1200
1010597
DOWN RIVER URGENT CARE
15830 FORT ST STE 1
SOUTHGATE 48195
(734) 282-5444
1127134
ELITE URGENT CARE
15301 TIERMAN AVE STE A
DEARBORN 48126
(313) 736-5004
1116189
1096923
EPIC URGENT CARE

HEALTH ONE MEDICAL CENTERS PC
25150 FORD RD
3022 DIX HWY

LINCOLN PARK 48146
(734) 512-8009
(313) 381-5674
1062517
HOPE URGENT CARE ROMULUS PLLC
9430 WAYNE RD
ROMULUS 48174
(734) 992-3499
1124994
MIDWEST MEDICAL CENTER URGENT CARE
4700 SCHAEFER RD
DEARBORN 48126
(313) 581-2600
1086515
1066416
MIDWEST URGENT CARE

NORTHVILLE URGENT CARE
15540 BEECH DALY RD

47311 5 MILE RD
REDFORD 48239
PLYMOUTH 48170
(313) 387-5253
(734) 254-0665
1116188
PLYMOUTH URGENT CARE PLLC
41424 ANN ARBOR RD E
PLYMOUTH 48170
(734) 254-0700
1062921
RITE MED URGENT CARE PLLC
769 WAYNE RD
WESTLAND 48186
(734) 331-3910
1096973
RIVER OAKS URGENT CARE
20217 ANN ARBOR TRL STE A
(313) 271-5001
1038766
1058489
SOUTHGATE URGENT CARE PC

VAN BUREN URGENT CARE PLLC
14523 NORTHLINE RD
11650 BELLEVILLE RD STE 101
SOUTHGATE 48195
BELLEVILLE 48111
(734) 324-7800
(734) 699-9888
1063863
WESTLAND PROMPT CARE PLC
6095 NORTH WAYNE
WESTLAND 48185
(734) 721-8000
1038941
WOODLAND URGENT CARE
22341 W 8 MILE RD
DETROIT 48219
(313) 387-8700

Urgent Care Centers

Page 842
February 19, 2015
PHARMACY PARTICIPATION
McLaren Health Plan has thousands of contracted pharmacies across the nation. For further information regarding
participating pharmacies in your area, contact the customer service department of 4D, our pharmacy benefit manager,
at (877) 647-4026.
TOP 10 MAJOR PHARMACY CHAINS

CVS PHARMACY
FARMER JACK PHARMACY
K MART PHARMACY
KROGER PHARMACY
MEIJER PHARMACY
RITE AID PHARMACY
TARGET PHARMACY
THE MEDICINE SHOPPE
WALGREEN DRUG STORE
For your convenience, 4D Pharmacy provides a mail order option for you to obtain your monthly
medications. To participate in the mail order benefit option, an application can be obtained through
McLaren Health Plan's Member Service Department by calling (888) 327-0671
Pharmacies - Top 10 Major Chains
Page 843
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
ALCONA COUNTY
137976
137693
ALCONA HEALTH CENTER PHARMACY

RICHARD'S PHARMACY
177 N BARLOW
117 MAIN ST
LINCOLN 48742
HARRISVILLE 48740
(989) 736-9888
(989) 724-5178
137977
SNYDER'S LINCOLN PHARMACY
301 2ND ST
LINCOLN 48742
(989) 736-8138
ALGER COUNTY
138195
PUTVIN DRUG STORE
119 ELM AVE
MUNISING 49862
(906) 387-2248
138196
SNYDER DRUG #207
415 E M28
MUNISING 49862
(906) 387-4855
ALLEGAN COUNTY
137422
ALEXANDERS DRUG STORE #020
211 E MAIN ST
FENNVILLE 49408
(269) 561-4411
136622
ALLEGAN COMMUNITY PHARMACY #01
115 LOCUST ST
ALLEGAN 49010
(269) 673-4188
136624
ALLEGAN MEDICAL CENTER PHARMAC
551 LINN ST
ALLEGAN 49010
(269) 673-4700
138347
138105
CAMPBELLS PHARMACY #477

CARMAN PHARMACY
102 S MAIN ST
1598 S MAIN ST
PLAINWELL 49080
MARTIN 49070
(269) 685-6808
(269) 672-5543
138348
COMMUNITY PHARMACY OF PLAINWEL
533 ALLEGAN ST
PLAINWELL 49080
(269) 685-5847
137332
DORR COMMUNITY PHARMACY
1730 142ND AVENUE
DORR 49323
(616) 681-9947
137740
137661
FAMILY FARE PHARMACY #123

HAMILTON FAMILY PHARMACY

3416 M40
HOLLAND 49423
HAMILTON 49419
(616) 392-7504
(269) 751-8482
138311
HARDINGS PHARMACY #381
114 S FARMER ST
OTSEGO 49078
(269) 692-6011
137741
MEIJER PHARMACY #047
746 16TH STREET
HOLLAND 49423
(616) 396-8042
138349
1195 M 89
PLAINWELL 49080
(269) 685-3810
137743
137744
MODEL DRUG STORE

PAULS PHARMACY INC
35 W 8TH ST
803 LINCOLN AVE
HOLLAND 49423
HOLLAND 49423
(616) 392-4707
(616) 396-5233
136625
RITE AID PHARMACY #01534
560 JENNER DRIVE
ALLEGAN 49010
(269) 673-2181
137745
973 SOUTH WASHINGTON AVENUE
HOLLAND 49423
(616) 392-5161
138558
SAUGATUCK DRUG COMPANY #030
201 BUTLER ST
SAUGATUCK 49453
(269) 857-2300
137746
136626
SKIPS PHARMACY OF MICHIGAN

VALUE DRUGS OF ALLEGAN
700 MICHIGAN AVE

100 MONROE ST
HOLLAND 49423
ALLEGAN 49010
(616) 392-8507
(269) 673-6749
137748
WALGREENS #10515
HOLLAND 49423
(616) 396-0098
138350
WALGREENS #7484
1277 M 89
PLAINWELL 49080
(269) 685-5487
138351
138953
WAL-MART PHARMACY 10-2061 #102

WAYLAND VILLAGE DRUG INC
412 CROSS OAKS MALL

300 RENO DR
PLAINWELL 49080
WAYLAND 49348
(269) 685-9820
(269) 792-6223
138589
WEICKS PHARMACY
71 124TH AVE
SHELBYVILLE 49344
(269) 672-7774
ALPENA COUNTY
136646
ALCONA HEALTH CENTER PHARMACY
ALPENA 49707
(989) 358-3950
136647
1501 W CHISOLM ST
ALPENA 49707
(989) 356-8079
136648
KMART PHARMACY #7733
ALPENA 49707
(989) 356-8418
136649
LEFAVE PHARMACY AND HOME MEDIC
1202 W CHISHOLM ST
ALPENA 49707
(989) 354-3189
136650
138309
NEIMANS FAMILY PHARMACY

OSSINEKE PHARMACY
2205 US 23 SOUTH
ALPENA 49707
OSSINEKE 49766
(989) 356-2191
(989) 471-2339
136651
2140 STATE AVENUE
ALPENA 49707
(989) 354-4630
136652
THE DRUG STORE
2236 S US HWY 23
ALPENA 49707
(989) 354-2171
136653
136654
WALGREENS #9148
WAL-MART PHARMACY #102358
1011 M 32 W
1180 M 32 WEST
ALPENA 49707
ALPENA 49707
(989) 354-8784
(989) 354-0731
ANTRIM COUNTY
136757
136925
BELLAIRE PHARMACY INC

CENTRAL LAKE PHARMACY
115 N BRIDGE ST
2424 N MAIN ST
BELLAIRE 49615
CENTRAL LAKE 49622
(231) 533-8014
(231) 544-2929
137372
CORNER DRUGGIST
154 RIVER ST
ELK RAPIDS 49629
(231) 264-8033
138075
617 N WILLIAMS
MANCELONA 49659
(231) 587-8491
136758
GLENS PHARMACY #645
211 SOUTH DIVISION
BELLAIRE 49615
(231) 533-5534
137373
RIVER PHARMACY
124 AMES ST
ELK RAPIDS 49629
(231) 264-8165
236 W HURON
301 SOUTH MAIN STREET
AU GRES 48703
STANDISH 48658
(989) 876-8899
(989) 846-4508
ARENAC COUNTY
136693
138694
AUGRES PHARMACY
138695
SHOPKO PHARMACY #2646
3825 S HURON RD
STANDISH 48658
(989) 846-0749
138696
STANDISH PHARMACY
533 S MAIN ST
STANDISH 48658
(989) 846-0411

Pharmacy
Page 844
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
18341 US HIGHWAY 41
L ANSE 49946
(906) 524-6202
BOSLEY PHARMACY
DELTON FAMILY PHARMACY
118 S JEFFERSON ST
338 N GROVE ST
HASTINGS 49058
DELTON 49046
(269) 945-3429
(269) 623-5250
137705
802 W STATE ST
HASTINGS 49058
(269) 948-9411
138221
MAPLE VALLEY PHARMACY
219 N MAIN ST
NASHVILLE 49073
(517) 852-0845
137706
PENNOCK PHARMACY INC
1005 W GREEN ST
HASTINGS 49058
(269) 948-3136
138124
137707
PHARMACY CARE
4652 N M37 HWY

1618 WEST M 43
MIDDLEVILLE 49333
HASTINGS 49058
(269) 795-7936
(269) 948-0481
1108 MARQUETTE AVE

362 STATE PARK DR
BAY CITY 48706

BAY CITY 48706
(989) 684-8905
(989) 684-8251
BARAGA COUNTY
137899
L ANSE PHARMACY INC
BARRY COUNTY
137703
137118
BAY COUNTY
136732
136733
ANDERSON PHARMACY
COUNTRY DRUGS
136734
4001 N EUCLID AVE
BAY CITY 48706
(989) 686-6820
137384
KROGER PHARMACY #18635
2910 CENTER AVE
ESSEXVILLE 48732
(989) 892-0313
136735
137385
KROGER PHARMACY DBA KESSEL #18

LA BRENZ PHARMACY
945 NO EUCLID RD
1606 WOODSIDE AVE
BAY CITY 48706

ESSEXVILLE 48732
(989) 686-3592
(989) 892-5491
136736
LAYERERS PHARMACY
1100 COLUMBUS AVE
BAY CITY 48708
(989) 893-7579
136737
MAPLEWOOD PHARMACY
920 N JOHNSON ST
BAY CITY 48708
(989) 892-4531
137386
MCLAREN DRUG SHOP - MM
ESSEXVILLE 48732
(989) 895-4570
136738
136739
MCLAREN DRUG SHOP- AMB

MCLAREN DRUG SHOP- BRMC
200 S WENONA ST
1900 COLUMBUS AVE
BAY CITY 48706

BAY CITY 48708
(989) 892-2561
(989) 894-3744
136740
MCLAREN DRUG SHOP- WSMM
4175 N EUCLID AVE
BAY CITY 48706
(989) 667-2940
137387
MCLAREN LONG TERM CARE PHARMAC
1454 W. CENTER RD, STE 2
ESSEXVILLE 48732
(989) 316-4280
136741
2980 E WILDER ROAD
BAY CITY 48706
(989) 686-7717
136742
136743

MONITOR PHARMACY
595 N PINE RD
2981 MIDLAND RD
BAY CITY 48708

BAY CITY 48706
(989) 891-1510
(989) 684-2343
138346
PINNY PHARMACY
704 S MABLE
PINCONNING 48650
(989) 879-7705
137388
1490 WEST CENTER ROAD
ESSEXVILLE 48732
(989) 892-1565
136744
136745

901 WEST MIDLAND STREET

500 LAFAYETTE AVENUE
BAY CITY 48706

BAY CITY 48708
(989) 684-9370
(989) 892-5300
136746
3880 WILDER ROAD
BAY CITY 48706
(989) 686-5800
137883
SABOURINS PHARMACY INC
1461 S HURON RD
KAWKAWLIN 48631
(989) 667-4877
136747
SOUTHSIDE PHARMACY
1002 LAFAYETTE
BAY CITY 48708
(989) 891-9999
136748
136694
TARGET PHARMACY #0631

WACKERLY PHARMACY
4135 WILDER ROAD

310 E MIDLAND RD
BAY CITY 48706

AUBURN 48611
(989) 686-5143
(989) 662-7773
137389
WALGREENS #12042
2901 CENTER AVE
ESSEXVILLE 48732
(989) 894-4832
136749
WALGREENS #5167
416 S EUCLID AVE
BAY CITY 48706
(989) 671-0038
136750
3921 WILDER ROAD
BAY CITY 48706
(989) 684-1887
BENZIE COUNTY
137498
CORNER DRUG
401 MAIN ST
FRANKFORT 49635
(231) 352-4471
137759
136776
HOMETOWN PHARMACY #42 - HONOR

SHOP-N-SAVE PHARMACY
10587 MAIN ST
1747 BENZIE HWY
HONOR 49640
BENZONIA 49616
(231) 325-2735
(231) 882-0254
BERRIEN COUNTY
138230
136770
BUFFALO DRUG INC

GENOA HEALTHCARE #18
1 N WHITTAKER ST
1485 M 139
NEW BUFFALO 49117

BENTON HARBOR 49022
(269) 469-3636
(269) 934-0119
137013
6577 PAW PAW AVE
COLOMA 49038
(269) 468-6207
138684
LAKELAND HOSPITAL PHARMACY
1234 NAPIER AVE
ST JOSEPH 49085
(269) 983-8557
138238
LAKELAND MEDICAL CENTER NILES
31 N ST JOSEPH AVE
NILES 49120
(269) 687-1428
138685
138951
LAKELAND PHARMACY SHOPPE

MAIN STREET PHARMACY AND GIFTS
3900 HOLLYWOOD RD
387 N MAIN ST
ST JOSEPH 49085
WATERVLIET 49098
(269) 556-2888
(269) 463-3164
138239
MARTINS PHARMACY #19
720 S 11TH ST
NILES 49120
(269) 684-1418
138686
ST JOSEPH 49085
(269) 983-5847
138736
136771

5637 CLEVELAND AVE

1920 PIPESTONE ROAD
STEVENSVILLE 49127
BENTON HARBOR 49022
(269) 429-8441
(269) 926-8229
138737
STEVENSVILLE 49127
(269) 556-2410
138240
NILE FAMILY PHARMACY
70 E. STATE ST.
NILES 49120
(269) 683-1400

Pharmacy
Page 845
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone

138546
136772
RICHARD GILLESPIE PHARMACY

2020 WASHINGTON AVE

1701 SOUTH M 139
SAINT JOSEPH 49085

BENTON HARBOR 49022
(269) 983-5181
(269) 927-3101
136784
612 SAINT JOSEPH AVENUE
BERRIEN SPRINGS 49103
(269) 471-5020
138241
11 SOUTH 11TH STREET
NILES 49120
(269) 684-6556
136841
136820

715 EAST FRONT STREET

3681 SHAWNEE ROAD
BUCHANAN 49107
BRIDGMAN 49106
(269) 695-2000
(269) 465-6777
137014
6535 PAW PAW AVENUE
COLOMA 49038
(269) 468-3858
138547
ROGER'S PHARMACY
4039 HOLLYWOOD RD
SAINT JOSEPH 49085
(269) 408-1348
138566
SCHLIPPS PHARMACY
5857 SAWYER RD
SAWYER 49125
(269) 426-3487
138788
138687
THREE OAKS PHARMACY

VANS PHARMACY
19 N ELM ST
807 NAPIER AVE
THREE OAKS 49128

ST JOSEPH 49085
(269) 756-9595
(269) 983-4802
136773
WALGREENS #10078
875 E NAPIER RD
BENTON HARBOR 49022
(269) 983-3463
138738
WALGREENS #11265
STEVENSVILLE 49127
(269) 429-1153
138242
WALGREENS #3364
907 S 11TH ST
NILES 49120
(269) 683-3330
138688
138739
WALGREENS #4536
WALGREENS #6444
1260 HILLTOP ST
2485 W GLENLORD RD
ST JOSEPH 49085
STEVENSVILLE 49127
(269) 983-0293
(269) 429-7010
136774
1400 MALL DRIVE
BENTON HARBOR 49022
(269) 927-6514
138243
NILES 49120
(269) 683-5573
BRANCH COUNTY
137006
CVS PHARMACY #08126
61 WEST PEARL ST
COLDWATER 49036
(517) 278-6186
137007
410 N MARSHALL
COLDWATER 49036
(517) 279-1230
137008
138858

MILLERS PHARMACY
620 E CHICAGO RD
206 N BROADWAY ST
COLDWATER 49036
UNION CITY 49094
(517) 279-3310
(517) 741-3604
137009
COLDWATER 49036
(517) 278-7342
137010
WALGREENS #6092
500 E CHICAGO ST
COLDWATER 49036
(517) 278-8272
137011
800 EAST CHICAGO ST
COLDWATER 49036
(517) 278-5897
CALHOUN COUNTY
136730
BATTLE CREEK VAMC PHARMACY
5500 ARMSTRONG RD
BATTLECREEK 49015
(269) 966-5600
136711
136712
BRONSON BATTLE CREEK OUTPATIEN

363 FREMONT ST
45 COLUMBIA AVE E
BATTLE CREEK 49017

BATTLE CREEK 49015
(269) 245-8646
(269) 965-5631
136713
1525 MICHIGAN AVE W
BATTLE CREEK 49037
(269) 965-1258
136714
1603 CAPITAL NE
BATTLE CREEK 49017
(269) 964-3761
136616
1406 N EATON ST
ALBION 49224
(517) 629-2286
136715
138101
GENOA HEALTHCARE #17

HEMMINGSEN DRUG STORE INC
3630 CAPITAL AVE SW

132 W MICHIGAN AVE
BATTLE CREEK 49015

MARSHALL 49068
(269) 979-7822
(269) 781-3411
137758
HOPPS COLONIAL PHARMACY
126 W MAIN
HOMER 49245
(517) 568-3400
138102
15861 W MICHIGAN AVE
MARSHALL 49068
(269) 781-8484
136716
200 CAPITAL AVE SW
BATTLE CREEK 49037
(269) 963-1569
136691
136717
LARMOURS VILLAGE DRUG

106 S CAPITAL AVE

6405 B DRIVE NORTH
ATHENS 49011
BATTLE CREEK 49014
(269) 729-5161
(269) 979-6610
136718
2191 COLUMBIA AVE WEST
BATTLE CREEK 49015
(269) 968-3359
136617
PARKS DRUG STORE INC
318 S SUPERIOR ST
ALBION 49224
(517) 629-9481
138103
136719
REMEDI SENIORCARE
1600 S KALAMAZOO AVE

1434 WEST MICHIGAN AVENUE
MARSHALL 49068
BATTLE CREEK 49017
(269) 781-8380
(269) 965-5178
136720
600 NORTH AVENUE
BATTLE CREEK 49017
(269) 963-1524
138104
MARSHALL 49068
(269) 781-1191
136721
BATTLE CREEK PLAZA
BATTLE CREEK 49015
(269) 965-3237
136722
136723

SAMS PHARMACY 10-6429 #106429
890 EAST MICHIGAN AVENUE

12737 COTTON LAKE ROAD
BATTLE CREEK 49014

BATTLE CREEK 49014
(269) 660-9509
(269) 979-7671
136724
5700 BECKLEY ROAD
BATTLE CREEK 49015
(269) 979-0778
136725
TWIN VALLEY PHARMACY INC
1250 E COLUMBIA AVE
BATTLE CREEK 49014
(269) 964-9467
136731
WALGREENS #10513
605 NORTH AVE
BATTLECREEK 49017
(269) 660-1198
136726
136727
WALGREENS #2856
WALGREENS #7158
800 CAPITAL AVE NE

50 COLUMBIA AVE W
BATTLE CREEK 49017

BATTLE CREEK 49015
(269) 965-2338
(269) 969-9400
136728
WALGREENS #9130
5991 BECKLEY RD
BATTLE CREEK 49015
(269) 979-5394
136729
6020 B DRIVE NORTH
BATTLE CREEK 49014
(269) 979-4727
136618
YOUNGS PHARMACY
120 S CLARK STREET
ALBION 49224
(517) 629-2900

Pharmacy
Page 846
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
69045 M 62 STE G
56151 M-51
EDWARDSBURG 49112
DOWAGIAC 49047
(269) 414-4554
(269) 782-4511
CASS COUNTY
137371
137333
EDWARDSBURG DRUGS
137334
POKAGON BAND HEALTH SERVICES P
57392 M-51 SOUTH
DOWAGIAC 49047
(269) 782-4141
136915
305 EAST STATE STREET
CASSOPOLIS 49031
(269) 445-5369
137335
137336

102 STATE ROAD

56419 POKAGON ST
DOWAGIAC 49047
DOWAGIAC 49047
(269) 782-2962
(269) 782-0280
CENTRAL DRUG STORE

EAST JORDAN FAMILY PHARMACY
301 BRIDGE ST
601 BRIDGE ST
CHARLEVOIX 49720
EAST JORDAN 49727
(231) 547-2424
(231) 536-2207
136815
GLENS PHARMACY #1517
430 NORTH LAKE ST
BOYNE CITY 49712
(231) 582-2101
136816
HUFF PHARMACY
121 E WATER ST
BOYNE CITY 49712
(231) 582-6514
136928
06600 M66 N
CHARLEVOIX 49720
(231) 547-0915
136929
137343

195 M 66 HIGHWAY
250 SOUTH LAKE STREET
CHARLEVOIX 49720
EAST JORDAN 49727
(231) 547-4001
(231) 536-0901
136930
WALGREENS #12508
1500 BRIDGE ST
CHARLEVOIX 49720
(231) 547-1356
CHARLEVOIX COUNTY
136926
137342
CHEBOYGAN COUNTY
136934
992 S MAIN ST
CHEBOYGAN 49721
(231) 627-5371
137789
INDIAN RIVER VILLAGE PHARMACY
6433 BARBARA AVE
INDIAN RIVER 49749
(231) 238-8911
136954
1131 E STATE ST
CHEYBOYGAN 49721
(231) 627-7139
136935
136936
MODERN PHARMACY
WALGREENS #10514
127 N MAIN ST
991 S MAIN ST
CHEBOYGAN 49721
CHEBOYGAN 49721
(231) 627-9949
(231) 627-1080
136937
1150 SOUTH MAIN
CHEBOYGAN 49721
(231) 627-4337
CHIPPEWA COUNTY
138559
ARFSTROM PHARMACY #1
415 ASHMUN ST
SAULT SAINTE MARIE 49783
(906) 632-9661
138565
4284 I-75 BUSINESS SPUR
SAULT STE. MARIE 49783
(906) 635-5267
138563
1025 ASHMUN STREET
(906) 632-6874
138561
138562
SAULT COMMUNITY PHARMACY

SAULT STE. MARIE TRIBAL HEALTH
560 OSBORN BLVD

2864 ASHMUN ST

(906) 632-2122
(906) 632-5236
138087
WALGREENS #10405
2101 ASHMUN ST SAULT STE
MARIE 49783
(906) 632-5135
138564
3763 I 75 BUSINESS SPUR
SAULT ST. MARIE 49783
(906) 632-0582
CLARE COUNTY
137420
EAGLE PHARMACY
109 W MAIN ST
FARWELL 48622
(989) 588-2900
137688
1570 N CLARE AVE
HARRISON 48625
(989) 539-0584
136955
GATEWAY PHARMACY
1048 N MCEWAN ST
CLARE 48617
(989) 386-2900
137689
137421
MAC LEAN PHARMACY

155 N 2ND ST
146 NORTH CORNING STREET
HARRISON 48625
FARWELL 48622
(989) 539-7828
(989) 588-2599
137690
161 BEECH STREET
HARRISON 48625
(989) 539-4380
136956
SHOPKO PHARMACY # 2644
11250 N MISSION RD
CLARE 48617
(989) 802-0354
136957
WALGREENS #11887
1141 N MCEWAN ST
CLARE 48617
(989) 386-6197
CLINTON COUNTY
137375
HARVEST PHARMACY
313 S OVID ST
ELSIE 48831
(989) 862-4858
137326
138678
HOMETOWN PHARMACY #34

128 S BRIDGE ST
DEWITT 48820
ST JOHNS 48879
(517) 668-9299
(989) 224-8976
138679
900 SOUTH US 27
ST JOHNS 48879
(989) 224-7075
137327
12821 CROSSOVER DR
DEWITT 48820
(517) 669-4733
137328
13157 12 SCHAVEY ROAD
DEWITT 48820
(517) 669-2585
138680
138681

SPARROW CLINTON PHARMACY
109 NORTH WHITTEMORE STREET

901 S OAKLAND ST
ST JOHNS 48879
ST JOHNS 48879
(989) 224-2313
(989) 224-8155
138682
WALGREENS #10251
1410 US HWY 27
ST JOHNS 48879
(989) 224-2052
138683
1165 SUPERIOR DRIVE
ST JOHNS 48879
(989) 224-8299
2470 W I-75 BUSINESS LOOP
GRAYLING 49738
(989) 348-5335
CRAWFORD COUNTY
137634

Pharmacy
Page 847
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
(989) 348-2000
(989) 348-0800

137635
137636
MEDICINE SHOPPE #1675

MERCY HOSPITAL GRAYLING PHARMA
500 N JAMES
1100 E MICHIGAN AVE
GRAYLING 49738
GRAYLING 49738
137637
312 SOUTH JAMES STREET
GRAYLING 49738
(989) 348-1350
137638
WALGREENS #11689
2045 S I 75 BUSINESS LOOP
GRAYLING 49738
(989) 344-0374
DELTA COUNTY
137376
ELDERCARE HOME PHARMACY
1823 7TH AVE N
ESCANABA 49829
(906) 789-4451
137377
ELMER'S PHARMACY INC.
412 N LINCOLN RD
ESCANABA 49829
(906) 789-9200
137378
137379

PEOPLES DRUG STORE
801 N LINCOLN RD
1208 LUDINGTON ST
ESCANABA 49829
ESCANABA 49829
(906) 786-1090
(906) 786-1731
137380
SHOPKO PHARMACY #16
2530 1ST AVE N
ESCANABA 49829
(906) 786-2011
137382
WALGREENS #9364
2301 LUDINGTON ST
ESCANABA 49829
(906) 789-0372
137383
601 NORTH LINCOLN
ESCANABA 49829
(906) 786-1232
DICKINSON COUNTY
137801
IRON MOUNTAIN VAMC PHARMACY
325 E H ST
IRON MOUNTAIN 49801
(906) 774-3300
137802
138257

NORWAY PHARMACY
1810 S STEPHENSON AVE

514 MAIN ST
IRON MOUNTAIN 49801

NORWAY 49870
(906) 779-2163
(906) 563-5151
137896
SHOPKO PHARMACY #11
500 S CARPENTER AVE
KINGSFORD 49802
(906) 774-7907
137803
THE DRUG STORE OF IRON MOUNTAI
1112 S STEPHENSON AVE
IRON MOUNTAIN 49801
(906) 774-3654
137804
WALGREENS #11953
300 E F STREET
IRON MOUNTAIN 49801
(906) 774-0563
137805
1920 S STEPEHENSON AVE
IRON MOUNTAIN 49801
(906) 779-7185
EATON COUNTY
137563
APOTHECARY SHOP AT GRAND LEDGE
820 CHARLEVOIX DRIVE
GRAND LEDGE 48837
(517) 622-4000
136931
137365
CVS PHARMACY #08087

301 S COCHRAN AVE

1411 S MAIN ST
CHARLOTTE 48813
EATON RAPIDS 48827
(517) 543-4905
(517) 663-8331
136769
HOMETOWN PHARMACY #38 (FRUIN P
117 N MAIN ST
BELLEVUE 49021
(269) 763-9407
137928
6430 W SAGINAW HWY
LANSING 48917
(517) 886-1323
137932
136932

5125 WEST SAGINAW

1167 EAST CLINTON TRAIL
LANSING 48917
CHARLOTTE 48813
(517) 323-2921
(517) 541-9210
137564
730 E SAGINAW HWY
GRAND LEDGE 48837
(517) 622-6810
138299
OLIVET PHARMACY
102 WASHINGTON ST
OLIVET 49076
(269) 749-2301
138413
POTTERVILLE PHARMACY INC
121 W LANSING RD
POTTERVILLE 48876
(517) 645-9800
137565
137939

715 SOUTH CLINTON STREET

3700 WEST SAGINAW STREET
GRAND LEDGE 48837

LANSING 48917
(517) 627-2800
(517) 321-7746
137366
EATON RAPIDS 48827
(517) 663-8430
137367
ROTTENBUCHER PHARMACY
122 124 S MAIN ST
EATON RAPIDS 48827
(517) 663-6811
137943
SAVON WESTSIDE SAVMOR PHARMACY
632 NORTH DIBBLE BLVD
LANSING 48917
(517) 323-2382
137566
137950
SPARROW PHARMACY PLUS #4

508 S CLINTON ST
5609 WEST SAGINAW HWY
GRAND LEDGE 48837

LANSING 48917
(517) 627-1670
(517) 327-0620
137567
WALGREENS #13150
812 E SAGINAW HWY
GRAND LEDGE 48837
(517) 627-1240
137951
WALGREENS #5223
3915 W SAGINAW HWY
LANSING 48917
(517) 703-0590
137955
136933
WALGREENS #7770
6421 W SAGINAW HWY

1680 PACKARD HWY
LANSING 48917
CHARLOTTE 48813
(517) 703-0524
(517) 543-0700
137957
409 N MARKETPLACE BLVD
LANSING 48917
(517) 622-1451
137330
WILCOX PHARMACY
140 EAST RD
DIMONDALE 48821
(517) 646-9274
EMMET COUNTY
137682
KELBEL PHARMACY
205 E MAIN ST
(231) 526-5971
138333
1401 SPRING ST
PETOSKEY 49770
(231) 347-7281
138334
1201 LEARS ROAD
PETOSKEY 49770
(231) 348-4310
138336
138337
R & R PRESCRIPTION SERVICES

560 W MITCHELL ST
1133 NORTH US 31
PETOSKEY 49770
PETOSKEY 49770
(231) 487-2147
(231) 348-2767
138338
630 WEST MITCHELL STREET
PETOSKEY 49770
(231) 347-8282
138341
WALGREENS #12534
PETOSKY 49770
(231) 348-7510
138339
138340
WALGREENS #5481
710 SPRING ST
1850 ANDERSON RD
PETOSKEY 49770
PETOSKEY 49770
(231) 348-5500
(231) 439-0071

Pharmacy
Page 848
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
6009 EAST LAPEER RD

420 W FIFTH AVE
BURTON 48509
FLINT 48503
(810) 309-0886
(810) 496-4876
GENESEE COUNTY
136843
137444
ABC DISCOUNT PHARMACY

ADVANCED CARE PHARMACY SERVICE
137445
ADVANCED SPECIALTY RX
FLINT 48507
(888) 444-5309
137423
B AND C PHARMACY #0595
223 SILVER LAKE ROAD
FENTON 48430
(810) 629-4002
137447
136844
BALLENGER HEALTH MART PHARMACY

BELSAY MEDICAL PHARMACY INC

1096 S BELSAY RD STE I
FLINT 48504
BURTON 48509
(810) 766-9313
(810) 715-1415
137448
BENZER PHARMACY
G-3333 BEECHER ROAD
FLINT 48532
(810) 230-9900
136999
BORDENS PHARMACY INC
415 W VIENNA RD
CLIO 48420
(989) 652-6945
137449
BROTHERS PHARMACY
118 W PIERSON RD
FLINT 48505
(810) 785-7770
137450
137451
CLIO ROAD PHARMACY

DIPLOMAT SPECIALTY PHARMACY
4902 CLIO RD
G 3320 BEECHER RD
FLINT 48504
FLINT 48532
(810) 789-7084
(810) 732-8720
(810) 230-5045
137452
DIPLOMAT SPECIALTY PHARMACY
FLINT 48507
137453
DISCOUNT RX
4400 S. SAGINAW ST. SUITE 1335
FLINT 48507
(810) 239-2667
137454
FAMILY PHARMACY
G 4444 FENTON RD
FLINT 48507
(810) 235-7995
137485
137455
FLUSHING DISCOUNT PHARMACY

H CARE PHARMACY
6390 W PIERSON RD
4433 MILLER RD
FLUSHING 48433
FLINT 48507
(810) 487-9361
(810) 733-6653
136845
HAMILTON BURTON PHARMACY
G3375 S. SAGINAW ST.
BURTON 48529
(810) 406-4001
137456
HAMILTON MAIN PHARMACY
2900 N SAGINAW ST
FLINT 48505
(810) 787-5092
136846
137457

G-1145 N BELSAY ROAD

G3083 MILLER RD
BURTON 48509
FLINT 48507
(810) 744-3820
(810) 238-0489
137424
18055 SILVER PKWY
FENTON 48430
(810) 629-2561
137000
4290 W VIENNA RD
CLIO 48420
(810) 564-9351
137545
KNIGHT DRUGS GRAND BLANC #9
8483 HOLLY RD
GRAND BLANC 48439
(810) 603-0918
137458
136847

3838 RICHFIELD RD
1200 E BRISTOL RD
FLINT 48506
BURTON 48529
(810) 736-9913
(810) 239-9941
138748
7084 MILLER ROAD
SWARTZ CREEK 48473
(810) 630-0585
137035
700 N STATE STREET
DAVISON 48423
(810) 658-8051
137486
1542 PIERSON RD
FLUSHING 48433
(810) 659-8057
137460
138178

5249 CORUNNA RD
7188 NO SAGINAW
FLINT 48504
MT MORRIS 48458
(810) 732-2005
(810) 670-2840
137546
12731 S SAGINAW
GRAND BLANC 48439
(810) 695-6384
137459
2629 W PIERSON RD
FLINT 48504
(810) 785-3406
138749
137461
LUEA PHARMACY INC

MCLAREN DRUG SHOP - MRMC
8021 MILLER RD
401 S BALLENGER HWY
SWARTZ CREEK 48473

FLINT 48532
(810) 635-3355
(810) 342-3400
137036
MCLAREN MEDICAL SUPPLIES
1515 CAL DR
DAVISON 48423
(810) 496-8850
137037
MEDICAP #8257
9070 DAVISON ROAD
DAVISON 48423
(810) 658-2646
137463
G 4333 W PIERSON ROAD
FLINT 48504
(810) 732-7780
136848
137464

G 2333 SOUTH CENTER ROAD

2474 W HILL RD
BURTON 48519
FLINT 48507
(810) 744-4180
(810) 235-2777
137034
8089 LAPEER RD
DAVISION 48423
(810) 658-5410
138750
4141 MORRISH RD
SWARTZ CREEK 48473
(810) 635-1410
137001
OUR FAMILY PHARMACY
5092 W VIENNA RD STE B
CLIO 48420
(810) 547-5594
137543
137465
PHARMD CO. PHARMACY #1

8191 S STATE RD
4519 RICHFIELD ROAD
GOODRICH 48438
FLINT 48506
(810) 636-2979
(810) 250-0165
137487
FLUSHING 48433
(810) 659-9112
137991
602 WEST BROAD STREET
LINDEN 48451
(810) 735-1341
138310
136849

337 NORTH STATE ROAD

4001 DAVISON ROAD
OTISVILLE 48463
BURTON 48509
(810) 631-4551
(810) 742-0217
137466
13635 23 MILE ROAD
FLINT 48506
(810) 232-6423
137467
5018 CLIO ROAD
FLINT 48504
(810) 787-2232
137547
8360 SOUTH SAGINAW STREET
GRAND BLANC 48439
(810) 694-2500
137002
136850

100 EAST VIENNA ROAD

G4033 FENTON ROAD
CLIO 48420
BURTON 48529
(810) 687-0800
(810) 239-4614
136851
G3009 S DORT HIGHWAY
BURTON 48529
(810) 742-8409
137425
1001 NORTH LEROY STREET
FENTON 48430
(810) 750-1923
137468
3717 FENTON ROAD
FLINT 48507
(810) 232-5118
137038
138751

841 S STATE ROAD

9090 MILLER ROAD
DAVISON 48423
SWARTZ CREEK 48473
(810) 653-7485
(810) 635-4481
137548
11609 SOUTH SAGINAW STREET
GRAND BLANC 48439
(810) 694-4983
137469
4515 CORUNNA ROAD
FLINT 48532
(810) 732-7011
137488
138172

1565 EAST PIERSON ROAD

4515 EAST MOUNT MORRIS ROAD
FLUSHING 48433
MOUNT MORRIS 48437
(810) 659-2940
(810) 640-2110
137549
1020 EAST HILL ROAD
GRAND BLANC 48439
(810) 232-4111
137470
2838 EAST COURT STREET
FLINT 48506
(810) 767-3059

Pharmacy
Page 849
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
3521 CORUNNA ROAD

MCLAREN MEDICAL CENTER
FLINT 48503
FENTON 48430
(810) 235-6363
(810) 750-1497

137471
137426

137472
1124 NORTH BALLENGER HIGHWAY
FLINT 48504
(810) 233-6765
136852
6026 LAPEER ROAD
BURTON 48509
(810) 742-3010
136853
137550

G 4007 SOUTH SAGINAW STREET

5370 EAST HILL ROAD
BURTON 48529
GRAND BLANC 48439
(810) 742-7002
(810) 694-4775
137551
2506 EAST HILL ROAD
GRAND BLANC 48439
(810) 606-1004
138173
11801 NORTH SAGINAW STREET
MOUNT MORRIS 48458
(810) 686-7106
137039
521 NORTH STATE ROAD
DAVISON 48423
(810) 658-0527
137473
137552
RX CARE PHARMACY
2918 N SAGINAW STREET

6160 SOUTH SAGINAW ROAD
FLINT 48505
GRAND BLANC 48439
(810) 234-5500
(810) 603-9702
137474
4373 CORUNNA ROAD
FLINT 48532
(810) 733-0741
138169
SAVON MONTROSE SAVMOR PHARMACY
225 E STATE ST
MONTROSE 48457
(810) 639-2071
137553
ST JOHN PHARMACY #757575
1 GENESYS PKWY STE 1430
GRAND BLANC 48439
(810) 606-6366
137475
137427

3701 LAPEER ROAD

3255 OWEN RD
FLINT 48503
FENTON 48430
(810) 743-6380
(810) 714-2406
136854
THRIFTY DRUGS
5240 LAPEER RD
BURTON 48509
(810) 743-6915
137476
TOWN CENTER PHARMACY
1201 FLUSHING RD
FLINT 48504
(810) 232-9100
138179
137477
UNION SAVMOR PRESCRIPTION CENT

VALLEY MEDICAL PHARMACY
11830 N SAGINAW ST
G5142 MILLER RD
MT MORRIS 48458
FLINT 48507
(810) 686-2900
(810) 230-8252
137428
VG'S PHARMACY #1921
FENTON 48430
(810) 750-1572
137003
VG'S PHARMACY #1925
710 S. MILL
CLIO 48420
(810) 686-0004
137429
VG'S PHARMACY #1927
1390 N. LEROY
FENTON 48430
(810) 629-6074
137535
137040
VG'S PHARMACY #1929

VG'S PHARMACY #1930
7461 N. GENESEE
8503 DAVISON
GENESEE 48437
DAVISON 48423
(810) 640-1424
(810) 658-9710
137004
VIENNA PHARMACY
425 W VIENNA ST STE 1
CLIO 48420
(810) 640-7200
138752
VPH PHARMACY INC.
5376 MILLER RD
SWARTZ CREEK 48473
(810) 877-7170
137331
WALGREENS #10953
901 S STATE RD
DIVISON 48423
(810) 653-4020
137478
137479
WALGREENS #4676
WALGREENS #5917
5703 S SAGINAW
2815 DAVISON RD
FLINT 48507
FLINT 48506
(810) 695-4643
(810) 234-0152
137480
WALGREENS #5918
3753 S DORT HWY
FLINT 48507
(810) 715-3087
137489
WALGREENS #6054
1570 E PIERSON RD
FLUSHING 48433
(810) 659-0244
137481
137430
WALGREENS #6830
WALGREENS #7065
502 S BALLENGER HWY

FLINT 48532
FENTON 48430
(810) 424-9214
(810) 629-3022
137482
WALGREENS #7500
5020 CORUNNA RD
FLINT 48532
(810) 720-5832
137483
WALGREENS #7501
4110 FENTON RD
FLINT 48507
(810) 424-0603
137484
WALMART PHARMACY #101928
4313 CORUNNA ROAD
FLINT 48532
(810) 733-3355
136855
137431

5323 EAST COURT ST NORTH

3700 OWEN ROAD
BURTON 48509
FENTON 48430
(810) 744-2984
(810) 750-3735
137554
6170 SOUTH SAGINAW ROAD
GRAND BLANC 48439
(810) 603-9765
137005
11493 NORTH LINDEN ROAD
CLIO 48420
(810) 564-4278
GLADWIN COUNTY
136752
BEAVERTON PHARMACY
127 W BROWN ST
BEAVERTON 48612
(989) 435-7778
137537
1204 N STATE ST
GLADWIN 48624
(989) 426-9215
137538
136753

663 E CEDAR AVE

352 NORTH ROSS STREET
GLADWIN 48624
BEAVERTON 48612
(989) 426-4595
(989) 435-7727
137539
120 E. CEDAR AVENUE
GLADWIN 48624
(989) 426-1170
137540
174 JAMES ROBERTSON DR
GLADWIN 48624
(989) 426-7020
GOGEBIC COUNTY
137809
1400 E CLOVERLAND DR
IRONWOOD 49938
(906) 932-1208
138950
LAC VIEUX DESERT PHARMACY
E23970 POW WOW TRAIL
WATERSMEET 49969
(906) 358-4905
138868
WAKEFIELD PHARMACY
408 SUNDAY LAKE
WAKEFIELD 49968
(906) 229-5966
137810
WALGREENS #11954
802 E CLOVERLAND DR
IRONWOOD 49938
(906) 932-4267

138795
138796
CVS PHARMACY #06843

626 W FRONT ST
4122 US31 SOUTH
TRAVERSE CITY 49684

TRAVERSE CITY 49684
(231) 935-0185
(231) 943-4017
137439
FIFE LAKE PHARMACY
108 STATE ST
FIFE LAKE 49633
(231) 879-4243
138797
HOMETOWN PHARMACY #41 - TRAVER
4000 EASTERN SKY DRIVE
TRAVERSE CITY 49684
(231) 947-6921

Pharmacy
Page 850
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone

137897
138798
KINGSLEY PHARMACY
114 S BROWNSON AVE

1712 S GARFIELD AVE
KINGSLEY 49649
TRAVERSE CITY 49686
(231) 263-7701
(231) 941-8432
139019
WILLIAMSBURG 49690
(231) 938-1181
138799
MEDICINE SHOPPE PHARMACY #1197
1128 S GARFIELD AVE
TRAVERSE CITY 49686
(231) 946-0900
138800
138801

MUNSON AMBULATORY PHARMACY
3955 US 31 HWY SOUTH

1105 6TH ST
TRAVERSE CITY 49684

TRAVERSE CITY 49684
(231) 941-1793
(231) 935-5678
138802
MUNSON COMM HLTH CTR PHCY
550 MUNSON AVE
TRAVERSE CITY 49686
(231) 935-8730
137898
NORTHLAND FOOD CENTER
2377 E M 113
KINGSLEY 49649
(231) 258-9114
138803
PETERTYL DRUG
111 E FRONT ST
TRAVERSE CITY 49684
(231) 946-4830
138804
138805

13916 SW BAY SHORE DRIVE

939 US 31 SOUTH
TRAVERSE CITY 49684

TRAVERSE CITY 49684
(231) 946-7400
(231) 943-9288
138806
1201A SOUTH DIVISION STREET
TRAVERSE CITY 49684
(231) 929-0526
138807
511 SOUTH GARFIELD AVENUE
TRAVERSE CITY 49684
(231) 941-5332
138808
2401 US 31 S
TRAVERSE CITY 49684
(231) 995-0207
138809
138810
SIXTH STREET DRUGS

1020 SIXTH ST
3100 S AIRPORT ROAD W
TRAVERSE CITY 49684

TRAVERSE CITY 49684
(231) 946-4570
(231) 947-0868
138811
THOMPSON PHARMACY AND MEDICAL
324 S UNION ST
TRAVERSE CITY 49684
(231) 947-4212
138812
THOMPSON PHARMACY OLESONS EAST
1100 E HAMMOND RD
TRAVERSE CITY 49686
(231) 947-2203
138813
138814
THOMPSON PHARMACY OLESONS WEST

WALGREENS #10186
3850 N LONG LAKE RD

1029 M 37 S
TRAVERSE CITY 49684

TRAVERSE CITY 49684
(231) 947-2880
(231) 943-3147
138815
WALGREENS #12894
975 W SOUTH AIRPORT RD
TRAVERSE CITY 49686
(231) 946-5840
138816
WALGREENS #7369
2350 US 31 N
TRAVERSE CITY 49686
(231) 938-7028
138817
WALGREENS #7874
3900 N US 31 S
TRAVERSE CITY 49684
(231) 922-9266
138818
138819

WHITNEY PHARMACY SERVICES
2640 CROSSING CIRCLE

404 W. COMMERCE DRIVE
TRAVERSE CITY 49684

TRAVERSE CITY 49685
(231) 933-7095
(231) 922-2952
1700 WRIGHT AVE

1755 WRIGHT AVE
ALMA 48801
ALMA 48801
(989) 463-0411
(989) 463-4969
GRATIOT COUNTY
136639
136641

137816
1010 EAST CENTER STREET
ITHACA 48847
(989) 875-3380
136642
1341 WRIGHT AVENUE
ALMA 48801
(989) 463-6111
138548
136643
VCARE PHARMACY
WALGREENS #10250
225 N MILL ST
1420 WRIGHT AVE
SAINT LOUIS 48880

ALMA 48801
(989) 681-8285
(989) 463-2704
136644
7700 N ALGER RD
ALMA 48801
(989) 463-3220
HILLSDALE COUNTY
137992
CDS PHARMACY
111 MARSHALL ST
LITCHFIELD 49252
(517) 542-2366
137730
HILLSDALE MARKET PHARMACY
208 W CARLETON RD
HILLSDALE 49242
(517) 439-9325
137731
290 W CARLTON
HILLSDALE 49242
(517) 439-9409
137732
LONG TERM CARE NASH DRUGS
44 N HOWELL ST
HILLSDALE 49242
(517) 437-4088
137733
137847
NASH DRUG INC

NASH DRUGS
30 N HOWELL ST
237 E CHICAGO ST
HILLSDALE 49242
JONESVILLE 49250
(517) 437-4497
(517) 849-9804
137734
300 WEST CARLETON ROAD
HILLSDALE 49242
(517) 437-3373
137735
WALGREENS #10288
196 W CARLETON RD
HILLSDALE 49242
(517) 439-4255
137848
701 OLDS ST
JONESVILLE 49250
(517) 849-7011
HOUGHTON COUNTY
137677
APOTHECARY HANCOCK
500 CAMPUS DR
HANCOCK 49930
(906) 483-1919
137760
137970
APOTHECARY HOUGHTON
ASPIRUS KEWEENAW PHARMACY - LA
600 MACINNES DR
205 OSCEOLA ST
HOUGHTON 49931
LAURIUM 49913
(906) 483-1818
(906) 337-6574
137761
900 MEMORIAL RD
HOUGHTON 49931
(906) 487-9797
137762
995 RAZORBACK DRIVE
HOUGHTON 49931
(906) 482-5988
HURON COUNTY
137681
HARBOR DRUG
114 S HURON AVE
HARBOR BEACH 48441
(989) 315-8605
136705
760 N VAN DYKE RD
BAD AXE 48413
(989) 269-9517
136706
138342
NORTHGATE PHARMACY
ORRS DRUG STORE, INC
721 N VAN DYKE RD

26 S MAIN ST
BAD AXE 48413

PIGEON 48755
(989) 269-8061
(989) 453-2234
138568
SCHEURER FAMILY PHARMACY
8866 UNIONVILLE RD
SEBEWAING 48759
(989) 883-3850
138343
168 N CASEVILLE RD
PIGEON 48755
(989) 453-2535

Pharmacy
Page 851
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
6568 MAIN ST
4970 RAILROAD ST
CASEVILLE 48725
ELKTON 48731
(989) 856-2900
(989) 375-2121

136912
137374

136707
WALGREENS #9450
830 N VAN DYKE RD
BAD AXE 48413
(989) 269-6908
136708
901 NORTH VAN DYKE
BAD AXE 48413
(989) 269-9746
(517) 482-0882
INGHAM COUNTY
137919
APOTHECARY SHOP
737 N GRAND AVE
LANSING 48906
137920
BIOMED PHARMACY-LAKE LANSING
1515 LAKE LANSING ROAD
LANSING 48912
(517) 371-3300
137921
137922
CENTRAL PHARMACY - MT. HOPE

CLINICAL PHARMACY SVCS OF MID
1003 E MOUNT HOPE AVE

LANSING 48910
LANSING 48911
(517) 316-0711
(517) 887-3539
137755
CVS PHARMACY #08054
2240 CEDAR ST
HOLT 48842
(517) 694-1994
137923
CVS PHARMACY #08278
5118 S MARTIN LUTHER KING BLVD
LANSING 48911
(517) 272-5424
137924
CVS PHARMACY #08282
240 MAC EAST
LANSING 48823
(517) 336-8319
137701
137925
HASLETT PHARMACY
1641 HASLETT RD
5400 S CEDAR ST
HASLETT 48840
LANSING 48911
(517) 339-0300
(517) 393-6804
137926
KNIGHT DRUGS LANSING #21
LANSING 48912
(517) 485-9633
138291
4884 MARSH RD
OKEMOS 48864
(517) 347-0102
137927
137756

921 HOLMES
2495 N CEDAR ST
LANSING 48910
HOLT 48842
(517) 393-7009
(517) 694-8412
137344
1550 WEST LAKE LANSING ROAD
EAST LANSING 48823
(517) 351-9445
137929
LANSING COMMUNITY PHARMACY
925 E KALAMAZOO ST
LANSING 48912
(517) 372-5760
137973
LESLIE WELCOME PHARMACY INC
826 W BELLEVUE ST
LESLIE 49251
(517) 589-8291
137930
137931
MCLAREN DRUG SHOP - IRMCG

MCLAREN DRUG SHOP - IRMCP
401 W GREENLAWN AVE

LANSING 48910
LANSING 48910
(517) 975-6675
(517) 975-2290
137933
6200 SOUTH PENNSYLVANIA
LANSING 48911
(517) 393-5100
138292
OKEMOS 48864
(517) 349-2930
137345
1350 W LAKE LANSING ROAD
EAST LANSING 48823
(517) 332-8851
138108
137346

550 HULL RD
7157 E. SAGINAW ST
MASON 48854
EAST LANSING 48823
(517) 244-1910
(517) 885-9010
137347
MSU CLINICAL CENTER PHARMACY
EAST LANSING 48824
(517) 353-4930
137348
OLIN HEALTH CENTER PHARMACY
463 EAST CIRCLE DRIVE, ROOM 10
EAST LANSING 48824
(517) 432-6367
137934
138293
PATIENT CAREWAY PHARMACY

PGPA PHARMACY INC
3955 PATIENT CARE DRIVE

3544 MERIDIAN CROSSING DR
LANSING 48911
OKEMOS 48864
(517) 393-1000
(517) 381-7472
137349
EAST LANSING 48823
(517) 337-1385
137935
1705 WEST MT HOPE AVENUE
LANSING 48910
(517) 372-6700
138294
1664 WEST GRAND RIVER AVENUE
OKEMOS 48864
(517) 349-4410
137350
137757

249 EAST LANSING ROAD

2263 CEDAR STREET
EAST LANSING 48823

HOLT 48842
(517) 332-0888
(517) 694-2179
137936
1004 E MICHIGAN AVENUE
LANSING 48912
(517) 485-4381
137937
1019 WEST SAGINAW STREET
LANSING 48915
(517) 374-6103
137351
111 EAST SAGINAW STREET
EAST LANSING 48823
(517) 333-0825
137938
138109

3106 EAST SAGINAW STREET

610 NORTH CEDAR STREET
LANSING 48912
MASON 48854
(517) 337-1681
(517) 676-4421
137702
1589 HASLETT ROAD
HASLETT 48840
(517) 339-5832
137940
2701 SOUTH CEDAR STREET
LANSING 48910
(517) 272-9190
137941
137942

2925 TOWNE CENTRE BLVD

340 EAST EDGEWOOD BLVD
LANSING 48912
LANSING 48911
(517) 482-1803
(517) 882-1142
137944
SPARROW HOSPITAL PHARMACY
1215 E MICHIGAN AVE
LANSING 48912
(517) 364-2405
137945
1100 W SAGINAW ST
LANSING 48915
(517) 364-7474
137946
915 E MICHIGAN AVE
LANSING 48912
(517) 364-3079
137947
139021

1200 E MICHIGAN AVE

129 S PUTNAM ST
LANSING 48912
WILLIAMSTON 48895
(517) 364-5380
(517) 655-2420
137948
812 E JOLLY RD STE 208
LANSING 48910
(517) 394-5019
138740
STOCKBRIDGE PHARMACY
110 S CLINTON AVE
STOCKBRIDGE 49285
(517) 851-7575
137949
500 EAST EDGEWOOD BLVD
LANSING 48911
(517) 882-4845
138295
138296

TOM'S PHARMACY #97
4890 MARSH ROAD

OKEMOS 48864
OKEMOS 48864
(517) 347-9955
(517) 341-1722
138964
VILLAGE DRUG SHOP
113 W GRAND RIVER ROAD
WEBBERVILLE 48892
(517) 521-3484
138297
WALGREENS #11286
OKEMOS 48864
(517) 347-4632
137952
137953
WALGREENS #5503
WALGREENS #5841
3435 E SAGINAW ST
3404 S MARTIN LUTHER KING
LANSING 48912
LANSING 48910
(517) 351-0237
(517) 393-5788
137954
WALGREENS #6369
410 E JOLLY RD
LANSING 48910
(517) 882-2389
138298
5110 TIMES SQUARE
OKEMOS 48864
(517) 381-8267

Pharmacy
Page 852
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
3225 TOWNE CENTRE BLVD

304 S JEFFERSON ST
LANSING 48912
MASON 48854
(517) 487-9161
(517) 676-9199
(616) 794-4053

137956
138110

WARES PHARMACY
IONIA COUNTY
136754
LEPPINKS PHARMACY BELDING
115 SOUTH PEARL ST
BELDING 48809
137796
LIFECARE PHARMACY II LTC
910 E LINCOLN AVE STE C
IONIA 48846
(616) 200-8300
137797
2770 S STATE RD
IONIA 48846
(616) 527-4390
136755
100 COVERED VILLAGE MALL
BELDING 48809
(616) 794-2200
137798
138411

431 WEST LINCOLN AVENUE

1339 EAST GRAND RIVER AVENUE
IONIA 48846
PORTLAND 48875
(616) 527-4300
(517) 647-4704
136756
THE BELDING APOTHECARY INC
105 E MAIN ST
BELDING 48809
(616) 794-2290
138412
TOMS PHARMACY #96
1462 E GRAND RIVER AVENUE
PORTLAND 48875
(517) 647-7373
137799
WALGREENS #7952
2450 S STATE RD
IONIA 48846
(616) 522-0534
137903
137800
WALKER PHARMACY #4
838 4TH AVENUE

3062 SOUTH STATE ROAD
LAKE ODESSA 48849

IONIA 48846
(616) 374-3190
(616) 527-3904
IOSCO COUNTY
138306
GILBERTS DRUG STORE
212 S STATE ST
OSCODA 48750
(989) 739-7585
137660
HOMETOWN PHARMACY #39 (HALE DR
3270 N M-65
HALE 48739
(989) 728-9711
138307
OSCODA 48750
(989) 739-1485
137352
133 NEWMAN ST
EAST TAWAS 48730
(989) 362-7415
138308
138754

5280 NORTH HURON ROAD

211 WEST LAKE STREET
OSCODA 48750
TAWAS CITY 48763
(989) 739-4255
(989) 362-3439
138756
TAWAS SUPER SAVMOR DRUGS #70
306 W LAKE STREET
TAWAS CITY 48763
(989) 362-3311
138757
621 EAST LAKE STREET
TAWAS CITY 48763
(989) 984-0924
IRON COUNTY
137031
CRYSTAL FALLS PHARMACY
1340 W US 2
CRYSTAL FALLS 49920
(906) 875-3601
137806
SNYDER PHARMACY #202
933 RIVERSIDE PLZ
IRON RIVER 49935
(906) 265-5149
137807
THE CORNER DRUG STORE
128 W GENESEE ST
IRON RIVER 49935
(906) 265-2312
ISABELLA COUNTY
138180
AMBULATORY INFUSION CARE INC
920 INDUSTRIAL AVE
MT PLEASANT 48858
(989) 772-7770
139084
138183
CARDINAL PHARMACY
CVS PHARMACY #10098
2410 S LEATON RD
1306 S MISSION RD

MT PLEASANT 48858
(989) 317-3700
(989) 772-1945
138184
2125 S MISSION ST
MT PLEASANT 48858
(989) 773-6991
138185
4080 E BLUEGRASS
MT PLEASANT 48858
(989) 773-3047
138186
1015 PICKARD STREET
MT PLEASANT 48858
(989) 773-3123
138187
138188
MISSION PHARMACY LLC

NIMKEE MEM WELLNESS CENTER
926 SOUTH MISSION

2591 S LEATON RD
MT PLEASANT 48858
MT PLEASANT 48858
(989) 773-8200
(989) 775-4608
138189
117 NORTH MISSION STREET
MT PLEASANT 48858
(989) 772-7677
138190
4850 ENCORE BLVD
MT PLEASANT 48858
(898) 773-5814
138174
138192
WALGREENS #12346
WALGREENS #7247
903 N MISSION ST
1309 S MISSION ST

MT PLEASANT 48858
(989) 772-0291
(989) 775-8051
138194
4730 ENCORE BLVD
MT. PLEASANT 48858
(989) 772-6302
138193
WILLIAM MCCARTHY INC
121 E BROADWAY
MT PLEASANT 48858
(989) 773-5544
JACKSON COUNTY
137817
1200 N WEST AVE SUITE 500
JACKSON 49202
(517) 789-8579
137818
2136 ROBINSON RD
JACKSON 49203
(517) 750-2180
137822
ALLEGIANCE HEALTH PHARMACY #77
2200 SPRINGPORT RD
JACKSON 49202
(517) 787-7053
138123
136832
COMMET WELCOME PHARMACIES, INC

COUNTRY MARKET PHARMACY #66
4646 PAGE AVE

11301 BROOKLYN RD
MICHIGAN CENTER 49254

BROOKLYN 49230
(517) 764-0400
(517) 592-2475
136833
CVS PHARMACY #08041
414 S MAIN ST
BROOKLYN 49230
(517) 592-2115
137824
CVS PHARMACY #08268
605 N WEST AVE
JACKSON 49202
(517) 841-4203
137633
137825
GRASS LAKE COMMUNITY PHARMACY

112 E MICHIGAN AVE

3555 ONEIL DR
GRASS LAKE 49240

JACKSON 49202
(517) 522-4100
(517) 789-7988
137826
3001 E MICHIGAN AVE
JACKSON 49202
(517) 784-6129
137827
1100 ARGYLE
JACKSON 49202
(517) 788-5476

Pharmacy
Page 853
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
(517) 787-3194
(517) 787-3467

137828
137829
LONGE SAVMOR DRUGS #35

900 E GANSON
2777 AIRPORT ROAD
JACKSON 49201
JACKSON 49202
137830
JACKSON 49202
(517) 787-3356
137831
2255 SOUTH JACKSON ROAD
JACKSON 49201
(517) 780-9535
137832
137833


1089 NORTH WISNER STREET
JACKSON 49202
JACKSON 49202
(517) 782-9382
(517) 782-0574
137834
1733 SPRING ARBOR ROAD
JACKSON 49203
(517) 789-6630
137835
ROSE CITY PHARMACY
300 W WASHINGTON AVE
JACKSON 49201
(517) 784-3430
137836
3600 ONEILL DRIVE
JACKSON 49202
(517) 788-5961
138658
136834
SAVMOR 19 WEATHERWAX SPRING AR

SAVMOR 58 WEATHERWAX BROOKLYN
8012 SPRING ARBOR ROAD

105 N MAIN STREET
SPRING ARBOR 49283

BROOKLYN 49230
(517) 750-2550
(517) 592-8505
137837
SAVMOR 68 WEATHERWAX HINCKLEY
210 HINCKLEY BLVD
JACKSON 49203
(517) 784-3184
137838
1076 JACKSON CROSSING
JACKSON 49202
(517) 788-5359
137839
WALGREENS #5707
3040 E MICHIGAN AVE
JACKSON 49202
(517) 768-8355
137840
137841
WALGREENS #9133
1314 N WEST AVE

JACKSON 49201
JACKSON 49202
(517) 783-1676
(517) 817-0378
137842
WELCOME PHARMACY SOUTH
303 W PROSPECT ST
JACKSON 49203
(517) 787-2132
KALAMAZOO COUNTY
138397
ADVANCED HEALTHMART PHARMACY #
7916 OAKLAND DR
PORTAGE 49024
(269) 324-1100
137849
ARCADIA PHARMACY
418 W KALAMAZOO AVE
KALAMAZOO 49007
(269) 553-6000
136703
ASKLERS AUGUSTA PHARMACY
108 S WEBSTER
AUGUSTA 49012
(269) 731-2400
137851
137852
BORGESS OUTPATIENT PHARMACY

BRONSON METHODIST HOSP PHCY
1521 GULL RD
601 JOHN ST
KALAMAZOO 49048
KALAMAZOO 49007
(269) 226-8336
(269) 341-7226
137853
D AND W PHARMACY #1575
2103 PARKVIEW AVE
KALAMAZOO 49008
(269) 344-2513
138398
525 ROMENCE ROAD
PORTAGE 49024
(269) 329-3205
137854
FAMILY HEALTH CENTER PHARMACY
117 W PATERSON ST
KALAMAZOO 49007
(269) 488-0835
137855
138865
FAMILY HEALTH CENTER PHARMACY

FREDS PHARMACY
2918 PORTAGE ST
121 W PRAIRIE ST
KALAMAZOO 49001
VICKSBURG 49097
(269) 488-8516
(269) 649-0660
137511
GALESBURG PHARMACY
9880 E MICHIGAN
GALESBURG 49053
(269) 665-9727
137856
GULL POINTE PHARMACY
5585 GULL RD
KALAMAZOO 49048
(269) 553-5000
138399
138567

3750 W CENTRE ST
139 N GRAND
PORTAGE 49024
SCHOOLCRAFT 49087
(269) 323-7380
(269) 679-2008
137857
5165 W MAIN ST
KALAMAZOO 49009
(269) 381-0270
138400
PORTAGE 49002
(269) 327-4508
137858
400 W HOWARD
KALAMAZOO 49001
(269) 382-4399
138866
138325
HILLS PHARMACY OF VICKSBURG

HOMETOWN PHARMACY LTC
110 S MAIN ST
714 SHOPPERS LN
VICKSBURG 49097
PARCHMENT 49004
(269) 649-1476
(269) 349-7322
137859
KALAMAZOO HEMOTOLOGY AND ONCOL
1634 GULL RD
KALAMAZOO 49048
(269) 341-9200
137860
KALAMAZOO LONG TERM CARE
1000 S BURDICK ST
KALAMAZOO 49001
(269) 388-4850
137862
5800 GULL ROAD
KALAMAZOO 49001
(269) 343-8686
137863
137864

5121 S WESTNEDGE
KALAMAZOO 49002
KALAMAZOO 49009
(269) 343-4621
(269) 372-9110
138401
8850 SHAVER RD
PORTAGE 49024
(269) 321-4310
137865
OPTIMED PHARMACY
1000 OAKLAND DR
KALAMAZOO 49008
(269) 337-6330
138402
138436
PORTAGE PHARMACY
RICHLAND VILLAGE DRUG
7966 LOVERS LN
8900 GULL RD
PORTAGE 49002
RICHLAND 49083
(269) 327-0033
(269) 629-9550
137866
1032 EAST CORK STREET
KALAMAZOO 49001
(269) 344-0131
138403
1950 WEST CENTRE AVENUE
PORTAGE 49024
(269) 321-0664
138404
7021 SO WESTNEDGE AVENUE
PORTAGE 49002
(269) 327-2579
137867
138405
SINDECUSE HEALTH CENTER PHARMA

886 GILKISON DR
6839 SOUTH WESTNEDGE AVENUE
KALAMAZOO 49008
PORTAGE 49002
(269) 387-3355
(269) 327-9646
137868
KALAMAZOO 49009
(616) 349-6148
138406
WALGREENS #10080
7920 SHAVER RD
PORTAGE 49024
(269) 324-9988
138407
WALGREENS #10081
5933 S WESTNEDGE
PORTAGE 49002
(269) 381-4862
137869
137870
WALGREENS #12849
WALGREENS #3053
6649 W MAIN ST
1722 WEST MAIN
KALAMAZOO 49009
KALAMAZOO 49006
(269) 372-0273
(269) 344-4111
137871
WALGREENS #3147
918 RIVERVIEW DRIVE
KALAMAZOO 49001
(269) 382-5445
137872
WALGREENS #4991
KALAMAZOO 49008
(269) 552-1516
137873
137874
WALGREENS #7430
WALGREENS #7894
5020 W MAIN ST
5815 GULL RD
KALAMAZOO 49009
KALAMAZOO 49048
(269) 345-8503
(269) 226-9430
137875
6065 GULL ROAD
KALAMAZOO 49048
(269) 373-1367
137876
KALAMAZOO 49009
(269) 544-2943

Pharmacy
Page 854
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone

138408
138409

WESTLAKE DRUG
8350 SHAVER ROAD

8822 PORTAGE RD
PORTAGE 49024
PORTAGE 49002
(269) 323-3959
(269) 327-3049
137878
WESTSIDE MEDICAL PHARMACY
6565 W MAIN ST
KALAMAZOO 49009
(269) 375-1700
138410
WOODBRIDGE PHARMACY
7901 ANGLING RD
PORTAGE 49024
(269) 324-8409
(231) 258-8681
KALKASKA COUNTY
137879
784 S CEDAR ST
KALKASKA 49646
137881
KALKASKA 49646
(231) 258-2081
137882
784 S. CEDAR ST. SUITE E
KALKASKA 49646
(231) 258-0139
KENT COUNTY
139084
ADA HILLSIDE PHARMACY
6745 E FULTON AVE
ADA 49301
(616) 682-9100
139038
137570
COSTCO PHARMACY #744

4901 WILSON AVE SW

5100 28TH ST SE
WYOMING 49418
GRAND RAPIDS 49508
(616) 406-2678
(616) 233-4428
137571
CURO PHARMACY
4665 44TH ST SE STE A1106
GRAND RAPIDS 49512
(616) 977-9700
137572
CVS PHARMACY #05610
3590 PLAINFIELD AVE, NE
GRAND RAPIDS 49525
(616) 447-2563
139039
139040
CVS PHARMACY #07549

CVS PHARMACY #08290

3601 CLYDE PARK SW
WYOMING 49519
WYOMING 49509
(616) 530-2338
(616) 257-6641
137573
CVS PHARMACY #08291
727 28TH ST
GRAND RAPIDS 49548
(616) 514-5602
137574
CVS PHARMACY #08292
1155 FULLER
GRAND RAPIDS 49503
(616) 774-1041
137575
CVS PHARMACY #08293
1550 LAKE RD SE
GRAND RAPIDS 49506
(616) 235-0776
137887
139041
CVS PHARMACY #08297

CVS PHARMACY #08306
5225 EASTERN AVE

2375 28TH ST SW
KENTWOOD 49508
WYOMING 49519
(616) 261-3662
(616) 249-7174
137576
6425 28TH STREET SE
GRAND RAPIDS 49546
(616) 949-0340
137577
2181 WEALTHY ST SE
GRAND RAPIDS 49506
(616) 451-3404
137580
FAMILY FARE - FOREST HILLS PHA
4668 CASCADE RD SE
GRAND RAPIDS 49546
(616) 949-0170
139042
139043

1148 28TH ST SW
2275 HEALTH DR SW
WYOMING 49509
WYOMING 49519
(616) 724-1944
(616) 249-9161
136856
2245 84TH ST SW
BYRON CENTER 49315
(616) 878-6047
138473
201 MARCELL DR NE
ROCKFORD 49341
(616) 863-9376
137626
139044

3960 44TH STREET SW

2900 BURLINGAME AVE SW
GRANDVILLE 49418
WYOMING 49509
(616) 530-4590
(616) 538-1490
137581
4325 BRETON RD SE
GRAND RAPIDS 49512
(616) 281-5442
137582
1415 E FULTON STREET
GRAND RAPIDS 49503
(616) 774-9422
137583
1225 LEONARD AVE NE
GRAND RAPIDS 49505
(616) 459-6203
137888
136916


4175 17 MILE RD NW
KENTWOOD 49508
CEDAR SPRINGS 49319
(616) 698-8234
(616) 696-9198
137584
2755 LAKE MICHIGAN DR NW
GRAND RAPIDS 49504
(616) 791-4777
138655
565 S STATE RD
SPARTA 49345
(616) 887-8861
137585
GRAND RAPIDS 49525
(616) 447-2788
137587
137885
GRAND VALLEY HEALTH PLAN PHAR

GRICES PHARMACY #23
2680 LEONARD NE
6 S MAIN ST
GRAND RAPIDS 49525

KENT CITY 49330
(616) 224-1131
(616) 678-5380
137588
HEART OF THE CITY PHARMACY
100 CHERRY STREET
GRAND RAPIDS 49503
(616) 965-8278
138474
HOMETOWN PHARMACY LTC #3
4382 14 MILE RD
ROCKFORD 49341
(888) 258-2550
137589
137590
KAY PHARMACY INC

KEYSTONE PHARMACY
2178 PLAINFIELD NE
4021 CASCADE RD SE
GRAND RAPIDS 49505

GRAND RAPIDS 49546
(616) 361-7319
(616) 974-9792
136857
701 68TH ST SW
BYRON CENTER 49315
(616) 281-8212
137591
4111 N KENT MALL NE
GRAND RAPIDS 49525
(616) 364-6147
137889
LTC PHARMACY
4477 EAST PARIS AVE SE
KENTWOOD 49512
(616) 214-8011
137592
139046

2425 ALPINE NW
5500 CLYDE PARK AVE SW
GRAND RAPIDS 49544

WYOMING 49509
(616) 363-9849
(616) 530-7133
137593
5531 28TH ST SE
GRAND RAPIDS 49512
(616) 949-0772
137594
1997 EAST BELTINE NE
GRAND RAPIDS 49525
(616) 447-1510
136869
1801 MARKETPLACE DRIVE
CALEDONIA 49316
(616) 656-6110
138034
137595

11901 FULTON ST
315 WILSON AVE NW
LOWELL 49331
GRAND RAPIDS 49534
(616) 897-4710
(616) 735-2110
137512
3434 CENTURY CENTER DR SW
GANDVILLE 49418
(616) 724-2810
138475
2799 10 MILE RD NE
ROCKFORD 49341
(616) 863-3464
136917
137596

3700 17 MILE RD NE
1540 28TH ST
CEDAR SPRINGS 49319

GRAND RAPIDS 49508
(616) 696-4633
(616) 452-3142
137597
GRAND RAPIDS 49525
(616) 365-1433
138656
MOMBER PHARMACY
133 E DIVISION ST
SPARTA 49345
(616) 887-7323

Pharmacy
Page 855
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
1106 BURTON SW
4575 44TH STREET SE
WYOMING 49509
GRAND RAPIDS 49512
(616) 245-2463
(616) 954-6833

139048
137598
PARKWOOD PHARMACY
PHARMERICA #7112
136870
PROFESSIONAL PHARMACY
9175 CHERRY VALLEY RD
CALEDONIA 49316
(616) 891-1116
137599
1029 4 MILE ROAD NORTHWEST
GRAND RAPIDS 49544
(616) 784-4400
138476
137600

511 10 MILE ROAD

1838 BRETON ROAD SE
ROCKFORD 49341
GRAND RAPIDS 49506
(616) 866-4429
(616) 949-5710
137601
2036 LAKE MICHIGAN DRIVE
GRAND RAPIDS 49504
(616) 453-2473
137602
2130 WEALTHY STREET SOUTHEAST
GRAND RAPIDS 49506
(616) 451-0711
136918
4166 17 MILE ROAD
CEDAR SPRINGS 49319
(616) 696-9040
138035
136871


9377 CHERRY VALLEY ROAD
LOWELL 49331
CALEDONIA 49316
(616) 897-9221
(616) 891-1256
138657
425 NORTH FIFTH STREET
SPARTA 49345
(616) 887-0600
137890
5995 KALAMAZOO AVENUE SOUTHEAS
KENTWOOD 49508
(616) 827-9906
137891
4410 SOUTH DIVISION AVENUE
KENTWOOD 49548
(616) 532-9241
137603
137604
SAINT MARYS FAMILY PHARMACY-CA

SAINT MARYS LTC PHARMACY
360 DIVISION AVE S

360 DIVISION AVE S
GRAND RAPIDS 49503

GRAND RAPIDS 49503
(616) 685-1147
(616) 685-1100
137605
SAINT MARYS PHARMACY WEGE CENT
300 LAFAYETTE SE
GRAND RAPIDS 49503
(616) 685-6105
137892
4326 28TH STREET SE
KENTWOOD 49512
(616) 285-3346
137025
137606

SPECIALIZED PHARMACY SERVICES
3901 ALPINE AVE NW

400 ANN ST NW STE 104
COMSTOCK PARK 49321

GRAND RAPIDS 49504
(616) 647-9302
(616) 365-9702
137607
SPECTRUM HEALTH OUTPTNT PHARMA
100 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 391-1638
137608
SPECTRUM HEALTH PHARMACY AT 35
35 MICHIGAN ST NE
GRAND RAPIDS 49503
(616) 267-2950
138869
3248 ALPINE AVENUE NW
WALKER 49544
(616) 784-7601
139049
137609

5455 CLYDE PARK SW

5120 28TH ST SE
WYOMING 49509
GRAND RAPIDS 49512
(616) 530-5525
(616) 222-4890
136872
1925 MARKET PLACE DR
CALEDONIA 49316
(616) 698-1186
137627
3130 44TH ST SW
GRANDVILLE 49418
(616) 222-7661
137610
THE CHEMIST SHOPPE
1900 WEALTHY SE
GRAND RAPIDS 49506
(616) 774-7799
137611
136859
VILLAGE PHARMACY
WALGREENS #10129

GRAND RAPIDS 49508

BYRON CENTER 49315
(616) 281-1323
(616) 878-0487
138870
WALGREENS #10351
3596 ALPINE AVE NW
WALKER 49544
(616) 647-2260
137612
WALGREENS #10803
2425 44TH ST SE
GRAND RAPIDS 49512
(616) 455-5151
139050
139051
WALGREENS #11249
WALGREENS #11801
1550 36TH ST SW
5575 BRYON CENTER AVE SW
WYOMING 49509
WYOMING 49519
(616) 249-7887
(616) 534-5175
(616) 957-8934
137613
WALGREENS #12561
4550 CASCADE RD SE
GRAND RAPIDS 49546
137614
WALGREENS #12777
4365 LAKE MICHIGAN DR. NW
GRAND RAPIDS 49534
(616) 791-2323
138036
WALGREENS #12893
11980 FULTON ST E
LOWELL 49331
(616) 897-3160
137615
137616
WALGREENS #15007
WALGREENS #15466
425 FULLER AVE NE

800 WEST LEONARD
GRAND RAPIDS 49503

GRAND RAPIDS 49504
(616) 776-9925
(616) 458-8300
137617
WALGREENS #2581
1601 KALAMAZOO AVE
GRAND RAPIDS 49507
(616) 247-5511
139052
WALGREENS #2714
4425 S DIVISION
WYOMING 49548
(616) 531-5255
137628
WALGREENS #3012
3191 28TH STREET SW
GRANDVILLE 49418
(616) 534-7900
137618
139053
WALGREENS #3426
WALGREENS #4299

2829 S DIVISION
GRAND RAPIDS 49505

WYOMING 49548
(616) 365-1900
(616) 248-9020
137619
WALGREENS #4413
6790 CASCADE RD
GRAND RAPIDS 49546
(616) 954-2468
137033
WALGREENS #4726
8 68TH ST SW
CUTLERVILLE 49548
(616) 827-0227
137620
137893
WALGREENS #5095
WALGREENS #5534
1964 FULLER AVE NE

GRAND RAPIDS 49505

KENTWOOD 49508
(616) 364-7078
(616) 698-9157
137621
WALGREENS #7140
5100 E BELTLINE RD
GRAND RAPIDS 49306
(616) 361-1242
137629
WALGREENS #7160
4445 IVANREST AVE SW
GRANDVILLE 49418
(616) 532-0961
137622
WALGREENS #9131
GRAND RAPIDS 49507
(616) 452-3573
137623
137026
WALKER STREET PHARMACY

1181 WALKER ST NW
3999 ALPINE AVENUE
GRAND RAPIDS 49504

COMSTOCK PARK 49321
(616) 458-9640
(616) 784-1619
137624
5859 28TH STREET
GRAND RAPIDS 49546
(616) 949-9892
137630
4542 KENOWA AVENUE
GRANDVILLE 49418
(616) 667-9713
137625
WOODPOINTE PHARMACY
2500 E BELTLINE AVE SE STE O
GRAND RAPIDS 49546
(616) 949-4499
868 MICHIGAN AVE
BALDWIN 49304
(231) 745-4697
6002 N LAPEER RD
NORTH BRANCH 48461
(810) 793-5006
LAKE COUNTY
136709
PATTIE DRUG OF BALDWIN
LAPEER COUNTY
138244
EHARDT'S PHARMACY INC. #6

Pharmacy
Page 856
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
HOMETOWN PHARMACY OF LAPEER PL

944 BALDWIN RD
1821 S CEDAR
LAPEER 48446
IMLAY CITY 48444
(810) 245-6967
(810) 721-3262
137959
LAPEER 48446
(810) 664-0391
137961
MCLAREN DRUG SHOP - LRMC
1375 N MAIN ST
LAPEER 48446
(810) 667-5970
137962
137784

NARAYAN DRUGS AND PHARMACY
1555 DEMILLE RD
6800 NEWARK RD
LAPEER 48446
IMLAY CITY 48444
(810) 667-8110
(810) 721-8705
138122
3939 SOUTH LAPEER ROAD
METAMORA 48455
(810) 678-2331
137963
1254 NORTH MAIN STREET
LAPEER 48446
(810) 664-1932
137964
1022 WEST GENESEE STREET
LAPEER 48446
(810) 664-4578
137785
136645


860 NORTH VAN DYKE ROAD
IMLAY CITY 48444

ALMONT 48003
(810) 724-0576
(810) 798-8501
137965
ROGERS PHARMACY
316 W NEPESSING ST
LAPEER 48446
(810) 664-0600
137786
SAVON DRUGS 8 SAVMOR IMLAY CIT
2040 SOUTH CEDAR
IMLAY CITY 48444
(810) 724-7692
137966
WALGREENS #12971
591 S MAIN ST
LAPEER 48446
(810) 538-0014
137967
555 EAST GENESEE
LAPEER 48446
(810) 664-8360

137958
137783
LEELANAU COUNTY
138746
138747
BAY SHORE PHARMACY

HOMETOWN PHARMACY #43 - SUTTON
93 A 4TH ST
321 N ST JOSEPHS ST
SUTTONS BAY 49682

SUTTONS BAY 49682
(231) 271-6111
(231) 271-3881
137541
HOMETOWN PHARMACY #44 - GLEN A
6404 WESTERN AVE
GLEN ARBOR 49636
(231) 334-6608
LENAWEE COUNTY
136606
ADDISON PHARMACY
100 W MAIN ST
ADDISON 49220
(517) 547-6686
136607
1535 W MAUMEE ST
ADRIAN 49221
(517) 265-9162
136608
CVS PHARMACY #08013
1003 N MAIN STREET
ADRIAN 49221
(517) 265-1565
138783
CVS PHARMACY #08025
807 WEST CHICAGO BLVD
TECUMSEH 49286
(517) 423-6676
137779
136609
HUDSON PHARMACY
325 RAILROAD ST
1416 S MAIN ST
HUDSON 49247
ADRIAN 49221
(517) 448-3111
(517) 263-4286
138302
400 NORTH MAIN
ONSTED 49265
(517) 467-7225
136610
217 EAST US 223
ADRIAN 49221
(517) 265-8530
138170
136611
MIKES PHARMACY
213 W MAIN ST
MORENCI 49256
ADRIAN 49221
(517) 458-2261
(517) 263-0603
138784
SCHMIDT AND SONS OF TECUMSEH I
120 E CHICAGO BLVD
TECUMSEH 49286
(517) 423-3250
136972
SCHMIDT AND SONS PHARMACY OF C
140 W MICHIGAN AVE
CLINTON 49236
(517) 456-4150
136802
SCHMIDT AND SONS PHCY BLISSFIE
177 WEST BROOKE LANE
BLISSFIELD 49228
(517) 486-2145
138785
136612

WALGREENS #7319
2655 W CHICAGO BLVD

706 S MAIN ST
TECUMSEH 49286
ADRIAN 49221
(517) 423-4420
(517) 265-6675
136613
1601 EAST US 223
ADRIAN 49221
(517) 265-9686
136614
WHEELOCK DRUGS
700 E CHURCH STREET
ADRIAN 49221
(517) 263-7175
LIVINGSTON COUNTY
137639
GREEN OAK TWNSHIP 48116
(810) 220-8977
137767
CVS PHARMACY #08046
HOWELL 48843
(517) 548-2401
136821
136822
CVS PHARMACY #08111

CVS PHARMACY #08204
5757 WHITMORE LAKE RD 100

106 W GRAND RIVER
BRIGHTON 48116
BRIGHTON 48116
(810) 229-9772
(810) 220-8804
137768
CVS PHARMACY #08295
10073 E HIGHLAND RD
HOWELL 48843
(810) 632-9432
138290
CVS PHARMACY #08308
3960 E HIGHLAND RD
OCEOLA TWP 48843
(517) 545-7525
137493
FOWLERVILLE PHARMACY
119 E GRAND RIVER
FOWLERVILLE 48836
(517) 223-9832
136823
137770
HEALTHPLUS PHARMACY OF BRIGHTO

2305 GENOA BUSINESS PARK DR ST

10059 HIGHLAND RD
BRIGHTON 48114
HOWELL 48843
(810) 229-4420
(810) 991-2352
(810) 225-2275
136824
9968 E GRAND RIVER
BRIGHTON 48116
137771
108 WEST HIGHLAND
HOWELL 48843
(517) 552-0205
138344
9700 CHILSON COMMONS CIRCLE
PINCKNEY 48169
(734) 213-7980
136825
137772

8650 W GRAND RIVER

3883 E GRAND RIVER
BRIGHTON 48116
HOWELL 48843
(810) 227-3603
(517) 552-6610
137698
2160 HARTLAND RD
HARTLAND 48353
(810) 632-4210
136826
BRIGHTON 48116
(810) 220-5840
137773
138345

1002 EAST GRAND RIVER AVENUE

75 SOUTH DEXTER STREET
HOWELL 48843
PINCKNEY 48169
(517) 546-8701
(734) 878-2047
137774
SAINT JOSEPH MERCY PHARMACY -
620 BYRON RD
HOWELL 48843
(517) 545-6666
136827
8043 CHALLIS RD
BRIGHTON 48116
(810) 229-4264

Pharmacy
Page 857
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone

137775
137776

VG'S PHARMACY #1920
10025 E HIGHLAND RD
2400 W. GRAND RIVER
HOWELL 48843
HOWELL 48843
(810) 632-2317
(517) 548-7070
136828
VG'S PHARMACY #1931
9870 E. GRAND RIVER
BRIGHTON 48116
(810) 229-0323
137699
WALGREENS #10499
10081 E HIGHLAND ROAD
HARTLAND 48353
(810) 632-9192
136829
137777
WALGREENS #12310
WALGREENS #1910
5505 S OLD US 23
BRIGHTON 48116
HOWELL 48843
(810) 229-5466
(517) 546-5689
136830
WALGREENS #5170
BRIGHTON 48116
(810) 225-3430
137494
WAL-MART PHARMACY 10- #4540
970 GEHRINGER DRIVE
FOWLERVILLE 48836
(517) 223-1106
137778
3850 E GRAND RIVER
HOWELL 48843
(517) 548-9511
137700
10400 HIGHLAND RD
HARTLAND TOWNSHIP 48353
(810) 632-9017
7293 M 123
NEWBERRY 49868
(906) 293-8571
LUCE COUNTY
138237
SNYDER DRUG #208
MACKINAC COUNTY
136919
ARFSTROM PHARMACY
4 EAST M 134
CEDARVILLE 49719
(906) 484-3355
138545
138677
BAY PHARMACY
SAULT STE. MARIE TRIBAL HEALTH
112 S STATE ST
1140 N STATE ST STE 2805
SAINT IGNACE 49781

ST IGNACE 49781
(906) 643-7725
(906) 643-4996
50680 CORPORATE DR
24788 FORTERRA DR
SHELBY TWP 48315

WARREN 48089
(586) 323-8270
(586) 758-7000
MACOMB COUNTY
138582
138876
ADV CARE PHCY SVCS SHELBY

ADVANCED CARE PHCY SRVCS OF ME
138877
AMOP PHARMACY
23290 SCHOENHERR RD
WARREN 48089
(586) 772-6872
138571
AP SPECIALTY MEDICATIONS LLC
12316 24 MILE RD
(586) 254-3568
136690
ARMADA PHARMACY
23032 E MAIN ST
ARMADA 48005
(586) 784-9222
138701
138879
ATLANTIC MEDICAL PHARMACY

BERKLEY PHARMACY

28577 SCHOENHERR ROAD

WARREN 48088
(586) 698-2264
(586) 573-8300
(586) 757-2755
136920
BINSONS PHARMACY INC
26834 LAWRENCE
CENTER LINE 48015
138175
BREAK THRU MEDICAL
350 CHURCH ST
MT CLEMENS 48043
(586) 469-1700
138880
138702
BRIGHTSKY
CANAL PHARMACY
23247 PINEWOOD STREET

13721 19 MILE RD
WARREN 48091
(586) 755-0400
(586) 566-9400
136921
CARE CONNECTION PLUS/ASSURASCR
7277 BERNICE SUITE 104
CENTER LINE 48015
(586) 755-3830
138703
CAREMONT PHARMACY
44344 DEQUINDRE RD
(586) 323-6400
136922
CENTERLINE CITY PHARMACY LLC
CENTER LINE 48015
(586) 427-5344
138542
138881
COLLIE DRUGS
COMMUNITY RX PHARMACY
21722 HARPER AVE

27124 DEQUINDRE RD

WARREN 48092
(810) 776-6122
(586) 920-2225
138572
45460 MARKET ST
(586) 580-2002
138487
27118 GRATIOT AVENUE
ROSEVILLE 48066
(586) 447-1436
138050
CVS PHARMACY #00445
51000 ROMEO PLANK RD
(586) 992-8570
138051
137353
CVS PHARMACY #05406

CVS PHARMACY #08011
50980 NORTH AVENUE

16000 E 10 MILE RD

EASTPOINTE 48021
(586) 949-7323
(586) 777-7570
138704
CVS PHARMACY #08014
3678 EAST 15 MILE RD
(586) 977-3610
136997
CVS PHARMACY #08016
40925 GARFIELD RD
CLINTON TWP. 48038
(586) 263-4070
138437
136924
CVS PHARMACY #08024

CVS PHARMACY #08032
67181 S MAIN ST
7333 E 10 MILE RD
RICHMOND 48062
CENTERLINE 48015
(586) 727-2781
(586) 759-5100
138882
CVS PHARMACY #08039
13608 NINE MILE RD
WARREN 48089
(586) 771-9700
138690
CVS PHARMACY #08040
27700 HARPER
ST. CLAIR SHORES 48081
(586) 773-0500
138883
CVS PHARMACY #08045
25109 RYAN
WARREN 48091
(586) 756-8900
138884
138488
CVS PHARMACY #08050

CVS PHARMACY #08062
31111 SCHOENHERR
28774 GRATIOT
WARREN 48088
ROSEVILLE 48066
(586) 276-4501
(586) 777-6350
138885
CVS PHARMACY #08069
26081 HOOVER
WARREN 48089
(586) 754-7080
138705
CVS PHARMACY #08078
15142 HALL RD
(586) 247-5610
138706
CVS PHARMACY #08080
13475 15 MILE RD
(586) 268-2900
137499
136973
CVS PHARMACY #08091

CVS PHARMACY #08092
33021 GARFIELD
37050 GRATIOT
FRASER 48026
(586) 293-5012
(586) 463-3110
136974
CVS PHARMACY #08093
36540 GARFIELD
(586) 790-1440
137692
CVS PHARMACY #08095
26220 CROCKER
HARRISON TWP. 48045
(586) 954-0800
138691
138224
CVS PHARMACY #08100

CVS PHARMACY #08108
24001 HARPER
33920 23 MILE RD

NEW BALTIMORE 48047
(586) 774-1570
(586) 725-3900
138573
CVS PHARMACY #08113
2115 TWENTY FIVE MILE RD
(248) 652-2227
138692
CVS PHARMACY #08130
31240 HARPER
(586) 415-8002

Pharmacy
Page 858
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone

138886
138574
CVS PHARMACY #08135

CVS PHARMACY #08144
4239 12 MILE RD
46960 VAN DYKE AVENUE
WARREN 48092
(586) 558-5560
(586) 726-9220
138887
CVS PHARMACY #08146
15051 13 MILE
WARREN 48088
(586) 415-6565
138587
CVS PHARMACY #08154
50840 SHELBY RD
SHELBY TWP. 48317
(586) 731-6660
138583
138042
CVS PHARMACY #08156

CVS PHARMACY #08158
15121 24 MILE RD
46850 ROMEO PLANK RD
SHELBY TWP 48315

MACOMB 48044
(586) 677-4015
(586) 412-1113
137354
CVS PHARMACY #08170
18140 9 MILE RD
EASTPOINTE 48021
(586) 447-4370
136998
CVS PHARMACY #08173
15255 17 MILE RD
CLINTON TWP. 48038
(586) 412-6755
138481
CVS PHARMACY #08179
71220 VAN DYKE
ROMEO 48065
(586) 336-1905
138693
138588
CVS PHARMACY #08183

CVS PHARMACY #08189
22515 GREATER MACK

13500 22 MILE RD

SHELBY TWP. 48315
(586) 447-4368
(586) 997-2050
138707
CVS PHARMACY #08191
4025 18 MILE RD
(586) 803-6271
137355
CVS PHARMACY #08197
24931 KELLY RD
EASTPOINTE 48021
(586) 447-4375
138888
CVS PHARMACY #08214
13488 E 11 MILE RD
WARREN 48089
(586) 759-5243
136953
138225
CVS PHARMACY #08238

CVS PHARMACY #08261
47011 GRATIOT
37100 GREEN RD
CHESTERFIELD TWP 48051

NEW BALTIMORE 48047
(586) 421-1021
(586) 716-1202
136946
CVS PHARMACY #08272
52950 GRATIOT AVE
CHESTERFIELD 48051
(586) 598-2328
138052
CVS PHARMACY #08287
21777 21 MILE RD
(586) 949-2078
138708
138575
CVS PHARMACY #08300

CVS PHARMACY #08416
43611 SCHOENHERR RD
53069 VAN DYKE

(586) 254-8418
(586) 781-2655
138489
DOCTORS PHARMACY
18801 E TEN MILE RD
ROSEVILLE 48066
(586) 777-2190
137356
ETEL-RX
EASTPOINTE 48021
(586) 498-7600
137357
FAIRWAY SAVMOR DRUGS #10
19332 E 10 MILE ROAD
EASTPOINTE 48021
(586) 771-0030
136987
138859
FRANKS PHARMACY ADVANCED CARE

GREAT LAKES CANCER MGMT SPECIA
39023 HARPER
11051 HALL RD
CLINTON TWP 48036

UTICA 48317
(586) 464-2000
(586) 991-0700
136988
HENRY FORD MACOMB AMBULATORY P
16151 19 MILE RD
CLINTON TWP 48038
(586) 263-2677
136952
HENRY FORD MACOMB AMBULATORY P
30795 23 MILE RD
CHESTERFIELD TOWNS 48047
(586) 421-3020
138663
HENRY FORD MEDICAL CENTER PHAR
24725 EAST JEFFERSON
(586) 447-3680
138734
138733

3500 15 MILE ROAD

14500 HALL ROAD
STERLING HGTS 48310

STERLING HGTS 48313
(586) 977-9971
(586) 247-2990
138890
HERA PHARMACY #00
28716 RYAN RD
WARREN 48092
(586) 510-4252
138710
HOLIDAY PHARMACY PLLC
3771 SCHOENHERR RD
(586) 274-4332
138711
138576
KASHAT SAVMOR PHARMACY TROY #9

34644 DEQUINDRE RD
7601 23 MILE RD

(586) 698-0336
(586) 739-4200
138735
2051 18 MILE RD
STERLING HGTS 48314
(586) 739-2733
136976
41601 GARFIELD RD
(586) 263-0950
138438
67300 S MAIN ST
RICHMOND 48062
(586) 727-2754
138664
138891

22801 HARPER AVE

31200 SCHOENHERR RD

WARREN 48088
(586) 779-4340
(586) 294-0110
138892
2000 E 10 MILE RD
WARREN 48091
(586) 756-7680
136977
34800 GROESBECK HWY
(586) 791-6464
138490
17580 FRAZHO RD
ROSEVILLE 48066
(586) 498-3371
138665
138712

22332 NINE MILE RD

43893 SCHOENHERR RD

(586) 541-1042
(586) 685-1346
138491
30851 GRATIOT
ROSEVILLE 48066
(586) 541-3314
138482
64660 VAN DYKE
ROMEO 48095
(586) 540-8004
138893
138666

26233 HOOVER RD
23191 MARTER ROAD
WARREN 48089
(586) 754-1191
(586) 541-1370
136978
41941 GARFIELD
(586) 263-0238
138894
28250 DEQUINDRE
WARREN 48092
(586) 558-2089
138492
26130 GRATIOT AVE
ROSEVILLE 48066
(586) 776-8966
138713
138895

2260 EIGHTEEN MILE RD

13700 14 MILE ROAD

WARREN 48093
(586) 977-9230
(586) 285-9487
138054
15251 23 MILE RD
MACOMB TWNSHP 48042
(586) 677-0968
138055
21555 TWENTY ONE MILE RD
MACOMB TWNSHP 48044
(586) 421-9877
138577
2058 25 MILE ROAD
(248) 651-9752
138439
138043

66900 GRATIOT
16450 26 MILE ROAD
RICHMOND 48062
MACOMB 48042
(586) 727-0125
(586) 677-8730
138226
35000 23MILE ROAD
NEW BALTIMORE 48047
(586) 725-6903
136979
LAKESHORE MEDICAL PHARMACY
33720 HARPER AVE
(586) 415-4875
138543
138896
LAKEVIEW SPECIALTY PHARMACY IN

LTC MED EX DIRECT
21400 E 11 MILE RD
13201 STEPHENS RD STE C

WARREN 48089
(586) 777-4100
(586) 353-6300
138176
MCLAREN DRUG SHOP - MCRMC
MT CLEMENS 48043
(586) 493-2800
138897
MEDEX DIRECT LLC
13201 STEPHENS RD
WARREN 48089
(586) 353-6300

Pharmacy
Page 859
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone

138898
138714
MEDICAP PHARMACY #8182

11460 12 MILE RD
3979 17 MILE ROAD
WARREN 48093
(586) 582-9670
(586) 268-6266
138715
36600 VANDYKE AVE
(586) 978-7640
138493
30800 LITTLE MACK ROAD
ROSEVILLE 48066
(586) 415-6164
138860
136947

15055 HALL ROAD

27255 TWENTY THREE MILE
UTICA 48315
CHESTERFIELD 48051
(586) 566-0420
(586) 598-1118
137500
34835 UTICA RD
FRASER 48026
(586) 415-6410
138930
8401 26 MILE RD
WASHINGTON TWP 48094
(586) 677-8010
138900
29505 MOUND RD
WARREN 48092
(586) 573-2910
137972
136989

36865 26 MILE RD
40445 S GROESBECK HWY
LENOX 48048
CLINTON TWP 48036
(586) 716-5833
(586) 239-7010
138902
NOOR PHARMACY
4092 E 14 MILE RD
WARREN 48092
(586) 268-3900
136990
NORTHEAST PHARMACY
43900 GARFIELD
CLINTON TWP 48038
(586) 263-6400
138903
NORTHPOINTE PEDIATRICS PC
30061 SCHOENHERR RD
WARREN 48088
(586) 558-2111
138667
137360
PARK PHARMACY #2
PAY LESS DRUGS
20225 E 9 MILE ROAD

20804 GRATIOT AVE

EASTPOINTE 48021
(586) 285-9600
(586) 222-2224
138716
PHARMACARXE
4135 15 MILE RD
(248) 805-1981
138584
PHARMASCRIPT OF SHELBY INC
50505 SCHOENHERR RD
SHELBY TWP 48315
(586) 803-0800
138904
138717
PHARMERICA #7060
PLUMBROOK PRESCRIPTION CENTER

39880 VAN DYKKE AVE
WARREN 48092
(800) 231-8155
(586) 939-9580
136980
PREMIER PHARMACY LLC
34025 HARPER AVE
(586) 741-4850
138045
46977 ROMEO PLANK ROAD
MACOMB 48044
(586) 286-4285
138907
32983 RYAN ROAD
WARREN 48092
(586) 264-2724
138046
138231

15250 24 MILE ROAD

MACOMB 48042
NEW HAVEN 48048
(586) 677-1108
(586) 749-0009
(586) 752-8905
138926
63033 VAN DYKE ROAD
WASHINGTON 48095
138440
RICHMOND 48062
(586) 727-9715
136991
37165 GROESBECK HIGHWAY
CLINTON TWP 48036
(586) 468-1428
138927
136992

66998 VAN DYKE ROAD

35250 SOUTH GRATIOT AVENUE
WASHINGTON 48095
CLINTON TWP 48035
(586) 752-3561
(586) 791-1550
138578
(586) 739-1100
138718
11743 15 MILE ROAD
(586) 979-3100
138719
136948

13500 19 MILE ROAD


CHESTERFIELD 48051
(586) 323-0286
(586) 949-6110
(586) 773-1100
138544
23201 MARTER ROAD
138908
2003 EAST 12 MILE ROAD
WARREN 48092
(586) 751-3600
138720
43034 DEQUINDRE ROAD
(586) 254-1021
138909
138910

12 HOOVER SHOPPING CENTER

WARREN 48093
WARREN 48091
(586) 751-0300
(586) 756-8070
138177
5 SOUTH GROESBECK HIGHWAY
MT CLEMENS 48043
(586) 468-0978
138494
ROSEVILLE 48066
(586) 774-1070
137361
EASTPOINTE 48021
(586) 772-6699
138669
136993

25100 HARPER AVENUE

36485 GARFIELD ROAD

CLINTON TWP 48035
(586) 445-8181
(586) 791-0738
137691
28350 SOUTH RIVER ROAD
(586) 463-8661
138721
(586) 268-2500
138227
138928

35350 23 MILE ROAD

7887 26 MILE ROAD
NEW BALTIMORE 48047

WASHINGTON 48094
(586) 725-3640
(586) 677-3438
136923
CENTER LINE 48015
(586) 757-6179
138495
ROSEVILLE PHARMACY
20733 E 13 MILE RD
ROSEVILLE 48066
(586) 415-4844
138496
ROSEVILLE 48066
(586) 415-9980
138861
138722

SAVON DRUGS 5 SAVMOR STERLING
45600 UTICA PARK BLVD

43500 VAN DYKE AVE
UTICA 48315
(586) 739-5472
(586) 739-1450
138171
SAVON PHILS PHARMACY #21
35 N WALNUT ST
MOUNT CLEMENS 48043
(586) 468-0597
138056
46591 ROMEO PLANK ROAD
MACOMB TWP 48044
(586) 226-6060
138912
11800 E TWELVE MILE ROAD
WARREN 48093
(586) 573-5850
138053
138913

17900 23 MILE ROAD

31700 VANDYKE

WARREN 48093
(586) 868-9050
(586) 276-8030
138670
21000 TWELVE MILE ROAD
(586) 447-5030
138929
64580 VANDYKE
WASHINGTON 48095
(586) 336-0772
138914
138915

STERLING SAVMOR PHARMACY #26
31700 VANDYKE
30834 SCHOENHERR
WARREN 48093
WARREN 48088
(586) 276-8040
(586) 775-1221
136982
SUNSHINE PHARMACY
43614 GARFIELD RD
(586) 286-5005
138916
SUSSEX SAVMOR PHARMACY #60
WARREN 48091
(586) 757-6505

Pharmacy
Page 860
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
(586) 977-3822
(586) 254-7226

138723
138579
TALEEN'S PHARMACY
38300 VAN DYKE AVE

13221 HALL RD

138724
(586) 795-0682
136983
33860 GRATIOT AVENUE SOUTH
(586) 913-0294
136949
138580

51400 GRATIOT AVE

8200 26 MILE ROAD
CHESTERFIELD 48051
(586) 598-4770
(586) 677-5084
138047
20877 HALL RD
MACOMB 48044
(586) 464-1129
138725
(586) 698-1028
138917
28800 DEQUINDRE RD
WARREN 48092
(586) 353-1151
138441
138919
VILLAGE FAMILY PHARMACY

VILLAGE SAVMOR PHARMACY GREAT
31505 32 MILE RD
6213 CHICAGO RD STE 200
RICHMOND 48062
WARREN 48092
(586) 727-0090
(586) 751-7979
138048
WALGREENS #11264
21790 21 MILE RD
MACOMB 48044
(586) 469-0254
138585
WALGREENS #11395
56805 VAN DYKE AVE
SHELBY TWP 48316
(586) 786-1856
138726
WALGREENS #1246
13700 CANAL RD
(586) 532-9756
138671
137501
WALGREENS #1610
WALGREENS #4255
21211 HARPER AVE

31100 GROESBECK HWY

FRASER 48026
(586) 776-6938
(586) 294-9429
138672
WALGREENS #4308
32201 HARPER AVE
(586) 293-5151
136950
WALGREENS #4452
51008 GRATIOT AVE
CHESTERFIELD 48051
(586) 948-0118
138057
138920
WALGREENS #4453
WALGREENS #4512
47100 HAYES RD
22950 VAN DYKE AVE
MACOMB TWP 48044

WARREN 48089
(586) 532-8151
(586) 759-0575
136994
WALGREENS #4608
1045 S GRATIOT AVE
CLINTON TWP 48036
(586) 954-4901
138727
WALGREENS #4661
(586) 446-8101
137363
WALGREENS #4795
25016 GRATIOT AVE
EASTPOINTE 48021
(586) 498-8422
138921
138922
WALGREENS #4932
WALGREENS #5082
4010 E 13 MILE RD
1921 E 8 MILE RD
WARREN 48092
WARREN 48091
(586) 575-9242
(586) 755-2677
137364
WALGREENS #5083
17755 8 MILE RD
EASTPOINTE 48021
(586) 778-7068
138228
WALGREENS #5227
51200 WASHINGTON ST
NEW BALTIMORE 48047
(586) 716-3167
138586
WALGREENS #5291
13664 23 MILE RD
SHELBY TWP 48315
(586) 247-0022
138923
136995
WALGREENS #5322
WALGREENS #5968
11635 E 13 MILE RD
16741 CANAL RD
WARREN 48093
CLINTON TWP 48038
(586) 446-0850
(586) 286-3302
138924
WALGREENS #5971
24900 SCHOENHER
WARREN 48089
(586) 774-0330
136985
WALGREENS #6175
34899 GROESBECK HWY
(586) 741-0102
138673
138728
WALGREENS #6529
WALGREENS #6636
29520 HARPER AVE

13901 METRO PARKWAY

(586) 447-3186
(586) 446-4699
138729
WALGREENS #7033
43250 VAN DYKE AVE
(586) 803-1329
137502
WALGREENS #7509
15267 E 14 MILE RD
FRASER 48026
(586) 294-5375
138049
WALGREENS #7527
21828 23 MILE RD
MACOMB 48042
(586) 421-1894
136996
138674
WALGREENS #7768
WALGREENS #7787
39040 GARFIELD AVE

CLINTON TWP 48038

(586) 286-5091
(586) 498-9529
(586) 323-2570
138730
44575 MOUND ROAD
138731
33201 VAN DYKE AVE
(586) 939-8171
136951
45400 MARKETPLACE BLVD
CHESTERFIELD 48051
(586) 421-1265
138497
138581


51450 SHELBY PARKWAY
ROSEVILLE 48066
(586) 777-9475
(586) 997-9524
136986
18400 HALL RD
(586) 263-7690
MANISTEE COUNTY
138078
MANISTEE 49660
(231) 723-8500
136751
RICHMOND DRUG #455
7717 LAKE ST
BEAR LAKE 49614
(231) 864-3114
138079
1243 U.S. 31 SOUTH
MANISTEE 49660
(231) 723-9438
138080
WALGREENS #11310
1525 MANISTEE HWY
MANISTEE 49660
(231) 398-0348
MARQUETTE COUNTY
138222
LT PHARMACARE #306
380 US 41 E
NEGAUNEE 49866
(906) 475-4424
137812
138094
MORRISONS DRUGSTORE
PENINSULA PHARMACY
901 LAKESHORE DR
1414 W FAIR AVE
ISHPEMING 49849
MARQUETTE 49855
(906) 486-4443
(906) 225-3902
138095
SHOPKO PHARMACY #10
1150 W WASHINGTON ST
MARQUETTE 49855
(906) 228-8380
137659
SNYDER DRUG 104 #204
130 E STATE HWY
GWINN 49841
(906) 346-0104
137814
138223

1330 US 41 WEST
390 US 41 EAST
ISHPEMING 49849
NEGAUNEE 49866
(906) 485-5592
(906) 475-9967
138096
5091 US 41 S
MARQUETTE 49855
(906) 249-1441
137815
SNYDER RX EXPRESS #206
110 S MAIN ST
ISHPEMING 49849
(906) 486-4405

Pharmacy
Page 861
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
3250 US HWY 41 WEST

1401 PRESQUE ISLE
MARQUETTE 49855
MARQUETTE 49855
(906) 226-0095
(906) 227-1605
MARQUETTE COUNTY (CONTINUED)

138097
138098

UNIVERSITY HEALTH CENTER PHARM
138099
WALGREENS #12776
MARQUETTE 49855
(906) 226-1046
138100
3225 US 41 WEST
MARQUETTE 49855
(906) 226-5015
MASON COUNTY
138037
3900 WEST US 10
LUDINGTON 49431
(231) 845-3764
138039
936 EAST LUDINGTON AVE
LUDINGTON 49431
(231) 845-7332
138040
138041
WALGREENS #5560
33 S PERE MARQUETTE HWY

4854 WEST US HWY 10
LUDINGTON 49431
LUDINGTON 49431
(231) 845-5399
(231) 845-5873
BIRKAM HEALTH CENTER PHCY

EASTSIDE FAMILY MEDICAL
1019 CAMPUS DR
8540 105TH AVE
BIG RAPIDS 49307

STANWOOD 49346
(231) 591-5964
(231) 972-2710
136786
1250 PERRY AVE
BIG RAPIDS 49307
(231) 796-5252
136787
MARTZ AND SHAPLEY
120 N MICHIGAN AVE
BIG RAPIDS 49307
(231) 796-7621
136788
138435

REMUS PHARMACY
15400 WALDRON WAY

144 W WHEATLAND
BIG RAPIDS 49307

REMUS 49340
(231) 527-0210
(989) 967-3360
MECOSTA COUNTY
136785
138699
136789
842 SOUTH STATE STREET
BIG RAPIDS 49307
(231) 796-8659
136791
WALGREENS #7416
1010 S STATE ST
BIG RAPIDS 49307
(231) 592-0353
136792
21400 PERRY STREET
BIG RAPIDS 49307
(231) 796-3691
MENOMINEE COUNTY
138119
CVS PHARMACY #08549
1015 13TH ST
MENOMINEE 49858
(906) 863-2589
139022
HANNAHVILLE HLTH CTR PHCY
N 15019 HANNAHVILLE B 1 RD
WILSON 49896
(906) 723-2560
138120
1101 7TH AVE
MENOMINEE 49858
(906) 863-4471
COLEMAN FAMILY PHARMACY

GLOVERS REXALL PHARMACY
211 E RAILWAY
4000 JEFFERSON AVE
COLEMAN 48618
MIDLAND 48640
(989) 465-6661
(989) 839-9975
138126
GREAT LAKES PHARMACY OF MIDLAN
1120 EASTMAN AVE
MIDLAND 48640
(989) 835-7911
138127
INTEGRATED PHARMACY NETWORK
215 FAST ICE DR
MIDLAND 48642
(989) 496-7902
138128
1820 S SAGINAW RD
MIDLAND 48640
(989) 631-3600
138129
138130

2808 ASHMAN
7300 EASTMAN ROAD
MIDLAND 48640
MIDLAND 48642
(989) 835-3959
(989) 839-5959
138131
MIDLAND SABOURIN'S PHARMACY
314 WEST WACKERLY
MIDLAND 48640
(989) 839-2402
138132
2006 NORTH SAGINAW ROAD
MIDLAND 48640
(989) 631-4321
MIDLAND COUNTY
137012
138125
138133
2910 ASHMAN STREET
MIDLAND 48640
(989) 631-0700
138557
138134
SANFORD FAMILY PHARMACY

THE APOTHECARY SHOPPE DOWNTOWN
28 W SAGINAW RD
244 E MAIN ST
SANFORD 48657
MIDLAND 48640
(989) 687-2612
(989) 835-3636
138135
WALGREENS #6559
931 SAGINAW RD
MIDLAND 48640
(989) 631-0567
138136
WALGREENS #9079
1615 N SAGINAW RD
MIDLAND 48640
(989) 832-2313
138137
910 JOE MANN BLVD
MIDLAND 48642
(989) 835-6364
MISSAUKEE COUNTY
137901
JERRYS PHARMACY #300
5760 W HOUGHTON LAKE RD
LAKE CITY 49651
(231) 839-5800
137902
1960 SOUTH MOREY RD
LAKE CITY 49651
(231) 839-7207
MONROE COUNTY
136903
CARLETON SAVMOR PHARMACY #24
201 MEDICAL CENTER DRIVE
CARLETON 48117
(734) 654-6252
138787
138138
CRARY DRUG
CVS PHARMACY #00028
8946 LEWIS AVE

1249 DEXTER ST
TEMPERANCE 48182
MILAN 48160
(734) 847-6788
(734) 439-3000
138148
CVS PHARMACY #08198
919 S MONROE ST
MONROE 48161
(734) 384-9559
138149
FOOD TOWN PHARMACY
211 N TELEGRAPH RD
MONROE 48162
(734) 241-2046
138150
138151
HIRAS PHARMACY

15521 S DIXIE HWY
MONROE 48162
MONROE 48161
(734) 241-0606
(734) 243-5656
138152
1144 N MONROE ST
MONROE 48162
(734) 242-2966
138153
811 N MACOMB ST
MONROE 48162
(734) 242-9011

Pharmacy
Page 862
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
1397 N MONROE ST
1290 N MONROE ST
MONROE 48162
MONROE 48162
(734) 243-6301
(734) 243-9060

138154
138155

137913
3462 W STERNS RD
LAMBERTVILLE 48144
(734) 854-2690
138139
531 WEST MAIN ST
MILAN 48160
(734) 439-6856
137337
138156

571 EAST MONROE ST

850 SOUTH MONROE ST
DUNDEE 48131
MONROE 48161
(734) 529-2753
(734) 457-1078
138157
3833 N DIXIE HWY
MONROE 48162
(734) 289-6310
137914
7473 SECOR ROAD UNIT C
LAMBERTVILLE 48144
(734) 856-9123
138158
1700 TELEGRAPH ROAD
MONROE 48162
(734) 457-1925
138160
138161
MERCY MEMORIAL MACOMB PHARMACY

MONROE MED/ RX PHARMACY

337 STEWART RD
MONROE 48162
MONROE 48162
(734) 240-4100
(734) 240-3466
138162
507 SOUTH TELEGRAPH ROAD
MONROE 48161
(734) 243-6700
137915
7358 SECOR ROAD
LAMBERTVILLE 48144
(734) 856-7984
137916
WALGREENS #10804
7420 SECOR RD
LAMBERTVILLE 48144
(734) 856-2083
137338
138163
WALGREENS #12288
WALGREENS #2023
100 E CABELAS RD
1285 N MONROE ST
DUNDEE 48131
MONROE 48162
(734) 529-5395
(734) 457-4206
138164
WALGREENS #5321
484 S TELEGRAPH RD
MONROE 48161
(734) 240-2951
138165
2150 N TELEGRAPH RD
MONROE 48162
(734) 242-2385
138166
138167
YINGER PHARMACY SHOPPE

YINGER PHARMACY SHOPPE INC
1704 S CUSTER RD
1036 N MONROE ST
MONROE 48161
MONROE 48162
(734) 243-5451
(734) 384-7044
MONTCALM COUNTY
136910
138697
CARSON APOTHECARY SHOPPE

COUNTRYSIDE DRUG COMPANY I
245 S SECOND ST
217 E MAIN ST
CARSON CITY 48811

STANTON 48888
(989) 584-3272
(989) 831-4140
137369
COUNTRYSIDE PHARMACY
503 E MAIN ST
EDMORE 48829
(989) 427-5141
137912
COUNTRYSIDE PHARMACY
9695 N GREENVILLE RD
LAKEVIEW 48850
(989) 352-8168
138698
FIRST CHOICE PHARMACY #2
215 N STATE RD
STANTON 48888
(989) 831-8363
137370
137640
HANSENS PHARMACY AND VARIETY

326 E MAIN ST
EDMORE 48829
GREENVILLE 48838
(989) 427-5275
(616) 754-1875
137766
LEPPINKS PHARMACY INC
730 W SHAW ST
HOWARD CITY 49329
(231) 937-5282
137641
606 S GREEVILLE WEST DR
GREENVILLE 48838
(616) 225-7710
137642
136911

507 N LAFAYETTE STREET

M 57 AND GARLOCK
GREENVILLE 48838
CARSON CITY 48811
(616) 754-3625
(989) 584-3077
137644
WALGREENS #9132
GREENVILLE 48838
(616) 754-3204
137645
10772 WEST CARSON CITY ROAD
GREENVILLE 48838
(616) 754-5203
MONTMORENCY COUNTY
137729
HILLMAN PHARMACY
601 N STATE ST
HILLMAN 49746
(989) 742-3527
137974
2855 SOUTH COUNTY RD 489
LEWISTON 49756
(989) 786-2239
136692
THUNDER BAY PHARMACY
11899 MICHIGAN ROUTE-32
ATLANTA 49709
(989) 785-5535
MUSKEGON COUNTY
138197
BENSON SAVMOR PHARMACY #17
961 SPRING STREET
MUSKEGON 49442
(231) 722-3210
138199
138200
COMMUNITY CARE PHARMACY #1

CVS PHARMACY #06804
2700 BAKER STREET 1ST FL

2010 E APPLE AVE
MUSKEGON 49444
MUSKEGON 49444
(231) 737-9510
(231) 767-1122
137510
GROVER PHARMACY INC
10 S THIRD AVE
FRUITPORT 49415
(231) 865-3345
138201
HACKLEY HLTHCR EQUIP AND PHCY
6401 PRAIRIE ST STE 1100
MUSKEGON 49444
(231) 727-7968
138202
HACKLEY PHARMACY GLENSIDE #137
1663 W SHERMAN BLVD
MUSKEGON 49441
(231) 755-2443
138203
138204
HACKLEY PHARMACY- WOLF LAKE #1

HACKLEY PROFESSIONAL PHARMACY
5483 APPLE AVE

1675 LEAHY ST
MUSKEGON 49442
MUSKEGON 49442
(231) 788-4087
(231) 728-5888
138417
12441 STAFFORD ST
RAVENNA 49451
(231) 853-2261
138245
1900 RUDDIMAN AVE
NORTH MUSKEGON 49445
(231) 744-4718
138205
1501 E APPLE AVE
MUSKEGON 49442
(231) 773-9188
138206
138246

700 WEST NORTON AVE

1800 HOLTON ROAD
MUSKEGON 49441
(231) 733-5733
(231) 744-7178
138207
5300 S HARVEY ST
MUSKEGON 49444
(231) 799-6910
138168
MIKES FAMILY PHARMACY
8718 WATER ST STE A
MONTAGUE 49437
(231) 894-8633
138208
138220
MUSKEGON FAMILY CARE PHARMACY

PATTERSONS PHARMACY
2201 S GETTY ST
2144 HOYT ST
MUSKEGON 49445
MUSKEGON HEIGHTS 49444
(231) 737-1706
(231) 722-2564
139012
PITKIN SAVMOR PHARMACY #79
101 W COLBY ROAD
WHITEHALL 49461
(231) 893-5495
139013
3263 EAST COLBY ROAD
WHITEHALL 49461
(231) 893-0310

Pharmacy
Page 863
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone

2580 LAKE AVENUE

2635 HENRY STREET

MUSKEGON 49441
(231) 744-8393
(231) 755-0500
138210
1707 E SHERMAN BLVD
MUSKEGON 49444
(231) 830-9203
139014
3165 HOLTON WHITEHALL RD
WHITEHALL 49461
(231) 894-2635
138211
138212

WALGREENS #10079
5057 HARVEY ST
1171 E SHERMAN BLVD
MUSKEGON 49444
MUSKEGON 49444
(231) 798-7507
(231) 733-8465

138247
138209
139015
WALGREENS #11417
3284 COLBY RD
WHITEHALL 49461
(231) 893-1361
138213
WALGREENS #4835
1000 S GETTY ST
MUSKEGON 49442
(231) 767-9212
138214
WALGREENS #5315
840 W SHERMAN BLVD
MUSKEGON 49441
(231) 759-8587
138215
138248
WALGREENS #6279
WALGREENS #7461
1991 E APPLE AVE

1771 HOLTON RD
MUSKEGON 49442
(231) 773-1540
(231) 744-1391
138216
1879 EAST SHERMAN BLVD
MUSKEGON 49444
(231) 739-5519
138217
3285 HENRY ST
MUSKEGON 49441
(231) 739-4724
138218
WATKINS PHARMACY & SURGICAL SU
1391 E SHERMAN BLVD
MUSKEGON 49444
(231) 739-7158
138219
WEST SHORE PROFESSIONAL PHCY
1150 E SHERMAN BLVD
MUSKEGON 49444
(231) 672-2204
NEWAYGO COUNTY
137504
137505
BAARS PHARMACY
COUNTRY SQUIRE PHARMACY
6 W MAIN ST
30 E MAIN ST
FREMONT 49412
FREMONT 49412
(231) 924-2720
(231) 924-2120
139007
FAMILY HEALTH CARE PHARMACY
1035 E WILCOX AVE
WHITE CLOUD 49349
(231) 689-6677
137631
FAMILY HEALTH CARE PHCY
11 N MAPLE
GRANT 49327
(231) 834-1567
138234
226 W RIVER VALLEY DR
NEWAYGO 49337
(231) 652-6914
137506
137632


53 SOUTH MAPLE STREET
FREMONT 49412
GRANT 49327
(231) 924-3790
(231) 834-5744
138235
91 PINE LAKE DR
NEWAYGO 49337
(231) 652-9484
137508
WALGREENS #12533
819 W MAIN ST
FREMONT 49412
(231) 924-2360
137509
7083 WEST 48TH ST
FREMONT 49412
(231) 924-6900
OAKLAND COUNTY
138058
ACTIVE INFUSION
25219 DEQUINDRE RD
(248) 336-7051
138601
138931

22170 W 9 MILE RD
279 SUMMIT DR STE 200
SOUTHFIELD 48034
WATERFORD 48328
(248) 799-8125
(248) 409-1105
137397
ADVANCED CARE PHARMACY-FH
(248) 488-8191
138275
ADVANCED PHARMACY SERVICES
22100 GREENFIELD
OAK PARK 48237
(248) 968-7500
138603
BIOMED HEALTH SOLUTIONS LLC
SOUTHFIELD 48075
(248) 663-3390
137398
137709
BOTSFORD OUTPATIENT PHARMACY

BUCKLEY'S PHARMACY #102


HAZEL PARK 48030
(248) 471-8700
(248) 808-6505
(248) 557-9333
138604
CADILA PHARMACY
23832 SOUTHFIELD ROAD
SOUTHFIELD 48075
138362
CARNIVAL PHARMACY LLC
1101 E WALTON BLVD # 202
PONTIAC 48340
(248) 475-2200
138605
CET PHARMACY 1007
27600 FRANKLIN RD SUITE 116A
SOUTHFIELD 48034
(248) 355-2030
138258
137399
CHECKER SPECIALTY PHARMACY #8

CLARINE PHARMACY
43155 W 9 MILE RD
33250 W 12 MILE RD
NOVI 48376
(248) 305-7240
(248) 553-2545
136958
CLARKSTON PHARMACY
5838 S MAIN ST
CLARKSTON 48346
(248) 625-8030
136814
BLOOMFIELD TOWNSHI 48302
(248) 972-0725
137022
136696

3000 COMMERCE CROSSING RD

400 BROWN ROAD
COMMERCE TWNSHIP 48390

AUBURN HILLS 48326
(248) 529-2305
(248) 648-0002
138060
(248) 616-0064
138448
CRITTENTON MEDICAL PHARMACY
ROCHESTER 48307
(248) 652-5303
138498
CUSTOMCARE PHARMACY
3535 W 13 MILE
ROYAL OAK 48073
(248) 551-8290
138457
138499
CVS PHARMACY #00287

CVS PHARMACY #01150
2011 S ROCHESTER RD
30900 WOODWARD AVE

ROYAL OAK 48073
(248) 844-2559
(248) 549-4377
138595
CVS PHARMACY #01748
57090 TEN MILE ROAD
SOUTH LYON 48178
(248) 446-0382
137787
CVS PHARMACY #03538
5756 CLARKSTON RD
INDEPENDENCE TOWNS 48348
(248) 620-2761
138871
CVS PHARMACY #08002
100 W MAPLE RD
WALLED LAKE 48390
(248) 624-4555
138140
138061
CVS PHARMACY #08004

CVS PHARMACY #08019
720 GENERAL MOTORS RD

31030 JOHN R RD
MILFORD 48381
(248) 684-1775
(248) 589-1554
138867
CVS PHARMACY #08020
W. BLOOMFIELD TWP. 48323
(248) 626-5434
138607
CVS PHARMACY #08021
30920 SOUTHFIELD
SOUTHFIELD 48076
(248) 647-7472
138829
138830
CVS PHARMACY #08026

CVS PHARMACY #08030
125 E LONG LAKE RD

1980 E BEAVER RD
TROY 48085
TROY 48083
(248) 879-9114
(248) 689-1051
138062
CVS PHARMACY #08033
27050 JOHN R RD
(248) 547-0800
138608
CVS PHARMACY #08034
21911 WEST ELEVEN MILE RD
SOUTHFIELD 48076
(248) 353-9898

Pharmacy
Page 864
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
981 E AUBURN RD
7960 COOLEY LAKE RD

WATERFORD 48327
(248) 852-2380
(248) 366-3101

138458
138932
CVS PHARMACY #08036

CVS PHARMACY #08038
137400
CVS PHARMACY #08044
(248) 994-0634
137392
CVS PHARMACY #08048
23391 FARMINGTON RD
FARMINGTON 48336
(248) 474-3123
138933
138609
CVS PHARMACY #08049

CVS PHARMACY #08058
4995 HIGHLAND RD
18130 W 10 MILE RD
WATERFORD 48328
SOUTHFIELD 48075
(248) 674-2261
(248) 569-0233
138610
CVS PHARMACY #08063
19993 W 12 MILE RD
SOUTHFIELD 48076
(248) 559-9810
138596
CVS PHARMACY #08066
22421 PONTIAC TRL
SOUTH LYON 48178
(248) 437-8131
138259
CVS PHARMACY #08067
31250 BECK RD
NOVI 48377
(248) 624-4110
138500
137904
CVS PHARMACY #08068

CVS PHARMACY #08071
525 FOURTH ST E
3475 S BALDWIN RD
ROYAL OAK 48067

LAKE ORION 48359
(248) 548-5057
(248) 391-1111
136778
CVS PHARMACY #08074
1715 COOLIDGE HWY
BERKLEY 48072
(248) 546-9111
138459
CVS PHARMACY #08076
3010 WALTON BLVD
(248) 375-2810
138966
CVS PHARMACY #08084
7498 HAGGERTY RD
(248) 592-2063
138363
137432
CVS PHARMACY #08086

CVS PHARMACY #08101
66 E WALTON BLVD
900 W 9 MILE RD
PONTIAC 48340
FERNDALE 48220
(248) 334-1896
(248) 543-9940
136959
CVS PHARMACY #08102
7091 DIXIE HWY
CLARKSTON 48346
(248) 620-2600
137710
CVS PHARMACY #08103
33 W 9 MILE RD
HAZEL PARK 48030
(248) 541-1650
137401
138277
CVS PHARMACY #08105

CVS PHARMACY #08106
37700 W 12 MILE RD
23001 COOLIDGE HWY

OAK PARK 48237
(248) 489-3004
(248) 547-8230
137728
CVS PHARMACY #08109
724 HIGHLAND RD
HIGHLAND TWP. 48357
(248) 889-2788
136969
CVS PHARMACY #08110
110 ROCHESTER RD
CLAWSON 48017
(248) 588-1775
138934
CVS PHARMACY #08112
4300 DIXIE HWY
WATERFORD 48329
(248) 673-9800
138460
138501
CVS PHARMACY #08119

CVS PHARMACY #08127
295 S LIVERNOIS
209 E 12 MILE RD

ROYAL OAK 48073
(248) 656-8200
(248) 548-6180
137905
CVS PHARMACY #08129
295 S BROADWAY
LAKE ORION 48362
(248) 814-6521
136803
CVS PHARMACY #08132
4101 TELEGRAPH RD
(248) 646-9132
136795
CVS PHARMACY #08136
444 S OLD WOODWARD
BIRMINGHAM 48009
(248) 647-0790
137402
138260
CVS PHARMACY #08139

CVS PHARMACY #08140
27660 MIDDLEBELT
22240 NOVI RD

NOVI 48375
(248) 442-8130
(248) 380-2819
138611
CVS PHARMACY #08143
26026 W 12 MILE RD
SOUTHFIELD 48034
(248) 350-0280
136960
CVS PHARMACY #08155
5529 SASHABAW RD
CLARKSTON 48346
(248) 620-6663
138261
138831
CVS PHARMACY #08161

CVS PHARMACY #08162
47200 10 MILE RD
2045 SOUTH BLVD WEST
NOVI 48374
TROY 48098
(248) 380-7840
(248) 879-8322
138949
CVS PHARMACY #08166
1156 W HURON
WATERFORD TWP. 48328
(248) 738-0459
136970
CVS PHARMACY #08174
1402 WEST 14 ROAD
CLAWSON 48017
(248) 435-7314
137403
CVS PHARMACY #08178
22250 MIDDLEBELT
(248) 442-8135
137433
136804
CVS PHARMACY #08180

CVS PHARMACY #08184
539 E 9 MILE
42934 WOODWARD AVE
FERNDALE 48220
(248) 414-5761
(248) 334-8817
137024
CVS PHARMACY #08187
3053 UNION LAKE
COMMERCE TWP. 48382
(248) 363-3086
138753
CVS PHARMACY #08227
SYLVAN LAKE 48320
(248) 682-3666
139023
CVS PHARMACY #08229
1585 WIXOM RD
WIXOM 48393
(248) 668-2261
138612
138289
CVS PHARMACY #08233

CVS PHARMACY #08234
23881 GREENFIELD MT VERNON

4816 N ADAMS
SOUTHFIELD 48075
OAKLAND TWP. 48306
(248) 424-5001
(248) 276-5063
138967
CVS PHARMACY #08239
6070 MAPLE RD
(248) 865-2290
137018
CVS PHARMACY #08240
1325 COMMERCE RD
(248) 360-5461
137753
138832
CVS PHARMACY #08241

CVS PHARMACY #08242
4031 GRANGE HALL RD

4963 JOHN R RD
HOLLY 48442
TROY 48085
(248) 634-8294
(248) 689-2157
138262
CVS PHARMACY #08244
42191 FOURTEEN MILE RD
NOVI 48377
(248) 926-2454
139016
CVS PHARMACY #08299
10501 HIGHLAND RD
WHITELAKE 48386
(248) 698-8878
138597
CVS PHARMACY #08304
61019 SILVER LAKE RD
SOUTH LYON 48178
(248) 437-8626
138613
138364
DARING ADVANCE SAVMOR #48

DELLS PRESCRIPTION CENTER
23077 GREENFIELD
219 BALDWIN AVE
SOUTHFIELD 48075
PONTIAC 48342
(248) 559-8555
(248) 334-2620
138278
DETROIT HOPE PHARMACY INC
24695 COOLIDGE HWY
OAK PARK 48237
(248) 542-8888
138833
DIRECT RX
1179 MAPLELAWN DR
TROY 48084
(248) 280-2270
137019
DMC PHARMACY HURON VALLEY
1 WILLIAM CARLS DR
(248) 937-5710
138614
138615
FAIRLANE PHARMACY INFUSION

FARMBROOK PHCY #1
21298 MELROSE
29877 TELEGRAPH RD
SOUTHFIELD 48075
SOUTHFIELD 48034
(248) 827-3370
(248) 354-5600
137404
FARMINGTON HILLS MEDICAL PHARM
(248) 537-0010
137393
FARMINGTON VILLAGE PHARMACY, P
FARMINGTON 48336
(248) 478-9500
138968
138618

3777 WEST MAPLE ROAD

22777 WEST 11 MILE ROAD

SOUTHFIELD 48034
(248) 661-6488
(248) 358-0727
138969
6530 FARMINGTON RD
(248) 661-5333
138835
2825 LIVERNOIS
TROY 48083
(248) 528-2248

Pharmacy
Page 865
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone

4000 HIGHLAND RD
TROY 48083
WATERFORD 48328
(800) 456-2112
(248) 977-1394

138836
138935
HENRY FORD PHARMACY ADVANTAGE

HIGHLAND PHARMACY
137968
IDM PHARMACY
17653 W 12 MILE RD
LATHRUP VILLAGE 48076
(248) 595-8262
138367
INDEX MEDS
PONTIAC 48342
(248) 340-0886
137406
137906
KENDALLWOOD FAMILY PHARMACY

33100 W 12 MILE RD STE # 1

1025 S LAPEER RD

LAKE ORION 48360
(248) 987-7200
(248) 693-6259
138936
5100 DIXIE HWY
WATERFORD 48329
(248) 674-3183
138064
29101 JOHN R RD
(248) 546-8076
139008
10951 HIGHLAND RD
WHITE LAKE 48386
(248) 698-1904
138280
138937

26200 GREENFIELD RD
3541 HIGHLAND RD
OAK PARK 48237

WATERFORD 48328
(248) 968-2140
(248) 682-3661
138449
1100 S ROCHESTER RD
ROCHESTER 48307
(248) 652-9480
138838
1237 N COOLIDGE HWY
TROY 48084
(248) 519-1321
138839
3125 JOHN R RD
TROY 48083
(248) 658-1710
138840
138841

2105 W SOUTH BLVD

31 EAST LONG LAKE RD
TROY 48098
TROY 48098
(248) 537-1011
(248) 879-6716
138461
65 S LIVERNOIS AVE
(248) 652-4750
138142
670 HIGHLAND AVE
MILFORD 48381
(248) 685-0100
137407
136961

37550 TWELVE MILE ROAD

6625 DIXIE HWY

CLARKSTON 48346
(248) 489-8054
(248) 620-6680
138264
NOVI 48375
(248) 374-9706
138872
47060 PONTIAC TRAIL
WALLED LAKE 48390
(248) 960-8297
137911
460 LAPEER RD
LAKE ORION TWP 48362
(248) 693-3284
138598
137434

20730 PONTIAC TRL

8920 WEST EIGHT MILE RD
SOUTH LYON 48178

FERNDALE 48220
(248) 486-9182
(248) 414-7232
138304
3097 BALDWIN RD
ORION TOWNSHIP 48360
(248) 393-4573
138288
4888 ADAMS RD
OAKLAND TOWNSHIP 48363
(248) 276-3261
137788
5990 SASHABAW ROAD
INDEPENDENCE TWP 48346
(248) 922-3704
138619
139009

19855 12 MILE ROAD

10805 HIGHLAND ROAD
SOUTHFIELD 48076
WHITE LAKE 48386
(248) 559-0801
(248) 698-4830
137394
25780 MIDDLEBELT RD
FARMINGTON 48336
(248) 471-2058
138948
5111 HIGHLAND ROAD
WATERFORD TOWNSHIP 48327
(248) 673-4324
136796
136962

685 E MAPLE
9741 DIXIE HIGHWAY
BIRMINGHAM 48009
CLARKSTON 48348
(248) 723-1156
(248) 922-0468
138503
30991 N WOODWARD AVE
ROYAL OAK 48073
(248) 288-0160
138970
LAKES PROF SAVMOR PHARMACY #78
2300 HAGGERTY ROAD
(248) 668-1212
138265
LEWIS FAMILY PHARMACY INC
NOVI 48377
(248) 254-3866
138281
137711
LINCOLN DRUGS INC

LIVE WELL PHARMACY
25901 COOLIDGE HWY

23411 JOHN R RD
OAK PARK 48237

HAZEL PARK 48030
(248) 543-7847
(248) 381-4000
137907
LS SAVMOR PHARMACY #63
LAKE ORION 48360
(248) 693-6219
138450
LYTLE PHARMACY INC
340 S MAIN ST
ROCHESTER 48307
(248) 651-8511
138065
MADISON DRUGS
(248) 291-3339
137713
138842
MARINCO DRUG
MATHEWS PHARMACY
21936 VASSAR
2221 LIVERNOIS RD
HAZEL PARK 48030

TROY 48083
(248) 546-0494
(248) 817-2882
138320
MCLAREN DRUG SHOP - OXFORD
385 N LAPEER RD
OXFORD 48371
(248) 236-2306
138368
MCLAREN DRUG SHOP - POHRMC
50 N PERRY ST
PONTIAC 48342
(248) 338-5016
136780
138843
MED CART PHARMACY

MED INDEX PHARMACY
1964 11 MILE RD STE C

1639 E BIG BEAVER RD,SUITE 101
BERKLEY 48072
TROY 48083
(248) 542-2300
(248) 526-0888
137969
MED-CARE PHARMACY #1
28500 SOUTHFIELD RD
LATHRUP VILLAGE 48076
(248) 559-9901
136781
MEDCRAFTERS
3348 12 MILE RD
BERKLEY 48072
(248) 542-6337
136813
MEDI MART DRUGS #407
1539 S OPDYKE RD
BLOOMFIELD HLS 48304
(248) 858-2225
138844
136805
MEDICAL CENTER PHARMACY

MEDICAL PARK PHARMACY
44201 DEQUINDRE RD
799 DENISON CT
TROY 48085
(248) 828-8090
(248) 454-6500
138321
MEDICINE ROOM #401
72 S WASHINGTON ST STE # 207
OXFORD 48371
(248) 628-7990
137714
MEDPARK PHARMACY
1059 E 9 MILE RD
HAZEL PARK 48030
(248) 850-7196
138504
5150 COOLIDGE HIGHWAY
ROYAL OAK 48073
(248) 280-0560
138938
138451

4200 HIGHLAND RD
3175 ROCHESTER RD
WATERFORD 48328
ROCHESTER 48306
(248) 682-4001
(248) 853-2180
137016
1703 HAGGERTY ROAD
COMMERCE 48390
(248) 960-7171
139024
49900 GRAND RIVER AVENUE
WIXOM 48393
(248) 449-8510
136697
138322

800 BROWN RD
900 N LAPEER RD
AUBURN HILLS 48326

OXFORD 48371
(248) 393-5110
(248) 236-8010
138067
1005 E THIRTEEN MILE RD
(248) 307-4910
139010
6001 HIGHLAND ROAD
WHITE LAKE 48383
(248) 889-6810

Pharmacy
Page 866
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
28800 TELEGRAPH RD
3610 MARKETPLACE CIR
SOUTHFIELD 48034
(248) 304-9510
(248) 844-2864

138621
138462

138282
MERCURY DRUGS
22150 COOLIDGE HWY
OAK PARK 48237
(248) 545-3600
138143
MILFORD SAVMOR PHARMACY #71
1191 N MILFORD ROAD
MILFORD 48381
(248) 685-8363
138452
138232
MORTONS PHARMACY
NEW HUDSON DISCOUNT PHARMACY
118 W UNIVERSITY DR
56270 GRAND RIVER
ROCHESTER 48307
NEW HUDSON 48165
(248) 651-4044
(248) 486-0720
137408
NIDHAL SAVMOR PHARMACY #74
23800 ORCHARD LAKE ROAD
(248) 477-2131
138622
NORTHLAND MEDICAL BUILDING PHA
20905 GREENFIELD
SOUTHFIELD 48075
(248) 569-0450
138369
OMEGA PHARMACY
420 W HURON ST
PONTIAC 48341
(248) 481-9004
138323
138463
PATTERSON PRESCRIPTION PHARMAC

PHARMACARE PHARMACY
1 S WASHINGTON ST
1460 WALTON BLVD,SUITE 90
OXFORD 48371
(248) 628-2538
(248) 601-7000
138623
PHARMALOGICS INC
17515 W 9 MILE
SOUTHFIELD 48075
(248) 552-0070
137410
PHARMASCRIPT OF MICHIGAN
23000 COMMERCE DR
(248) 435-3500
136964
PINE KNOB PHARMACY #51
5701 BOW POINTE DR
CLARKSTON 48346
(248) 384-8050
136965
138371
PINE KNOB SAVMOR PHARMACY #38

PINE KNOB SAVMOR PHARMACY 6 #9
6770 DIXIE HIGHWAY

1701 BALDWIN ROAD
CLARKSTON 48362
PONTIAC 48340
(248) 620-3588
(248) 253-0521
138372
PONTIAC DISCOUNT PHARMACY
1430 JOSLYN AVE
PONTIAC 48340
(248) 377-9700
138873
PONTIAC TRAIL SAVMOR PHARMACY
620 N PONTIAC TRAIL
WALLED LAKE 48390
(248) 669-2776
136782
138624
PREMIER CARE PHARMACY

PREMIER HOME PHARMACY
28139 WOODWARD AVE

27762 FRANKLIN RD
BERKLEY 48072
SOUTHFIELD 48034
(248) 544-4500
(248) 223-9734
138284
RANDY'S RX
25950 GREENFIELD RD
OAK PARK 48237
(248) 397-8612
138845
1981 SOUTH BOULEVARD WEST
TROY 48098
(248) 813-9581
137754
15242 NORTH HOLLY ROAD
HOLLY 48442
(248) 634-2314
137435
138599


25610 PONTIAC TRAIL
FERNDALE 48220
SOUTH LYON 48178
(248) 542-1925
(248) 486-9100
138846
3986 JOHN R ROAD
TROY 48083
(248) 524-6480
139025
47300 PONTIAC TRAIL
WIXOM 48393
(248) 960-0352
138374
360 N ML KING JR BOULEVARD
PONTIAC 48342
(248) 335-0602
138375
136798

1186 BALDWIN AVENUE

597 SOUTH ADAMS ROAD
PONTIAC 48340
BIRMINGHAM 48009
(248) 333-7057
(248) 647-4470
138939
3273 WEST HURON STREET
WATERFORD 48328
(248) 682-9400
138847
TROY 48084
(248) 288-4385
137719
138453

2880 E HIGHLAND ROAD

1378 WALTON BOULEVARD
HIGHLAND 48356
ROCHESTER 48309
(248) 887-4121
(248) 652-0900
138940
5983 HIGHLAND R OAD
WATERFORD 48327
(248) 673-2059
136698
2480 LAPEER ROAD
AUBURN HILLS 48326
(248) 373-7700
137782
26020 COOLIDGE HIGHWAY
(248) 545-8020
138625
138144

24850 GREENFIELD ROAD

640 NORTH MILFORD ROAD
SOUTHFIELD 48237
MILFORD 48381
(248) 968-2383
(248) 676-2916
137411
(248) 553-4050
136806
(248) 338-7191
138971
5520 DRAKE ROAD
(248) 661-0774
137412
136807


3669 WEST MAPLE

(248) 474-1717
(248) 647-4900
136783
BERKLEY 48072
(248) 541-0158
138941
4350 DIXIE HIGHWAY
WATERFORD 48329
(248) 674-0466
137884
137021


3050 UNION LAKE ROAD
KEEGO HARBOR 48320

(248) 681-1965
(248) 363-4392
(248) 546-4620
138505
ROYAL OAK 48067
136699
3251 SOUTH BOULEVARD
AUBURN HILLS 48326
(248) 852-5977
138454
6970 NORTH ROCHESTER ROAD
ROCHESTER 48306
(248) 651-1614
138266
136971

41820 TEN MILE ROAD

NOVI 48375
CLAWSON 48017
(248) 349-6150
(248) 435-2410
137413
25922 MIDDLEBELT ROAD
(248) 477-4740
136966
5789 ORTONVILLE ROAD
CLARKSTON 48346
(248) 625-5271
138305
10 SOUTH ORTONVILLE ROAD
ORTONVILLE 48462
(248) 627-2888
138376
138324


999 SOUTH LAPEER ROAD
PONTIAC 48341
OXFORD 48371
(248) 338-2665
(248) 628-4283
(248) 668-8208
138267
NOVI 48377
136967
5751 CLARKSTON ROAD
CLARKSTON 48348
(248) 625-1015
137395
137436
RITE CARE PHARMACY

ROYAL OAK FAMILY PHARMACY LLC

23420 WOODWARD AVE
FARMINGTON 48336
FERNDALE 48220
(248) 473-2445
(248) 336-2677
137715
RX SPECIALITIES NH INC
23751 DEQUINDRE RD
HAZEL PARK 48030
(248) 546-5500
136700
4350 JOSLYN ROAD
AUBURN HILLS 48326
(248) 391-6697

Pharmacy
Page 867
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone

137414
138626

32625 NORTHWESTERN HIGHWAY

22500 EIGHT MILE ROAD

SOUTHFIELD 48034
(248) 539-0458
(248) 357-2158
138268
27300 WIXOM ROAD
NOVI 48374
(248) 349-6043
138068
31020 JOHN R ROAD
(248) 589-1863
138942
136799

SAV ON BIRMINGHAM DRUGS #42
495 SUMMIT DRIVE

33877 WOODWARD AVE
WATERFORD 48328
BIRMINGHAM 48009
(248) 738-2753
(248) 644-3214
(248) 626-2525
136808
SAVON DRUGS 1 SAVMOR BLOOMFIEL
6510 TELEGRAPH ROAD
138972
SAVON EFROS DRUGS SAVMOR W BLO
(248) 626-3400
138270
SAVON NOVI SAVMOR DRUGS #76
24100 MEADOWBROOK
NOVI 48375
(248) 478-3000
138849
138070
SOMERSET PHARMACY #105

1380 COOLIDGE HWY

27351 DEQUINDRE
TROY 48084
(248) 280-2222
(248) 967-7041
138271
47601 GRAND RIVER
NOVI 48374
(248) 465-4679
138627
22250 PROVIDENCE DRIVE
SOUTHFIELD 48075
(248) 849-3939
138272
NOVI 48374
(248) 465-4280
137415
138379
ST JOHN SPECIALTY PHARMACY #75

ST JOSEPH MERCY PROFESSIONAL P
30055 NORTHWESTERN

PONTIAC 48341
(248) 865-3770
(248) 858-6725
138378
ST JOSEPH MERCY PROFESSIONAL P
44405 WOODWARD AVE
PONTIAC 48341
(248) 858-3059
136809
STAR SAVMOR DRUGS INC #96
1525 OPDYKE
(248) 333-0222
138071
138465

32001 JOHN R ROAD

2887 S ROCHESTER RD

(248) 585-4716
(248) 844-5741
137416
30020 GRAND RIVER AVENUE
(248) 477-1467
138628
SOUTHFIELD 48075
(248) 423-4202
138875
495 HAGGERTY HWY
WALLED LAKE 48390
(248) 960-1401
136701
138850

650 BROWN ROAD

1301 COOLIDGE HWY
AUBURN HILLS 48326

TROY 48084
(248) 393-8114
(248) 614-2801
138273
27100 WIXOM ROAD
NOVI 48374
(248) 374-0892
136810
2400 S TELEGRAPH RD
(248) 409-1952
138629
SOUTHFIELD 48076
(248) 430-0063
137396
136811
TAYLER PRESCRIPTIONS
THE MEDICAP PHARMACY #8420

43121 WOODWARD AVE
FARMINGTON 48336
(248) 474-8290
(248) 499-9495
138630
THE MEDICINE CABINET
27159 GREENFIELD
SOUTHFIELD 48076
(248) 557-8840
138072
THE PHARMACY SHOP
28411 DEQUINDRE RD
(248) 591-5555
138285
138380
THE WELLNESS PLAN #NORTHWEST

THRIFTY DRUGS #1
21040 GREENFIELD
140 N SAGINAW ST
OAK PARK 48237

PONTIAC 48342
(248) 967-6502
(248) 334-1549
(248) 370-8070
136702
ULTIMATE MEDICAL PHARMACY
2049 N OPDYKE RD
AUBURN HILLS 48326
138853
UNIVERSITY RX SAVMOR PHARMACY
2520 LIVERNOIS RD
TROY 48083
(248) 267-5002
138943
VG'S PHARMACY #1923
7300 HIGHLAND
WATERFORD 48327
(248) 666-0382
138467
138145
VITAL PHARMACARE
WALGREENS #10777
1901 STAR BATT DR STE 200

140 S MILFORD RD

MILFORD 48381
(248) 299-1701
(248) 685-7219
138600
WALGREENS #10778
22318 PONTIAC TRAIL
SOUTH LYON 48178
(248) 486-5216
136800
WALGREENS #15391
34300 WOODWARD AVE
BIRMINGHAM 48009
(248) 593-8450
138944
WALGREENS #4244
4800 DIXIE HWY
WATERFORD 48329
(248) 673-6877
138854
138274
WALGREENS #4412
WALGREENS #4454

24150 NOVI RD
TROY 48083
NOVI 48375
(248) 526-9774
(248) 349-6761
138381
WALGREENS #4601
690 MARTIN LUTHER KING JR DR
PONTIAC 48342
(248) 745-8395
138468
WALGREENS #4660
2050 S ROCHESTER RD
(248) 652-4494
138074
138506
WALGREENS #4691
WALGREENS #4748
26800 JOHN R RD
30852 N WOODWARD AVE

ROYAL OAK 48073
(248) 546-2687
(248) 549-2618
138973
WALGREENS #4864
(248) 538-8370
136968
WALGREENS #5171
7110 DIXIE HWY
CLARKSTON 48346
(248) 922-1139
138855
WALGREENS #5224
2932 E LONG LAKE RD
TROY 48098
(248) 689-2458
137417
138287
WALGREENS #5290
WALGREENS #5425

13550 W 9 MILE RD

OAK PARK 48237
(248) 888-9542
(248) 548-4236
(248) 546-5014
138507
WALGREENS #5426
1815 ROCHESTER ST
ROYAL OAK 48073
137908
WALGREENS #5675
450 N PARK BLVD
LAKE ORION 48362
(248) 814-7298
138633
WALGREENS #5969
SOUTHFIELD 48034
(248) 356-0988
137418
138634
WALGREENS #6313
WALGREENS #6323

28901 GREENFIELD RD

SOUTHFIELD 48076
(248) 478-2766
(248) 552-0732
138945
WALGREENS #6459
4400 HIGHLAND RD M59
WATERFORD 48328
(248) 673-1862
138974
WALGREENS #7094
7490 HAGGERTY RD
(248) 661-4079
138635
138469
WALGREENS #7208
WALGREENS #7888
23111 LAHSER ROAD

2985 CROOKS RD
SOUTHFIELD 48034
(248) 945-9040
(248) 293-0492
138455
WALGREENS #9085
1490 N ROCHESTER RD
ROCHESTER 48307
(248) 601-1584
137023
WALGREENS #9124
2270 UNION LAKE RD
COMMERCE TWP 48382
(248) 363-0267

Pharmacy
Page 868
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone

138470
137909
WALGREENS #9125
WALGREENS #9251
1280 WALTON BLVD

3520 BALDWIN RD

LAKE ORION 48359
(248) 608-0623
(248) 393-2934
137720
WALGREENS #9252
2821 E HIGHLAND RD
HIGHLAND 48356
(248) 887-2428
138946
WALGREENS #9928
20 S TELEGRAPH RD
WATERFORD 48328
(248) 681-7636
138471
137017

2500 S ADAMS RD
3301 PONTIAC TRAIL ROAD

COMMERCE 48382
(248) 853-2174
(248) 668-0282
(248) 698-9680
139011
9190 HIGHLAND ROAD
WHITE LAKE 48386
138856
TROY 48084
(248) 435-4556
138233
30729 LYON CENTER DRIVE EAST
NEW HUDSON 48165
(248) 486-1953
137419
138947
WARREN SAVMOR PRESCRIPTIONS #2

WATERFORD MEDICAL PHARMACY INC


WATERFORD 48328
(248) 855-1177
(248) 674-4853
137910
WE CARE PHARMACY PLUS
1412 S LAPEER RD
LAKE ORION 48360
(248) 376-6855
138508
WILLIAM BEAUMONT HOSPITAL PHCY
3601 W 13 MILE RD
ROYAL OAK 48073
(248) 551-4097
136812
WOODWARD PHARMACY
(248) 499-7840
138509
ZMC PHARMACY LLC
1041 S MAIN ST
ROYAL OAK 48067
(248) 280-6401
OCEANA COUNTY
137718
137694
BOBS DRUGS
OCEANA PHARMACY
194 N DIVISION ST
819 S STATE ST
HESPERIA 49421
HART 49420
(231) 854-6605
(231) 873-2540
138569
SHELBY PHARMACY #21
178 N MICHIGAN AVE
SHELBY 49455
(231) 861-4341
137695
2278 N COMFORT DR
HART 49420
(231) 873-1843
137696
WEST SHORE PHARMACY
18 S STATE ST
HART 49420
(231) 873-3609
(989) 345-5610
OGEMAW COUNTY
138975
2206 S M 76
WEST BRANCH 48661
138976
2110 S M 76
WEST BRANCH 48661
(989) 345-4884
138977
138414

ROOS PHARMACY NORTH INC
501 EAST HOUGHTON AVENUE

2370 GREENWOOD RD
WEST BRANCH 48661

PRESCOTT 48756
(989) 345-0080
(989) 873-1478
138486
ROSE CITY DRUGS
2640 N M 33
ROSE CITY 48654
(989) 685-2141
138978
522 E HOUGHTON AVE
WEST BRANCH 48661
(989) 345-2297
136817
138979
WALGREENS #10406
2480 E HOUGHTON AVE

2750 COOK ROAD
BRANCH 48661
WEST BRANCH 48661
(989) 343-6921
(989) 343-9761
850 GREENLAND ROAD
ONTONAGON 49953
(906) 884-4229
ONTONAGON COUNTY
138303
HARBOR TOWN PHARMACY INC
OSCEOLA COUNTY
138430
CET MEDICAL PHARMACY
204 N PATTERSON RD
REED CITY 49677
(231) 832-8970
137390
138431
HOLIHANS DRUG STORE

128 N MAIN ST
130 W UPTON
EVART 49631
REED CITY 49677
(231) 734-2551
(231) 832-5521
138432
222 SOUTH CHESTNUT STREET
REED CITY 49677
(231) 832-5542
137391
107 N MAIN
EVART 49631
(231) 734-5581
OSCODA COUNTY
138146
PIONEER FAMILY PHARMACY #103
114 S MORENCI AVE
MIO 48647
(989) 826-8989
138147
101 SOUTH MORENCI STREET
MIO 48647
(989) 826-3737
OTSEGO COUNTY
137528
AMBULATORY INFUSION CARE NORTH
854 N CENTER AVE
GAYLORD 49735
(989) 732-4879
137529
829 W MAIN ST
GAYLORD 49734
(989) 732-4114
137530
137531

250 MEIJER DRIVE

825 N CENTER AVE
GAYLORD 49735
GAYLORD 49735
(989) 731-9033
(989) 731-2163
(989) 732-5220
137532
GAYLORD 49735
137533
WALGREENS #10404
1290 W MAIN ST
GAYLORD 49735
(989) 732-0578
137534
950 EDELWEISS PARKWAY
GAYLORD 49735
(989) 732-8998

Pharmacy
Page 869
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
115 E MAIN ST
1116 ROBBINS RD
ZEELAND 49464
GRAND HAVEN 49417
(616) 772-4685
(616) 846-7180
OTTAWA COUNTY
139081
137555
BUNTES PHARMACY
137737
50 DOUGLAS AVE
HOLLAND 49424
(616) 392-9735
137556
DUNEWOOD PHARMACY
1445 SHELDON RD
GRAND HAVEN 49417
(616) 842-5193
137738
139082
DYKSTRA DRUG STORE INC

91 DOUGLAS AVE
9479 RILEY ST
HOLLAND 49422
ZEELAND 49464
(616) 392-8878
(616) 748-7384
137780
5221 CHERRY ST
HUDSONVILLE 49426
(616) 669-1960
137739
993 BUTTERNUT DR
HOLLAND 49424
(616) 399-4100
136637
ALLENDALE 49401
(616) 895-7426
137843
137781

1965 BALDWIN STREET

6480 28TH AVE
JENISON 49428
HUDSONVILLE 49426
(616) 457-9630
(616) 669-8518
137557
HOMETOWN PHARMACY #47 - GRAND
1125 WASHINGTON AVE
GRAND HAVEN 49417
(616) 842-4360
137438
LEPPINKS PHARMACY FERRYSBURG
17717 174TH
FERRYSBURG 49409
(616) 842-4706
137844
0550 BALDWIN AVENUE
JENISON 49428
(616) 457-0630
137558
137742

15000 US 31
3320 WEST SHORE DRIVE
GRAND HAVEN 49417

HOLLAND 49424
(616) 847-8010
(616) 994-1110
(616) 669-0970
137845
2775 PORT SHELDON STREET
JENISON 49428
137027
1151 WEST RANDALL
COOPERSVILLE 49404
(616) 837-6219
138659
137747

603 EAST SAVIDGE STREET

3456 W SHORE DR
SPRING LAKE 49456

HOLLAND 49424
(616) 842-1461
(616) 820-0094
137028
TASKER'S DRUG STORE
281 MAIN STREET
COOPERSVILLE 49404
(616) 837-6394
136638
WALGREENS #11415
6840 LAKE MICHIGAN DRIVE
ALLENDALE 49401
(616) 895-2200
137560
WALGREENS #12345
1045 ROBBINS RD
GRAND HAVEN 49417
(616) 844-0367
137749
137750
WALGREENS #2825
WALGREENS #2905
11236 E LAKEWOOD BLVD

494 BUTTERNUT
HOLLAND 49464
HOLLAND 49424
(616) 396-5489
(616) 786-0303
137561
WALGREENS #3349
510 NORTH BEACON BLVD
GRAND HAVEN 49417
(616) 850-9608
137846
WALGREENS #5117
378 BALDWIN ST
JENISON 49428
(616) 667-8685
137751
WALGREENS #6911
12576 RILEY ST
HOLLAND 49424
(616) 786-3934
137752
137562

WAL-MART PHARMACY10-5386 #1053
2629 NORTH PARK DRIVE

14700 US 31
HOLLAND 49424
GRAND HAVEN 49417
(616) 393-8071
(616) 844-4184
PRESQUE ISLE COUNTY

138479
MCLEAN PHARMACY
229 N THIRD ST
ROGERS CITY 49779
(989) 734-4701
138480
110 SOUTH BRADLEY HIGHWAY
ROGERS CITY 49779
(989) 734-7392
138300
THUNDER BAY PHARMACY ONAWAY
21258 WEST M 68 HWY
ONAWAY 49765
(989) 733-7037
138301
TOM'S FAMILY MARKET #132
20597 STATE STREET
ONAWAY 49765
(989) 733-4106
(989) 422-6445
ROSCOMMON COUNTY
137763
HOUGHTON LAKE 48629
138415
KRONNER PHARMACY
PRUDENVILLE 48651
(989) 366-7611
138675
138484

2100 N M 76
412 N 5TH ST
ST HELEN 48656
ROSCOMMON 48653
(989) 389-7252
(989) 275-5600
138485
425 NORTH FIFTH STREET
ROSCOMMON 48653
(989) 275-5161
138676
2010 NORTH SAINT HELEN ROAD
ST HELEN 48656
(989) 389-4965
137764
138416

WALGREENS #10489
4562 WEST HOUGHTON LAKE DRIVE

HOUGHTON LAKE 48629

PRUDENVILLE 48651
(989) 366-9212
(989) 366-5324
137765
HOUGHTON LAKE 48629
(989) 366-6533
SAGINAW COUNTY
138510
ADVANCED CARE PHARMACY SVCS OF
500 HANCOCK
SAGINAW 48602
(989) 793-3130
136793
BIRCH RUN DRUGS
8501 MAIN ST
BIRCH RUN 48415
(989) 624-9231
138511
BRADY DRUGS #4
7835 GRATIOT RD
SAGINAW 48609
(989) 781-2370
136818
BRIGEPORT HEALTH MART PHARMACY
6224 DIXIE HIGHWAY
BRIDGEPORT 48722
(989) 777-2900
136943
138513
BROAD STREET PHARMACY

COVENANT HEALTHCARE OUTPATIENT
1115 W BROAD ST
700 COOPER AVE
CHESANING 48616
SAGINAW 48602
(989) 845-9355
(989) 583-6484
138514
DOWNS PHARMACY
316 S 4TH AVE
SAGINAW 48607
(989) 758-6000
138516
FALER DRUG STORE
1806 COURT ST
SAGINAW 48602
(989) 793-2445
136944
137503
FAMILY REXALL PHARMACY #20

FREELAND PHARMACY
129 133 W BROAD ST

7620 MIDLAND RD
CHESANING 48616
FREELAND 48623
(989) 845-2050
(989) 695-6500
138517
HEALTH DELIVERY PHARMACY
1522 JANES ST
SAGINAW 48601
(989) 755-3633
138660
HEALTHWAY PHARMACY
1008 N SAGINAW
ST CHARLES 48655
(989) 865-9971

Pharmacy
Page 870
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone

137716
138519
HEMLOCK PHARMACY
529 W SAGINAW ST
5105 GRATIOT RD
HEMLOCK 48626
SAGINAW 48638
(989) 301-0250
(989) 797-0990
137495
435 N MAIN ST
FRANKENMUTH 48734
(989) 652-0621
138520
4672 STATE STREET
SAGINAW 48603
(989) 921-6222
138521
138522

3860 DIXIE HIGHWAY

5025 GRATIOT ROAD
SAGINAW 48601
SAGINAW 48603
(989) 777-4080
(989) 791-7110
138523
MEDWINS PHARMACY
301 E GENESEE AVE
SAGINAW 48607
(989) 755-7998
138524
8400 GRATIOT ROAD
SAGINAW 48609
(989) 781-4331
138525
3360 TITTABAWASSEE ROAD
SAGINAW 48604
(989) 790-5176
136794
138526

PRINCINGS PHARMACY #104
9515 BIRCH RUN ROAD

333 S MICHIGAN AVE
BIRCH RUN ROAD 48415

SAGINAW 48602
(989) 624-1610
(989) 793-8640
138527
3050 BAY ROAD
SAGINAW 48603
(989) 792-9606
136819
6155 DIXIE HIGHWAY
BRIDGEPORT 48722
(989) 777-3550
138528
5050 GRATIOT ROAD
SAGINAW 48603
(989) 249-4215
138529
138530

1470 TITTABAQASSEE
806 GRATIOT AVENUE
SAGINAW 48604
SAGINAW 48602
(989) 754-8477
(989) 791-4221
138531
3403 EAST GENESEE AVENUE
SAGINAW 48601
(989) 752-8240
137496
FRANKENMUTH 48734
(989) 652-2613
138532
138533

4598 STATE STREET

531 WEST GENESEE AVENUE
SAGINAW 48603
SAGINAW 48602
(989) 792-3451
(989) 753-2447
138534
5656 BAY ROAD
SAGINAW 48604
(989) 790-8930
137497
SATOW DRUGS
308 S MAIN ST
FRANKENMUTH 48734
(989) 652-8001
136945
SCHULTZ ECONOMY DRUGS
126 W BROAD ST
CHESANING 48616
(989) 845-3609
138535
138536

WALGREENS #5097
2772 TITTABAWASSEE ROAD

4989 STATE ST
SAGINAW 48604
SAGINAW 48603
(989) 793-5701
(989) 791-3038
138537
WALGREENS #5371
2990 BAY RD
SAGINAW 48603
(989) 497-9269
138538
WALGREENS #6009
3424 E GENESEE AVE
SAGINAW 48601
(989) 753-9666
138539
WALGREENS #6091
409 W GENESEE AVE
SAGINAW 48602
(989) 755-2019
138540
138541

5825 BROCKWAY ROAD

5650 BAY ROAD
SAGINAW 48638
SAGINAW 48604
(989) 497-8112
(989) 790-7431
137717
WRIGHTS PHARMACY
147 W SAGINAW ST
HEMLOCK 48626
(989) 642-5411
SAINT CLAIR COUNTY

138382
3111 ELECTRIC AVE
PORT HURON 48060
(810) 824-5120
136902
CAPAC SAVMOR PHARMACY #14
136 N MAIN STREET
CAPAC 48014
(810) 395-2336
137895
CVS PHARMACY #08053
4514 GRATIOT
KIMBALL TWP 48040
(810) 364-6980
138384
136619
CVS PHARMACY #08117

CVS PHARMACY #08148
3530 PINE GROVE

PORT HURON 48060

ALGONAC 48001
(810) 987-7333
(810) 794-4941
138088
CVS PHARMACY #08149
1229 PARKER ST
MARINE CITY 48039
(810) 765-3576
138689
CVS PHARMACY #08246
1545 FRED MOORE HWY
ST. CLAIR 48079
(810) 326-1383
138385
CVS PHARMACY #08301
940 LAPEER AVE
PORT HURON 48060
(810) 982-4732
138386
136620

1179 32ND ST
2600 POINTE TREMBLE
PORT HURON 48060

ALGONAC 48001
(810) 989-7610
(810) 671-4002
138387
2907 KRAFT
PORT HURON 48060
(810) 987-6346
138388
1215 24TH STREET
PORT HURON 48060
(810) 987-7155
137490
138106

4775 24TH AVENUE

205 S RANGE RD
FORT GRATIOT 48059

MARYSVILLE 48040
(810) 385-2110
(810) 388-9633
138118
MEMPHIS DRUGS
80850 MAIN ST
MEMPHIS 48041
(810) 392-2424
138389
MERCY OUTPATIENT PHARMACY
2601 ELECTRIC AVE
PORT HURON 48060
(810) 966-3140
138661
NEIMANS FAMILY PHARMACY-ST CLA
1167 S CARNEY DR
ST CLAIR 48079
(810) 329-4613
138390
139054
PHARMACY PLACE
PHARMACY PLACE YALE
1221 PINE GROVE AVE

7470 BROCKWAY RD
PORT HURON 48060

YALE 48097
(810) 989-3455
(810) 387-0601
138391
PORT HURON PHARMACY
515 10TH STREET
PORT HURON 48060
(810) 989-5990
138392
1607 24TH STREET
PORT HURON 48060
(810) 984-5108
138107
1750 GRATIOT BOULEVARD
MARYSVILLE 48040
(810) 364-6200
138393
136621

2910 PINE GROVE AVENUE

402 POINTE TREMBLE ROAD
PORT HURON 48060

ALGONAC 48001
(810) 987-3663
(810) 794-4985
138394
1237 32ND STREET
PORT HURON 48060
(810) 982-5791
139055
SHELDON SAVMOR PHARMACY #7
25 S MAIN STREET
YALE 48097
(810) 387-4244
138662
137341
ST CLAIR SAVMOR PHARMACY #

201 N RIVERSIDE UNIT A1

4100 S RIVER
ST CLAIR 48079
EAST CHINA 48054
(810) 326-1233
(810) 329-5355
137491
4300 24TH AVENUE
FORT GRATIOT 48059
(810) 385-5930
138089
VG'S PHARMACY #1934
6764 S. RIVER
MARINE CITY 48039
(810) 765-3585

Pharmacy
Page 871
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
5277 LAPEER RD
1617 10TH ST
KIMBALL 48074
PORT HURON 48060
(810) 984-8200
(810) 987-5064

137894
138395
WADHAMS PHARMACY #101

WALGREENS #5595
138396
WALGREENS #6053
3990 24TH AVE
PORT HURON 48060
(810) 987-4621
137492
4845 24TH AVENUE
FORT GRATIOT 48059
(810) 385-7747
SAINT JOSEPH COUNTY

137015
COLON VILLAGE PHARMACY #164
131 S BLACKSTONE AVE
COLON 49040
(269) 432-3435
138789
FREDS PHARMACY
808 W MIGHIGAN AVE
THREE RIVERS 49093
(269) 278-2355
138741
138742

69080 M66
811 SOUTH CENTERVILLE
STURGIS 49091
STURGIS 49091
(269) 651-8939
(269) 651-4625
138790
800 S US 131
THREE RIVERS 49093
(269) 279-1210
138743
102 NORTH CENTERVILLE ROAD
STURGIS 49091
(269) 651-7818
138791
THREE RIVERS 49093
(269) 279-9702
138793
138744
WALGREENS #7934
WALGREENS #9146

THREE RIVERS 49093

STURGIS 49091
(269) 279-9066
(269) 651-9519
138745
1500 SOUTH CENTERVILLE ROAD
STURGIS 49091
(269) 651-9560
138794
101 SOUTH TOLBERT DRIVE
THREE RIVERS 49093
(269) 273-7833
SANILAC COUNTY
137030
EHARDTS PHARMACY #2
57 N HOWARD
CROSWELL 48422
(810) 679-3900
136835
EHARDTS PHARMACY #4
4436 MAIN ST
BROWN CITY 48416
(810) 346-2637
137975
138553
EHARDTS PHARMACY INC #420

7275 HURON AVE

545 W SANILAC RD
LEXINGTON 48450
SANDUSKY 48471
(810) 359-5322
(810) 648-5136
138090
MAINSTREET PHARMACY
3006 MAIN ST
MARLETTE 48453
(989) 635-7777
138092
2985 MAIN STREET
MARLETTE 48453
(989) 635-2031
138554
39 KRISTIAN STREET
SANDUSKY 48471
(810) 648-4668
138555
138556
SANILAC PHARMACY
78 S ELK ST
655 WEST SANILAC ROAD
SANDUSKY 48471
SANDUSKY 48471
(810) 648-2265
(810) 648-4247
SCHOOLCRAFT COUNTY
138082
PUTVIN HEALTHMART
211 S CEDAR ST
MANISTIQUE 49854
(906) 341-5494
138085
717 E LAKESHORE DR
MANISTIQUE 49854
(906) 341-3994
SHIAWASSEE COUNTY
137900
FIELD PHARMACY
7404 WOODBURY RD
LAINGSBURG 48848
(517) 651-5461
138313
HEALTHFIRST PHARMACY
111 N WASHINGTON
OWOSSO 48867
(989) 729-9355
138314
1315 EAST MAIN
OWOSSO 48867
(989) 729-0275
137029
2591 EAST M 21
CORUNNA 48817
(989) 743-3432
138315
137339
OWOSSO COMMUNITY PHARMACY

110 W EXCHANGE ST
8531 LANSING HIGHWAY
OWOSSO 48867
DURAND 48429
(989) 725-1344
(989) 288-3101
138316
1002 EAST MAIN STREET
OWOSSO 48867
(989) 723-6756
138331
PERRY 48872
(517) 625-3322
137340
138332
SHAWS PHARMACY SAV-MOR #80

SNYDERS PHARMACY
221 N SAGINAW ST
520 N MAIN ST
DURAND 48429
PERRY 48872
(989) 288-6886
(517) 625-8640
138317
VG'S PHARMACY #1932
1341 NORTH M-52
OWOSSO 48867
(989) 725-5141
138318
WALGREENS #11955
1001 S MAIN ST
OWOSSO 48867
(989) 725-6309
138319
1621 EAST M 21
OWOSSO 48867
(989) 723-2656
TUSCOLA COUNTY
136913
COACHLIGHT PHARMACY #05
6480 W MAIN ST
CASS CITY 48726
(989) 872-3613
138434
MANLEYS PHARMACY
9894 SAGINAW ST
REESE 48757
(989) 868-4102
138863
138864
MCLAREN DRUG SHOP- VASSAR

181 W HURON AVE

512 GOODRICH STREET
VASSAR 48768
VASSAR 48768
(989) 823-9200
(989) 823-2391
136906
625 NORTH STATE STREET
CARO 48723
(989) 673-6852
136907
STATE STREET PHARMACY AND WELL
192 N STATE ST
CARO 48723
(989) 672-3500
136908
136909
VG'S PHARMACY #1922

1520 W. CARO
1121 EAST CARO ROAD
CARO 48723
CARO 48723
(989) 673-7020
(989) 673-7922
138113
WINGERTS PHARMACY
315 E MAIN ST
MAYVILLE 48744
(989) 843-5440

Pharmacy
Page 872
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
VAN BUREN COUNTY

138111
137116
BRONSON PHARMACY MATTAWAN

DECATUR VILLAGE MARKET PHARMAC
52375 NORTH MAIN ST

108B E DELAWARE
MATTAWAN 49071
DECATUR 49045
(269) 668-6205
(269) 423-6770
138326
847 S KALAMAZOO
PAW PAW 49079
(269) 657-1778
137542
GOBLES PHARMACY #01
206 S STATE ST
GOBLES 49055
(269) 628-2650
138327
137971
HILLS PRESCRIPTION SHOP

LAWTON PHARMACY #12
404 HAZEN ST
350 N MAIN ST
PAW PAW 49079

LAWTON 49065
(269) 657-4701
(269) 624-2231
138590
MACDONALD DRUG STORE INC
512 PHOENIX ST
SOUTH HAVEN 49090
(269) 637-1161
138112
MEDICINE TREE PHARMACY
56109 VILLAGE CENTER CIRCLE
MATTAWAN 49071
(269) 668-6801
138328
PAW PAW VILLAGE PHARMACY
322 E MICHIGAN AVE
PAW PAW 49079
(269) 657-6073
138329
137697


PAW PAW 49079

HARTFORD 49057
(269) 657-4440
(269) 621-3654
138591
SHORELINE PHARMACY
SOUTH HAVEN 49090
(269) 637-9476
136710
SWANSTRA PHARMACY
3 W MONROE ST
BANGOR 49013
(269) 427-7706
138592
VALUE DRUGS
08337 M 140
SOUTH HAVEN 49090
(269) 637-3222
138330
138593
WALGREENS #12688
WALGREENS #9691
848 S KALAMAZOO ST
1100 PHOENIX ST
PAW PAW 49079

SOUTH HAVEN 49090
(269) 657-4984
(269) 637-7047
138594
201 73RD STREET
SOUTH HAVEN 49090
(269) 637-7802
WASHTENAW COUNTY
136655
AMBULATORY CARE PHARMACY
1500 E MEDICAL CENTER DRIVE
ANN ARBOR 48109
(734) 936-8260
136657
ANN ARBOR PROFESSIONAL PHARMAC
2140 E ELLSWORTH RD
ANN ARBOR 48108
(734) 477-9006
136658
ANN ARBOR VAMC PHARMACY
2215 FULLER ROAD
ANN ARBOR 48105
(734) 761-7933
136659
136660
BIG HOUSE PHARMACY

CASCADE HEMOPHILIA CONSORTIUM
1000 E STADIUM BLVD STE B

517 W WILLIAM ST
ANN ARBOR 48104

ANN ARBOR 48103
(734) 929-2425
(734) 996-3300
136938
CHELSEA PHARMACY
1125 S MAIN ST.
CHELSEA 48118
(734) 475-1188
136939
CHELSEACARE PHARMACY
14650 E OLD US HIGHWAY 12
CHELSEA 48118
(734) 593-5900
136940
1255 S MAIN ST
CHELSEA 48118
(734) 433-0129
139059
139017
CVS PHARMACY #01758

CVS PHARMACY #05741
5408 WHITTAKER RD
7488 VILLAGE CENTER
YPSILANTI 48197
WHITMORE LAKE 48189
(734) 481-3381
(810) 231-4179
138549
CVS PHARMACY #08003
413 E MICHIGAN AVE
SALINE 48176
(734) 429-4991
136663
CVS PHARMACY #08006
3535 PLYMOUTH RD
ANN ARBOR 48105
(734) 994-3636
139060
139061
CVS PHARMACY #08023

CVS PHARMACY #08083
1415 E MICHIGAN AVE

3090 CARPENTER
YPSILANTI 48198
YPSILANTI 48197
(734) 482-2550
(734) 973-7402
136664
CVS PHARMACY #08088
2100 W STADIUM BLVD
ANN ARBOR 48103
(734) 747-7554
136941
CVS PHARMACY #08089
935 S MAIN ST
CHELSEA 48118
(734) 475-2222
136665
CVS PHARMACY #08097
2228 S MAIN
ANN ARBOR 48103
(734) 663-1811
139062
136666
CVS PHARMACY #08165

CVS PHARMACY #08216
2151 WASHTENAW
1700 S INDUSTRIAL AND SIMPSON
YPSILANTI 48197
ANN ARBOR 48104
(734) 483-8900
(734) 827-7980
136668
EAST ANN ARBOR PHARMACY
4260 PLYMOUTH RD
ANN ARBOR 48109
(734) 647-5705
139063
FRANKS DRUGS INC
204 W MICHIGAN AVE
YPSILANTI 48197
(734) 483-0411
136670
HOMETOWN PHARMACY #40 - ANN AR
2355 E STADIUM BLVD
ANN ARBOR 48104
(734) 747-8080
136942
136671
HOMETOWN PHARMACY LTC #2

KEC PHARMACY
1123 S MAIN ST
1000 WALL ST RM 4114
CHELSEA 48118
ANN ARBOR 48105
(231) 861-6902
(734) 615-8073
136672
215 N MAPLE RD
ANN ARBOR 48103
(734) 769-0758
139065
3100 WASHTENAW RD
YPSILANTI 48197
(734) 434-3566
139066
136673

1771 MICHIGAN AVE

2641 PLYMOUTH ROAD
YPSILANTI 48198
ANN ARBOR 48105
(734) 482-9342
(734) 994-0180
136674
400 S MAPLE
ANN ARBOR 48103
(734) 213-2340
139067
3200 CARPENTER ROAD
YPSILANTI 48197
(734) 971-7283
139068
2010 WHITAKER
YPSILANTI 48197
(734) 547-1847
138076
139069
MANCHESTER PHARMACY
128 E MAIN ST
3825 CARPENTER ROAD
MANCHESTER 48158
YPSILANTI 48197
(734) 428-8393
(734) 973-1210
(734) 769-7941
136675
3145 SALINE ROAD
ANN ARBOR 48103
136676
5645 JACKSON RD
ANN ARBOR 48103
(734) 222-0310
136677
PHARMACY SOLUTIONS
5204 JACKSON RD
ANN ARBOR 48103
(734) 821-8000
139070
136678

1015 EMERICK STREET

2603 JACKSON AVENUE
YPSILANTI 48198
ANN ARBOR 48103
(734) 482-7430
(734) 663-1362
136679
2980 PACKARD ROAD
ANN ARBOR 48104
(734) 971-1013
136680
2781 PLYMOUTH ROAD
ANN ARBOR 48105
(734) 761-6404
136681
139071
SAINT JOSEPH MERCY PHARMACY SALEMS PHARMACY

313 ECORSE RD
ANN ARBOR 48106

YPSILANTI 48198
(734) 712-3333
(734) 487-8500
139072
5450 CARPENTER ROAD
YPSILANTI 48197
(734) 434-2587
139018
SAVON PROOS SAVMOR PHARMACY #5
11912 WHITMORE LAKE ROAD
WHITMORE LAKE 48189
(734) 449-0004

Pharmacy
Page 873
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
SUITE 201 SNOW HEALTH CENTER

5333 MCAULEY DR
YPSILANTI 48197
YPSILANTI 48197
(734) 487-1003
(734) 712-2222

139074
139075
SNOW HEALTH SERVICE PHARMACY #

ST JOSEPH MERCY PHARMACY - REI
136682
STADIUM PHARMACY
1930 W STADIUM BLVD
ANN ARBOR 48103
(734) 913-4752
136683
2000 WATERS RD
ANN ARBOR 48103
(734) 996-5547
139076
1066036

UM HHC HOMEMED
3749 CARPENTER ROAD

2850 S INDUSTRIAL HIGHWAY
YPSILANTI 48197
ANN ARBOR 48104
(734) 975-4675
(800) 862-2731
136686
VILLAGE SAVMOR APOTHECARY #40
1112 S UNIVERSITY
ANN ARBOR 48104
(734) 663-5533
139077
WALGREENS #11156
419 E MICHIGAN AVE
YPSILANTI 48198
(734) 485-4621
136687
WALGREENS #11197
2355 JACKSON AVE
ANN ARBOR 48103
(734) 794-0162
136688
139078
WALGREENS #15650
WALGREENS #5398
317 S STATE ST
2170 WASHTENAW RD
ANN ARBOR 48104

YPSILANTI 48197
(734) 352-3623
(734) 485-3414
136689
WALGREENS #5842
3245 WASHTENAW AVE
ANN ARBOR 48104
(734) 975-2849
139079
2515 ELLSWORTH ROAD
YPSILANTI 48197
(734) 434-7950
WAYNE COUNTY
137121
A AND H PHARMACY
15000 GRATIOT AVE
DETROIT 48205
(313) 521-7000
137122
A AND M PHARMACY
8282 WOODWARD AVE
DETROIT 48202
(313) 875-9010
137042
137043
A AND S PHARMACY WARRENFIELD

ACCESS PHARMACY
14716 WEST WARREN

6450 MAPLE RD
DEARBORN 48126
DEARBORN 48126
(313) 582-1350
(313) 216-2213
137124
ACTION DRUGS #2
5412 W WARREN
DETROIT 48210
(313) 894-4300
137126
ADVANCED CARE PHARMACY-EM
2925 RUSSELL ST STE 100
DETROIT 48207
(313) 879-2057
136627
ALL CARE PHARMACY
7125 ALLEN RD
ALLEN PARK 48101
(313) 386-2273
137127
137097
ANDYS PHARMACY ON GRAND

ARBOR LANE PHARMACY #87
2676 W GRAND BLVD

8565 SILVERY LANE
DETROIT 48208
(313) 871-3285
(313) 563-8090
137128
ASHTON DRUGS
20500 GREENFIELD
DETROIT 48235
(313) 340-1900
137129
ASHTON SCHOOLCRAFT PHARMACY
20720 PLYMOUTH
DETROIT 48228
(313) 835-3521
137130
ATLAS PHARMACY
2645 W DAVISON
DETROIT 48238
(313) 868-0940
137662
137131
AZAAL DISCOUNT PHARMACY

BAND PRESCRIPTION INC
9834 CONANT ST
14711 W 7 MILE RD
HAMTRAMCK 48212
DETROIT 48235
(313) 872-0021
(313) 653-3333
137132
BARTON DRUG
3950 MT ELLIOTT
DETROIT 48207
(313) 579-5502
137655
BEACON POINT PHARMACY
GROSSE POINTE PARK 48230
(313) 822-5474
137646
138636
BEAUMONT HOSPITAL GROSS POINTE

BELAVISTA DRUGS INC
468 CADIEUX RD
15830 FORT ST
GROSS POINTE 48230

SOUTHGATE 48195
(313) 343-1700
(734) 282-1940
137790
BELAVISTA PHARMACY INC
347 INKSTER RD
INKSTER 48141
(313) 563-5300
137663
BETTER CARE NEIGHBORHOOD PHARM
12111 CONANT ST
HAMTRAMCK 48212
(313) 892-2300
138637
BIO SCRIPT PHARMACY
15348 FORT ST
SOUTHGATE 48195
(734) 324-4000
137134
137135
BLAIN PHARMACY
BUCKLEY'S PHARMACY #1
2141 E JEFFERSON
18021 CONANT ST
DETROIT 48207
DETROIT 48234
(313) 393-2323
(313) 368-1000
137137
BUENAVIDA PHARMACY
8040 W VERNOR HWY
DETROIT 48209
(313) 297-3550
137664
CAMPAU PHARMACY
12169 JOSEPH CAMPAU ST STE 101
HAMTRAMCK 48212
(313) 365-2400
136874
CANTON SPECIALTY PHARMACY
305 N LILLEY RD
CANTON 48187
(734) 259-6700
137667
137045
CARPENTER PHARMACY
CENTAURA
3120 CARPENTER ST
12818 W WARREN
HAMTRAMCK 48212
DEARBORN 48126
(313) 893-3000
(313) 584-7272
137140
CHASS PHARMACY
5635 W FORT ST
DETROIT 48209
(313) 849-4116
137046
CHERRY HILL PHARMACY
DEARBORN 48124
(313) 274-5990
139026
137142
COMP RX PHARMACY
CONANT PLAZA PHARMACY
18930 WEST RD
3611 CARPENTER ST
WOODHAVEN 48183
DETROIT 48212
(734) 307-7018
(313) 366-1221
(734) 427-2866
137993
LIVONIA 48150
137994
20000 HAGGERTY ROAD
LIVONIA 48152
(734) 464-8545
138419
CROWN PHARMACY
24401 PLYMOUTH RD
REDFORD 48239
(313) 532-3784
138255
136839
CVS PHARMACY #00103

CVS PHARMACY #00211
44300 FIVE MILE RD

18900 TELEGRAPH RD
NORTHVILLE TOWNSHI 48167

BROWNSTOWN TOWNSHI 48174
(734) 416-1883
(734) 941-2067
138982
CVS PHARMACY #00927
37530 CHERRY HILL
WESTLAND 48185
(734) 727-0322
137143
CVS PHARMACY #07385
200 RENAISSANCE CENTER
DETROIT 48226
(313) 567-3523
137047
CVS PHARMACY #08001
15325 MICHIGAN AVE
DEARBORN 48126
(313) 582-9422
137048
138420
CVS PHARMACY #08005

CVS PHARMACY #08007
23115 MICHIGAN AVE

27350 PLYMOUTH RD
DEARBORN 48124
REDFORD 48239
(313) 562-7612
(313) 937-2500
138983
CVS PHARMACY #08008
29347 ANN ARBOR TR
WESTLAND 48185
(734) 522-5200
138249
CVS PHARMACY #08009
133 E DUNLAP
NORTHVILLE 48167
(248) 348-2010
138984
137995
CVS PHARMACY #08010

CVS PHARMACY #08015
31411 CHERRY HILL

29500 FIVE MILE RD
WESTLAND 48186
LIVONIA 48154
(734) 326-2990
(734) 261-1030
137791
CVS PHARMACY #08017
27365 CHERRY HILL
INKSTER 48141
(313) 274-6240
137049
CVS PHARMACY #08027
10335 WEST WARREN
DEARBORN 48126
(313) 581-4010

Pharmacy
Page 874
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
11125 ALLEN RD
2025 FORT ST
SOUTHGATE 48195
WYANDOTTE 48192
(734) 287-4030
(734) 283-9640

138639
139032
CVS PHARMACY #08028

CVS PHARMACY #08029
137996
CVS PHARMACY #08031
19120 MIDDLEBELT RD
LIVONIA 48152
(248) 476-5085
137050
CVS PHARMACY #08035
13250 FORD RD
DEARBORN 48126
(313) 846-8890
136760
137144
CVS PHARMACY #08042

CVS PHARMACY #08047
10915 BELLEVILLE RD
8115 W VERNOR HWY
BELLEVILLE 48111
DETROIT 48209
(734) 697-4000
(313) 841-9700
138758
CVS PHARMACY #08051
22000 ECORSE RD
TAYLOR 48180
(313) 295-3031
137683
CVS PHARMACY #08052
19818 KELLY RD
HARPER WOODS 48225
(313) 526-7900
138115
CVS PHARMACY #08055
18340 ALLEN RD
MELVINDALE 48122
(313) 928-2559
137098
138985
CVS PHARMACY #08056

CVS PHARMACY #08059
8710 N BEECH DALY

1750 S WAYNE RD

WESTLAND 48186
(313) 278-1000
(734) 721-3444
138820
CVS PHARMACY #08064
1625 KING RD
TRENTON 48183
(734) 671-4302
138986
CVS PHARMACY #08065
6501 N WAYNE RD
WESTLAND 48185
(734) 729-9210
137440
CVS PHARMACY #08072
27000 N TELEGRAPH RD
FLAT ROCK 48134
(734) 782-2438
137145
137514
CVS PHARMACY #08073

CVS PHARMACY #08075
18585 EAST WARREN

27435 FORD RD
DETROIT 48236
GARDEN CITY 48135
(313) 884-4184
(734) 513-2255
138352
CVS PHARMACY #08077
PLYMOUTH 48170
(734) 455-7981
137649
CVS PHARMACY #08081
17120 KERCHEVAL AVE
GROSSE POINTE 48230
(313) 886-3300
137146
138353
CVS PHARMACY #08082

CVS PHARMACY #08085
19900 VAN DYKE

1400 SHELDON RD
DETROIT 48234
PLYMOUTH 48170
(313) 368-3800
(734) 453-5807
137147
CVS PHARMACY #08094
1935 CAMPBELL
DETROIT 48209
(313) 842-3410
137148
CVS PHARMACY #08104
19851 WARREN
DETROIT 48228
(313) 271-6208
137658
CVS PHARMACY #08107
20460 MACK AVE
GROSSE PTE. WOODS 48236
(313) 881-2500
138640
137149
CVS PHARMACY #08114

CVS PHARMACY #08115
15300 EUREKA
18585 DALE ST
SOUTHGATE 48195
DETROIT 48219
(734) 283-9500
(313) 532-6300
139033
CVS PHARMACY #08118
131 ELM ST
WYANDOTTE 48192
(734) 283-7007
137997
CVS PHARMACY #08121
37340 FIVE MILE RD
LIVONIA 48154
(734) 953-2727
137978
CVS PHARMACY #08122
3647 DIX HWY
LINCOLN PARK 48146
(313) 383-6776
137368
138759
CVS PHARMACY #08123

CVS PHARMACY #08125
3859 JEFFERSON AVE

26101 EUREKA
ECORSE 48229
TAYLOR 48180
(313) 383-0555
(734) 942-0025
137051
CVS PHARMACY #08128
2701 TELEGRAPH RD
DEARBORN 48124
(313) 562-5003
137979
CVS PHARMACY #08131
2400 FORT ST
LINCOLN PARK 48146
(313) 381-2400
137150
137668
CVS PHARMACY #08134

CVS PHARMACY #08137
15455 GRATIOT
9300 JOSEPH CAMPAU
DETROIT 48205
HAMTRAMCK 48212
(313) 372-7076
(313) 874-5300
138954
CVS PHARMACY #08138
2950 NEWBURG
WAYNE 48184
(734) 728-6500
137151
CVS PHARMACY #08141
6862 N MICHIGAN AVE
DETROIT 48210
(313) 849-6110
138421
CVS PHARMACY #08151
8900 TELEGRAPH RD
REDFORD 48239
(313) 538-0289
137052
137152
CVS PHARMACY #08152

CVS PHARMACY #08153
22060 W OUTER DR
8936 TIREMAN
DEARBORN 48124
DETROIT 48204
(313) 274-7651
(313) 491-5019
138422
CVS PHARMACY #08157
25380 5 MILE RD
REDFORD 48239
(313) 592-6357
137153
CVS PHARMACY #08159
15640 W WARREN
DETROIT 48228
(313) 584-0808
136840
CVS PHARMACY #08160
23800 WEST RD
BROWNSTOWN TWP. 48183
(734) 692-4230
138987
136900
CVS PHARMACY #08164

CVS PHARMACY #08167
7250 VENOY
7269 CANTON CENTER
WESTLAND 48185
CANTON TWP. 48187
(734) 422-5150
(734) 455-5186
138423
CVS PHARMACY #08172
25700 W 7 MILE RD
REDFORD 48240
(313) 592-1202
137154
CVS PHARMACY #08175
18600 LIVERNOIS
DETROIT 48221
(313) 345-6020
137998
136630
CVS PHARMACY #08176

CVS PHARMACY #08181
8811 NEWBURGH
15240 SOUTHFIELD
LIVONIA 48150
ALLEN PARK 48101
(734) 432-1975
(313) 382-7265
137155
CVS PHARMACY #08186
18500 GRAND RIVER
DETROIT 48223
(313) 272-5256
136901
CVS PHARMACY #08190
CANTON TWP. 48187
(734) 981-3968
137156
CVS PHARMACY #08194
12707 DEXTER
DETROIT 48238
(313) 491-0291
137157
137158
CVS PHARMACY #08196

CVS PHARMACY #08199
16800 SCHAEFER HWY

18901 8 MILE RD
DETROIT 48235
DETROIT 48219
(313) 864-9660
(313) 387-4120
137159
CVS PHARMACY #08200
DETROIT 48207
(313) 396-5481
138354
CVS PHARMACY #08208
49485 ANN ARBOR RD
PLYMOUTH 48170
(734) 354-9220
137515
CVS PHARMACY #08209
29901 FORD RD
GARDEN CITY 48135
(734) 513-9874
137721
138955
CVS PHARMACY #08210

CVS PHARMACY #08211
14140 WOODWARD
31450 VAN BORN
HIGHLAND PARK 48203

WAYNE 48184
(313) 867-5293
(734) 728-4295
138988
CVS PHARMACY #08212
31501 JOY RD
WESTLAND 48185
(734) 427-9100
138641
CVS PHARMACY #08213
13545 EUREKA RD
SOUTHGATE 48195
(734) 283-2367
138760
137099
CVS PHARMACY #08218

CVS PHARMACY #08221
22300 GODDARD
25762 VAN BORN
TAYLOR 48180
(313) 299-3400
(313) 299-0348
137160
CVS PHARMACY #08222
13600 EAST SEVEN MILE RD
DETROIT 48205
(313) 245-7101
136877
CVS PHARMACY #08225
1791 S HAGGERTY RD
CANTON 48188
(734) 394-2460

Pharmacy
Page 875
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone

137161
137162
CVS PHARMACY #08230

CVS PHARMACY #08231
7451 WOODWARD AVE

350 EAST WARREN
DETROIT 48202
DETROIT 48201
(313) 872-7737
(313) 833-0201
138821
CVS PHARMACY #08232
3575 WEST RD
TRENTON 48183
(734) 362-0441
137163
CVS PHARMACY #08247
9360 EAST GREENFIELD
DETROIT 48228
(313) 272-7021
138250
137164
CVS PHARMACY #08262

CVS PHARMACY #08267
39350 NINE MILE RD

2590 WEST GRAND BLVD
NORTHVILLE 48167
DETROIT 48208
(248) 735-6081
(313) 875-4457
(313) 653-3427
137165
CVS PHARMACY #08269
DETROIT 48227
137166
CVS PHARMACY #08270
10301 WOODWARD AVE
DETROIT 48202
(313) 852-3653
137167
CVS PHARMACY #08275
10011 WEST MCNICHOLS RD
DETROIT 48221
(313) 340-2892
137168
137169
CVS PHARMACY #08276

CVS PHARMACY #08277
22001 WEST EIGHT MILE

DETROIT 48219
DETROIT 48215
(313) 255-3337
(313) 926-8917
137170
CVS PHARMACY #08283
10652 GRATIOT ST
DETROIT 48213
(313) 571-0446
137171
CVS PHARMACY #08284
3011 GRATIOT
DETROIT 48207
(313) 922-6344
137172
CVS PHARMACY #08307
1037 WOODWARD AVE
DETROIT 48226
(313) 963-1007
137173
137174
CVS PHARMACY #08399

DAVIS CUT RATE DRUGS
15521 WEST SEVEN MILE ROAD

14033-39 W MCNICHOLAS RD
DETROIT 48235
DETROIT 48235
(313) 272-3296
(313) 861-9300
137100
DEARBORN HEIGHTS PHARMACY
25524 FORD RD
(313) 724-1111
137175
DESH PHARMACY LLC
12170 CONANT
DETROIT 48212
(313) 366-3800
137177
137178
DETROIT MEDICAL PHARMACY

DETROIT VAMC PHARMACY
500 E WARREN
4646 JOHN R ST
DETROIT 48201
DETROIT 48201
(313) 831-2400
(313) 576-4635
138989
DIAL DRUGS
8226 N MERRIMAN RD
WESTLAND 48185
(734) 427-2850
137055
DIX DRUG STORE CORP
10066 DIX AVE
DEARBORN 48120
(313) 843-2400
137181
DMC PHARMACY CHILDREN'S
3901 BEAUBIEN BLVD
DETROIT 48201
(313) 745-0436
137182
137183
DMC PHARMACY DETROIT RECEIVING

DMC PHARMACY HARPER

DETROIT 48201
DETROIT 48201
(313) 966-8230
(313) 966-3148
137184
DMC PHARMACY HUTZEL
4727 ST ANTIONE
DETROIT 48201
(313) 745-7444
137185
DMC PHARMACY SINAI GRACE
6001 W OUTER DR
DETROIT 48235
(313) 966-2979
137186
DMC PHARMACY SINAI LOBBY
6071 W OUTER DR STE M110
DETROIT 48235
(313) 966-9134
137980
137057
DOWNRIVER PHARMACY
DRUG MAX PHARMACY
4045 DIX HWY

5472 SCHAEFER RD
LINCOLN PARK 48146

DEARBORN 48126
(313) 294-6666
(313) 584-4600
137189
EDDIES MEDICAL PHARMACY
7304 MICHIGAN AVE
DETROIT 48210
(313) 551-0600
138761
ER DRUGS
27260 EUREKA RD
TAYLOR 48180
(734) 955-9110
137191
139027
EVERGREEN PHARMACY
FAIRLANE PHARMACY SERVICES COR
20010 W WARREN AVE

22505 ALLEN ROAD
DETROIT 48228
WOODHAVEN 48183
(313) 336-3500
(734) 676-7474
137981
FAMILY CARE PHARMACY
3782 FORT ST
LINCOLN PARK 48146
(313) 381-9200
137101
FAMILY CENTER PHARMACY
4245 S BEECH DALY RD
(313) 563-1700
137194
FAMILY DRUG PHARMACY
10809 MACK AVE
DETROIT 48214
(313) 822-0626
137195
137102
FAMILY DRUGS
FAMILY DRUGS PHARMACY III #3
18611 W WARREN AVE

DETROIT 48228
(313) 441-6666
(313) 336-9333
137441
FLATROCK CITY PHARMACY LLC
25620 GIBRALTAR RD
FLAT ROCK 48134
(734) 789-8950
137197
FRASER DRUG #52
7350 GRAND RIVER
DETROIT 48204
(313) 895-0357
137669
FRD SAVMOR PHARMACY #84
9811 CONANT
HAMTRAMCK 48212
(313) 871-1115
137061
137517
FUTURE DRUGS INC

GARDEN CITY HOSP PHCY O/P
14234 WARREN AVE

6255 N INKSTER RD
DEARBORN 48126
GARDEN CITY 48135
(313) 945-1288
(734) 458-4224
137199
GATEWAY PHARMACY INC
15690 JOY RD
DETROIT 48228
(313) 835-9999
137536
GIBRALTAR SAVMOR PHARMACY #16
29255 W JEFFERSON
GIBRALTAR 48173
(734) 675-0000
138425
138990
GLORYCARE PHARMACY
GOOD NEIGHBORS FAMILY PHARMACY
27144 JOY RD
1956 VENOY RD
REDFORD 48239
WESTLAND 48185
(313) 937-6301
(734) 722-8774
137202
GRAND VALUE PHARMACY
DETROIT 48204
(313) 931-0010
137062
GREENFIELD PHARMACY
6050 GREENFIELD
DEARBORN 48126
(313) 846-9090
137203
GRISWOLD PHARMACY
1411 WASHINGTON BLVD.
DETROIT 48226
(313) 237-9000
137670
137063
HAMTRAMCK DRUGS
HAMZEH PHARMACY
10300 JOSEPH CAMPAU ST

10437 W WARREN AVE
HAMTRAMCK 48212
DEARBORN 48126
(313) 873-2366
(313) 582-1670
136761
HEALTH SMART PHARMACY INC
10824 BELLEVILLE RD
BELLEVILLE 48111
(734) 699-2228
136838
HENRY FORD HEALTH CENTER-BROWN
23050 WEST RD
BROWNSTOWN TNSHP 48183
(734) 671-1499
137065
5500 AUTO CLUB DR STE 100
DEARBORN 48126
(313) 425-4440
137653
138000

131 KERCHEVAL
29200 SCHOOLCRAFT ROAD
GROSSE POINTE FARM 48236

LIVONIA 48150
(313) 640-2591
(734) 523-1710
138764
24555 HAIG ROAD
TAYLOR 48180
(313) 292-6260
137206
7800 WEST OUTER DRIVE
DETROIT 48235
(313) 543-6300
137066
138355

19401 HUBBARD DRIVE

14300 BECK ROAD
DEARBORN 48126
PLYMOUTH 48170
(313) 982-8245
(734) 354-5950
137209
DETROIT 48202
(313) 916-9661
137208
DETROIT 48202
(313) 916-1231

Pharmacy
Page 876
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone


6100 N HAGGERTY
DETROIT 48202
CANTON 48187
(313) 916-1233
(734) 981-3002
137210
HENRY FORD PHARMACY ADVANTAGE
DETROIT 48202
(313) 916-1666
137211
HERMAN KIEFER PHARMACY
1151 W TAYLOR
DETROIT 48202
(313) 876-4015
137212
139034
HEYDEN PHARMACY
HFWH OUTPATIENT PHARMACY
20201 W 7 MILE RD
2333 BIDDLE AVE
DETROIT 48219
WYANDOTTE 48192
(313) 533-8200
(734) 246-9499
137671
HOOVER PHARMACY LLC
2930 HOLBROOK ST
HAMTRAMCK 48212
(313) 870-9703
137983
INDEX PARK PHARMACY
2255 FORT ST
LINCOLN PARK 48146
(313) 357-7500
137213
INDIAN VILLAGE PHARMACY
DETROIT 48214
(313) 331-2000
137793
137984
INKSTER PHARMACY INC

JANA DRUGS
27422 MICHIGAN AVE

1684 FORT ST
INKSTER 48141
LINCOLN PARK 48146
(313) 274-2200
(313) 383-5700
137216
JORDAN'S DISCOUNT PHARMACY #1
13205 DEXTER AVE
DETROIT 48238
(313) 931-3301
137520
JOY PHARMACY
27543 W WARREN
GARDEN CITY 48135
(734) 266-9018
137217
JUNCTION CLINIC PHARMACY
4771 MICHIGAN AVE
DETROIT 48210
(313) 898-6946
137218
137219
KD PHARMACY INC #19

KING PHARMACY
3130 GRATIOT
12871 E JEFFERSON
DETROIT 48207
DETROIT 48215
(313) 924-0092
(313) 331-8484

137207
136883
137068
KINGS PHARMACY LLC
DEARBORN 48126
(313) 584-7800
136762
2095 RAWSONVILLE RD
BELLEVILLE 48111
(734) 487-5502
137521
138765

29600 FORD RD
21111 VAN BORN RD
GARDEN CITY 48135

TAYLOR 48180
(734) 525-7838
(313) 278-2380
138992
165 S WAYNE RD
WESTLAND 48186
(734) 326-5200
138001
33400 7 MILE RD
LIVONIA 48152
(248) 474-8813
138356
PLYMOUTH 48170
(734) 455-5027
138644
137220

16705 FORT ST
19990 TELEGRAPH RD
SOUTHGATE 48195
DETROIT 48219
(734) 324-2473
(313) 537-8038
137221
KNIGHT DETROIT MED CTR PHCY #5
4501 WOODWARD AVE
DETROIT 48201
(313) 832-5800
137222
KNIGHT DRUG GREENFIELD INC #10
19141 GREENFIELD RD
DETROIT 48235
(313) 836-5400
137223
KNIGHT DRUGS DAVISON #4
4059 W DAVISON
DETROIT 48238
(313) 933-6740
137224
137723
KNIGHT DRUGS E DAVISON #2

KNIGHT DRUGS HIGHLAND PARK I #
4420 E DAVISON ST
13820 WOODWARD AVE
DETROIT 48212
HIGHLAND PARK 48203
(313) 891-7500
(313) 868-5800
137225
KNIGHT DRUGS JEFFERSON #1
9149 E JEFFERSON
DETROIT 48214
(313) 822-2260
137226
KNIGHT DRUGS MCNICHOLS #17
4321 E MCNICHOLS
DETROIT 48212
(313) 369-4399
137103
137651

26400 FORD RD
20422 MACK AVE

GROSSE POINTE 48236
(313) 827-3716
(313) 308-1033
137442
23849 WEST ROAD
FLAT ROCK 48134
(734) 561-1210
138002
33528 EIGHT MILE ROAD
LIVONIA 48152
(248) 473-8240
138003
30935 W FIVE MILE ROAD
LIVONIA 48154
(734) 422-3784
138993
138357

31300 MICHIGAN AVE

44525 ANN ARBOR RD
WESTLAND 48186
PLYMOUTH 48170
(734) 326-7345
(734) 414-9348
136884
CANTON 48187
(734) 844-2677
138766
7000 MONROE
TAYLOR 48180
(313) 299-1943
138994
36430 FORD ROAD
WESTLAND 48185
(734) 595-7002
137985
138645

2060 DIX AVE

13333 EUREKA RD
LINCOLN PARK 48146

SOUTHGATE 48195
(313) 386-5355
(734) 324-7966
137069
23303 MICHIGAN AVE
DEARBORN 48124
(313) 562-2232
137522
5866 MIDDLEBELT RD
GARDEN CITY 48135
(734) 522-2052
136885
136836

45540 MICHIGAN
20645 GIBRALTAR RD
CANTON 48188
BROWNSTOWN 48183
(734) 397-2560
(734) 675-0656
137684
20903 HARPER AVE
HARPER WOODS 48225
(313) 642-0942
137227
LAFAYETTE SAVMOR DRUGS #53
670 CHENE
DETROIT 48207
(313) 259-0090
137230
LIBERTY PHARMACY INC
4802 W VERNOR HWY
DETROIT 48209
(313) 841-1990
138004
137231
LIFECARE PHARMACY
LIVERNOIS EXPRESS PHARMACY
8810 MIDDLEBELT RD
15530 PURITAN
LIVONIA 48150
DETROIT 48221
(734) 261-4400
(313) 659-1622
137232
LIVERNOIS FAMILY PHARMACY
18254 LIVERNOIS AVE
DETROIT 48221
(313) 341-3511
137233
M AND D PHARMACY
14525 MACK AVE
DETROIT 48215
(313) 881-2890
137104
MARSHALL PHARMACY
25022 W WARREN
(313) 278-8620
138006
136631
MEDCART PHARMACY SOLUTIONS

MEDRX
32131 INDUSTRIAL RD
15101 SOUTHFIELD RD
LIVONIA 48150
ALLEN PARK 48101
(734) 762-6622
(313) 928-4922
136886
45001 FORD ROAD
CANTON 48187
(734) 981-0844
138767
14640 PARDEE ROAD
TAYLOR 48180
(734) 287-3443
138253
138995

20401 HAGGERTY RD
37201 WARREN ROAD
NORTHVILLE 48167
WESTLAND 48185
(248) 349-2707
(734) 728-3550
139028
22600 ALLEN ROAD
WOODHAVEN 48183
(734) 692-8181
136763
9701 BELLEVILLE ROAD
BELLEVILLE 48111
(734) 699-0464

Pharmacy
Page 877
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
16300 FORT STREET

13000 MIDDLEBELT RD
SOUTHGATE 48195
LIVONIA 48150
(734) 284-4250
(734) 367-0010

138646
138008

137986
3710 DIX HIGHWAY
LINCOLN PARK 48146
(313) 294-1764
136632
3565 FAIRLANE BLVD
ALLEN PARK 48101
(313) 253-1133
137240
138116

MELVINDALE PHARMACY
1301 W 8 MILE RD
18287 ALLEN RD
DETROIT 48203
MELVINDALE 48122
(313) 369-5210
(313) 386-0830
138768
MENARD PHARMACY
23241 EUREKA ROAD
TAYLOR 48180
(734) 287-3880
137656
MERIT WOODS PHARMACY INC #408
19325 MACK AVE
GROSSE POINTE WOOD 48236
(313) 882-0922
138009
MERRIMAN DRUGS
31320 W 5 MILE RD
LIVONIA 48154
(734) 427-3430
138426
137074
METROPOLITAN PHARMACY
MONROE PHARMACY
26380 PLYMOUTH
2507 MONROE ST
REDFORD 48239
DEARBORN 48124
(313) 937-1100
(313) 274-9141
137243
MOTOR CITY PHARMACY
20526 PLYMOUTH RD
DETROIT 48228
(313) 838-2555
137523
MY SOLUTIONS PHARMACY
6204 MIDDLEBELT RD
GARDEN CITY 48135
(734) 552-6533
137244
NEW HOPE PHARMACY
NEW HOPE PHARMACY
DETROIT 48234
(313) 334-5203
137794
137246
NEW MILLENNIUM DRUGS

NEW MOTOWN PHARMACY
211 HENRY RUFF

3040 E SEVEN MILE RD
INKSTER 48141
DETROIT 48234
(734) 721-2100
(313) 891-2253
137075
NEW SCHAEFER PHARMACY INC
6635 SCHAEFER
DEARBORN 48126
(313) 582-1800
138647
NORTHLINE SAVMOR DRUGS #18
13894 NORTHLINE ROAD
SOUTHGATE 48195
(734) 285-9496
137652
137247
NOTRE DAME PHARMACY

NOTTINGHAM PHARMACY ON WARREN
16926 KERCHEVAL AVE

15800 E WARREN
GROSSE POINTE 48230

DETROIT 48224
(313) 885-2154
(313) 885-3363
137076
OAKMAN MEDICAL PHARMACY
5280 OAKMAN BLVD
DEARBORN 48126
(313) 846-1941
137077
OAKWOOD PHARMACY DEARBORN
18181 OAKWOOD BLVD
DEARBORN 48124
(313) 593-7273
136887
OAKWOOD PHARMACY OF CANTON
7330 CANTON CTR RD
CANTON 48187
(734) 454-8070
138648
138996
OAKWOOD PHARMACY SOUTHGATE

OAKWOOD PHARMACY WESTLAND
15777 NORTHLINE RD
2001 MERRIMAN RD
SOUTHGATE 48195
WESTLAND 48186
(734) 324-9606
(734) 727-1040
137249
OBI MEDICAL PHARMACY
13701 W SEVEN MILE RD
DETROIT 48235
(313) 341-6123
137250
PARK MEDICAL PHARMACY INC.
20720 PLYMOUTH RD
DETROIT 48228
(313) 651-5887
137252
PEOPLE PHARMACY
17150 SCHAEFER HWY
DETROIT 48235
(313) 341-0606
137255
138011
PHARMACY 4 LESS III

PHARMACY SPECIALIST
16700 HARPER AVE

14155 FARMINGTON RD
DETROIT 48224
LIVONIA 48154
(313) 886-3536
(734) 744-4844
138769
PHARMAX DRUGS
10501 TELEGRAPH ROAD
TAYLOR 48180
(313) 357-2700
137256
PHARMOR PHARMACY - FORD CAMPUS
2699 W GRAND BLVD
DETROIT 48208
(313) 875-9000
137257
137258
PHARMOR PHARMACY- GRAND LAHSER

PHARMOR PHARMACY- LAFAYETTE
21673 GRAND RIVER

1565 E LAFAYETTE ST
DETROIT 48219
DETROIT 48207
(313) 533-0500
(313) 396-5555
137262
PHYSICIANS PHARMACY & MEDICAL
40 E ALEXANDRINE ST
DETROIT 48201
(313) 832-2050
137264
PLATINUM CARE PHARMACY #1
8500 14TH ST
DETROIT 48206
(313) 894-0451
138012
PROFESSIONAL VILLAGE PHARMACY
11589 FARMINGTON RD
LIVONIA 48150
(734) 427-2400
137268
138013
QUICK SERVE PHARMACY

RAYS DRUGS
13433 WEST EIGHT MILE ROAD

37672 PROFESSIONAL CENTER DR
DETROIT 48235
LIVONIA 48154
(313) 341-8948
(734) 432-2015
137269
REDFORD PHARMACY, INC
17364 LAHSER RD
DETROIT 48219
(313) 532-5920
137270
REIDS DRUG
9938 HARPER AVE
DETROIT 48213
(313) 921-3536
136888
RELIANCE PHARMACY SERVICES
4902 DEWITT RD
CANTON 48188
(734) 398-7796
136889
137271
RICHARDSON'S SUPER DRUGS #31

RIGLEY'S DRUG STORE LLC
42433 FORD ROAD

12266 GRATIOT AVE
CANTON 48187
DETROIT 48205
(734) 981-3900
(313) 924-5163
138358
800 WEST ANN ARBOR ROAD
PLYMOUTH 48170
(734) 737-0218
137272
7843 WEST VERNOR HIGHWAY
DETROIT 48209
(313) 554-4491
138014
138477

37399 6 MILE ROAD

32905 FORT STREET
LIVONIA 48152
ROCKWOOD 48173
(734) 464-7960
(734) 379-9633
136765
51341 W. HURON RIVER DRIVE
BELLEVILLE 48111
(734) 484-0482
138445
19016 FORT STREET
RIVERVIEW 48193
(734) 479-2010
138824
25050 ALLEN ROAD
TRENTON 48183
(734) 675-6110
138015
138771

27401 WEST SIX MILE ROAD

5811 TELEGRAPH ROAD
LIVONIA 48152
TAYLOR 48180
(734) 762-0627
(313) 291-2697
137273
17170 HARPER AVENUE
DETROIT 48224
(313) 881-3653
138959
35101 MICHIGAN AVENUE EAST
WAYNE 48184
(734) 729-7810
137443
28659 TELEGRAPH ROAD
FLAT ROCK 48134
(734) 783-2572
138772
137654

9155 TELEGRAPH ROAD

107 KERCHEVAL AVENUE
TAYLOR 48180
GROSSE POINTE FARM 48236
(313) 291-6050
(313) 886-5655
137274
19160 GREENFIELD ROAD
DETROIT 48235
(313) 862-2603
136635
ALLEN PARK 48101
(313) 386-8604
138016
137525

37355 8 MILE ROAD

29447 FORD ROAD
LIVONIA 48152
GARDEN CITY 48135
(248) 474-8657
(734) 525-3246
137275
3456 EAST JEFFERSON AVENUE
DETROIT 48207
(313) 259-6520
137675
9215 JOSEPH CAMPAU STREET
HAMTRAMCK 48212
(313) 873-5200

Pharmacy
Page 878
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone

137276
137277

13939 LIVERNOIS AVENUE

18430 FENKELL STREET
DETROIT 48238
DETROIT 48223
(313) 934-0150
(313) 837-2340
137082
5650 SCHAFFER ROAD
DEARBORN 48126
(313) 581-3280
138017
33251 PLYMOUTH ROAD
LIVONIA 48150
(734) 425-9721
137278
137083


DETROIT 48234
DEARBORN 48124
(313) 892-4600
(313) 278-1515
139035
1998 BIDDLE AVENUE
WYANDOTTE 48192
(734) 285-4100
137279
DETROIT 48201
(313) 832-3247
138117
4016 OAKWOOD BOULEVARD
MELVINDALE 48122
(313) 386-8345
137280
138018

19150 WYOMING STREET

31245 8 MILE ROAD
DETROIT 48221
LIVONIA 48152
(313) 341-9700
(248) 426-6248
136890
2249 NORTH CANTON CENTERR ROAD
CANTON 48187
(734) 844-3598
137281
DETROIT 48213
(313) 521-1850
136891
180 LILLEY ROAD
CANTON 48188
(734) 844-0296
138997
137282

35363 FORD ROAD

14820 MACK AVENUE
WESTLAND 48185
DETROIT 48215
(734) 728-7392
(313) 331-1038
136892
4151 SOUTH CANTON CENTER ROAD
CANTON 48188
(734) 394-0027
137283
ROSA PARKS MEDICAL PHCY
8665 ROSA PARK BLVD
DETROIT 48206
(313) 361-8800
138443
137285
ROUGE DRUG STORE

RUSSELLS PHARMACY
10507 W JEFFERSON
3011 W GRAND BLVD
RIVER ROUGE 48218

DETROIT 48202
(313) 842-2080
(313) 875-5384
137084
SAADS PHARMACY
13734 W WARREN
DEARBORN 48126
(313) 846-7700
137289
SAMS DRUGS
14200 FENKELL AVE
DETROIT 48227
(313) 493-1400
138649
15700 NORTHLINE ROAD
SOUTHGATE 48195
(734) 281-4863
136893
137291

SAV MAX GLORY PHARMACY
39800 FORD ROAD

9731 HARPER AVE
CANTON 48187
DETROIT 48213
(734) 981-5104
(313) 921-1002
137526
SAVON ANDREWS DRUGS SAVMOR GAR
29436 FORD ROAD
GARDEN CITY 48135
(734) 421-1900
136766
SAVON ANDREWS SAVMOR BELLEVILL
444 MAIN STREET
BELLEVILLE 48111
(734) 699-2075
138999
SAVON CHECKER DRUGS SAVMOR WES
190 S WAYNE ROAD
WESTLAND 48186
(734) 728-5200
137105
137647
SAVON DRUGS 4 SAVMOR DEARBORN

SAVON DRUGS 6 SAVMOR GROSSE IL
5688 N TELEGRAPH ROAD

8900 MACOMB

GROSSE ILE 48138
(313) 565-9357
(734) 676-6000
138483
SAVON FAMILY SAVMOR PHARMACY #
36567 GODDARD ROAD
ROMULUS 48174
(734) 941-0755
137686
SAVON HUNTER SAVMOR PHARMACY #
20352 HARPER AVENUE
HARPER WOODS 48225
(313) 884-5400
137115
139029
SAVON RIVER OAKS SAVMOR PHARMA

SAVON WOODHAVEN SAVMOR PHARMAC

22981 HALL ROAD
DEARBORN HGTS 48127

WOODHAVEN 48183
(313) 271-3770
(734) 675-2211
138773
SAX DISCOUNT SAVMOR DRUG #22
22525 WICK ROAD
TAYLOR 48180
(313) 292-3755
137295
SERV U WELL PHARMACY
18250 W WARREN AVE
DETROIT 48228
(313) 240-9700
138019
SOLARA MEDICAL SUPPLIES
35275 PLYMOUTH RD
LIVONIA 48150
(734) 261-5253
137086
138651
SOUTH DEARBORN PHARMACY #409

SOUTHGATE PHARMACY
9925 DIX AVE

12870 NORTHLINE RD
DEARBORN 48120
SOUTHGATE 48195
(313) 841-2272
(734) 284-9240
137299
SOUTHWEST DISCOUNT PHARMACY #2
5851 W VERNOR
DETROIT 48209
(313) 841-9350
138020
LIVONIA 48150
(734) 422-3310
137300
SPRINGWELLS DISCOUNT PHARMACY
2117 SPRINGWELLS ST
DETROIT 48209
(313) 841-8000
137301
137302

22101 MOROSS ROAD

22151 MOROSS ROAD
DETROIT 48236
DETROIT 48236
(313) 434-4720
(313) 343-3776
137303
7633 E JEFFERSON AVE STE 130
DETROIT 48214
(313) 499-4031
138021
37595 WEST SEVEN MILE ROAD
LIVONIA 48152
(734) 432-7720
137304
137305
ST. PAUL PHARMACY

SUPER MART PHARMACY
9934 HARPER
12230 EAST 8 MILE RD
DETROIT 48213
DETROIT 48205
(313) 921-3537
(313) 371-7865
137306
SUTTON'S DRUG
DETROIT 48215
(313) 822-4085
137087
15901 FORD ROAD
DEARBORN 48126
(313) 768-0293
138775
14099 PARDEE ROAD
TAYLOR 48180
(734) 288-0005
139001
137107

35401 WARREN ROAD

26650 FORD RD
WESTLAND 48185
(734) 728-6031
(313) 565-1287
136894
43670 FORD ROAD
CANTON 48187
(734) 454-2507
137687
18000 VERNIER RD
HARPER WOODS 48225
(313) 371-9751
138023
20100 HAGGERTY ROAD
LIVONIA 48152
(734) 452-0020
139030
136636

23555 ALLEN RD
3100 FAIRLANE DR
WOODHAVEN 48183
ALLEN PARK 48101
(734) 672-0005
(313) 768-0065
138024
29451 PLYMOUTH ROAD
LIVONIA 48150
(734) 793-0638
137307
THE NEW PRESCRIPTION CORNER PH
15525 W WARREN AVE
DETROIT 48228
(313) 584-3377
137308
137676
THE WELLNESS PLAN #EAST

THERA RX
4909 E OUTER DR
9740 CONANT
DETROIT 48234
HAMTRAMCK 48212
(313) 369-3979
(313) 875-7979
137309
TONY'S PHARMACY
18360 FENKELL ST
DETROIT 48223
(313) 272-3744
138025
TOP CARE PHARMACY
27493 SIX MILE RD
LIVONIA 48152
(734) 762-1500

Pharmacy
Page 879
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
TOWN PHARMACY
TRUDELL PHARMACY #51
6170 WEST VERNOR HWY

5711 SCHAEFER RD
DETROIT 48209
DEARBORN 48126
(313) 297-6617
(313) 581-2424
138777
TRUE CARE PHARMACY
7130 PARDEE
TAYLOR 48180
(313) 292-2716
137312
UNIVERSITY PHARMACY
5254 ANTHONY WAYNE DR
DETROIT 48202
(313) 831-2008
139002
138960
VALUE PHARMACY
VENOY MEDICAL PHARMACY
1629 MERRIMAN RD
4020 S VENOY RD
WESTLAND 48186
WAYNE 48184
(734) 405-2300
(734) 728-1591
137111
VITAL PHARMACY
23800 FORD RD
(313) 274-4647
138026
WALGREENS #10359
17001 NEWBURGH RD
LIVONIA 48154
(734) 462-1707
137988
WALGREENS #10906
1901 SOUTHFIELD RD
LINCOLN PARK 48146
(313) 382-3578
137112
138429
WALGREENS #11456
WALGREENS #11607
25700 FORD RD
25905 FIVE MILE ROAD

REDFORD 48239
(313) 359-9640
(313) 535-8480

137310
137089
138027
WALGREENS #12267
33239 W 8 MILE RD
LIVONIA 48152
(248) 476-7294
139036
WALGREENS #1265
3221 FORT ST
WYANDOTTE 48192
(734) 284-1624
139004
WALGREENS #4297
7210 MIDDLEBELT RD
WESTLAND 48185
(734) 427-5898
138028
137113
WALGREENS #4298
WALGREENS #4367
29200 6 MILE RD
8706 N TELEGRAPH RD
LIVONIA 48152
(734) 427-3236
(313) 724-9068
137314
WALGREENS #4369
19800 PLYMOUTH RD
DETROIT 48228
(313) 273-9218
137795
WALGREENS #4430
120 S INKSTER
INKSTER 48141
(313) 724-8381
138778
137315
WALGREENS #4498
WALGREENS #4501
20090 GODDARD RD
22380 MOROSS RD
TAYLOR 48180
DETROIT 48236
(313) 299-1585
(313) 642-1109
138446
WALGREENS #4585
17071 FORT ST
RIVERVIEW 48192
(734) 281-2927
138961
WALGREENS #4631
32732 MICHIGAN AVE
WAYNE 48184
(734) 595-9953
137989
WALGREENS #4749
1765 FORT ST
LINCOLN PARK 48146
(313) 928-8478
137316
138029
WALGREENS #4797
WALGREENS #4933

8850 NEWBURGH RD
DETROIT 48207
LIVONIA 48150
(313) 567-4202
(734) 524-9662
137090
WALGREENS #4992
15450 MICHIGAN AVE
DEARBORN 48126
(313) 584-5802
137091
WALGREENS #5032
13601 W WARREN AVE
DEARBORN 48126
(313) 624-9375
137317
WALGREENS #5084
DETROIT 48219
(313) 541-0768
136837
138826
WALGREENS #5168
WALGREENS #5169
23007 TELEGRAPH RD
1700 WEST RD
BROWNSTOWN 48134
TRENTON 48183
(734) 675-2347
(734) 675-1175
137727
WALGREENS #5226
14048 WOODWARD AVE
HIGHLAND PARK 48203
(313) 869-0953
138779
WALGREENS #5596
15009 TELEGRAPH RD
TAYLOR 48180
(734) 374-1134
138780
138030
WALGREENS #6261
WALGREENS #6312
20030 ECORSE RD
29370 PLYMOUTH RD
TAYLOR 48180
LIVONIA 48150
(313) 294-0746
(734) 261-2712
138031
WALGREENS #6359
33333 6 MILE RD
LIVONIA 48152
(734) 513-5069
137318
WALGREENS #6360
20001 W 7 MILE RD
DETROIT 48219
(313) 537-3271
138781
WALGREENS #6546
9100 TELEGRAPH RD
TAYLOR 48180
(313) 299-4471
136896
137319
WALGREENS #6550
WALGREENS #6708
44300 FORD RD
CANTON 48187
DETROIT 48227
(734) 459-3875
(313) 493-0144
137114
WALGREENS #7206
5709 S TELEGRAPH RD
(313) 292-1445
136768
WALGREENS #7275
10276 BELLEVILLE RD
BELLEVILLE 48111
(734) 697-4149
137527
WALGREENS #7854
31415 FORD RD
GARDEN CITY 48135
(734) 367-0719
136897
138032
WALGREENS SPECIALTY PHARMACY #

41460 HAGGERTY CIRCLE S

29555 PLYMOUTH RD
CANTON 48188
LIVONIA 48150
(734) 477-8179
(734) 524-0568
138862
10562 BELLEVILLE ROAD
VAN BUREN TOWNSHIP 48111
(734) 697-4784
138782
7555 TELEGRAPH ROAD
TAYLOR 48180
(313) 292-5014
139031
136898

23800 ALLEN ROAD

39500 FORD ROAD
WOODHAVEN 48183
CANTON 48187
(734) 675-4815
(734) 983-0548
137092
5851 MERCURY DRIVE
DEARBORN 48126
(313) 441-2841
138033
WALMART PHARMACY 10-5844 #1058
29574 7 MILE RD
LIVONIA 48152
(248) 957-0959
137093
WELL CARE PHARMACY
5237 OAKMAN BLVD
DEARBORN 48126
(313) 846-8040
137322
138827
WELLNESS PLAN #GATEWAY

WEST GRANGE SAVMOR PHARMACY #3
2888 W GRAND BLVD

3390 WEST ROAD
DETROIT 48202
TRENTON 48183
(313) 875-5220
(734) 676-6622
137094
WEST VILLAGE PHARMACY
2040 MONROE ST
DEARBORN 48124
(313) 561-9700
139006
WESTLAND MAPLE DRUGS INC
1949 WAYNE ROAD
WESTLAND 48185
(734) 729-2200
137323
WESTSIDE PHCY OF DETROIT INC
10600 W MCNICHOLS
DETROIT 48221
(313) 342-1555
138360
137096
WILTSES PHARMACY
WOODHAVEN MEDICAL CENTER PHARM
330 S MAIN ST
4700 GREENFIELD
PLYMOUTH 48170
DEARBORN 48126
(734) 453-4848
(313) 581-8200
137325
YOUNG PHARMACY
79 W ALEXANDRINE ST
DETROIT 48201
(313) 324-8563
WEXFORD COUNTY
138086
BOSTICKS DRUG STORE
117 W MAIN ST
MANTON 49663
(231) 824-6465
136842
BUCKLEY FAMILY PHARMACY
11293 N MICHIGAN HWY - 37
BUCKLEY 49620
(231) 269-3400

Pharmacy
Page 880
February 19, 2015
PHARMACY
PIN
Provider
Address
City and Zip
Phone
108 N MITCHELL
520 COBBS ST
CADILLAC 49601
CADILLAC 49601
(231) 775-8200
(231) 876-6740
WEXFORD COUNTY (CONTINUED)

136860
136861
CADILLAC FAMILY PHARMACY LLC

COBBS STREET PHARMACY
136862
602 MITCHELL
CADILLAC 49601
(231) 775-6383
136863
8605 EAST 34 ROAD
CADILLAC 49601
(231) 876-2810
138121
136865
MESICK PHARMACY
112 MESICK AVE

720 SOUTH MITCHELL STREET
MESICK 49668
CADILLAC 49601
(231) 885-1751
(231) 775-3423
136866
WALGREENS #7660
1220 N MITCHELL ST
CADILLAC 49601
(231) 775-9166
136867
8917 EAST 34 ROAD
CADILLAC 49601
(231) 775-9699

Pharmacy
Page 881
February 19, 2015
FQHC SITES
Health Center
Site Name
Address
City and Zip
Phone
Bay-Arenac Behavioral Health
1000 W. Cedar
Standish 48658
(989) 654-3501
Health Delivery, Inc.
Bayside Health Center
3884 Monitor Road
Bay City 48706
(989) 671-2000
HDI OB/GYN & Midwifery Services
3175 W. Professional Drive
Bay City 48706
(989) 667-3377
Hamilton Community Health Network
G-3373 South Saginaw
Burton 48529
(810) 743-6830
4001 N. Saginaw St.
Flint 48505
(810) 789-9141
North Pointe
5710 N. Clio Rd.
Flint 48504
(810) 787-4491
Ingham County Health Department
Leslie Clinic
100 B S. Main St.
Leslie 49251
(517) 589-9585
Otto Health and Wellness Center
500 East Thomas St
Lansing 48906
(517) 702-3555
Sparrow Community Health Center
1322 E. Michigan
Lansing 48912
(517) 364-3074
St. Lawrence Community Health Center
1100 W. Saginaw
Lansing 48915
(517) 364-7440
Stockbridge Clinic
119 W. Main St
Stockbridge 49285
(517) 851-7282
Willow Plaza Teen Clinic
306 W. Willow
Lansing 48906
(517) 702-3500
Women, Child & Adult Health Services
5303 S. Cedar
Lansing 48911
(517) 485-2251
HDI-Montcalm Site
302 S. Bridge St.
Belding 48809
(616) 794-5221
HDI/Lapeer Migrant Site
100 E. 3rd st.
Imlay City 48444
(810) 724-3201
New Haven Medical Center
57737 Gratiot
New Haven 48048
(586) 749-5197
ARENAC COUNTY
Sterling Area Health Center
BAY COUNTY
GENESEE COUNTY
INGHAM COUNTY
IONIA COUNTY
LAPEER COUNTY
MACOMB COUNTY
Downriver Community Services
OAKLAND COUNTY
HC of Detroit (new FQHC LA 2005)
Health Centers of Detroit
23077 Greenfield Road
Southfield 48075
(313) 822-9801
Oakland Primary Health Services, Inc
Oakland Primary Health Services, Inc.
46 N. Saginaw
Pontiac 48342
(248) 322-6747
The Wellness Plan
North Health Center
21040 Greenfield
Oak Park 48237
(248) 967-6500
Shelby Migrant Clinic
119 South State S.
Shelby 49455
(231) 861-2139
Ogemaw Clinic
1827 East Greenwood Rd.
Prescott 48756
(989) 873-6200
MidMichigan Health Park
9249 W. Lake City Road
Houghton Lake 48629
(989) 422-5148
Roscommon--Mid Michigan Medical Offices
135 Lake St.
Roscommon 48653
(989) 275-8931
OCEANA COUNTY
Northwest Michigan Health Services
OGEMAW COUNTY
Sterling Area Health Center
ROSCOMMON COUNTY

FQHC SITES
Page 882
February 19, 2015
FQHC SITES
Health Center
Site Name
Address
City and Zip
Phone
SAGINAW COUNTY
Bridgeport Community Health Center
6297 Dixie Highway
Bridgeport 48722
(989) 777-2151
David R. Gamez Community Health Center
501 Lapeer
Saginaw 48607
(989) 753-6000
Hearth Home
732 Hoyt Street
Saginaw 48607
(989) 753-9011
Janes Street Academic Community Health Center
1522 Janes Street
Saginaw 48601
(989) 755-0316
Roosevelt S. Ruffin Community Health Center
229 Gallagher St.
Saginaw 48601
(989) 755-3619
Wolverine Health Service-Saginaw Health Center
2424 N. Outer Dr.
Saginaw 48601
(989) 776-0400
TUSCOLA COUNTY
HDI-Tuscola Site
1309 Cleaver Rd.
Caro 48723
(989) 673-8114
Wolverine Health Service-Vassar Center
1120 Commerce
Vassar 48768
(989) 759-6400

FQHC SITES
Page 883
February 19, 2015

Name
Address
City, State Zip
Phone
ALCONA COUNTY
District Health Department No. 2 MAIN OFFI
630 Progress St.
West Branch, MI 48661
989-343-1802
District Health Department No. 2 ALCONA OF
311 Lake St.
Harrisville, MI 48740
989-724-6757 x
Allegan County Health Dept.
3255 122nd Ave Suite 200
Allegan, MI 49010
269-686-4515
InterCare Community Health Network MAIN O
50 Industrial Park Dr.
Bangor, MI 49013
616-283-4184
InterCare Community Health Network PULLM
5498 109th Ave.
Pullman, MI 49450
239-236-5021 x
Silver Lining Family Services
4615 Lauren Lane
St. Joseph, MI 49085
269-408-0222
100 Woods Circle Suite 200
Alpena, MI 49707
989-3564507
231-587-5052
ALLEGAN COUNTY
ALPENA COUNTY
District Health Department No. 4 MAIN OFFIC
ANTRIM COUNTY
Health Department of Northwest Michigan AN
205 Grove St.
Mancelona, MI 49659
Health Department of Northwest Michigan AN
209 Portage Dr.
Bellaire, MI 49615
231-533-8670
Health Department of Northwest Michigan MAI
220 W. Garfield
Charlevoix, MI 49720
231-347-5634
ARENAC COUNTY
Central Michigan District Health Dept.
2012 E. Preston Ave.
Mt. Pleasant, MI 48858
989-539-6731 x
Central Michigan District Health Dept.- CLARE
225 W. Main St.
Harrison, MI 48625
989-539-6731 x
310 E. 3rd St.
Flint, MI 48502
313-312-0859
Baby Bright
33344 Grand River Ave.
Farmington Hills, MI 48336
248-919-8840
Bay County Health Department
1200 Washington Ave.
Bay City, MI 48708
989-895-2077
BARRY COUNTY
Noetic, Inc.
BAY COUNTY
BERRIEN COUNTY
Cassopolis Family Clinic-MIHP
60 N. St. Joseph Ave.,
InterCare Community Health Network BENTO
800 M-139
Suite A
Niles, MI 49120
269-683-6859
Benton Harbor, MI 49022
269-926-4364 x
InterCare Community Health Network EAU CL
3270 W. Main St.
Eau Claire, MI 49111
269-461-6927 x
Bangor, MI 49013
616-283-4184
Lakeland Immediate Care Center (dba) Casso
60 N St. Joseph Ave. Suite A
Niles, MI 49120
269-683-6859
4615 Lauren Lane
269-408-0222
300 E. Chicago St.
Coldwater, MI 49036
517-279-5411
BRANCH COUNTY
Community Health Center of Branch County
CALHOUN COUNTY
Connect Health Services, PLLC
600 E. Michigan Ave.
Albion, MI 49224
517-629-3497
4615 Lauren Lane
269-408-0222
Niles, MI 49120
269-683-6859
CASS COUNTY
Suite A

MIHP
Page 884
February 19, 2015

Name
Address
City, State Zip
Phone
Bangor, MI 49013
616-283-4184
Niles, MI 49120
269-683-6859
4615 Lauren Lane
269-408-0222
220 W. Garfield
231-347-5634
District Health Department No. 4 CHEBOYGA
825 S. Huron St Suite 1
Cheboygan, MI 49721
231-627-8850
Alpena, MI 49707
989-3564507
CASS COUNTY (CONTINUED)
CHARLEVOIX COUNTY
CHEBOYGAN COUNTY
CLARE COUNTY
989-539-6731 x
225 W. Main St.
Harrison, MI 48625
989-539-6731 x
Caring and Sharing Family Life Services Inc.
911 E. State St., Suite H
St. Johns, MI 48879
989-292-9927
Noetic, Inc.
310 E. 3rd St.
Flint, MI 48502
313-312-0859
Rainbow Family Life Services
804 S. Hamilton St.
Saginaw, MI 48603
989-372-5644
Sparrow Maternal Support Services
1322 E. Michigan Ave Suite 220
Lansing, MI 48909
517-364-2570
521 Cobbs St.
Cadillac, MI 49601
231-876-3845
CLINTON COUNTY
CRAWFORD COUNTY
EATON
COUNTY
Noetic, Inc.
310 E. 3rd St.
Flint, MI 48502
313-312-0859
804 S. Hamilton St.
Saginaw, MI 48603
989-372-5644
Lansing, MI 48909
517-364-2570
Health Department of Northwest Michigan EM
3434 M-119 Suite A
Harbor Springs, MI 49740
231-347-6014
220 W. Garfield
231-347-5634
EMMETT COUNTY
GENESEE COUNTY
1st Step Transitional Housing
19323 Ardmore St.
Detroit, MI 48235
313-585-2242
Advanced Case Management, Inc.
17515 W. 9 Mile Rd., Suite 1189
Southfield, MI 48075
248-423-5000
Hurley Medical Center
One Hurley Plaza
Flint, MI 48503
810-262-9317
It's Just For Me Center
61 Tennyson
Highland Park, MI 48203
313-868-4380
Lullaby Baby, LLC
28820 Southfield Rd. Suite #221
Lathrup Village, MI 48076
248-423-7800
Noetic, Inc.
310 E. 3rd St.
Flint, MI 48502
313-312-0859
Reverence Home Health & Hospice Inc
5445 Ali Dr. Dept. 500
Grand Blanc, MI
810-603-8623
Small Treasures
23100 Providence Dr Suite 247
248-443-0200
With Woman, LLC
940 E Grand River Ave #18
Brighton, MI 48116
810-599-3322

MIHP
Page 885
February 19, 2015

Name
Address
City, State Zip
Phone
GLADWIN COUNTY
989-539-6731 x
225 W. Main St.
Harrison, MI 48625
989-539-6731 x
2325 Garfield Rd. North Suite A
Traverse City, MI 49686
231-922-2730
151 Commerce Drive
Ithaca, MI 48847
989-875-1028

Grand Traverse County Health Department
GRATIOT COUNTY
Mid-Michigan District Health Department
GREATER GRAND RAPIDS COUNTY

Cherry Street Health Services BOOTH CLINI
1215 E. Fulton St
Grand Rapids, MI 49503
616-459-9468
Cherry Street Health Services CHERRY ST.
550 Cherry St. S.E.
616-776-2264
Cherry Street Health Services WESTSIDE HE
550 Cherry SE
616-776-2112
Baby Bright
248-919-8840
Huron County Health Department
1142 S. VanDyke
Bad Axe, MI 48413
989-269-9721 x
Ingham County Health Department MAIN OFF
5303 S. Cedar St.
Lansing, MI 48909
517-887-4462
Ingham County Health Department Women's
5303 S. Cedar St.
Lansing, MI 48909
517-887-4406
Noetic, Inc.
310 E. 3rd St.
Flint, MI 48502
313-312-0859
804 S. Hamilton St.
Saginaw, MI 48603
989-372-5644
Lansing, MI 48909
517-364-2570
175 E. Adams St.
Ionia, MI 48846
616-527-5341
HURON COUNTY
INGHAM COUNTY
IONIA COUNTY
Ionia County Health Department
IOSCO COUNTY
630 Progress St.
989-343-1802
District Health Department No. 2 IOSCO OFFI
420 W. Lake St
Tawas City, MI 48764
989-826-3970 x
ISABELLA COUNTY
989-539-6731 x
225 W. Main St.
Harrison, MI 48625
989-539-6731 x
KALAMAZOO COUNTY
New Beginnings Maternal Infant Health Progra
1000 Patterson Ave Suite 139
Kalamazoo, MI 49007
616-452-4030
Savior's Home Health Services (CBO) KALAM
4000 Portage Rd Suite 113
Kalamazoo, MI 48334
269-388-4778
4615 Lauren Lane
269-408-0222
Twenty Hands LLC
3314 Winchell Ave.
Kalamazoo, 49008
269-459-8091
521 Cobbs St.
Cadillac, MI 49601
231-876-3845
KALKASKA COUNTY

MIHP
Page 886
February 19, 2015

Name
Address
City, State Zip
Phone
KENT COUNTY
Journey 4 Life LLC
740 - 32nd St. Suite 1
616-475-3099
Kent County Health Department
700 Fuller, N.E.
616-632-6941
Metro Health Community Clinic
1925 Breton Rd., SE
616-252-4739
1119 Burton St. SE Suite 100
616-452-4030
4615 Lauren Lane
269-408-0222
Spectrum Health Mom's Program
75 Sheldon, Suite 201
616-391-6195
521 Cobbs St.
Cadillac, MI 49601
231-876-3845
1800 Imlay City Rd.
Lapeer, MI 48446
810-245-5592
7401 E. Duck Lake Rd Suite 100
Lake Leelanau, MI 49653
231-882-2108
LAKE COUNTY
LAPEER COUNTY
Lapeer County Health Department
LEELANAU COUNTY
Benzie-Leelanau District Health Dept. LAKE L
LIVINGSTON COUNTY
First Beat
28860 Southfield Rd. Suite 160
Lathrop Village, MI 48076
248-595-8841
Hunter's Helping Hands
375 Lake Shore Dr
Pontiac,MI 48341
248-838-9332
New Life Home Health Care LLC
5860 Sterling Dr. Ste 360
Howell, MI 48843
517-586-4041
The Mom and Baby Program
129 E. University
Rochester, MI 48307
248-838-9665
A Mother's Promise LLC
511 E. Grand Blvd
Detroit, MI 48207
313-571-3954
A New Life, MIHP
20270 Middlebelt, Suite 2
Livonia, MI 48152
734-261-3701 x
17515 W. 9 Mile Rd., Suite 1189
248-423-5000
Agape Love MIHP
1230 Coolidge Hwy
River Rouge, MI 48128
313-842-1003
All my Children
17301 Livernois Ave.
Detroit, MI 48221
313-585-1622
Babies Bundles of Joy
6789 Lakeview Blvd., Apt 4205
Oak Park, MI 48237
248-415-6268
Babies R Blessings, LLC
30009 Schoenherr, Suite #3
Warren, MI 48088
586-552-5786
Beyond Baby
21243 Bon Heur St
St Clair Shores, MI 48081
313-850-9153
MACOMB COUNTY
Care Plus, Inc.
33182 Ryan Rd.
Sterling Heights, MI 48310
586-446-6703
Champion Nursing Care, Inc.
16250 Northland Dr. Suite 368
248-327-7800
Cribs & Bibs
20411 W 12 Mile Suite 104
248-905-3841
Crystal Home Healthcare
15819 Schoolcraft
Detroit, MI 48227
313-493-4900 x
Downriver Community Services, Inc. - NEW H
58144 Gratiot Ave
New Haven, MI 48048
586-749-5197
ES Health Services
46931 Elmsmere Dr
Northville, MI 48167
248-308-1033
Family Focus Health Services, LLC
67 and 69 1/2 Huron St.
Pontiac, MI 48394
248-766-7283
First Beat
248-595-8841
FirstPlan Maternal Infant Services, LLC
48795 Michaywe Dr
Macomb Twp, MI 48044
248-835-9700
Generation II Generation
30555 Southfield Rd., Suite 500
888-278-8568
Healthy Innovations
18641 Magareta St
Detroit, MI 48219
313-693-9756
Healthy Moms and Babies
8449 W. Parkway St.
Detroit, MI 48239
248-996-9585
Hugs Family Development & Educational Svcs
2795 E. Grand Blvd. Suite 10
Detroit, MI 48211
313-477-4100
61 Tennyson
313-868-4380
Life Center Maternal Infant Health, MIHP
20245 Picadilly Rd.
Detroit, MI 48221
313-397-3313

MIHP
Page 887
February 19, 2015

Name
Address
City, State Zip
Phone
248-423-7800

Lullaby Baby, LLC
Make it Happen Moms
6689 Orchard Lake Rd. 317
West Bloomfield, MI 48322
248-346-2510
Miracles for Moms and Babes
16250 Northland Drive, Suite 115
248-443-4962
Moms and Babes Too
5716 Michigan Ave. Suite B202
Detroit, MI 48216
313-961-8908
Mothers and Babies MIHP
1773 W. Big Beaver Rd.
Troy, MI 48084
248-760-5576
My Pregnancy Coach, Inc.
22522 Wildwood
St. Clair Shores, MI 48081
586-944-2922
Noetic, Inc.
310 E. 3rd St.
Flint, MI 48502
313-312-0859
Outstanding Health Solutions, LLC
2993 Corinthia Suite B
Rochester Hills, MI 48309
313-437-3788
Peace Home Health Services, Inc.
23800 W. 10 Mile Rd Suite 110
248-208-8901
Professional Nursing Services, Inc. #2
16250 Northland Dr Suite 200
248-395-0170
Right on Target
3631 Reeves Dr
Melvindale, MI 48122
313-899-0920
Savior's Home Health Services MAIN OFFIC
30600 Northwestern Hwy Suite 205
248-552-0764
Second Chance Counseling Services
16250 Northland Dr., Suite 375
248-864-8475
Serenity Valley Family Network, LLC
215 Philip St
Detroit, MI 48215
313-828-0024
Silverspoon Home Services
28230 Orchard Lake Rd Suite 210
248-702-6040
Sincere Care for Mom and Baby, LLC
16165 W. 12 Mile Rd
248-352-2200
21040 Greenfield Rd.
Oak Park, MI 48237
248-967-4200
Small Treasures
248-443-0200
St. Rita Family Services, Inc.
3767 E. 15 Mile Rd.
586-983-9147
Wings of Angels Homecare, LLC
248-443-8050
521 Cobbs St.
Cadillac, MI 49601
231-876-3845
MANISTEE COUNTY
MASON COUNTY
521 Cobbs St.
Cadillac, MI 49601
231-876-3845
District Health Department No. 10 MASON OF
916 Diana St.
Ludington, MI 49431
231-346-8557
MECOSTA COUNTY
521 Cobbs St.
Cadillac, MI 49601
231-876-3845
District Health Department No. 10 MECOSTA
14485 Northland Dr.
Big Rapids, MI 49307
231-592-0130
Baby Bright
248-919-8840
Midland County Health Department
220 W. Ellsworth St.
Midland, MI 48640
989-832-6651
521 Cobbs St.
Cadillac, MI 49601
231-876-3845
MIDLAND COUNTY
MISSAUKEE COUNTY
MONROE COUNTY
A New Life, MIHP
Livonia, MI 48152
734-261-3701 x
Agape Love MIHP
1230 Coolidge Hwy
313-842-1003
Lullaby Baby, LLC
248-423-7800
248-443-4962
Monroe County Health Dept.
2353 S. Custer Rd.
Monroe, MI 48161
734-240-7831
Preventative Primary Care
20600 Eureka Rd Suite 407
Taylor, MI 48180
313-330-5155

MIHP
Page 888
February 19, 2015

Name
Address
City, State Zip
Phone
407 S. Nelson Dr.
Greenville, MI 48838
616-754-6185 x
MONTCALM COUNTY
Spectrum Health United Lifestyles
MONTMORENCY COUNTY
Alpena, MI 49707
989-3564507
District Health Department No. 4 MONTMORE
12519 State St P.O Box 183
Atlanta, MI 49709
989-785-4428
MUSKEGON COUNTY
Hackley Community Care Center
2700 Baker St. 3rd Floor
Muskegon Heights, MI 49444
231-733-6677
Muskegon Family Care
2201 S. Getty St.
Muskegon, MI 49444
231-737-1760
NEWAYGO COUNTY
521 Cobbs St.
Cadillac, MI 49601
231-876-3845
District Health Department No. 10 NEWAYGO
1049 Newell St,
White Cloud, MI 49349
231-689-7300
511 E. Grand Blvd
Detroit, MI 48207
313-571-3954
A New Life, MIHP
Livonia, MI 48152
734-261-3701 x
Advance Family Services
2795 E. Grand Blvd Suite 4
Detroit, MI 48111
248-416-7216
17515 W. 9 Mile Rd., Suite 1189
248-423-5000
Agape Love MIHP
1230 Coolidge Hwy
313-842-1003
All About Baby
33300 Warren Rd
Westland, MI 48185
734-338-2865
All my Children
Detroit, MI 48221
313-585-1622
Oak Park, MI 48237
248-415-6268
Warren, MI 48088
586-552-5786
Baby Bright
248-919-8840
Care Plus, Inc.
33182 Ryan Rd.
586-446-6703
OAKLAND COUNTY
Caring 4 Moms and Babies
17250 W. 12 Mile Rd., Suite 111
248-395-5265
248-327-7800
Cribs & Bibs
248-905-3841
15819 Schoolcraft
Detroit, MI 48227
313-493-4900 x
ES Health Services
46931 Elmsmere Dr
248-308-1033
Family Focus Health Services, LLC
67 and 69 1/2 Huron St.
Pontiac, MI 48394
248-766-7283
First Beat
248-595-8841
48795 Michaywe Dr
248-835-9700
888-278-8568
Healthy Innovations
18641 Magareta St
Detroit, MI 48219
313-693-9756
8449 W. Parkway St.
Detroit, MI 48239
248-996-9585
Detroit, MI 48211
313-477-4100
375 Lake Shore Dr
Pontiac,MI 48341
248-838-9332
61 Tennyson
313-868-4380
Kathy's Maternal Infant Health Program
18446 Westhaven Ave.
248-727-3636
20245 Picadilly Rd.
Detroit, MI 48221
313-397-3313
Love Covers All, MIHP Inc.
15200 E. Jefferson, Ste 101H
Grosse Pointe, MI 48230
313-458-7075
Lullaby Baby, LLC
248-423-7800
Make it Happen Moms
248-346-2510
248-443-4962
Moms and Babes Too
5716 Michigan Ave.Suite B202
Detroit, MI 48216
313-961-8908

MIHP
Page 889
February 19, 2015

Name
Address
City, State Zip
Phone
248-760-5576

Troy, MI 48084
Mother's Friend
16250 Northland Dr. Ste 239
248-559-5722
Howell, MI 48843
517-586-4041
Noetic, Inc.
310 E. 3rd St.
Flint, MI 48502
313-312-0859
313-437-3788
248-208-8901
Perpetual Bliss MIHP, LLC
25321 5 Mile Rd Ste 7
Redford, MI 48239
248-722-4860
Positive Images
13336 E. Warren
Detroit, MI 48215
313-822-6940 x
248-395-0170
Right on Target
3631 Reeves Dr
313-899-0920
248-552-0764
248-864-8475
248-702-6040
16165 W. 12 Mile Rd
248-352-2200
Oak Park, MI 48237
248-967-4200
Small Treasures
248-443-0200
St. Rita Family Services, Inc.
3767 E. 15 Mile Rd.
586-983-9147
The Mom and Baby Program
129 E. University
Rochester, MI 48307
248-838-9665
Today's Life Choices, LLC
1739 Sylvan Glen
Keego Harbor
248-795-1966
248-443-8050
521 Cobbs St.
Cadillac, MI 49601
231-876-3845
630 Progress St.
989-343-1802
OCEANA COUNTY
OGEMAW COUNTY
OSCEOLA COUNTY
989-539-6731 x
225 W. Main St.
Harrison, MI 48625
989-539-6731 x
630 Progress St.
989-343-1802
District Health Department No. 2 OSCODA O
393 S. Mt. Tom Rd.
Mio, MI 48647
989-826-3970 x
220 W. Garfield
231-347-5634
Health Department of Northwest Michigan OT
95 Livingston Blvd.
Gaylord, MI 49735
989-731-0961
OSCODA COUNTY
OTSEGO COUNTY
OTTAWA COUNTY
InterCare Community Health Network HOLLA
285 James St.
Holland, MI 49424
616-399-0200 x
Bangor, MI 49013
616-283-4184
Journey 4 Life LLC
740 - 32nd St. Suite 1
616-475-3099
1119 Burton St. SE Suite 100
616-452-4030
Ottawa County Health Department HUDSONV
3100 Port Sheldon Rd.
Hudsonville, MI 49426
616-669-0040
Ottawa County Health Department MAIN OFFI
12251 James St. Suite 400
Holland, MI 49424
616-393-5758

MIHP
Page 890
February 19, 2015

Name
Address
City, State Zip
Phone
PRESQUE ISLE COUNTY

Alpena, MI 49707
989-3564507
District Health Department No. 4 PRESQUE I
106 E. Huron St Suite A
Rogers City, MI 49779
989-734-4723
ROSCOMMON COUNTY
989-539-6731 x
225 W. Main St.
Harrison, MI 48625
989-539-6731 x
Baby Bright
248-919-8840
Great Beginnings LLC
120 N. Michigan Ave. Ste 201
Saginaw, MI 48601
989-332-6863
Health Delivery
1522 Janes St.
Saginaw, MI 48601
989-755-0316 x
Baby Bright
248-919-8840
Sanilac County Health Department
171 Dawson
Sandusky, MI 48471
810-648-4098 x
110 E. Mack St.
Corunna, MI 48817
989-743-2319
Downriver Community Services, Inc. MAIN O
555 St. Clair River Dr.
Algonac, MI 48001
586-749-5173 x
Downriver Community Services, Inc. - NEW H
58144 Gratiot Ave
New Haven, MI 48048
586-749-5197
Downriver Community Services, Inc. - PORT
1011 Military Street
Port Huron, MI 48060
810-488-8000
Lullaby Baby, LLC
248-423-7800
St. Clair County Health Department
3415 -28 St.
Port Huron, MI 48060
810-987-4903
SAGINAW COUNTY
SANILAC COUNTY
SHIAWASSEE COUNTY
Shiawassee County Health Department
ST CLAIR COUNTY
ST. JOSEPH COUNTY

Connect Health Services, PLLC
600 E. Michigan Ave.
Albion, MI 49224
517-629-3497
4615 Lauren Lane
269-408-0222
Baby Bright
248-919-8840
Tuscola County Health Department
1309 Cleaver Rd. Suite B
Caro, MI 48723
989-673-8114 x
TUSCOLA COUNTY
VAN BUREN COUNTY

Suite A
Niles, MI 49120
269-683-6859
Bangor, MI 49013
616-283-4184
Niles, MI 49120
269-683-6859
4615 Lauren Lane
269-408-0222
A New Life, MIHP
Livonia, MI 48152
734-261-3701 x
15819 Schoolcraft
Detroit, MI 48227
313-493-4900 x
313-458-7075
Lullaby Baby, LLC
248-423-7800
WASHTENAW COUNTY

MIHP
Page 891
February 19, 2015

Name
Address
City, State Zip
Phone
248-443-4962

Positive Images
13336 E. Warren
Detroit, MI 48215
313-822-6940 x
248-702-6040
WAYNE COUNTY
1st Step Transitional Housing
19323 Ardmore St.
Detroit, MI 48235
313-585-2242
511 E. Grand Blvd
Detroit, MI 48207
313-571-3954
A New Life, MIHP
Livonia, MI 48152
734-261-3701 x
Advance Family Services
2795 E. Grand Blvd Suite 4
Detroit, MI 48111
248-416-7216
17515 W. 9 Mile Rd., Suite 1189
248-423-5000
All About Baby
33300 Warren Rd
Westland, MI 48185
734-338-2865
All my Children
Detroit, MI 48221
313-585-1622
Oak Park, MI 48237
248-415-6268
Warren, MI 48088
586-552-5786
Beyond Baby
21243 Bon Heur St
St Clair Shores, MI 48081
313-850-9153
Care Plus, Inc.
33182 Ryan Rd.
586-446-6703
248-327-7800
Cribs & Bibs
248-905-3841
15819 Schoolcraft
Detroit, MI 48227
313-493-4900 x
ES Health Services
46931 Elmsmere Dr
248-308-1033
First Beat
248-595-8841
48795 Michaywe Dr
248-835-9700
888-278-8568
Healthy Innovations
18641 Magareta St
Detroit, MI 48219
313-693-9756
8449 W. Parkway St.
Detroit, MI 48239
248-996-9585
Detroit, MI 48211
313-477-4100
375 Lake Shore Dr
Pontiac,MI 48341
248-838-9332
61 Tennyson
313-868-4380
Kathy's Maternal Infant Health Program
18446 Westhaven Ave.
248-727-3636
20245 Picadilly Rd.
Detroit, MI 48221
313-397-3313
313-458-7075
Lullaby Baby, LLC
248-423-7800
Make it Happen Moms
248-346-2510
248-443-4962
Moms and Babes Too
5716 Michigan Ave. Suite B202
Detroit, MI 48216
313-961-8908
Troy, MI 48084
248-760-5576
Mother's Friend
16250 Northland Dr. Ste 239
248-559-5722
Howell, MI 48843
517-586-4041
313-437-3788
248-208-8901
Perpetual Bliss MIHP, LLC
25321 5 Mile Rd Ste 7
Redford, MI 48239
248-722-4860
Positive Images
13336 E. Warren
Detroit, MI 48215
313-822-6940 x
Preventative Primary Care
20600 Eureka Rd Suite 407
Taylor, MI 48180
313-330-5155
248-395-0170
804 S. Hamilton St.
Saginaw, MI 48603
989-372-5644
Right on Target
3631 Reeves Dr
313-899-0920
248-552-0764

MIHP
Page 892
February 19, 2015

Name
Address
City, State Zip
Phone
248-864-8475

Serenity Valley Family Network, LLC
215 Philip St
Detroit, MI 48215
313-828-0024
248-702-6040
16165 W. 12 Mile Rd
248-352-2200
Oak Park, MI 48237
248-967-4200
Small Treasures
248-443-0200
Social Care Administrators, LLC
19401 W. McNichols Ste O
Detroit, MI 48219
313-427-0712
Today's Life Choices, LLC
1739 Sylvan Glen
Keego Harbor
248-795-1966
248-443-8050
521 Cobbs St.
Cadillac, MI 49601
231-876-3845
WEXFORD COUNTY

MIHP
Page 893
February 19, 2015

AHMED, BADAR I MD.........................................................................................................................................................................
......................................................................................................21
......................................................................................................21
ARIF, AHMED MD..............................................................................................................................................................................
CULVER, WALTER H MD...................................................................................................................................................................
..............................................................................................69, 126
..............................................................................................21, 118
DANI, NIKETA S MD...........................................................................................................................................................................
......................................................................................................69
DICKSON, TIMOTHY G MD................................................................................................................................................................
......................................................................................................69
EINHORN, DEREK A MD....................................................................................................................................................................
ELIAS, JULIE MD...............................................................................................................................................................................
......................................................................................................44
......................................................................................................69
HAKIM, NISHATH K MD......................................................................................................................................................................
..............................................................................................67, 126
HULTMAN, JENNIFER A MD..............................................................................................................................................................
JOHNSON, JANE MD.........................................................................................................................................................................
......................................................................................................21
......................................................................................................69
LARSEN, THERESA A MD..................................................................................................................................................................
......................................................................................................69
LEE, MARY S MD................................................................................................................................................................................
......................................................................................................69
LEFF, CARRIE F DO...........................................................................................................................................................................
LITTLE-JONES, SUSAN E MD............................................................................................................................................................
......................................................................................................55
......................................................................................................63
MAHABEER, HOWARD A MD.............................................................................................................................................................
......................................................................................................69
MCCARTHY, AMY MD.......................................................................................................................................................................
NARAPARAJU, VIJAY MD.................................................................................................................................................................
....................................................................................................181
........................................................................................................7
NICHOLSON, JONATHON K MD........................................................................................................................................................
....................................................................................................563
REDDY, SUDHA MD..........................................................................................................................................................................
......................................................................................................69
ROSENBERG, DANIEL M MD.............................................................................................................................................................
SAEED, ELMAHDI M MD....................................................................................................................................................................
.......................................................................................21, 118, 181
..............................................................................................93, 118
SALMAN, REEM MD..........................................................................................................................................................................
......................................................................................................21
SYED, MOHAMMED MD....................................................................................................................................................................
ADOLESCENT MEDICINE
BACKOS, ALCESA A MD....................................................................................................................................................................
....................................................................................................563
......................................................................................................55
BERRY, ASHRAF MD........................................................................................................................................................................
FRIDAY, YVONNE M MD....................................................................................................................................................................
....................................................................................................563
.............................................................................................366, 563
FRIEDMAN, JOY O MD.......................................................................................................................................................................
....................................................................................................276
LOWERY, LISA M MD.........................................................................................................................................................................
MAMMEL, KATHLEEN A MD...............................................................................................................................................................
.............................................................................................366, 486
....................................................................................................563
MARSHALL, SHARON P MD..............................................................................................................................................................
....................................................................................................106
RAGHUNATHAN, MEERA N MD.........................................................................................................................................................
......................................................................................................21
SAWNI, ANJU A MD............................................................................................................................................................................

ALLAN, STEVEN NP..........................................................................................................................................................................
....................................................................................................257
BAKER, LINDA L NP...........................................................................................................................................................................
.............................................................................................130, 257
....................................................................................................563
BALIAD, ERIN P CNP.........................................................................................................................................................................
....................................................................................................169
BELTZ, KATHY J NP...........................................................................................................................................................................
....................................................................................................486
BORD, CHERYL L NP.........................................................................................................................................................................
BRITZ, JODY A NP.............................................................................................................................................................................
....................................................................................................466
....................................................................................................563
BROCK, DANNA M CNP.....................................................................................................................................................................
....................................................................................................257
BUITENWERF, ANITA NP..................................................................................................................................................................
....................................................................................................181
CARR, STACEY J CNP.......................................................................................................................................................................
CARRICO, DONNA NP......................................................................................................................................................................
....................................................................................................366
.............................................................................................366, 563
CHAPLEN, RUTH ANN CNP...............................................................................................................................................................
....................................................................................................563
DAVIS, BRIANA J CNP.......................................................................................................................................................................
....................................................................................................219
EGELAND, DENISE M NP...................................................................................................................................................................
....................................................................................................257
ENGSTER, SARAH NP......................................................................................................................................................................
....................................................................................................219
FITZPATRICK, MEGAN J NP..............................................................................................................................................................
GITCHEL, ANNE-MARIE NP..............................................................................................................................................................
....................................................................................................176
....................................................................................................312
JONES, MAGGIE F CNP.....................................................................................................................................................................
....................................................................................................466
KASZYCA, JUDITH A NP....................................................................................................................................................................

Page 894
February 19, 2015

ADULT HEALTH NURSE PRACTITIONER (CONTINUED)
KIM, HEEJIN B CNP............................................................................................................................................................................
....................................................................................................563
....................................................................................................466
KOACH, LAURA L NP.........................................................................................................................................................................
LUCAS, LISA NP................................................................................................................................................................................
....................................................................................................366
....................................................................................................446
LYNCH, PAMELA RN.........................................................................................................................................................................
....................................................................................................257
NELSON, SUSAN K NP......................................................................................................................................................................
....................................................................................................366
NIAROJI, NARGES NP.......................................................................................................................................................................
NOTEBOOM, JULIE ANN NP..............................................................................................................................................................
....................................................................................................257
....................................................................................................219
SPINDLER, ANNETTE NP.................................................................................................................................................................
....................................................................................................247
STANDEN, CARRIE A NP...................................................................................................................................................................
TISRON, ROSS E NP..........................................................................................................................................................................
.....................................................................................130, 257, 472
.....................................................................................176, 446, 486
UNDERHILL, KAREN S ANP...............................................................................................................................................................
....................................................................................................257
VANDERSTELT, TAMMY J NP...........................................................................................................................................................
....................................................................................................176
VAUGHN, RENAE NP........................................................................................................................................................................
WYNN, CAROL A NPC........................................................................................................................................................................
....................................................................................................563
....................................................................................................257
YANCEY, ROSEANNE L NP...............................................................................................................................................................
ALLERGY
AVULA, RAMESH MD........................................................................................................................................................................
.............................................................................................172, 212
....................................................................................................249
AVULA, RAMESH MD........................................................................................................................................................................
....................................................................................................477
BOTTA, RAO S MD.............................................................................................................................................................................
DANDAMUDI, SESHAGIRI R MD........................................................................................................................................................
....................................................................................................154
....................................................................................................486
GREENHAWT, MATTHEW J MD........................................................................................................................................................
.............................................................................................139, 350
HORBAL, RICHARD J MD...................................................................................................................................................................
KALFA, VASIF MD.............................................................................................................................................................................
....................................................................................................172
....................................................................................................206
LAZAR, ROBERT J MD.......................................................................................................................................................................
....................................................................................................563
MAHAJAN, RAKA MD........................................................................................................................................................................
....................................................................................................144
MCCLELLAN, JAMES S III MD............................................................................................................................................................
....................................................................................................206
....................................................................................................486
MCMORRIS, MARC S MD...................................................................................................................................................................
....................................................................................................276
MILLAR, MARK M MD.........................................................................................................................................................................
MILLER, THOMAS P MD.....................................................................................................................................................................
....................................................................................................276
.............................................................................................302, 354
REHMAN, SYED M MD.......................................................................................................................................................................
....................................................................................................366
RINGWALD, ULRICH O MD................................................................................................................................................................
....................................................................................................366
SAVLIWALA, MOHAMMEDI N MD......................................................................................................................................................
STONE, DALE H DO...........................................................................................................................................................................
....................................................................................................563
....................................................................................................276
TOWNLEY, RICHARD R MD...............................................................................................................................................................
.............................................................................................303, 312
ZACKS, MARK N MD..........................................................................................................................................................................

ABDELJABER, MUTEE H MD.............................................................................................................................................................
....................................................................................................181
....................................................................................................205
....................................................................................................217
....................................................................................................249
....................................................................................................296
....................................................................................................481
ALPERT, EDWARD MD.....................................................................................................................................................................
.............................................................................................303, 312
.....................................................................181, 296, 350, 366, 477
ANNE, SURESH MD..........................................................................................................................................................................
.....................................................................................312, 466, 564
APPLEYARD, JENNIFER MD.............................................................................................................................................................
....................................................................................................219
AVULA, RAMESH MD........................................................................................................................................................................
.............................................................................................312, 366
BAHRAINWALA, ABDUL H MD...........................................................................................................................................................
....................................................................................................486
BAKER, JAMES R MD.........................................................................................................................................................................
BALDWIN, JAMES L MD.....................................................................................................................................................................
.............................................................................................486, 487
.............................................................................................487, 564
BAPTIST, ALAN P MD.........................................................................................................................................................................
....................................................................................................366
BARAK-NORRIS, RONDA MD...........................................................................................................................................................

Page 895
February 19, 2015

BOTTA, RAO S MD.............................................................................................................................................................................
.............................................................................181, 296, 350, 366
....................................................................................................219
BURTON, RIDHU C MD......................................................................................................................................................................
COTRONEI, CRISTINA MD................................................................................................................................................................
....................................................................................................564
....................................................................................................366
CZARNECKI, ROBERT MD................................................................................................................................................................
....................................................................................................145
.............................................................................................253, 257
DEMORE, JENNIFER P MD................................................................................................................................................................
....................................................................................................219
....................................................................................................366
DHILLON, GURSHARANJIT S MD......................................................................................................................................................
....................................................................................................276
DUBRAVEC, VINCENT A MD.............................................................................................................................................................
EDARA, LOKESWARA R MD..............................................................................................................................................................
.....................................................................145, 154, 257, 472, 483
....................................................................................................181
ELAMROUSY-HASSAN, FIKRIA B MD...............................................................................................................................................
....................................................................................................366
ERBEN, ANNE M MD..........................................................................................................................................................................
.............................................................................................486, 487
GREENHAWT, MATTHEW J MD........................................................................................................................................................
GUPTA, DAVE MD.............................................................................................................................................................................
....................................................................................................219
....................................................................................................219
GUPTA, SATISH MD..........................................................................................................................................................................
.............................................................................................247, 442
HARRISON, DUANE D MD.................................................................................................................................................................
HASSAN, SHAWKY A MD...................................................................................................................................................................
....................................................................................................181
....................................................................................................219
HENNESSEY, LAWRENCE R MD.......................................................................................................................................................
....................................................................................................366
HEPNER, MICHAEL J MD...................................................................................................................................................................
....................................................................................................130
HIERLWIMMER, ULF R DO................................................................................................................................................................
HOLLAND, CHRISTINE L MD.............................................................................................................................................................
.............................................................................................487, 564
.............................................................................................139, 350
HORBAL, JONATHAN M DO...............................................................................................................................................................
....................................................................................................487
HOSLER, MIRIE R MD........................................................................................................................................................................
HOWE, LAURA E MD..........................................................................................................................................................................
....................................................................................................487
.............................................................................................145, 161
JUDGE, SUTINDERPAL MD..............................................................................................................................................................
....................................................................................................167
KALFA, VASIF MD.............................................................................................................................................................................
.............................................................................................219, 244
KALFA, VASIF MD.............................................................................................................................................................................
KINHAL, SUCHETHA MD...................................................................................................................................................................
....................................................................................................366
....................................................................................................312
KRASNICK, JANE E MD.....................................................................................................................................................................
....................................................................................................312
LINDEN, CAREY C MD.......................................................................................................................................................................
.............................................................................................162, 169
.............................................................................275, 445, 446, 623
.............................................................................................486, 487
MCMORRIS, MARC S MD...................................................................................................................................................................
....................................................................................................219
MOHAN, KAMAL MD..........................................................................................................................................................................
MOHAN, MANOJ DO..........................................................................................................................................................................
....................................................................................................219
.............................................................................................487, 564
MONTEJO, JENNY M MD...................................................................................................................................................................
....................................................................................................366
NASIR, MOHSEN MD.........................................................................................................................................................................
OBERDOERSTER, DEBORSP MD....................................................................................................................................................
....................................................................................................487
.............................................................................................154, 257
PARK, MICHAEL MD..........................................................................................................................................................................
....................................................................................................366
PASIK, LAWRENCE I MD...................................................................................................................................................................
....................................................................................................366
PATEL, AMRISH K MD........................................................................................................................................................................
PATEL, BHAVIN P MD........................................................................................................................................................................
.............................................................................................312, 366
....................................................................................................366
PATEL, PULIN DO.............................................................................................................................................................................
.............................................................................................312, 366
PATEL, PULIN P DO...........................................................................................................................................................................
.....................................................................152, 154, 215, 253, 257
POLASANI, RAVINDER R MD............................................................................................................................................................
REDDY, BYRA MD.............................................................................................................................................................................
....................................................................................................145
.............................................................................130, 145, 257, 483
REDDY, BYRA M MD..........................................................................................................................................................................
....................................................................................................366
ROSS, BRANDON D MD.....................................................................................................................................................................
....................................................................................................366
SAIGAL, VIJAY MD............................................................................................................................................................................
....................................................................................................487
SANDERS, GEORGIANA M MD..........................................................................................................................................................
....................................................................................................564
SECORD, ELIZABETH A MD..............................................................................................................................................................
SETH, DIVYA MD...............................................................................................................................................................................
....................................................................................................564
....................................................................................................366
SHAHIDEH, ASADOLLAH MD............................................................................................................................................................
....................................................................................................487
SOLOMON, WILLIAM R MD................................................................................................................................................................

Page 896
February 19, 2015

STERN, EDWARD T MD.....................................................................................................................................................................
....................................................................................................276
....................................................................................................563
STONE, DALE H DO...........................................................................................................................................................................
SWEET, LAWRENCE C MD................................................................................................................................................................
....................................................................................................366
.............................................................................................181, 296
TANHEHCO, PACITA MD..................................................................................................................................................................
....................................................................................................366
TAWILA, MOHAMAD Y MD.................................................................................................................................................................
.............................................................................................366, 564
TULIN-SILVER, JEFFREY MD...........................................................................................................................................................
UZZAMAN, ASHRAF MD....................................................................................................................................................................
.............................................................................................302, 354
....................................................................................................366
YOUNES, JIHAD S MD.......................................................................................................................................................................
AMBULANCE
MID MICHIGAN MIDLAND EMS..........................................................................................................................................................
....................................................................................................350
....................................................................................................350
MIDMICH MID-GLADWIN EMS...........................................................................................................................................................
....................................................................................................182
PATRIOT AMBULANCE SERVICE......................................................................................................................................................
PROFESSIONAL MED TRANSPORTATION SERVICES....................................................................................................................
....................................................................................................182
....................................................................................................182
REGIONAL EMS.................................................................................................................................................................................
....................................................................................................217
SCHEURER HOSPITAL AMBULANCE...............................................................................................................................................
SPARROW GROUND SUPPORT.......................................................................................................................................................
....................................................................................................219

BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT...................................................................................................................
....................................................................................................145
BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT...................................................................................................................
....................................................................................................301
....................................................................................................136
CENTRAL MICHIGAN DISTRICT HD..................................................................................................................................................
....................................................................................................166
....................................................................................................205
....................................................................................................249
....................................................................................................445
....................................................................................................452
CLINTON CO FAMILY RESOURCE CENTER.....................................................................................................................................
....................................................................................................167
....................................................................................................130
DISTRICT #2 HEALTH DEPARTMENT...............................................................................................................................................
....................................................................................................446
DISTRICT #2 HEALTH DEPARTMENT...............................................................................................................................................
DISTRICT HEALTH DEPARTMENT NO 2...........................................................................................................................................
.............................................................................................247, 442
....................................................................................................130
FAMILY PLANNING & WOMENS HEALTH.........................................................................................................................................
....................................................................................................219
ICHD FAMILY PLANNING...................................................................................................................................................................
....................................................................................................219
INGHAM COMM HEALTH-SPARROW CHILD....................................................................................................................................
INTERCARE COMM HEALTH BANGOR.............................................................................................................................................
....................................................................................................483
....................................................................................................361
PLANNED PARENTHOOD CENTERS................................................................................................................................................
....................................................................................................487
PLANNED PARENTHOOD MID AND SO............................................................................................................................................
PLANNED PARENTHOOD MID AND SOU.........................................................................................................................................
.............................................................145, 219, 253, 477, 487, 564
....................................................................................................366
PLANNED PARENTHOOD MID AND SOUTH.....................................................................................................................................
....................................................................................................182
PLANNED PARENTHOOD OF E CENT MI INC..................................................................................................................................
.............................................................................................257, 564
PLANNED PARENTHOOD OF MID & SOUTH MI...............................................................................................................................
PLANNED PARENTHOOD OF MID AND SOUTH...............................................................................................................................
.............................................................................................154, 182
.............................................................................................182, 454
PLANNED PARENTHOOD OF MID AND SOUTH MI..........................................................................................................................
.............................................................................................312, 487
PLANNED PARENTHOOD OF MID MI................................................................................................................................................
....................................................................................................206
PLANNED PARENTHOOD OF W & N MI INC.....................................................................................................................................
PLANNED PARENTHOOD OF WEST & NORTHERN MI, INC............................................................................................................
....................................................................................................176
.............................................................................................244, 276
PLANNED PARENTHOOD OF WEST & NORTHERN MICHIGAN, IN.................................................................................................
....................................................................................................345
PLANNED PARENTHOOD OF WEST AND N MI................................................................................................................................
....................................................................................................347
PLANNED PARENTHOOD OF WEST AND NORTHERN MI...............................................................................................................
AMBULATORY SURGERY CENTER

ANDERSEN EYE SURGERY CENTER...............................................................................................................................................
....................................................................................................631
....................................................................................................631
ASC-TCG LLC.....................................................................................................................................................................................
....................................................................................................631
EYE SURGERY CENTER OF MIC......................................................................................................................................................

Page 897
February 19, 2015

AMBULATORY SURGERY CENTER (CONTINUED)
GREAT LAKES BAY SURGERY CENTER..........................................................................................................................................
....................................................................................................631
....................................................................................................631
GREAT LAKES EYE SURGERY CENTER..........................................................................................................................................
LIVONIA OUTPATIENT SURGERY CENTER LLC..............................................................................................................................
....................................................................................................631
....................................................................................................631
MACOMB ENDOSCOPY CENTER......................................................................................................................................................
....................................................................................................631
MATRIX SURGERY CENTER.............................................................................................................................................................
....................................................................................................631
MERCY MEMORIAL OUTPATIENT SURGERY CENTER...................................................................................................................
MICHIGAN OUTPATIENT SURGERY CENTER INC...........................................................................................................................
....................................................................................................631
....................................................................................................631
MID MICHIGAN HEALTH SERVICES..................................................................................................................................................
....................................................................................................631
MIDWEST SURGERY CENTER..........................................................................................................................................................
NORTHWEST MICHIGAN SURGERY.................................................................................................................................................
....................................................................................................631
....................................................................................................631
OAKLAND REGIONAL MACOMB CENTER........................................................................................................................................
....................................................................................................631
ORTHOPAEDIC SURGICAL INSTITUTE............................................................................................................................................
....................................................................................................631
PARK EYE AND SURGI-CENTER......................................................................................................................................................
SHORELINE ASC INC.........................................................................................................................................................................
....................................................................................................631
....................................................................................................631
SURGICAL CENTERS OF MICHIGAN PC..........................................................................................................................................
....................................................................................................631
THE SURGERY CENTER OF GENESEE CNTY.................................................................................................................................
TOWN CENTER ASC, LLC.................................................................................................................................................................
....................................................................................................631
AJLUNI, STEVEN C MD......................................................................................................................................................................
....................................................................................................312
ALMANY, STEVEN L MD....................................................................................................................................................................
....................................................................................................312
....................................................................................................564
ALROAINI, ABDULWAHHAB MD.......................................................................................................................................................
....................................................................................................145
BERI, ABHIMANYU MD......................................................................................................................................................................
BOGUN, FRANK M MD.......................................................................................................................................................................
.....................................................................................303, 487, 488
....................................................................................................564
BOGUN, FRANK M MD.......................................................................................................................................................................
....................................................................................................312
BOWERS, TERRY MD.......................................................................................................................................................................
....................................................................................................312
CHERNICK, ALLAN MD.....................................................................................................................................................................
CHUGH, AMAN MD............................................................................................................................................................................
.............................................................................................303, 488
....................................................................................................564
CHUGH, AMAN MD............................................................................................................................................................................
....................................................................................................312
CRAGG, DAVID R MD.........................................................................................................................................................................
CRAWFORD, THOMAS C MD.............................................................................................................................................................
.....................................................................................303, 488, 564
....................................................................................................312
DEMETRIOU, DEMETRIS M MD.........................................................................................................................................................
....................................................................................................564
DIXON, SIMON R MD..........................................................................................................................................................................
....................................................................................................277
ELMOUCHI, DARRYL A MD................................................................................................................................................................
GANGASANI, ASHISH MD.................................................................................................................................................................
.............................................................................................312, 564
.............................................................................303, 488, 489, 564
GHANBARI, HAMID MD.....................................................................................................................................................................
.............................................................................................303, 489
GOEL, RAMIL MBBS..........................................................................................................................................................................
GOLDBERG, MARK J MD...................................................................................................................................................................
....................................................................................................312
....................................................................................................312
GOLDMAN, LARY S MD......................................................................................................................................................................
.....................................................................................304, 489, 564
GOOD, ERIC D DO.............................................................................................................................................................................
.............................................................................................154, 257
GRUBELICH, FRANCIS MD...............................................................................................................................................................
GRUBELICH, FRANCIS A MD.............................................................................................................................................................
....................................................................................................154
....................................................................................................257
.............................................................................................367, 564
HAINES, DAVID E MD.........................................................................................................................................................................
....................................................................................................182
HASSAN, MUSTAFA MD....................................................................................................................................................................
HASSAN, SOHAIL MD.......................................................................................................................................................................
....................................................................................................312
....................................................................................................564
HASSAN, SOHAIL MD.......................................................................................................................................................................
.............................................................................................304, 489
JONGNARANGSIN, KRIT MD............................................................................................................................................................
....................................................................................................564
....................................................................................................257
KABELL, G GLENN MD.......................................................................................................................................................................
....................................................................................................312
KAHN, JOEL MD................................................................................................................................................................................
KIM, EDWARD T MD...........................................................................................................................................................................
.............................................................................................304, 489
....................................................................................................466
KRISHEN, AJAY MD..........................................................................................................................................................................
....................................................................................................313
KUTINSKY, ILANA DO.......................................................................................................................................................................

Page 898
February 19, 2015

LATCHAMSETTY, RAKESH MD........................................................................................................................................................
.....................................................................................304, 489, 490
....................................................................................................564
LIEBERMAN, RANDY MD..................................................................................................................................................................
.....................................................................................182, 367, 564
.............................................................................................154, 257
LIU, XIAOKE K MD..............................................................................................................................................................................
....................................................................................................139
MAHMUD, REHAN MD.......................................................................................................................................................................
....................................................................................................367
MAN, KIM DO.....................................................................................................................................................................................
MILLER, LYNN K MD..........................................................................................................................................................................
....................................................................................................313
....................................................................................................313
MOORE, DOUGLAS DO.....................................................................................................................................................................
.............................................................................................304, 490
MORADY, FRED MD..........................................................................................................................................................................
MORADY, FRED MD..........................................................................................................................................................................
....................................................................................................564
.............................................................................................313, 367
NORI, DAVID MD...............................................................................................................................................................................
.............................................................................304, 490, 564, 565
ORAL, HAKAN MD.............................................................................................................................................................................
....................................................................................................466
PARIKH, VRAJMOHAN C MD.............................................................................................................................................................
PELOSI, FRANK MD..........................................................................................................................................................................
.....................................................................................304, 490, 491
....................................................................................................565
PELOSI, FRANK MD..........................................................................................................................................................................
....................................................................................................313
PIRES, LUIS A MD..............................................................................................................................................................................
RHINE, DAVID MD.............................................................................................................................................................................
....................................................................................................220
.............................................................................................304, 491
SAUNDERS, JUSTIN T MD.................................................................................................................................................................
....................................................................................................313
SILVERMAN, ALAN J DO....................................................................................................................................................................
....................................................................................................313
STEVENS, MELISSA A MD.................................................................................................................................................................
VIQAR SYED, MARIA MD..................................................................................................................................................................
....................................................................................................565
....................................................................................................313
WILLIAMSON, BRIAN D MD...............................................................................................................................................................
....................................................................................................367
WONG, WAI SHUN MD......................................................................................................................................................................
WONG, WAI SHUN MD......................................................................................................................................................................
....................................................................................................565
CARDIOLOGY
AARONSON, KEITH D MD..................................................................................................................................................................
.....................................................................................304, 491, 565
ABBAS, AMR E MD.............................................................................................................................................................................
.............................................................................................313, 367
....................................................................................................565
ABDALLAH, RIMA M PA.....................................................................................................................................................................
....................................................................................................277
ABDALLAH, WISSAM MD..................................................................................................................................................................
ABDUL-MALEK, MICHAEL DO...........................................................................................................................................................
.............................................................................................367, 565
....................................................................................................565
ABDULMALIK, AMEEN A MD..............................................................................................................................................................
....................................................................................................182
ABED, MADAR MD.............................................................................................................................................................................
....................................................................................................220
ABELA, GEORGE MD........................................................................................................................................................................
ABU ROMEH, IBRAHIM MD...............................................................................................................................................................
....................................................................................................565
....................................................................................................565
AFONSO, LUIS C MD..........................................................................................................................................................................
.............................................................................................313, 367
AGGARWAL, INDERJIT MD...............................................................................................................................................................
AGGARWAL, SHWETA MD...............................................................................................................................................................
.....................................................................................152, 154, 257
....................................................................................................182
AHMED, SYED I MD............................................................................................................................................................................
.............................................................................................367, 565
AJLUNI, STEVEN C MD......................................................................................................................................................................
....................................................................................................454
AKHTAR, NAVEED MD......................................................................................................................................................................
AL-AMERI, HAZIM MD.......................................................................................................................................................................
....................................................................................................565
.............................................................................................454, 481
ALANI, FIRAS MD..............................................................................................................................................................................
.............................................................................................182, 296
ALAWWA, ABDUL K MD.....................................................................................................................................................................
....................................................................................................565
ALESH, ISSA G MD............................................................................................................................................................................
ALGUIRE, CRAIG T MD......................................................................................................................................................................
....................................................................................................277
.....................................................................................145, 367, 565
ALI, OMAR MD...................................................................................................................................................................................
....................................................................................................182
ALKIEK, ARDWAN MD.......................................................................................................................................................................
....................................................................................................206
ALKIEK, RADWAN MD.......................................................................................................................................................................
....................................................................................................182
ALKOTOB, MOHAMMAD L MD...........................................................................................................................................................
.............................................................................................367, 565
ALMANY, STEVEN L MD....................................................................................................................................................................
ALROAINI, ABDULWAHHAB MD.......................................................................................................................................................
....................................................................................................564
....................................................................................................354
AMIN, JATIN D MD..............................................................................................................................................................................
....................................................................................................182
AMLANI, MOHAMADALI H MD............................................................................................................................................................

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ANTON, SALWAN P DO.....................................................................................................................................................................
....................................................................................................565
.............................................................................................217, 454
ANWAR, SAROSH MD.......................................................................................................................................................................
ARABI, ABDUL RAHMAN MD.............................................................................................................................................................
....................................................................................................565
.....................................................................................304, 491, 565
ARMSTRONG, WILLIAM F MD...........................................................................................................................................................
....................................................................................................145
ARORA, DILIP S MD...........................................................................................................................................................................
....................................................................................................133
ARORA, SANJEEV MD......................................................................................................................................................................
ASSAR, SOHEIL DO..........................................................................................................................................................................
.....................................................................................139, 452, 454
....................................................................................................367
ATALLAH, PIERRE C MD....................................................................................................................................................................
....................................................................................................367
ATKINSON, KEITH DO.......................................................................................................................................................................
ATKINSON, KEITH V...........................................................................................................................................................................
....................................................................................................367
....................................................................................................367
ATKINSON, KEITH V DO....................................................................................................................................................................
....................................................................................................257
AYERDI, EVALT J MD.........................................................................................................................................................................
.............................................................................304, 491, 492, 566
BACH, DAVID S MD............................................................................................................................................................................
BADAMI, UMESH MD.........................................................................................................................................................................
....................................................................................................454
.............................................................................172, 220, 244, 477
BAKR, OMAR MD...............................................................................................................................................................................
....................................................................................................220
BANDI, APPA MD...............................................................................................................................................................................
BARNES, GEOFFREY D MD...............................................................................................................................................................
.............................................................................................304, 492
.............................................................................................145, 483
BASTOW, BRADLEY D DO.................................................................................................................................................................
.....................................................................................304, 492, 566
BATES, ERIC R MD............................................................................................................................................................................
....................................................................................................367
BELEN, STEVEN D DO.......................................................................................................................................................................
BENADERET, DAVID H MD................................................................................................................................................................
....................................................................................................313
.....................................................................................304, 492, 566
BENSON, MARK R MD PHD...............................................................................................................................................................
....................................................................................................367
BERCU, BERNARD MD.....................................................................................................................................................................
BERI, ABHIMANYU MD......................................................................................................................................................................
....................................................................................................145
....................................................................................................277
BERKOMPAS, DUANE C MD..............................................................................................................................................................
.............................................................................................313, 367
BERMAN, AARON D MD.....................................................................................................................................................................
.............................................................................................215, 257
BERNERO, JOHN R DO.....................................................................................................................................................................
BESLEY, DENNIS C MD.....................................................................................................................................................................
....................................................................................................277
....................................................................................................145
BHAT, ISHWARA M MD......................................................................................................................................................................
.............................................................................................304, 492
BHAVE, NICOLE M MD.......................................................................................................................................................................
BILOLIKAR, ABHAY N MD..................................................................................................................................................................
....................................................................................................367
....................................................................................................488
BOGUN, FRANK M MD.......................................................................................................................................................................
.....................................................................................350, 452, 453
BOGUSZEWSKI, ANDRZEJ MD........................................................................................................................................................
....................................................................................................367
BORIN, ANDREW DO........................................................................................................................................................................
BOSTIC, OSWALD MD......................................................................................................................................................................
....................................................................................................367
.............................................................................................313, 367
BOWERS, TERRY R MD.....................................................................................................................................................................
....................................................................................................313
BOWLING, BETH MD.........................................................................................................................................................................
BRILL, DAVID A MD............................................................................................................................................................................
.....................................................................................182, 296, 368
....................................................................................................368
BRODSKY, MARC S MD.....................................................................................................................................................................
....................................................................................................145
BROOKS, DONALD F MD...................................................................................................................................................................
....................................................................................................477
BROOKS, SHERRIE M DO.................................................................................................................................................................
BROWN, MICHAEL A MD...................................................................................................................................................................
....................................................................................................566
.............................................................................................220, 244
BROWN, THOMAS DO......................................................................................................................................................................
....................................................................................................220
BURKE, PETER MD...........................................................................................................................................................................
.............................................................................304, 492, 493, 566
BYRD, JAMES B MD...........................................................................................................................................................................
CAINES, STANLEY E MD...................................................................................................................................................................
.............................................................................................152, 257
.............................................................................133, 162, 176, 247
CANNON, LOUIS A MD.......................................................................................................................................................................
....................................................................................................566
CARDOZO, SHAUN J MD...................................................................................................................................................................
.............................................................................................454, 481
CARNEY, JEFFREY MD.....................................................................................................................................................................
.............................................................................................313, 368
CARRILLO, ANTONIO P MD...............................................................................................................................................................
....................................................................................................220
CASTELLANI, MARK MD...................................................................................................................................................................
CASTILLO, MICHAEL MD..................................................................................................................................................................
....................................................................................................313
....................................................................................................566
CHALAM, VENKATA MD....................................................................................................................................................................
....................................................................................................277
CHALFOUN, NAGIB T MD..................................................................................................................................................................

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CHAMBERS, JAMES L DO.................................................................................................................................................................
....................................................................................................182
....................................................................................................368
CHANDRA, SHARATH S MD..............................................................................................................................................................
CHATTAHI, JOSEPH MD...................................................................................................................................................................
....................................................................................................566
....................................................................................................139
CHAVALI, SUBBARAO MD................................................................................................................................................................
....................................................................................................455
CHEN, DAVID W MD...........................................................................................................................................................................
....................................................................................................368
CHERNICK, ALLAN MD.....................................................................................................................................................................
CHETCUTI, STANLEY J MD...............................................................................................................................................................
.....................................................................................304, 493, 566
....................................................................................................368
CHINNAIYAN, KAVITHA M MD...........................................................................................................................................................
.............................................................................................145, 146
CHIU, YULAM MD..............................................................................................................................................................................
CHO, NAM DO...................................................................................................................................................................................
....................................................................................................220
....................................................................................................220
CHOO, EUGENE B MD.......................................................................................................................................................................
....................................................................................................368
CHOWDHURY, PERTHA S MD...........................................................................................................................................................
....................................................................................................488
CHUGH, AMAN MD............................................................................................................................................................................
CIESZKOWSKI, JOHN H MD..............................................................................................................................................................
....................................................................................................368
....................................................................................................182
CLEARY, ROBERT JR MD..................................................................................................................................................................
.............................................................................................182, 296
CLEARY, ROBERT M MD...................................................................................................................................................................
COHN, JOEL MD................................................................................................................................................................................
....................................................................................................220
.............................................................................................164, 176
COLFER, HARRY MD........................................................................................................................................................................
....................................................................................................277
COLLINS, JAMES S MD......................................................................................................................................................................
.............................................................................................304, 493
COLVIN, MONICA M MD.....................................................................................................................................................................
CORBETT, JAMES R MD....................................................................................................................................................................
....................................................................................................493
....................................................................................................206
CORPUS, ROBERTO A MD................................................................................................................................................................
.............................................................................................176, 452
CORTEVILLE, DAVID C MD................................................................................................................................................................
COWAN, SIMONE DO........................................................................................................................................................................
....................................................................................................313
.............................................................................................313, 368
CRAGG, DAVID R MD.........................................................................................................................................................................
....................................................................................................313
CRAWFORD, JOAN DO.....................................................................................................................................................................
....................................................................................................130
CRONIN, LYNN J MD..........................................................................................................................................................................
CUSHING, WILLIAM MD....................................................................................................................................................................
....................................................................................................313
....................................................................................................566
DABBOUS, SAMIR A MD....................................................................................................................................................................
....................................................................................................313
DAHER, EDOUARD MD.....................................................................................................................................................................
DARDA, SABA MD.............................................................................................................................................................................
....................................................................................................313
....................................................................................................368
DARDA, SABA MD.............................................................................................................................................................................
......................................................................................................59
DARDA, SABA MD.............................................................................................................................................................................
.....................................................................................304, 493, 566
DAS, SUNIL K MD...............................................................................................................................................................................
DAVID, SHUKRI MD...........................................................................................................................................................................
....................................................................................................368
....................................................................................................277
DAVIDSON, ROBERT MD..................................................................................................................................................................
.............................................................................304, 493, 494, 566
DAVIS, MELINDA B MD......................................................................................................................................................................
DAVIS, THOMAS MD.........................................................................................................................................................................
.............................................................................................182, 313
....................................................................................................182
DAWSON, GAIL MD...........................................................................................................................................................................
.....................................................................................304, 494, 566
DAY, SHARLENE M MD......................................................................................................................................................................
....................................................................................................364
DECKER, JEFFREY M MD..................................................................................................................................................................
DEGREGORIO, MICHELE MD...........................................................................................................................................................
....................................................................................................368
....................................................................................................368
DEMETRIOU, DEMETRIS M MD.........................................................................................................................................................
....................................................................................................182
DENARDO, SAMUEL R MD................................................................................................................................................................
....................................................................................................313
DEVIREDDY, LING MD......................................................................................................................................................................
DEVLIN, WILLIAM H MD.....................................................................................................................................................................
.............................................................................................368, 566
.............................................................................................313, 368
DEYOUNG, MICHAEL B DO...............................................................................................................................................................
....................................................................................................220
DHAEM, CHRISTOPHER DO.............................................................................................................................................................
....................................................................................................220
DHAR, GAURAV MD..........................................................................................................................................................................
....................................................................................................161
DHATREECHARAN, SRINIVASAN MD..............................................................................................................................................
....................................................................................................368
DICKEY, JOHN Q DO..........................................................................................................................................................................
DICKINSON, MICHAEL G MD.............................................................................................................................................................
....................................................................................................277
.....................................................................166, 212, 250, 350, 455
DIEHL, RODNEY O DO.......................................................................................................................................................................
....................................................................................................368
DIXON, SIMON R MD..........................................................................................................................................................................

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February 19, 2015

DOBIES, DAVID MD...........................................................................................................................................................................
....................................................................................................182
....................................................................................................165
DOGHMI, WALEED MD.....................................................................................................................................................................
DOSHI, NITIN C MD............................................................................................................................................................................
....................................................................................................368
....................................................................................................313
DUDAR, BASIL MD............................................................................................................................................................................
....................................................................................................182
DUTHINH, VUONG MD......................................................................................................................................................................
.....................................................................................304, 494, 566
DUVERNOY, CLAIRE S MD................................................................................................................................................................
DYKE, DAVID B MD............................................................................................................................................................................
.............................................................................304, 494, 495, 566
....................................................................................................455
DYMEK, DANIEL J MD........................................................................................................................................................................
.....................................................................................304, 495, 566
EAGLE, KIM A MD..............................................................................................................................................................................
EARL, THOMAS MD...........................................................................................................................................................................
.............................................................................................176, 446
....................................................................................................182
EBINGER, MATTHEW DO.................................................................................................................................................................
....................................................................................................220
EISENBERG, JOEL MD.....................................................................................................................................................................
.....................................................................................304, 495, 566
EITZMAN, DANIEL T MD.....................................................................................................................................................................
ELDER, MAHIR D MD.........................................................................................................................................................................
.....................................................................................368, 566, 567
....................................................................................................182
ELIAN, SAMIR A MD...........................................................................................................................................................................
.............................................................................................155, 257
ELIUK, BRETT DO.............................................................................................................................................................................
FARREHI, PETER M MD.....................................................................................................................................................................
.............................................................................304, 495, 496, 567
.............................................................................................247, 455
FATTAL, PETER G MD.......................................................................................................................................................................
....................................................................................................567
FERENCE, BRIAN A MD.....................................................................................................................................................................
....................................................................................................277
FERMIN, DAVID R MD........................................................................................................................................................................
FERNANDEZ, CARLOS G DO............................................................................................................................................................
....................................................................................................220
....................................................................................................277
FINTA, BOHUSLAV MD.....................................................................................................................................................................
.............................................................................................257, 258
FISCHELL, TIM A MD..........................................................................................................................................................................
FORCINA, MATTHEW S MD...............................................................................................................................................................
....................................................................................................368
....................................................................................................368
FOSTER, NATHAN MD......................................................................................................................................................................
....................................................................................................206
FOX, JAMES M MD.............................................................................................................................................................................
....................................................................................................442
FRANCO, REY A MD..........................................................................................................................................................................
FRAUENHEIM, WILLIAM A MD...........................................................................................................................................................
.............................................................................................130, 277
....................................................................................................368
FRIEDMAN, HAROLD Z MD................................................................................................................................................................
....................................................................................................277
FRITZ, TIMOTHY D MD.......................................................................................................................................................................
FROEHLICH, JAMES B MD................................................................................................................................................................
.....................................................................................304, 496, 567
.............................................................................................164, 176
GADOWSKI, GERALD A DO...............................................................................................................................................................
.............................................................................................313, 368
GALLAGHER, MICHAEL J MD............................................................................................................................................................
....................................................................................................567
GANESH, SANTHI K MD.....................................................................................................................................................................
GANGADHARAN, VELLAPPILLIL MD................................................................................................................................................
....................................................................................................368
....................................................................................................567
GARG, SURENDRA P MD..................................................................................................................................................................
....................................................................................................277
GAURI, ANDRE J MD..........................................................................................................................................................................
GEARY, JOYCE M MD........................................................................................................................................................................
....................................................................................................455
....................................................................................................258
GELLERT, JANOS R MD.....................................................................................................................................................................
.............................................................................................166, 212
GELLMAN, STEVEN D MD.................................................................................................................................................................
....................................................................................................250
GENOVESE, ROBERT A MD..............................................................................................................................................................
GERA, NITIN MD................................................................................................................................................................................
.....................................................................................152, 155, 258
....................................................................................................313
GHAFARI, GEORGES B MD...............................................................................................................................................................
....................................................................................................354
GHAI, PREM C MD.............................................................................................................................................................................
....................................................................................................313
GHANEM, GEORGE B MD..................................................................................................................................................................
GLAZIER, JAMES MD........................................................................................................................................................................
....................................................................................................567
....................................................................................................567
GODOY, CARLOS A MD.....................................................................................................................................................................
....................................................................................................368
GOEL, ANIL MD.................................................................................................................................................................................
....................................................................................................368
GOLDBERG, MARK J MD...................................................................................................................................................................
....................................................................................................368
GOLDMAN, LARY S MD......................................................................................................................................................................
....................................................................................................220
GOLDSHLACK, PAUL A DO...............................................................................................................................................................
GOLDSTEIN, BERNARD DO.............................................................................................................................................................
.............................................................................................368, 369
.............................................................................................369, 567
GOLDSTEIN, JAMES A MD................................................................................................................................................................
.............................................................................................313, 567
GOMEZ, GINETTE DO.......................................................................................................................................................................

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February 19, 2015

GOONEWARDENA, SASCHA N MD...................................................................................................................................................
.....................................................................................304, 496, 567
.............................................................................................313, 369
GORDON, RICHARD E DO.................................................................................................................................................................
GOSSELIN, MARC DO.......................................................................................................................................................................
....................................................................................................313
.............................................................................................176, 446
GOSSETT, LINDA K MD.....................................................................................................................................................................
....................................................................................................567
GOTTAM, NARSIMHA R MD...............................................................................................................................................................
....................................................................................................567
GOWDA, KEMPAIAH A MD.................................................................................................................................................................
GOWMAN, DAVID P DO.....................................................................................................................................................................
.............................................................................................369, 567
....................................................................................................130
GRIBAR, JOHN MD............................................................................................................................................................................
....................................................................................................369
GRIBAR, JOHN J MD..........................................................................................................................................................................
GRIMM, MICHAEL F MD.....................................................................................................................................................................
....................................................................................................220
....................................................................................................369
GRINBERG, ISSAC MD.....................................................................................................................................................................
.............................................................................................369, 567
GRINES, CINDY L MD........................................................................................................................................................................
.............................................................................304, 496, 497, 567
GROSSMAN, PAUL M MD..................................................................................................................................................................
GROVE, J. ROBERT MD....................................................................................................................................................................
....................................................................................................277
....................................................................................................155
....................................................................................................313
GUDUGUNTLA, VAMSHIDHAR MD...................................................................................................................................................
GUNDLAPALLI, SIVAJI MD................................................................................................................................................................
....................................................................................................466
....................................................................................................369
GUNDLAPALLI, SUJANA MD.............................................................................................................................................................
....................................................................................................369
GUNTHER, STEPHEN J MD...............................................................................................................................................................
....................................................................................................369
GUPTA, ASHOK K MD........................................................................................................................................................................
GUPTA, NARSINGH MD....................................................................................................................................................................
....................................................................................................567
.............................................................138, 152, 155, 215, 258, 472
GUPTA, VISHAL MD..........................................................................................................................................................................
.....................................................................................304, 497, 567
GURM, HITINDER S MD.....................................................................................................................................................................
GURUJAL, RAVI MD..........................................................................................................................................................................
....................................................................................................567
.............................................................................................258, 472
GUSTAFSON, JOHN GARY MD.........................................................................................................................................................
.....................................................................................304, 497, 567
HAGAN, PETER G MD........................................................................................................................................................................
....................................................................................................357
HAJJAR, VICTOR MD........................................................................................................................................................................
HAKIM, ARIF MD................................................................................................................................................................................
....................................................................................................567
....................................................................................................369
HALABI, ABDUL MD...........................................................................................................................................................................
....................................................................................................369
HALABI, ABDUL R MD........................................................................................................................................................................
HANSON, IVAN D MD.........................................................................................................................................................................
....................................................................................................369
....................................................................................................455
HANSON, ROBERT A DO...................................................................................................................................................................
.............................................................................................369, 567
HANZEL, GEORGE S MD...................................................................................................................................................................
.............................................................................................369, 567
HARBER, DANIEL DO........................................................................................................................................................................
HARRIS, JEFFREY L DO....................................................................................................................................................................
.....................................................................................182, 296, 369
.............................................................................................304, 497
HASAN, REEMA MD..........................................................................................................................................................................
....................................................................................................567
HASHEM, MUSTAFA A MD.................................................................................................................................................................
HASNIE, ABDUL M MD.......................................................................................................................................................................
....................................................................................................182
....................................................................................................312
HASSAN, SOHAIL MD.......................................................................................................................................................................
....................................................................................................564
HASSAN, SOHAIL MD.......................................................................................................................................................................
.............................................................................................313, 369
HAUSER, ANDREW M MD..................................................................................................................................................................
HEATH II, JOHN S MD........................................................................................................................................................................
....................................................................................................369
....................................................................................................220
HELBLE, EDWARD DO......................................................................................................................................................................
.............................................................................................304, 497
HELMS, ADAM S MD..........................................................................................................................................................................
....................................................................................................182
HENNIG, RICHARD W DO..................................................................................................................................................................
HERNANDEZ, JUAN MD....................................................................................................................................................................
.............................................................................................220, 477
....................................................................................................220
HICKOX, TODD DO............................................................................................................................................................................
....................................................................................................475
HUFFAKER, SCOTT MD....................................................................................................................................................................
....................................................................................................146
HUGGETT, J DOUGLAS DO...............................................................................................................................................................
....................................................................................................146
HUGGETT, J. DOUGLAS D DO..........................................................................................................................................................
....................................................................................................369
HULL, FRANKLIN MD........................................................................................................................................................................
HUMMEL, SCOTT L MD......................................................................................................................................................................
.............................................................................304, 497, 498, 567
....................................................................................................182
ILG, KARL J MD..................................................................................................................................................................................
....................................................................................................220
IP, JOHN MD......................................................................................................................................................................................

Page 903
February 19, 2015

ISLAM, NILOFAR H MD......................................................................................................................................................................
....................................................................................................350
.............................................................................................369, 568
ISMAIL, HASSAN MD.........................................................................................................................................................................
JACKSON, ELIZABETH A MD.............................................................................................................................................................
.....................................................................................304, 498, 568
....................................................................................................277
JACOBY, MARK E MD........................................................................................................................................................................
....................................................................................................206
JAFFE, BRIAN D MD...........................................................................................................................................................................
....................................................................................................568
JAFRI, SYED M MD.............................................................................................................................................................................
JAMES, MICHAEL DO........................................................................................................................................................................
....................................................................................................220
.............................................................................................220, 253
JANI, HARESH V MD..........................................................................................................................................................................
....................................................................................................130
JANSYN, ELLEN M MD.......................................................................................................................................................................
JASTI, KISHAN MD............................................................................................................................................................................
....................................................................................................313
....................................................................................................182
JAWAD, IBRAHIM MD........................................................................................................................................................................
.............................................................................................313, 369
JAZRAWI, AYAD S MD.......................................................................................................................................................................
.............................................................................................313, 314
JIDDOU, RENEE R MD.......................................................................................................................................................................
JOHN-ROSMAN, SARINE MD............................................................................................................................................................
.............................................................................................369, 568
....................................................................................................489
.....................................................................................139, 217, 455
JOSEPH, JAPHET G MD....................................................................................................................................................................
JOUMAA, MOUHAMMED MD............................................................................................................................................................
.............................................................................................314, 466
....................................................................................................277
JOVINGE, STEFAN V MD...................................................................................................................................................................
....................................................................................................455
JUNDI, MAYAR MD............................................................................................................................................................................
....................................................................................................568
JURATLI, NOUR MD..........................................................................................................................................................................
KABBANI, MOUHAMAD S MD............................................................................................................................................................
....................................................................................................361
....................................................................................................369
KAHN, JOEL MD................................................................................................................................................................................
....................................................................................................455
KAHN, ROGER N MD..........................................................................................................................................................................
KAKI, AMIR MD..................................................................................................................................................................................
.....................................................................................314, 369, 568
.....................................................................................152, 258, 472
KAMATH, SREENIVAS P MD..............................................................................................................................................................
.............................................................................................304, 498
KANTHI, YOGENDRA MD..................................................................................................................................................................
....................................................................................................369
KARABAJAKIAN, MARK Z DO............................................................................................................................................................
KARABAJAKIAN, MARK ZADIK DO....................................................................................................................................................
.............................................................................................369, 568
.............................................................................................220, 245
KARVE, MILIND MD...........................................................................................................................................................................
....................................................................................................183
KASHLAN, OMAR R MD.....................................................................................................................................................................
KASSAS, SAFWAN MD......................................................................................................................................................................
....................................................................................................455
....................................................................................................314
KAWA, ANTHONY DO.......................................................................................................................................................................
....................................................................................................314
KAZMIERSKI, JOHN DO....................................................................................................................................................................
.............................................................................296, 314, 369, 370
KAZZIHA, SAMER MD.......................................................................................................................................................................
KEHOE, ELLEN L DO..........................................................................................................................................................................
.............................................................................................166, 250
....................................................................................................258
KELLER, THOMAS MD......................................................................................................................................................................
.....................................................................................304, 498, 568
KENAAN, MOHAMAD A MD................................................................................................................................................................
KENNEDY, ROBERT O MD................................................................................................................................................................
....................................................................................................206
....................................................................................................370
KERNER, NATHAN J MD....................................................................................................................................................................
.....................................................................................304, 498, 568
KHAJA, FAREED U MD.......................................................................................................................................................................
....................................................................................................568
KHAN, MAZHAR H MD........................................................................................................................................................................
KHURANA, SANDEEP MD.................................................................................................................................................................
....................................................................................................277
....................................................................................................314
KIM, KYUNG SOO MD.......................................................................................................................................................................
.............................................................................................258, 472
KING, ANTHONY MD.........................................................................................................................................................................
....................................................................................................220
KLEIBER, GEORGE DO.....................................................................................................................................................................
KOELLING, TODD M MD....................................................................................................................................................................
.....................................................................................304, 499, 568
.....................................................................................304, 499, 568
KOLIAS, THEODORE J MD................................................................................................................................................................
....................................................................................................568
KONDUR, ASHOK MD.......................................................................................................................................................................
....................................................................................................314
KONERU, SRINIVAS MD...................................................................................................................................................................
....................................................................................................370
KOROTKIN, STEVEN M MD...............................................................................................................................................................
....................................................................................................568
KOTTAM, ANUPAMA REDDY MD.......................................................................................................................................................
KOZLOWSKI, JAY H MD.....................................................................................................................................................................
....................................................................................................370
....................................................................................................370
KRAFT, PHILLIP L MD........................................................................................................................................................................
.............................................................................................212, 250
KREPOSTMAN, ABRAHAM MD.........................................................................................................................................................

Page 904
February 19, 2015

KRISHEN, AJAY MD..........................................................................................................................................................................
....................................................................................................466
....................................................................................................370
KUDESIA, VIJAY S MD.......................................................................................................................................................................
KUHNLEIN, JEROME L MD................................................................................................................................................................
....................................................................................................146
....................................................................................................183
KURE, JAMES E MD...........................................................................................................................................................................
.............................................................................................370, 568
KUTINSKY, ILANA DO.......................................................................................................................................................................
.............................................................................................304, 499
LABOUNTY, TROY M MD...................................................................................................................................................................
LAFIA, PAUL MD................................................................................................................................................................................
....................................................................................................183
....................................................................................................314
LALONDE, THOMAS MD...................................................................................................................................................................
.............................................................................................220, 477
LAMAN, KIRK B DO............................................................................................................................................................................
LANGHOLZ, DAVID E MD...................................................................................................................................................................
....................................................................................................277
....................................................................................................258
LAPENNA, NICHOLAS S PA...............................................................................................................................................................
.............................................................138, 152, 155, 215, 258, 472
LAPENNA, ROBERT J MD..................................................................................................................................................................
.............................................................138, 152, 155, 215, 258, 472
LAPENNA, WILLIAM F MD..................................................................................................................................................................
....................................................................................................490
.............................................................................................350, 453
LAUER, MICHAEL MD.......................................................................................................................................................................
....................................................................................................370
LAZAR, MARY E MD...........................................................................................................................................................................
LEBEIS, MARK MD............................................................................................................................................................................
....................................................................................................370
....................................................................................................568
LEE, CHENG-CHONG MD.................................................................................................................................................................
.............................................................137, 139, 205, 247, 442, 453
LEE, DANIEL T MD.............................................................................................................................................................................
....................................................................................................277
LEE, SANGJIN MD.............................................................................................................................................................................
LEFFLER, DALE DO..........................................................................................................................................................................
....................................................................................................220
.............................................................................................304, 499
LEHMANN, MICHAEL H MD...............................................................................................................................................................
.............................................................................................304, 499
LEJA, MONIKA J MD...........................................................................................................................................................................
LEVANOVICH, PETER MD................................................................................................................................................................
.....................................................................................176, 311, 446
....................................................................................................370
LEVIN, ROBERT N MD.......................................................................................................................................................................
.............................................................................................220, 245
LINK, CHAD DO.................................................................................................................................................................................
....................................................................................................314
LITCH, BRIAN DO..............................................................................................................................................................................
LOGAN, TIMOTHY DO.......................................................................................................................................................................
....................................................................................................314
....................................................................................................277
LOJEK, MICHAEL A MD......................................................................................................................................................................
....................................................................................................370
MACHADO, CHRISTIAN MD..............................................................................................................................................................
MADALA, CHANDRAMOULI MD........................................................................................................................................................
....................................................................................................155
....................................................................................................155
MADALA, CHANDRAMOULI J MD......................................................................................................................................................
....................................................................................................220
MADALA, MOHAN MD.......................................................................................................................................................................
....................................................................................................277
MADDER, RYAN D MD.......................................................................................................................................................................
MADRAZO, ARMANDO MD...............................................................................................................................................................
.....................................................................................296, 314, 370
.............................................................................................277, 364
MAHAJERIN, ALI MD.........................................................................................................................................................................
....................................................................................................221
MAHJOUB, ZAKWAN MD...................................................................................................................................................................
MAHMOOD, SYED A MD....................................................................................................................................................................
....................................................................................................370
....................................................................................................176
MALONEY, PATRICK M MD................................................................................................................................................................
....................................................................................................314
MAN, KIM DO.....................................................................................................................................................................................
....................................................................................................370
MAN, KIM DO.....................................................................................................................................................................................
MANCINI, PETER II MD......................................................................................................................................................................
....................................................................................................568
.............................................................................................277, 357
MANDER, TEJINDER S MD................................................................................................................................................................
....................................................................................................277
MANOHAR, PRERANA A MD..............................................................................................................................................................
....................................................................................................370
MARANDICI, ANNA M MD..................................................................................................................................................................
MARCOVITZ, PAMELA MD................................................................................................................................................................
....................................................................................................370
....................................................................................................370
MARINESCU, GHEORHE MD............................................................................................................................................................
....................................................................................................455
MAROUF, LOAI DO............................................................................................................................................................................
.............................................................................................314, 370
MARSALESE, DOMINIC L MD............................................................................................................................................................
....................................................................................................455
MARTIN, SCOTT R MD.......................................................................................................................................................................
....................................................................................................139
MASRI, KALIL DO..............................................................................................................................................................................
MATTICHAK, STEPHEN J MD............................................................................................................................................................
.............................................................137, 139, 205, 247, 442, 453
....................................................................................................370
MAYNARD, ROBERT MD...................................................................................................................................................................
.............................................................................183, 217, 455, 475
MCCLURE, JOHN II MD......................................................................................................................................................................

Page 905
February 19, 2015

MCGOUGH, MARTIN F MD.................................................................................................................................................................
....................................................................................................370
.............................................................................205, 212, 250, 350
MCGOWAN, CATHY M MD.................................................................................................................................................................
MCKENDRICK, GREGOR MD............................................................................................................................................................
....................................................................................................370
.............................................................................304, 499, 500, 568
MCLAUGHLIN, VALLERIE V MD.........................................................................................................................................................
....................................................................................................277
MCNAMARA, MICHAEL W MD...........................................................................................................................................................
....................................................................................................277
MCNAMARA, RICHARD F MD............................................................................................................................................................
MEENGS, WILLIAM L MD...................................................................................................................................................................
.............................................................................................176, 452
....................................................................................................221
MELVIN, DARYL MD..........................................................................................................................................................................
.....................................................................................305, 500, 568
MENEES, DANIEL S MD.....................................................................................................................................................................
MERHI, WILLIAM M DO......................................................................................................................................................................
.............................................................................................277, 358
....................................................................................................314
MESIHA, NANCY MD.........................................................................................................................................................................
....................................................................................................146
MESMER, OGUBAY MD....................................................................................................................................................................
....................................................................................................146
MESMER, OGUBAY T MD..................................................................................................................................................................
MILFORD, CREAGH DO....................................................................................................................................................................
....................................................................................................370
....................................................................................................370
MILLER, LYNN K MD..........................................................................................................................................................................
....................................................................................................370
MILLER, RONALD MD.......................................................................................................................................................................
MIRANDA, DALTON JR MD................................................................................................................................................................
.............................................................................................165, 176
....................................................................................................183
MISRA, RAMESH MD.........................................................................................................................................................................
....................................................................................................370
MLADSI, THOMAS A MD....................................................................................................................................................................
.............................................................................................370, 568
MOHAMAD, TAMAM MD....................................................................................................................................................................
MOHAMED, TAHIR MD......................................................................................................................................................................
.............................................................................146, 371, 568, 569
.............................................................................................139, 455
MOHAN, KOCHUNNI MD...................................................................................................................................................................
.............................................................................................212, 250
MOHAN, SUDEEP MD.......................................................................................................................................................................
MOJARES, BRILIO MD......................................................................................................................................................................
....................................................................................................314
....................................................................................................313
MOORE, DOUGLAS DO.....................................................................................................................................................................
....................................................................................................490
MORADY, FRED MD..........................................................................................................................................................................
....................................................................................................221
MUGHAL, MAJID.................................................................................................................................................................................
MULLIGAN, J CRAIG DO....................................................................................................................................................................
....................................................................................................277
....................................................................................................277
MULLIGAN, JOHN C DO.....................................................................................................................................................................
.............................................................................................183, 569
MUNIR, AHMAD MD...........................................................................................................................................................................
MUNIR, MUHAMMAD A MD................................................................................................................................................................
....................................................................................................569
.............................................................................................305, 500
MURTHY, VENKATESH L MD.............................................................................................................................................................
....................................................................................................254
MUZQUIZ JR, MOSES MD.................................................................................................................................................................
....................................................................................................569
NAHHAS, GEORGE T MD...................................................................................................................................................................
NALLAMOTHU, BRAHAMAJEE K MD.................................................................................................................................................
....................................................................................................569
.....................................................................................305, 500, 569
NALLAMOTHU, BRAHMAJEE K MD...................................................................................................................................................
....................................................................................................314
NARLA, DURGADAS MD...................................................................................................................................................................
NICKLAS, JOHN M MD.......................................................................................................................................................................
.............................................................................305, 500, 501, 569
....................................................................................................371
NINO, CHARLES MD.........................................................................................................................................................................
....................................................................................................176
NOLFF, DUANE R PA.........................................................................................................................................................................
....................................................................................................371
NONA, WASSIM MD..........................................................................................................................................................................
NORI, DAVID MD...............................................................................................................................................................................
....................................................................................................371
....................................................................................................277
NORMAN, MAURICE J MD.................................................................................................................................................................
.............................................................................................183, 296
NOUNOU, MAJED MD.......................................................................................................................................................................
.............................................................................139, 371, 453, 569
OBEID, MUHAMMED DO...................................................................................................................................................................
OCHOA, ANTHONY B MD..................................................................................................................................................................
....................................................................................................206
.....................................................................................155, 258, 483
OLIVARES, GILBERTO T MD.............................................................................................................................................................
.............................................................................................314, 371
OSTERBERGER, LUIS E MD..............................................................................................................................................................
.....................................................................................133, 165, 176
OVERTON, NAOMI MD......................................................................................................................................................................
.............................................................................................152, 215
OWUSU, VICTOR MD........................................................................................................................................................................
....................................................................................................371
OZOLINS, ANDIS MD.........................................................................................................................................................................
PACIS, MARIA DO.............................................................................................................................................................................
....................................................................................................371
....................................................................................................221
PACIS, RONALD DO..........................................................................................................................................................................
.............................................................................................258, 483
PACK, MICHAEL DO..........................................................................................................................................................................

Page 906
February 19, 2015

PAI, DIVAKAR MD..............................................................................................................................................................................
....................................................................................................371
....................................................................................................314
PALANICHAMY, NANTHINI MD.........................................................................................................................................................
PALARDY, MARYSE MD....................................................................................................................................................................
.....................................................................................305, 501, 569
....................................................................................................371
PATEL, KIRIT MD...............................................................................................................................................................................
....................................................................................................277
PATEL, MEHUL B MD.........................................................................................................................................................................
.............................................................................................130, 258
PAWLIK, MICHAEL DO......................................................................................................................................................................
PECK, STEPHEN L MD.......................................................................................................................................................................
.............................................................138, 152, 155, 215, 258, 472
....................................................................................................491
PELOSI, FRANK MD..........................................................................................................................................................................
.............................................................................................314, 371
PEREZ-SEGURA, LEANDRO MD......................................................................................................................................................
PERRY, BENJAMIN A MD...................................................................................................................................................................
.............................................................................................155, 258
.............................................................................................221, 245
PINKE, RICHARD DO........................................................................................................................................................................
.....................................................................................305, 501, 569
PINSKY, DAVID J MD.........................................................................................................................................................................
....................................................................................................314
PIRES, LUIS A MD..............................................................................................................................................................................
PITONE LIPKIN, KATHRYN DO.........................................................................................................................................................
....................................................................................................371
....................................................................................................501
PITT, BERTRAM MD..........................................................................................................................................................................
....................................................................................................146
POW, THOMAS MD...........................................................................................................................................................................
POW, THOMAS K MD.........................................................................................................................................................................
....................................................................................................146
....................................................................................................371
PRADHAN, JYOTIRANJAN MD..........................................................................................................................................................
....................................................................................................221
PRASAD, JWALA MD.........................................................................................................................................................................
....................................................................................................183
PREDETEANU, GEORGE S MD.........................................................................................................................................................
QAZI, MAJID J DO..............................................................................................................................................................................
.............................................................................................371, 569
.............................................................................................371, 569
QURESHI, MOHAMMAD I MD.............................................................................................................................................................
....................................................................................................371
RABAH, MAHER M DO.......................................................................................................................................................................
RAFF, GILBERT L MD.........................................................................................................................................................................
....................................................................................................371
....................................................................................................371
RAINA, ABHINAV MD.........................................................................................................................................................................
....................................................................................................371
RAINA, ABHINAY MD.........................................................................................................................................................................
....................................................................................................183
RAJ, ETHIRAJ G MD...........................................................................................................................................................................
RAMOS, RENATO G MD.....................................................................................................................................................................
....................................................................................................371
....................................................................................................183
RANESES, RAMON C MD..................................................................................................................................................................
....................................................................................................371
RASAK, MARK A DO...........................................................................................................................................................................
RAVI, SRIHARI MD............................................................................................................................................................................
....................................................................................................314
....................................................................................................455
RAVINDRAN, K K MD.........................................................................................................................................................................
....................................................................................................314
REDDY, BANDA P MD........................................................................................................................................................................
....................................................................................................466
REDDY, BEERAVOLU R MD...............................................................................................................................................................
REDDY, CHANDRA S MD...................................................................................................................................................................
.............................................................................................296, 371
....................................................................................................466
REDDY, MADHUSUDHAN C MD........................................................................................................................................................
....................................................................................................139
REED, PAMELA MD...........................................................................................................................................................................
REINOEHL, JOEL MD........................................................................................................................................................................
.............................................................................................258, 483
....................................................................................................569
RIBA, ARTHUR L MD..........................................................................................................................................................................
.............................................................................136, 162, 165, 176
RICCI, JASON MD.............................................................................................................................................................................
....................................................................................................183
RIVERA, WILFREDO MD...................................................................................................................................................................
RIZK, MAGED M MD...........................................................................................................................................................................
....................................................................................................350
....................................................................................................277
RODEN, RAYMOND A MD..................................................................................................................................................................
....................................................................................................314
RODRIGUEZ, DAVID MD...................................................................................................................................................................
....................................................................................................258
ROGERS, CHRISTOPHER DO..........................................................................................................................................................
ROGERS, FELIX MD..........................................................................................................................................................................
....................................................................................................569
.............................................................................................314, 371
ROJAS, JUAN C MD...........................................................................................................................................................................
....................................................................................................314
ROSMAN, HOWARD S MD.................................................................................................................................................................
....................................................................................................314
ROTHSTEIN, LARRY DO...................................................................................................................................................................
.....................................................................................305, 501, 569
RUBENFIRE, MELVYN MD................................................................................................................................................................
....................................................................................................314
RUDRAIAH, LALITHA MD..................................................................................................................................................................
SABA, SOUHEIL MD..........................................................................................................................................................................
....................................................................................................371
.............................................................................................371, 372
SABBOTA, HARVEY P DO..................................................................................................................................................................
.............................................................................305, 501, 502, 569
SABERI, SARA MD............................................................................................................................................................................

Page 907
February 19, 2015

SABHARWAL, SUBHASH MD............................................................................................................................................................
....................................................................................................569
.............................................................................................372, 569
SAFIAN, ROBERT D MD.....................................................................................................................................................................
SAHAM, GEOFFREY M MD................................................................................................................................................................
....................................................................................................372
....................................................................................................206
SALACATA, ABRAHAM S MD.............................................................................................................................................................
.............................................................................................314, 372
SALAHI, FAROUK MD........................................................................................................................................................................
.............................................................................................314, 372
SALAZAR, MIGUEL A MD...................................................................................................................................................................
SALLACH, JOHN A MD.......................................................................................................................................................................
....................................................................................................372
....................................................................................................455
SALLACH, SUSAN M MD....................................................................................................................................................................
.............................................................................................258, 483
SALTIEL, FRANK S MD......................................................................................................................................................................
SALVIA, LEONARD DO......................................................................................................................................................................
....................................................................................................372
....................................................................................................466
SAMMAN, BASHAR MD.....................................................................................................................................................................
.............................................................................146, 372, 569, 570
SATTAR, HAMID MD..........................................................................................................................................................................
....................................................................................................570
SATTAR, HAMMID MD.......................................................................................................................................................................
SAYED, LUAY MD..............................................................................................................................................................................
....................................................................................................314
....................................................................................................221
SCHAFER, JAMES MD......................................................................................................................................................................
....................................................................................................277
SCHMITTNER, JOHN P MD................................................................................................................................................................
SCHONDER, JOHN MD.....................................................................................................................................................................
.............................................................................................258, 483
.....................................................................................296, 315, 372
SCHREIBER, THEODORE L MD........................................................................................................................................................
....................................................................................................452
SCHUIL, DUANE MD..........................................................................................................................................................................
....................................................................................................176
SCHUIL, DUANE W MD......................................................................................................................................................................
SCHWARTZ, DAVID A DO..................................................................................................................................................................
....................................................................................................315
.............................................................................................372, 570
SEARING, SCOTT DO.......................................................................................................................................................................
....................................................................................................455
SELVARAJ, CARRIE MD...................................................................................................................................................................
SERAFIMOVSKI, NENAD MD............................................................................................................................................................
.............................................................................................372, 570
....................................................................................................372
SHAH, DIPAK MD..............................................................................................................................................................................
....................................................................................................172
SHAH, IBRAHIM MD..........................................................................................................................................................................
....................................................................................................221
SHAH, IBRAHIM MD..........................................................................................................................................................................
SHAH, KIRIT MD................................................................................................................................................................................
....................................................................................................372
.............................................................................................315, 372
SHAHBANDAR, AHMAD B MD...........................................................................................................................................................
....................................................................................................455
SHARMA, MANOJ MD.......................................................................................................................................................................
SHEA, MICHAEL J MD........................................................................................................................................................................
.....................................................................................305, 502, 570
....................................................................................................277
SHERMAN, HELAYNE L MD...............................................................................................................................................................
.............................................................................................315, 372
SHOUKFEH, MAZEN MD...................................................................................................................................................................
.............................................................................................372, 570
SIDDIDQUI, MUKARRAM MD............................................................................................................................................................
SIDDIQUI, MUKARRAM A MD............................................................................................................................................................
.............................................................................................372, 570
.....................................................................................277, 278, 358
SINGH, HARVINDER P MD.................................................................................................................................................................
....................................................................................................466
SKAF, ELIAS MD................................................................................................................................................................................
SMALL, DELANO MD.........................................................................................................................................................................
....................................................................................................372
.............................................................................................206, 207
SMITH, MARK S MD...........................................................................................................................................................................
....................................................................................................570
SOHAL, CHAMAN MD........................................................................................................................................................................
....................................................................................................315
SOMOGYI, JOHN MD........................................................................................................................................................................
SPEARS, JAMES R MD......................................................................................................................................................................
.............................................................................................372, 570
.....................................................................................305, 502, 570
STEIN, ADAM B MD............................................................................................................................................................................
....................................................................................................372
STEWART, JAMES R MD...................................................................................................................................................................
....................................................................................................315
STEWART, RONALD J DO.................................................................................................................................................................
STROBL, DAVID DO..........................................................................................................................................................................
....................................................................................................221
.............................................................................................372, 373
STUART, MARK DO...........................................................................................................................................................................
....................................................................................................221
SUMMITT, JONI DO...........................................................................................................................................................................
....................................................................................................373
SUSSER, DAVID DO..........................................................................................................................................................................
....................................................................................................139
SWETERLITSCH, ERIC M MD............................................................................................................................................................
.............................................................................................258, 472
TAN, GREGORIO U MD......................................................................................................................................................................
TEKLINSKI, ANDREW H MD...............................................................................................................................................................
.............................................................................................176, 311
....................................................................................................442
TERNES, DAVID J DO........................................................................................................................................................................
....................................................................................................221
THAKUR, RANJAN MD......................................................................................................................................................................

Page 908
February 19, 2015

THOMAS, MICHAEL P MD..................................................................................................................................................................
.............................................................................................305, 502
.............................................................................................315, 373
TIMMIS, STEVEN B MD......................................................................................................................................................................
TOBIN, KENNETH J DO......................................................................................................................................................................
.....................................................................................305, 502, 570
.............................................................................................315, 373
TUCCIARONE, MICHAEL MD............................................................................................................................................................
....................................................................................................466
TUMMA, SURESH MD.......................................................................................................................................................................
....................................................................................................570
VAITKEVICIUS, PETER MD...............................................................................................................................................................
VARNER, JOHN A DO........................................................................................................................................................................
....................................................................................................207
....................................................................................................570
VEMURI, RAMACHANDRA MD..........................................................................................................................................................
.....................................................................................305, 503, 570
VISOVATTI, SCOTT H MD..................................................................................................................................................................
VOICE, RONALD MD.........................................................................................................................................................................
....................................................................................................221
....................................................................................................278
VREDENBURG, MICHAEL C DO........................................................................................................................................................
....................................................................................................134
WALLS, ULYSSES C MD....................................................................................................................................................................
....................................................................................................373
WALSH, DANIEL G MD.......................................................................................................................................................................
WATSON, PAULINE DO....................................................................................................................................................................
....................................................................................................455
....................................................................................................183
WEBER, GARY DO............................................................................................................................................................................
.............................................................................................315, 373
WESTVEER, DOUGLAS C MD...........................................................................................................................................................
WILCOX, MATTHEW DO...................................................................................................................................................................
....................................................................................................221
....................................................................................................258
WILIAMS, ROBERT DO.....................................................................................................................................................................
.............................................................................................130, 258
WILLIAMS, ALICIA M DO....................................................................................................................................................................
.............................................................................................258, 483
WILLIAMS, ROBERT DO...................................................................................................................................................................
WILLIAMSON, BRIAN D MD...............................................................................................................................................................
....................................................................................................373
....................................................................................................278
WOELFEL, ALAN K MD......................................................................................................................................................................
....................................................................................................278
WOHNS, DAVID H MD........................................................................................................................................................................
WOLSCHLEGER, KEVIN G MD..........................................................................................................................................................
....................................................................................................278
....................................................................................................373
WONG, WAI SHUN MD......................................................................................................................................................................
....................................................................................................455
WOODRUFF, NATHANIEL R MD........................................................................................................................................................
.....................................................................................305, 503, 570
WU, AUDREY H MD............................................................................................................................................................................
YAMADA, ELINA MD..........................................................................................................................................................................
.....................................................................................305, 503, 570
....................................................................................................315
YAZIGI, FIRAS MD.............................................................................................................................................................................
....................................................................................................570
YELLAYI, SUBRAHMANYA MD.........................................................................................................................................................
YOO, PETER MD...............................................................................................................................................................................
....................................................................................................221
.............................................................................................217, 455
YUNUS, ASIM MD..............................................................................................................................................................................
....................................................................................................172
ZACK, PAUL MD................................................................................................................................................................................
.............................................................................................221, 245
ZACK, PAUL MD................................................................................................................................................................................
ZAINEA, MARK A MD..........................................................................................................................................................................
.............................................................................................315, 466
....................................................................................................373
ZAKS, JEFFREY MD..........................................................................................................................................................................
.............................................................................................247, 455
ZAMAN, LIAQAT MD..........................................................................................................................................................................
ZARGHAMI, JAMAL MD.....................................................................................................................................................................
....................................................................................................373
....................................................................................................258
ZAYED, FARID F MD..........................................................................................................................................................................
.....................................................................................155, 258, 483
ZEGERIUS, RONALD J MD................................................................................................................................................................
....................................................................................................373
ZUGHAIB, MARCEL MD.....................................................................................................................................................................
ALAM, SYED MD................................................................................................................................................................................
.....................................130, 138, 146, 153, 155, 161, 258, 472, 483
....................................................................................................361
ALTERMAN, DANIEL MD...................................................................................................................................................................
BOROS, MICHAEL J MD.....................................................................................................................................................................
....................................................................................................207
....................................................................................................183
CHANGEZI, HAMEEM MD.................................................................................................................................................................
.............................................................................137, 247, 455, 481
COLLINS, JOHN MD..........................................................................................................................................................................
....................................................................................................455
GUDIPATI, CHALAPATHIRA MD.......................................................................................................................................................
.....................................................................................137, 247, 455
GUDIPATI, RAO VC MD......................................................................................................................................................................
....................................................................................................183
ISSAWI, IMAD MD..............................................................................................................................................................................
KASPER, GREGORY C MD................................................................................................................................................................
....................................................................................................354
.............................................................................................455, 475
KASSAS, SAFWAN MD......................................................................................................................................................................
.............................................................................................217, 455
KHETARPAL, VIPIN MD.....................................................................................................................................................................

Page 909
February 19, 2015

CARDIOVASCULAR SURGERY (CONTINUED)
LAVERONI, EUGENE W DO...............................................................................................................................................................
....................................................................................................373
.............................................................................................361, 448
MALLON, LAWERENCE I MD.............................................................................................................................................................
MCBRAYER, CRAIG V DO..................................................................................................................................................................
.............................................................................................361, 448
....................................................................................................354
MORRIS, MARVIN E MD.....................................................................................................................................................................
....................................................................................................504
OSBORNE, NICHOLAS H MD.............................................................................................................................................................
.....................................................................................183, 373, 455
PHILLIPS, CHERI R MD......................................................................................................................................................................
RITS, YEVGENIY M MD......................................................................................................................................................................
.............................................................................................373, 570
....................................................................................................571
RUBIN, JEFFREY R MD......................................................................................................................................................................
....................................................................................................373
RUBIN, JEFFREY REED MD...............................................................................................................................................................
SHARIFF, SHIRAZ MD.......................................................................................................................................................................
....................................................................................................455
....................................................................................................571
SIEGEL, THOMAS MD.......................................................................................................................................................................
....................................................................................................139
THORS, AXEL DO..............................................................................................................................................................................
....................................................................................................504
WAKEFIELD, THOMAS W MD............................................................................................................................................................
WALKER, GREGORY W DO...............................................................................................................................................................
....................................................................................................354
CHIROPRACTIC
ABDELMALEK, MAZIN MOHAMED DC...............................................................................................................................................
....................................................................................................635
....................................................................................................641
ADEGBENRO, ADEBOWALE DC......................................................................................................................................................
....................................................................................................641
AGRUSA, JEROME DC......................................................................................................................................................................
....................................................................................................641
AHEE, GLEN M DC.............................................................................................................................................................................
ALLEN, BRETT DC.............................................................................................................................................................................
....................................................................................................634
....................................................................................................638
AMUNDSEN, SANDRA DC................................................................................................................................................................
....................................................................................................635
ANDERSON, DANA DC.....................................................................................................................................................................
ANDERSON, TERA HAMO DC...........................................................................................................................................................
....................................................................................................635
....................................................................................................650
ANDREWS, DANA R DC.....................................................................................................................................................................
....................................................................................................645
APFELBLAT, ADAM DC.....................................................................................................................................................................
....................................................................................................650
APFELBLAT, AMANDA DC................................................................................................................................................................
ARMBRUSTER, ADAM DC................................................................................................................................................................
....................................................................................................648
....................................................................................................641
ARNOLD, DUANE W DC.....................................................................................................................................................................
....................................................................................................648
ARNOLD, HEIDI DC...........................................................................................................................................................................
ATON-AMON MORGAN, AAFERTI-ELRA DC....................................................................................................................................
....................................................................................................648
....................................................................................................640
AWERE, FRANCIS K DC....................................................................................................................................................................
....................................................................................................650
BADER, CASS J DC............................................................................................................................................................................
....................................................................................................641
BAETENS, BRYAN A DC....................................................................................................................................................................
BAGINSKI, MEGAN DC......................................................................................................................................................................
.............................................................................................634, 638
.............................................................................................638, 645
BAILEY, JARROD DC........................................................................................................................................................................
.....................................................................................632, 644, 650
BAILEY, MARK JOSEPH DC...............................................................................................................................................................
BAISE-BERGERON, ELIZABETH DC................................................................................................................................................
.....................................................................................635, 638, 650
....................................................................................................635
BAJAJ, ANDREW DC.........................................................................................................................................................................
....................................................................................................640
BALE, AMY L DC.................................................................................................................................................................................
....................................................................................................649
BANKS, ASHLEY DC.........................................................................................................................................................................
BARRETT, MICHAEL J DC.................................................................................................................................................................
....................................................................................................639
....................................................................................................648
BARRIGAR, JASON............................................................................................................................................................................
....................................................................................................644
BARRIGAR, JASON DC.....................................................................................................................................................................
....................................................................................................639
BASLER, CLAUDE J DC.....................................................................................................................................................................
BATTERBEE, CHRISTOPHER DC.....................................................................................................................................................
....................................................................................................637
....................................................................................................634
BEETHAM, VIRGINIA DC...................................................................................................................................................................
.............................................................................................637, 650
BEHNKE, SANDY DC.........................................................................................................................................................................
....................................................................................................641
BENCE, PAVEL DC............................................................................................................................................................................
....................................................................................................634
BENCHLEY, BRYON DC....................................................................................................................................................................
....................................................................................................635
BENN, DENNIS P DC..........................................................................................................................................................................
BENNETT, CHAS DC.........................................................................................................................................................................
....................................................................................................632
....................................................................................................633
BENTER, ROGER DC........................................................................................................................................................................
.............................................................................................644, 648
BERARD, JEFFREY T DC...................................................................................................................................................................

Page 910
February 19, 2015

CHIROPRACTIC (CONTINUED)
BERGEN, JONATHAN DC.................................................................................................................................................................
....................................................................................................636
....................................................................................................638
BERK, JAMIE DC...............................................................................................................................................................................
BERNARD, JOSEPH E DC..................................................................................................................................................................
....................................................................................................636
.............................................................................................645, 650
BETTS, DAVID DC.............................................................................................................................................................................
....................................................................................................645
BIEHL, ELIZABETH DC......................................................................................................................................................................
....................................................................................................640
BIRKENHAUER, KATIE DC................................................................................................................................................................
BLAKE, LINDA A DC...........................................................................................................................................................................
....................................................................................................632
....................................................................................................641
BLENDL, MICHAEL J DC....................................................................................................................................................................
....................................................................................................641
BLOODWORTH, JOHN G DC.............................................................................................................................................................
BLUNT, G BRIAN DC..........................................................................................................................................................................
....................................................................................................639
....................................................................................................641
BOGART, CASEY DC........................................................................................................................................................................
....................................................................................................645
BOOK, HAROLD DC..........................................................................................................................................................................
....................................................................................................645
BOOK, REBECCA DC........................................................................................................................................................................
BOSMAN, JEFFREY DC....................................................................................................................................................................
....................................................................................................645
....................................................................................................638
BOUFFORD, CATHERINE J DC.........................................................................................................................................................
....................................................................................................634
BOULTON, BRADLEY DC..................................................................................................................................................................
BOYKIN, ROBERT DC.......................................................................................................................................................................
....................................................................................................640
....................................................................................................632
BRACKEN, THOMAS M DC................................................................................................................................................................
.............................................................................................634, 638
BRADFORD, FRANCIS B DC..............................................................................................................................................................
....................................................................................................648
BRADY, WILLIAM DC.........................................................................................................................................................................
BRADY, WILLIAM J DC.......................................................................................................................................................................
....................................................................................................648
....................................................................................................641
BRAJAK, VLADIMIR J DC...................................................................................................................................................................
....................................................................................................641
BRENNAN, KEITH A DC.....................................................................................................................................................................
BRETZ, DONALD J DC.......................................................................................................................................................................
....................................................................................................638
.............................................................................................641, 648
BRIEDEN, ELIZABETH DC................................................................................................................................................................
....................................................................................................641
BRIOC, CHRISTOPHER M DC............................................................................................................................................................
....................................................................................................640
BROWN, MATTHEW A DC..................................................................................................................................................................
BROWNRIDGE, DENNIS G DC...........................................................................................................................................................
....................................................................................................638
....................................................................................................639
BRZEZINSKI, BRADLEY DC..............................................................................................................................................................
....................................................................................................634
BUGAI, ALAN F DC.............................................................................................................................................................................
BULLER, JEFFREY E DC....................................................................................................................................................................
....................................................................................................645
....................................................................................................645
BULLER, JEFFREY S DC....................................................................................................................................................................
....................................................................................................640
BURGER, MATTHEW J DC.................................................................................................................................................................
....................................................................................................640
BURKHART, KEVIN M DC..................................................................................................................................................................
BURT, MICHAEL A DC........................................................................................................................................................................
....................................................................................................633
....................................................................................................637
BUTTLEMAN, JASON S DC................................................................................................................................................................
....................................................................................................641
BUTZIN, JASON A DC........................................................................................................................................................................
CANFIELD, JACOB DC......................................................................................................................................................................
....................................................................................................640
....................................................................................................645
CARON, KEVIN DC............................................................................................................................................................................
....................................................................................................648
CARPENTER, JEFFREY DC..............................................................................................................................................................
....................................................................................................648
CARROLL, APRIL DC........................................................................................................................................................................
CARTER, TIMOTHY DC.....................................................................................................................................................................
....................................................................................................650
.............................................................................................634, 638
CARTER, TYSON DC.........................................................................................................................................................................
....................................................................................................645
CARUSO, SAM DC.............................................................................................................................................................................
.............................................................................................640, 649
CENTOFANTI, ERNEST R DC............................................................................................................................................................
CHADWELL, CLINTON M DC.............................................................................................................................................................
....................................................................................................639
....................................................................................................644
CHADWELL, PHILLIP L DC.................................................................................................................................................................
....................................................................................................634
CHAMBERS, RANDALL DC...............................................................................................................................................................
....................................................................................................649
CHAN, SAM DC..................................................................................................................................................................................
....................................................................................................637
CHANDLER, BRIAN J DC...................................................................................................................................................................
....................................................................................................634
CHILDS, ETHAN H DC........................................................................................................................................................................
CHMIELEWSKI, JOSEPH E DC..........................................................................................................................................................
....................................................................................................648
....................................................................................................644
CHOMIC, JEANETTE I DC..................................................................................................................................................................
....................................................................................................639
CHRIVIA, SHANNON DC...................................................................................................................................................................

Page 911
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CHURA, RICHARD E DC....................................................................................................................................................................
....................................................................................................632
....................................................................................................641
CLARK, DANIEL S DC........................................................................................................................................................................
CLAY, DAVID M DC............................................................................................................................................................................
....................................................................................................644
....................................................................................................641
CLEMENTS, DEREK DC....................................................................................................................................................................
....................................................................................................640
CLENDENAN, CLIFTON J DC.............................................................................................................................................................
....................................................................................................636
CLIFT, JASON DC..............................................................................................................................................................................
COEN, JOSHUA DC...........................................................................................................................................................................
....................................................................................................636
....................................................................................................634
COLESTOCK, DENISE S DC..............................................................................................................................................................
....................................................................................................644
CONANT, GARY W DC.......................................................................................................................................................................
CONANT, JAMIE R DC.......................................................................................................................................................................
....................................................................................................644
....................................................................................................644
CONANT, KELLEE DC.......................................................................................................................................................................
....................................................................................................638
CONLEY, JODY J DC..........................................................................................................................................................................
....................................................................................................641
COOK, WILLIAM S DC........................................................................................................................................................................
COOPER, KURT R DC........................................................................................................................................................................
....................................................................................................645
....................................................................................................650
COOPER, RYAN C DC........................................................................................................................................................................
....................................................................................................636
CORBIN, SUSAN DC.........................................................................................................................................................................
COSTELLO, MEGHAN DC.................................................................................................................................................................
....................................................................................................637
....................................................................................................644
COUCH, STANTON A DC...................................................................................................................................................................
....................................................................................................650
COUET, SARAH DC...........................................................................................................................................................................
....................................................................................................650
COUSINEAU, HENRY J DC................................................................................................................................................................
COUSINEAU, KRISTIN DC................................................................................................................................................................
....................................................................................................650
....................................................................................................636
COUSINEAU, MARTIN L DC...............................................................................................................................................................
....................................................................................................650
COUSINEAU, NICOLE DC.................................................................................................................................................................
COUSINEAU, SHANE M DC...............................................................................................................................................................
....................................................................................................647
....................................................................................................645
COWAN, JOHN S DC..........................................................................................................................................................................
.............................................................................636, 638, 645, 650
COZZETTO, SILVIO DC.....................................................................................................................................................................
.............................................................................................634, 639
CRAFT, DENNIS R DC........................................................................................................................................................................
CROMWELL, JONATHAN DC............................................................................................................................................................
....................................................................................................645
.....................................................................................637, 638, 650
CROWLEY, JEFFREY L DC................................................................................................................................................................
....................................................................................................639
CULP, JENNIFER M DC......................................................................................................................................................................
CUMMINGS, TERESA DC..................................................................................................................................................................
....................................................................................................640
....................................................................................................644
CUSHMAN, CRAIG DC......................................................................................................................................................................
....................................................................................................638
DAIGNEAULT, JEAN-GUY DC...........................................................................................................................................................
....................................................................................................634
DAIL, DANIEL DC...............................................................................................................................................................................
DAMRON, DARYL G DC.....................................................................................................................................................................
....................................................................................................636
....................................................................................................637
DANIELS, JAMES DC........................................................................................................................................................................
....................................................................................................634
DAVIS, KEVIN T DC............................................................................................................................................................................
DEAN, CHRISTOPHER DC................................................................................................................................................................
....................................................................................................645
....................................................................................................645
DEAN, JONATHON DC......................................................................................................................................................................
....................................................................................................632
DEBOE, BRUCE A DC........................................................................................................................................................................
....................................................................................................636
DEEHL, STEVEN T DC.......................................................................................................................................................................
DEHAVEN, ANDREW DC...................................................................................................................................................................
....................................................................................................632
....................................................................................................644
DEKRAKER, MATTHEW DC..............................................................................................................................................................
....................................................................................................645
DELAP, KEITH I DC............................................................................................................................................................................
....................................................................................................640
DELL, MICHAEL S DC........................................................................................................................................................................
DEMOND, ABRAHAM J DC................................................................................................................................................................
....................................................................................................633
....................................................................................................634
DENHOLM, CRAIG B DC....................................................................................................................................................................
....................................................................................................635
DENHOLM, KYLE M DC......................................................................................................................................................................
....................................................................................................636
DENNING, KEITH DC.........................................................................................................................................................................
....................................................................................................648
DENSE, MICHAEL J DC......................................................................................................................................................................
....................................................................................................645
DEVARY, SHAWN DC........................................................................................................................................................................
DIEGEL, ROBERT DC........................................................................................................................................................................
....................................................................................................641
.............................................................................................638, 645
DILTS, ERIC DC.................................................................................................................................................................................
....................................................................................................641
DIMARTINO, ERIC DC.......................................................................................................................................................................

Page 912
February 19, 2015

DIXON, PATRICK DC.........................................................................................................................................................................
....................................................................................................641
.............................................................................................648, 649
DOBSON, GREGORY L DC................................................................................................................................................................
DOLECKI, CHRISTOPHER A DC........................................................................................................................................................
....................................................................................................645
....................................................................................................636
DOMENICK, WAYNE DC...................................................................................................................................................................
....................................................................................................637
DONALDSON, HOLLY DC.................................................................................................................................................................
.............................................................................................633, 640
DONNELL, CALEB DC.......................................................................................................................................................................
DORAIS, JAMES DC..........................................................................................................................................................................
....................................................................................................644
....................................................................................................638
DOREY, HEATHER DC......................................................................................................................................................................
....................................................................................................650
DRAPLIN, MICHAEL DC....................................................................................................................................................................
DROUSE, RODNEY E DC...................................................................................................................................................................
....................................................................................................647
....................................................................................................642
DUBBS-KHAZNEHKATBI, CAROL DC...............................................................................................................................................
....................................................................................................642
DUDEK, GREGORY A DC...................................................................................................................................................................
....................................................................................................642
DUGAN, MARK J DC...........................................................................................................................................................................
ECKMAN JR, JAMES R DC.................................................................................................................................................................
....................................................................................................633
....................................................................................................649
EDGERTON, BRENT L DC.................................................................................................................................................................
....................................................................................................635
EHRNST, JAMES DC.........................................................................................................................................................................
ELCESER, LEIGH DC........................................................................................................................................................................
....................................................................................................645
....................................................................................................636
EL-GANAINY, KHALED DC................................................................................................................................................................
.............................................................................................632, 647
ELIAS, RENEE V DC...........................................................................................................................................................................
....................................................................................................640
ELLIOTT, JAMES DC.........................................................................................................................................................................
ELWART, FRANCIS DC.....................................................................................................................................................................
.............................................................................................646, 650
....................................................................................................633
FAIR, CHRISTOPHER DC..................................................................................................................................................................
....................................................................................................648
FAIRBANKS, RUSSELL A DC.............................................................................................................................................................
FARIS, MATHEW G DC......................................................................................................................................................................
....................................................................................................636
....................................................................................................646
FIREBERG, EDWARD DC..................................................................................................................................................................
....................................................................................................650
FORBES, CECIL I DC.........................................................................................................................................................................
....................................................................................................650
FORD, TUCKER DC...........................................................................................................................................................................
FOUNTAIN, GREGORY DC...............................................................................................................................................................
.............................................................................................642, 646
....................................................................................................644
FOX, CORBIN DC..............................................................................................................................................................................
....................................................................................................642
FRATTINI, EDWARD M DC.................................................................................................................................................................
FRIDLINE, CORRINA K DC.................................................................................................................................................................
....................................................................................................636
....................................................................................................648
FRIESS, JAMES L DC.........................................................................................................................................................................
....................................................................................................650
GABRIEL, ROBERT DC.....................................................................................................................................................................
....................................................................................................636
GANTOS, DAVID J DC........................................................................................................................................................................
GARZA, CARLOS DC.........................................................................................................................................................................
....................................................................................................637
....................................................................................................646
GAVIGLIO, ADRIAN S DC...................................................................................................................................................................
....................................................................................................645
GEERS, ERIC DC..............................................................................................................................................................................
GENNA PARENT, MARIE DC............................................................................................................................................................
....................................................................................................641
....................................................................................................649
GILBERT, KEVIN DC..........................................................................................................................................................................
....................................................................................................633
GILBERT, KRISTIN K DC....................................................................................................................................................................
....................................................................................................647
GILLING, CRAIG R DC........................................................................................................................................................................
GISCHIA, WILLIAM DC......................................................................................................................................................................
....................................................................................................646
....................................................................................................636
GOECKEL, ROBERT H DC.................................................................................................................................................................
....................................................................................................633
GOLAS, WILLIAM J DC.......................................................................................................................................................................
....................................................................................................637
GORDON, MATTHEW DC..................................................................................................................................................................
GOSNELL, ROBERT A DC..................................................................................................................................................................
....................................................................................................639
.............................................................................................642, 646
GOSS, WILLIAM DC..........................................................................................................................................................................
.............................................................................................642, 649
GRALEWSKI, LAWRENCE A DC........................................................................................................................................................
....................................................................................................647
GREENE, DANIEL E DC.....................................................................................................................................................................
....................................................................................................648
GREENWOOD, TIMOTHY DC............................................................................................................................................................
....................................................................................................650
GREGG, ROBERT DC.......................................................................................................................................................................
GREGG, ROBERT J DC......................................................................................................................................................................
....................................................................................................646
....................................................................................................642
GREINER, MICHAEL DC....................................................................................................................................................................
....................................................................................................637
GRIFFIS, SASHA DC.........................................................................................................................................................................

Page 913
February 19, 2015

GROSSMAN, GARY DC.....................................................................................................................................................................
....................................................................................................646
....................................................................................................633
GROVES, SEAN P DC........................................................................................................................................................................
GRUBER, DARRELL DC....................................................................................................................................................................
....................................................................................................642
....................................................................................................642
GUTHRIE, KEITH DC.........................................................................................................................................................................
....................................................................................................646
GUTIERREZ, FRANCISCO DC..........................................................................................................................................................
....................................................................................................642
GUZZARDO, DAVID DC.....................................................................................................................................................................
GWYN, LANCE DC.............................................................................................................................................................................
....................................................................................................640
....................................................................................................633
HACKETT, MEGAN DC......................................................................................................................................................................
....................................................................................................633
HACKETT, PATRICK DC....................................................................................................................................................................
HADLEY, HARRY DC.........................................................................................................................................................................
....................................................................................................640
.............................................................................................632, 640
HAFER, KATHRYN DC.......................................................................................................................................................................
....................................................................................................644
HAGLUND, MATTHEW DC................................................................................................................................................................
....................................................................................................646
HALLETT, ROBERT B DC...................................................................................................................................................................
HAMADANCHI, HOSSEIN DC............................................................................................................................................................
....................................................................................................633
....................................................................................................642
HAMILTON, KENNETH DC................................................................................................................................................................
....................................................................................................642
HAMILTON, KENNETH L DC..............................................................................................................................................................
HAMILTON, LINDSEY DC..................................................................................................................................................................
....................................................................................................646
....................................................................................................636
HANCZARYK, CHRISTINE DC...........................................................................................................................................................
....................................................................................................636
HANCZARYK, MICHEIL DC...............................................................................................................................................................
....................................................................................................649
HANRAHAN, THOMAS DC................................................................................................................................................................
HANS, SWATI S DC............................................................................................................................................................................
....................................................................................................642
....................................................................................................634
HANSEN, HEIDI DC...........................................................................................................................................................................
....................................................................................................646
HARPENAU, KIMBERLY DC..............................................................................................................................................................
HARRINGTON, ROBERT DC.............................................................................................................................................................
....................................................................................................635
....................................................................................................649
HARRIS, BENJAMIN DC....................................................................................................................................................................
....................................................................................................636
HARRIS, LONIE DC...........................................................................................................................................................................
....................................................................................................639
HARTMAN, STEVEN K DC.................................................................................................................................................................
HAYES, DENNIS DC..........................................................................................................................................................................
....................................................................................................645
....................................................................................................634
HEBERT, DOUGLAS L DC..................................................................................................................................................................
....................................................................................................636
HEHN, STEVEN D DC.........................................................................................................................................................................
HEINRICH, CRAIG DC.......................................................................................................................................................................
....................................................................................................638
....................................................................................................642
HEINZ, STEVEN DC...........................................................................................................................................................................
....................................................................................................642
HEITMAN, CHRISTOPHER B DC.......................................................................................................................................................
....................................................................................................644
HENDRICKS, JOHN S DC...................................................................................................................................................................
HENRIE, TROY L DC..........................................................................................................................................................................
....................................................................................................639
....................................................................................................638
HERMAN, RACHEL DC......................................................................................................................................................................
....................................................................................................644
HERRING, JAMES K DC.....................................................................................................................................................................
HESSLER, JOEL DC..........................................................................................................................................................................
....................................................................................................642
....................................................................................................635
HILLEBRENNER, LAURIE DC...........................................................................................................................................................
....................................................................................................632
HOARD, CHRISTINA K DC.................................................................................................................................................................
....................................................................................................638
HOFFMAN, ALISA DC........................................................................................................................................................................
HOFFMAN, HARLAN DC....................................................................................................................................................................
....................................................................................................632
....................................................................................................649
HOHF, KEITH DC...............................................................................................................................................................................
....................................................................................................642
HOLLAND, LINDA DC........................................................................................................................................................................
....................................................................................................638
HOLMBERG, RACHEL DC.................................................................................................................................................................
HORTON, JENNIFER DC...................................................................................................................................................................
....................................................................................................648
....................................................................................................642
HUDSON, JENNIFER DC...................................................................................................................................................................
....................................................................................................642
HUFFMAN, RYAN M DC.....................................................................................................................................................................
....................................................................................................650
HUGHES, KENNETH DC...................................................................................................................................................................
.............................................................................................636, 648
HUGHES, RHONDA DC.....................................................................................................................................................................
....................................................................................................637
HULLMAN, JASON T DC.....................................................................................................................................................................
HULLMAN, JENIFER J DC..................................................................................................................................................................
....................................................................................................637
....................................................................................................642
HUMINSKI, RICHARD F DC................................................................................................................................................................
....................................................................................................636
HUSMILLO, MICHAEL DC..................................................................................................................................................................

Page 914
February 19, 2015

HUSSAIN, IFTIKHAR DC...................................................................................................................................................................
....................................................................................................646
....................................................................................................638
IAFANO, PHAEDRA DC.....................................................................................................................................................................
IDE, JAMES DC..................................................................................................................................................................................
....................................................................................................636
....................................................................................................633
ILIFF, DANIEL A DC............................................................................................................................................................................
....................................................................................................644
INGLE, WILLIAM L DC........................................................................................................................................................................
....................................................................................................644
ISAACOFF, IRA B DC.........................................................................................................................................................................
ISZLER, AMBER N DC........................................................................................................................................................................
....................................................................................................635
....................................................................................................636
JACKSON, CHARLES DC..................................................................................................................................................................
....................................................................................................641
JACKSON, NEIL B DC........................................................................................................................................................................
JACO, LISA M DC...............................................................................................................................................................................
....................................................................................................634
....................................................................................................640
JACOB, KEVIN C DC..........................................................................................................................................................................
....................................................................................................633
JAIN, KAVITA DC...............................................................................................................................................................................
....................................................................................................642
JAKSA, NICOLA DC...........................................................................................................................................................................
JASMAN, JAMIE A DC........................................................................................................................................................................
....................................................................................................637
....................................................................................................635
JOHNSON, KEVIN H DC.....................................................................................................................................................................
....................................................................................................646
JOHNSON, RICHARD B DC................................................................................................................................................................
JONES, JOSHUA DC.........................................................................................................................................................................
....................................................................................................648
....................................................................................................636
KAHIN, KHADRA DC..........................................................................................................................................................................
....................................................................................................633
KAHN, AMY R DC...............................................................................................................................................................................
....................................................................................................640
KAMEGO, GREG DC.........................................................................................................................................................................
KAMINSKI, RAYMOND DC................................................................................................................................................................
....................................................................................................642
....................................................................................................642
KAPUT, EDWIN DC............................................................................................................................................................................
....................................................................................................636
KAPUT, EDWIN R DC.........................................................................................................................................................................
KARMON, TIMOTHY J DC..................................................................................................................................................................
....................................................................................................640
....................................................................................................646
KATZ, DAVID DC...............................................................................................................................................................................
....................................................................................................648
KEHRES, DANIEL DC........................................................................................................................................................................
....................................................................................................640
KEILS, JOHN P DC.............................................................................................................................................................................
KELLER, DOUGLAS E DC..................................................................................................................................................................
....................................................................................................649
....................................................................................................648
KELLY, JEFFREY A DC......................................................................................................................................................................
....................................................................................................646
KENDALL, MARK DC.........................................................................................................................................................................
KENT, AARON DC.............................................................................................................................................................................
....................................................................................................650
....................................................................................................634
KEPPNER, KURT J DC.......................................................................................................................................................................
....................................................................................................642
KHAN, MOHAMMAD SHAID DC.........................................................................................................................................................
....................................................................................................636
KIDWELL, CHRISTINE DC.................................................................................................................................................................
KILLIAN, BRIAN DC...........................................................................................................................................................................
....................................................................................................635
....................................................................................................632
KIMBALL, JEFFREY S DC..................................................................................................................................................................
....................................................................................................637
KISLING, ROBERT J DC.....................................................................................................................................................................
KLAPP, THOMAS DC.........................................................................................................................................................................
....................................................................................................650
....................................................................................................642
KLEINSTEIN, TODD K DC..................................................................................................................................................................
....................................................................................................633
KNIGHT, PHILIP DC...........................................................................................................................................................................
....................................................................................................635
KOLT, STEPHEN DC.........................................................................................................................................................................
KONARSKI, KIMBERLY DC...............................................................................................................................................................
....................................................................................................642
....................................................................................................646
KOPSCH, THOMAS DC.....................................................................................................................................................................
....................................................................................................635
KORONIOTIS, JEROME DC..............................................................................................................................................................
....................................................................................................640
KOTCHOUNIAN, ANTOINETTE M DC................................................................................................................................................
KOTTALIS, LAMBROS DC.................................................................................................................................................................
....................................................................................................636
....................................................................................................650
KRAMER, GREGORY M DC...............................................................................................................................................................
....................................................................................................642
KRAUSENECK, MICHAEL P DC.........................................................................................................................................................
....................................................................................................636
KRIBS, JACK W DC............................................................................................................................................................................
....................................................................................................638
KRIBS, JOHN D DC............................................................................................................................................................................
....................................................................................................640
KWAST, MICHAEL L DC.....................................................................................................................................................................
LACHARTITE, DARREN R DC............................................................................................................................................................
....................................................................................................632
....................................................................................................644
LAJINESS, DARYL DC.......................................................................................................................................................................
....................................................................................................646
LAJINESS, DEANA A DC....................................................................................................................................................................

Page 915
February 19, 2015

LAKE, CHAD M DC.............................................................................................................................................................................
....................................................................................................635
....................................................................................................644
LASCALA, JOSEPH DC.....................................................................................................................................................................
LAUCHER, KEVIN DC........................................................................................................................................................................
....................................................................................................635
....................................................................................................641
LEBLANC, RUSSELL A DC.................................................................................................................................................................
....................................................................................................632
LECLAIR, LEONARD J DC..................................................................................................................................................................
....................................................................................................641
LEEDLE, JAMES D DC.......................................................................................................................................................................
LEFEVER, JULIE DC..........................................................................................................................................................................
....................................................................................................642
....................................................................................................635
LEINDECKER, ROBERT J DC............................................................................................................................................................
....................................................................................................648
LENGKEEK, JEREMY R DC...............................................................................................................................................................
LENGKEEK, WILLIAM D DC...............................................................................................................................................................
....................................................................................................640
....................................................................................................649
LEVERENZ, BENJAMIN DC...............................................................................................................................................................
....................................................................................................649
LEVERENZ, BRANDI DC...................................................................................................................................................................
....................................................................................................646
LEWIS, CHRISTOPHER DC...............................................................................................................................................................
LEZOTTE, RICHARD A DC.................................................................................................................................................................
....................................................................................................638
....................................................................................................641
LIBS, LARRY L DC..............................................................................................................................................................................
....................................................................................................633
LIEURANCE, CHERYL A DC..............................................................................................................................................................
LINK, RICHARD A DC.........................................................................................................................................................................
....................................................................................................632
....................................................................................................649
LIPKE, ERIC DC.................................................................................................................................................................................
....................................................................................................635
LITTLE, SARAH E DC.........................................................................................................................................................................
....................................................................................................646
LOCKWOOD, KENNETH P DC...........................................................................................................................................................
LOGAN, BILL DC................................................................................................................................................................................
....................................................................................................642
....................................................................................................650
LOTFI, AHAD E DC.............................................................................................................................................................................
....................................................................................................647
LUCAS, RYAN J DC............................................................................................................................................................................
LUCEY, BENJAMIN F DC....................................................................................................................................................................
....................................................................................................634
....................................................................................................642
LUKOSAVICH, MARC A DC................................................................................................................................................................
....................................................................................................642
LUKOWSKI, RYAN DC.......................................................................................................................................................................
....................................................................................................642
LUNDGAARD, AARON M DC..............................................................................................................................................................
LUPO, JEFFREY DC..........................................................................................................................................................................
....................................................................................................642
....................................................................................................642
LUPO, JESSICA DC...........................................................................................................................................................................
....................................................................................................642
LUPO, JOSEPH DC...........................................................................................................................................................................
LYONS, ROBERT J DC.......................................................................................................................................................................
....................................................................................................637
....................................................................................................649
MACNEIL, CRAIG DC........................................................................................................................................................................
....................................................................................................650
MAKHOOL, SHEILA DC.....................................................................................................................................................................
....................................................................................................637
MALCHEFF, TIMOTHY M DC..............................................................................................................................................................
MALOCHLEB, LORI DC.....................................................................................................................................................................
....................................................................................................648
....................................................................................................638
MANUEL, STEVEN DC......................................................................................................................................................................
....................................................................................................647
MARENTETTE, DREW J DC...............................................................................................................................................................
MARKLE, ROBERT P DC....................................................................................................................................................................
....................................................................................................632
....................................................................................................649
MARSHALL, ERIC J DC......................................................................................................................................................................
.............................................................................................635, 638
MARSHALL, MELISSA G DC..............................................................................................................................................................
....................................................................................................646
MARSHALL, RONDA DC....................................................................................................................................................................
MARTENS, DIAN K DC.......................................................................................................................................................................
....................................................................................................632
....................................................................................................633
MARTIN, SANDRA DC.......................................................................................................................................................................
.............................................................................................642, 646
MASON, DAVID DC............................................................................................................................................................................
....................................................................................................642
MASON, DAVID C DC.........................................................................................................................................................................
MASSA, RODGER W DC....................................................................................................................................................................
....................................................................................................634
....................................................................................................642
MATOSHKO, JEFFREY DC................................................................................................................................................................
....................................................................................................642
MATTAR, JEFFREY J DC...................................................................................................................................................................
....................................................................................................638
MAURER, RENEE A DC.....................................................................................................................................................................
....................................................................................................638
MAY, KAREN E DC.............................................................................................................................................................................
....................................................................................................649
MC MATH, BRADLEY DC..................................................................................................................................................................
MCALPINE, FRED DC........................................................................................................................................................................
....................................................................................................640
....................................................................................................646
MCCARTNEY, JENNIFER DC............................................................................................................................................................
....................................................................................................635
MCCARTNEY, KEVIN DC..................................................................................................................................................................

Page 916
February 19, 2015

MCCARTY, PHILIP DC.......................................................................................................................................................................
....................................................................................................646
....................................................................................................649
MCCLELLAND, MICHAEL R DC.........................................................................................................................................................
MCCLURE, KRISTEN L DC.................................................................................................................................................................
....................................................................................................633
....................................................................................................633
MCDONALD, JOHN C DC...................................................................................................................................................................
....................................................................................................633
MCFADDEN, BRIAN P DC..................................................................................................................................................................
....................................................................................................642
MCFADDEN, DAVID DC.....................................................................................................................................................................
MCFARLAND, GREG DC...................................................................................................................................................................
....................................................................................................650
.............................................................................................638, 639
MCHENRY, TROY R DC.....................................................................................................................................................................
....................................................................................................647
MCKENZIE, CHERIE A DC.................................................................................................................................................................
MCLAUGHLIN, SHANA L DC..............................................................................................................................................................
....................................................................................................636
....................................................................................................649
MCLEOD, GARY R DC........................................................................................................................................................................
....................................................................................................642
MCLEOD, SCOTT DC........................................................................................................................................................................
....................................................................................................645
MCNINCH, CHARLES J DC................................................................................................................................................................
MCPHARLIN, MICHAEL P DC.............................................................................................................................................................
....................................................................................................649
....................................................................................................638
MELUCH, GEORGE DC.....................................................................................................................................................................
....................................................................................................633
MILLER, AARON DC..........................................................................................................................................................................
MILLER, AIMEE DC...........................................................................................................................................................................
....................................................................................................646
....................................................................................................633
MILLER, BAILEY J DC........................................................................................................................................................................
....................................................................................................634
MILLER, KIMBERLY DC.....................................................................................................................................................................
....................................................................................................643
MILLER, MARK A DC..........................................................................................................................................................................
MILLER, RYAN DC.............................................................................................................................................................................
.............................................................................................643, 646
....................................................................................................643
MINKIEWICZ, ROSE ANN DC.............................................................................................................................................................
....................................................................................................643
MIRAMONTI, FRANK C DC.................................................................................................................................................................
MIROWSKI, RICHARD J DC...............................................................................................................................................................
....................................................................................................643
....................................................................................................646
MITCHELL, DAVID T DC.....................................................................................................................................................................
....................................................................................................633
MITCHELL, TOBY A DC......................................................................................................................................................................
....................................................................................................645
MOREA, MICHAEL T DC.....................................................................................................................................................................
MORGAN, ELRA DC..........................................................................................................................................................................
....................................................................................................649
....................................................................................................644
MORGAN-RICH, MARNIE A DC..........................................................................................................................................................
....................................................................................................643
MOSES, JACK A DC...........................................................................................................................................................................
MOSKAL, RYAN C DC........................................................................................................................................................................
....................................................................................................633
....................................................................................................646
MUKEKU, DUNCAN K DC...................................................................................................................................................................
....................................................................................................637
MURPHY, DUSTINE K DC..................................................................................................................................................................
....................................................................................................637
MURPHY, MICHAEL P DC..................................................................................................................................................................
MURPHY, RICHARD T DC..................................................................................................................................................................
....................................................................................................637
....................................................................................................640
MYERS, BRETT A DC.........................................................................................................................................................................
....................................................................................................635
MYERS, JAMES D DC........................................................................................................................................................................
MYERS, JEROMY...............................................................................................................................................................................
....................................................................................................640
....................................................................................................633
MYERS, JEROMY DC........................................................................................................................................................................
.............................................................................................633, 640
MYERS, RACHELLE DC....................................................................................................................................................................
.............................................................................................644, 648
NAGEL, RODNEY V DC......................................................................................................................................................................
NEUNER, THOMAS J DC....................................................................................................................................................................
....................................................................................................643
....................................................................................................640
NEWQUIST, SCOTT DC....................................................................................................................................................................
....................................................................................................632
NICHOLAS, NATHAN DC...................................................................................................................................................................
....................................................................................................646
NICHOLSON, LAURA DC...................................................................................................................................................................
OCHADLEUS, MARK H DC.................................................................................................................................................................
....................................................................................................640
....................................................................................................646
ODELL, KEVIN J DC...........................................................................................................................................................................
.............................................................................................632, 647
OLIVER, BRIAN D DC.........................................................................................................................................................................
....................................................................................................648
OLREE, DAVID A DC..........................................................................................................................................................................
....................................................................................................648
OLREE, DOUGLAS A DC....................................................................................................................................................................
....................................................................................................648
OLREE, SHELLEY K DC.....................................................................................................................................................................
OLVERA, KATHLEEN A DC................................................................................................................................................................
....................................................................................................646
....................................................................................................639
ONSTOTT, CRAIG DC.......................................................................................................................................................................
....................................................................................................640
OOSTERHART, KAREEN L DC..........................................................................................................................................................

Page 917
February 19, 2015

OSMER, THERESA A DC...................................................................................................................................................................
....................................................................................................638
....................................................................................................638
OWUSU, BETHANY A DC...................................................................................................................................................................
OWUSU, SYLVESTER W DC..............................................................................................................................................................
.............................................................................................636, 638
....................................................................................................646
OZA, MAHAVIR DC............................................................................................................................................................................
....................................................................................................645
PADDEN, CATHLEEN M DC...............................................................................................................................................................
....................................................................................................645
PADDEN, GARY R DC........................................................................................................................................................................
PADDEN, TIFFANY R DC...................................................................................................................................................................
....................................................................................................645
.............................................................................................645, 647
PALMER, DAMIAN A DC.....................................................................................................................................................................
....................................................................................................635
PARKER, DIANN DC..........................................................................................................................................................................
PARKER, KEVIN T DC........................................................................................................................................................................
....................................................................................................638
....................................................................................................648
PARKHURST, BRIAN S DC................................................................................................................................................................
....................................................................................................648
PARKHURST, KARLA A DC................................................................................................................................................................
.....................................................................................636, 648, 649
PARTRIDGE, GLENN DC...................................................................................................................................................................
PATRICK, MEGAN A DC.....................................................................................................................................................................
....................................................................................................638
....................................................................................................640
PATTERSON, ALBERT DC................................................................................................................................................................
....................................................................................................647
PAULSON, KENDALL DC..................................................................................................................................................................
PAVLOV, JENNIFER DC....................................................................................................................................................................
....................................................................................................649
....................................................................................................638
PERRAULT, KIRBY K DC....................................................................................................................................................................
....................................................................................................647
PERRY, EVAN J DC............................................................................................................................................................................
....................................................................................................633
PETHERS, RICKY L DC......................................................................................................................................................................
PFEIFFER, LINDSEY V DC.................................................................................................................................................................
.............................................................................................635, 639
....................................................................................................643
PFLAUM, DAVID DC..........................................................................................................................................................................
....................................................................................................643
PISPIDIKIS, JOHN DC.......................................................................................................................................................................
PLOWMAN, TERRESA J DC...............................................................................................................................................................
....................................................................................................649
....................................................................................................649
POFF, CASEY M DC...........................................................................................................................................................................
....................................................................................................643
POHLEN, WILLIAM DC......................................................................................................................................................................
....................................................................................................638
POLETTI, MARK DC..........................................................................................................................................................................
PREBISH, RICHARD G DC.................................................................................................................................................................
....................................................................................................633
....................................................................................................643
PRICE, LISA DC.................................................................................................................................................................................
....................................................................................................643
PURDY, WILLIAM A DC......................................................................................................................................................................
PURDY-CANTU, NICOLE J DC...........................................................................................................................................................
....................................................................................................643
.............................................................................................634, 635
QUARTERMUS, IAN K DC..................................................................................................................................................................
....................................................................................................638
QUINN, ASHLEY DC..........................................................................................................................................................................
....................................................................................................645
RACKHAM, AARON L DC...................................................................................................................................................................
RAEON, FLOYD DC...........................................................................................................................................................................
....................................................................................................646
....................................................................................................633
RANDALL, RICK DC...........................................................................................................................................................................
....................................................................................................638
RANDHAWA, RANDY DC..................................................................................................................................................................
RANES, SIMONE N DC.......................................................................................................................................................................
....................................................................................................639
.....................................................................................636, 646, 650
RAOOFI, HILA DC..............................................................................................................................................................................
....................................................................................................639
RASSEL, DENISE DC........................................................................................................................................................................
....................................................................................................639
RASSEL, LINDA A DC.........................................................................................................................................................................
RAUCH, JEFFREY K DC.....................................................................................................................................................................
....................................................................................................643
....................................................................................................651
REAGAN, SCOTT S DC......................................................................................................................................................................
....................................................................................................643
REINHARDT, RICHARD DC...............................................................................................................................................................
....................................................................................................633
RICKS, JEFFREY DC.........................................................................................................................................................................
RICKS, JEFFREY B DC......................................................................................................................................................................
....................................................................................................633
.............................................................................................638, 643
RIVERS, RICHARD DC......................................................................................................................................................................
....................................................................................................639
ROBINSON, SCOTT DC.....................................................................................................................................................................
.....................................................................................634, 644, 646
RODNICK, ADAM DC.........................................................................................................................................................................
....................................................................................................644
RODNICK, ALEX H DC.......................................................................................................................................................................
.............................................................................................634, 644
RODNICK, COREY B DC....................................................................................................................................................................
RODNICK, NEIL DC...........................................................................................................................................................................
....................................................................................................644
....................................................................................................644
RODNICK, PAUL DC..........................................................................................................................................................................
....................................................................................................646
ROGERS, DAYNE DC........................................................................................................................................................................

Page 918
February 19, 2015

ROGERS, ROBERT J DC....................................................................................................................................................................
....................................................................................................639
....................................................................................................635
ROLLE, ROBERT D DC......................................................................................................................................................................
ROOST, CHARLES F DC....................................................................................................................................................................
....................................................................................................635
....................................................................................................647
RUDDY, PATRICK DC.......................................................................................................................................................................
....................................................................................................646
RUMPH, BERNARD J DC...................................................................................................................................................................
....................................................................................................646
RUMPH, PAUL A DC...........................................................................................................................................................................
RUMPH, REBECCA R DC...................................................................................................................................................................
....................................................................................................646
....................................................................................................649
RUTHERFORD, PHILIP S DC.............................................................................................................................................................
....................................................................................................646
RYKSE, MICHAEL DC........................................................................................................................................................................
SABO, BRADLEY DC.........................................................................................................................................................................
....................................................................................................646
.............................................................................................632, 648
SAKS, GARY DC................................................................................................................................................................................
....................................................................................................650
SALA, TIMOTHY DC..........................................................................................................................................................................
.............................................................................................643, 650
SALEH, RASHAD DC.........................................................................................................................................................................
SANDBERG, THOMAS DC................................................................................................................................................................
....................................................................................................634
....................................................................................................646
SANDLER, DAVID DC........................................................................................................................................................................
....................................................................................................643
SARVER, EDWARD DC.....................................................................................................................................................................
SAWAYA, ALBERT P DC....................................................................................................................................................................
....................................................................................................637
....................................................................................................646
SAYLOR, ANNA M DC........................................................................................................................................................................
....................................................................................................646
SCHAFER, JOHN A DC......................................................................................................................................................................
....................................................................................................641
SCHAFER, NATHAN DC....................................................................................................................................................................
SCHAFER, SARAH DC......................................................................................................................................................................
....................................................................................................641
....................................................................................................636
SCHELTER, RICK O DC.....................................................................................................................................................................
....................................................................................................650
SCHNEIDER, GRANT A DC................................................................................................................................................................
SCHNEIDER, MARK DC....................................................................................................................................................................
....................................................................................................643
....................................................................................................639
SCHRIBER, MARCI M DC...................................................................................................................................................................
....................................................................................................647
SCHUELER, HEATHER DC...............................................................................................................................................................
....................................................................................................647
SCHULDINGER, MICHAEL S DC........................................................................................................................................................
SCHUSTER, NICHOLAS DC..............................................................................................................................................................
....................................................................................................639
....................................................................................................643
SCHWALM, ALLAN DC......................................................................................................................................................................
....................................................................................................647
SCLABASSI, GARY J DC....................................................................................................................................................................
SCOTT, JENNIFER N DC....................................................................................................................................................................
....................................................................................................645
....................................................................................................640
SEBESKY, BRIAN DC........................................................................................................................................................................
.............................................................................................636, 648
SEEFELDT, BRIAN DC......................................................................................................................................................................
....................................................................................................647
SEITER, ALLEN DC...........................................................................................................................................................................
SEITER, KRISTA DC..........................................................................................................................................................................
....................................................................................................647
....................................................................................................637
SEKOL, EDWARD J DC......................................................................................................................................................................
....................................................................................................643
SELBY-COOK, ERICA L DC................................................................................................................................................................
SELLE, ERIC DC................................................................................................................................................................................
....................................................................................................644
....................................................................................................645
SEMLOW, BROCK J DC.....................................................................................................................................................................
....................................................................................................645
SEMLOW, SCOTT R DC.....................................................................................................................................................................
.............................................................................................641, 643
SERENKO, STEPHANIE DC..............................................................................................................................................................
SERGY, DAVID R DC..........................................................................................................................................................................
....................................................................................................636
....................................................................................................636
SERVEN, BRUCE D DC......................................................................................................................................................................
.............................................................................................635, 639
SETTIMI, HARRY A DC.......................................................................................................................................................................
....................................................................................................643
SHAEFFER, CRAIG DC.....................................................................................................................................................................
SHAH, TIMOTHY R DC.......................................................................................................................................................................
....................................................................................................647
....................................................................................................632
SHARP, DOUGLAS DC......................................................................................................................................................................
....................................................................................................649
SHAW, IAN W DC...............................................................................................................................................................................
....................................................................................................637
SHAW, JEFFREY K DC.......................................................................................................................................................................
....................................................................................................635
SHENEMAN, JOSEPH DC.................................................................................................................................................................
....................................................................................................641
SHERMAN, BRUCE K DC...................................................................................................................................................................
SHIEMKE, CHARLES DC...................................................................................................................................................................
....................................................................................................643
....................................................................................................650
SHOEMAKER, GARY DC...................................................................................................................................................................
....................................................................................................651
SHUSTERIC, JOSEPH DC.................................................................................................................................................................

Page 919
February 19, 2015

SILBERT, DAVID DC..........................................................................................................................................................................
....................................................................................................651
....................................................................................................649
SIMINSKI, ROGER A DC....................................................................................................................................................................
SIMMONS, PAUL DC.........................................................................................................................................................................
....................................................................................................651
....................................................................................................644
SIMMONS, STEVEN B DC..................................................................................................................................................................
....................................................................................................647
SINAWI, DAVID DC............................................................................................................................................................................
....................................................................................................641
SKOUSON, ROBERT H DC................................................................................................................................................................
SLAGLE, MICHELLE DC....................................................................................................................................................................
....................................................................................................643
.............................................................................................634, 644
SLUSHER, TAMARA DC....................................................................................................................................................................
....................................................................................................643
SMITH, BRIAN DC.............................................................................................................................................................................
SMITH, JODY N DC............................................................................................................................................................................
....................................................................................................649
....................................................................................................640
SMITH, JOHN D DC............................................................................................................................................................................
....................................................................................................636
SMITH, MARK DC..............................................................................................................................................................................
....................................................................................................644
SMITH, ROBERT T DC.......................................................................................................................................................................
SMITH, STACEY C DC........................................................................................................................................................................
....................................................................................................649
....................................................................................................641
SMITH, STEPHAN J DC......................................................................................................................................................................
....................................................................................................643
SMITH, THOMAS DC.........................................................................................................................................................................
SNIDER, JESSE DC...........................................................................................................................................................................
.............................................................................................647, 651
....................................................................................................633
SOLLENBERGER, ALYSSA M DC......................................................................................................................................................
....................................................................................................649
SOLOMON, MICHAEL DC..................................................................................................................................................................
....................................................................................................632
SONGER, DAVID M DC......................................................................................................................................................................
SPENCER, JAMES C DC....................................................................................................................................................................
.............................................................................................637, 641
....................................................................................................644
SQUIRES, LEWIS G DC......................................................................................................................................................................
....................................................................................................643
STANCZAK, JASON DC.....................................................................................................................................................................
STARK, JAY DC.................................................................................................................................................................................
....................................................................................................647
....................................................................................................637
STEDMAN, ELIZABETH A DC.............................................................................................................................................................
....................................................................................................635
STEINBACH, WILLIAM J DC...............................................................................................................................................................
....................................................................................................635
STEPANOVICH, DENNIS DC.............................................................................................................................................................
STEPHENS, MEGAN L DC.................................................................................................................................................................
....................................................................................................649
....................................................................................................636
STONE, DAVID M DC.........................................................................................................................................................................
....................................................................................................636
STORK, RICHARD DC.......................................................................................................................................................................
STROIA, SUSAN M DC.......................................................................................................................................................................
....................................................................................................651
....................................................................................................634
STROM, LUCILE M DC.......................................................................................................................................................................
....................................................................................................634
STROM, RICHARD W DC...................................................................................................................................................................
....................................................................................................637
STUDT, TIMOTHY D DC.....................................................................................................................................................................
SUCHEY, BRANDON DC...................................................................................................................................................................
.............................................................................................634, 648
....................................................................................................649
SUKSI, JEANNINE M DC....................................................................................................................................................................
....................................................................................................650
SUTTON, KEVIN M DC.......................................................................................................................................................................
SUTTON, MISTY DC..........................................................................................................................................................................
....................................................................................................650
.............................................................................................635, 639
SUTTON-SETTIMI, CARA B DC..........................................................................................................................................................
....................................................................................................641
SWAIN, MATTHEW C DC...................................................................................................................................................................
....................................................................................................651
SWINDLE, JERRY D DC.....................................................................................................................................................................
SZAGESH, ALAN J DC.......................................................................................................................................................................
....................................................................................................640
....................................................................................................640
TALLERIE, PIERRE DC.....................................................................................................................................................................
....................................................................................................650
TATTERSALL, RAYMOND DC...........................................................................................................................................................
....................................................................................................651
TAYLOR, DAVID DC..........................................................................................................................................................................
TAZZI, JACOB A DC...........................................................................................................................................................................
....................................................................................................633
....................................................................................................641
TERSIGNI, TIMOTHY J DC.................................................................................................................................................................
.............................................................................................647, 651
TEZERA, SISSAY DC.........................................................................................................................................................................
....................................................................................................644
THOMAS, CRAIG DC.........................................................................................................................................................................
....................................................................................................633
THOMAS, DANIEL J DC......................................................................................................................................................................
....................................................................................................633
THOMPSON, JAMES DC...................................................................................................................................................................
TIETSORT, SARAH DC......................................................................................................................................................................
....................................................................................................639
....................................................................................................648
TILLER, KENNETH R DC....................................................................................................................................................................
....................................................................................................635
TITZE, KURT S DC..............................................................................................................................................................................

Page 920
February 19, 2015

TOMASZYCKI, PAMELA.....................................................................................................................................................................
....................................................................................................643
....................................................................................................637
TOWERS, ANDREA DC.....................................................................................................................................................................
TREICHEL, KELLIE J DC....................................................................................................................................................................
....................................................................................................632
....................................................................................................639
TRELOAR, JOHN W DC......................................................................................................................................................................
....................................................................................................639
TROMBLEY, TERRY D DC..................................................................................................................................................................
....................................................................................................632
TROMBLEY, THOMAS J DC...............................................................................................................................................................
TUREK, ROBERT DC.........................................................................................................................................................................
....................................................................................................632
....................................................................................................647
UPCHURCH, STEPHEN M DC............................................................................................................................................................
....................................................................................................632
VAN KINTS, RONALD M DC...............................................................................................................................................................
VAN SKYHOCK, JUSTIN A DC...........................................................................................................................................................
....................................................................................................637
....................................................................................................651
VANDE VEEGAETE, JAMIE L DC.......................................................................................................................................................
....................................................................................................651
VANDE VEEGAETE, SCOTT W DC....................................................................................................................................................
....................................................................................................644
VANDERLOO, NATHAN DC...............................................................................................................................................................
VANDEVEEGAETE, JENNIFER DC...................................................................................................................................................
....................................................................................................643
....................................................................................................643
VANHOUTTEGHEM, ARTHUR DC....................................................................................................................................................
....................................................................................................638
VANHOUTTEGHEM, JAMES A DC.....................................................................................................................................................
VARGA, DAVID D DC..........................................................................................................................................................................
....................................................................................................649
....................................................................................................641
VARGA, DJORDJE DC.......................................................................................................................................................................
....................................................................................................647
VAUGHN, JACQUELINE C DC............................................................................................................................................................
.............................................................................................635, 639
VERBURG, BRADLEY DC.................................................................................................................................................................
VOLZ, KYLENE DC............................................................................................................................................................................
....................................................................................................639
....................................................................................................632
VORRARO, LORIE J DC.....................................................................................................................................................................
....................................................................................................632
WACKERLY, CATHERINE DC...........................................................................................................................................................
WALLACE, JEFFERY D DC................................................................................................................................................................
....................................................................................................635
....................................................................................................639
WALLEY, ERIK J DC...........................................................................................................................................................................
....................................................................................................637
WALSH, MICHAEL T DC.....................................................................................................................................................................
....................................................................................................647
WALTER, MICHAELLA DC.................................................................................................................................................................
WALTON, KEVIN DC..........................................................................................................................................................................
....................................................................................................637
....................................................................................................644
WANGLER, ALEXIS DC.....................................................................................................................................................................
....................................................................................................647
WANGLER, ALEXIS M DC..................................................................................................................................................................
WARNARS, MICHAEL R DC...............................................................................................................................................................
....................................................................................................641
....................................................................................................644
WARNER, DENNIS R DC....................................................................................................................................................................
.............................................................................................637, 641
WARREN, KAREN L DC.....................................................................................................................................................................
....................................................................................................644
WASKEVICH, MELANIE DC...............................................................................................................................................................
WASMUND, TIMOTHY M DC..............................................................................................................................................................
....................................................................................................643
....................................................................................................635
WEGMANN, MICHAEL J DC...............................................................................................................................................................
....................................................................................................649
WEIERSTAHL, ARNDT DC................................................................................................................................................................
WEINSTEIN, DENNIS S DC................................................................................................................................................................
....................................................................................................639
....................................................................................................632
WEST, BERNADETTE C DC...............................................................................................................................................................
....................................................................................................647
WETHERBEE, JOHN M DC................................................................................................................................................................
....................................................................................................647
WHITE, JASON M DC.........................................................................................................................................................................
WHITE, MARK O DC...........................................................................................................................................................................
....................................................................................................650
....................................................................................................639
WHITFIELD, JODI K DC......................................................................................................................................................................
....................................................................................................639
WHITFORD, DENNIS W DC................................................................................................................................................................
....................................................................................................634
WHITMAN, JENNIFER DC.................................................................................................................................................................
WIEDERHOLD, JEFFREY E DC.........................................................................................................................................................
....................................................................................................640
....................................................................................................643
WILBRAHAM, NICOLE DC.................................................................................................................................................................
....................................................................................................640
WILCOX, RANDALL I DC....................................................................................................................................................................
....................................................................................................633
WILKIN, AARON D DC........................................................................................................................................................................
.............................................................................................643, 647
WILLEMIN, ADAM DC........................................................................................................................................................................
....................................................................................................643
WILLEMIN, ADAM W DC.....................................................................................................................................................................
WILLEMIN, DOUGLAS L DC...............................................................................................................................................................
....................................................................................................645
.............................................................................................634, 648
WILLEY, GARY E DC..........................................................................................................................................................................
....................................................................................................643
WILLIAMS, THERESA DC..................................................................................................................................................................

Page 921
February 19, 2015

WILLIAMS, WILLIAM DC....................................................................................................................................................................
....................................................................................................639
....................................................................................................639
WILLIAMSON, JASON DC.................................................................................................................................................................
WITINKO, SCOTT DC........................................................................................................................................................................
....................................................................................................643
....................................................................................................639
WITTE, STEPHANIE DC....................................................................................................................................................................
....................................................................................................651
WODA, JAMES J DC...........................................................................................................................................................................
.............................................................................................634, 635
WOHLFERT, MONICA DC.................................................................................................................................................................
WOHLFERT, RYAN DC......................................................................................................................................................................
.............................................................................................634, 635
....................................................................................................643
WOOD, JOHN DC..............................................................................................................................................................................
....................................................................................................643
WOOD, STEVEN DC..........................................................................................................................................................................
WOODBECK, BRIAN D DC.................................................................................................................................................................
....................................................................................................650
....................................................................................................645
WOODRUFF, DANIEL R DC...............................................................................................................................................................
....................................................................................................643
WOOD-ZANCHETTA, CAROL DC......................................................................................................................................................
.............................................................................................647, 651
WOOLMAN, RICHARD DC.................................................................................................................................................................
WORLEY, PAUL E DC........................................................................................................................................................................
....................................................................................................637
....................................................................................................643
WRUBEL, SHAWN DC.......................................................................................................................................................................
....................................................................................................650
YEAGER, ERIC DC............................................................................................................................................................................
YEAGER, HEIDI S DC.........................................................................................................................................................................
.............................................................................................638, 650
....................................................................................................643
YOUNG, TIMOTHY DC.......................................................................................................................................................................
....................................................................................................647
ZACK, SCOTT DC..............................................................................................................................................................................
....................................................................................................649
ZIMMER, CHRISTOPHER J DC..........................................................................................................................................................
ZIMMERMAN, KYLE DC.....................................................................................................................................................................
.............................................................................................639, 649
....................................................................................................648
ZUBECK, BRETT DC.........................................................................................................................................................................
....................................................................................................639
ZUKER, GERALD A DC......................................................................................................................................................................
CLINIC
MCLAREN SLEEP DIAGNOSTIC CENTER........................................................................................................................................
....................................................................................................373
CLINICAL GENETICS
FLORE, LEIGH MD.............................................................................................................................................................................
....................................................................................................571
....................................................................................................504
GELEHRTER, THOMAS D MD............................................................................................................................................................
HANNIBAL, MARK C MD.....................................................................................................................................................................
....................................................................................................504
....................................................................................................504
INNIS, JEFFREY W MD......................................................................................................................................................................
....................................................................................................571
JAY, ALLISON M MD...........................................................................................................................................................................
....................................................................................................278
MARK, PAUL R MD.............................................................................................................................................................................
MARTIN, DONNA M MD......................................................................................................................................................................
....................................................................................................504
....................................................................................................504
OMENN, GILBERT S MD....................................................................................................................................................................
....................................................................................................504
QUINONEZ, SHANE C MD..................................................................................................................................................................
SIDHU, ALPA MD...............................................................................................................................................................................
....................................................................................................221
.............................................................................................305, 504
STERN, RALPH H MD.........................................................................................................................................................................
....................................................................................................571
STERN, RALPH H MD.........................................................................................................................................................................
....................................................................................................504
THOENE, JESS G MD.........................................................................................................................................................................
FUENTES, FAITH MD........................................................................................................................................................................
....................................................................................................350
....................................................................................................373
FURMAGA, MICHELLE L MD..............................................................................................................................................................
JOHNSON, ABIGAIL R PHD...............................................................................................................................................................
....................................................................................................504
....................................................................................................504
MINECAN, DANIELA N MD.................................................................................................................................................................
....................................................................................................315
QADIR, FARIHA MD...........................................................................................................................................................................

AKHTAR, JAWAID MD.......................................................................................................................................................................
....................................................................................................466
ALAME, AMER MD.............................................................................................................................................................................
....................................................................................................571
.............................................................................................315, 373
BARK, KENNETH S MD......................................................................................................................................................................
....................................................................................................373
BARKEL, DONALD C MD....................................................................................................................................................................

Page 922
February 19, 2015

BRICKNER, ROBERT J JR MD...........................................................................................................................................................
....................................................................................................221
.............................................................................................155, 259
CHALASANI, SRIDHAR MD...............................................................................................................................................................
CHEN, MICHAEL F MD.......................................................................................................................................................................
....................................................................................................259
....................................................................................................221
COFFEY, DANIEL C MD.....................................................................................................................................................................
.............................................................................................373, 571
DESHMUKH, GANESH R MD.............................................................................................................................................................
....................................................................................................571
DICKASON, ROBERT DO..................................................................................................................................................................
DRELICHMAN, ERNESTO MD...........................................................................................................................................................
....................................................................................................373
....................................................................................................278
DUJOVNY, NADAV MD......................................................................................................................................................................
....................................................................................................221
GIAMMAR, DAVID MD.......................................................................................................................................................................
HAIN, JON M MD................................................................................................................................................................................
.............................................................................................315, 373
....................................................................................................259
HOUSE, MARIA WILLIAMSON MD.....................................................................................................................................................
....................................................................................................373
ITAWI, ED MD....................................................................................................................................................................................
....................................................................................................259
ITAWI, ED A MD..................................................................................................................................................................................
ITENBERG, EDWIN R DO...................................................................................................................................................................
....................................................................................................373
....................................................................................................221
JULIEN, LUCAS A MD.........................................................................................................................................................................
....................................................................................................373
KADRO, OMAR MD............................................................................................................................................................................
KARAMCHANDANI, MAHESH MD.....................................................................................................................................................
.............................................................................................155, 259
....................................................................................................373
KLEIN, STEVEN N MD........................................................................................................................................................................
.............................................................................................315, 373
LANDES, RAYMOND V MD................................................................................................................................................................
.....................................................................................315, 373, 374
LYNCH, JAMES P MD.........................................................................................................................................................................
MATTINGLY, MARK MD.....................................................................................................................................................................
....................................................................................................183
....................................................................................................221
MENNING, MARK I MD.......................................................................................................................................................................
....................................................................................................221
MOELLER, ALBERT C MD..................................................................................................................................................................
MOSED-VOGEL, LYNDA M MD..........................................................................................................................................................
.............................................................................................315, 374
....................................................................................................374
PRIEST, STEPHEN G MD...................................................................................................................................................................
....................................................................................................374
SACKSNER, JORDY S MD.................................................................................................................................................................
....................................................................................................217
SENAGORE, ANTHONY MD..............................................................................................................................................................
SHELLNUT, JASON K MD..................................................................................................................................................................
....................................................................................................374
.............................................................................................139, 455
SOLH, WAEL A MD.............................................................................................................................................................................
....................................................................................................571
SWISTAK, STEPHEN P MD................................................................................................................................................................
SY JR, GUAT MD...............................................................................................................................................................................
....................................................................................................571
.............................................................................................183, 374
TOOTLA, AMOD S MD........................................................................................................................................................................
.............................................................................................183, 374
TOOTLA, FAROUK S MD....................................................................................................................................................................
....................................................................................................467
VALJEE, KRISHNA MD......................................................................................................................................................................
ZAINEA, GEORGE G MD....................................................................................................................................................................
....................................................................................................350
....................................................................................................374
ZIEGLER, MATTHEW A MD................................................................................................................................................................
COUNSELOR
A BRIGHTER TOMORROW COUNSELING........................................................................................................................................
....................................................................................................691
....................................................................................................715
ABA PATHWAYS LLC.........................................................................................................................................................................
....................................................................................................715
ACCETTA, ADRIAN LPC....................................................................................................................................................................
ACHATZ, RACHEL LPC.....................................................................................................................................................................
....................................................................................................684
.............................................................684, 694, 697, 703, 704, 705
ACKLEY, CINDY LLPC.......................................................................................................................................................................
....................................................................................................705
ADALINE, VALERIE LPC...................................................................................................................................................................
.............................................................................694, 703, 704, 711
ADAMS, DIANNE LLPC......................................................................................................................................................................
ADDICTIONS SOLUTIONS COUNSELING CENTER..........................................................................................................................
....................................................................................................682
....................................................................................................690
ADVANCED COUNSELING SERVICES..............................................................................................................................................
....................................................................................................683
ADVANTAGE COUNSELING AND EDUCATION................................................................................................................................
....................................................................................................700
AGNEW, CAROL S LMFT...................................................................................................................................................................
....................................................................................................715
AIMONE, BARBARA A LPC................................................................................................................................................................
.....................................................................694, 703, 704, 705, 711
ALDERINK, LARRY MA......................................................................................................................................................................
ALEXANDER, ERIKA LPC.................................................................................................................................................................
....................................................................................................705
....................................................................................................705
ALGER, JOYCE L MSW......................................................................................................................................................................
....................................................................................................705
ALLEN, JILL LMSW............................................................................................................................................................................

Page 923
February 19, 2015

COUNSELOR (CONTINUED)
ALLEN, KEITH D MA, LPC..................................................................................................................................................................
....................................................................................................688
....................................................................................................690
ALONZI, DANIEL LMSW....................................................................................................................................................................
ALPHA FAMILY COUNSELING...........................................................................................................................................................
.............................................................................................705, 715
....................................................................................................703
AMBER LANGE PH D MA LPC CAACC..............................................................................................................................................
....................................................................................................697
ANAYA, DINA M LPC..........................................................................................................................................................................
....................................................................................................697
ANDERSON, ASHLEY LPC................................................................................................................................................................
ANDERSON, CHRISTINE LLPC.........................................................................................................................................................
.............................................................684, 694, 697, 703, 704, 705
....................................................................................................715
ANGEL COUNSELING INC.................................................................................................................................................................
....................................................................................................697
APPLETON, KAREN LLPC.................................................................................................................................................................
ARCHAMBEAU, DOROTHY A LPC.....................................................................................................................................................
....................................................................................................687
....................................................................................................688
ARMBRUSTER, NANCY LPC.............................................................................................................................................................
....................................................................................................704
ARNDT, LISA N LPC...........................................................................................................................................................................
....................................................................................................699
ARTINIAN, JULIE LPC.......................................................................................................................................................................
ASCEND COUNSELING SERVICES PLLC.........................................................................................................................................
....................................................................................................688
.............................................................694, 697, 703, 704, 705, 711
ASH, STEPHANIE LLMFT/LLPC........................................................................................................................................................
....................................................................................................711
ATCHINSON, BELINDA LPC..............................................................................................................................................................
ATCHISON, BELINDA LPC................................................................................................................................................................
.....................................................................694, 697, 703, 704, 705
....................................................................................................715
ATIYEH, SHADIN R LLPC...................................................................................................................................................................
....................................................................................................688
AUBURN COUNSELING ASSOCIATES..............................................................................................................................................
....................................................................................................697
AUPPERLEE, DANIEL LLPC..............................................................................................................................................................
AUTHENTIC THERAPIES LLC............................................................................................................................................................
....................................................................................................699
....................................................................................................697
AUTISM ASPERGER ASSOCIATES OF MI LLC.................................................................................................................................
.............................................................................................700, 705
BABST, SUSAN C LPC.......................................................................................................................................................................
BACCHUS, MARCELLA L LPC...........................................................................................................................................................
....................................................................................................696
....................................................................................................696
BAGGERMAN, MARY J MA................................................................................................................................................................
....................................................................................................690
BAILEY, SHELLY MSW......................................................................................................................................................................
....................................................................................................705
BAK, JENNIFER LPC.........................................................................................................................................................................
BALDWIN, PATRICIA A LPC...............................................................................................................................................................
....................................................................................................696
....................................................................................................713
BALLARD, MICHAEL R LPC...............................................................................................................................................................
....................................................................................................704
BANKS, ANITA LPC...........................................................................................................................................................................
BANKS, MEGHAN LLPC....................................................................................................................................................................
....................................................................................................691
....................................................................................................684
BARNES, JODI L LLPC.......................................................................................................................................................................
.............................................................................................700, 715
BASHAWATY, KAREN LLP................................................................................................................................................................
....................................................................................................688
BAUMGARTNER, KENDRA A LLPC...................................................................................................................................................
BEACH, CORINNE E MSW.................................................................................................................................................................
....................................................................................................700
....................................................................................................691
BEACON COUNSELING SERVICES LLC...........................................................................................................................................
....................................................................................................700
BEACON OF HOPE COUNSELING LLC.............................................................................................................................................
BEAUVAIS, LISA LPC........................................................................................................................................................................
....................................................................................................700
....................................................................................................691
BECKMAN-ELLENWOOD, SUSAN LPC............................................................................................................................................
....................................................................................................705
BEDFORD, DIANE LLPC....................................................................................................................................................................
....................................................................................................694
BEECH, DANA A LMSW.....................................................................................................................................................................
BEERY, KARA L LPC..........................................................................................................................................................................
....................................................................................................695
....................................................................................................705
BEHAVIORAL HEALTH ASSOCIATES PLLC......................................................................................................................................
....................................................................................................691
BELL, JENNIFER R LMSW.................................................................................................................................................................
....................................................................................................715
BELONGEA, MARY JO LLP...............................................................................................................................................................
BENOIT, MARION LPC......................................................................................................................................................................
....................................................................................................700
.............................................................................................700, 705
BENTLEY, TERESA C LPC.................................................................................................................................................................
....................................................................................................711
BERDAN, SHANDA LPC....................................................................................................................................................................
.............................................................................................705, 706
BERG, MARGARET M LLPC...............................................................................................................................................................
....................................................................................................684
BESON, LISA MA LPC.......................................................................................................................................................................
....................................................................................................715
BEYERSDORF, KOAKI LPC..............................................................................................................................................................
BIGGS, BARBARA LPC.....................................................................................................................................................................
....................................................................................................700
....................................................................................................699
BISHOP, DONNA LPC.......................................................................................................................................................................
....................................................................................................691
BLESSING CUP LLC...........................................................................................................................................................................

Page 924
February 19, 2015

BLEVINS WILHELM, EARLENE B LPC...............................................................................................................................................
....................................................................................................690
....................................................................................................691
BLOHM, LINDA LMSW.......................................................................................................................................................................
BLOOMING CONSULTANTS PLLC....................................................................................................................................................
....................................................................................................711
....................................................................................................713
BLUE WATER SERENITY COUNSELING PLLC.................................................................................................................................
....................................................................................................700
BLUMBERG, ERIC S LPC...................................................................................................................................................................
....................................................................................................697
BOATMAN, MARCIA LPC..................................................................................................................................................................
BODELL, ROBERT LPC.....................................................................................................................................................................
.............................................................684, 694, 697, 703, 704, 705
....................................................................................................697
BOEVE, JASON LPC.........................................................................................................................................................................
....................................................................................................700
BOHNE, JENNIFER LPC....................................................................................................................................................................
BOLOGNA, MELINA LPC...................................................................................................................................................................
....................................................................................................700
....................................................................................................691
BOMBRYS, SHANA LMSW................................................................................................................................................................
....................................................................................................706
BOOTH COUNSELING SERVICES.....................................................................................................................................................
....................................................................................................691
BORGMAN, CYNTHIA MSW..............................................................................................................................................................
BOUCKAERT, VICTORIA MA LPC.....................................................................................................................................................
....................................................................................................712
....................................................................................................706
BOUDREAU-THOMAS, STEFFANIE LPC..........................................................................................................................................
....................................................................................................703
BOUDRIE, MICHAEL E MSW..............................................................................................................................................................
BOWERS, PAMELA LLP....................................................................................................................................................................
....................................................................................................715
....................................................................................................691
BRACHER, DONNA LPC....................................................................................................................................................................
....................................................................................................700
BRADYCHOK, EILEEN LPC...............................................................................................................................................................
....................................................................................................700
BREIDENBACH, BONNIE MA............................................................................................................................................................
BRICKEL, LINDA LPC........................................................................................................................................................................
.............................................................................................690, 712
....................................................................................................688
BRIGHT HORIZONS PSYCHOLOGICAL CENTER PLLC...................................................................................................................
....................................................................................................684
BRISSETTE, ELON M LPC.................................................................................................................................................................
BROGAN, SHIRLEY LPC...................................................................................................................................................................
....................................................................................................706
.............................................................................................700, 706
BROOKS, KIMBERLY D LPC..............................................................................................................................................................
....................................................................................................696
BROOKS, SUSAN A LPC....................................................................................................................................................................
....................................................................................................706
BROWN, ALICIA LPC.........................................................................................................................................................................
BROWN, CHARLES LPC...................................................................................................................................................................
....................................................................................................697
....................................................................................................697
BROWN, KIMBERLY I LPC.................................................................................................................................................................
....................................................................................................691
BROWN, LYNN B LPC........................................................................................................................................................................
BRUNKE, EMILY LPC........................................................................................................................................................................
....................................................................................................706
....................................................................................................688
BRUZ, WENDY S LLP.........................................................................................................................................................................
....................................................................................................687
BUCCI, PETER S LPC........................................................................................................................................................................
....................................................................................................696
BUCCILLI, MARIA E LLPC..................................................................................................................................................................
BURBANK, PATRICIA LPC................................................................................................................................................................
....................................................................................................695
....................................................................................................691
BURDICK, KATHERINE LPC.............................................................................................................................................................
....................................................................................................697
BURKE GROUP COUNSELING AND CONSULTING..........................................................................................................................
BURNS-WORTHAM, CAROL M LPC..................................................................................................................................................
....................................................................................................706
....................................................................................................703
BUSH, PAMELA M LLPC....................................................................................................................................................................
....................................................................................................697
BUSMAN, REBECCA S LPC...............................................................................................................................................................
....................................................................................................687
BUSSEY-HOOPER, CONNIE LMSW.................................................................................................................................................
BUTLER, CAROL LPC.......................................................................................................................................................................
....................................................................................................697
....................................................................................................691
BYERLEY, LISBETH L A LPC.............................................................................................................................................................
....................................................................................................686
BYRON COUNSELING........................................................................................................................................................................
....................................................................................................686
BYRON COUNSELING LLC................................................................................................................................................................
CALCOTT, DIANA MA LPC................................................................................................................................................................
....................................................................................................694
....................................................................................................699
CAMPBELL, TIMOTHY LPC...............................................................................................................................................................
....................................................................................................700
CARDAMONE, LAURA LMSW...........................................................................................................................................................
....................................................................................................715
CARE COUNSELING SOLUTIONS LLC..............................................................................................................................................
....................................................................................................706
CARE MATTERS LLC.........................................................................................................................................................................
....................................................................................................685
CARING WORKS COUNSELING SERVICES.....................................................................................................................................
CARLOCK, DANIEL LLPC..................................................................................................................................................................
....................................................................................................706
.............................................................................................700, 706
CARLSON, KYM LPC.........................................................................................................................................................................
....................................................................................................691
CARMONEY, DARLA LLPC...............................................................................................................................................................

Page 925
February 19, 2015

CARPENTER, DIANA LPC.................................................................................................................................................................
....................................................................................................688
.............................................................................................691, 700
CARRASCO, CANDICE M LCSW.......................................................................................................................................................
CARROLL, TARA R LPC.....................................................................................................................................................................
....................................................................................................690
....................................................................................................696
CARTER, VICKI M LPC.......................................................................................................................................................................
....................................................................................................713
CAUSEY PERRA, ANN LPC..............................................................................................................................................................
....................................................................................................706
CAVELL, PATRICK LPC.....................................................................................................................................................................
CENTERED INSIGHT HEALING PLLC...............................................................................................................................................
....................................................................................................688
....................................................................................................689
CENTRAL MICHIGAN COUNSELING SERVICES..............................................................................................................................
....................................................................................................706
CENTRIA HEALTHCARE LLC.............................................................................................................................................................
CHANGE IS POSSIBLE COUNSELING SVCS....................................................................................................................................
....................................................................................................700
....................................................................................................713
CHANGING COURSE COUNSELING.................................................................................................................................................
....................................................................................................684
CHAPIN, DIANE LPC.........................................................................................................................................................................
.............................................................................................685, 714
CHAPMAN, GLENN H LPC LMFT.......................................................................................................................................................
CHARLESTON, KATHY LPC..............................................................................................................................................................
....................................................................................................700
....................................................................................................688
CHEATOM, HANA LPC......................................................................................................................................................................
....................................................................................................697
CHERRY ST HEALTH SERVICES LEONARD ST COUNSELING CENTER.......................................................................................
CHRISTENSEN, KIMBERLY LPC......................................................................................................................................................
....................................................................................................691
....................................................................................................686
CHRISTIAN COUNSELING CENTER..................................................................................................................................................
....................................................................................................695
CHRISTIAN COUNSELING OF MID MICHIGAN.................................................................................................................................
....................................................................................................697
CHRISTMAS, KIMBERLY LLPC.........................................................................................................................................................
CIRCLE OF LIFE COUNSELING SERVICES......................................................................................................................................
....................................................................................................688
....................................................................................................697
CLARK, KERRIE LPC.........................................................................................................................................................................
....................................................................................................691
CLARK, ROBERT LLPC.....................................................................................................................................................................
CLEMENT, STEVE LLPC...................................................................................................................................................................
....................................................................................................706
....................................................................................................696
CLINICAL PSYCHOLOGY SERVICES PLLC......................................................................................................................................
.............................................................................................685, 690
CLUTE, CHRISTINE LPC...................................................................................................................................................................
.............................................................................................685, 690
CLUTE, CHRISTINE P MA LPC..........................................................................................................................................................
COAT OF MANY COLORS LLC..........................................................................................................................................................
....................................................................................................691
....................................................................................................700
COCHRAN, CARMEN LPC................................................................................................................................................................
....................................................................................................715
COHEN, ADAM E LMSW....................................................................................................................................................................
COHN, MELANIE LMSW....................................................................................................................................................................
....................................................................................................706
....................................................................................................713
COLBERG, JENNIFER LPC...............................................................................................................................................................
....................................................................................................695
COLE, CORY MSW............................................................................................................................................................................
....................................................................................................696
COLEMAN, BARBARA S MA..............................................................................................................................................................
COLLINS, ERIKA LPC........................................................................................................................................................................
....................................................................................................700
....................................................................................................695
COMMUNITY COUNSELING ASSOCIATES PC.................................................................................................................................
....................................................................................................691
COMPASSION COUNSELING SERVICES.........................................................................................................................................
COMPTON, BARBARA LMSW...........................................................................................................................................................
....................................................................................................700
....................................................................................................703
CONNECTIONS COUNSELING AND CONSULTING..........................................................................................................................
....................................................................................................712
CONNELLY, BELEN LPC...................................................................................................................................................................
.............................................................................................690, 691
CONRAD, CLIFFORD JR LPC............................................................................................................................................................
COOPER, ANNE M LPC.....................................................................................................................................................................
....................................................................................................696
....................................................................................................687
COOPER, MICHAEL LLMSW.............................................................................................................................................................
....................................................................................................704
COOPER, TRACEY A LPC..................................................................................................................................................................
.............................................................................................691, 706
CORACE, ELLENE LPC.....................................................................................................................................................................
COSCARELLI, KATHY FAYE LPC......................................................................................................................................................
.............................................................................................687, 703
....................................................................................................696
COTTRELL, J CRAIG MSW................................................................................................................................................................
....................................................................................................700
COUCH, JESSICA LPC......................................................................................................................................................................
....................................................................................................716
COUNSELING AND THERAPY ASSOCIATES PC..............................................................................................................................
....................................................................................................688
COUNSELING FOR ALL AGES...........................................................................................................................................................
....................................................................................................699
COUNSELING OF LENAWEE PC.......................................................................................................................................................
COUNSELING OF MIND CENTER......................................................................................................................................................
....................................................................................................706
....................................................................................................700
COUNSELING WELLNESS CENTER.................................................................................................................................................
....................................................................................................705
COUSINEAU, RANDY L LPC CAA......................................................................................................................................................

Page 926
February 19, 2015

COUTURE, DEANNA LPC.................................................................................................................................................................
....................................................................................................711
....................................................................................................713
COX, SARAH LLPC............................................................................................................................................................................
COX-WENTZ, JUDITH A LPC.............................................................................................................................................................
....................................................................................................706
....................................................................................................696
CRABB, ANN E LPC...........................................................................................................................................................................
....................................................................................................699
CRAKE, JENNIFER L LPC..................................................................................................................................................................
....................................................................................................688
CRANDELL-EWING, LESLIE LPC......................................................................................................................................................
CREATIVE COUNSELING SERVICES................................................................................................................................................
....................................................................................................691
....................................................................................................700
CRIDER, KAREN LPC........................................................................................................................................................................
....................................................................................................688
CRIPPS LOONEY, CARMEN LLPC....................................................................................................................................................
CROSSROADS THERAPY LLC..........................................................................................................................................................
....................................................................................................700
....................................................................................................688
CROUCH, JOHN LPC.........................................................................................................................................................................
....................................................................................................712
CST COUNSELING AND TRANSITIONAL SERVICES.......................................................................................................................
....................................................................................................706
CUBBIN, JASON LLPC......................................................................................................................................................................
CUBITT, CRISTY LPC........................................................................................................................................................................
....................................................................................................713
....................................................................................................703
CUNNINGHAM, DEVON MARIE LPC..................................................................................................................................................
....................................................................................................697
CUPKA, MEGHAN LPC......................................................................................................................................................................
CURTIS, LINDA T LPC........................................................................................................................................................................
....................................................................................................706
....................................................................................................697
CURTIS, NANCY L LPC......................................................................................................................................................................
....................................................................................................691
CYPHERS, MARCI RENE-NELSON LPC............................................................................................................................................
....................................................................................................687
DALE, ESTHER MA LPC....................................................................................................................................................................
DALTON, STACEY LPC.....................................................................................................................................................................
....................................................................................................706
....................................................................................................684
DALY, VALERIE B LPC.......................................................................................................................................................................
....................................................................................................688
DANIELS, SHERRY LPC....................................................................................................................................................................
DANTUS, DEBORA LMSW................................................................................................................................................................
....................................................................................................691
....................................................................................................712
DAUGHERTY-ROSAS, SARAH LLPC................................................................................................................................................
....................................................................................................715
DAVENPORT-GEER, SUSAN LMSW.................................................................................................................................................
....................................................................................................700
DAVIDSON, KARSHIBIA LLPC..........................................................................................................................................................
DAVID-SUCH, BONNIE LMSW..........................................................................................................................................................
....................................................................................................691
.............................................................................688, 690, 691, 714
DAVIS, PAMELA LPC.........................................................................................................................................................................
....................................................................................................691
DAVIS-ROBISON, JERILYN MA LLP MSW........................................................................................................................................
DBT CENTER OF MICHIGAN PLLC....................................................................................................................................................
.....................................................................................686, 691, 699
....................................................................................................691
DEAN, MOLLY A LCSW......................................................................................................................................................................
....................................................................................................716
DEARBORN PASTORAL COUNSELING CENTER.............................................................................................................................
....................................................................................................697
DECKER, ELAINE J LPC....................................................................................................................................................................
DEJONG, EMILY B LMFT....................................................................................................................................................................
....................................................................................................695
....................................................................................................711
DEMPSEY, BRUCE W LPC.................................................................................................................................................................
....................................................................................................706
DERBABIAN, ANAHID LPC................................................................................................................................................................
DESROCHER, AMY LPC...................................................................................................................................................................
....................................................................................................700
....................................................................................................685
DETTMANN, JESSICA LPC...............................................................................................................................................................
....................................................................................................706
DEVEE, KERRY LLPC.......................................................................................................................................................................
....................................................................................................704
DICKINSON, STEPHANIE B LPC........................................................................................................................................................
DIEGUEZ-MOYA, PRISCILLA LPC....................................................................................................................................................
....................................................................................................696
....................................................................................................714
DIGGS, DAWN R LPC.........................................................................................................................................................................
....................................................................................................691
DOERING, KAYLEA LMSW................................................................................................................................................................
....................................................................................................712
DOERING, KAYLEA MSW..................................................................................................................................................................
DONNELLY, SIOBHAN LMSW...........................................................................................................................................................
....................................................................................................715
....................................................................................................706
DONOUGHE, KAREN LPC.................................................................................................................................................................
....................................................................................................687
DRADER, JOELLE LLPC...................................................................................................................................................................
....................................................................................................714
DRIFTWOOD COUNSELING SERVICES PLLC..................................................................................................................................
....................................................................................................714
DUCHAM, REBECCA LMSW.............................................................................................................................................................
....................................................................................................700
DUDZINSKI, GREGORY LPC.............................................................................................................................................................
DULLEA, MARCIE M LLPC.................................................................................................................................................................
....................................................................................................701
....................................................................................................695
DUNHAM, BRENDA LPC...................................................................................................................................................................
....................................................................................................701
DURISEK, MARION M LPC.................................................................................................................................................................

Page 927
February 19, 2015

DUTHIE, ROBIN LPC.........................................................................................................................................................................
....................................................................................................695
....................................................................................................703
DUVALL, L KIM LPC...........................................................................................................................................................................
DYE, AMANDA LPC...........................................................................................................................................................................
....................................................................................................688
....................................................................................................699
DYKES, BRIAN P LPC........................................................................................................................................................................
....................................................................................................714
DYKSTRA, WENDY LPC....................................................................................................................................................................
....................................................................................................701
DYMPHNA COUNSELING LLC...........................................................................................................................................................
DYSTE-BALES, ELIZABETH LMSW..................................................................................................................................................
....................................................................................................691
....................................................................................................691
EARLEY, RHONDA MORSE LPC.......................................................................................................................................................
....................................................................................................695
EASTERLING, BRENDA L LPC...........................................................................................................................................................
EDWARDS, ANNE LPC......................................................................................................................................................................
....................................................................................................716
....................................................................................................688
EISENHARDT, CORINNE A MA..........................................................................................................................................................
....................................................................................................692
ELEMENTS BEHAVIORAL HEALTH PLLC.........................................................................................................................................
....................................................................................................706
ELEMENTS OF CHANGE COUNSELING CENTER............................................................................................................................
ELLIS, DUANE LLPC..........................................................................................................................................................................
....................................................................................................695
.............................................................................................715, 716
ELSMAN, JANICE MA........................................................................................................................................................................
....................................................................................................700
EMMONS, JANET K LLPC..................................................................................................................................................................
EPPERT, CLIFF LPC..........................................................................................................................................................................
....................................................................................................695
....................................................................................................690
ERBER, NICHOLAUS LPC.................................................................................................................................................................
....................................................................................................692
ESCOBAR-CHEW, ANA-ROCIO LPC................................................................................................................................................
....................................................................................................704
ESTILL-LOFTS, AMANDA LPC..........................................................................................................................................................
EVANS, MARION D LMSW.................................................................................................................................................................
....................................................................................................715
....................................................................................................687
EVANS, MINDY LMSW......................................................................................................................................................................
....................................................................................................701
EVANS-EBIO, BELINDA LMSW.........................................................................................................................................................
FABER, KATHLEEN LLPC.................................................................................................................................................................
....................................................................................................687
....................................................................................................701
FAITA, CHRISTINA LMSW.................................................................................................................................................................
....................................................................................................716
FAMILIES R SPECIAL COUNSELING CENTER.................................................................................................................................
....................................................................................................688
FAMILY CHOICE COUNSELING AND CASE MGT.............................................................................................................................
FAMILY COUNSELING AND MEDIATION SVCS................................................................................................................................
....................................................................................................696
....................................................................................................690
FAMILY COUNSELING CENTER PLLC..............................................................................................................................................
....................................................................................................713
FAMILY COUNSELING SERVICES.....................................................................................................................................................
FAMILY HEALTH PSYCHIATRIC & COUNSELING CENTER.............................................................................................................
.............................................................................................690, 695
....................................................................................................713
FAMILY RESOURCE COUNSELING..................................................................................................................................................
.............................................................................................706, 707
FARLIN, CYNTHIA LPC......................................................................................................................................................................
....................................................................................................684
FECHT, NATALIE C LPC.....................................................................................................................................................................
FECHTER, CAROL LPC.....................................................................................................................................................................
....................................................................................................684
.............................................................................................688, 699
FENTON BEHAVIORAL HEALTH SERVICES LLC.............................................................................................................................
....................................................................................................715
FERO, PATRICIA LMSW....................................................................................................................................................................
FETZER, JANE LPC...........................................................................................................................................................................
....................................................................................................695
....................................................................................................715
FINLEY, SUSAN LMSW.....................................................................................................................................................................
....................................................................................................701
FINN, HEATHER LPC........................................................................................................................................................................
....................................................................................................701
FISCHER, SUZAN LLP.......................................................................................................................................................................
FLEMING, ELIZABETH LLPC.............................................................................................................................................................
....................................................................................................692
....................................................................................................697
FOLEY-BURGESS, MARGARET LPC................................................................................................................................................
....................................................................................................701
FOLLEBOUT, AMY LPC.....................................................................................................................................................................
....................................................................................................702
FORGUE, BARBARA LPC..................................................................................................................................................................
FORRESTER, KELLY LPC.................................................................................................................................................................
....................................................................................................690
....................................................................................................692
FORTINO, ANNETTE L LMSW............................................................................................................................................................
....................................................................................................715
FRALEY, SARAH LMSW....................................................................................................................................................................
....................................................................................................692
FRAWLEY COUNSELING SERVICES LLC.........................................................................................................................................
....................................................................................................701
FREEMAN, MATTHEW LPC..............................................................................................................................................................
....................................................................................................697
FRITCH, FAENE R LPC......................................................................................................................................................................
FROST, COURTNEY MA LPC............................................................................................................................................................
....................................................................................................695
....................................................................................................707
FROST-PORTERFIELD, GINA LPC...................................................................................................................................................
.............................................................................................703, 715
FRY, AMY MFT...................................................................................................................................................................................

Page 928
February 19, 2015

FULLER, BERNITA LLPC...................................................................................................................................................................
....................................................................................................713
.............................................................................................699, 713
FULLER, BERNITA LPC.....................................................................................................................................................................
FULLER, STEPHEN K LPC.................................................................................................................................................................
....................................................................................................684
....................................................................................................701
FULLMER, SHEILA LPC....................................................................................................................................................................
....................................................................................................688
FULTZ, APRIL MA..............................................................................................................................................................................
....................................................................................................695
GALGOCI, TRACEY LPC...................................................................................................................................................................
GALGOCI, TRACEY L LPC.................................................................................................................................................................
....................................................................................................695
....................................................................................................697
GALMISH, DIANA LPC.......................................................................................................................................................................
....................................................................................................707
GARANT, SHARON LMSW................................................................................................................................................................
GARDNER, NANCY LPC....................................................................................................................................................................
.............................................................................................684, 712
....................................................................................................701
GAWARAN, KAREN LMSW...............................................................................................................................................................
.............................................................................................707, 716
GEIGER, DIX LPC..............................................................................................................................................................................
....................................................................................................685
GENERATIONS COUNSELING SVCS LLC........................................................................................................................................
GERLOFS, JACQUELINE L LPC.........................................................................................................................................................
....................................................................................................697
....................................................................................................692
GHELANI, ASHITA B LLP...................................................................................................................................................................
....................................................................................................692
GIBSON, TARSHA MA LLPC.............................................................................................................................................................
GILBERT, MICHAEL LPC...................................................................................................................................................................
....................................................................................................700
....................................................................................................701
GILL, SUSAN MSW............................................................................................................................................................................
....................................................................................................716
GIORIO, JOSHUA LPC......................................................................................................................................................................
....................................................................................................697
GLASS, JULIE LMFT..........................................................................................................................................................................
GLIO COUNSELING GROUP PLC......................................................................................................................................................
....................................................................................................707
....................................................................................................701
GLORY COUNSELING SERVICES.....................................................................................................................................................
....................................................................................................696
GLUBKE, MARK LPC.........................................................................................................................................................................
GOLDNER, KAREN LMSW................................................................................................................................................................
....................................................................................................692
.............................................................................................701, 713
GOODENOUGH, ROGER C LPC........................................................................................................................................................
....................................................................................................692
GOODLAND, ELIZABETH CSW.........................................................................................................................................................
....................................................................................................700
GOODMAN, KIMBERLY LPC.............................................................................................................................................................
GOODYEAR, ANNETTE J LPC...........................................................................................................................................................
.............................................................................................690, 711
....................................................................................................692
GORDON COUNSELING AND CASE MANAGEMENT.......................................................................................................................
....................................................................................................713
GORDON, JULIE LPC........................................................................................................................................................................
GORELICK, NANCY LPC...................................................................................................................................................................
.............................................................................................688, 707
....................................................................................................692
GORMAN, LISA LMFT........................................................................................................................................................................
....................................................................................................697
GRABLE, KARLEE R LLPC.................................................................................................................................................................
....................................................................................................703
GRABOWSKI, CATHRYN LPC...........................................................................................................................................................
GRAND LEDGE COUNSELING CENTER...........................................................................................................................................
....................................................................................................687
....................................................................................................687
GRAND RIVER COUNSELING CENTER............................................................................................................................................
....................................................................................................701
GRAY, CATHLEEN LPC.....................................................................................................................................................................
GRAY, LISA LLPC..............................................................................................................................................................................
....................................................................................................713
....................................................................................................707
GRAZIOLI-TALBOT, ELIZABETH LMSW...........................................................................................................................................
.............................................................................................701, 707
GREAT LAKES COUNSELING............................................................................................................................................................
....................................................................................................715
GREENE, CYNTHIA A LMSW.............................................................................................................................................................
GRIFFIN, SARA S LPC.......................................................................................................................................................................
....................................................................................................688
....................................................................................................692
GRUPP, CHRISTOPHER D CSW.......................................................................................................................................................
....................................................................................................701
GRZESIAK, SUSAN LMSW................................................................................................................................................................
....................................................................................................688
GUPTA, SONAL LLP..........................................................................................................................................................................
GUTE, KATHERINE M LMSW.............................................................................................................................................................
....................................................................................................687
....................................................................................................715
GUTMANN, EMILY LMSW.................................................................................................................................................................
.....................................................................................684, 685, 712
HADAWAY, SONDRA LPC.................................................................................................................................................................
....................................................................................................685
HAELAN COUNSELING......................................................................................................................................................................
....................................................................................................697
HAINES, WAYNE LPC........................................................................................................................................................................
....................................................................................................707
HAKALA, SARAH L LLPC...................................................................................................................................................................
HALL, CAROLINE L LLPC...................................................................................................................................................................
....................................................................................................697
....................................................................................................707
HALL, SCOTT S LLPC........................................................................................................................................................................
....................................................................................................712
HALLER, THOMAS LMSW.................................................................................................................................................................

Page 929
February 19, 2015

HALLISY, ANGELA LPC.....................................................................................................................................................................
....................................................................................................707
....................................................................................................692
HALSELL, STEVEN LPC....................................................................................................................................................................
HALVORSEN, DANIEL LLPC.............................................................................................................................................................
.............................................................................................688, 714
....................................................................................................692
HANCOCK, CAROLYN LPC...............................................................................................................................................................
....................................................................................................697
HANSEN, NATHANAEL P LPC...........................................................................................................................................................
....................................................................................................701
HANSON, CHRISTIAN MSW..............................................................................................................................................................
HARDY, GINETTA M LLPC.................................................................................................................................................................
....................................................................................................707
.............................................................................................701, 707
HARMAN, JOSEPH LPC....................................................................................................................................................................
....................................................................................................692
HARMON, RALPH L JR LMSW...........................................................................................................................................................
HARRAL, ANDREA LPC....................................................................................................................................................................
....................................................................................................701
.............................................................................................692, 700
HARRIER, SARAH LMFT...................................................................................................................................................................
....................................................................................................685
HARRIS, ALEXIS LLPC......................................................................................................................................................................
....................................................................................................707
HARRIS, DERRICK LMSW.................................................................................................................................................................
HARRIS, SHERRY L LPC....................................................................................................................................................................
.............................................................................................707, 713
....................................................................................................716
HARTLEY, CAROLYN LPC................................................................................................................................................................
....................................................................................................707
HARTUNG, LYNN LPC.......................................................................................................................................................................
HARTWAY, LAURA LPC....................................................................................................................................................................
....................................................................................................701
....................................................................................................685
HARVELL, ROBIN LPC......................................................................................................................................................................
.............................................................................................707, 716
HARVEY, SHARIFA LMSW................................................................................................................................................................
....................................................................................................712
HAYES, AMY L LPC............................................................................................................................................................................
HAYNES, STEPHANE LPC................................................................................................................................................................
....................................................................................................685
....................................................................................................685
HAYNES, STEPHANIE A LLPC...........................................................................................................................................................
....................................................................................................690
HEALING ARTS COUNSELING..........................................................................................................................................................
HEARNS, KIUAN LLPC......................................................................................................................................................................
....................................................................................................698
....................................................................................................692
HEART AND SOUL COUNSELING AND LIFE....................................................................................................................................
....................................................................................................703
HEDLUND, JEFFREY LPC.................................................................................................................................................................
....................................................................................................695
HEIBEL, STACY LLPC.......................................................................................................................................................................
HEINRICH, KAREN J MA, LPC...........................................................................................................................................................
....................................................................................................712
.............................................................................................707, 713
HEINZ, JENNIFER LLPC....................................................................................................................................................................
....................................................................................................701
HELINSKI, DONALD M LCSW............................................................................................................................................................
HERMAN, IONELA CSW....................................................................................................................................................................
....................................................................................................699
....................................................................................................698
HERRERA, SOPHIA MA....................................................................................................................................................................
.............................................................................................690, 697
HEXHAM, CRAIG LPC.......................................................................................................................................................................
.............................................................................688, 690, 692, 714
HEXIMER, LISA LPC..........................................................................................................................................................................
HIGHFIELDS.......................................................................................................................................................................................
....................................................................................................695
.............................................................................................699, 707
HILEWSKY, ALISA LPC.....................................................................................................................................................................
.............................................................685, 694, 698, 703, 704, 711
HILL, RHONDA A LPC........................................................................................................................................................................
HILLTOP COUNSELING.....................................................................................................................................................................
....................................................................................................690
....................................................................................................686
HIMELRIGHT, JACQUELINE LMFT...................................................................................................................................................
....................................................................................................711
HINTON, ASHLEY LLPC....................................................................................................................................................................
....................................................................................................686
HJG FARM LLC...................................................................................................................................................................................
HMR COUNSELING AND BEHAVIORAL SERVICES.........................................................................................................................
....................................................................................................692
....................................................................................................685
HODGSON, DEANNA LLPC...............................................................................................................................................................
....................................................................................................715
HOFFMAN, JODY PSYD....................................................................................................................................................................
.............................................................684, 694, 698, 703, 704, 705
HOIST, MARIBETH LPC....................................................................................................................................................................
HOLDERIED, DANIEL LPC................................................................................................................................................................
....................................................................................................688
....................................................................................................692
HOLISTIC COUNSELING AND ASSESSMENT SVCS........................................................................................................................
....................................................................................................698
HOLISTIC COUNSELING SERVICES.................................................................................................................................................
....................................................................................................701
HOLISTIC INTEGRATIVE COUNSELING...........................................................................................................................................
.............................................................................................686, 687
HOLLAND, ANN LPC.........................................................................................................................................................................
....................................................................................................711
HOLMES, KATHRYN LPC..................................................................................................................................................................
HOLSINGER-FRIESEN, SARAH F LPC..............................................................................................................................................
....................................................................................................695
.............................................................................................688, 707
HOLY CROSS COUNSELING SERVICES..........................................................................................................................................
....................................................................................................711
HOOD, DANA LLPC...........................................................................................................................................................................

Page 930
February 19, 2015

HOOLEY, RACHAEL D MA.................................................................................................................................................................
.............................................................................................685, 686
....................................................................................................712
HOPE AND HEALING COUNSELING.................................................................................................................................................
HOPE THERAPY RANCH LLC............................................................................................................................................................
....................................................................................................713
....................................................................................................698
HOPKE, MINDY L LPC........................................................................................................................................................................
....................................................................................................714
HORTON, ALEXIS LPC......................................................................................................................................................................
....................................................................................................716
HOURANI, NESSRIN LPC..................................................................................................................................................................
HOWEY, DAWN LPC.........................................................................................................................................................................
....................................................................................................707
....................................................................................................707
HUBENKA, JOANN LMSW.................................................................................................................................................................
.............................................................................................685, 712
HUGO, MICHELE L MA LPC...............................................................................................................................................................
HULBERT, MARK E LLP.....................................................................................................................................................................
....................................................................................................692
....................................................................................................713
HULL, BEVERLY PHD........................................................................................................................................................................
....................................................................................................692
HUMPHREY, CHRISTINE J LPC.........................................................................................................................................................
....................................................................................................692
HUNTER, MARY LPC.........................................................................................................................................................................
HUSKEN, SUSAN LPC.......................................................................................................................................................................
.....................................................................................699, 701, 707
....................................................................................................699
HYRMAN, AMY LPC...........................................................................................................................................................................
....................................................................................................701
ICARE COUNSELING.........................................................................................................................................................................
INLAND SEAS COUNSELING LLC.....................................................................................................................................................
....................................................................................................690
....................................................................................................688
INNERLIGHT COUNSELING SERVICES LLC....................................................................................................................................
....................................................................................................707
INSIGHT COUNSELING SERVICES LLC...........................................................................................................................................
....................................................................................................687
INSIGHT COUNSELING SERVICES OF GREATER LANSING...........................................................................................................
IRELAND, ALLISON MA LPC.............................................................................................................................................................
....................................................................................................691
....................................................................................................707
ISBELL, ANETIA K LPC......................................................................................................................................................................
....................................................................................................698
ISETHENA PRESS LLC......................................................................................................................................................................
ITSON, LINDA LLPC..........................................................................................................................................................................
....................................................................................................689
....................................................................................................701
IZZI, MARIE MA..................................................................................................................................................................................
....................................................................................................707
JACKSON, SHARON LPC..................................................................................................................................................................
....................................................................................................707
JACKSON, TURNER PHD..................................................................................................................................................................
JACOBS, JUDY L LPC........................................................................................................................................................................
....................................................................................................707
....................................................................................................707
JANNAKOS, PAUL M LPC..................................................................................................................................................................
....................................................................................................690
JANSEN, TED N LLPC........................................................................................................................................................................
JENKINS, CHRISTINE A LPC.............................................................................................................................................................
....................................................................................................707
.............................................................................................698, 704
JENNINGS, PAMELA LPC.................................................................................................................................................................
....................................................................................................714
JEROME, JOHN PHD.........................................................................................................................................................................
....................................................................................................714
JOHNSON, ELIZABETH A LLP...........................................................................................................................................................
JOHNSON, HANNAH LLPC...............................................................................................................................................................
....................................................................................................704
....................................................................................................701
JOHNSON, JULIE MSW.....................................................................................................................................................................
.............................................................................................685, 686
JOHNSON, MARIJA LPC...................................................................................................................................................................
JOHNSON, MARY R LPC....................................................................................................................................................................
....................................................................................................707
....................................................................................................696
JOHNSON, PHILLIP D LPC.................................................................................................................................................................
.............................................................................................687, 692
JOHNSON-MASON, CANDACE LPC.................................................................................................................................................
....................................................................................................699
JOLLY, ANITA LPC............................................................................................................................................................................
JONES PSYCHOLOGICAL SERVICES PLLC.....................................................................................................................................
....................................................................................................713
.............................................................................................692, 700
JONES, ANDREW LLPC....................................................................................................................................................................
....................................................................................................708
JONES, JENNIFER C LPC..................................................................................................................................................................
....................................................................................................692
JONES, MICHAEL LLMSW................................................................................................................................................................
JONES-GOODEN, DAPHNE LPC......................................................................................................................................................
....................................................................................................716
....................................................................................................712
JURKOWSKI, VICTOR LPC...............................................................................................................................................................
....................................................................................................708
KAIROS COUNSELING CENTER.......................................................................................................................................................
....................................................................................................696
KALAMAZOO COUNSELING CONNECTION......................................................................................................................................
....................................................................................................696
KALAMAZOO PSYCHOLOGY LLC.....................................................................................................................................................
....................................................................................................716
KALINSKI, LISA LPC..........................................................................................................................................................................
KAMER, LANA LPC............................................................................................................................................................................
....................................................................................................698
....................................................................................................708
KAROL, TIFFANY LPC.......................................................................................................................................................................
....................................................................................................708
KARR, LAUREN LPC.........................................................................................................................................................................

Page 931
February 19, 2015

KASED, KRISTINA LPC.....................................................................................................................................................................
....................................................................................................716
.............................................................................................699, 708
KASINEC, MICHELLE T LPC..............................................................................................................................................................
KATKE, JEFFERY W LPC...................................................................................................................................................................
.............................................................................................690, 711
....................................................................................................700
KATTERMAN, KAYLA LMFT..............................................................................................................................................................
....................................................................................................692
KAUFFMAN, AIMEE LPC...................................................................................................................................................................
....................................................................................................695
KAYE, SHIRLEY LPC.........................................................................................................................................................................
KEMPKE, JESSICA LLPC..................................................................................................................................................................
....................................................................................................684
....................................................................................................713
KENNER, SUSAN LPC.......................................................................................................................................................................
.............................................................694, 698, 703, 704, 705, 711
KERN, PRICILLA J LPC/LLMFT..........................................................................................................................................................
KETNER, JESSICA LPC....................................................................................................................................................................
.............................................................................................692, 700
....................................................................................................689
KIEWITT, DAWN D LPC......................................................................................................................................................................
....................................................................................................685
KILBURN-DOXEY, RUTH LPC...........................................................................................................................................................
....................................................................................................713
KIMBERLY T BURDICK LLC...............................................................................................................................................................
KINER, KATIE LPC............................................................................................................................................................................
....................................................................................................708
....................................................................................................701
KINNEY, ROBERT MSW....................................................................................................................................................................
....................................................................................................689
KLECKER, CELINE LLPC..................................................................................................................................................................
KLINSKI, WENDALA LPC..................................................................................................................................................................
.....................................................................699, 701, 703, 708, 713
....................................................................................................708
KNIGHT, TRAVIS LPC.......................................................................................................................................................................
....................................................................................................708
KNUDSVIG, MATTHEW LPC.............................................................................................................................................................
.............................................................................................686, 687
KOCH, RANDALL LPC.......................................................................................................................................................................
KOENIG, SONIA V LPC......................................................................................................................................................................
.............................................................................................689, 708
....................................................................................................690
KOLLHOFF, NANCY LPC...................................................................................................................................................................
....................................................................................................701
KOMRAUS COMPASSIONATE COUNSELING...................................................................................................................................
KOMRAUS, BERNICE LPC................................................................................................................................................................
....................................................................................................701
.............................................................................................685, 714
KOPP, DIANE J MA.............................................................................................................................................................................
....................................................................................................701
KORTZ, STEPHANIE MSW................................................................................................................................................................
....................................................................................................689
KOZAN, EMILY K LLPC......................................................................................................................................................................
KOZUMPLIK, RHONDA LLPC............................................................................................................................................................
....................................................................................................689
....................................................................................................696
KRACKER, LAURA M MA...................................................................................................................................................................
....................................................................................................689
KRAGER, ARLENE LPC....................................................................................................................................................................
KRAUSE, STACEY LMSW.................................................................................................................................................................
....................................................................................................701
....................................................................................................715
KRAUTH, LAURIE D MA PLC.............................................................................................................................................................
....................................................................................................715
KREGER, DIANE B LLP......................................................................................................................................................................
....................................................................................................713
KREGER, KARI A LPC........................................................................................................................................................................
KROL, DENNIS LMSW.......................................................................................................................................................................
....................................................................................................701
....................................................................................................692
KRUEGER, JESSICA LPC.................................................................................................................................................................
....................................................................................................708
KRUMLINE, RICHARD LPC...............................................................................................................................................................
KUIPERS, CARA LLPC......................................................................................................................................................................
....................................................................................................698
....................................................................................................704
KURTZ, SARA LPC............................................................................................................................................................................
....................................................................................................699
KUSHEL, STEPHANIE LPC...............................................................................................................................................................
....................................................................................................698
KUTZLI, GLENN E LPC.......................................................................................................................................................................
LAFFREY, WILLIAM LLP....................................................................................................................................................................
....................................................................................................708
....................................................................................................698
LAFONTSEE, JAMIE LLPC................................................................................................................................................................
....................................................................................................689
LAIRD, JOSEPH LPC.........................................................................................................................................................................
....................................................................................................708
LAKE ORION COUNSELING CENTER...............................................................................................................................................
LAKESHORE THERAPY PLLC...........................................................................................................................................................
....................................................................................................714
....................................................................................................692
LANDRUM, ANGELA K LLPC.............................................................................................................................................................
....................................................................................................692
LANSING INST OF BEHAVIORAL MEDICINE PLLC..........................................................................................................................
....................................................................................................692
LARKEY-GREEN, KATHRYN L LPC...................................................................................................................................................
....................................................................................................690
LATTA, CARRI LLPC..........................................................................................................................................................................
....................................................................................................712
LAWRENCE, GRETCHEN MA...........................................................................................................................................................
LAZAR, JOAN F MA LLP LPC.............................................................................................................................................................
....................................................................................................708
....................................................................................................701
LEBEAU, KRISTI LPC........................................................................................................................................................................
....................................................................................................696
LECLEAR, DENNIS A LPC..................................................................................................................................................................

Page 932
February 19, 2015

LEDIN THERAPIES PLLC...................................................................................................................................................................
....................................................................................................694
....................................................................................................716
LEE, EBONY LPC..............................................................................................................................................................................
LEE, JACQUELYN LPC......................................................................................................................................................................
....................................................................................................698
....................................................................................................692
LEGACY MENTAL HEALTH SERVICES PLLC...................................................................................................................................
....................................................................................................708
LEIBERT, LYANNA LPC.....................................................................................................................................................................
....................................................................................................696
LEM, KIMBERLY L PSYD....................................................................................................................................................................
LENARD, LISA A LPC.........................................................................................................................................................................
....................................................................................................684
....................................................................................................698
LETTINGA, JULIANNE LLPC.............................................................................................................................................................
....................................................................................................696
LETTOW, HEATHER LPC..................................................................................................................................................................
LEVINE, JOELLE LPC........................................................................................................................................................................
....................................................................................................708
....................................................................................................708
LEWIS, LINDSEY E LPC.....................................................................................................................................................................
....................................................................................................716
LEWIS, TERRICKA MA......................................................................................................................................................................
....................................................................................................698
LHEUREUX, JASON LPC..................................................................................................................................................................
LIEBENTHAL, ANGELA M MA............................................................................................................................................................
....................................................................................................689
....................................................................................................708
LIESEN, ANN LPC.............................................................................................................................................................................
.....................................................................................708, 713, 714
LIETHEN, LINDA A LLP......................................................................................................................................................................
LIFE CHANGING COUNSELING.........................................................................................................................................................
....................................................................................................712
....................................................................................................692
LIFE SOLUTIONS COUNSELING CENTER PC..................................................................................................................................
....................................................................................................701
LIFEFORCE COUNSELING................................................................................................................................................................
....................................................................................................708
LIFELENS PSYCHOLOGICAL AND COUNSELING............................................................................................................................
LIFESCAPE COUNSELING LLC.........................................................................................................................................................
....................................................................................................716
....................................................................................................708
LIFESTART COUNSELING PLLC.......................................................................................................................................................
.............................................................................................686, 692
LIIKALA, TAMMY LPC........................................................................................................................................................................
LIMBERG, ALYSSA LLPC..................................................................................................................................................................
....................................................................................................712
....................................................................................................684
LITZNER, REBECCA MSW................................................................................................................................................................
....................................................................................................708
LIVING HOPE COUNSELING.............................................................................................................................................................
.............................................................................................708, 716
LOESEL-STRAUCH, KATHLEEN LMSW...........................................................................................................................................
LONDON, JENNIFER LPC.................................................................................................................................................................
....................................................................................................698
.............................................................................................699, 704
LONGENBARGER, KATHRYN LLPC.................................................................................................................................................
....................................................................................................708
LOONEY, HEIDI LLPC.......................................................................................................................................................................
LORD, ALISSA PSYD.........................................................................................................................................................................
....................................................................................................708
....................................................................................................701
LORIA, MARY R LPC..........................................................................................................................................................................
....................................................................................................708
LOVE, REBECCA LPC.......................................................................................................................................................................
....................................................................................................701
LOVING, DEBRA MA..........................................................................................................................................................................
LOWE, SUSAN LPC...........................................................................................................................................................................
....................................................................................................686
....................................................................................................692
LOWELL, BETTY LPC........................................................................................................................................................................
.............................................................................................687, 711
LUBS, KRISTIN LLPC........................................................................................................................................................................
LUCAS, JENNIFER LPCC..................................................................................................................................................................
....................................................................................................708
....................................................................................................708
LUCIDO, JENNIFER LPC...................................................................................................................................................................
....................................................................................................687
LUNSTED, LINDA LMSW...................................................................................................................................................................
....................................................................................................703
LYON, SUSAN LPC............................................................................................................................................................................
M E RIEVERT COUNSELING PLLC....................................................................................................................................................
....................................................................................................715
....................................................................................................690
MACIE, MARIANNA LPC....................................................................................................................................................................
....................................................................................................715
MACKENZIE, HEATHER LMSW........................................................................................................................................................
....................................................................................................689
MALONEY, MEGAN LPC...................................................................................................................................................................
MANCINE, STEPHANIE LPC.............................................................................................................................................................
....................................................................................................684
.....................................................................685, 695, 696, 708, 715
MANDERS, GENNIFER LPC..............................................................................................................................................................
....................................................................................................689
MANDREKY, EVE LPC......................................................................................................................................................................
....................................................................................................701
MANNINA, MICHELLE LPC................................................................................................................................................................
....................................................................................................692
MANY, CARRIE LPC..........................................................................................................................................................................
....................................................................................................714
MARCIA BIRD FAMILY COUNSELING CENTER................................................................................................................................
MARCIANO, ROCCO J LPC................................................................................................................................................................
....................................................................................................716
.............................................................................................698, 704
MARIN, TERI A MSW..........................................................................................................................................................................
....................................................................................................701
MARITIM, ANGELA LMSW.................................................................................................................................................................

Page 933
February 19, 2015

MARRIAGE & FAMILY COUNSELING OF N MI..................................................................................................................................
....................................................................................................686
....................................................................................................698
MARTINO, JOSEPH P LPC.................................................................................................................................................................
MASSOLL, KAREN J LPC...................................................................................................................................................................
....................................................................................................692
....................................................................................................699
MASTERPEACE COUNSELING.........................................................................................................................................................
....................................................................................................694
MASTERSON, RANDY E LPC.............................................................................................................................................................
....................................................................................................686
MATTHEWS, KEITH H LPC................................................................................................................................................................
MATTHEWS, KRISTA LPC.................................................................................................................................................................
....................................................................................................696
....................................................................................................714
MAYO-HILL, FATIMA LPC..................................................................................................................................................................
....................................................................................................698
MAYWARD, BARBARA LPC CAA......................................................................................................................................................
MBM COUNSELING LLC....................................................................................................................................................................
....................................................................................................690
.............................................................694, 698, 703, 704, 705, 712
MBURU, PETER LLPC.......................................................................................................................................................................
.............................................................................................708, 716
MCCAIN, ANETTE PHD.....................................................................................................................................................................
....................................................................................................692
MCCLOUD, ANNA L LPC....................................................................................................................................................................
MCCOMBS, SUSAN LMSW...............................................................................................................................................................
....................................................................................................700
....................................................................................................701
MCCRACKEN, PATTY LMSW............................................................................................................................................................
....................................................................................................690
MCDONALD, ELIZABETH LPC..........................................................................................................................................................
MCGOVERN, PATRICK MFT.............................................................................................................................................................
....................................................................................................689
....................................................................................................700
MCKEE, KATE S MA...........................................................................................................................................................................
.............................................................694, 698, 703, 704, 705, 712
MCKENTRY, CARMEL LLPC.............................................................................................................................................................
....................................................................................................704
MCKENTRY, CARMEL LPC...............................................................................................................................................................
MCKINNEY, BRANDON LLPC...........................................................................................................................................................
....................................................................................................696
....................................................................................................692
MCLANE, MARILYN RUTH-COMBS LMSW........................................................................................................................................
....................................................................................................686
MCLANE, MARILYN RUTH-COOMBS LMSW.....................................................................................................................................
MCLEARON, MEGAN LPC.................................................................................................................................................................
....................................................................................................702
....................................................................................................686
MCMATHIS COUNSELING SERVICES..............................................................................................................................................
.............................................................................................686, 692
MCMATHIS-WEST, DARLENE LMSW...............................................................................................................................................
....................................................................................................708
MCMURRAY, NATHAN LPC..............................................................................................................................................................
MCPHAIL, JOHN D LPC......................................................................................................................................................................
....................................................................................................692
.............................................................................................691, 714
MCPHERSON, TAMMY L LPC............................................................................................................................................................
....................................................................................................704
MCSHANNOCK, MICHAEL LPC........................................................................................................................................................
MCWHORTER, BETH A LPC..............................................................................................................................................................
....................................................................................................692
....................................................................................................689
MEAD, CAROL LLPC.........................................................................................................................................................................
....................................................................................................684
MEADOW RUN HOLISTIC COUNSELING..........................................................................................................................................
.............................................................................................708, 709
MEERSCHAERT, STEVEN P LPC......................................................................................................................................................
MERCHANT, NICOLE LPC................................................................................................................................................................
....................................................................................................713
....................................................................................................704
MERRILL, JANE LLPC.......................................................................................................................................................................
....................................................................................................709
MERRITT, MICHELLE LPC................................................................................................................................................................
METRO FAMILY SUPPORT COUNSELING........................................................................................................................................
....................................................................................................701
.............................................................................................701, 709
MEYERS, JACQUELINE LPC............................................................................................................................................................
....................................................................................................684
MICHAELIS, JEFFREY S LPC............................................................................................................................................................
....................................................................................................692
MICHALOWSKI & WHITEHEAD LLC..................................................................................................................................................
MICHIGAN BEHAVIORAL WELLNESS LLC........................................................................................................................................
....................................................................................................716
....................................................................................................712
MICHIGAN COMPREHENSIVE PROFESSIONAL COUNSELING SER..............................................................................................
....................................................................................................712
MICHIGAN CORE CARE LLC.............................................................................................................................................................
....................................................................................................709
MICKLAS, COLLEEN M LLPC.............................................................................................................................................................
MILLER, AMY LMSW.........................................................................................................................................................................
....................................................................................................693
....................................................................................................712
MILLER, CAROL LPC.........................................................................................................................................................................
....................................................................................................693
MILLER, DOUG CSW.........................................................................................................................................................................
....................................................................................................701
MILLER, HEATHER LPC....................................................................................................................................................................
....................................................................................................689
MILLER, MARIA LPC..........................................................................................................................................................................
....................................................................................................686
MILLER, ROBIN R LPC.......................................................................................................................................................................
MILLER, TERRENCE LPC.................................................................................................................................................................
....................................................................................................701
....................................................................................................709
MILLER, THERESA J LLPC................................................................................................................................................................
....................................................................................................704
MILLER-CLARKSON, JEAN LPC.......................................................................................................................................................

Page 934
February 19, 2015

MILLIGAN, SHAWNA LPC.................................................................................................................................................................
....................................................................................................709
.............................................................................................704, 715
MIND BODY HEALTH CONSULTING PLLC........................................................................................................................................
MINTON, BRAD MA...........................................................................................................................................................................
....................................................................................................716
....................................................................................................701
MITTER, CRYSTAL LLPC..................................................................................................................................................................
....................................................................................................687
MOLLOY, PATRICIA LPC...................................................................................................................................................................
....................................................................................................715
MOLLOY, PATRICIA M LPC................................................................................................................................................................
MOMENTUM COUNSELING LLC........................................................................................................................................................
....................................................................................................709
....................................................................................................686
MONTGOMERY, RENAY LLP............................................................................................................................................................
....................................................................................................689
MORGAN, VERNITA MSW.................................................................................................................................................................
MORRISON, LESLIE W LPC...............................................................................................................................................................
....................................................................................................709
....................................................................................................693
MUDGETT, MICHAEL LPC................................................................................................................................................................
....................................................................................................709
MUELLE, PEGGY LPC.......................................................................................................................................................................
....................................................................................................690
MUELLER, KAREN A LPC..................................................................................................................................................................
MUINCH, SUSAN C LPC.....................................................................................................................................................................
....................................................................................................696
....................................................................................................698
MULLER, ANTHONY LPC CAC..........................................................................................................................................................
.............................................................................................688, 695
MUMMAW, MARY LPC......................................................................................................................................................................
MURRAY, JAMES E LPC....................................................................................................................................................................
....................................................................................................699
....................................................................................................684
MUXLOW, ALMA J LPC......................................................................................................................................................................
....................................................................................................698
MWANGI, REUBEN LPC....................................................................................................................................................................
....................................................................................................696
MYERS, CAMBRIA J LPC...................................................................................................................................................................
NACE, CHRISTINE A LPC..................................................................................................................................................................
....................................................................................................695
....................................................................................................709
NASH, OLIVIA-PATRICIA LPC...........................................................................................................................................................
....................................................................................................688
NATHE, TANA LLPC..........................................................................................................................................................................
NEAL, SHIRLEY LPC.........................................................................................................................................................................
.............................................................................................687, 693
.....................................................................................685, 690, 697
NEIHARDT, ALISON LPC...................................................................................................................................................................
.............................................................................................702, 709
NELSON, BONNIE LPC.....................................................................................................................................................................
.............................................................................................702, 709
NESTER, NANCY J LPC.....................................................................................................................................................................
NESVACIL, ANNE LPC......................................................................................................................................................................
....................................................................................................693
....................................................................................................715
NEW DIRECTIONS LIFE COACHING & COUNSELING.....................................................................................................................
.............................................................................................690, 699
NEW HOPE COUNSELING LLC.........................................................................................................................................................
NEW PATH LLC..................................................................................................................................................................................
....................................................................................................712
....................................................................................................703
NEW PATHWAYS COUNSELING SERVICE.......................................................................................................................................
....................................................................................................693
NEWELL, ELIZABETH LPC................................................................................................................................................................
....................................................................................................693
NICHOLS, RENEE M LPC...................................................................................................................................................................
NORDQUIST, ERIC LPC....................................................................................................................................................................
.............................................................................................702, 709
....................................................................................................699
NORTH LAPEER COUNSELING CENTER.........................................................................................................................................
....................................................................................................709
NORTH OAKLAND FAMILY COUNSELING CENTER.........................................................................................................................
NORTH, JULIANNE I LPC...................................................................................................................................................................
....................................................................................................690
....................................................................................................698
NORTHERN COUNSELING SERVICES.............................................................................................................................................
....................................................................................................688
NORTHERN MICHIGAN COUNSELING AND CONSULTING.............................................................................................................
....................................................................................................688
NORTHSTAR COUNSELING & HERBALS INC..................................................................................................................................
NORTHSTAR COUNSELING SERVICES...........................................................................................................................................
....................................................................................................704
....................................................................................................690
NUNEZ, LILLIAN LPC.........................................................................................................................................................................
....................................................................................................689
OASIS COUNSELING.........................................................................................................................................................................
....................................................................................................698
OGLESBY, APRIL LLMFT..................................................................................................................................................................
OLSON, MATTHEW LPC...................................................................................................................................................................
....................................................................................................686
....................................................................................................702
ONE STEP AT A TIME COUNSELING SERVICES.............................................................................................................................
....................................................................................................699
OSBORN, DIANA LPC.......................................................................................................................................................................
.............................................................684, 694, 698, 703, 704, 705
OVERBEY, PANAGIOTA LPC............................................................................................................................................................
....................................................................................................713
OVERHOLT, LINDA S MFT.................................................................................................................................................................
.............................................................................................685, 714
OVERTON, ROBERTO LPC...............................................................................................................................................................
OXFORD INTEGRATED HEALTH SOLUTIONS PLLC........................................................................................................................
....................................................................................................684
....................................................................................................704
PALMGREN, KIMBERLY LPC............................................................................................................................................................
....................................................................................................713
PALOMBELLA, KARIN LPC...............................................................................................................................................................

Page 935
February 19, 2015

PAMBID, MATTHEW CSW.................................................................................................................................................................
....................................................................................................709
....................................................................................................690
PAPAZIAN, GERALD N LPC...............................................................................................................................................................
PAPINAW, SHELLY LPC....................................................................................................................................................................
....................................................................................................713
....................................................................................................713
PAPINAW, SHELLY M LPC.................................................................................................................................................................
.............................................................684, 694, 698, 703, 704, 705
PAPPAS, NICHOLAS LPC.................................................................................................................................................................
....................................................................................................703
PARELLA, THOMAS LPC...................................................................................................................................................................
PARK PLACE COUNSELING & ASSOC.............................................................................................................................................
....................................................................................................696
....................................................................................................693
PARKER, MONIKA LPC.....................................................................................................................................................................
....................................................................................................709
PARKER-WALKER, ANRISE LPC......................................................................................................................................................
PARSONS, NANCY MA LPC LBSW...................................................................................................................................................
.............................................................................................690, 695
....................................................................................................709
PASCIAK, CRYSTAL LPC..................................................................................................................................................................
....................................................................................................691
PATHWAYS COUNSELING SERVICES.............................................................................................................................................
....................................................................................................714
PATRIQUIN, KENNETH W LPC..........................................................................................................................................................
PATTERSON, AMANDA LPC.............................................................................................................................................................
....................................................................................................686
....................................................................................................686
PEBBLE CREEK COUNSELING.........................................................................................................................................................
....................................................................................................702
PEMBERTON, JANICE LPC...............................................................................................................................................................
PENA, ANGELA LMSW......................................................................................................................................................................
.............................................................................................693, 696
....................................................................................................693
PENFIELD, JOAN M ACSW................................................................................................................................................................
....................................................................................................702
PERCEPTIONS COUNSELING SERVICES PC..................................................................................................................................
....................................................................................................709
PERRAULT, MEGHAN LPC...............................................................................................................................................................
PERSLEY, JUDITH A LMSW...............................................................................................................................................................
....................................................................................................702
.....................................................................................693, 700, 709
PERSPECTIVES THERAPY SERVICES LLC.....................................................................................................................................
....................................................................................................693
PERVANIC, SABIRA LPC..................................................................................................................................................................
PESSERL, MARINA MA LLPC...........................................................................................................................................................
....................................................................................................709
....................................................................................................702
PHILLIPS, JULIE LMSW.....................................................................................................................................................................
....................................................................................................698
PICKETT, JENNIFER LLPC...............................................................................................................................................................
....................................................................................................693
PIERCE, AMIE J LLPC........................................................................................................................................................................
PIONEER COUNSELING CENTER.....................................................................................................................................................
.............................................................................................702, 709
....................................................................................................693
PISCHEA, MICHELE A MA LLP CAAC................................................................................................................................................
.............................................................694, 698, 703, 704, 705, 712
POGACEAN-LORSON, ANAMARIA LPC...........................................................................................................................................
POLDERDYKE, CRYSTAL MSW.......................................................................................................................................................
....................................................................................................702
....................................................................................................696
POPPE, JEAN M MA...........................................................................................................................................................................
.............................................................................689, 690, 693, 714
POTTER, DALE LPC..........................................................................................................................................................................
....................................................................................................716
POTTER, MICHELLE LMSW..............................................................................................................................................................
POWELL, TOBY J LMSW....................................................................................................................................................................
....................................................................................................693
....................................................................................................696
PRAEDEL, ERIN J LPC.......................................................................................................................................................................
....................................................................................................686
PRATT, KAY J LMSW.........................................................................................................................................................................
PRETZER, TAMMY LPC....................................................................................................................................................................
....................................................................................................702
....................................................................................................709
PRICE, DAVID LPC............................................................................................................................................................................
....................................................................................................702
PRIVATE PRACTICE COUNSELING LLC...........................................................................................................................................
.............................................................................................691, 714
PROFESSIONAL COUNSELING SRVC..............................................................................................................................................
PRUNEAU, AMY K LLP.......................................................................................................................................................................
....................................................................................................709
....................................................................................................689
PRZYBYSZ, SANDRA LPC................................................................................................................................................................
....................................................................................................713
PSYCHOLOGICAL SERVICES OF SW MI..........................................................................................................................................
.............................................................................................700, 716
PSYCHOTHERAPY & COUNSELING SERVICES...............................................................................................................................
PUCCIO, LISA LMSW........................................................................................................................................................................
....................................................................................................715
....................................................................................................693
PYSCH ONE PLLC..............................................................................................................................................................................
....................................................................................................709
QUALLS, KRISTEN LPC....................................................................................................................................................................
....................................................................................................687
QUISENBERRY, CARRIE LLPC.........................................................................................................................................................
....................................................................................................693
RAINEY, BEVERLY LPC....................................................................................................................................................................
....................................................................................................698
RAM, KELLY LLPC.............................................................................................................................................................................
RANDOLPH, LAURIE LPC.................................................................................................................................................................
....................................................................................................696
....................................................................................................693
RANNS, MOLLY LPC CAADC............................................................................................................................................................
....................................................................................................702
RATLIFF, TONYA J LLPC...................................................................................................................................................................

Page 936
February 19, 2015

RAYNER, HAYLEY LLPC...................................................................................................................................................................
.............................................................................................687, 693
....................................................................................................702
REA COUNSELING SERVICES PC....................................................................................................................................................
REA-MICHALAK, NATALIE LMSW.....................................................................................................................................................
....................................................................................................702
....................................................................................................693
RECKER, RACHEL LPC....................................................................................................................................................................
.............................................................................................685, 709
RECOVERY PATHWAYS LLC............................................................................................................................................................
....................................................................................................709
REEVE, KRISTI LPC..........................................................................................................................................................................
REFLECTIONS COUNSELING PLC....................................................................................................................................................
....................................................................................................687
....................................................................................................702
REGAN, KATHLEEN MSW.................................................................................................................................................................
....................................................................................................712
REHMANN, WILLIAM LPC.................................................................................................................................................................
RENEWAL CHRISTIAN COUNSELING & MINISTRY CTR.................................................................................................................
....................................................................................................702
....................................................................................................693
RENEWAL COUNSELING SERVICES................................................................................................................................................
....................................................................................................709
RESOLUTION COUNSELING PLLC...................................................................................................................................................
....................................................................................................687
REUSSER, DEBORAH LPC...............................................................................................................................................................
REVYN, DAWN LPC...........................................................................................................................................................................
....................................................................................................702
....................................................................................................689
REZANKA, MELODEE LLPC..............................................................................................................................................................
.............................................................................................702, 713
RICE, TONYA LPC.............................................................................................................................................................................
RICHARDS, CHERYL K MA................................................................................................................................................................
....................................................................................................714
....................................................................................................709
RICHARDSON, CASSANDRA LPC....................................................................................................................................................
....................................................................................................689
RICHARDSON, RECCO LPC.............................................................................................................................................................
....................................................................................................709
RICHARDSON, RECCO MA LLP LPC................................................................................................................................................
RICHEY, JONATHAN LPC.................................................................................................................................................................
....................................................................................................709
....................................................................................................693
RICHMAN, JEAN LMSW....................................................................................................................................................................
....................................................................................................695
RIDDICK, JOYCE LPC.......................................................................................................................................................................
RIFE, RACHELLE LPC.......................................................................................................................................................................
.............................................................................................688, 716
....................................................................................................698
RIVENDELL COUNSELING................................................................................................................................................................
....................................................................................................693
RMM RENTALS LLC...........................................................................................................................................................................
....................................................................................................695
ROBB, DEBBIE PSYD........................................................................................................................................................................
ROBERSON, KELLY LLPC................................................................................................................................................................
.............................................................................................687, 693
.............................................................................................693, 696
ROBERTS, LUANN LPC.....................................................................................................................................................................
....................................................................................................709
ROBERTSON, LEAH LMSW..............................................................................................................................................................
ROBINSON, CAROL LPC...................................................................................................................................................................
.............................................................................................703, 712
....................................................................................................695
ROBINSON, KENT LPC.....................................................................................................................................................................
....................................................................................................709
ROBINSON, MONICA LMSW.............................................................................................................................................................
....................................................................................................709
ROCHE, AMY LPC.............................................................................................................................................................................
RODRIGUEZ, VIVIAN LLP.................................................................................................................................................................
....................................................................................................693
....................................................................................................699
ROGERS, DOROTHEA M MA.............................................................................................................................................................
....................................................................................................709
RONALD, KRISTY LPC......................................................................................................................................................................
ROSA-SOUTHWORTH, TERI MA LPC..............................................................................................................................................
....................................................................................................691
....................................................................................................702
ROSE, CLAIRE MSW.........................................................................................................................................................................
....................................................................................................714
ROSS, CANDACE W LPC...................................................................................................................................................................
....................................................................................................685
ROTH, GARY LPC..............................................................................................................................................................................
ROUSTER, GRETCHEN LMSW.........................................................................................................................................................
....................................................................................................715
....................................................................................................698
ROWLSON, ERIN LMFT.....................................................................................................................................................................
....................................................................................................702
ROXBURGH, MARY LMSW...............................................................................................................................................................
....................................................................................................710
ROZEMA, DENNIS LPC.....................................................................................................................................................................
RUDY, SHARON N LPC......................................................................................................................................................................
....................................................................................................710
....................................................................................................704
RUMLER, AUDREY L LPC..................................................................................................................................................................
....................................................................................................693
RUSS, DEREK LMSW........................................................................................................................................................................
....................................................................................................689
RUSSELL, PAUL A LPC......................................................................................................................................................................
....................................................................................................686
RUSSELL, SUSAN LPC.....................................................................................................................................................................
....................................................................................................689
RYAN, JAMES E LPC..........................................................................................................................................................................
SAFO, HAITHAM LPC........................................................................................................................................................................
....................................................................................................702
....................................................................................................702
SAFO, LYANA LPC............................................................................................................................................................................
....................................................................................................689
SALAZAR, SHARON S LPC................................................................................................................................................................

Page 937
February 19, 2015

SAMARITAN COUNSELING CENTER................................................................................................................................................
.............................................................................................685, 714
.............................................................685, 695, 698, 703, 704, 712
SAMUELSON, PAUL T LPC................................................................................................................................................................
SANTEE, BENJAMIN L LLPC..............................................................................................................................................................
....................................................................................................698
....................................................................................................685
SARASIN, WILLIAM MA LLP..............................................................................................................................................................
....................................................................................................715
SATTI, MELISSA LPC........................................................................................................................................................................
.............................................................................................695, 703
SCALISE, JOHN E MA........................................................................................................................................................................
SCHALK, DIANE LPC.........................................................................................................................................................................
....................................................................................................702
....................................................................................................700
SCHEPPER, JAMES LPC..................................................................................................................................................................
....................................................................................................710
SCHIFFER, DEBORAH LPC..............................................................................................................................................................
SCHILLINGER, NANCY LLPC............................................................................................................................................................
....................................................................................................689
....................................................................................................710
SCHILLINGER, NANCY D LPC...........................................................................................................................................................
....................................................................................................714
SCHMITZER, MICHELLE LPC...........................................................................................................................................................
....................................................................................................713
SCHOENBERG, SARA LPC...............................................................................................................................................................
SCHROER, MARGARET M LPC.........................................................................................................................................................
....................................................................................................710
....................................................................................................693
SCHULTZ, MESHIA J LPC..................................................................................................................................................................
....................................................................................................696
SCHUTZ, MICHAEL LPC....................................................................................................................................................................
SCHWARTZ, COLLEEN LPC.............................................................................................................................................................
....................................................................................................710
....................................................................................................688
SCOLNICK INGLESON, KELLY LPC.................................................................................................................................................
....................................................................................................698
SCOTT, ANGELA LPC.......................................................................................................................................................................
....................................................................................................705
SCOTT, CEDRIC H MA.......................................................................................................................................................................
SCOTT-WILLOX, DEBORAH L MA.....................................................................................................................................................
.....................................................................................710, 715, 716
....................................................................................................711
SEAGER, CHRISTINE LPC................................................................................................................................................................
.............................................................................................687, 711
SEAGER, CHRISTINE MA, LPC.........................................................................................................................................................
SEARS, WENDY LPC........................................................................................................................................................................
.............................................................................................685, 712
....................................................................................................691
SEBRING, SUSAN C MA....................................................................................................................................................................
....................................................................................................695
SEIDEL, KIM LPC...............................................................................................................................................................................
.............................................................................................699, 704
SEIGNEUR, JUDITH A LPC................................................................................................................................................................
SELL, NORMA J LMSW......................................................................................................................................................................
....................................................................................................693
.....................................................................684, 695, 698, 703, 705
SENINS, SANDRA LPC......................................................................................................................................................................
....................................................................................................687
SERENE PATHWAYS COUNSELING.................................................................................................................................................
SHALTRY, JULIE LLPC......................................................................................................................................................................
....................................................................................................693
....................................................................................................711
SHANDA BERDAN COUNSELING SERVICES...................................................................................................................................
....................................................................................................698
SHANEBERGER, AMANDA J LPC......................................................................................................................................................
....................................................................................................713
SHARI SMITH PROFESSIONAL COUNSELING.................................................................................................................................
SHAY, ANN MARIE M LPC.................................................................................................................................................................
....................................................................................................711
....................................................................................................704
SHEELEY, SUSAN M LPC..................................................................................................................................................................
....................................................................................................705
SHEFFER, DENISE L LPC..................................................................................................................................................................
SHELTON, AMELIA MA.....................................................................................................................................................................
....................................................................................................693
.............................................................................................685, 686
SHEPARD HOUSE COUNSELING & PSYCHOLOGICAL SERVICES................................................................................................
....................................................................................................693
SHEPHERDS STAFF COUNS, PLLC..................................................................................................................................................
....................................................................................................715
SHERMAN, ANNETTE M LMSW.........................................................................................................................................................
SHIMKU SPEAKING PLLC..................................................................................................................................................................
....................................................................................................702
....................................................................................................702
SHIMMEL, DOUGLAS LLPC..............................................................................................................................................................
....................................................................................................696
SHINABARGER-HOWE, BRENDA A LPC...........................................................................................................................................
....................................................................................................693
SHIRLEY NEAL LLPC.........................................................................................................................................................................
SHIRLEY, KAYE LPC.........................................................................................................................................................................
....................................................................................................695
....................................................................................................710
SIBERSKI, JODI PLLC.......................................................................................................................................................................
....................................................................................................698
SIEGFRIED, SHAWNA LPC...............................................................................................................................................................
....................................................................................................716
SIMKO, PATRICIA LPC......................................................................................................................................................................
....................................................................................................710
SIMPSON, ROSE LMSW...................................................................................................................................................................
....................................................................................................693
SLABAUGH, LANITA LMSW..............................................................................................................................................................
SLEBODNIK, SHARI LLP...................................................................................................................................................................
.............................................................................................702, 710
....................................................................................................693
SLEP, MELANIE LPC.........................................................................................................................................................................
....................................................................................................710
SMIGELSKI, KAREN LPC..................................................................................................................................................................

Page 938
February 19, 2015

SMITH, B CRAIG LPC.........................................................................................................................................................................
....................................................................................................693
....................................................................................................693
SMITH, CRAIG B PC...........................................................................................................................................................................
SMITH, NEDRA MA............................................................................................................................................................................
....................................................................................................696
....................................................................................................699
SMITH, RYAN W MSW........................................................................................................................................................................
....................................................................................................713
SMITH, SHARI LPC............................................................................................................................................................................
....................................................................................................702
SMITH, STEVEN MSW.......................................................................................................................................................................
SOBCZYNSKI, JAMES MSW.............................................................................................................................................................
....................................................................................................702
....................................................................................................702
SOHN, KATHLEEN M LPC..................................................................................................................................................................
....................................................................................................716
SOLID GROUND COUNSELING SERVICES......................................................................................................................................
SOLITRO, ANTHONY LPC.................................................................................................................................................................
....................................................................................................693
....................................................................................................693
SOLITRO, JON P LLPC.......................................................................................................................................................................
.............................................................................................702, 713
SOLUTION BASED COUNSELING SERVICES..................................................................................................................................
....................................................................................................712
SOLUTIONS BEHAVIORAL HEALTH LLC..........................................................................................................................................
SOUL PURPOSE COUNSELING & CONSULTATION........................................................................................................................
....................................................................................................711
....................................................................................................696
SOUTH, LINDSAY P LPC....................................................................................................................................................................
....................................................................................................689
SPARKMAN COUNSELING SERVICES LLC......................................................................................................................................
SPENCE, NANCY LPC.......................................................................................................................................................................
....................................................................................................712
....................................................................................................687
ST JOHNS COUNSELING & THERAPY..............................................................................................................................................
....................................................................................................699
STAFFORD-MAY, KAREN A LPC.......................................................................................................................................................
....................................................................................................704
STANIFER, BONNIE LLPC.................................................................................................................................................................
STANISLAW, JAMES R LMSW...........................................................................................................................................................
....................................................................................................710
....................................................................................................685
STARTUP CENTER FOR INNER PEACE PLLC.................................................................................................................................
....................................................................................................687
STEARNS, BARRY G LPC..................................................................................................................................................................
STEEG, DIANE K MA..........................................................................................................................................................................
....................................................................................................696
....................................................................................................710
STEENBERGH, JENNIFER M LLPC...................................................................................................................................................
.....................................................................................685, 696, 712
STEPHENS, BARRY LPC..................................................................................................................................................................
....................................................................................................689
STEVENS, CLIFFORD LPC...............................................................................................................................................................
STEVENSON, TERRI L LPC...............................................................................................................................................................
....................................................................................................703
.............................................................................................686, 696
STEWART STEVENS, EMILY L MA....................................................................................................................................................
....................................................................................................710
STINSON, BENITA L LPC...................................................................................................................................................................
STONEBROOK COUNSELING ASSOCIATE PLLC............................................................................................................................
.....................................................................................710, 715, 716
....................................................................................................710
STONEY CREEK PSYCHOLOGICAL CONSULTING PLLC................................................................................................................
....................................................................................................715
STORIE, MARY SUE LLMSW............................................................................................................................................................
....................................................................................................695
STRAUBEL-SOWER, CANDY LLC.....................................................................................................................................................
STRENGTH AND BALANCE COUNSELING.......................................................................................................................................
....................................................................................................710
....................................................................................................685
SUCHODOLSKI, PAULA LPC............................................................................................................................................................
....................................................................................................693
SULLIVAN, LAUREN G LLMSW..........................................................................................................................................................
SULLIVAN, PAUL M LPC....................................................................................................................................................................
....................................................................................................688
....................................................................................................687
SWARTHOUT, PAMELA LPC............................................................................................................................................................
....................................................................................................697
SWINEHART, SHERRI L LPC.............................................................................................................................................................
....................................................................................................698
SYVERSON, AMANDA LPC...............................................................................................................................................................
TAIT, KATHY LPC..............................................................................................................................................................................
....................................................................................................694
....................................................................................................710
TALBOTS, JENNIFER LPC................................................................................................................................................................
....................................................................................................687
TALBOTT, TAMORA LLPC.................................................................................................................................................................
....................................................................................................710
TALLEY, AYANA LPC........................................................................................................................................................................
TALPAZ, SARAH LPC........................................................................................................................................................................
.....................................................................................710, 715, 716
....................................................................................................715
TAPLEY, BARBARA K LLP.................................................................................................................................................................
....................................................................................................694
TARSA, JULIA LPC............................................................................................................................................................................
....................................................................................................694
TAYLOR, JEANNINE MSW................................................................................................................................................................
....................................................................................................690
TC ART THERAPY & COUNSELING..................................................................................................................................................
....................................................................................................702
TC COUNSELING TRANSFORMATION PLLC....................................................................................................................................
TEETOR, KAROL LPC.......................................................................................................................................................................
....................................................................................................710
....................................................................................................694
TERPSTRA, CATHERINE LLPC........................................................................................................................................................
.............................................................................................687, 694
TERRY, MELISSA LPC......................................................................................................................................................................

Page 939
February 19, 2015

THAYER, ROSS LLP..........................................................................................................................................................................
....................................................................................................699
....................................................................................................684
THE COUNSELING CENTER PC........................................................................................................................................................
THE MINDFUL SELF LLC...................................................................................................................................................................
....................................................................................................710
....................................................................................................686
THEISEN, KAREN LPC......................................................................................................................................................................
....................................................................................................689
THERAPY SUPPORT CENTER LLC...................................................................................................................................................
....................................................................................................694
THERAPY TODAY COUNSELING AND CONSULTING......................................................................................................................
THOMAS, CRYSTAL M MSW..............................................................................................................................................................
.............................................................................................690, 711
....................................................................................................697
THOMAS, MARNIE LLP.....................................................................................................................................................................
....................................................................................................694
THOMPSON ORSUA, JENNIFER MFT..............................................................................................................................................
THOMPSON, ALISHA LPC.................................................................................................................................................................
....................................................................................................686
....................................................................................................689
THOMPSON, LESLIE L LLPC.............................................................................................................................................................
....................................................................................................715
THOMSON SOLUTIONS LLC..............................................................................................................................................................
....................................................................................................694
THRIVE COUNSELING SERVICES....................................................................................................................................................
THUMB AREA PSYCHOLOGICAL SERVICES LLC............................................................................................................................
....................................................................................................714
....................................................................................................716
THURBER COUNSELING SERVICES PLC........................................................................................................................................
....................................................................................................716
TINDALL, ANA K LPC.........................................................................................................................................................................
TJAPKES, SHELLY LLPC..................................................................................................................................................................
.....................................................................684, 695, 698, 703, 705
....................................................................................................710
TOPOR, JESSICA LMFT....................................................................................................................................................................
....................................................................................................695
TRACEY GALGOCI COUNSELING PLLC...........................................................................................................................................
....................................................................................................704
TREE OF LIFE COUNSELING SERVICES..........................................................................................................................................
TRI-COUNTY COUNSELING SERVICES............................................................................................................................................
....................................................................................................710
....................................................................................................697
TRIPLETT, NICOLE LLP....................................................................................................................................................................
....................................................................................................702
TROMBLEY, MARILEE MA................................................................................................................................................................
TROSKO, WILLIAM LLP.....................................................................................................................................................................
....................................................................................................689
....................................................................................................702
TURN THE PAGE COUNSELING SERVICES.....................................................................................................................................
....................................................................................................689
TYISKA-JOHNSON, ANDRA LLPC....................................................................................................................................................
.............................................................................................694, 700
TYLER, WILLIAM MA LMFT...............................................................................................................................................................
UGOLINI, BRANDON LPC.................................................................................................................................................................
....................................................................................................712
.............................................................................................684, 712
VAN ALLSBURG, SUSAN LPC..........................................................................................................................................................
.....................................................................695, 698, 703, 705, 712
VAN LOOZENOORD, LONA LPC.......................................................................................................................................................
VANAMBERG, GAIL LPC...................................................................................................................................................................
....................................................................................................694
....................................................................................................696
VANCAMPEN, COLLEEN M LLPC......................................................................................................................................................
....................................................................................................705
VANDENHEUVEL, JENNIFER LLP....................................................................................................................................................
....................................................................................................685
VANDERLAAN, DOUG MA LPC.........................................................................................................................................................
VANDERLAAN, DOUGLAS G LPC......................................................................................................................................................
....................................................................................................685
....................................................................................................710
VAUGHN, HARVEY LPC....................................................................................................................................................................
....................................................................................................697
VERSLUIS, JILL M LPC......................................................................................................................................................................
VICKERY, KATIE M LLP.....................................................................................................................................................................
....................................................................................................713
....................................................................................................686
VICTORY COUNSELING SERVICES..................................................................................................................................................
....................................................................................................714
VIETZ, MACHELLE LPC....................................................................................................................................................................
....................................................................................................702
VINCENT, JANET K LPC....................................................................................................................................................................
VISOSO-RANGEL, TERESA LPC......................................................................................................................................................
....................................................................................................710
....................................................................................................696
VREDEVELD, MALLORY LLPC.........................................................................................................................................................
....................................................................................................694
W O W COUNSELING SERVICES LLC..............................................................................................................................................
....................................................................................................694
WAGNER PARKER, ELIZABETH LPC...............................................................................................................................................
WAGNER, HANNAH LPC...................................................................................................................................................................
....................................................................................................698
.............................................................................689, 691, 694, 714
WALKER, REBECCA LPC.................................................................................................................................................................
....................................................................................................689
WALSH, LYNNE MA LLPC.................................................................................................................................................................
....................................................................................................710
WALTER, AMITY M LMSW.................................................................................................................................................................
....................................................................................................694
WALTON, ANNA M LPC......................................................................................................................................................................
.....................................................................................710, 715, 716
WARREN, NANCY MA.......................................................................................................................................................................
WASHINGTON, JEAN E LPC..............................................................................................................................................................
....................................................................................................710
....................................................................................................695
WATSON, NANETTE NP....................................................................................................................................................................
....................................................................................................710
WATT, HOLLY LMSW........................................................................................................................................................................

Page 940
February 19, 2015

WAUGH, GLORIA LPC.......................................................................................................................................................................
....................................................................................................712
....................................................................................................702
WAYLAND, DAWN LMSW..................................................................................................................................................................
WEATHERS, DEBORAH LPC............................................................................................................................................................
....................................................................................................694
....................................................................................................685
WEAVER, THERESA LPC.................................................................................................................................................................
.............................................................................................698, 705
WEICHHAND, GREGORY LLP..........................................................................................................................................................
....................................................................................................686
WEIDMAN, EMMALINE PHD.............................................................................................................................................................
WEINBERG, PEGGY G PSYD............................................................................................................................................................
....................................................................................................710
....................................................................................................705
WEIPERT, HEIDI LPC........................................................................................................................................................................
....................................................................................................714
WENDLING, LINDA A LPC..................................................................................................................................................................
WERRIES, JENNIFER LPC................................................................................................................................................................
....................................................................................................703
.....................................................................................689, 710, 711
WERTH, MALINDA LPC.....................................................................................................................................................................
....................................................................................................689
WERTZ, LAURA LPC.........................................................................................................................................................................
.............................................................................................694, 697
WESTFALL, TODD LPC.....................................................................................................................................................................
WESTSIDE COUNSELING..................................................................................................................................................................
....................................................................................................711
....................................................................................................689
WHITE, DEIRDRA D LLPC..................................................................................................................................................................
....................................................................................................687
WHITEHALL, NINA LPC.....................................................................................................................................................................
WHITE-HARDY, KRYSTL LPC...........................................................................................................................................................
....................................................................................................716
....................................................................................................697
WHITEHEAD, CHARMEKA MA..........................................................................................................................................................
....................................................................................................697
WHITEHEAD, CHARMEKA PHD........................................................................................................................................................
....................................................................................................687
WHITEHILL, NINA LPC......................................................................................................................................................................
WHITFORD, MARISSA B LPC............................................................................................................................................................
....................................................................................................711
....................................................................................................694
WHITT, TIYANNA LMSW...................................................................................................................................................................
....................................................................................................694
WHOLE HEARTED LIVING LLC..........................................................................................................................................................
WIEWIORA, SHELLY LPC.................................................................................................................................................................
....................................................................................................705
.............................................................................................699, 714
WIGGINS, SHELLY LPC....................................................................................................................................................................
....................................................................................................686
WILBER, TEONNA LPC.....................................................................................................................................................................
....................................................................................................698
WILCOX, SARAH LLPC.....................................................................................................................................................................
WILEY, ROBERT LPC........................................................................................................................................................................
....................................................................................................695
....................................................................................................687
WILKINS, DORIS LLP........................................................................................................................................................................
....................................................................................................687
WILLIAMS, PHYLLIS LLPC................................................................................................................................................................
WILLIAMS-UCHWAT, CAROL J LPC..................................................................................................................................................
....................................................................................................702
....................................................................................................699
WILLISWILLIAMS, JULIA MA.............................................................................................................................................................
....................................................................................................694
WILSON, MELISSA LMSW................................................................................................................................................................
....................................................................................................714
WILSON, TRACY L LPC......................................................................................................................................................................
WINDISCHMAN, DIANE LMSW.........................................................................................................................................................
....................................................................................................694
....................................................................................................686
WING, CHERYL L LPC........................................................................................................................................................................
....................................................................................................687
WISSINK, BRIAN LPC........................................................................................................................................................................
WOFFORD, ALICIA M LPC.................................................................................................................................................................
....................................................................................................689
....................................................................................................714
WOJEWODA, DONALD LPC..............................................................................................................................................................
....................................................................................................699
WOLFFIS, DEBRA M LPC...................................................................................................................................................................
....................................................................................................712
WOOD, CHARLES LPC.....................................................................................................................................................................
WOODRUFF, YVETTE LPC...............................................................................................................................................................
....................................................................................................711
....................................................................................................711
WOODS, JESSICA LMSW.................................................................................................................................................................
....................................................................................................711
WOODWARD COUNSELING..............................................................................................................................................................
....................................................................................................689
WOODWARD COUNSELING INC.......................................................................................................................................................
WORDS OF ENCOURAGEMENT COUNSELING AGENCY...............................................................................................................
....................................................................................................689
....................................................................................................711
WORKMAN, HOLLY M LPC................................................................................................................................................................
....................................................................................................716
WRIGHT, DAVID R LPC......................................................................................................................................................................
....................................................................................................711
WROBEL, JANUSZ LPC....................................................................................................................................................................
....................................................................................................694
WULFF, TIMOTHY J LMSW................................................................................................................................................................
....................................................................................................714
WUOBIO, SANDRA LPC....................................................................................................................................................................
WURTSMITH, CASPER LPC.............................................................................................................................................................
....................................................................................................688
....................................................................................................689
WYSINGER, SHANNON LLPC...........................................................................................................................................................
....................................................................................................714
YELLIG, ADRIANA LPC.....................................................................................................................................................................

Page 941
February 19, 2015

YOUNG, CHARLES LPC....................................................................................................................................................................
....................................................................................................711
....................................................................................................702
YOUNG, GWENDA LPC.....................................................................................................................................................................
YOUSIF, GLORIA LLPC.....................................................................................................................................................................
....................................................................................................711
....................................................................................................689
ZAJAROS, THERESE G MA...............................................................................................................................................................
....................................................................................................702
ZAMORA-AHLSTROM, GABRIELA LMSW........................................................................................................................................
....................................................................................................711
ZELL, KATHERINE LPC.....................................................................................................................................................................
ZHANG, HUI LAN LLP.........................................................................................................................................................................
....................................................................................................713
....................................................................................................699
ZOMBERLEI, DANIEL LMFT..............................................................................................................................................................
....................................................................................................699
ZOMERLEI, DAN LMFT......................................................................................................................................................................
ZOUAOUI, CHRISTINE LPC..............................................................................................................................................................
....................................................................................................694
....................................................................................................711
ZUBAL-LEGGETT, LISA LPC.............................................................................................................................................................
DENTAL
KLEIN, ALAN DDS.............................................................................................................................................................................
....................................................................................................183
DERMATOLOGY
ANDERSON, THOMAS F MD..............................................................................................................................................................
....................................................................................................504
.............................................................................................278, 449
ANG, GINA C MD................................................................................................................................................................................
....................................................................................................374
ARONSON, PETER J MD....................................................................................................................................................................
....................................................................................................183
BARASH, HELEN DO.........................................................................................................................................................................
BARKEY, WALTER MD......................................................................................................................................................................
....................................................................................................183
....................................................................................................374
BENDER, BRETT DO.........................................................................................................................................................................
....................................................................................................504
BICHAKJIAN, CHRISTOPHER K MD..................................................................................................................................................
BRAUN, CONNIE MD.........................................................................................................................................................................
....................................................................................................455
.............................................................................................221, 250
BROSCHART, REBECCA DO............................................................................................................................................................
....................................................................................................146
BROWN, CLARENCE W MD...............................................................................................................................................................
.............................................................................................315, 571
BRUNER, MICHELLE K DO................................................................................................................................................................
BUATTI, CHRISTOFER DO................................................................................................................................................................
.............................................................................183, 315, 374, 571
....................................................................................................183
CETNER, AARON S MD......................................................................................................................................................................
....................................................................................................504
CHA, KELLY B MD..............................................................................................................................................................................
CLIFFEL, MAUREEN DO...................................................................................................................................................................
....................................................................................................374
....................................................................................................374
COHEN, CARL J MD...........................................................................................................................................................................
.............................................................................164, 176, 311, 446
COTTER, MURRAY A MD...................................................................................................................................................................
....................................................................................................571
DAVELUY, STEVEN MD....................................................................................................................................................................
DEHDASHTI, ALMA D DO...................................................................................................................................................................
....................................................................................................172
.............................................................................................278, 449
DEKKINGA, JACK A MD.....................................................................................................................................................................
....................................................................................................374
DESAI, SNEHAL R MD........................................................................................................................................................................
DIGREGORIO, FIORINO M MD..........................................................................................................................................................
.............................................................................................315, 374
....................................................................................................146
DIMITROPOULOS, VASSILIOS MD...................................................................................................................................................
....................................................................................................504
DLUGOSZ, ANDRZEJ A MD...............................................................................................................................................................
....................................................................................................504
DO, THY MD.......................................................................................................................................................................................
DURHAM, ALISON B MD....................................................................................................................................................................
....................................................................................................505
....................................................................................................505
ELDER, JAMES T MD.........................................................................................................................................................................
....................................................................................................505
ELLIS, CHARLES N MD......................................................................................................................................................................
.............................................................................................221, 250
ENGLISH, KATHERINE DO...............................................................................................................................................................
FEDORONKO, LORI I MD...................................................................................................................................................................
....................................................................................................374
....................................................................................................172
GALE, ALICE MD...............................................................................................................................................................................
....................................................................................................505
GAN, STEPHANIE D MD.....................................................................................................................................................................
.............................................................................................315, 571
GOLDSMITH, ARATHI DO.................................................................................................................................................................
.............................................................................................221, 315
GREKIN, STEVEN DO.......................................................................................................................................................................
....................................................................................................505
GUDJONSSON, JOHANN E MD.........................................................................................................................................................
HARRIS, JOEL DO.............................................................................................................................................................................
....................................................................................................374
....................................................................................................505
HELFRICH, YOLANDA R MD..............................................................................................................................................................
....................................................................................................571
HOLLAND, JEAN MD.........................................................................................................................................................................

Page 942
February 19, 2015

IACOBELLI, DAVIDE MD...................................................................................................................................................................
.............................................................................................315, 374
....................................................................................................571
JAHNKE, MARLA MD.........................................................................................................................................................................
JOHNSON, TIMOTHY M MD...............................................................................................................................................................
....................................................................................................505
.....................................................................................354, 374, 571
KADO, JESSICA A MD........................................................................................................................................................................
....................................................................................................374
KOLE, KERRY L DO............................................................................................................................................................................
....................................................................................................374
KOPITZKI, BRIAN DO........................................................................................................................................................................
LACASSE, ANNETTE C DO................................................................................................................................................................
....................................................................................................374
.....................................................................................183, 315, 571
LEGACY, MICHELLE DO...................................................................................................................................................................
.............................................................................................374, 571
LEITHAUSER, LAUREL A MD.............................................................................................................................................................
LIGGETT, JESSICA E MD...................................................................................................................................................................
....................................................................................................259
....................................................................................................374
MAHON, MICHAEL DO......................................................................................................................................................................
....................................................................................................505
MAIER, LISA E MD..............................................................................................................................................................................
....................................................................................................571
MANZ-DULAC, LISA MD....................................................................................................................................................................
MCCLEAN, KELLY L MD.....................................................................................................................................................................
....................................................................................................505
....................................................................................................374
MCFALDA, WENDY DO.....................................................................................................................................................................
....................................................................................................354
MEHREGAN, DARIUS R MD...............................................................................................................................................................
....................................................................................................571
....................................................................................................354
MEHREGAN, DAVID A MD.................................................................................................................................................................
....................................................................................................571
....................................................................................................374
MERKLE, SUZANNE R MD.................................................................................................................................................................
MESSANA, CHRISTOPHER A DO......................................................................................................................................................
.....................................................................................164, 176, 446
.............................................................................................221, 250
MESSENGER, GREGORY MD..........................................................................................................................................................
....................................................................................................477
MESSENGER, JEFFREY L MD...........................................................................................................................................................
MESSING, ROBYN DO......................................................................................................................................................................
....................................................................................................221
....................................................................................................374
MIRSA-HIGGINS, INDIRA C DO.........................................................................................................................................................
.....................................................................................130, 259, 483
MOHNEY, CRAIG A MD......................................................................................................................................................................
.....................................................................................296, 374, 571
MOIIN, ALI MD...................................................................................................................................................................................
MOOSSAVI, MEENA MD....................................................................................................................................................................
....................................................................................................571
....................................................................................................351
NASH, JENNIFER MD........................................................................................................................................................................
....................................................................................................571
NASSER, FARID A MD.......................................................................................................................................................................
NOVICE, FRED M MD.........................................................................................................................................................................
....................................................................................................374
....................................................................................................505
ORRINGER, JEFFREY S MD..............................................................................................................................................................
....................................................................................................278
PATEL, DIPA S MD.............................................................................................................................................................................
....................................................................................................571
PEGOUSKE, DAVID MD....................................................................................................................................................................
PHAM, THOMAS S MD.......................................................................................................................................................................
....................................................................................................374
....................................................................................................315
POMANN, JOHN J MD........................................................................................................................................................................
....................................................................................................571
PRICE, MEREDITH L MD....................................................................................................................................................................
ROBERTS, FREDERICK W DO..........................................................................................................................................................
.....................................................................................296, 476, 481
....................................................................................................505
SACHS, DANA L MD...........................................................................................................................................................................
.....................................................................................278, 347, 449
SANCHEZ, SUZETTE DO..................................................................................................................................................................
.............................................................................................315, 374
SANDLER, BRIAN G MD.....................................................................................................................................................................
SCHWARTZ, JENNIFER L MD............................................................................................................................................................
....................................................................................................505
.............................................................................183, 315, 374, 571
SEIGER, ERIC S DO...........................................................................................................................................................................
.............................................................................................259, 472
SEMLER, DAVID C MD.......................................................................................................................................................................
....................................................................................................315
SHUMER, STEVEN M MD...................................................................................................................................................................
SIKORSKI, LYNN MARIE DO..............................................................................................................................................................
....................................................................................................374
....................................................................................................207
SIMONS, JAMES MD.........................................................................................................................................................................
....................................................................................................183
SODERSTROM, ROBERT MD...........................................................................................................................................................
....................................................................................................315
SOOD, USHA R MD............................................................................................................................................................................
....................................................................................................278
STAWISKI, MAREK A MD...................................................................................................................................................................
....................................................................................................374
STEPHENSON, SEAN DO.................................................................................................................................................................
TEJASVI, TRILOKRAJ MD.................................................................................................................................................................
....................................................................................................505
.............................................................................................278, 449
VASQUEZ, J G MD.............................................................................................................................................................................
....................................................................................................176
VAZALES, SHERRI A MD...................................................................................................................................................................

Page 943
February 19, 2015

VOORHEES, JOHN J MD....................................................................................................................................................................
....................................................................................................505
....................................................................................................278
WAHLGREN, CHRISTINA MD............................................................................................................................................................
WANG, FRANK MD............................................................................................................................................................................
....................................................................................................505
.............................................................................................315, 571
WATSON, ALICE CHENG MD............................................................................................................................................................
....................................................................................................477
WEGMAN, PATRICK MD...................................................................................................................................................................
....................................................................................................221
WU, JAN MD......................................................................................................................................................................................
XU, YUELIN MD.................................................................................................................................................................................
.............................................................................................221, 250
.....................................................................................296, 374, 571
ZARKA, MOHAMMAD DO..................................................................................................................................................................
DERMATOPATHOLOGY
GHAEMI, MOHAMMAD MD................................................................................................................................................................
....................................................................................................375
.............................................................................................354, 571
GONCHARUK, VIKTOR MD...............................................................................................................................................................
....................................................................................................315
MANGINI, JANINE MD.......................................................................................................................................................................
....................................................................................................354
....................................................................................................354
....................................................................................................571
PUI, JOHN C MD.................................................................................................................................................................................
....................................................................................................375
....................................................................................................571
SALEH, HUSAIN MD..........................................................................................................................................................................
....................................................................................................183
SILVERTON, KIMBALL W DO.............................................................................................................................................................
....................................................................................................571
THOMPSON, ANDREW D MD............................................................................................................................................................
DIETARY MANAGEMENT
BRADD, CHRISTINE RD....................................................................................................................................................................
....................................................................................................221
HEALTHY IMAGES.............................................................................................................................................................................
....................................................................................................477
.............................................................................................176, 375
KNUDSON, MELISSA RD..................................................................................................................................................................
....................................................................................................354
LONG, LAURA L RD............................................................................................................................................................................
....................................................................................................316
LOVASCO, JEANNE M MS RD...........................................................................................................................................................
MOORE, JILL RN CDE........................................................................................................................................................................
....................................................................................................446
....................................................................................................221
NOEL, MARY M RD.............................................................................................................................................................................
....................................................................................................222
PARK, ESTHER RD...........................................................................................................................................................................
RENU NUTRITION CONSULTANTS...................................................................................................................................................
....................................................................................................183
....................................................................................................453
VAN OOSTERHOUT, MARY ANNE RD.............................................................................................................................................
....................................................................................................138
WARE, DAWN RD..............................................................................................................................................................................
....................................................................................................167
WILLIAMS, ANDREA L RD..................................................................................................................................................................
DME - P&O
A BETTER CHOICE MEDICAL SUPPLY.............................................................................................................................................
....................................................................................................375
A NEW DAY ORTHOTICS AND PROSTHETICS................................................................................................................................
....................................................................................................445
....................................................................................................164
ABC MEDICAL SUPPLY......................................................................................................................................................................
....................................................................................................205
....................................................................................................360
....................................................................................................442
....................................................................................................467
ABLE ORTHOPEDICS INC.................................................................................................................................................................
....................................................................................................259
ACCESS MEDICAL LLC......................................................................................................................................................................
....................................................................................................177
ACTIVE BRACE AND LIMB LLC.........................................................................................................................................................
....................................................................................................207
....................................................................................................623
....................................................................................................296
ACTIVE HOME MEDICAL SUPPLY.....................................................................................................................................................
....................................................................................................375
ADVANCED MEDICAL EQUIPMENT..................................................................................................................................................
.............................................................................................305, 505
ADVANCED MEDICAL SOLUTIONS...................................................................................................................................................
....................................................................................................316
ADVANCED THERAPEUTICS INC......................................................................................................................................................
ADVANCED WOUND CARE LLC........................................................................................................................................................
....................................................................................................572
....................................................................................................364
AIR-CAIRE HOME MEDICAL DME.....................................................................................................................................................
.............................................................................................130, 259
AIRLINK HOMECARE LLC..................................................................................................................................................................

Page 944
February 19, 2015

AIRWAY OXYGEN INC BATTLE CREEK............................................................................................................................................
....................................................................................................155
....................................................................................................146
AIRWAY OXYGEN INC BENTON HARBOR........................................................................................................................................
AIRWAY OXYGEN INC CADILLAC.....................................................................................................................................................
....................................................................................................623
....................................................................................................278
AIRWAY OXYGEN INC CLYDON........................................................................................................................................................
....................................................................................................153
AIRWAY OXYGEN INC COLDWATER................................................................................................................................................
....................................................................................................364
AIRWAY OXYGEN INC FREMONT.....................................................................................................................................................
AIRWAY OXYGEN INC HASTINGS....................................................................................................................................................
....................................................................................................138
....................................................................................................130
AIRWAY OXYGEN INC HOLLAND......................................................................................................................................................
....................................................................................................259
AIRWAY OXYGEN INC KALAMAZOO................................................................................................................................................
AIRWAY OXYGEN INC KENTWOOD..................................................................................................................................................
....................................................................................................278
....................................................................................................222
AIRWAY OXYGEN INC LANSING.......................................................................................................................................................
....................................................................................................250
AIRWAY OXYGEN INC MT PLEASANT..............................................................................................................................................
....................................................................................................361
AIRWAY OXYGEN INC MUSKEGON..................................................................................................................................................
AIRWAY OXYGEN INC PARK CIRCLE...............................................................................................................................................
....................................................................................................259
....................................................................................................177
AIRWAY OXYGEN INC PETOSKEY...................................................................................................................................................
....................................................................................................278
AIRWAY OXYGEN INC PLAINFIELD..................................................................................................................................................
AIRWAY OXYGEN INC SAGINAW......................................................................................................................................................
....................................................................................................455
....................................................................................................155
AIRWAY OXYGEN INC SPRINGFIELD...............................................................................................................................................
....................................................................................................207
AIRWAY OXYGEN INC TRAVERSE CITY..........................................................................................................................................
....................................................................................................572
ALERT MEDICAL EQUIPMENT..........................................................................................................................................................
ALERT MEDICAL INC.........................................................................................................................................................................
....................................................................................................375
....................................................................................................316
ALL AMERICAN MEDICAL SUPPLIES INC.........................................................................................................................................
.............................................................................................247, 360
ALPENA OXYGEN & EQUIPMENT.....................................................................................................................................................
ALPENA OXYGEN & EQUIPMENT COMP..........................................................................................................................................
....................................................................................................134
....................................................................................................316
AMERICAN HOME MEDICAL LLC......................................................................................................................................................
.............................................................................................146, 259
AMERICAN LIMB & ORTHOPEDIC.....................................................................................................................................................
....................................................................................................455
AMERICAN MEDICAL EQUIPMENT...................................................................................................................................................
AMIGO MOBILITY CENTER................................................................................................................................................................
....................................................................................................455
....................................................................................................572
AOM HEALTHCARE SOLUTIONS......................................................................................................................................................
.....169, 171, 172, 216, 259, 278, 345, 350, 375, 456, 467, 505, 623
APRIA HEALTHCARE INC..................................................................................................................................................................
BALANCED MEDICAL SUPPLY INC...................................................................................................................................................
....................................................................................................137
.............................................................................................207, 446
BAY HOME MEDICAL & REHAB.........................................................................................................................................................
.............................................................................................316, 375
BEAUMONT HOME MED EQUIPMENT..............................................................................................................................................
....................................................................................................375
BECKER ORTHOPEDIC APPLIANCE CO..........................................................................................................................................
BECKER ORTHOPEDIC APPLIANCE CO..........................................................................................................................................
....................................................................................................572
....................................................................................................375
BEFITTING YOU MEDICAL SUPPLY LLC..........................................................................................................................................
....................................................................................................375
BHME WBH TROY..............................................................................................................................................................................
BINSONS HOME HEALTH CARE CENTER........................................................................................................................................
....................................................................................................316
.............................................................................................316, 375
BINSONS HOME HEALTH CARE CENTERS......................................................................................................................................
....................................................................................................572
BINSONS HOME HEALTH CARE CENTERS......................................................................................................................................
....................................................................................................572
BINSONS HOSPITAL SUPPLIES........................................................................................................................................................
BIOMATRIX ORTHOPEDICS..............................................................................................................................................................
....................................................................................................375
....................................................................................................254
BIOMEDICAL DESIGNS INC...............................................................................................................................................................
....................................................................................................297
BMCD SPORTS LLC...........................................................................................................................................................................
....................................................................................................316
BREAK THRU HOME MEDICAL EQUIPMENT....................................................................................................................................
BRIGHT SKY.......................................................................................................................................................................................
....................................................................................................316
....................................................................................................155
BRONSON AT HOME MEDICAL EQUIPMENT...................................................................................................................................
....................................................................................................375
BYRAM HEALTHCARE CENTERS.....................................................................................................................................................
....................................................................................................375
CARE ONE MEDICAL EQUIPMENT & SUPPLI..................................................................................................................................
.............................................................................................146, 472
CARE SOURCE INC DBA METRON...................................................................................................................................................
....................................................................................................138
CARELINC MEDICAL EQUIPMENT & SUPPLY CO LLC....................................................................................................................
....................................................................................................153
....................................................................................................215
....................................................................................................347

Page 945
February 19, 2015

....................................................................................................358
....................................................................................................449
....................................................................................................623
....................................................................................................254
CARELINC MEDICAL EQUIPMENT AND SUPPLY CO......................................................................................................................
....................................................................................................259
....................................................................................................278
....................................................................................................344
....................................................................................................346
....................................................................................................442
.............................................................................................445, 472
....................................................................................................222
CARELINC MEDICAL EQUIPMENT AND SUPPLY CO LLC...............................................................................................................
....................................................................................................278
CARELINC MEDICAL EQUIPMENT AND SUPPLY CO LLC...............................................................................................................
....................................................................................................302
CHRISTIAN DME................................................................................................................................................................................
COMFORT PROSTHETICS.................................................................................................................................................................
....................................................................................................316
....................................................................................................467
COMFORT PROSTHETICS.................................................................................................................................................................
....................................................................................................572
COMPLETE INFUSION SERVICES LLC.............................................................................................................................................
COMPRESSION THERAPY SERVICES..............................................................................................................................................
....................................................................................................222
....................................................................................................456
COVENANT VNA HOME MEDICAL....................................................................................................................................................
....................................................................................................375
CRITICAL CARE SYSTEMS................................................................................................................................................................
....................................................................................................375
CRITICAL SIGNAL TECHNOLOGIES INC..........................................................................................................................................
CRITTENTON MEDICAL EQUIPMENT...............................................................................................................................................
....................................................................................................375
....................................................................................................572
CROW CREEK THERAPEUTICS LLC................................................................................................................................................
....................................................................................................316
DETROIT OXYGEN & MED EQUIP CO..............................................................................................................................................
DIRECT DME INC...............................................................................................................................................................................
....................................................................................................316
....................................................................................................222
DJO LLC..............................................................................................................................................................................................
....................................................................................................449
DUNEWOOD PHARMACY INC...........................................................................................................................................................
....................................................................................................222
DURAMED SUPPLY COMPANY.........................................................................................................................................................
DURATECH MEDICAL INC.................................................................................................................................................................
....................................................................................................375
....................................................................................................172
E Z SLEEP SUPPLIES........................................................................................................................................................................
....................................................................................................476
EHARDTS PHARMACY INC................................................................................................................................................................
EXPRESS MEDICAL EQUIPMENT LLC..............................................................................................................................................
....................................................................................................375
....................................................................................................316
FRANKS PHARMACY ADVANCED CARE..........................................................................................................................................
....................................................................................................172
FRONT ROOM UNDERFASHIONS.....................................................................................................................................................
....................................................................................................140
FUSION CUSTOM CHAIRS................................................................................................................................................................
GABECARE DIRECT RX.....................................................................................................................................................................
....................................................................................................375
....................................................................................................446
GAYLORD MUNSON OXYGEN SERVICES........................................................................................................................................
.....................................................167, 222, 254, 259, 302, 305, 572
GREAT LAKES CARING HOME MEDICAL EQUIPMENT...................................................................................................................
GREAT LAKES HOME MEDICAL........................................................................................................................................................
....................................................................................................345
....................................................................................................350
GREAT LAKES HOME MEDICAL........................................................................................................................................................
....................................................................................................222
GREATER LANSING ORTHOTIC........................................................................................................................................................
....................................................................................................375
GUARDIAN ANGEL MEDICAL EQUIPMENT......................................................................................................................................
HAND THERAPY DME........................................................................................................................................................................
....................................................................................................177
....................................................................................................222
HANGER PROSTHETICS & ORTHOTICS INC...................................................................................................................................
....................................................................................................207
HARBOR OXYGEN OF TRAVERSE CITY..........................................................................................................................................
....................................................................................................572
HART MEDICAL EQUIPMENT............................................................................................................................................................
HART MEDICAL EQUIPMENT LLC.....................................................................................................................................................
.....................................................140, 184, 222, 297, 316, 375, 572
....................................................................................................184
HART REHAB SPECIALISTS..............................................................................................................................................................
.............................................................146, 254, 278, 375, 456, 505
HEALTH CARE SOLUTIONS..............................................................................................................................................................
....................................................................................................184
HEALTH CARE SOLUTIONS AT HOME INC......................................................................................................................................
....................................................................................................146
HEALTHLINK MEDICAL EQUIPMENT LLC.........................................................................................................................................
....................................................................................................375
HEALTHY LIVING MEDICAL SUPPLY................................................................................................................................................
HELLNER & ASSOCIATES INC..........................................................................................................................................................
....................................................................................................305
....................................................................................................215
HILLSDALE HOME OXYGEN..............................................................................................................................................................
....................................................................................................278
HOME CARE OF MICHIGAN INC.......................................................................................................................................................

Page 946
February 19, 2015

HOME HEALTH DEPOT INC...............................................................................................................................................................
....................................................................................................305
....................................................................................................375
HOME I V CARE INC...........................................................................................................................................................................
HURLEY BINSONS MED EQUIP........................................................................................................................................................
....................................................................................................184
....................................................................................................456
HURLEY/BINSONS MED EQUIP SAGINAW.......................................................................................................................................
....................................................................................................184
HURLEY/BINSONS MED EQUIP-BALLENGER..................................................................................................................................
....................................................................................................184
HURLEY/BINSONS MED EQUIP-DAVISON.......................................................................................................................................
IMPACT MEDICAL SUPPLY...............................................................................................................................................................
....................................................................................................351
....................................................................................................449
IN-HOME CARE EQUIPMENT............................................................................................................................................................
....................................................................................................375
JB MEDICAL SUPPLY INC..................................................................................................................................................................
JONOTT ENTERPRISE.......................................................................................................................................................................
....................................................................................................375
....................................................................................................572
KCI USA INC.......................................................................................................................................................................................
....................................................................................................155
KING HOME MEDICAL EQUIPMENT..................................................................................................................................................
....................................................................................................278
LAKE DRIVE DME SLEEP CENTER...................................................................................................................................................
LAKELAND MEDICAL EQUIPMENT LLC............................................................................................................................................
....................................................................................................146
....................................................................................................354
LANDRA PROSTHETICS AND ORTHOTICS......................................................................................................................................
....................................................................................................572
LANDRA PROSTHETICS AND ORTHOTICS......................................................................................................................................
LEFAVE PHARMACY & HOME MEDICAL EQUIP..............................................................................................................................
....................................................................................................134
....................................................................................................375
LIFECARE SUPPLIES.........................................................................................................................................................................
.....................................................................................177, 184, 375
LIFESTYLE OXYGEN..........................................................................................................................................................................
.....................................146, 153, 155, 162, 165, 207, 222, 259, 278
LINCARE INC......................................................................................................................................................................................
LINCARE INC......................................................................................................................................................................................
.............................................316, 346, 347, 361, 449, 453, 456, 623
....................................................................................................207
MCHC PHARMACY.............................................................................................................................................................................
....................................................................................................505
MED EQUIP........................................................................................................................................................................................
MED EQUIP HOME CARE..................................................................................................................................................................
....................................................................................................477
....................................................................................................375
MED SUPPLY CORPORATION..........................................................................................................................................................
....................................................................................................137
MEDICAL SUPPLY SHOP...................................................................................................................................................................
....................................................................................................572
MEDLINE INDUSTRIES INC...............................................................................................................................................................
MEDOX INC........................................................................................................................................................................................
.............................................................................................184, 375
....................................................................................................375
MEDSOURCE LLC..............................................................................................................................................................................
....................................................................................................215
MEDWEST MEDICAL SUPPLY...........................................................................................................................................................
METRO MEDICAL EQUIPMENT.........................................................................................................................................................
....................................................................................................572
....................................................................................................278
METRON HEALTHCARE PRODUCTS................................................................................................................................................
....................................................................................................207
MICHIGAN MEDICAL SUPPLY...........................................................................................................................................................
....................................................................................................278
....................................................................................................344
....................................................................................................184
MICHIGAN VASCULAR CENTER.......................................................................................................................................................
....................................................................................................212
MID MICH VISITING NURSE SUPPORT SERV..................................................................................................................................
MID MICHIGAN HOME CARE.............................................................................................................................................................
....................................................................................................212
....................................................................................................351
MIDLAND OXYGEN & MEDICAL SUPPLY..........................................................................................................................................
....................................................................................................351
MIDLAND SLEEP CENTRAL...............................................................................................................................................................
....................................................................................................351
MIDMICHIGAN VISITING NURSE.......................................................................................................................................................
MIOTECH ORTHOPEDIC SALES.......................................................................................................................................................
....................................................................................................222
.............................................................................................305, 505
MITCHELL HOME MEDICAL INC........................................................................................................................................................
....................................................................................................316
MME & SUPPLIES..............................................................................................................................................................................
....................................................................................................375
MOTOR CITY MEDICAL......................................................................................................................................................................
MTG MOBILITY...................................................................................................................................................................................
....................................................................................................278
....................................................................................................207
MUNSON OXYGEN SERVICES..........................................................................................................................................................
....................................................................................................351
MY OXYGEN COMPANY....................................................................................................................................................................
....................................................................................................376
MYSTIC MEDICAL EQUIPMENT FARMINGTON HILLS.....................................................................................................................
.............................................................................................217, 297
NARAYAN MEDTECH EQUIPMENT LLC............................................................................................................................................
....................................................................................................376
NATIONAL SEATING & MOBILITY.....................................................................................................................................................
NATIONAL SEATING & MOBILITY INC..............................................................................................................................................
....................................................................................................222
....................................................................................................184
NEEL ENTERPRISES.........................................................................................................................................................................
....................................................................................................140
OAKLAND ORTHOPEDIC APPLIANCE..............................................................................................................................................

Page 947
February 19, 2015

OAKLAND ORTHOPEDICS.................................................................................................................................................................
....................................................................................................140
....................................................................................................217
....................................................................................................250
....................................................................................................351
....................................................................................................456
....................................................................................................572
OAKWOOD INFUSION SERVICES LLC.............................................................................................................................................
ORBIT MEDICAL INC..........................................................................................................................................................................
....................................................................................................376
....................................................................................................453
ORTHOTECH APPLIANCE.................................................................................................................................................................
....................................................................................................442
ORTHOTECH ORTHOPEDICS...........................................................................................................................................................
OTTO BOCK ORTHOPEDIC SERVICES............................................................................................................................................
.....................................................................................140, 278, 376
....................................................................................................572
P & O SERVICES INC.........................................................................................................................................................................
....................................................................................................442
PASSPORT HOME CARE...................................................................................................................................................................
....................................................................................................278
PEDIATRIC ORTHOTIC SPECIALISTS..............................................................................................................................................
PEDIATRIC SPECIAL CARE...............................................................................................................................................................
....................................................................................................376
....................................................................................................316
PERSONAL HOME CARE SERVICES INC.........................................................................................................................................
....................................................................................................222
PHARMACY PLUS #1.........................................................................................................................................................................
PHARMACY PLUS #10.......................................................................................................................................................................
....................................................................................................222
....................................................................................................222
PHARMACY PLUS #11.......................................................................................................................................................................
....................................................................................................222
PHARMACY PLUS #2.........................................................................................................................................................................
....................................................................................................172
PHARMACY PLUS #4.........................................................................................................................................................................
PHOENIX MEDICAL SUPPLY.............................................................................................................................................................
....................................................................................................376
....................................................................................................467
PORT HURON HOSPITAL MEDICAL EQUIPMENT............................................................................................................................
....................................................................................................376
PRIMIS HEALTH CARE......................................................................................................................................................................
PRO2 KALAMAZOO LLC....................................................................................................................................................................
....................................................................................................259
....................................................................................................376
PROFESSIONAL BREATHING ASSOCIATES INC.............................................................................................................................
....................................................................................................354
PROFESSIONAL VILLAGE PHARMACY............................................................................................................................................
....................................................................................................316
PROS-TECH INC................................................................................................................................................................................
PROS-TECH INC................................................................................................................................................................................
....................................................................................................376
....................................................................................................364
PULMONARY HOME CARE................................................................................................................................................................
....................................................................................................278
PULMONARY HOME CARE-FREMONT.............................................................................................................................................
QUALITY PROSTHETIC & ORTHOTIC CARE INC.............................................................................................................................
....................................................................................................155
....................................................................................................316
REDEMPTIVE MEDICAL EQUIPMENT...............................................................................................................................................
....................................................................................................505
REGIONAL MEDICAL SUPPLY...........................................................................................................................................................
....................................................................................................376
RELIABLE MEDICAL SUPPLY LLC....................................................................................................................................................
RESPIRATORY HOME CARE & CONVALESCENT SUPPLY INC......................................................................................................
....................................................................................................146
....................................................................................................316
REVERENCE HOME HEALTH AND HOSPICE...................................................................................................................................
....................................................................................................442
ROSE CITY DRUG..............................................................................................................................................................................
RS MEDICAL.......................................................................................................................................................................................
....................................................................................................222
....................................................................................................376
RT SPECIALISTS CORP.....................................................................................................................................................................
....................................................................................................456
SAG MED SERV INC..........................................................................................................................................................................
....................................................................................................456
SCOTT MEDICAL EQUIPMENT LLC..................................................................................................................................................
SENIOR HOME HEALTH CARE..........................................................................................................................................................
.....................140, 184, 205, 222, 254, 259, 278, 316, 376, 467, 572
.............................................................................................316, 572
SHAN MEDICAL EQUIPMENT INC.....................................................................................................................................................
....................................................................................................442
SHARED CARE...................................................................................................................................................................................
....................................................................................................217
SHELDON MEDICAL SUPPLY............................................................................................................................................................
....................................................................................................250
....................................................................................................376
.............................................................................................453, 456
....................................................................................................467
....................................................................................................476
....................................................................................................481
SIG MEDICAL EQUIPMENT & SUPPLIES..........................................................................................................................................
....................................................................................................316
....................................................................................................316
SIGNATURE MEDICAL EQUIPMENT.................................................................................................................................................
....................................................................................................376
SLEEP RX OF MICHIGAN...................................................................................................................................................................

Page 948
February 19, 2015

SLEEP SOLUTIONS............................................................................................................................................................................
....................................................................................................376
.............................................................................................456, 477
SOBAKS HOME MEDICAL INC...........................................................................................................................................................
SOLARA MEDICAL SUPPLIES...........................................................................................................................................................
....................................................................................................572
....................................................................................................376
SOURCE ONE MEDICAL INC.............................................................................................................................................................
....................................................................................................167
SPARROW MEDICAL SUPPLY...........................................................................................................................................................
....................................................................................................172
....................................................................................................212
....................................................................................................222
....................................................................................................245
....................................................................................................250
....................................................................................................222
SPARROW REGIONAL MEDICAL SUPPLY.......................................................................................................................................
....................................................................................................222
SPRINGER PROSTHETICS & ORTHOTICS.......................................................................................................................................
....................................................................................................247
ST JOSEPH HEALTH ENTERPRISES................................................................................................................................................
SUN MEDICAL EQUIPMENT COMPANY INC.....................................................................................................................................
....................................................................................................376
....................................................................................................456
SUPERIOR HOME HEALTHCARE......................................................................................................................................................
....................................................................................................316
SURE MEDICAL EQUIPMENT LLC.....................................................................................................................................................
TAWAS FOOT CLINIC PC...................................................................................................................................................................
....................................................................................................247
....................................................................................................134
TETER ORTHOTICS & PROSTHETICS..............................................................................................................................................
.............................................................................................145, 164
....................................................................................................166
....................................................................................................169
....................................................................................................177
....................................................................................................207
....................................................................................................212
....................................................................................................250
....................................................................................................259
....................................................................................................278
....................................................................................................311
....................................................................................................344
....................................................................................................346
.............................................................................................347, 364
....................................................................................................446
....................................................................................................453
....................................................................................................472
....................................................................................................623
....................................................................................................222
THE APOTHECARY SHOP.................................................................................................................................................................
....................................................................................................376
THE DME SOURCE............................................................................................................................................................................
THE PRESCRIPTION SHOP...............................................................................................................................................................
....................................................................................................207
....................................................................................................145
THE PRESCRIPTION SHOP OF HONOR INC....................................................................................................................................
....................................................................................................207
THOMPSON PHARMACY...................................................................................................................................................................
....................................................................................................376
TOWN CENTER FOOT AND ANKLE..................................................................................................................................................
UNION PRESCRIPTION CENTER AND MEDICAL SUPPLY..............................................................................................................
....................................................................................................184
....................................................................................................481
UNITED HEALTH SERVICES.............................................................................................................................................................
....................................................................................................572
US MEDICAL EQUIPMENT INC..........................................................................................................................................................
....................................................................................................361
VISITING NURSE-HOME CARE SERVICES.......................................................................................................................................
VITALCARE HOME MEDICAL EQUIP.................................................................................................................................................
....................................................................................................446
.............................................................................................164, 177
VITALCARE HOME MEDICAL EQUIPMENT.......................................................................................................................................
....................................................................................................278
WE CARE MEDICAL INC....................................................................................................................................................................
....................................................................................................505
WHEELCHAIR SEATING SERVICES.................................................................................................................................................
....................................................................................................172
WILDERNS DURABLE SUPPLIES LLC..............................................................................................................................................
....................................................................................................184
WILLIAMS ORTHOTIC SERVICES INC..............................................................................................................................................
WOUND K-AIR MANAGEMENT..........................................................................................................................................................
....................................................................................................442
....................................................................................................134
WRIGHT & FILIPPIS INC....................................................................................................................................................................
....................................................................................................155

Page 949
February 19, 2015

....................................................................................................166
....................................................................................................171
....................................................................................................184
....................................................................................................217
.............................................................................................222, 247
....................................................................................................259
....................................................................................................278
....................................................................................................297
....................................................................................................316
....................................................................................................345
....................................................................................................376
....................................................................................................446
....................................................................................................456
....................................................................................................467
....................................................................................................477
....................................................................................................481
....................................................................................................505
....................................................................................................572
....................................................................................................442
WRIGHT BRACE AND LIMB INC........................................................................................................................................................
....................................................................................................376
XCLUSIVE MEDICAL EQUIPMENT LLC.............................................................................................................................................
ZYLSTRA MEDICAL SUPPLY INC......................................................................................................................................................
....................................................................................................278

ABBARAH, THABET MD....................................................................................................................................................................
.............................................................................................376, 572
....................................................................................................184
AGABIGUM, MEHMET C MD..............................................................................................................................................................
....................................................................................................376
AKERVALL, JAN MD..........................................................................................................................................................................
....................................................................................................572
AMJAD, ESMAEL H MD......................................................................................................................................................................
AMJAD, ESMAEL HOSAIN MD...........................................................................................................................................................
....................................................................................................572
.............................................................................................316, 376
ARDEN, RICHARD L MD.....................................................................................................................................................................
.............................................................................................505, 572
ARTS, HENRY A MD...........................................................................................................................................................................
ASHBY, CASEY DO...........................................................................................................................................................................
....................................................................................................259
.............................................................................................376, 572
BABU, SEILESH C MD........................................................................................................................................................................
....................................................................................................354
BAE, HAN-SOO MD...........................................................................................................................................................................
....................................................................................................140
BAKER, SCOTT A MD.........................................................................................................................................................................
BAKER, SHAN R MD...........................................................................................................................................................................
.............................................................................................505, 572
....................................................................................................505
BASURA, GREGORY..........................................................................................................................................................................
....................................................................................................572
BASURA, GREGORY MD..................................................................................................................................................................
BATHULA, SAMBA SIVA R MD...........................................................................................................................................................
....................................................................................................572
....................................................................................................572
BATHULA, SAMBA SIVA REDDY MD.................................................................................................................................................
.............................................................................................316, 376
BECKER, JOHN W MD.......................................................................................................................................................................
....................................................................................................172
BERG, EDWARD D DO.......................................................................................................................................................................
BOJRAB, DENNIS I MD......................................................................................................................................................................
....................................................................................................376
....................................................................................................276
BOROVIK, HARRY R MD....................................................................................................................................................................
....................................................................................................505
BRADFORD, CAROL R MD................................................................................................................................................................
.............................................................................................316, 467
BRAMMER, ROBERT MD..................................................................................................................................................................
BRANDES, WARREN DO..................................................................................................................................................................
.............................................................................................316, 376
.............................................................................................505, 573
BRENNER, MICHAEL J MD................................................................................................................................................................
....................................................................................................376
BROOKS, JAMES S MD......................................................................................................................................................................
.............................................................................................505, 573
BROWN, DAVID J MD.........................................................................................................................................................................
.............................................................................................376, 573
CARRON, MICHAEL A MD..................................................................................................................................................................
....................................................................................................155
CASTRO, DAN J MD...........................................................................................................................................................................
CAVALIERE, SALVATORE DO..........................................................................................................................................................
....................................................................................................573
.............................................................................................377, 573
CHAN, ELEANOR Y MD......................................................................................................................................................................
.............................................................................................250, 351
CHASE, STEPHEN MD......................................................................................................................................................................

Page 950
February 19, 2015

CHMIELEWSKA, MONIKA DO...........................................................................................................................................................
....................................................................................................184
....................................................................................................222
COMPTON, ANDREW M MD..............................................................................................................................................................
COTICCHIA, JAMES MD....................................................................................................................................................................
....................................................................................................573
.............................................................................................138, 279
COX, CLAUDELL MD.........................................................................................................................................................................
.....................................................................................316, 377, 573
DICKSON, CLARK B MD.....................................................................................................................................................................
.............................................................................................297, 377
DOWNS, ASHA J DO..........................................................................................................................................................................
DZUL, ANDREW MD..........................................................................................................................................................................
.............................................................................................316, 467
.............................................................................................505, 573
EL-KASHLAN, HUSSAM K MD............................................................................................................................................................
.............................................................................................140, 442
FARBER, DAVID L MD........................................................................................................................................................................
FEELEY, MARC A MD.........................................................................................................................................................................
.............................................................................................162, 446
.............................................................................................316, 467
FISHMAN, ROBERT MD....................................................................................................................................................................
.............................................................................................377, 573
FOLBE, ADAM J MD...........................................................................................................................................................................
.....................................................................................316, 317, 467
FOZO, MICHAEL S MD.......................................................................................................................................................................
GARETZ, SUSAN L MD......................................................................................................................................................................
.....................................................................................505, 506, 573
....................................................................................................573
GARLAPATY, VASUDEV R MD..........................................................................................................................................................
....................................................................................................162
GIETZEN, KEVIN L DO.......................................................................................................................................................................
GIETZEN, KEVIN L DO.......................................................................................................................................................................
....................................................................................................446
....................................................................................................222
GILROY, GERALD L DO.....................................................................................................................................................................
....................................................................................................222
GOEBEL, ERIC A MD..........................................................................................................................................................................
....................................................................................................377
GOOD, LAURA J PA...........................................................................................................................................................................
GRAVES, CECLLIA MD.....................................................................................................................................................................
....................................................................................................259
....................................................................................................506
GREEN, GLENN E MD........................................................................................................................................................................
....................................................................................................377
GUPTA, ANIL K MD............................................................................................................................................................................
GWINN, KENNETH L MD....................................................................................................................................................................
.............................................................................................317, 377
....................................................................................................146
HABENICHT, DEBORAH MD.............................................................................................................................................................
.............................................................................................317, 377
HANDZO, DEREK DO........................................................................................................................................................................
.............................................................................................317, 377
HANDZO, DEREK J DO......................................................................................................................................................................
HARRIS, PHILIP MD..........................................................................................................................................................................
....................................................................................................351
....................................................................................................279
HEAFORD, ANDREW C MD...............................................................................................................................................................
....................................................................................................297
HEGYI, DOUGLAS F DO.....................................................................................................................................................................
HEGYI, DOUGLAS F DO.....................................................................................................................................................................
....................................................................................................377
.............................................................................................506, 573
HEIDENREICH, KATHERINE D MD....................................................................................................................................................
....................................................................................................222
HENNESSEY, PATRICK T MD............................................................................................................................................................
.............................................................................................506, 573
HOGIKYAN, NORMAN D MD..............................................................................................................................................................
HONG, ROBERT S MD.......................................................................................................................................................................
....................................................................................................377
.............................................................................................377, 573
JACOBS, JOHN R MD.........................................................................................................................................................................
....................................................................................................153
JANKOWSKI, EDWARD G MD............................................................................................................................................................
JOSEPH, DAVID L MD........................................................................................................................................................................
....................................................................................................222
....................................................................................................354
KARPENKO, ANDREW MD................................................................................................................................................................
.............................................................................................506, 573
KIM, JENNIFER C MD.........................................................................................................................................................................
....................................................................................................377
KITAIN, DONALD S DO.......................................................................................................................................................................
KOOPMANN, CHARLES F MD............................................................................................................................................................
....................................................................................................506
....................................................................................................506
KROEKER, ANDREW D MD...............................................................................................................................................................
....................................................................................................317
KUBEK, DOUGLAS DO......................................................................................................................................................................
....................................................................................................456
KUMAR, NARENDRA MD..................................................................................................................................................................
KUPFER, ROBBI A MD.......................................................................................................................................................................
....................................................................................................506
.............................................................................................297, 377
KWARTOWITZ, GARY DO.................................................................................................................................................................
....................................................................................................377
LA ROUERE, MICHAEL J MD.............................................................................................................................................................
....................................................................................................222
LEBEDA, MARK D MD........................................................................................................................................................................
....................................................................................................506
LESPERANCE, MARCI M MD.............................................................................................................................................................
....................................................................................................354
LEVY, HORACE G MD........................................................................................................................................................................
LIN, HO-SHENG MD..........................................................................................................................................................................
.............................................................................................377, 573
....................................................................................................134
LOMBARDO, CHRISTOPHER P MD...................................................................................................................................................
....................................................................................................573
MADGY, DAVID DO...........................................................................................................................................................................

Page 951
February 19, 2015

MALLOY, KELLY M MD.......................................................................................................................................................................
....................................................................................................506
....................................................................................................184
MARCHETTA, STEVEN DO...............................................................................................................................................................
MARENTETTE, LAWRENCE J MD.....................................................................................................................................................
....................................................................................................506
....................................................................................................358
MARKIEWICZ, KENNETH H DO.........................................................................................................................................................
....................................................................................................377
MASRI, HAITHAM MD........................................................................................................................................................................
....................................................................................................377
MCBRIEN, MARY MD........................................................................................................................................................................
MCKEAN, ERIN L MD.........................................................................................................................................................................
.............................................................................................506, 573
.............................................................................................506, 573
MCLEAN, SCOTT A MD PHD..............................................................................................................................................................
....................................................................................................317
MEGLER, DANIEL MD.......................................................................................................................................................................
MELECA, ROBERT J MD....................................................................................................................................................................
.............................................................................................279, 358
.............................................................................................317, 377
MILEWSKI, JEFFREY DO..................................................................................................................................................................
.............................................................................................377, 573
MONSELL, EDWIN M MD...................................................................................................................................................................
.............................................................................................506, 573
MOYER, JEFFREY S MD....................................................................................................................................................................
MUKKAMALA, SRINIVAS B MD..........................................................................................................................................................
....................................................................................................184
.............................................................................................377, 573
NAUMANN, ILKA C MD.......................................................................................................................................................................
....................................................................................................377
NOWAK, PEGGYANN MD..................................................................................................................................................................
OWUSU, JAMES A MD.......................................................................................................................................................................
.............................................................................................506, 573
.............................................................................................506, 573
PASSAMANI, PETER P MD................................................................................................................................................................
....................................................................................................573
PASTERNAK, SUZANNE A DDS........................................................................................................................................................
.............................................................................................279, 358
PFENNIG, THOMAS W DO.................................................................................................................................................................
PFENNING, THOMAS W DO..............................................................................................................................................................
....................................................................................................279
....................................................................................................361
POTTER, ARTHUR J MD....................................................................................................................................................................
....................................................................................................506
PRINCE, MARK E MD.........................................................................................................................................................................
PYNNONEN, MELISSA A MD.............................................................................................................................................................
.............................................................................................506, 573
....................................................................................................477
RADGENS, SHANNON DO................................................................................................................................................................
.....................................................................................245, 279, 347
RAKOWSKI, MELISSA DO.................................................................................................................................................................
....................................................................................................184
RESCHAK, STEVEN C DO.................................................................................................................................................................
RICHARDSON, KURT A MD...............................................................................................................................................................
....................................................................................................222
....................................................................................................184
ROBBINS, WAYNE K DO....................................................................................................................................................................
....................................................................................................351
RODEN, DAVID M MD........................................................................................................................................................................
RONTAL, DANIEL A MD.....................................................................................................................................................................
....................................................................................................377
....................................................................................................377
RONTAL, EUGENE MD......................................................................................................................................................................
....................................................................................................377
RONTAL, MICHAEL MD.....................................................................................................................................................................
....................................................................................................377
ROSNER, ARTHUR J MD...................................................................................................................................................................
RUBIN, ADAM MD..............................................................................................................................................................................
....................................................................................................317
....................................................................................................506
RYAN, JESSE T MD............................................................................................................................................................................
.....................................................................................317, 377, 573
SARGENT, ERIC W MD......................................................................................................................................................................
SCAPINI, DAVID A MD........................................................................................................................................................................
.............................................................................................317, 377
.............................................................................317, 377, 378, 573
SCHWARTZENFELD, TED H DO........................................................................................................................................................
....................................................................................................259
SHAPIRO, ELY MD............................................................................................................................................................................
....................................................................................................317
SHERBIN, MICHAEL DO....................................................................................................................................................................
SHERMETARO, CARL B DO..............................................................................................................................................................
.............................................................................................297, 378
.............................................................................................378, 573
SHKOUKANI, MAHDI A MD................................................................................................................................................................
....................................................................................................184
SHUKAIRY, KHALED M MD................................................................................................................................................................
....................................................................................................506
SHUMAN, ANDREW G MD.................................................................................................................................................................
SMITH, CHRISTOPHER P MD............................................................................................................................................................
.............................................................................................259, 472
....................................................................................................222
SMITH, DUANE M MD.........................................................................................................................................................................
....................................................................................................162
SNYDER, ERIC R MD.........................................................................................................................................................................
....................................................................................................446
SNYDER, ERIC R MD.........................................................................................................................................................................
....................................................................................................162
SOMERS, MELISSA L MD..................................................................................................................................................................
....................................................................................................446
SOMERS, MELISSA L MD..................................................................................................................................................................
SPECTOR, MATTHEW E MD..............................................................................................................................................................
....................................................................................................506
....................................................................................................446
SPOONER, THOMAS R MD................................................................................................................................................................
.............................................................................................506, 573
STANLEY, JEFFREY J MD.................................................................................................................................................................

Page 952
February 19, 2015

STERN, NOAH A DO...........................................................................................................................................................................
....................................................................................................573
....................................................................................................573
STERN, NOAH AARON DO................................................................................................................................................................
STONE, MICHAEL E MD.....................................................................................................................................................................
.............................................................................................378, 573
....................................................................................................483
STRABBING, RICHARD DO...............................................................................................................................................................
....................................................................................................259
SZELES, L S MD.................................................................................................................................................................................
.....................................................................................131, 279, 347
TAYLOR, JOSEPH C MD....................................................................................................................................................................
TELIAN, STEVEN A MD......................................................................................................................................................................
.............................................................................................506, 574
.............................................................................................506, 574
TERRELL, JEFFREY E MD.................................................................................................................................................................
.............................................................................................506, 574
THORNE, MARC C MD.......................................................................................................................................................................
TOOLE, AMANDA MD........................................................................................................................................................................
.............................................................................................317, 467
....................................................................................................297
WALKER, TRAVIS D DO.....................................................................................................................................................................
....................................................................................................146
WALTER, MARGARET A MD..............................................................................................................................................................
.............................................................................................305, 378
WANDZEL, RICHARD A DO...............................................................................................................................................................
WEINGARTEN, JEFFREY S MD.........................................................................................................................................................
.....................................................................................317, 378, 574
....................................................................................................378
YERMAN, HOWARD MD....................................................................................................................................................................
.............................................................................................378, 574
YOO, GEORGE H MD.........................................................................................................................................................................
ZACHAREK, MARK A MD...................................................................................................................................................................
.............................................................................................506, 574
....................................................................................................378
ZAPPIA, JOHN J MD...........................................................................................................................................................................
.............................................................................................378, 574
ZULIANI, GIANCARLO F MD..............................................................................................................................................................

ARMC ER............................................................................................................................................................................................
....................................................................................................134
....................................................................................................378
BEAUMONT PROFESSIONAL SERVICES.........................................................................................................................................
BEAUMONT PROFESSIONAL SERVICES.........................................................................................................................................
....................................................................................................574
....................................................................................................378
BEAUMONT PROFESSIONAL SVCS.................................................................................................................................................
....................................................................................................161
BORGESS LEE EMERGENCY PHYS.................................................................................................................................................
....................................................................................................484
BRONSON LAKEVIEW HOSPITAL.....................................................................................................................................................
BRONSON METHODIST HOSPITAL..................................................................................................................................................
....................................................................................................259
....................................................................................................155
CALHOUN COUNTY EMERGENCY PHYSICIANS.............................................................................................................................
....................................................................................................358
CARSON CITY HOSPITAL ER PHYSICIANS......................................................................................................................................
CHARLEVOIX AREA HOSPITAL.........................................................................................................................................................
....................................................................................................162
....................................................................................................167
CLINTON MEMORIAL HOSPITAL.......................................................................................................................................................
....................................................................................................250
CMCH EMERGENCY PHY..................................................................................................................................................................
....................................................................................................456
CMU MEDICAL EDUCATION PARTNER............................................................................................................................................
COVENANT MEDICAL CENTER.........................................................................................................................................................
....................................................................................................456
....................................................................................................378
CRITTENTON HOSPITAL MEDICAL CTR..........................................................................................................................................
....................................................................................................476
DECKERVILLE COMMUNITY HOSPITAL...........................................................................................................................................
DEGARA GARDEN CITY PLLC...........................................................................................................................................................
....................................................................................................574
.............................................................................................297, 378
DEGARA PLLC....................................................................................................................................................................................
....................................................................................................378
DOCTORS HOSPITAL OF MICHIGAN................................................................................................................................................
....................................................................................................574
DONALD B SMITH MD........................................................................................................................................................................
EDWARD W SPARROW HOSPITAL...................................................................................................................................................
....................................................................................................245
....................................................................................................140
EM MED PC........................................................................................................................................................................................
....................................................................................................481
EMERGENCY CARE CENTER...........................................................................................................................................................
.....................................................184, 222, 250, 317, 378, 467, 574
EMERGENCY DEPT PHYSICIANS PC...............................................................................................................................................
EMERGENCY MEDICAL ASSOC........................................................................................................................................................
....................................................................................................222
....................................................................................................172
ERMC ER PHYSICIANS......................................................................................................................................................................
....................................................................................................172
HAYES GREEN BEACH MEMORIAL..................................................................................................................................................
....................................................................................................481
HILLS AND DALES GENERAL HOSPITAL-ER...................................................................................................................................
....................................................................................................184
HURLEY EMERGENCY PHYSICIANS................................................................................................................................................
....................................................................................................217
HURON MEMORIAL HOSPITAL.........................................................................................................................................................
IONIA COUNTY MEMORIAL HOSPITAL EM.......................................................................................................................................
....................................................................................................245
....................................................................................................317
JULIE M LATA DO PC.........................................................................................................................................................................
....................................................................................................276
KALKASKA MEMORIAL HEALTH CENTER........................................................................................................................................

Page 953
February 19, 2015

EMERGENCY CARE CENTER (CONTINUED)
MACKINAC STRAITS HOSPITAL.......................................................................................................................................................
....................................................................................................311
....................................................................................................184
MCLAREN EMERGENCY PHYSICIANS.............................................................................................................................................
MEDICAL OBSERVATION SERVICES PLLC......................................................................................................................................
....................................................................................................222
....................................................................................................351
MID MICH MED CENTR MIDLAND.....................................................................................................................................................
....................................................................................................222
MSU HEALTHTEAM-EMERGENCY MED...........................................................................................................................................
....................................................................................................317
MT CLEMENS REGIONAL EMERG PHYS..........................................................................................................................................
N MI EMERGENCY PHYSICIANS.......................................................................................................................................................
.............................................................................................164, 177
....................................................................................................177
NORTHERN MICHIGAN MEDICAL MGT............................................................................................................................................
....................................................................................................378
OAKLAND PHYSICIANS MEDICAL.....................................................................................................................................................
OBSERVATION EMERGENCY PHYSICIANS.....................................................................................................................................
.............................................................................................317, 574
....................................................................................................446
OTSEGO EMERGENCY PHYSICIANS...............................................................................................................................................
....................................................................................................446
OTSEGO MEMORIAL HOSPITAL.......................................................................................................................................................
....................................................................................................467
PHYSICIAN HEALTHCARE NETWORK..............................................................................................................................................
PHYSICIANS ASSOCIATES PC..........................................................................................................................................................
....................................................................................................222
....................................................................................................378
PONTIAC OSTEOPATHIC HOSPITAL................................................................................................................................................
....................................................................................................467
PORT HURON HOSPITAL..................................................................................................................................................................
REGENTS OF THE U OF M ER..........................................................................................................................................................
....................................................................................................506
....................................................................................................358
SCH ER PHYSICIANS.........................................................................................................................................................................
....................................................................................................484
SHCH ER............................................................................................................................................................................................
....................................................................................................346
SPECTRUM HEALTH LUDINGTON HOSPITAL..................................................................................................................................
ST JOHN HOSPITAL...........................................................................................................................................................................
....................................................................................................574
....................................................................................................317
ST JOHN MACOMB ER PHYSICIANS................................................................................................................................................
....................................................................................................248
ST JOSEPH HEALTH SYSTEM INC...................................................................................................................................................
STANDISH COMMUNITY HOSPITAL..................................................................................................................................................
....................................................................................................137
....................................................................................................472
STURGIS HOSPITAL..........................................................................................................................................................................
....................................................................................................574
UNIVERSITY PEDIATRICIANS...........................................................................................................................................................
....................................................................................................344
WEST SHORE MEDICAL CENTER.....................................................................................................................................................

BAY AREA REGIONAL DIALYSIS CENTER BAY CITY......................................................................................................................
....................................................................................................140
BAY AREA REGIONAL DIALYSIS CENTER SAGINAW......................................................................................................................
....................................................................................................456
....................................................................................................456
BAY AREA REGIONAL DIALYSIS CENTER-SAGINAW RIVERSIDE.................................................................................................
....................................................................................................378
BEAUMONT DIALYSIS-BERKLEY......................................................................................................................................................
....................................................................................................378
BEAUMONT DIALYSIS-FRANKLIN.....................................................................................................................................................
BEAUMONT DIALYSIS-HAZEL PARK................................................................................................................................................
....................................................................................................378
....................................................................................................378
BEAUMONT DIALYSIS-ROCHESTER HILLS......................................................................................................................................
....................................................................................................317
BEAUMONT DIALYSIS-STERLING HEIGHTS....................................................................................................................................
BMA DETROIT....................................................................................................................................................................................
....................................................................................................574
....................................................................................................574
BMA LIVONIA......................................................................................................................................................................................
....................................................................................................378
BMA MADISON HEIGHTS...................................................................................................................................................................
....................................................................................................574
BMA NORTHWEST DETROIT.............................................................................................................................................................
BMA ROMULUS..................................................................................................................................................................................
....................................................................................................574
....................................................................................................305
BRIGHTON DIALYSIS CENTER.........................................................................................................................................................
....................................................................................................574
FMC CONNER DIALYSIS CENTER....................................................................................................................................................
....................................................................................................574
FMC DIALYSIS SERVICES BEWICK..................................................................................................................................................
FMC DIALYSIS SERVICES OF EAST DETROIT.................................................................................................................................
....................................................................................................574
....................................................................................................467
FMC DIALYSIS SERVICES PORT HURON........................................................................................................................................
....................................................................................................317
FMC DIALYSIS SERVICES ROMEO PLANK......................................................................................................................................
....................................................................................................248
FMC DIALYSIS SERVICES TAWAS BAY...........................................................................................................................................
....................................................................................................574
FMC DIALYSIS SERVICES UNIVERSITY...........................................................................................................................................
....................................................................................................317
FMC DIALYSIS SERVICES WARREN................................................................................................................................................
FMC DIALYSIS SERVICES WEST ANN ARBOR................................................................................................................................
....................................................................................................506
....................................................................................................317
FRESENIUS DIALYSIS SERVICES OF CHESTERFIELD...................................................................................................................
....................................................................................................302
FRESENIUS MEDICAL CARE ADRIAN..............................................................................................................................................

Page 954
February 19, 2015

END STAGE RENAL DISEASE CENTER (CONTINUED)
FRESENIUS MEDICAL CARE ANN ARBOR.......................................................................................................................................
....................................................................................................506
....................................................................................................296
FRESENIUS MEDICAL CARE BALDWIN............................................................................................................................................
FRESENIUS MEDICAL CARE BIG RAPIDS........................................................................................................................................
....................................................................................................347
....................................................................................................574
FRESENIUS MEDICAL CARE BOTSFORD PARK..............................................................................................................................
....................................................................................................623
FRESENIUS MEDICAL CARE CADILLAC...........................................................................................................................................
....................................................................................................481
FRESENIUS MEDICAL CARE CARO..................................................................................................................................................
FRESENIUS MEDICAL CARE CASS RIVER......................................................................................................................................
....................................................................................................456
....................................................................................................354
FRESENIUS MEDICAL CARE DUNDEE.............................................................................................................................................
....................................................................................................574
FRESENIUS MEDICAL CARE GARDEN CITY....................................................................................................................................
FRESENIUS MEDICAL CARE GULL ROAD.......................................................................................................................................
....................................................................................................259
....................................................................................................138
FRESENIUS MEDICAL CARE HASTINGS..........................................................................................................................................
....................................................................................................172
FRESENIUS MEDICAL CARE IRON MOUNTAIN...............................................................................................................................
....................................................................................................254
FRESENIUS MEDICAL CARE JACKSON OAKS................................................................................................................................
FRESENIUS MEDICAL CARE KALAMAZOO EAST............................................................................................................................
....................................................................................................259
....................................................................................................279
FRESENIUS MEDICAL CARE KENTWOOD.......................................................................................................................................
....................................................................................................172
FRESENIUS MEDICAL CARE LANSING WEST.................................................................................................................................
FRESENIUS MEDICAL CARE MANISTEE..........................................................................................................................................
....................................................................................................344
....................................................................................................345
FRESENIUS MEDICAL CARE MARQUETTE......................................................................................................................................
....................................................................................................215
FRESENIUS MEDICAL CARE OF HILLSDALE...................................................................................................................................
....................................................................................................317
FRESENIUS MEDICAL CARE OF ST CLAIR SHORES......................................................................................................................
FRESENIUS MEDICAL CARE SANDUSKY........................................................................................................................................
....................................................................................................476
....................................................................................................574
FRESENIUS MEDICAL CARE SHELDON CORNERS........................................................................................................................
....................................................................................................167
FRESENIUS MEDICAL CARE ST JOHNS..........................................................................................................................................
FRESENIUS MEDICAL CARE STURGIS............................................................................................................................................
....................................................................................................472
....................................................................................................574
FRESENIUS MEDICAL CARE TAYLOR..............................................................................................................................................
....................................................................................................184
GENESEE VALLEY DIALYSIS CENTER.............................................................................................................................................
....................................................................................................354
GREAT LAKES DIALYSIS CENTER....................................................................................................................................................
LIBERTY AT LAKELAND NILES..........................................................................................................................................................
....................................................................................................147
....................................................................................................147
LIBERTY AT LAKELAND ROYALTON.................................................................................................................................................
....................................................................................................259
LIBERTY DIALYSIS AT LAKELAND BENTON HARBOR....................................................................................................................
NORTHERN MICHIGAN HOSPITAL DIALYSIS CTR..........................................................................................................................
....................................................................................................177
....................................................................................................477
OWOSSO MEMORIAL DIALYSIS CENTER........................................................................................................................................
....................................................................................................279
RAI CLYDE PARK WYOMING.............................................................................................................................................................
....................................................................................................131
RAI HASTINGS AVE HOLLAND..........................................................................................................................................................
RAI ROCKFORD PARK ROCKFORD..................................................................................................................................................
....................................................................................................279
....................................................................................................449
RAI ROYAL PARK ZEELAND..............................................................................................................................................................
....................................................................................................361
RAI WEST NORTON MUSKEGON......................................................................................................................................................
RCG ALLEGAN...................................................................................................................................................................................
....................................................................................................131
....................................................................................................155
RCG BATTLE CREEK.........................................................................................................................................................................
....................................................................................................155
RCG BATTLE CREEK NORTH............................................................................................................................................................
....................................................................................................171
RCG CENTRAL ILLINOIS-ESCANABA...............................................................................................................................................
RCG CHARLOTTE..............................................................................................................................................................................
....................................................................................................172
....................................................................................................153
RCG COLDWATER.............................................................................................................................................................................
....................................................................................................222
RCG EAST LANSING..........................................................................................................................................................................
....................................................................................................259
RCG KALAMAZOO..............................................................................................................................................................................
RCG KALAMAZOO HOME PROGRAM...............................................................................................................................................
....................................................................................................259
....................................................................................................222
RCG LANSING....................................................................................................................................................................................
....................................................................................................259
RCG OSHTEMO..................................................................................................................................................................................
....................................................................................................484
RCG SOUTH HAVEN..........................................................................................................................................................................
....................................................................................................472
RCG THREE RIVERS.........................................................................................................................................................................
....................................................................................................297
RELIANT RENAL CARE LAPEER LLC................................................................................................................................................
RENAL ASSOCIATES OF WEST MICHIGAN.....................................................................................................................................
....................................................................................................245
....................................................................................................184
RRC HOME.........................................................................................................................................................................................
....................................................................................................184
RRC WEST FLINT...............................................................................................................................................................................

Page 955
February 19, 2015

END STAGE RENAL DISEASE CENTER (CONTINUED)
UNIVERSITY OF MICHIGAN DIALYSIS-LIVONIA...............................................................................................................................
....................................................................................................574
....................................................................................................506
UNIVERSITY OF MICHIGAN HEALTH SYSTEM, DIALYSIS ANN ARBOR.........................................................................................
ENDOCRINOLOGY
ADDEPALLI, ARADHANA MD............................................................................................................................................................
.............................................................................................378, 574
....................................................................................................378
AHMAD, NASEER M MD.....................................................................................................................................................................
AHMED, SAADIAH DO.......................................................................................................................................................................
.............................................................................................317, 574
.............................................................................................506, 507
AJLUNI, NEVIN N MD.........................................................................................................................................................................
.............................................................................................378, 574
AKKAD, AYMAN MD..........................................................................................................................................................................
AL DASOUQI, SALEH MD..................................................................................................................................................................
....................................................................................................223
....................................................................................................467
ALI, SHAMSA A MD............................................................................................................................................................................
....................................................................................................147
AL-NAJJAR, MAJDI MD.....................................................................................................................................................................
....................................................................................................574
ALSABBAGH, RANA MD....................................................................................................................................................................
AL-SAYED, MOHAMAD Y MD.............................................................................................................................................................
....................................................................................................140
.............................................................................................378, 574
ALZOHAILI, OPADA MD....................................................................................................................................................................
....................................................................................................351
AMIRI, LOABAT MD...........................................................................................................................................................................
ARVAN, PETER R MD........................................................................................................................................................................
....................................................................................................507
....................................................................................................507
AUCHUS, RICHARD J MD..................................................................................................................................................................
....................................................................................................184
BAKLEH, MUHAMMAD A MD..............................................................................................................................................................
....................................................................................................507
BARKAN, ARIEL L MD........................................................................................................................................................................
BERNAL-MIZRACHI, ERNESTO MD..................................................................................................................................................
....................................................................................................507
....................................................................................................215
BOAKYE, KWASI O MD......................................................................................................................................................................
.............................................................................................140, 467
BOBOC, LAVINA MD..........................................................................................................................................................................
BONE, HENRY G III MD......................................................................................................................................................................
....................................................................................................574
....................................................................................................317
BRENNAN, MICHAEL R DO................................................................................................................................................................
....................................................................................................260
BRICKER, LEE A MD..........................................................................................................................................................................
....................................................................................................507
BURANT, CHARLES F MD..................................................................................................................................................................
BUSUI, RODICA MD..........................................................................................................................................................................
....................................................................................................507
....................................................................................................223
CARELLA, MICHAEL J MD.................................................................................................................................................................
....................................................................................................507
CHOKSI, PALAK U MD.......................................................................................................................................................................
CHUN, TAE-HWA MD........................................................................................................................................................................
....................................................................................................507
....................................................................................................507
CLINES, GREGORY A MD..................................................................................................................................................................
.............................................................................................317, 378
DAWOOD-FARAH, FARAH MD..........................................................................................................................................................
....................................................................................................507
DIMARAKI, ELENI V MD.....................................................................................................................................................................
DLEWATI, ABDALLAH MD.................................................................................................................................................................
....................................................................................................184
....................................................................................................507
DOUYON, LISELLE MD......................................................................................................................................................................
....................................................................................................574
ELBADAWI, HUSSEIN S MD...............................................................................................................................................................
ELSE, TOBIAS MD.............................................................................................................................................................................
....................................................................................................507
.............................................................................................305, 507
ESFANDIARI, NAZANENE H MD........................................................................................................................................................
.............................................................................................317, 574
FADANELLI, MARGARET E MD.........................................................................................................................................................
....................................................................................................207
FAICHNEY, JOHN D MD.....................................................................................................................................................................
FELDMAN, EDGARD I MD..................................................................................................................................................................
....................................................................................................147
....................................................................................................223
FLETCHER, DANA G DO....................................................................................................................................................................
....................................................................................................507
FRANZESE, JENNIFER R MD............................................................................................................................................................
....................................................................................................507
GIANCHANDANI, ROMA Y MD...........................................................................................................................................................
GOSSAIN, VED V MD.........................................................................................................................................................................
....................................................................................................223
.....................................................................................131, 155, 260
GREENBERG, CRAIG P MD...............................................................................................................................................................
....................................................................................................507
GREKIN, ROGER J MD.......................................................................................................................................................................
....................................................................................................250
GUYTINGCO, RICARDO R MD...........................................................................................................................................................
....................................................................................................575
HAFIDA, SAMAR Y MD.......................................................................................................................................................................
....................................................................................................507
HAMMER, GARY D MD.......................................................................................................................................................................
HAMMOUD, JAMAL MD.....................................................................................................................................................................
.............................................................................................184, 297
....................................................................................................317
HAMMOUDE, MOHAMMAD A MD......................................................................................................................................................
....................................................................................................507
HAYMART, MEGAN R MD..................................................................................................................................................................

Page 956
February 19, 2015

HEBDON, GEORGE MD....................................................................................................................................................................
....................................................................................................223
....................................................................................................508
HERMAN, WILLIAM H MD...................................................................................................................................................................
HODISH, ISRAEL MD.........................................................................................................................................................................
....................................................................................................508
....................................................................................................223
HOISINGTON, KARA DO...................................................................................................................................................................
....................................................................................................508
JAFFE, CRAIG A MD...........................................................................................................................................................................
....................................................................................................223
KAKUMANU, NAVEEN MD................................................................................................................................................................
KANE, LAURIE A MD..........................................................................................................................................................................
....................................................................................................177
....................................................................................................223
KAUFMAN, LARYSSA N MD...............................................................................................................................................................
....................................................................................................169
KIAMI, BASHAR MD...........................................................................................................................................................................
KIAMI, BASHAR E MD........................................................................................................................................................................
....................................................................................................169
....................................................................................................508
KOENIG, RONALD J MD.....................................................................................................................................................................
....................................................................................................508
KRAFTSON, ANDREW T MD..............................................................................................................................................................
.............................................................................................378, 575
KRAKAUER, JESSE C MD..................................................................................................................................................................
KRIVOSPITSKAYA, OLESYA MD......................................................................................................................................................
....................................................................................................250
....................................................................................................508
KUMAGAI, ARNO K MD......................................................................................................................................................................
.............................................................................................317, 575
KURIAN, REGINA T MD......................................................................................................................................................................
LASH, ROBERT W MD........................................................................................................................................................................
....................................................................................................508
....................................................................................................508
LIN, VIVIAN H MD...............................................................................................................................................................................
....................................................................................................140
MACIULIS, MARGARETHE MD.........................................................................................................................................................
....................................................................................................575
MALLISHO, ABDULLAH M MD............................................................................................................................................................
MOOSA, MAHMOOD F MD.................................................................................................................................................................
....................................................................................................355
....................................................................................................378
OBI, OGOMA M MD............................................................................................................................................................................
....................................................................................................508
ORAL, ELIF MD..................................................................................................................................................................................
PAPALEONTIOU, MARIA MD............................................................................................................................................................
....................................................................................................508
....................................................................................................508
PEK, SUMER MD...............................................................................................................................................................................
....................................................................................................508
ROTHBERG, AMY E MD.....................................................................................................................................................................
....................................................................................................575
RUSSELL, SHERILYN J MD...............................................................................................................................................................
SALEH, MOHAMMAD MD..................................................................................................................................................................
....................................................................................................575
.............................................................................................379, 575
SAMANTRAY, JULIE MD...................................................................................................................................................................
.............................................................................................317, 379
SCROGIN, ANDREW D MD................................................................................................................................................................
SEYOUM, BERHANE MD...................................................................................................................................................................
....................................................................................................575
....................................................................................................508
SMITH, TERRY J MD..........................................................................................................................................................................
....................................................................................................508
SOLEIMANPOUR, ARASH S MD........................................................................................................................................................
....................................................................................................575
TAHA, WAEL MD...............................................................................................................................................................................
THAWANI, HEMANT T MD..................................................................................................................................................................
....................................................................................................184
....................................................................................................184
TOMYCZ, NESTOR MD.....................................................................................................................................................................
....................................................................................................185
TOMYCZ, NESTOR B MD...................................................................................................................................................................
TURCU, ADINA F MD..........................................................................................................................................................................
....................................................................................................508
....................................................................................................472
VERMA, ASHISH MD.........................................................................................................................................................................
....................................................................................................473
VIRUPANNAVAR, CHANDRASHEKHAR MD.....................................................................................................................................
....................................................................................................207
VOLLBRECHT, JILL E MD..................................................................................................................................................................
WIITA, PATRICIA S NP.......................................................................................................................................................................
....................................................................................................260
....................................................................................................508
WYCKOFF, JENNIFER A MD..............................................................................................................................................................
EYEWARE SUPPLIER
AFFORDABLE EYE WEAR.................................................................................................................................................................
....................................................................................................185
....................................................................................................140
BAY EYE CARE CENTER...................................................................................................................................................................
.............................................................................245, 279, 358, 449
GRO OPTICAL LLC.............................................................................................................................................................................
....................................................................................................297
IMLAY CITY OPTICAL.........................................................................................................................................................................
....................................................................................................317
OXFORD OPTICAL.............................................................................................................................................................................
....................................................................................................153
TRI-STATE OPTICAL..........................................................................................................................................................................

ABBAS, RIMA MD..............................................................................................................................................................................
....................................................................................................106

Page 957
February 19, 2015

ABBO, MARISA DO............................................................................................................................................................................
......................................................................................................69
......................................................................................................31
ABBOTT, CATHLEEN M MD...............................................................................................................................................................
ABDO, BASIL O MD............................................................................................................................................................................
....................................................................................................106
................................................................................................55, 56
ADAIR, ANDREW DO.........................................................................................................................................................................
.....................................................................................14, 44, 91, 95
ADAMSON, ANGELA DO...................................................................................................................................................................
....................................................................................................106
AGBASSI, INNOCENT E MD...............................................................................................................................................................
AGELOFF-KUPETZ, SHANA MD.......................................................................................................................................................
......................................................................................................53
......................................................................................................69
AHAD, DURAID MD............................................................................................................................................................................
......................................................................................................69
AHMAD, MUTAHHAR MD..................................................................................................................................................................
AHMAD, NAILA MD............................................................................................................................................................................
......................................................................................................69
....................................................................................................106
AHMED, MOTAHAR H MD..................................................................................................................................................................
................................................................................................53, 93
AHMED, USMAN MD.........................................................................................................................................................................
....................................................................................................106
AJEMIAN, NANCY A MD.....................................................................................................................................................................
AKERS, NANCY A DO........................................................................................................................................................................
......................................................................................................69
..........................................................................................21, 85, 94
AKHTER, NILUFA MD........................................................................................................................................................................
......................................................................................................26
ALAN, CLIFFORD R DO......................................................................................................................................................................
ALEXANDER, ELIZABETH MD..........................................................................................................................................................
......................................................................................................31
......................................................................................................69
ALI, ESA M MD..................................................................................................................................................................................
....................................................................................................106
ALI, HALIMA MD................................................................................................................................................................................
......................................................................................................56
ALLA, YLLI DO...................................................................................................................................................................................
ALLEN, RICHARD DO........................................................................................................................................................................
......................................................................................................18
......................................................................................................16
ALLUM, ROBERT DO.........................................................................................................................................................................
......................................................................................................83
ALLUM, THOMAS H DO......................................................................................................................................................................
ALMANSOUR, MUHAMMAD A MD.....................................................................................................................................................
..............................................................................................21, 118
....................................................................................................106
ALPER, BERNARD DO......................................................................................................................................................................
....................................................................................................106
AL-RAHOMI, TAHA MD......................................................................................................................................................................
......................................................................................................56
ALRAIS, MARK B MD..........................................................................................................................................................................
AL-SHEIKH, MAHER MD....................................................................................................................................................................
......................................................................................................31
......................................................................................................97
ALVAREZ, DAVID J DO......................................................................................................................................................................
......................................................................................................91
AMARIA, YAZDI N MD........................................................................................................................................................................
AMBROSIA, ANGELA MD..................................................................................................................................................................
......................................................................................................68
......................................................................................................70
ANAND, PANCHARATHNA MD.........................................................................................................................................................
......................................................................................................26
ANCHETA, EVANGELINE A MD.........................................................................................................................................................
......................................................................................................17
ANDERSEN, LARS P JR DO...............................................................................................................................................................
ANDERSON, KURT DO......................................................................................................................................................................
................................................................................................42, 85
......................................................................................................29
ANDERSON, RUSSELL DO...............................................................................................................................................................
....................................................................................................106
ANDERSONNING, THERESA DO......................................................................................................................................................
ANHALT, JOEL E DO..........................................................................................................................................................................
......................................................................................................62
......................................................................................................31
ANNIS, ROGER D MD.........................................................................................................................................................................
......................................................................................................62
ANTAL, PAUL J MD............................................................................................................................................................................
......................................................................................................70
ANTUNANO, EMILIO MD...................................................................................................................................................................
APGAR, BARBARA S MD...................................................................................................................................................................
......................................................................................................98
....................................................................................................106
APPIAH, JACQUELINE MD................................................................................................................................................................
......................................................................................................70
ARABBO, ADIL MD............................................................................................................................................................................
......................................................................................................85
ARIKATI, CHYTHANYA MD................................................................................................................................................................
ARMOVIT, JOSEPH DO.....................................................................................................................................................................
......................................................................................................21
......................................................................................................43
ARNTZ, STEVEN MD.........................................................................................................................................................................
......................................................................................................51
ARROWSMITH, JANET MD...............................................................................................................................................................
......................................................................................................56
ASKAR, MAAN MD.............................................................................................................................................................................
......................................................................................................65
AUSIELLO, DOMENICO S MD............................................................................................................................................................
......................................................................................................21
AYUOB, MYSOON MD.......................................................................................................................................................................
AZHARUDDIN, TAHERA MD..............................................................................................................................................................
......................................................................................................70
................................................................................................31, 32
AZHARY, HEND MD...........................................................................................................................................................................
......................................................................................................30
BABIKER, YASIR MD.........................................................................................................................................................................

Page 958
February 19, 2015

BACH, JANET M DO...........................................................................................................................................................................
......................................................................................................85
......................................................................................................20
BACON, MICHAEL J DO.....................................................................................................................................................................
BADRA, ANGELA DO.........................................................................................................................................................................
......................................................................................................93
....................................................................................................106
BAKER, CAROL MD...........................................................................................................................................................................
......................................................................................................56
BAKER, ERIN M MD............................................................................................................................................................................
......................................................................................................32
BALAWENDER, JENIFER DO............................................................................................................................................................
BALGER, ABIGAIL A MD....................................................................................................................................................................
......................................................................................................19
................................................................................................19, 84
BALGER, JAMES D DO......................................................................................................................................................................
......................................................................................................19
BALL, EDWARD D DO........................................................................................................................................................................
BALL, TERRY DO..............................................................................................................................................................................
......................................................................................................42
......................................................................................................70
BALON, DENISE MD..........................................................................................................................................................................
......................................................................................................16
BALTZER, RODERICK DO.................................................................................................................................................................
......................................................................................................70
BANNO, MARK K MD..........................................................................................................................................................................
BARBER, MARK A DO........................................................................................................................................................................
................................................................................................11, 26
......................................................................................................70
BARBER, PATRICIA MD....................................................................................................................................................................
......................................................................................................41
BARKER, CHARLES R JR DO............................................................................................................................................................
BARRETO, MARCELINO MD.............................................................................................................................................................
......................................................................................................26
......................................................................................................32
BARRY, HENRY MD..........................................................................................................................................................................
......................................................................................................70
BARTELL, STACEY MD.....................................................................................................................................................................
..............................................................................................98, 106
BARTELME, RICARDO R MD.............................................................................................................................................................
BARUTI, TIMUR MD...........................................................................................................................................................................
......................................................................................................32
......................................................................................................70
BASAK, ROBERT J DO.......................................................................................................................................................................
..........................................................................................80, 81, 84
BASH, THEODORE DO.....................................................................................................................................................................
BASHEERA, HASAN MD...................................................................................................................................................................
................................................................................................7, 121
......................................................................................................89
BATTIATA, RONALD E MD.................................................................................................................................................................
......................................................................................................80
BEASLEY, MICHAEL W MD................................................................................................................................................................
........................................................................................................8
BEATTY, JASON L DO........................................................................................................................................................................
BEEBE, HARLOW DO........................................................................................................................................................................
......................................................................................................42
..............................................................................................21, 119
BELLO, JOSEFINA MD......................................................................................................................................................................
......................................................................................................26
BERG, JAMES J PA............................................................................................................................................................................
BERNARDINO, EVENTURE D MD......................................................................................................................................................
.........................................................................................10, 85, 127
......................................................................................................68
BERNDT, MARK E MD........................................................................................................................................................................
....................................................................................................106
BERNHARD, CLINT E MD...................................................................................................................................................................
....................................................................................................107
BERRIOS-ANTUNA, EMILIO J MD......................................................................................................................................................
BEST, DAVID K DO.............................................................................................................................................................................
......................................................................................................50
....................................................................................................107
BEST, LYDIA R MD.............................................................................................................................................................................
......................................................................................................98
BETTCHER, CATHERINE M MD.........................................................................................................................................................
BEYDOUN, SUZAN MD......................................................................................................................................................................
....................................................................................................107
......................................................................................................32
BEYENE, YEMISRACH A MD.............................................................................................................................................................
......................................................................................................95
BHAGALIA, PARUL MD.....................................................................................................................................................................
......................................................................................................85
BHATTACHARYYA, PRADIP MD.......................................................................................................................................................
BIANCALANA, FLORA E MD..............................................................................................................................................................
......................................................................................................27
......................................................................................................70
BLAIR-WATSON, LAKEISHA MD.......................................................................................................................................................
......................................................................................................93
BLAISING-WALLACE, AMY DO.........................................................................................................................................................
......................................................................................................70
BLOCK SONI, EMILY B DO.................................................................................................................................................................
BOBBA, JYOTHIRMAI MD.................................................................................................................................................................
..........................................................................................44, 91, 95
......................................................................................................85
BOGGESS, BRENT D MD...................................................................................................................................................................
......................................................................................................27
BOHRER, RAYMOND O MD...............................................................................................................................................................
....................................................................................................107
BOLINA, MANISH MD........................................................................................................................................................................
......................................................................................................56
BOLLIN, KENNETH MD.....................................................................................................................................................................
..................................................................................................9, 41
BOLOCZKO, SYLVIA MD...................................................................................................................................................................
BOLUKH, OLEH MD...........................................................................................................................................................................
......................................................................................................56
......................................................................................................68
BONT, TIMOTHY M MD......................................................................................................................................................................
......................................................................................................89
BORGIEL, CHRISTOPHER J MD........................................................................................................................................................

Page 959
February 19, 2015

BOSWORTH, QUINN M DO................................................................................................................................................................
......................................................................................................32
......................................................................................................85
BOTZ, PATRICK J DO.........................................................................................................................................................................
BOUWENS, ERIC C MD......................................................................................................................................................................
......................................................................................................51
......................................................................................................70
BOWMAN, WILLIAM P MD..................................................................................................................................................................
....................................................................................................107
BRADLEY, MAURA MD......................................................................................................................................................................
......................................................................................................44
BRANDT, SEAN K DO.........................................................................................................................................................................
BRASSEUR, JAMES DO....................................................................................................................................................................
......................................................................................................85
.............................................................................................107, 128
BRAVER, BARRY DO........................................................................................................................................................................
.............................................................................................107, 128
BRAVER, TZVI DO.............................................................................................................................................................................
BRENGEL, ROBERT T DO.................................................................................................................................................................
......................................................................................................93
................................................................................................52, 68
BRIGGS, JOHN G MD.........................................................................................................................................................................
......................................................................................................53
BRINKER, NANCY DO.......................................................................................................................................................................
................................................................................................8, 121
BRISCOE, JENNIFER L MD................................................................................................................................................................
BRITTAN, KATHY MD........................................................................................................................................................................
......................................................................................................95
........................................................................................................9
BRITT-DEWYER, REBECCA A DO.....................................................................................................................................................
......................................................................................................32
BRITTON, RICHARD H DO.................................................................................................................................................................
BROUGHTON, FLEUR MD.................................................................................................................................................................
......................................................................................................32
........................................................................................................8
BROWN, ALBERT C MD.....................................................................................................................................................................
......................................................................................................41
BROWN, CRAIG DO..........................................................................................................................................................................
......................................................................................................15
BROWN, MELODIE R MD...................................................................................................................................................................
BRUMMELER, CHARLES J DO..........................................................................................................................................................
......................................................................................................63
......................................................................................................19
BRZEZINSKI, MEGAN DO.................................................................................................................................................................
......................................................................................................32
BUCHWEITZ, CYNTHIA MD...............................................................................................................................................................
BURGESS, HOWARD J MD................................................................................................................................................................
......................................................................................................32
..............................................................................................56, 125
BURGIN, JODE J MD..........................................................................................................................................................................
......................................................................................................56
BURGOYNE, PAUL MD......................................................................................................................................................................
......................................................................................................64
BURKE, LISA L DO.............................................................................................................................................................................
BURKOW, LESTER DO.....................................................................................................................................................................
......................................................................................................95
....................................................................................................107
BUSWINKA, JAMES W DO.................................................................................................................................................................
......................................................................................................95
BWITITI, TAMAYI MD.........................................................................................................................................................................
BYRNE, ANNETTA MD......................................................................................................................................................................
......................................................................................................56
......................................................................................................12
CABALTICA, REX MD........................................................................................................................................................................
......................................................................................................70
CACCO, ANTHONY L MD...................................................................................................................................................................
......................................................................................................17
CALDWELL, SUSAN MD....................................................................................................................................................................
CAMARATA, SARA L DO....................................................................................................................................................................
......................................................................................................93
....................................................................................................107
CAMERON, MARY A MD....................................................................................................................................................................
..................................................................................................8, 15
CAREY, MITCHELL J MD....................................................................................................................................................................
CARTHRON, JAMES A MD.................................................................................................................................................................
......................................................................................................85
......................................................................................................56
CASEY, NINA MD..............................................................................................................................................................................
........................................................................................................9
CASTEN, CESAR P MD......................................................................................................................................................................
......................................................................................................30
CASTENEDA, CANDELARIA MD.......................................................................................................................................................
CAVATAIO, PIETRO MD....................................................................................................................................................................
..............................................................................................89, 128
......................................................................................................89
CAVATAIO, PIETRO A MD..................................................................................................................................................................
....................................................................................................107
CAVELL, JOHN DO............................................................................................................................................................................
..............................................................................................56, 125
CECIL, LEAH M DO............................................................................................................................................................................
CETON, RANDALL J MD.....................................................................................................................................................................
......................................................................................................68
......................................................................................................30
CHADWICK, ROBERT L DO...............................................................................................................................................................
......................................................................................................21
CHAHBAZI, JOHN MD.......................................................................................................................................................................
....................................................................................................107
CHAKRAVARTY, SUDHA MD............................................................................................................................................................
......................................................................................................56
CHALMERS, RICHARD DO...............................................................................................................................................................
..............................................................................................32, 119
CHANDLER, JERRY J DO..................................................................................................................................................................
CHANG, EMILY MD............................................................................................................................................................................
......................................................................................................56
......................................................................................................14
CHANG, PETER S MD........................................................................................................................................................................
......................................................................................................98
CHANG, TAMMY MD..........................................................................................................................................................................

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CHAPMAN, DUNCAN R MD................................................................................................................................................................
..........................................................................................44, 91, 95
......................................................................................................22
CHARLES, DAVID P DO.....................................................................................................................................................................
CHARTIER, MICHELLE M DO.............................................................................................................................................................
......................................................................................................64
......................................................................................................70
CHATMAN, SYLMARA E MD..............................................................................................................................................................
......................................................................................................32
CHATURVEDI, RENU MD..................................................................................................................................................................
........................................................................................................7
CHECK, CAREY L DO.........................................................................................................................................................................
CHEEMA, SAIF U MD.........................................................................................................................................................................
......................................................................................................70
......................................................................................................14
CHEERALA, MYDHILI MD..................................................................................................................................................................
......................................................................................................19
CHERMAK, LINDA MD.......................................................................................................................................................................
CHESSIN, VICKI MD..........................................................................................................................................................................
......................................................................................................29
......................................................................................................70
CHILDS, JACQUELENE C MD............................................................................................................................................................
......................................................................................................32
CHINOY, KASHMIRA A MD................................................................................................................................................................
................................................................................................54, 64
CHIU, SIN-CHING MD........................................................................................................................................................................
CIBOR, GREGORY DO......................................................................................................................................................................
......................................................................................................70
......................................................................................................44
CIESIELSKI, MATT DO......................................................................................................................................................................
......................................................................................................70
CITRON, ALISSA NICOLE DO............................................................................................................................................................
CLARK, CHRISTINA MD....................................................................................................................................................................
....................................................................................................107
....................................................................................................107
CLARK, FRANK M DO........................................................................................................................................................................
......................................................................................................27
CLARK, KELLY J MD..........................................................................................................................................................................
......................................................................................................32
CLARK, SHIRIN E DO.........................................................................................................................................................................
CLARKE, MICHAEL MD.....................................................................................................................................................................
......................................................................................................44
....................................................................................................107
CLIMIE, CHRISTINE MD....................................................................................................................................................................
......................................................................................................70
COHEN, RICHARD L DO....................................................................................................................................................................
COLBERG, DOUGLAS MD................................................................................................................................................................
......................................................................................................14
......................................................................................................43
COLE, RAYMOND DO........................................................................................................................................................................
......................................................................................................11
COLES, DOUGLAS J MD....................................................................................................................................................................
..............................................................................................12, 122
COLLINS, DAVID E MD.......................................................................................................................................................................
COLLINS, VICKI L MD.........................................................................................................................................................................
......................................................................................................64
..............................................................................................89, 128
COLOMBO, ANTONINO MD..............................................................................................................................................................
......................................................................................................89
COLOMBO, JOHN MD.......................................................................................................................................................................
CONHON, STANLEY MD...................................................................................................................................................................
......................................................................................................22
......................................................................................................32
CONIGLIO, LINDA P DO.....................................................................................................................................................................
......................................................................................................10
CONNAGHAN, ANN S MD..................................................................................................................................................................
......................................................................................................27
COOK, JOSEPH N DO........................................................................................................................................................................
COOKE, JAMES M MD.......................................................................................................................................................................
......................................................................................................98
......................................................................................................56
COOKE, RICHARD R MD....................................................................................................................................................................
......................................................................................................32
COOMBS, RAECHEL E DO................................................................................................................................................................
COONEY, JOHN P DO........................................................................................................................................................................
......................................................................................................79
......................................................................................................32
COOPER, JONATHAN S DO..............................................................................................................................................................
......................................................................................................56
CORONDAN, VICTOR MD.................................................................................................................................................................
......................................................................................................56
COSTEA, GEORGE DO.....................................................................................................................................................................
COTHERY, JILL P DO.........................................................................................................................................................................
..............................................................................................56, 125
..............................................................................................93, 128
COUGHLIN, BRENDA MD..................................................................................................................................................................
...................................................................................10, 53, 85, 127
COUGHLIN, BRENDA M MD...............................................................................................................................................................
....................................................................................................107
COUMARBATCH, JIRA G MD.............................................................................................................................................................
COUSINEAU, DONALD P DO.............................................................................................................................................................
......................................................................................................81
......................................................................................................32
CRAVEN, MOLLY DO........................................................................................................................................................................
......................................................................................................43
CRAWFORD-JOHNSON, TYWANDA R MD........................................................................................................................................
....................................................................................................107
CREGER, CLARK M MD.....................................................................................................................................................................
......................................................................................................70
CZESNOWSKI, PATRICIA I MD..........................................................................................................................................................
......................................................................................................64
DAIBER, ROBERT R MD.....................................................................................................................................................................
DAILL, MICHELLE L MD.....................................................................................................................................................................
......................................................................................................64
......................................................................................................42
DAKE, TESSA MD..............................................................................................................................................................................
......................................................................................................70
DANTES, LETICIA T MD.....................................................................................................................................................................

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DAREY, AMBER D MD........................................................................................................................................................................
......................................................................................................44
......................................................................................................44
DAREY-THOMAS, AMBER MD..........................................................................................................................................................
DARIOS, ROBERT J MD.....................................................................................................................................................................
......................................................................................................32
......................................................................................................22
DASHER, PAMELA L MD....................................................................................................................................................................
......................................................................................................27
DAVENPORT, MARK P MD................................................................................................................................................................
......................................................................................................53
DE LANGE, EDWIN L DO...................................................................................................................................................................
DECARLI, KAYLYNN DO...................................................................................................................................................................
................................................................................................16, 20
................................................................................................8, 121
DECKER, JAMES D MD......................................................................................................................................................................
......................................................................................................70
DEEN, BRASWELL MD......................................................................................................................................................................
DEIGHTON, KEVIN MD......................................................................................................................................................................
..............................................................................................70, 107
......................................................................................................16
DEKEYSER, PAULA DO....................................................................................................................................................................
......................................................................................................64
DELACRUZ, MARK MD......................................................................................................................................................................
......................................................................................................54
DEMOTS, WILLIAM J MD...................................................................................................................................................................
DEMUTH, ROBIN H MD......................................................................................................................................................................
......................................................................................................32
......................................................................................................98
DENAY, KERI L MD.............................................................................................................................................................................
......................................................................................................84
DENLINGER, KEVIN DO....................................................................................................................................................................
DENNIS, JONATHAN A DO................................................................................................................................................................
......................................................................................................80
......................................................................................................68
DEWEERD, CAROL L MD...................................................................................................................................................................
......................................................................................................32
DEWEERD, JEFFREY S DO...............................................................................................................................................................
......................................................................................................68
DEWEERD, MICHAEL J MD...............................................................................................................................................................
DEYOUNG, KAREN DO.....................................................................................................................................................................
......................................................................................................84
................................................................................................18, 84
DEYOUNG, ZACHARIAH MD.............................................................................................................................................................
......................................................................................................84
DIBBET, MARK A MD..........................................................................................................................................................................
DIEBOLD, MICHELLE MD..................................................................................................................................................................
....................................................................................................107
......................................................................................................82
DIXON, ROBERT MD.........................................................................................................................................................................
......................................................................................................98
DOBSON, MARGARET L MD..............................................................................................................................................................
......................................................................................................19
DOHM, JOHN P DO............................................................................................................................................................................
DOMBROSKE, OLAN DO...................................................................................................................................................................
......................................................................................................93
......................................................................................................56
DOMICZEK, ALEKSANDER MD.........................................................................................................................................................
....................................................................................................107
DOOLEY, VICTORIA MD....................................................................................................................................................................
DOROTINSKY, BENJAMIN E MD.......................................................................................................................................................
......................................................................................................67
......................................................................................................15
DOSKOCH, GERALYN MD................................................................................................................................................................
......................................................................................................22
DOTSON, DAVID C DO.......................................................................................................................................................................
......................................................................................................29
DOUD, RICHARD DO.........................................................................................................................................................................
DOWDEN, G BLAIR MD......................................................................................................................................................................
......................................................................................................89
......................................................................................................64
DOYLE, JAMES M DO........................................................................................................................................................................
......................................................................................................16
DROGOWSKI, MARK E MD................................................................................................................................................................
DRONEN, BEVERLY ANN MD............................................................................................................................................................
......................................................................................................32
......................................................................................................63
DUBOIS, WILLIAM F MD.....................................................................................................................................................................
....................................................................................................107
DUCATO, MICHAEL MD....................................................................................................................................................................
......................................................................................................22
DUNCAN, DEBORAH L MD................................................................................................................................................................
DUNCAN, MARGRET A MD................................................................................................................................................................
........................................................................................................7
................................................................................................7, 121
DUNCKEL, KATHLEEN J MD..............................................................................................................................................................
......................................................................................................56
DUSEVIC, TAMMY S DO....................................................................................................................................................................
......................................................................................................51
DYKE, SALEH F MD............................................................................................................................................................................
DZEBO, RUZICA MD..........................................................................................................................................................................
......................................................................................................56
......................................................................................................70
EATHORNE, SCOTT W MD................................................................................................................................................................
......................................................................................................32
EATON, BRENDA SURAE MD............................................................................................................................................................
......................................................................................................85
EBERT, CAROLYN MD......................................................................................................................................................................
......................................................................................................56
EDWARDS, ROBERT MD..................................................................................................................................................................
......................................................................................................56
EKOLE, ALPHONSE A MD..................................................................................................................................................................
ELFRING, CHERYL A DO...................................................................................................................................................................
......................................................................................................32
......................................................................................................56
ELLIOTT, LUKE A MD.........................................................................................................................................................................
......................................................................................................41
ELLIS, DON III MD..............................................................................................................................................................................

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ELMENINI, MOHAMMAD S MD...........................................................................................................................................................
....................................................................................................107
....................................................................................................107
ELSARAWY, ZAINAB MD...................................................................................................................................................................
ELSHOLZ, CHRISTINE A MD.............................................................................................................................................................
.........................................................................................10, 85, 128
......................................................................................................41
ENZENBERGER, GLEN DO...............................................................................................................................................................
......................................................................................................27
ESSENMACHER, ANDREA A DO.......................................................................................................................................................
......................................................................................................51
EUGENIO, GRACE MD......................................................................................................................................................................
EVANS, GEORGE DO........................................................................................................................................................................
....................................................................................................107
......................................................................................................91
EVANS-MAYS, RUTH E MD................................................................................................................................................................
......................................................................................................16
EVERETT, JOHN DO.........................................................................................................................................................................
EZZEDDINE, TAREK MD...................................................................................................................................................................
................................................................................................53, 86
......................................................................................................67
FABRICK, SUSAN C MD.....................................................................................................................................................................
.................................................................................66, 83, 125, 127
FAIRBANKS, MICHAEL B MD.............................................................................................................................................................
..............................................................................................54, 107
FALKENBERG, GARY A DO...............................................................................................................................................................
FARLEY, JODI L MD...........................................................................................................................................................................
......................................................................................................22
......................................................................................................70
FELDMAN, ALAN DO.........................................................................................................................................................................
......................................................................................................70
FELDMAN, ERWIN E DO....................................................................................................................................................................
FENSKE, JILL N MD...........................................................................................................................................................................
......................................................................................................98
......................................................................................................70
FENTON, FRANK DO.........................................................................................................................................................................
......................................................................................................70
FENTON, FRANK L DO.......................................................................................................................................................................
....................................................................................................107
FERGUSON, MARGO MD..................................................................................................................................................................
FERGUSON, RICHARD DO...............................................................................................................................................................
......................................................................................................20
......................................................................................................65
FERGUSON, SETH THOMAS DO.......................................................................................................................................................
......................................................................................................12
FERRARI, BRAD MD..........................................................................................................................................................................
FETTERS, MICHAEL D MD.................................................................................................................................................................
......................................................................................................98
......................................................................................................56
FICI, RICHARD A DO..........................................................................................................................................................................
......................................................................................................32
FISHER-WILLIAMS, LINDA DO..........................................................................................................................................................
................................................................................................8, 121
FITZGERALD, JACQUELINE DO.......................................................................................................................................................
FITZGIBBONS, KELLY MD................................................................................................................................................................
....................................................................................................107
......................................................................................................93
FLANDERS, JODI DO........................................................................................................................................................................
................................................................................................22, 86
FLEETWOOD, LINVAL K MD..............................................................................................................................................................
FLISS, NICOLE MD............................................................................................................................................................................
......................................................................................................53
......................................................................................................16
FLOREK, MICHAEL DO.....................................................................................................................................................................
......................................................................................................56
FLORENCE, PATRICIA J DO..............................................................................................................................................................
.............................................................................11, 27, 53, 62, 117
FLYNN, JACOB MD............................................................................................................................................................................
FOESS-HALAAS, JENNIFER A MD....................................................................................................................................................
....................................................................................................107
......................................................................................................56
FOGLA, SUMIT MD............................................................................................................................................................................
......................................................................................................98
FORSCH, RANDALL T MD..................................................................................................................................................................
FORSYTH, DOUGLAS B MD...............................................................................................................................................................
......................................................................................................86
......................................................................................................63
FOSTER, ANTHONY M MD.................................................................................................................................................................
......................................................................................................56
FRANCIS, KWAME MD......................................................................................................................................................................
....................................................................................................107
FRANCU, ANGELICA M MD...............................................................................................................................................................
FRANKEL, JEROME DO....................................................................................................................................................................
....................................................................................................107
....................................................................................................107
FRANKEL, KEVIN DO........................................................................................................................................................................
......................................................................................................27
FRASER, TOBIN J DO........................................................................................................................................................................
........................................................................................................8
FREEMAN, JAMES R DO....................................................................................................................................................................
FREESTONE, DAVID MD...................................................................................................................................................................
......................................................................................................29
....................................................................................................107
FRENCH, JOSETTE M MD.................................................................................................................................................................
......................................................................................................22
FRIEDMAN, JACQUELINE MD..........................................................................................................................................................
......................................................................................................14
FRYE, MARK MD...............................................................................................................................................................................
......................................................................................................56
FULGENZI, KATHLEEN MD...............................................................................................................................................................
......................................................................................................54
GABBEART, EMILY J MD...................................................................................................................................................................
GADZINSKI, NICHOLAS MD..............................................................................................................................................................
......................................................................................................56
......................................................................................................27
GALDES, STEPHANIE DO.................................................................................................................................................................
......................................................................................................98
GALLAGHER, KRISTINA M MD..........................................................................................................................................................

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GANAPINI, KENNETH DO.................................................................................................................................................................
......................................................................................................22
......................................................................................................70
GARG, TILAK R MD............................................................................................................................................................................
GARNER, CORRINE DO....................................................................................................................................................................
......................................................................................................32
......................................................................................................30
GASCON, DANTE MD........................................................................................................................................................................
......................................................................................................70
GASTMAN, IRVIN J DO......................................................................................................................................................................
..........................................................................................44, 91, 95
GATZ, TIMOTHY S MD.......................................................................................................................................................................
GENDERNALIK, BERNADETTE DO..................................................................................................................................................
......................................................................................................56
......................................................................................................41
GENDICH, SHEILA M MD...................................................................................................................................................................
......................................................................................................12
GENSOLIN, GLENDA M MD...............................................................................................................................................................
GEORGAKOPOULOS, JOHN DO......................................................................................................................................................
......................................................................................................22
......................................................................................................98
GEORGE-NWOGU, UCHE D MD........................................................................................................................................................
......................................................................................................32
GERRITS, MARGARET MD...............................................................................................................................................................
......................................................................................................27
GERSTLE, ROGER K MD...................................................................................................................................................................
GHIOTO, JEFFREY DO......................................................................................................................................................................
....................................................................................................107
....................................................................................................107
GIANNOLA, JOSEPH V MD................................................................................................................................................................
......................................................................................................56
GIBSON, JOSHUA J MD.....................................................................................................................................................................
GIDEON, LARRY MD.........................................................................................................................................................................
......................................................................................................56
......................................................................................................68
GILLARD, PAUL J MD.........................................................................................................................................................................
......................................................................................................70
GIULIANI, JAMES A DO......................................................................................................................................................................
..............................................................................................70, 119
GLASSON, CYNTHIA DO...................................................................................................................................................................
GLENN, BRIAN MD............................................................................................................................................................................
......................................................................................................53
........................................................................................................8
GLENN-BEATTY, JESSICA R MD.......................................................................................................................................................
......................................................................................................70
GNAS, LISA R DO...............................................................................................................................................................................
GOLD, KATHERINE J MD...................................................................................................................................................................
......................................................................................................98
......................................................................................................70
GOLD, PAUL M DO.............................................................................................................................................................................
......................................................................................................56
GOLDMAN, MARILYN MD.................................................................................................................................................................
......................................................................................................27
GOODWIN, BRADLEY P MD..............................................................................................................................................................
GOODWIN, THOMAS A DO................................................................................................................................................................
..........................................................................................44, 91, 95
......................................................................................................98
GOSSA, WEYINSHET P MD...............................................................................................................................................................
................................................................................................15, 91
GOVIER, JACKALYN DO...................................................................................................................................................................
GOWDA, UMESH G MD......................................................................................................................................................................
......................................................................................................70
......................................................................................................51
GRAESER, RONALD E DO.................................................................................................................................................................
......................................................................................................32
GRAESSER, OTTO W DO..................................................................................................................................................................
..........................................................................................44, 91, 95
GRAHAM, YON Y MD..........................................................................................................................................................................
GRAY, NATALIE A MD........................................................................................................................................................................
......................................................................................................27
......................................................................................................98
GREENBERG, GRANT M MD.............................................................................................................................................................
......................................................................................................26
GREIG, DANNY MD...........................................................................................................................................................................
GRENTZ, DIETMAR J MD...................................................................................................................................................................
......................................................................................................65
................................................................................................11, 62
GRIFFITHS, GLENN MD....................................................................................................................................................................
......................................................................................................56
GRUBER, AMBER M DO.....................................................................................................................................................................
......................................................................................................29
GRUCA, PAUL G MD..........................................................................................................................................................................
GRUCZ, DOUGLAS R MD...................................................................................................................................................................
....................................................................................................107
....................................................................................................107
GRUCZ, RICHARD G MD....................................................................................................................................................................
......................................................................................................32
GULICK, LAURIE DO.........................................................................................................................................................................
......................................................................................................55
GUNNELL, CHRISTOPHER J MD.......................................................................................................................................................
GUNNELL, ROBERT V MD.................................................................................................................................................................
......................................................................................................68
................................................................................................17, 93
GURDEN, BARBARA A DO.................................................................................................................................................................
................................................................................................29, 30
GUTOWSKI, SCOTT R DO.................................................................................................................................................................
..................................................................................................8, 15
HABERER, JEANNE M DO.................................................................................................................................................................
......................................................................................................64
HACKL, PAMELA J DO.......................................................................................................................................................................
......................................................................................................70
HADUCK, PAUL W DO........................................................................................................................................................................
HAFEZ, HOSSAM H MD......................................................................................................................................................................
......................................................................................................22
......................................................................................................10
HAFFORD, ROBERT K MD.................................................................................................................................................................
......................................................................................................70
HALICKI, NESTOR B DO....................................................................................................................................................................

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HALL, RICHARD DO..........................................................................................................................................................................
......................................................................................................94
........................................................................................................7
HALLEY, DAVID MD...........................................................................................................................................................................
HAMERSMA, JOHN W MD..................................................................................................................................................................
......................................................................................................51
......................................................................................................70
HANA, NADA D MD.............................................................................................................................................................................
......................................................................................................30
HANSELMAN, LAUREY DO...............................................................................................................................................................
......................................................................................................70
HAQ, JUNAED U MD...........................................................................................................................................................................
HARMELING, MICHAEL J MD.............................................................................................................................................................
......................................................................................................15
......................................................................................................98
HARMES, KATHRYN M MD................................................................................................................................................................
........................................................................................................7
HARMON, DANA E NP........................................................................................................................................................................
HARRIS, ROGER DO.........................................................................................................................................................................
..............................................................................................56, 125
......................................................................................................14
HARRISON, GENA MD......................................................................................................................................................................
........................................................................................................7
HASHEMI, NEHDIA MD.....................................................................................................................................................................
......................................................................................................98
HASHIKAWA, MICHELEEN S MD.......................................................................................................................................................
HASHMI, SHAHRUKH MD.................................................................................................................................................................
......................................................................................................86
....................................................................................................107
HASSO, FAWAZ MD..........................................................................................................................................................................
......................................................................................................44
HAUGHN, EDWARD W DO.................................................................................................................................................................
HAUTEA, MARION C MD....................................................................................................................................................................
.................................................................................66, 83, 125, 127
....................................................................................................107
HAVEMAN, JESSICA L MD.................................................................................................................................................................
......................................................................................................55
HAWKINS, CARL W MD......................................................................................................................................................................
.................................................................................66, 83, 125, 127
HAYES, TIMOTHY DO.......................................................................................................................................................................
HECHT, EVA MD................................................................................................................................................................................
......................................................................................................63
......................................................................................................64
HEHL-BISSON, ANNA MD.................................................................................................................................................................
......................................................................................................98
HEIDELBAUGH, JOEL J MD...............................................................................................................................................................
HEINDL, AARON J MD........................................................................................................................................................................
......................................................................................................27
......................................................................................................65
HEINLEN, LENE DO...........................................................................................................................................................................
..........................................................................................44, 91, 95
HELGERSON, KURT P MD.................................................................................................................................................................
......................................................................................................70
HEMADY, NIKHIL MD........................................................................................................................................................................
HEMPHILL-HARRIS, KARLA DO.......................................................................................................................................................
..............................................................................................51, 124
......................................................................................................71
HENDRIKS, ERIN M MD.....................................................................................................................................................................
......................................................................................................56
HENEIN, NAIRA S MD........................................................................................................................................................................
HERDZIK, MONIKA A MD...................................................................................................................................................................
......................................................................................................26
....................................................................................................117
HEWITT, MITZIE J DO........................................................................................................................................................................
......................................................................................................32
HICKS, JENNIFER DO.......................................................................................................................................................................
......................................................................................................27
HILL, LAURA MD................................................................................................................................................................................
HILLMAN, DONALD L DO...................................................................................................................................................................
.........................................................................................66, 83, 127
......................................................................................................44
HINA, HUMEERA S MD......................................................................................................................................................................
......................................................................................................89
HINDY, DAVID T MD...........................................................................................................................................................................
HINKLEY, BRIAN J DO.......................................................................................................................................................................
......................................................................................................32
......................................................................................................56
HOFFMANN, KEITH MD.....................................................................................................................................................................
......................................................................................................32
HOISINGTON, DAVID H MD...............................................................................................................................................................
......................................................................................................22
HOLDEN, EDWARD MD.....................................................................................................................................................................
HOLLOWAY, GARY P DO...................................................................................................................................................................
......................................................................................................71
......................................................................................................17
HOLLSTEIN, WERNER MD................................................................................................................................................................
......................................................................................................67
HOLMAN, HARLAND T MD.................................................................................................................................................................
......................................................................................................82
HOLMAN, ROGER DO.......................................................................................................................................................................
HOLMES, C JEFFREY MD..................................................................................................................................................................
......................................................................................................29
......................................................................................................22
HOLMES-POLLARD, MISCHA MD.....................................................................................................................................................
..............................................................................................98, 107
HOLMSTROM, HEATHER L MD.........................................................................................................................................................
......................................................................................................17
HOLOWKO, ANTHONY DO...............................................................................................................................................................
......................................................................................................17
HOLZHEI, GREGORY A DO...............................................................................................................................................................
......................................................................................................32
HOLZMAN, GREGORY S MD.............................................................................................................................................................
HOMISHA, SAMER I MD.....................................................................................................................................................................
......................................................................................................56
......................................................................................................17
HORSLEY, BROCK W DO..................................................................................................................................................................
......................................................................................................20
HOTCHKISS, SCOTT A MD................................................................................................................................................................

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HOUCHIN, ERIC J MD........................................................................................................................................................................
................................................................................................44, 51
......................................................................................................44
HOUTMAN, JENNIFER N MD.............................................................................................................................................................
HOWARD, THOMAS A DO..................................................................................................................................................................
......................................................................................................44
................................................................................................44, 45
HRPKA, BOJAN DO...........................................................................................................................................................................
......................................................................................................56
HUDOCK, STEVEN M MD...................................................................................................................................................................
......................................................................................................68
HUDSON, CHRISTOPHER J MD........................................................................................................................................................
HUDSON, STEFANI A MD..................................................................................................................................................................
......................................................................................................98
......................................................................................................17
HUFF, DAVID A DO.............................................................................................................................................................................
......................................................................................................32
HUGHES, ELIZABETH L DO...............................................................................................................................................................
HULSEMANN, SUSAN J MD...............................................................................................................................................................
......................................................................................................64
......................................................................................................45
HUNT, JACK MD................................................................................................................................................................................
......................................................................................................45
HUNT, JAMES MD.............................................................................................................................................................................
......................................................................................................45
HUNT, JOHN DO................................................................................................................................................................................
HUNT, RONALD MD..........................................................................................................................................................................
......................................................................................................22
................................................................................................10, 80
HURT, HOWARD DO.........................................................................................................................................................................
......................................................................................................10
HURT, HOWARD E DO.......................................................................................................................................................................
HUSSAIN, ASIMA MD........................................................................................................................................................................
......................................................................................................71
......................................................................................................22
IMPERIAL, GREGORIO MD...............................................................................................................................................................
......................................................................................................42
INDRAKUMARAN, JUDY K MD...........................................................................................................................................................
................................................................................................45, 91
IREY, BRITTANY L MD.......................................................................................................................................................................
ISAAC, HERBERT III MD....................................................................................................................................................................
......................................................................................................71
......................................................................................................32
ISAAC, SHIMIA DO............................................................................................................................................................................
......................................................................................................81
ISAYENKO, YELENA V MD.................................................................................................................................................................
ISRAEL, NEJLA...................................................................................................................................................................................
......................................................................................................71
..............................................................................................71, 107
ISRAEL, NEJLA MD...........................................................................................................................................................................
......................................................................................................71
ISRAEL, NEJLA ABDUL-MASSIH MD.................................................................................................................................................
......................................................................................................56
IYER, CHANDRIKA MD......................................................................................................................................................................
JACQUEMIN, WALTER W MD............................................................................................................................................................
.................................................................................66, 83, 125, 127
................................................................................................56, 71
JADDOU, NEIL D MD..........................................................................................................................................................................
......................................................................................................71
JAFRY, SHEALA MD..........................................................................................................................................................................
JAGIRDAR, YOGESH MD..................................................................................................................................................................
..............................................................................................22, 122
..................................................................................................9, 80
JAMWAL, MANDHIR MD....................................................................................................................................................................
......................................................................................................32
JANISKI, CARRIE DO........................................................................................................................................................................
......................................................................................................20
JANKOWSKI, MARCIN J DO...............................................................................................................................................................
JAYAKAR, ARUNIMA MD...................................................................................................................................................................
......................................................................................................56
................................................................................................19, 43
JAYASURIYA, HARSHINI A MD..........................................................................................................................................................
......................................................................................................71
JAYATILAKE, PRASANI MD..............................................................................................................................................................
JENNINGS, MARTIN DO....................................................................................................................................................................
......................................................................................................42
..............................................................................................99, 107
JIMBO, MASAHITO MD......................................................................................................................................................................
......................................................................................................95
JNANANAND, NAYANTARA MD........................................................................................................................................................
......................................................................................................32
JOHNSON, HEIDI J DO.......................................................................................................................................................................
JOHNSON, KIMBERLY R MD.............................................................................................................................................................
......................................................................................................19
......................................................................................................41
JOHNSON, STEVEN P DO.................................................................................................................................................................
......................................................................................................33
JOHNSON, VALERIE DO...................................................................................................................................................................
......................................................................................................14
JOHNSON-MORGAN, JUDEAN DO...................................................................................................................................................
JONES, CHRISTINE DO....................................................................................................................................................................
....................................................................................................107
..........................................................................................22, 26, 42
JONES, CLARK DO...........................................................................................................................................................................
......................................................................................................12
JONES, DANIEL MD..........................................................................................................................................................................
....................................................................................................107
JONES, ELIZABETH K MD..................................................................................................................................................................
......................................................................................................22
JOSEPH, TEJAL S MD........................................................................................................................................................................
......................................................................................................71
JOSHOWITZ, JEFFREY DO...............................................................................................................................................................
JOY, DENNIS M MD............................................................................................................................................................................
......................................................................................................15
....................................................................................................107
JURATLI, SHAM MD..........................................................................................................................................................................
......................................................................................................71
KADO, HADEEL N MD........................................................................................................................................................................

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KAERCHER, KIP L DO........................................................................................................................................................................
......................................................................................................33
......................................................................................................93
KAMALAPURKAR, BALU G MD..........................................................................................................................................................
KAMATH, CLARA MD........................................................................................................................................................................
......................................................................................................56
......................................................................................................71
KAMIENECKI, RUTH DO....................................................................................................................................................................
....................................................................................................107
KANE, JEFFREY J MD........................................................................................................................................................................
......................................................................................................33
KANESHIRO, KENNETH H MD...........................................................................................................................................................
KANI, SHEFA MD...............................................................................................................................................................................
....................................................................................................108
......................................................................................................71
KARAZIM, JOHN J II MD.....................................................................................................................................................................
......................................................................................................71
KARCHON, MARK DO.......................................................................................................................................................................
KASPEROWICZ, RACHAEL A MD......................................................................................................................................................
......................................................................................................22
..............................................................................................57, 108
KATYCHEV, ANDREI MD...................................................................................................................................................................
................................................................................................86, 94
KELLA, KISHAN L MD.........................................................................................................................................................................
......................................................................................................99
KELLEY, SCOTT A MD.......................................................................................................................................................................
KELLY, MICHAEL E DO......................................................................................................................................................................
......................................................................................................12
................................................................................................14, 45
KELLY, NATALIE MD.........................................................................................................................................................................
......................................................................................................19
KELLY, THOMAS A DO.......................................................................................................................................................................
KENT VANGORDER, KAREN A MD...................................................................................................................................................
......................................................................................................33
......................................................................................................57
KERGES, DANA G MD........................................................................................................................................................................
......................................................................................................22
KHAN, UZMA A MD.............................................................................................................................................................................
......................................................................................................57
KHATER, MONA MD..........................................................................................................................................................................
KIM, CHANGHEE MD.........................................................................................................................................................................
..............................................................................................71, 118
......................................................................................................57
KIM, PAULA J MD...............................................................................................................................................................................
......................................................................................................91
KIM, SEONG C MD.............................................................................................................................................................................
KIMBALL, LISA M DO..........................................................................................................................................................................
......................................................................................................33
....................................................................................................108
KIMBROUGH, CHRISTINA L MD........................................................................................................................................................
......................................................................................................99
KININGHAM, ROBERT B MD..............................................................................................................................................................
......................................................................................................99
KIRST, NELL B MD.............................................................................................................................................................................
KIZY, THOMAS MD............................................................................................................................................................................
......................................................................................................89
......................................................................................................29
KLAHRE, MARIA MD..........................................................................................................................................................................
......................................................................................................33
KLANSECK, RYAN S DO....................................................................................................................................................................
KLEE, DAVID K MD.............................................................................................................................................................................
......................................................................................................27
......................................................................................................22
KLEIN, MARCY A DO..........................................................................................................................................................................
......................................................................................................57
KLIMKOWSKI, WALTER J MD............................................................................................................................................................
......................................................................................................57
KLING, MARCIA E MD........................................................................................................................................................................
KLINGLER, JADE NP.........................................................................................................................................................................
......................................................................................................91
......................................................................................................99
KLINKMAN, MICHAEL S MD...............................................................................................................................................................
......................................................................................................41
KLOSKA, BRADLEY DO....................................................................................................................................................................
KLOSKA, EMILY DO..........................................................................................................................................................................
......................................................................................................41
......................................................................................................15
KNYSZ, PAMELA MD.........................................................................................................................................................................
......................................................................................................64
KOEHL, MARK T MD...........................................................................................................................................................................
......................................................................................................64
KOEHLER, RONALD DO....................................................................................................................................................................
KOEHLER, RONALD L DO..................................................................................................................................................................
......................................................................................................10
..............................................................................................67, 126
KOESTNER, DANIELLE KT DO.........................................................................................................................................................
......................................................................................................10
KOHL, ANNE NP................................................................................................................................................................................
......................................................................................................43
KOHL, ANNE NP................................................................................................................................................................................
KOHL, STEVEN DO...........................................................................................................................................................................
....................................................................................................108
......................................................................................................33
KOHLER, JANINE DO........................................................................................................................................................................
..............................................................................................67, 126
KOHN, WAYNE H DO.........................................................................................................................................................................
......................................................................................................16
KONICKI, STEVEN M DO...................................................................................................................................................................
..........................................................................................45, 91, 95
KONZEN, DENNIS W MD....................................................................................................................................................................
......................................................................................................71
KOPP, AMY A MD...............................................................................................................................................................................
KOREN, NATASHA MD......................................................................................................................................................................
......................................................................................................45
......................................................................................................33
KORZECKE, AMY T DO......................................................................................................................................................................
......................................................................................................57
KOSS, MARCUS E MD.......................................................................................................................................................................

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KOTTUKAPALLY, NOBIN MD............................................................................................................................................................
....................................................................................................108
......................................................................................................33
KOZLOWSKI, ELIZABETH DO...........................................................................................................................................................
KOZLOWSKI, JOSEPH S DO..............................................................................................................................................................
..............................................................................................33, 124
......................................................................................................94
KRAMER HARRINGTON, MELANIE MD............................................................................................................................................
..............................................................................................99, 108
KRAUSE, CHRISTINE W MD..............................................................................................................................................................
....................................................................................................233
KRIER, JOSHUA DO..........................................................................................................................................................................
KRIER, JOSHUA DO..........................................................................................................................................................................
......................................................................................................33
..........................................................................................45, 91, 95
KU, MICHAEL T DO............................................................................................................................................................................
......................................................................................................22
KUDRAY, KATHLEEN DO..................................................................................................................................................................
KUE, IA Y DO......................................................................................................................................................................................
......................................................................................................57
..................................................................................................9, 27
KUENKER, ANN K DO........................................................................................................................................................................
......................................................................................................33
KUHN, ANDREAS MD........................................................................................................................................................................
......................................................................................................15
KUJACZNSKI, STEVEN R DO............................................................................................................................................................
KULICK, MATTHEW F DO..................................................................................................................................................................
......................................................................................................71
................................................................................................27, 50
KURKOWSKI, APRIL E DO.................................................................................................................................................................
......................................................................................................81
KURN, DAVID MD..............................................................................................................................................................................
KURZAWA, MARK MD.......................................................................................................................................................................
......................................................................................................57
......................................................................................................33
KUSTASZ, RICHARD DO...................................................................................................................................................................
......................................................................................................71
KUZDAK, RON DO.............................................................................................................................................................................
......................................................................................................57
KYRIACOU, MANOLIS MD.................................................................................................................................................................
LA FAVE, MICHELLE M MD................................................................................................................................................................
................................................................................................8, 121
......................................................................................................51
LAGARDE, STACIA MD.....................................................................................................................................................................
......................................................................................................86
LALONDE, LAWRENCE L MD............................................................................................................................................................
LAMBERT, TIMOTHY R DO................................................................................................................................................................
......................................................................................................27
......................................................................................................93
LAMING, CHRISTIE MD.....................................................................................................................................................................
......................................................................................................93
LANDICK, GREG W MD......................................................................................................................................................................
......................................................................................................57
LANGENBURG, LISA MD...................................................................................................................................................................
LARKIN, JILL MD...............................................................................................................................................................................
......................................................................................................93
......................................................................................................86
LATIF, GHAZANFAR MD....................................................................................................................................................................
......................................................................................................71
LAUDER, NEHMAN L MD...................................................................................................................................................................
LAWRENCE, JAMES O MD................................................................................................................................................................
........................................................................................................9
......................................................................................................10
LAWRENCE, MARIA L DO..................................................................................................................................................................
......................................................................................................41
LAWSON, GREGORY MD..................................................................................................................................................................
................................................................................................8, 121
LAWSON, RONG MD.........................................................................................................................................................................
LAX, SANFORD J MD.........................................................................................................................................................................
..............................................................................................57, 108
......................................................................................................22
LAZAR, PAUL MD..............................................................................................................................................................................
......................................................................................................57
LEE BILLING, CRYSTAL R MD...........................................................................................................................................................
LEE, JOANNA DO..............................................................................................................................................................................
......................................................................................................27
......................................................................................................27
LEHMAN, SUSAN L MD......................................................................................................................................................................
......................................................................................................71
LEIB, JOEL K DO................................................................................................................................................................................
......................................................................................................71
LEIGHTON, BETHANY D DO..............................................................................................................................................................
LEINO, JENNIFER A MD.....................................................................................................................................................................
........................................................................................................9
......................................................................................................19
LEITGEB, MONIKA M DO...................................................................................................................................................................
......................................................................................................16
LEJA, LORETTA MD..........................................................................................................................................................................
......................................................................................................96
LEKOVIC, MIRSEN MD......................................................................................................................................................................
LEMMEN, BROOKE DO.....................................................................................................................................................................
......................................................................................................33
......................................................................................................68
LENZ, MICHELLE L MD......................................................................................................................................................................
......................................................................................................71
LEPLEY, RAGHAD MD......................................................................................................................................................................
......................................................................................................33
LESSARD, LOUIS DO........................................................................................................................................................................
......................................................................................................71
LESZKOWITZ, DAVID DO..................................................................................................................................................................
....................................................................................................117
LEVINE, DENNIS MD.........................................................................................................................................................................
LEVINE-BLASE, BARBARA F DO.......................................................................................................................................................
....................................................................................................108
......................................................................................................33
LEWANDOWSKI, ERIC DO................................................................................................................................................................
......................................................................................................45
LEWIS, BARTON DO.........................................................................................................................................................................

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LEWIS, MADELINE DO......................................................................................................................................................................
......................................................................................................33
..........................................................................................45, 91, 96
LIAO, THEODORE W MD....................................................................................................................................................................
LIBRA, JEFFREY J MD.......................................................................................................................................................................
................................................................................................82, 96
......................................................................................................86
LICHT, RUTH M DO............................................................................................................................................................................
......................................................................................................57
LICK, DAVID MD................................................................................................................................................................................
......................................................................................................17
LIDDELL, MICHAEL C DO...................................................................................................................................................................
LINDEN, MELVIN D DO......................................................................................................................................................................
....................................................................................................108
....................................................................................................108
LITTLE, SAHOKO H MD......................................................................................................................................................................
......................................................................................................99
LLANES, MIKEL MD...........................................................................................................................................................................
LLANTO, ALFONSO G MD..................................................................................................................................................................
......................................................................................................12
......................................................................................................22
LLOYD, DENNIS DO..........................................................................................................................................................................
................................................................................................15, 20
LO, GUSTAV J MD..............................................................................................................................................................................
......................................................................................................71
LOEWENSTEIN, LINDA L DO.............................................................................................................................................................
LONG, TOBY MD...............................................................................................................................................................................
..............................................................................................86, 128
......................................................................................................20
LOOMIS, THOMAS D MD....................................................................................................................................................................
....................................................................................................108
LOPEZ GUTIERREZ, PATRICIA MD..................................................................................................................................................
LOPEZ, ENRIQUE C III MD.................................................................................................................................................................
......................................................................................................33
......................................................................................................22
LOPEZ, JEREMIAH G MD...................................................................................................................................................................
..............................................................................................22, 119
LOPEZ, JOSE B MD............................................................................................................................................................................
......................................................................................................57
LOREDO, CHARLES DO....................................................................................................................................................................
LOWE, RALUCA M MD.......................................................................................................................................................................
....................................................................................................108
......................................................................................................33
LUDWIG, LISA MD.............................................................................................................................................................................
......................................................................................................33
LUEA, PETER J MD............................................................................................................................................................................
LUGINBILL, DAVID DO......................................................................................................................................................................
......................................................................................................33
......................................................................................................19
LUTZ, JESSICA L DO..........................................................................................................................................................................
........................................................................................................9
LYNCH, BRODI K MD.........................................................................................................................................................................
..........................................................................................26, 42, 63
MACAULEY, RICHARD W MD............................................................................................................................................................
MACCART, JOHN G MD.....................................................................................................................................................................
..............................................................................................12, 122
......................................................................................................63
MACDONALD, PETER A MD..............................................................................................................................................................
......................................................................................................51
MACHIREDDY, SEENAMMA MD.......................................................................................................................................................
MACHNACKI, DAVID..........................................................................................................................................................................
......................................................................................................71
......................................................................................................57
MACINTYRE, GAIL DO......................................................................................................................................................................
.....................................................................7, 20, 41, 121, 122, 124
MAESTRO, CALVIN J JR MD..............................................................................................................................................................
......................................................................................................19
MAGERS, ERICA MD.........................................................................................................................................................................
MAGNATTA, CRAIG L DO..................................................................................................................................................................
......................................................................................................71
................................................................................................22, 86
MAHFOOZ, NAVEED MD...................................................................................................................................................................
................................................................................................11, 62
MAHONEY, GERARD DO..................................................................................................................................................................
MAKOWSKI, DAVID N DO..................................................................................................................................................................
..........................................................................................45, 91, 96
......................................................................................................71
MALAYEV, ALEXANDER MD.............................................................................................................................................................
....................................................................................................108
MALICK, PAUL DO.............................................................................................................................................................................
......................................................................................................99
MALOUIN, JEAN M MD.......................................................................................................................................................................
MAMOU, DANY MD............................................................................................................................................................................
......................................................................................................91
......................................................................................................33
MANGAN, MICHAEL T DO..................................................................................................................................................................
......................................................................................................33
MANGAN, WILLIAM T DO...................................................................................................................................................................
.................................................................................20, 41, 122, 124
MANGES, BOYD MD..........................................................................................................................................................................
MANN, DANIEL...................................................................................................................................................................................
......................................................................................................15
......................................................................................................15
MANN, DANIEL MD............................................................................................................................................................................
......................................................................................................81
MANSFIELD, RICHARD DO...............................................................................................................................................................
......................................................................................................20
MANSFIELD, RICHARD W DO............................................................................................................................................................
......................................................................................................22
MANSOUR, MOHAMED MD...............................................................................................................................................................
..............................................................................................71, 118
MANSOUR-HABIB, NANCY F MD.......................................................................................................................................................
MARCH, NATHAN E DO.....................................................................................................................................................................
......................................................................................................27
......................................................................................................57
MARIETTA-NUNEZ, DEBORAH S DO................................................................................................................................................
......................................................................................................33
MARINAS, ERMINDA MERCURIO MD...............................................................................................................................................

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MARKOVA, TSVETI P MD...................................................................................................................................................................
......................................................................................................71
......................................................................................................19
MARL, ANTHONY E DO......................................................................................................................................................................
MARSHALL, THOMAS J MD...............................................................................................................................................................
................................................................................................7, 121
......................................................................................................91
MARTIN, DANA L PA..........................................................................................................................................................................
..........................................................................................45, 91, 96
MARTINEK, JONATHAN T MD............................................................................................................................................................
......................................................................................................66
MASCHKE, KRISTIN S MD.................................................................................................................................................................
MASTER-HUNTER, TARANNUM A MD..............................................................................................................................................
......................................................................................................99
......................................................................................................41
MASTERS, LYNETTE MD..................................................................................................................................................................
......................................................................................................33
MASTI, SARALA MD..........................................................................................................................................................................
MATAVERDE, ALEX MD....................................................................................................................................................................
....................................................................................................108
......................................................................................................71
MATEO, MARIE E MD.........................................................................................................................................................................
......................................................................................................33
MATER, DIANE DO............................................................................................................................................................................
......................................................................................................86
MATHEW, ELIZABETH MD................................................................................................................................................................
MATIAS, IRINEO C MD.......................................................................................................................................................................
......................................................................................................20
......................................................................................................33
MATIAS, ORLANDO O DO..................................................................................................................................................................
......................................................................................................89
MATTE, SILVANA D MD.....................................................................................................................................................................
MATTEUSSI, JANAINA MD................................................................................................................................................................
......................................................................................................57
......................................................................................................93
MATTHEWIS, KRISTIANNA MD.........................................................................................................................................................
................................................................................................57, 89
MATTI, VIVIAN G MD..........................................................................................................................................................................
......................................................................................................27
MAY, DAVID B DO..............................................................................................................................................................................
MAYS, RUTH E MD.............................................................................................................................................................................
....................................................................................................108
......................................................................................................33
MCALVEY, MICHAEL K MD................................................................................................................................................................
......................................................................................................57
MCCLOSKEY, CHARLES MD............................................................................................................................................................
MCCOMB, BRIAN DO........................................................................................................................................................................
......................................................................................................62
......................................................................................................55
MCCONNELL, RYAN DO...................................................................................................................................................................
......................................................................................................42
MCCONNON, MICHAEL L MD............................................................................................................................................................
......................................................................................................68
MCDERMED, ALINA M DO.................................................................................................................................................................
MCKAY, GIANNA L MD.......................................................................................................................................................................
..........................................................................................45, 91, 96
......................................................................................................99
MCKEE, MICHAEL M MD....................................................................................................................................................................
......................................................................................................45
MCKEEBY, SHANNON MD................................................................................................................................................................
MCNAMARA, MICHAEL R DO............................................................................................................................................................
......................................................................................................66
......................................................................................................18
MCNAMARA, WILLIAM MD................................................................................................................................................................
......................................................................................................18
MCNAMARA, WILLIAM H MD.............................................................................................................................................................
......................................................................................................89
MCPHILIMY, SCOTT DO....................................................................................................................................................................
MEE, ROBERT P DO..........................................................................................................................................................................
......................................................................................................81
....................................................................................................108
MEHTA, ARUN MD.............................................................................................................................................................................
......................................................................................................57
MEHTA, SATISH R MD.......................................................................................................................................................................
MEIER, JEFFREY L DO......................................................................................................................................................................
......................................................................................................33
......................................................................................................42
MELENDEZ, RAMON MD...................................................................................................................................................................
......................................................................................................17
MENAGI, BEINAZ MD........................................................................................................................................................................
......................................................................................................80
MENDIOLA, ANTONIO F JR MD.........................................................................................................................................................
MERCATANTE, ANNETTE MD..........................................................................................................................................................
......................................................................................................89
......................................................................................................33
MERRILL, BARBARA L DO.................................................................................................................................................................
......................................................................................................67
MERRITT, MONA MD.........................................................................................................................................................................
......................................................................................................17
MESSENGER, ANDREW W DO..........................................................................................................................................................
METOYER, ALYCE DO......................................................................................................................................................................
......................................................................................................17
......................................................................................................12
METZGER, DANIEL MD.....................................................................................................................................................................
......................................................................................................86
MEYER, PAUL A MD...........................................................................................................................................................................
......................................................................................................57
MEYERS, LEIA F MD..........................................................................................................................................................................
......................................................................................................67
MIEDEMA, NIDIA O MD......................................................................................................................................................................
....................................................................................................108
MIHAILOFF, NEVENA MD..................................................................................................................................................................
MILBACK, CHRISTOPHER MD..........................................................................................................................................................
......................................................................................................57
......................................................................................................99
MILLER, AMY C MD............................................................................................................................................................................
......................................................................................................19
MILLER, MARISSA DO......................................................................................................................................................................

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MILLER, REBECCA W MD..................................................................................................................................................................
......................................................................................................79
......................................................................................................27
MILLER, SALLY A DO.........................................................................................................................................................................
MILLER, STEPHEN C DO...................................................................................................................................................................
......................................................................................................15
......................................................................................................13
MILLER, TIMOTHY J DO.....................................................................................................................................................................
......................................................................................................71
MILLMAN, NEIL S DO.........................................................................................................................................................................
..........................................................................................45, 91, 96
MINDOCK, GREGORY P PAC............................................................................................................................................................
MINNAAR, NICHOLAS L MD...............................................................................................................................................................
......................................................................................................33
......................................................................................................17
MINNICK, PAUL D DO........................................................................................................................................................................
......................................................................................................20
MINOR, SAMUEL F MD.......................................................................................................................................................................
MIR, BATOOL Q MD...........................................................................................................................................................................
......................................................................................................33
..........................................................................................45, 91, 96
MIRANPURI, GURKIT K MD...............................................................................................................................................................
......................................................................................................57
MISCH, PAUL W MD...........................................................................................................................................................................
......................................................................................................71
MISHO, VIAN MD...............................................................................................................................................................................
MISRA, SAROJ DO............................................................................................................................................................................
......................................................................................................57
......................................................................................................33
MITCHELL, AMY L MD........................................................................................................................................................................
......................................................................................................71
MITCHELL, KAREN MD.....................................................................................................................................................................
MITTAL, ANUJ MD.............................................................................................................................................................................
......................................................................................................71
......................................................................................................33
MOBLEY, SHANNON DO...................................................................................................................................................................
......................................................................................................71
MOGHUL, RAMLA S MD.....................................................................................................................................................................
......................................................................................................42
MOHAN, ANNU MD............................................................................................................................................................................
MOHEY, VINOD K MD........................................................................................................................................................................
....................................................................................................108
......................................................................................................33
MONSON, CAROL L DO.....................................................................................................................................................................
......................................................................................................71
MONTICO, MICHAEL MD...................................................................................................................................................................
MOOKERJEE, LABONY MD..............................................................................................................................................................
................................................................................................19, 33
..............................................................................................22, 122
MOORE, JULIAN MD.........................................................................................................................................................................
......................................................................................................93
MORGAN, JAMES G DO.....................................................................................................................................................................
......................................................................................................71
MORRIS, PIERRE A MD.....................................................................................................................................................................
MORRIS, ROGER DO........................................................................................................................................................................
......................................................................................................29
................................................................................................30, 86
MORRONE, WILLIAM DO..................................................................................................................................................................
......................................................................................................33
MORSE, DARIN C DO.........................................................................................................................................................................
MULHEM, ELIE MD............................................................................................................................................................................
......................................................................................................57
......................................................................................................89
MULLALLY, JOHN P MD.....................................................................................................................................................................
....................................................................................................108
MULPURI, DURGA MD......................................................................................................................................................................
..........................................................................................45, 91, 96
MUMFORD, CONSTANCE A MD........................................................................................................................................................
MURDOCH, WILLIAM J MD................................................................................................................................................................
......................................................................................................71
......................................................................................................57
MURPHY, MARY MD..........................................................................................................................................................................
......................................................................................................29
MURRAY, CHRISTOPHER DO..........................................................................................................................................................
MURRAY, KENDALYN MD.................................................................................................................................................................
......................................................................................................22
......................................................................................................71
MURTHY, SANJAY MD......................................................................................................................................................................
......................................................................................................33
MURTHY, SREENIVASA T MD...........................................................................................................................................................
......................................................................................................99
MUSOLF, KAREN L MD......................................................................................................................................................................
NAGARAJA, RAJESHWARI MD.........................................................................................................................................................
..........................................................................................53, 86, 94
................................................................................................10, 86
NAGARAJAN, ARCHANA MD............................................................................................................................................................
......................................................................................................64
NAGUIT, CORNELIO L MD.................................................................................................................................................................
......................................................................................................57
NAMEI, FARZIN MD...........................................................................................................................................................................
NAOUMI, MANHAL MD......................................................................................................................................................................
................................................................................................57, 72
......................................................................................................89
NAQVI, FARRUKH MD.......................................................................................................................................................................
......................................................................................................96
NAZ, ZEBI MD....................................................................................................................................................................................
......................................................................................................89
NEDIC, IGOR MD...............................................................................................................................................................................
......................................................................................................79
NELSON, ALLAN D MD.......................................................................................................................................................................
......................................................................................................72
NELSON, CAROLYN D DO.................................................................................................................................................................
NELSON, KEITH DO..........................................................................................................................................................................
......................................................................................................34
......................................................................................................57
NEUMANN, FREDRIC I DO.................................................................................................................................................................
......................................................................................................22
NEUMANN, MARK DO.......................................................................................................................................................................

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NEVIN, LYNN P MD............................................................................................................................................................................
................................................................................................34, 67
......................................................................................................15
NEWCOMB, EDWARD MD................................................................................................................................................................
NEWHOUSE, PETER A MD................................................................................................................................................................
..........................................................................................45, 91, 96
......................................................................................................34
NEWMAN, JAMI J MD.........................................................................................................................................................................
......................................................................................................34
NGUYEN, TRINH D DO.......................................................................................................................................................................
......................................................................................................18
NIGRELLI, JOANNA DO.....................................................................................................................................................................
NIGRELLI, JOANNA L DO...................................................................................................................................................................
......................................................................................................84
......................................................................................................57
NINE, CAROLYN E MD.......................................................................................................................................................................
..............................................................................................99, 108
NISONGER, CHRISTINA A MD...........................................................................................................................................................
NIXON, RACHEL A DO.......................................................................................................................................................................
......................................................................................................57
......................................................................................................86
NOVELOSO, BERNARD.....................................................................................................................................................................
......................................................................................................34
NOVIS, ELMER L MD..........................................................................................................................................................................
......................................................................................................65
NOWLAND, DEVOTA J DO.................................................................................................................................................................
ODOM, AMY DO................................................................................................................................................................................
......................................................................................................34
......................................................................................................57
ODUMODU, NWANNEKA MD............................................................................................................................................................
......................................................................................................57
OLESZKOWICZ, ANDREW MD..........................................................................................................................................................
OLIVEIRA, FELLIPE MD....................................................................................................................................................................
......................................................................................................96
......................................................................................................93
OLIVER, TIMOTHY D MD....................................................................................................................................................................
......................................................................................................81
OLSON, DAVID L MD..........................................................................................................................................................................
......................................................................................................81
OLSON, DEREK D MD........................................................................................................................................................................
OLSON, JAMES P MD........................................................................................................................................................................
......................................................................................................34
......................................................................................................34
ONUOHA, KENNETH DO...................................................................................................................................................................
......................................................................................................99
ORIZONDO, CARISSA A MD..............................................................................................................................................................
OSBORN, L JOHN DO........................................................................................................................................................................
................................................................................................17, 41
......................................................................................................99
OTHMAN, AMAL E MD........................................................................................................................................................................
......................................................................................................72
OTREMBA, JOHN A MD......................................................................................................................................................................
......................................................................................................72
OTSUJI, GARY MD............................................................................................................................................................................
OTT, ANNELIE MD.............................................................................................................................................................................
..............................................................................................99, 108
......................................................................................................19
OTTEN, TODD R MD..........................................................................................................................................................................
......................................................................................................63
OVERMYER, AMANDA J MD..............................................................................................................................................................
OWCZARZAK, MICHAEL T MD...........................................................................................................................................................
......................................................................................................22
......................................................................................................30
OXHOLM, AVELINA DO.....................................................................................................................................................................
......................................................................................................34
PABBATHI, PRATHIMA MD...............................................................................................................................................................
....................................................................................................108
PABIAN, CHRISTOPHER MD............................................................................................................................................................
PACKEY, NICHOLAS S DO................................................................................................................................................................
....................................................................................................108
..............................................................................................34, 118
PAGE-ECHOLS, WENDY E DO..........................................................................................................................................................
......................................................................................................34
PAGE-ECHOLS, WILLIAM H DO.........................................................................................................................................................
PALM, KAI MD...................................................................................................................................................................................
....................................................................................................108
......................................................................................................57
PANICCIA, ANTHONY G MD..............................................................................................................................................................
................................................................................................8, 121
PANKNIN, DANA MD.........................................................................................................................................................................
......................................................................................................57
PANTHANGI, VEENA MD..................................................................................................................................................................
PARASHAR, KALIND MD...................................................................................................................................................................
..........................................................................................45, 91, 96
......................................................................................................57
PARCELLS, JEFFREY MD.................................................................................................................................................................
....................................................................................................108
PAREKH, DEEPIKA K MD...................................................................................................................................................................
......................................................................................................30
PARKER, MOLLY L DO.......................................................................................................................................................................
PARKER-FEATHERSTONE, EBONY C MD........................................................................................................................................
......................................................................................................99
......................................................................................................57
PASCHALL, MARK MD......................................................................................................................................................................
......................................................................................................45
PATEL, ANIL MD................................................................................................................................................................................
......................................................................................................91
PATEL, BHUMIT MD..........................................................................................................................................................................
......................................................................................................91
PATEL, KEYUR MD............................................................................................................................................................................
......................................................................................................86
PATEL, SATYA MD............................................................................................................................................................................
PATEL, VIJAY MD..............................................................................................................................................................................
....................................................................................................108
......................................................................................................34
PATHAK, PRITI MD............................................................................................................................................................................
......................................................................................................93
PATSY, ANTHONY DO......................................................................................................................................................................

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PAYTON, GLADSTONE A DO.............................................................................................................................................................
......................................................................................................57
......................................................................................................34
PEARSON, RANDOLPH MD..............................................................................................................................................................
PEARSON, SHANNA DO...................................................................................................................................................................
......................................................................................................57
......................................................................................................99
PEGGS, JAMES F MD........................................................................................................................................................................
......................................................................................................51
PEREZ, DAVID DO............................................................................................................................................................................
......................................................................................................53
PERKINS, KATHLEEN DO.................................................................................................................................................................
PERRY, DENNIS MD.........................................................................................................................................................................
......................................................................................................34
......................................................................................................34
PERRY, DENNIS J MD........................................................................................................................................................................
......................................................................................................20
PERTUNEN, SHAWN DO...................................................................................................................................................................
PETERS, THERESA R MD..................................................................................................................................................................
....................................................................................................100
....................................................................................................100
PETERSEN, KETTI S MD....................................................................................................................................................................
......................................................................................................45
PETERS-SPARLING, MARTI JO MD.................................................................................................................................................
......................................................................................................64
PEYTON, JOSEPH DO......................................................................................................................................................................
PHILLIPS, JULIE P MD.......................................................................................................................................................................
......................................................................................................34
......................................................................................................65
PIAZZA, RICHARD DO.......................................................................................................................................................................
......................................................................................................65
PIAZZA, RICHARD S DO....................................................................................................................................................................
PICKEN, ELISA B MD.........................................................................................................................................................................
....................................................................................................100
......................................................................................................34
PICONE, JOHN A DO..........................................................................................................................................................................
......................................................................................................72
PINELIS, SUSANNA MD....................................................................................................................................................................
..........................................................................................45, 91, 96
PINON, AL J MD..................................................................................................................................................................................
PINSON, THOMAS M DO....................................................................................................................................................................
..............................................................................................72, 108
......................................................................................................45
PIPER, LAUREN S DO........................................................................................................................................................................
......................................................................................................72
PIRZADA, PAMELA DO.....................................................................................................................................................................
PLENSDORF, SCOTT D MD...............................................................................................................................................................
......................................................................................................22
......................................................................................................82
POEL, LARRY DO..............................................................................................................................................................................
................................................................................................17, 41
POFF, DOUGLAS W DO.....................................................................................................................................................................
....................................................................................................108
POLECK, ANNEMARIE DO................................................................................................................................................................
POLISKEY, JAMIE A MD.....................................................................................................................................................................
......................................................................................................29
......................................................................................................45
POLLENS, STEVEN MD....................................................................................................................................................................
......................................................................................................57
POPE, HALEY DO..............................................................................................................................................................................
POPE, SHERWOOD MD....................................................................................................................................................................
....................................................................................................108
......................................................................................................15
POPOOLA, MODUPE A MD................................................................................................................................................................
......................................................................................................82
POSTEMA, JAMES A DO....................................................................................................................................................................
......................................................................................................57
PRADKO, JOHN R DO........................................................................................................................................................................
PRICE, KENNETH J DO......................................................................................................................................................................
......................................................................................................34
......................................................................................................89
PRIEBE, MICHAEL R MD....................................................................................................................................................................
..............................................................................................27, 117
PRIEST, MARK DO............................................................................................................................................................................
PROUTY, DONALD G MD...................................................................................................................................................................
......................................................................................................29
......................................................................................................20
PUTALIK, GREG C MD.......................................................................................................................................................................
......................................................................................................57
PUTRUS, RAMIZ S MD.......................................................................................................................................................................
....................................................................................................100
RABIDEAU, MICHELLE L MD.............................................................................................................................................................
RABIDEAU, RAYMOND P DO.............................................................................................................................................................
......................................................................................................82
....................................................................................................108
RAHMAN, FAIZ MD............................................................................................................................................................................
....................................................................................................108
RAHMAN, HUSAN MD.......................................................................................................................................................................
......................................................................................................34
RAIS, MUHAMMAD S MD...................................................................................................................................................................
RAJ, NAVIN MD.................................................................................................................................................................................
....................................................................................................108
......................................................................................................22
RAMALINGAM, YAMINI MD...............................................................................................................................................................
......................................................................................................12
RAMBO, JOSEPH J MD......................................................................................................................................................................
......................................................................................................57
RAMOS, JASON MD..........................................................................................................................................................................
......................................................................................................30
RAMSEY, ROSS MD..........................................................................................................................................................................
......................................................................................................19
RANDALL, SCOT DO.........................................................................................................................................................................
RANKL, RICHARD M MD....................................................................................................................................................................
......................................................................................................93
........................................................................................................7
RAO, RAJ MD....................................................................................................................................................................................
......................................................................................................45
RAPHELSON, MICHAEL MD.............................................................................................................................................................

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RATHKAMP, WALTER T MD..............................................................................................................................................................
......................................................................................................86
......................................................................................................14
RATNAYAKE, CHANDIMA R MD........................................................................................................................................................
RAUS, ADRIANA MD.........................................................................................................................................................................
......................................................................................................93
......................................................................................................96
RAVI, SUBHASCHANDRA R MD........................................................................................................................................................
......................................................................................................27
RAWLIN, JOSEPH W DO....................................................................................................................................................................
..................................................................................................9, 41
RAYKOVA, VANIA MD.......................................................................................................................................................................
RAYMOND, MICHELE DO.................................................................................................................................................................
......................................................................................................89
....................................................................................................108
RAYOS, LYNDA C DO........................................................................................................................................................................
......................................................................................................94
RAYTHATHA, SURENDRA H MD.......................................................................................................................................................
RAZA, MUSHAHID MD.......................................................................................................................................................................
....................................................................................................108
......................................................................................................30
REES, ROBERT DO...........................................................................................................................................................................
......................................................................................................10
REETHS, THOMAS E DO...................................................................................................................................................................
....................................................................................................108
REGIEC, JANELIN R MD....................................................................................................................................................................
REICKERT, EILEEN MD....................................................................................................................................................................
......................................................................................................57
......................................................................................................96
REIMAN, STEVE E DO.......................................................................................................................................................................
................................................................................................30, 31
REITER, SCOTT DO..........................................................................................................................................................................
RENAUD, PAUL T MD.........................................................................................................................................................................
......................................................................................................68
....................................................................................................100
REW, KARL T MD...............................................................................................................................................................................
......................................................................................................58
REYNOLDS, JENESE MD..................................................................................................................................................................
..............................................................................................20, 122
RICCI, CARRIE A MD..........................................................................................................................................................................
RICHARDS, JAMES P MD..................................................................................................................................................................
................................................................................................7, 121
......................................................................................................58
RIPLEY, TREVOR W MD....................................................................................................................................................................
.................................................................................58, 72, 119, 125
RIVERA, ALEIDA M MD......................................................................................................................................................................
RIZK, NABIL K MD..............................................................................................................................................................................
......................................................................................................58
......................................................................................................43
RIZWAN, NAVIRA MD........................................................................................................................................................................
......................................................................................................94
ROBBINS JR, DONALD DO...............................................................................................................................................................
......................................................................................................45
ROBBINS, MYRAL DO.......................................................................................................................................................................
ROBERTSON, JOHN P MD.................................................................................................................................................................
......................................................................................................91
......................................................................................................34
ROBERTSON, SHIRLEY MD..............................................................................................................................................................
..............................................................................................22, 122
ROBINSON, DONALD MD.................................................................................................................................................................
ROCKWELL, PAMELA G DO..............................................................................................................................................................
.............................................................................................100, 108
......................................................................................................12
RODA, SAMUEL D MD........................................................................................................................................................................
......................................................................................................58
RODGERS, DAVID MD......................................................................................................................................................................
....................................................................................................100
RODGERS, PHILLIP E MD..................................................................................................................................................................
RODIN, PETER J DO..........................................................................................................................................................................
......................................................................................................58
......................................................................................................22
RODRIGUEZ, ALEXANDER J MD.......................................................................................................................................................
......................................................................................................93
ROE, THOMAS F MD..........................................................................................................................................................................
ROECKER, KURT M DO.....................................................................................................................................................................
......................................................................................................65
......................................................................................................91
ROGERS, WILLIAM B MD...................................................................................................................................................................
......................................................................................................22
ROGERS-GRAYS, BRENDA DO........................................................................................................................................................
......................................................................................................58
ROLLINGER, KATHLEEN M DO.........................................................................................................................................................
RONAN, ARTHUR DO........................................................................................................................................................................
......................................................................................................34
..............................................................................................22, 122
ROOME, GARY T MD.........................................................................................................................................................................
........................................................................................................8
ROOT, JOANNE M DO........................................................................................................................................................................
......................................................................................................34
ROPER, ROSEMARY DO..................................................................................................................................................................
ROSBOLT, JAMES P DO....................................................................................................................................................................
......................................................................................................58
......................................................................................................68
ROSE, ERICA R MD............................................................................................................................................................................
......................................................................................................79
ROSEMA, KATHY L DO......................................................................................................................................................................
....................................................................................................108
ROSENBAUM, JEFFREY DO.............................................................................................................................................................
......................................................................................................43
ROSENBERG, MATT T MD.................................................................................................................................................................
......................................................................................................34
ROSICK, EDWARD DO......................................................................................................................................................................
ROSIN, FREDERICK MD...................................................................................................................................................................
......................................................................................................72
......................................................................................................34
ROSKOS, STEVEN E MD...................................................................................................................................................................
......................................................................................................58
ROSS, SUZANNE MD........................................................................................................................................................................

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ROTH, HAROLD F DO........................................................................................................................................................................
......................................................................................................34
......................................................................................................58
ROTH, KATHERINE R MD..................................................................................................................................................................
ROYCHOUDHURY, PROMITA MD.....................................................................................................................................................
......................................................................................................43
....................................................................................................100
RUFFIN, MACK T MD..........................................................................................................................................................................
......................................................................................................65
RUMSCHLAG, BETTY K DO...............................................................................................................................................................
......................................................................................................72
RUMSCHLAG, MARTHA MD..............................................................................................................................................................
RUNGE, REBECCA DO.....................................................................................................................................................................
......................................................................................................45
......................................................................................................86
RUPKE, STUART MD.........................................................................................................................................................................
......................................................................................................81
RUSSO, SAMUEL J DO......................................................................................................................................................................
RUTHRUFF, CHRISTOPHER M MD...................................................................................................................................................
......................................................................................................41
......................................................................................................89
RUTHVEN, ALEXANDER G MD..........................................................................................................................................................
......................................................................................................82
RYAN, CHRISTINE DO......................................................................................................................................................................
......................................................................................................63
RYAN, JAMES T DO...........................................................................................................................................................................
RYCKMAN, GEORGE B DO................................................................................................................................................................
......................................................................................................11
......................................................................................................72
RYKE, NICOLE L MD..........................................................................................................................................................................
....................................................................................................108
SAAD, MOHAMMED MD....................................................................................................................................................................
SAAD, TOM T MD...............................................................................................................................................................................
..................................................................................................7, 46
......................................................................................................10
SABOURI, LILY DO............................................................................................................................................................................
......................................................................................................34
SAGAN-YEWAH, MARIE LOUISE T MD.............................................................................................................................................
......................................................................................................72
SALANTA, CAMELIA L MD.................................................................................................................................................................
SALTMAN, BARRY MD......................................................................................................................................................................
......................................................................................................34
....................................................................................................392
SAMAD, MUNZER MD.......................................................................................................................................................................
......................................................................................................72
SAMAD, MUNZER MD.......................................................................................................................................................................
SAMI, SYED MD.................................................................................................................................................................................
......................................................................................................86
......................................................................................................94
SAMI, SYED A MD..............................................................................................................................................................................
......................................................................................................20
SAMUELS, TERRY J MD....................................................................................................................................................................
......................................................................................................58
SAMYN, ROBIN C MD.........................................................................................................................................................................
SAN JUAN, MARIA BELEN MD...........................................................................................................................................................
....................................................................................................108
......................................................................................................96
SANCHEZ, PAMELA MD....................................................................................................................................................................
..................................................................................................7, 46
SANDBORN, CARRIE S DO...............................................................................................................................................................
SANDERS, KELLIE D MD...................................................................................................................................................................
......................................................................................................91
..............................................................................................65, 125
SANKEY, BEVERLY MD....................................................................................................................................................................
................................................................................................86, 94
SARKAR, ARUP MD...........................................................................................................................................................................
......................................................................................................86
SARKODIE, AMANING K MD..............................................................................................................................................................
SARVEPALLI, BHRAMARAMBA MD..................................................................................................................................................
......................................................................................................86
......................................................................................................86
SARVEPALLI, RAGHURAM MD.........................................................................................................................................................
......................................................................................................65
SARVEPALLI, SAILAJA MD...............................................................................................................................................................
SASSE, TROY J DO............................................................................................................................................................................
......................................................................................................41
....................................................................................................108
SAWABINI, GEORGE T DO................................................................................................................................................................
......................................................................................................72
SAWKA, JAROSLAW DO...................................................................................................................................................................
......................................................................................................31
SCADDAN, PAUL MD........................................................................................................................................................................
SCARLETT, KERMITH DO.................................................................................................................................................................
..............................................................................................34, 119
......................................................................................................17
SCHAAR, MARK W MD.......................................................................................................................................................................
......................................................................................................19
SCHAFER, MICHAEL W MD...............................................................................................................................................................
..............................................................................................30, 123
SCHALL, ROBERT E MD....................................................................................................................................................................
SCHARNOTT, MICHELLE L DO..........................................................................................................................................................
......................................................................................................10
..............................................................................................89, 128
SCHEEL, LISA DO.............................................................................................................................................................................
......................................................................................................91
SCHIMNOSKI, DONALD R MD...........................................................................................................................................................
......................................................................................................72
SCHNEIDERHAN, JILL MD................................................................................................................................................................
......................................................................................................58
SCHNURER, CHRISTOPHER DO......................................................................................................................................................
......................................................................................................72
SCHOEPS, PETER R DO....................................................................................................................................................................
SCHROEDER, CLAUDIA MD.............................................................................................................................................................
..............................................................................................52, 124
................................................................................................22, 53
SCHULTZ, ANGELA MD....................................................................................................................................................................
..........................................................................................46, 91, 96
SCHULTZ, KATHERINE M PAC..........................................................................................................................................................

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SCHULTZ, VINCENT E MD.................................................................................................................................................................
......................................................................................................18
......................................................................................................91
SCHUMAKER, JONATHAN MD.........................................................................................................................................................
SCHURY, MARK P DO........................................................................................................................................................................
......................................................................................................72
......................................................................................................72
SCHWARTZ, KENDRA L MD..............................................................................................................................................................
......................................................................................................72
SCHWARTZ, LOUIS W DO.................................................................................................................................................................
......................................................................................................22
SCHWARZ, DAVID F MD....................................................................................................................................................................
SCOFIELD, BARRY MD.....................................................................................................................................................................
......................................................................................................58
......................................................................................................58
SCOTT, COLLEEN DO.......................................................................................................................................................................
......................................................................................................34
SCOTT, R TAYLOR DO.......................................................................................................................................................................
SCOTT, THOMAS M DO.....................................................................................................................................................................
....................................................................................................108
....................................................................................................109
SCZECIENSKI, STANLEY DO............................................................................................................................................................
......................................................................................................72
SEBASTIAN, MATTHEW DO.............................................................................................................................................................
......................................................................................................15
SEE, NEIL R MD.................................................................................................................................................................................
SEFCIK, DONALD J DO......................................................................................................................................................................
......................................................................................................34
......................................................................................................72
SEIFELDIN, RAOUF MD....................................................................................................................................................................
......................................................................................................34
SEKONI, KENYA I MD.........................................................................................................................................................................
SELIM, GHIULSER MD......................................................................................................................................................................
......................................................................................................34
......................................................................................................51
SEPTER, MICHAEL DO.....................................................................................................................................................................
....................................................................................................100
SERLIN, DAVID C MD.........................................................................................................................................................................
......................................................................................................72
SHAFFER, KATHRYN MD..................................................................................................................................................................
SHAH, JAY MD...................................................................................................................................................................................
......................................................................................................96
......................................................................................................22
SHAHEEN, RONALD E DO.................................................................................................................................................................
........................................................................................................7
SHAIKH, ABDUL S MD........................................................................................................................................................................
SHAJAHAN, ASHA MD......................................................................................................................................................................
......................................................................................................58
..................................................................................................7, 20
SHARAPOVA, DARCIE J MD..............................................................................................................................................................
......................................................................................................72
SHAREEFUDDIN, FAISAL MD...........................................................................................................................................................
......................................................................................................65
SHARON, JESSICA L DO...................................................................................................................................................................
SHEMES, HILLARY A DO...................................................................................................................................................................
......................................................................................................29
......................................................................................................96
SHERBURN, LEON E DO...................................................................................................................................................................
......................................................................................................93
SHIELDS, MICHELLE MD..................................................................................................................................................................
SHIH, ELIZABETH R MD.....................................................................................................................................................................
....................................................................................................100
......................................................................................................55
SHOCKLEY, JENNIFER MD..............................................................................................................................................................
......................................................................................................34
SHOEMAKER, AMANDA L MD...........................................................................................................................................................
......................................................................................................93
SIAL, ROBINA MD..............................................................................................................................................................................
SIAL, ROBINA I MD.............................................................................................................................................................................
......................................................................................................43
....................................................................................................109
SIDIQI, ESSA J MD.............................................................................................................................................................................
......................................................................................................51
SIGELKO, DANIELLE M DO................................................................................................................................................................
SIMMONS, CURTIS L MD...................................................................................................................................................................
......................................................................................................14
......................................................................................................72
SINGH, PAULEENA MD.....................................................................................................................................................................
................................................................................................58, 89
SINGLETON, SHEILA MD..................................................................................................................................................................
....................................................................................................109
SINHA, ANITA MD..............................................................................................................................................................................
SKINDELL, ROGER DO.....................................................................................................................................................................
......................................................................................................53
....................................................................................................109
SKOURES, MARY ANN MD...............................................................................................................................................................
....................................................................................................100
SKYE, ERIC P MD...............................................................................................................................................................................
..........................................................................................46, 91, 96
SLATER, MARY E MD.........................................................................................................................................................................
SMALL, MATTHEW MD......................................................................................................................................................................
......................................................................................................96
......................................................................................................86
SMALL, ROY F DO..............................................................................................................................................................................
......................................................................................................43
SMITH, CHANNING MD.....................................................................................................................................................................
......................................................................................................72
SMITH, CHERYL L MD........................................................................................................................................................................
......................................................................................................34
SMITH, EKRAM M MD........................................................................................................................................................................
................................................................................................66, 83
SMITH, ELAINE C DO.........................................................................................................................................................................
SMITH, GEORGE F MD......................................................................................................................................................................
......................................................................................................35
......................................................................................................81
SMITH, KEVIN M DO...........................................................................................................................................................................
......................................................................................................41
SMITH, LAUREN S MD.......................................................................................................................................................................

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SMITH, MARK W MD..........................................................................................................................................................................
......................................................................................................15
....................................................................................................109
SMITH, STACY MD............................................................................................................................................................................
SMIY, ALAN N MD..............................................................................................................................................................................
......................................................................................................15
......................................................................................................15
SMOTHERS, GARY DO.....................................................................................................................................................................
......................................................................................................58
SOFFA, JASON DO............................................................................................................................................................................
......................................................................................................27
SONGER, ANESSA L DO...................................................................................................................................................................
SORKIN, SUZANNE MD.....................................................................................................................................................................
......................................................................................................35
......................................................................................................58
SOTIROV, ANETA MD.......................................................................................................................................................................
......................................................................................................58
SOTIROV, ZANA MD..........................................................................................................................................................................
SOUPHIS, DANIEL DO......................................................................................................................................................................
......................................................................................................89
......................................................................................................72
SOVERINSKY, LOUIS D DO...............................................................................................................................................................
................................................................................................8, 121
SPAETH, DONALD G DO....................................................................................................................................................................
......................................................................................................35
SPALDING, JULIA E MD.....................................................................................................................................................................
SPRINGER, DAWN E MD...................................................................................................................................................................
......................................................................................................35
......................................................................................................86
SQUIER, HARRIET A MD....................................................................................................................................................................
......................................................................................................58
STACHELSKI, DANIEL MD................................................................................................................................................................
STACHERSKI, MARK MD..................................................................................................................................................................
....................................................................................................109
......................................................................................................29
STACK, MICHAEL A MD.....................................................................................................................................................................
......................................................................................................10
STAINES, MARILYN J DO...................................................................................................................................................................
......................................................................................................41
STANSBY, ERIC MD..........................................................................................................................................................................
STASEVICH, ANDREW DO...............................................................................................................................................................
................................................................................................35, 65
................................................................................................12, 35
STEEN, JONATHAN DO....................................................................................................................................................................
......................................................................................................29
STEFANEK, GREGG DO...................................................................................................................................................................
STEIGERWALD, WILLIAM DO...........................................................................................................................................................
......................................................................................................17
......................................................................................................35
STEINER, CATHERINE M NP.............................................................................................................................................................
......................................................................................................35
STEPHENSON-MCCOLE, JILL L MD..................................................................................................................................................
......................................................................................................65
STEURY, MONICA DO.......................................................................................................................................................................
STEURY, RONALD DO......................................................................................................................................................................
......................................................................................................65
..............................................................................................22, 122
STEVENS, JOYCE MD.......................................................................................................................................................................
......................................................................................................53
STEVENS, JOYCE K MD....................................................................................................................................................................
STEVENS, TOMMY S MD...................................................................................................................................................................
......................................................................................................22
......................................................................................................15
STEWART, FRALEY J MD..................................................................................................................................................................
......................................................................................................23
STOKER, JOHN L DO.........................................................................................................................................................................
......................................................................................................35
STOUT, THOMAS DO........................................................................................................................................................................
STOWITTS, JEFFREY DO.................................................................................................................................................................
......................................................................................................65
........................................................................................................9
STREET, MAUREEN MD...................................................................................................................................................................
......................................................................................................84
STRICKLER, JEFF MD.......................................................................................................................................................................
STROM, SCOTT DO..........................................................................................................................................................................
......................................................................................................29
......................................................................................................93
STRONG, DOUGLAS MD...................................................................................................................................................................
......................................................................................................10
STRUBLE, RUSSELL J MD.................................................................................................................................................................
.............................................................................................109, 128
STRYD, SCOTT P MD.........................................................................................................................................................................
STRZODA, CHERYL E MD.................................................................................................................................................................
....................................................................................................100
......................................................................................................93
STUENKEL, TERRI M DO...................................................................................................................................................................
......................................................................................................53
SUBNANI, MADHU MD......................................................................................................................................................................
......................................................................................................72
SULAKA, WILLIAM MD......................................................................................................................................................................
SULLIVAN, MICHAEL DO..................................................................................................................................................................
......................................................................................................58
......................................................................................................89
SUNILKUMAR, MINI MD....................................................................................................................................................................
......................................................................................................72
SURENDRAN, RAMKRISHNA MD.....................................................................................................................................................
......................................................................................................27
SWAN, LYNN L MD.............................................................................................................................................................................
......................................................................................................46
SWARD, NICHOLAS MD....................................................................................................................................................................
......................................................................................................58
SWETECH, STEPHEN DO.................................................................................................................................................................
SWILLEY, BRYAN K DO.....................................................................................................................................................................
......................................................................................................72
......................................................................................................35
SWORDS, WILLIAM J DO...................................................................................................................................................................
..............................................................................................72, 120
SYED, MUSHTAQUE MD...................................................................................................................................................................

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SYPITKOWSKI, CHRISTINE DO........................................................................................................................................................
......................................................................................................72
....................................................................................................109
SZARAZ, DAVID J MD........................................................................................................................................................................
SZELAG, HENRY P DO......................................................................................................................................................................
......................................................................................................42
......................................................................................................86
SZILAGYI, CARMEN C MD.................................................................................................................................................................
....................................................................................................109
SZUPER, ANDREA M MD...................................................................................................................................................................
....................................................................................................109
TABOR, BERNARD DO......................................................................................................................................................................
TACKABURY, DANIEL E MD..............................................................................................................................................................
......................................................................................................53
......................................................................................................16
TALMO, JANET MD............................................................................................................................................................................
...........................................................................10, 53, 86, 119, 121
TAMEZ, GARY L DO...........................................................................................................................................................................
TAMLYN, RENEE M DO......................................................................................................................................................................
......................................................................................................27
......................................................................................................79
TANNER, TINA MD............................................................................................................................................................................
......................................................................................................72
TAYLOR, JAMILA MD........................................................................................................................................................................
......................................................................................................86
TEAL, THOMAS M MD........................................................................................................................................................................
TEGTMEIER, AMIEE DO....................................................................................................................................................................
......................................................................................................17
......................................................................................................35
TEPASTTE, STEPHEN MD................................................................................................................................................................
......................................................................................................72
TERRITO, JOSEPH L DO....................................................................................................................................................................
THELEN, TAYLOR D DO.....................................................................................................................................................................
......................................................................................................17
......................................................................................................35
THERRIEN, PAULA K MD...................................................................................................................................................................
......................................................................................................72
THOMAS, PRESTON MD...................................................................................................................................................................
................................................................................................68, 79
THOME, JEFFREY A DO....................................................................................................................................................................
THOMPSON, JOSEPH B MD..............................................................................................................................................................
......................................................................................................43
......................................................................................................35
THOMPSON, KENNETH M MD...........................................................................................................................................................
......................................................................................................23
THOMS, PETER MD..........................................................................................................................................................................
THORNTON, TIMOTHY J MD.............................................................................................................................................................
......................................................................................................84
......................................................................................................41
TOAZ, LYNN ANN DO.........................................................................................................................................................................
....................................................................................................109
TOLEDO-NEELY, IMELDA MD...........................................................................................................................................................
......................................................................................................35
TOLSON, ROSEMARIE DO...............................................................................................................................................................
TOMA, GHAZWAN G MD....................................................................................................................................................................
....................................................................................................100
......................................................................................................30
TONER, JEFFREY B DO.....................................................................................................................................................................
......................................................................................................58
TORRES, LELA MD............................................................................................................................................................................
TRACY, RAYMOND D DO...................................................................................................................................................................
................................................................................................62, 63
....................................................................................................109
TREECE, DENNIS C DO.....................................................................................................................................................................
......................................................................................................72
TREMBATH, CHERLOEE MD............................................................................................................................................................
......................................................................................................64
TRIMPER, DONALD P DO..................................................................................................................................................................
TROOST, PAUL DO...........................................................................................................................................................................
................................................................................................10, 51
..............................................................................................58, 125
TROSIN, CYNTHIA DO......................................................................................................................................................................
......................................................................................................58
TUCCIARONE, JENNIFER MD..........................................................................................................................................................
TUCKER, PETER MD.........................................................................................................................................................................
................................................................................................58, 72
......................................................................................................72
TUXHARI, SNEZHANA DO................................................................................................................................................................
......................................................................................................12
TWIDDY, SHANNON MD...................................................................................................................................................................
......................................................................................................23
TYLER, APRIL B DO...........................................................................................................................................................................
ULMER, LAWRENCE A DO................................................................................................................................................................
..........................................................................................46, 91, 96
......................................................................................................46
UNTERSEHER, CHRIS A MD.............................................................................................................................................................
......................................................................................................46
UTASH, JACOB MD...........................................................................................................................................................................
....................................................................................................109
UZANSKY, GERALD DO....................................................................................................................................................................
VALKA, PAMELA DO.........................................................................................................................................................................
......................................................................................................58
......................................................................................................35
VALLE, LUIS G MD.............................................................................................................................................................................
......................................................................................................19
VAN ARK, JOSEPH MD.....................................................................................................................................................................
......................................................................................................80
VANCE, MARLA D MD........................................................................................................................................................................
......................................................................................................63
VANDERHILL, SCOTT D MD..............................................................................................................................................................
......................................................................................................46
VANDERKOLK, KRISTI MD...............................................................................................................................................................
VANDERLUGT, GERRIT DO..............................................................................................................................................................
......................................................................................................29
......................................................................................................23
VANDUYNE, FREDERICK W MD........................................................................................................................................................
......................................................................................................64
VARGAS, JOHN DO...........................................................................................................................................................................

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VARUGHESE, GEORGE MD.............................................................................................................................................................
......................................................................................................35
....................................................................................................109
VASAPPA, RASHMI DO.....................................................................................................................................................................
VASHISHTA, NISHA MD....................................................................................................................................................................
......................................................................................................42
......................................................................................................42
VASHISHTA, NISMA MD....................................................................................................................................................................
......................................................................................................91
VEGA TORRES, LUIS MD..................................................................................................................................................................
....................................................................................................100
VELEZ, LOURDES MD.......................................................................................................................................................................
VETTRAINO, ANTHONY N MD...........................................................................................................................................................
....................................................................................................109
......................................................................................................84
VIGUILLA, ROBERTO MD..................................................................................................................................................................
......................................................................................................15
VILLASIS, TERESITA M MD...............................................................................................................................................................
VINTON, BRIAN MD...........................................................................................................................................................................
....................................................................................................109
......................................................................................................96
VIRGILIO, NANCY PAC.....................................................................................................................................................................
......................................................................................................13
VOGEL, HARLE L DO.........................................................................................................................................................................
......................................................................................................42
VOGEL, R SCOTT DO........................................................................................................................................................................
VOLLMER, JOHN A MD......................................................................................................................................................................
......................................................................................................58
..........................................................................................46, 91, 96
VONMAUR, CAROLYN A DO..............................................................................................................................................................
..............................................................................................26, 123
VORA, KANDARP K MD.....................................................................................................................................................................
VORENKAMP, CAROL DO................................................................................................................................................................
......................................................................................................93
......................................................................................................35
WADLAND, WILLIAM C MD................................................................................................................................................................
....................................................................................................109
WADOOD, SHAZIA MD......................................................................................................................................................................
......................................................................................................82
WAGNER, ALEX DO..........................................................................................................................................................................
WAGNER, JACK W MD.......................................................................................................................................................................
..........................................................................................10, 26, 64
......................................................................................................41
WAGNER, MICHAEL DO...................................................................................................................................................................
................................................................................................80, 84
WAHL, WAYNE S MD.........................................................................................................................................................................
WALDRON, KATHLEEN M DO............................................................................................................................................................
......................................................................................................35
......................................................................................................10
WALK, PAUL A MD.............................................................................................................................................................................
..............................................................................................23, 122
WALKER, LYNN MD...........................................................................................................................................................................
......................................................................................................20
WALKER, WENDY MD.......................................................................................................................................................................
WALSH-MCPHERSON, DANIELLE DO.............................................................................................................................................
........................................................................................................9
......................................................................................................35
WALSWORTH, DAVID T MD...............................................................................................................................................................
....................................................................................................109
WALTON-DOYLE, ERIN MD..............................................................................................................................................................
WAMPLER, STEPHEN M MD.............................................................................................................................................................
....................................................................................................100
................................................................................................58, 73
WANG, PING MD...............................................................................................................................................................................
......................................................................................................14
WANG, XUE MD.................................................................................................................................................................................
.....................................................................................100, 101, 109
WARBER, SARA L MD........................................................................................................................................................................
WARD, PAUL J MD.............................................................................................................................................................................
......................................................................................................27
..............................................................................................58, 109
WARNICK, STEPHEN MD..................................................................................................................................................................
......................................................................................................27
WARREN, DEBORAH MD..................................................................................................................................................................
WASH, DAVID K MD...........................................................................................................................................................................
....................................................................................................109
....................................................................................................109
WEATHERSBY, LIZA J MD.................................................................................................................................................................
......................................................................................................68
WEAVER, ERIC R MD.........................................................................................................................................................................
....................................................................................................109
WEAVER, KAREN MD.......................................................................................................................................................................
WEBB, WILLIAM R MD.......................................................................................................................................................................
......................................................................................................16
......................................................................................................27
WEBER, KEVIN P MD.........................................................................................................................................................................
......................................................................................................27
WEBSTER, DANIEL M MD..................................................................................................................................................................
......................................................................................................20
WEHRENBERG, SUZANNE MD........................................................................................................................................................
WEIDE, LORI MD...............................................................................................................................................................................
....................................................................................................109
......................................................................................................82
WEISBERGER, RONALD A DO..........................................................................................................................................................
......................................................................................................35
WEISMANTEL, DAVID MD.................................................................................................................................................................
......................................................................................................73
WEISS, MICHAEL D PC......................................................................................................................................................................
......................................................................................................73
WEITZ, MATHIAS G DO......................................................................................................................................................................
......................................................................................................35
WELLEMEYER, TIMOTHY MD...........................................................................................................................................................
WELSH, STEPHEN L MD....................................................................................................................................................................
......................................................................................................68
......................................................................................................16
WENDLING, ANDREA L MD...............................................................................................................................................................
................................................................................................8, 121
WERTH, CHRISTY L DO.....................................................................................................................................................................

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WEST, TAMMY L MD..........................................................................................................................................................................
......................................................................................................58
......................................................................................................35
WESTPHAL, JOANNE DO.................................................................................................................................................................
WETZEL, JENNILYN MD....................................................................................................................................................................
......................................................................................................58
....................................................................................................109
WHITE, WILLIAM MD.........................................................................................................................................................................
......................................................................................................27
WILCOX, DAVID J DO........................................................................................................................................................................
..........................................................................................46, 91, 96
WILE, LARRY MD..............................................................................................................................................................................
WILKE, ALLAN MD.............................................................................................................................................................................
......................................................................................................46
..............................................................................................96, 128
WILKINSON, WILLIAM L MD...............................................................................................................................................................
......................................................................................................35
WILLIAMS, CHANDRA R DO..............................................................................................................................................................
WILLIAMS, CHRISTA MD..................................................................................................................................................................
....................................................................................................101
....................................................................................................109
WILLIAMS, RALPH E MD....................................................................................................................................................................
......................................................................................................58
WILSON, SARAH E MD......................................................................................................................................................................
......................................................................................................35
WINKLER, SARA DO.........................................................................................................................................................................
WISE, LOREN MD..............................................................................................................................................................................
......................................................................................................20
........................................................................................................9
WITT, GLORIA M MD..........................................................................................................................................................................
......................................................................................................35
WITTGENS, DAVID MD.....................................................................................................................................................................
WITZKE, STEPHEN D MD..................................................................................................................................................................
......................................................................................................35
..............................................................................................12, 122
WOLF, MARY M MD............................................................................................................................................................................
......................................................................................................35
WOLFE, REBECCA G MD...................................................................................................................................................................
......................................................................................................63
WOLTANSKI, TIMOTHY R MD............................................................................................................................................................
WONG, JEAN H MD............................................................................................................................................................................
....................................................................................................101
......................................................................................................16
WONSKI, CATHERINE A MD..............................................................................................................................................................
....................................................................................................109
WORZNIAK, MICHAEL MD................................................................................................................................................................
WRIGHT JONES, TENIESHA N DO....................................................................................................................................................
......................................................................................................73
......................................................................................................41
WRIGHT, CLARENCE DAVID MD.......................................................................................................................................................
......................................................................................................83
WRIGHT, KEITH E DO........................................................................................................................................................................
......................................................................................................35
WU, JAN Q MD...................................................................................................................................................................................
WUDYKA, ANDREA E MD..................................................................................................................................................................
......................................................................................................58
......................................................................................................68
WUEHRMANN, BARBARA L MD........................................................................................................................................................
......................................................................................................53
WURSTER, FREDERICK DO.............................................................................................................................................................
XU, JINPING MD................................................................................................................................................................................
......................................................................................................73
....................................................................................................109
YAEKLE, SCOTT MD.........................................................................................................................................................................
......................................................................................................23
YAMBAO, JAIME T MD.......................................................................................................................................................................
......................................................................................................65
YAP PUEYING, WILSON S MD...........................................................................................................................................................
YEN, GARY MD..................................................................................................................................................................................
....................................................................................................101
....................................................................................................109
YI, CHIN MD.......................................................................................................................................................................................
......................................................................................................58
YIM, ROGER S DO..............................................................................................................................................................................
YOUNG, ALAN MD.............................................................................................................................................................................
......................................................................................................63
....................................................................................................101
YOUNG, ALISA P MD..........................................................................................................................................................................
......................................................................................................16
YOUNG, ANNA MD............................................................................................................................................................................
......................................................................................................16
YOUNG, ANNA G MD.........................................................................................................................................................................
YOUNG, ERIN MD..............................................................................................................................................................................
......................................................................................................63
......................................................................................................27
YOUNG, KARI L DO............................................................................................................................................................................
......................................................................................................14
YUNUS, RUMANA MD.......................................................................................................................................................................
..............................................................................................23, 122
ZAHDEH, LOUINDA V MD..................................................................................................................................................................
ZAHEER, SALIEHA MD......................................................................................................................................................................
......................................................................................................73
....................................................................................................109
ZAHOOR, SAMEENA MD...................................................................................................................................................................
......................................................................................................73
ZAKARIA, KAMRAN MD.....................................................................................................................................................................
..............................................................................................73, 126
ZALLA, STEVEN DO..........................................................................................................................................................................
..............................................................................................82, 127
ZARLENGA, LANA J MD.....................................................................................................................................................................
..............................................................................................73, 118
ZAWAIDEH, MEGAN C DO.................................................................................................................................................................
ZAZOVE, PHILIP MD..........................................................................................................................................................................
....................................................................................................101
.........................................................................................58, 73, 109
ZELCH, JAMES MD............................................................................................................................................................................
......................................................................................................73
ZELTZER, SUSAN MD.......................................................................................................................................................................

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ZICCARDI, MICHAEL JR DO..............................................................................................................................................................
......................................................................................................23
......................................................................................................53
ZIELINSKI, MICHAEL E DO................................................................................................................................................................
ZIELONKA, SUSAN M DO...................................................................................................................................................................
......................................................................................................90
......................................................................................................46
ZIEMKOWSKI, PETER J MD...............................................................................................................................................................
......................................................................................................16
ZIMMERMAN, CATHERINE DO.........................................................................................................................................................
....................................................................................................109
ZIMMIE, MATTHEW MD.....................................................................................................................................................................
ZOLO, SHOSHAN P MD......................................................................................................................................................................
......................................................................................................58
......................................................................................................81
ZOOK, MARK A DO.............................................................................................................................................................................
....................................................................................................109
ZOUABI, FIRAS MD...........................................................................................................................................................................
GASTROENTEROLOGY
ABURASHED, AHMAD MD................................................................................................................................................................
....................................................................................................379
....................................................................................................223
AHMAD, IFTIKER MD.........................................................................................................................................................................
AKKARY, SAMI R MD.........................................................................................................................................................................
....................................................................................................379
....................................................................................................379
AL SAWAS, OUSSAMA MD...............................................................................................................................................................
....................................................................................................379
AL SIBAE, MOHAMAD R MD..............................................................................................................................................................
ALDRICH, LESLIE B MD.....................................................................................................................................................................
.....................................................................................508, 509, 575
....................................................................................................379
AL-HAMAD, THANAA MD..................................................................................................................................................................
....................................................................................................185
AL-MIDANI, MUHAMMAD H MD.........................................................................................................................................................
....................................................................................................379
ALMODOVAR, KIM MD......................................................................................................................................................................
ALMOUNAJED, GHANEM MD...........................................................................................................................................................
.............................................................................................185, 477
.............................................................................................185, 456
ALNOUNOU, MUSTAFA MD..............................................................................................................................................................
....................................................................................................509
ANDERSON, MICHELLE A MD...........................................................................................................................................................
ANTINOZZI, REX D MD......................................................................................................................................................................
....................................................................................................207
....................................................................................................509
ASKARI, FREDERICK K MD...............................................................................................................................................................
....................................................................................................379
AYAS, MOUHIB MD...........................................................................................................................................................................
....................................................................................................279
AZEEM, ASIF MD...............................................................................................................................................................................
BAKKEN, ANEZI MD..........................................................................................................................................................................
....................................................................................................318
....................................................................................................379
BAKKEN, ANEZI E MD........................................................................................................................................................................
.............................................................................................297, 379
BALUCH, MEHDI MD.........................................................................................................................................................................
BARBISH, ALLAN W MD.....................................................................................................................................................................
....................................................................................................509
....................................................................................................207
BARNES, ROBERT E MD...................................................................................................................................................................
....................................................................................................379
BATKE, MIHAELA MD........................................................................................................................................................................
.............................................................................................509, 575
BEDI, AARTI O MD.............................................................................................................................................................................
BEWICK, KERRI DO..........................................................................................................................................................................
....................................................................................................318
.............................................................................................318, 379
BEWICK, KERRI A DO........................................................................................................................................................................
.............................................................................................156, 260
BEYER, KEVIN L DO...........................................................................................................................................................................
BIRRIS, THOMAS MD........................................................................................................................................................................
....................................................................................................147
....................................................................................................147
BIRRIS, THOMAS R MD.....................................................................................................................................................................
....................................................................................................318
BOLOGNA, SANTE MD......................................................................................................................................................................
....................................................................................................379
BORTMAN, JARED S MD...................................................................................................................................................................
BRAL, KAMBIZ MD............................................................................................................................................................................
....................................................................................................379
....................................................................................................147
BUKHARI, ATHER MD.......................................................................................................................................................................
....................................................................................................279
CAMMELL, GREGORY MD................................................................................................................................................................
....................................................................................................379
CANNON, MICHAEL E MD..................................................................................................................................................................
CAPPELL, MITCHELL S MD...............................................................................................................................................................
....................................................................................................379
....................................................................................................509
CARETHERS, JOHN M MD.................................................................................................................................................................
.............................................................................................509, 575
CHEN, JOAN W MD............................................................................................................................................................................
.............................................................................................305, 509
CHEY, WILLIAM D MD........................................................................................................................................................................
....................................................................................................355
CHOPRA, LESA R DO........................................................................................................................................................................
....................................................................................................456
CLAY, EDWARD A MD........................................................................................................................................................................
COATES, ALLAN G CO.......................................................................................................................................................................
....................................................................................................358
.....................................................................................279, 358, 445
COATES, ALLAN G DO.......................................................................................................................................................................
....................................................................................................223
COLESKI, RADOSLAV MD................................................................................................................................................................

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CONJEEVARAM, HARI S MD.............................................................................................................................................................
....................................................................................................509
.............................................................................305, 318, 379, 575
CUTLER, ALAN F MD.........................................................................................................................................................................
DAHLSTEDT, DENNIS A MD..............................................................................................................................................................
....................................................................................................318
.............................................................................................509, 575
DANG, NGOC-DUYEN T MD...............................................................................................................................................................
....................................................................................................456
DEGAYNER, ERIKA E DO..................................................................................................................................................................
....................................................................................................509
DEL VALLE, JOHN MD......................................................................................................................................................................
DESAI, DILIP M MD............................................................................................................................................................................
....................................................................................................185
....................................................................................................379
DEVORE, MARK S MD.......................................................................................................................................................................
.....................................................................................156, 260, 484
DEWAN, BRIJ M MD...........................................................................................................................................................................
DHAR, RAVI MD.................................................................................................................................................................................
....................................................................................................355
....................................................................................................509
DIMAGNO, MATTHEW J MD..............................................................................................................................................................
....................................................................................................318
DONAT, MEHMET MD.......................................................................................................................................................................
....................................................................................................379
DONAT, MEHMET E MD.....................................................................................................................................................................
DOULL, JAMES A MD.........................................................................................................................................................................
....................................................................................................177
....................................................................................................575
EHRINPREIS, MURRAY N MD............................................................................................................................................................
....................................................................................................509
ELTA, GRACE H MD...........................................................................................................................................................................
ESWARAN, SHANTI L MD..................................................................................................................................................................
....................................................................................................510
....................................................................................................260
FALK, JERROLD S MD.......................................................................................................................................................................
....................................................................................................379
FERGUSON, ROBERT B MD..............................................................................................................................................................
.....................................................................................318, 379, 575
FIELDS, JANICE M MD.......................................................................................................................................................................
FISHER, LAUREL R MD......................................................................................................................................................................
....................................................................................................510
....................................................................................................510
FONTANA, ROBERT J MD..................................................................................................................................................................
....................................................................................................207
GALAN, MARK V MD..........................................................................................................................................................................
GAMARRA, ROBERTO M MD.............................................................................................................................................................
.............................................................................305, 318, 379, 575
....................................................................................................185
GANATRA, BALVANT K MD...............................................................................................................................................................
....................................................................................................379
GHAITH, GEHAD M MD......................................................................................................................................................................
....................................................................................................260
GJERSOE, HEIDI S MD......................................................................................................................................................................
GLASS, LISA M MD............................................................................................................................................................................
....................................................................................................510
....................................................................................................207
GOLDMAN, JEFFREY H MD...............................................................................................................................................................
.....................................................................305, 318, 379, 380, 575
GOLDMEIER, PHILLIP A MD..............................................................................................................................................................
GOVANI, SHAIL M MD........................................................................................................................................................................
....................................................................................................510
....................................................................................................260
GUSHURST, THOMAS P MD..............................................................................................................................................................
....................................................................................................260
HANAVAN, WILLIAM MD...................................................................................................................................................................
....................................................................................................380
HASAN, SAFIUL MD..........................................................................................................................................................................
HASLER, WILLIAM L MD....................................................................................................................................................................
.............................................................................................510, 575
....................................................................................................207
HEGEWALD, MONTGOMERY MD.....................................................................................................................................................
....................................................................................................276
HENBEST, GLEN DO.........................................................................................................................................................................
HENBEST, GLEN H DO......................................................................................................................................................................
....................................................................................................207
....................................................................................................575
HENOCH, MALCOLM MD..................................................................................................................................................................
.............................................................................................510, 575
HIATT, TADD K MD.............................................................................................................................................................................
....................................................................................................260
HIDA, SVEN MD.................................................................................................................................................................................
HIGGINS, PETER D MD......................................................................................................................................................................
....................................................................................................510
....................................................................................................380
HOFFMAN, STEPHEN MJ DO............................................................................................................................................................
....................................................................................................351
HOLTZ, TODD K MD...........................................................................................................................................................................
....................................................................................................351
HUANG, KAREN DO..........................................................................................................................................................................
HUANG, MARY ANN YI-ANG MD........................................................................................................................................................
....................................................................................................380
....................................................................................................177
HUCK, HEIDI V MD.............................................................................................................................................................................
....................................................................................................318
IBRAHIM, GHAITH M MD....................................................................................................................................................................
....................................................................................................456
INGLES, SHAWN M DO......................................................................................................................................................................
....................................................................................................140
ISLAM, ABUL F MD.............................................................................................................................................................................
.....................................................................................318, 380, 575
JACOBS, RANDALL S MD..................................................................................................................................................................
JINJUVADIA, KARTIKKUMAR M MD..................................................................................................................................................
.............................................................................................380, 575
....................................................................................................147
JONES, BRUCE MD...........................................................................................................................................................................
....................................................................................................147
JONES, BRUCE A MD........................................................................................................................................................................

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KAM, MICHAEL MD............................................................................................................................................................................
....................................................................................................380
.............................................................................................510, 575
KAO, JOHN Y MD...............................................................................................................................................................................
KAUSHAL, SUNIL MD........................................................................................................................................................................
....................................................................................................185
....................................................................................................477
KERSCHEN, CATHERINE A DO.........................................................................................................................................................
....................................................................................................456
KHAN, SHAUKAT A MD......................................................................................................................................................................
....................................................................................................510
KIM, ALBERT C MD............................................................................................................................................................................
KOLARS, JOSEPH C MD....................................................................................................................................................................
....................................................................................................510
....................................................................................................185
KORTE, DEREK DO...........................................................................................................................................................................
....................................................................................................177
KOZIARA, FRANK MD.......................................................................................................................................................................
KULE, VARIN U MD............................................................................................................................................................................
....................................................................................................140
.............................................................................................305, 510
KWON, HELLAN K MD........................................................................................................................................................................
....................................................................................................510
KWON, RICHARD S MD.....................................................................................................................................................................
....................................................................................................185
LANDESMAN, NATHAN DO...............................................................................................................................................................
LAPP, ROBERT T MD.........................................................................................................................................................................
.............................................................................................510, 511
....................................................................................................456
LARKIN, MEDLEY A DO.....................................................................................................................................................................
.............................................................................305, 318, 380, 575
LEVINSON, JAY R MD........................................................................................................................................................................
LOK, ANNA S MD................................................................................................................................................................................
....................................................................................................511
....................................................................................................185
MACKSOOD, JOHN DO.....................................................................................................................................................................
....................................................................................................355
MADHIRA, MURTHY S MD.................................................................................................................................................................
.............................................................................................467, 476
MAHAKALA-TUMMA, KAVITA MD.....................................................................................................................................................
MANNAM, SREENIVAS MD...............................................................................................................................................................
....................................................................................................185
.............................................................................................511, 575
MANOOGIAN, BETH R MD.................................................................................................................................................................
....................................................................................................380
MARKLE, BRIAN J MD........................................................................................................................................................................
MAYLE, JAMES E MD.........................................................................................................................................................................
....................................................................................................223
....................................................................................................215
MCCANCE, DAN E DO.......................................................................................................................................................................
....................................................................................................511
MCCARTHY, SEAN T MD...................................................................................................................................................................
....................................................................................................456
MCNIER, ROBERT M MD...................................................................................................................................................................
MENEES, STACY B MD......................................................................................................................................................................
.....................................................................................305, 511, 575
....................................................................................................511
MERCHANT, JUANITA L MD..............................................................................................................................................................
....................................................................................................456
MEYER, RICKY A MD.........................................................................................................................................................................
MILLER, JUSTIN DO..........................................................................................................................................................................
....................................................................................................185
.............................................................................................207, 276
MILLIKEN, JOHN P MD.......................................................................................................................................................................
....................................................................................................185
MINAUDO, MARK J DO......................................................................................................................................................................
....................................................................................................351
MURPHY, CHRISTINA L DO...............................................................................................................................................................
MUTCHNICK, MILTON G MD..............................................................................................................................................................
....................................................................................................575
....................................................................................................511
MUZA-MOONS, MICHELLE M MD......................................................................................................................................................
....................................................................................................318
NANDI, PARTHA MD..........................................................................................................................................................................
NANDI, PARTHA S MD.......................................................................................................................................................................
....................................................................................................380
....................................................................................................467
NASR, BASSAM MD..........................................................................................................................................................................
....................................................................................................185
NEUMANN, MICHAEL DO..................................................................................................................................................................
.............................................................................................305, 511
NGUYEN, DIANE MD.........................................................................................................................................................................
NOSTRANT, TIMOTHY T MD..............................................................................................................................................................
.............................................................................................511, 575
....................................................................................................351
OFORI DARKO, ERNEST MD............................................................................................................................................................
....................................................................................................223
OLIVERI, LISA J DO............................................................................................................................................................................
....................................................................................................477
OLIVERI-LEPAIN, LISA DO................................................................................................................................................................
OWYANG, CHUNG MD......................................................................................................................................................................
....................................................................................................511
....................................................................................................511
PARIKH, NEEHAR MD.......................................................................................................................................................................
....................................................................................................511
PATEL, SWATI G MD..........................................................................................................................................................................
.............................................................................305, 318, 380, 575
PIPER, MICHAEL H MD......................................................................................................................................................................
....................................................................................................223
PLAEHN, SCOTT A DO..............................................................................................................................................................

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URGENT CARE CENTERS

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PHARMACIES - TOP 10 MAJOR CHAINS

McLaren Health Plan Medicaid

McLaren Health Plan Medicaid

MATERNAL INFANT HEALTH PROGRAM

McLaren Health Plan Medicaid

INDEX - PROVIDERS BY SPECIALTY

INDEX - PROVIDERS BY NAME

McLaren Health Plan Medicaid

PRIMARY CARE PROVIDERS

177 N BARLOW RD LINCOLN

177 N BARLOW RD LINCOLN

177 N BARLOW LINCOLN

177 N BARLOW RD LINCOLN

177 N BARLOW RD LINCOLN

205 N STATE STE A HARRISVILLE

177 N BARLOW RD LINCOLN

181 N BARLOW RD LINCOLN

BEATTY-PAGE, SUSAN PAC

177 N BARLOW RD LINCOLN

BENSON, JACLYN PAC

177 N BARLOW RD LINCOLN

205 N STATE RD STE A HARRISVILLE

KRUTTLIN, KIANN PAC

205 N STATE ST STE A HARRISVILLE

345 NAOMI ST PLAINWELL

336 S RIVER AVE HOLLAND

345 NAOMI ST PLAINWELL

345 NAOMI ST PLAINWELL

345 NAOMI ST PLAINWELL

345 NAOMI ST PLAINWELL

345 NAOMI ST PLAINWELL

345 NAOMI ST PLAINWELL

5498 109TH AVE PULLMAN

500 LINN ST ALLEGAN

305 THOMAS ST ALLEGAN

5498 109TH AVE PULLMAN

345 NAOMI ST PLAINWELL

345 NAOMI ST PLAINWELL

345 NAOMI ST PLAINWELL

KISSINGER, ISOLDE PAC

5498 109TH AVE PULLMAN

345 NAOMI ST PLAINWELL