NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1699007179 | KRALL | JAMES |   |   | 26540 GOSHAWK TRL | BOVEY | MN | 557098371 |
1003148784 | PARLANTI | JEFF |   |   | 1111 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443905 |
1588996755 | ROTH | STANLEY | RAYMOND |   | 1111 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443905 |