NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1154404325 |   |   |   | LAKEVIEW BEHAVIORAL HEALTH INC. | 516 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443800 |
1578069977 | ASPLUND | MARIA | LOUISA |   | 516 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443800 |
1063903268 | DECKER | BRET |   |   | 516 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443800 |
1376150235 | ELJ | LARRY | VERNON |   | 308 1ST ST NW | CHISHOLM | MN | 557191704 |
1831611938 | ERICKSON | ELIZABETH | WALSH |   | 516 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443800 |
1477211191 | GILGE | TIERNEY |   |   | 516 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443820 |
1265042923 | HANSON | CHRISTINE |   |   | 2310 NW 3RD ST | GRAND RAPIDS | MN | 557442135 |
1093249419 | HARNACK | JARED |   |   | 516 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443800 |
1962553701 | JORE | RENEE' | MARIE |   | 717 NE 4TH ST | GRAND RAPIDS | MN | 557443104 |
1316048986 | KRUGLIKOV | STANISLAV |   |   | 1900 SILVER LAKE RD NW | NEW BRIGHTON | MN | 551121786 |
1366196115 | LEADERS | DIANE | DEBRA |   | 516 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443820 |
1689187254 | MCLAUGHLIN | DAWNA | LYNN |   | 516 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443800 |
1407009384 | MURPHY | JODY |   |   | 516 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443820 |
1942786314 | OBETA | PEACE |   |   | 2310 NW 3RD ST | GRAND RAPIDS | MN | 557442135 |
1518548858 | STUBER | HEATHER |   |   | 516 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443820 |
1760150213 | TYLER | DIANE | ELIZABETH |   | 516 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443820 |
1366100182 | WATTS | ROGER | P |   | 516 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443820 |
1548861016 | WORD | TAMMY | LYNN |   | 516 S POKEGAMA AVE | GRAND RAPIDS | MN | 557443800 |