NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1205574506 | BAXTER | SADIE |   |   | 2405 8TH ST S STE 200 | MOORHEAD | MN | 565604200 |
1689267700 | DELA ROSA | TARA | JOY |   | 2405 8TH ST S STE 200 | MOORHEAD | MN | 565604200 |
1144729930 | GARCIA | SHANNA | L |   | 2405 8TH ST S STE 200 | MOORHEAD | MN | 565604200 |
1740862036 | RASK | MATTHEW |   |   | 2405 8TH ST S STE 200 | MOORHEAD | MN | 565604200 |
1124677505 | RICHTER | MICHAEL | JOHN |   | 2405 8TH ST S STE 200 | MOORHEAD | MN | 565604200 |