NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1285251835 | BAKKEN | KYLE |   |   | 330 N 8TH AVE E | DULUTH | MN | 558052024 |
1770107294 | HAMMER | JAMIE | L |   | 330 N 8TH AVE E | DULUTH | MN | 558052024 |
1740719640 | TABOR | CHARLES | PAUL |   | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |