NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1669426631 |   |   |   | GRAND ITASCA CLINIC AND HOSPITAL | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
1174753313 | BRODY | DANIEL | WILLIAM |   | 1601 GOLF COURSE ROAD | GRAND RAPIDS | MN | 55744 |
1255793261 | DEGRIO | ARIE |   |   | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
1972596823 | LAWSON | RUSSELL | K |   | 1601 GOLF COURSE ROAD | GRAND RAPIDS | MN | 55744 |
1275968646 | STATSMAN | JULIA | LYNN |   | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
1609185263 | TIWARI | NATHAN | R |   | 603 ROSARY DR | CORNING | IA | 508411683 |