| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053347179 | SILVER LAKE CLINIC | 2600 39TH AVE NE | ST ANTHONY | MN | 554214372 | |||
| 1841209111 | ANTOLAK | CHRISTOPHER | MILTON | 2600 39TH AVE NE | MINNEAPOLIS | MN | 554214379 | |
| 1376623199 | BERTSCH | RONDA | STELLER | 2600 39TH AVE NE | ST ANTHONY | MN | 55421 |