| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1649220849 | BANKS | GARRY | M | 8290 UNIVERSITY AVE NE STE 200 | FRIDLEY | MN | 554321876 | |
| 1912358219 | CANNATA | KELLI | MICHELLE | 8290 UNIVERSITY AVE NE | FRIDLEY | MN | 554321847 | |
| 1275900391 | LUDTKE | BRIANNA | C | 8290 UNIVERSITY AVE NE STE 200 | FRIDLEY | MN | 554321876 | |
| 1215347117 | MITTELSTEADT | MARCUS | JOHN | 8290 UNIVERSITY AVE NE STE 200 | FRIDLEY | MN | 554321876 | |
| 1356544274 | STAPLES | JESSICA | M | 8290 UNIVERSITY AVE NE STE 200 | FRIDLEY | MN | 554321876 |