NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1790846335 | CARLSON | WAYNE | BRUCE |   | 901 LAKESHORE DR | ISHPEMING | MI | 498491367 |
1861554321 | HOOPER | LLOYD | J |   | 901 LAKESHORE DR | ISHPEMING | MI | 498491367 |
1689735698 | PREVOST | MICHAEL | JARVIS |   | 901 LAKESHORE DR | ISHPEMING | MI | 498491367 |
1538791975 | SWANSON | DAVID | SCOTT |   | 901 LAKESHORE DRIVE | ISHPEMING | MI | 49849 |