| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1508854860 | ENNES | DIANA | PO BOX 779 | TAWAS CITY | MI | 487640779 | ||
| 1760470488 | KALISZEWSKI | KEVIN | 110 BEECH ST STE B | TAWAS CITY | MI | 487638314 | ||
| 1801887377 | MINARD | MOLLY | A | 110 BEECH ST STE B | TAWAS CITY | MI | 487638314 |