NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1134281132 |   |   |   | GRAND TRAVERSE BAND OF OTTAWA AND CHIPPEWA INDIANS | 2300 N STALLMAN RD | SUTTONS BAY | MI | 496829158 |
1619346780 | BOWERS | KATHY | ANN |   | 2605 WEST BAYSHORE DR. | PESHAWBESTOWN | MI | 49682 |
1659977510 | OLDENBURG | KIMBERLY | SUE |   | 2300 N STALLMAN RD | SUTTONS BAY | MI | 496829158 |