| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1023541604 | PENNY | JUSTIN | MICHAEL | 2020 E 28TH ST STE 104 | MINNEAPOLIS | MN | 554071453 | |
| 1164866885 | SCHULZ | SEAN | 2020 E 28TH ST | MINNEAPOLIS | MN | 554071394 | ||
| 1003566555 | WARD | LILY | KATHLEEN | 2020 E 28TH ST | MINNEAPOLIS | MN | 554071394 |