| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1952319832 | BOGNAR | MARK | R | PO BOX 249 | WATERSMEET | MI | 499690249 | |
| 1811363690 | MEZA | LISA | E23970 POW WOW TRAIL | WATERSMEET | MI | 49969 | ||
| 1275713570 | SHIVELY | MAURICE | ANTHONY | PO BOX 249 | WATERSMEET | MI | 49969 |