NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1114071578 |   |   |   | LAC VIEUX DESERT BAND OF LAKE SUPERIOR CHIPPEWA INDIANS | PO BOX 9 | WATERSMEET | MI | 499690009 |
1629115977 | HADLEY | DANIEL | C |   | N5241 US HIGHWAY 45 | WATERSMEET | MI | 499690009 |
1851383525 | PUSATERI | GARY | M |   | E23570 POW WOW TRAIL | WATERSMEET | MI | 49969 |