| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1033329339 | JOHNSON | KRISTIN | LEE | 6701 COUNTRY CLUB DR | GOLDEN VALLEY | MN | 554274602 | |
| 1174956114 | KAUFENBERG | RACHEL | A | 6701 COUNTRY CLUB DR | GOLDEN VALLEY | MN | 554274602 | |
| 1124375894 | VANDENDOLDER | RICHARD | PETER | 6701 COUNTRY CLUB DR | GOLDEN VALLEY | MN | 554274602 |