NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1821496266 |   |   |   | FMG GOLF COURSE ROAD MICHIGAN LLC | 1234 GOLF COURSE RD | ALPENA | MI | 497071222 |
1144617994 | MACARTHUR | SCOTT |   |   | 1234 GOLF COURSE RD | ALPENA | MI | 497071222 |
1225425093 | REED | BRIAN |   |   | 1234 GOLF COURSE RD | ALPENA | MI | 497071222 |