| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1770705337 | BERNDT | JEROME | C | 215 SE 2ND AVE | GRAND RAPIDS | MN | 557443615 | |
| 1447466008 | LONEY | STEVEN | 215 SE 2ND AVE | GRAND RAPIDS | MN | 557443615 | ||
| 1306052972 | MOEN | AUDREY | 215 SE 2ND AVE | GRAND RAPIDS | MN | 557443615 | ||
| 1912113358 | RIGGS | JOHN | 215 SE 2ND AVE | GRAND RAPIDS | MN | 557443615 |