| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1154349702 | DEKREY | DANIEL | PETER | 1233 34TH ST NW | BEMIDJI | MN | 566015112 | |
| 1760409627 | HAGGERTY | CRAIG | H | 1233 34TH ST NW | BEMIDJI | MN | 566015112 | |
| 1013938232 | SHORTER | DONNA | MARIE | 1233 34TH ST NW | BEMIDJI | MN | 566015112 | |
| 1033131628 | WILL | RODNEY | D | 1233 34TH ST NW | BEMIDJI | MN | 566015112 |