| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1669426631 | GRAND ITASCA CLINIC AND HOSPITAL | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 | |||
| 1174753313 | BRODY | DANIEL | WILLIAM | 1601 GOLF COURSE ROAD | GRAND RAPIDS | MN | 55744 | |
| 1255793261 | DEGRIO | ARIE | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 | ||
| 1972596823 | LAWSON | RUSSELL | K | 1601 GOLF COURSE ROAD | GRAND RAPIDS | MN | 55744 | |
| 1275968646 | STATSMAN | JULIA | LYNN | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 | |
| 1811350093 | WANKHEDE LANGENFELD | BRADFORD | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |