NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1215143441 |   |   |   | METRO TREATMENT OF MINNESOTA LP | 2500 MAITLAND CENTER PARKWAY | MAITLAND | FL | 32751 |
1255846168 | HODGE | MARY |   |   | 2311 WOODBRIDGE ST | ROSEVILLE | MN | 551134710 |
1447765391 | KALLSTROM | FRANK |   |   | 2311 WOODBRIDGE ST | ROSEVILLE | MN | 551134710 |
1013422963 | RITCHIE | ROBERT | MILLS |   | 2311 WOODBRIDGE ST | ROSEVILLE | MN | 551134710 |
1780190645 | RYNES | KURT | ALLEN |   | 2311 WOODBRIDGE ST | ROSEVILLE | MN | 551134710 |