NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1538187265 | CLARKE | PAULA | K |   | 737 BROADWAY | FARGO | ND | 581220001 |
1215954854 | MICKELSON | DANIEL | G |   | PO BOX 5074 | SIOUX FALLS | SD | 571175074 |
1669490264 | PROMERSBERGER | ERIC | R |   | 801 BROADWAY N | FARGO | ND | 581023641 |
1043232614 | TEIGEN | COREY | L |   | 801 BROADWAY N | FARGO | ND | 581023641 |