NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1114071578 |   |   |   | LAC VIEUX DESERT BAND OF LAKE SUPERIOR CHIPPEWA INDIANS | PO BOX 9 | WATERSMEET | MI | 499690009 |
1952319832 | BOGNAR | MARK | R |   | PO BOX 249 | WATERSMEET | MI | 499690249 |
1811363690 | MEZA | LISA |   |   | E23970 POW WOW TRAIL | WATERSMEET | MI | 49969 |
1811197304 | PAIGE | PATTI | M |   | 109 10TH AVE S | HURLEY | WI | 545341304 |
1275713570 | SHIVELY | MAURICE | ANTHONY |   | PO BOX 249 | WATERSMEET | MI | 49969 |