NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1861634362 |   |   |   | INDEPENDENCE CORPORATION | 4119 MAUCH CHUNK RD # C | COPLAY | PA | 180372106 |
1710035712 | WERNER | DAVID | MICHAEL |   | 200 INDIAN CREEK DR | WILKES BARRE | PA | 187027825 |