| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053696914 | GENOA HEALTHCARE, LLC | 707 S GRADY WAY STE 700 | RENTON | WA | 980573243 | |||
| 1356627830 | ISHAUG | TARYN | TERESA | 17934 LIV LN | EDEN PRAIRIE | MN | 553464102 | |
| 1154694982 | STEPHENS | CLYDE | 1155 FORD RD | ST LOUIS PARK | MN | 554261099 |