NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1568688331 |   |   |   | LAKESHORE EYE CARE PROFESSIONALS, S.C. | 10320 N PORT WASHINGTON RD | MEQUON | WI | 530925767 |
1912902388 | GERMAN | MARK | E |   | 11307 N PORT WASHINGTON RD | MEQUON | WI | 530923411 |
1922166826 | IVANOSKI | JAMES | JOHN |   | 10320 N PORT WASHINGTON RD | MEQUON | WI | 530925767 |
1003810458 | JAY | MARTHA | F |   | 11307 N PORT WASHINGTON RD | MEQUON | WI | 530923411 |