| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1730126954 | DIAMOND | PETER | S | W3985 COUNTY ROAD NN | ELKHORN | WI | 531214337 | |
| 1508279795 | DURANTE | RICHARD | INFANTE | W3985 COUNTY ROAD NN | ELKHORN | WI | 531214337 | |
| 1396061859 | VEGA | JUAN | L | 3301 W FOREST HOME AVE | MILWAUKEE | WI | 532152843 |