NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1205263159 |   |   |   | SULLIVAN MEDICAL CLINIC, LLC | 6040 W LISBON AVE | MILWAUKEE | WI | 532102116 |
1245369164 | ASIJA | ROGER | K |   | 4330 S 38TH ST | MILWAUKEE | WI | 532212005 |
1619005212 | CAMACHO | MARGO | J |   | 6040 W LISBON AVE | MILWAUKEE | WI | 532102116 |
1790813681 | KOHNKE | JOSEPH | F |   | 6040 W LISBON AVE | MILWAUKEE | WI | 532102116 |