NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1396822854 |   |   |   | LAKESHORE MEDICAL CLINIC, LTD. | 4131 W LOOMIS RD | GREENFIELD | WI | 532212051 |
1538351549 |   |   |   | LAKESHORE MEDICAL CLINIC LLC | 4448 W LOOMIS RD STE 204 | GREENFIELD | WI | 532204851 |
1295354553 | BOWEN | JEFFREY | LEE |   | 4131 W LOOMIS RD | GREENFIELD | WI | 532212057 |
1740325216 | CORTES | BARBARA | L |   | 4131 W LOOMIS RD STE 200 | GREENFIELD | WI | 532212051 |
1740483981 | FOSTER | MICHAEL | W |   | 4131 W LOOMIS RD | MILWAUKEE | WI | 532212051 |
1760837710 | KIM | MIN |   |   | 4131 W LOOMIS RD | GREENFIELD | WI | 532212057 |
1083749147 | QUENTIN | WENDI | A |   | 4448 W LOOMIS RD | GREENFIELD | WI | 532204800 |
1366824393 | SPECTOR | ANTOINETTE |   |   | 4131 W LOOMIS RD | GREENFIELD | WI | 532212057 |