NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1336337187 |   |   |   | LAKESHORE MEDICAL CLINIC, LTD | 4131 W LOOMIS RD | GREENFIELD | WI | 532212057 |
1770535437 | NADEEM | IRAM |   |   | 4131 W LOOMIS RD | GREENFIELD | WI | 532212057 |