| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1104215060 | FMG DAVIS STREET SNF WISCONSIN LLC | 425 DAVIS ST | HAMMOND | WI | 540159615 | |||
| 1841454204 | EDWARDS | LORI | JEAN | 425 DAVIS STREET | HAMMOND | WI | 540159615 | |
| 1376725218 | HOOPS | MICHELLE | R | 17403 350TH ST | SHAFER | MN | 550749651 | |
| 1619287026 | JACOBSON | KARLA | LYNN | 425 DAVIS ST | HAMMOND | WI | 540159615 | |
| 1225467046 | KULIG | KRISTEN | JOY | 425 DAVIS ST | HAMMOND | WI | 540159615 |