| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1861654014 | HOSTETLER | SARAH | GRIM | 425 PINE RIDGE BLVD STE 305 | WAUSAU | WI | 544014124 | |
| 1891152641 | LEWELLIS | STEPHEN | WILLIAM | 425 PINE RIDGE BLVD STE 305 | WAUSAU | WI | 544014124 | |
| 1205192788 | THOMPSON | AGNIESZKA | KUBICA | 425 PINE RIDGE BLVD STE 305A | WAUSAU | WI | 544014124 |