| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1063566966 | | | | FORT HEALTHCARE, INC | 611 SHERMAN AVE E | FORT ATKINSON | WI | 535381960 |
| 1447304340 | | | | FORT HEALTHCARE, INC. | 611 SHERMAN AVE E | FORT ATKINSON | WI | 535381960 |
| 1811916281 | | | | FORT HEALTHCARE, INC. | PO BOX 249 | FORT ATKINSON | WI | 535380249 |
| 1477036150 | GDANIEC | LISA | | | 611 SHERMAN AVE E | FORT ATKINSON | WI | 535381960 |
| 1134606254 | MCDERMOTT | MELANIE | | | 611 SHERMAN AVE E | FORT ATKINSON | WI | 535381960 |
| 1811000243 | OTT | EUGENE | E | | 611 SHERMAN AVE E | FORT ATKINSON | WI | 535381960 |
| 1336133727 | WEISENSEL | NICOLETTE | ELLA | | 611 SHERMAN AVE E | FORT ATKINSON | WI | 535381960 |
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