| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053748160 | LAKESHORE MEDICAL CLINIC | 100 15TH AVE | SOUTH MILWAUKEE | WI | 531721160 | |||
| 1922356252 | LAKESHORE MEDICAL CLINIC, LLC | 100 15TH AVE | SOUTH MILWAUKEE | WI | 531721160 | |||
| 1013926682 | FEDDERLY | BRADLEY | JAY | 2845 GREENBRIER RD | GREEN BAY | WI | 543116519 | |
| 1013166768 | HAFEMANN | SUSAN | L | 4448 W LOOMIS RD | GREENFIELD | WI | 532204800 |