| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1619698545 | HOLDER | NICOLE | C | PO BOX 301 | PORTAGE | WI | 539010301 | |
| 1982358735 | MORTENSEN | BENNETT | F | PO BOX 301 | PORTAGE | WI | 539010301 | |
| 1619608726 | REINARDY | SANDRA | J | PO BOX 301 | PORTAGE | WI | 539010301 |