NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1174851893 |   |   |   | LAKESHORE MEDICAL CLINIC LTD | 100 15TH AVE | SOUTH MILWAUKEE | WI | 531721160 |
1952314049 | CHERAYIL | GEORGE | D. |   | 100 15TH AVE | SOUTH MILWAUKEE | WI | 531721160 |
1720343718 | FORSTER | AMBER | MARIE ACKER |   | 9232 S OAK CREEK CT | FRANKLIN | WI | 531329186 |
1124134655 | SUREDDI | SANDHYA |   |   | 100 15TH AVE | SOUTH MILWAUKEE | WI | 531721160 |
1467489575 | ZAHN | AMY | JO |   | 100 15TH AVENUE | SOUTH MILWAUKEE | WI | 531721160 |