NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1205240686 |   |   |   | LAKESHORE MEDICAL CLINIC | 3305 S 20TH ST | MILWAUKEE | WI | 532154940 |
1790980191 |   |   |   | LAKESHORE MEDICAL CLINIC, LLC | 3301 W FOREST HOME AVE | MILWAUKEE | WI | 532152843 |
1578724357 | HADDAD | NADINE |   |   | 100 15TH AVE | SOUTH MILWAUKEE | WI | 531721160 |
1902214612 | MORIWAKI | ASHLEY | A |   | 3305 S 20TH ST | MILWAUKEE | WI | 532154940 |
1538275243 | NAYAK | MANOJ | K |   | 100 15TH AVE | SOUTH MILWAUKEE | WI | 531721160 |
1437237948 | NORD | STEPHEN | L. |   | 100-15TH AVE. | SOUTH MILWAUKEE | WI | 531721160 |
1679831655 | NOWICKI | MELISSA | RENEE |   | 3305 S 20TH ST | MILWAUKEE | WI | 532154940 |
1497835888 | RICHTER | MICHAEL | A |   | 100-15TH AVE. | SOUTH MILWAUKEE | WI | 531721160 |
1841378361 | ROSSO | JAMES | P |   | 3301 W FOREST HOME AVE | MILWAUKEE | WI | 532152843 |
1467923409 | ULLIG | ELIZABETH | M |   | 3305 S 20TH ST | MILWAUKEE | WI | 532154940 |