| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1760573927 | CALLAHAN | BERT | C | 420 E DIVISION ST | FOND DU LAC | WI | 549354560 | |
| 1699749689 | GROSSMAN | THOMAS | W | 420 E DIVISION ST | FOND DU LAC | WI | 549354560 | |
| 1164443875 | NELSON | ERIC | R | 420 E DIVISION ST | FOND DU LAC | WI | 549354560 |