DIRECTORY 2016 Provider - uhccommunityplan.com · Visit or call the Customer Service Department toll-free at 1-800-393-0993 , 8 a.m. to 8 p.m. local time, 7 days a week. TTY users

2016 Provider

DIRECTORYUnitedHealthcare Dual Complete LP1 (HMO SNP)

Wisconsin

Brown, Calumet, Green Lake, Kewaunee, Manitowoc, Marinette, Milwaukee, Oconto,

Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Washington,

Waukesha, Waupaca, Waushara and Winnebago Counties

For more information, please contact Customer Service at:

Toll-Free 1-800-393-0993, TTY 7118 a.m. to 8 p.m. local time, 7 days a week

www.UHCCommunityPlan.com

Y0066_150609_155801_FINAL186 Approved

This page is intentionally left blank.

For the most up-to-date information about the Plans network providers in

your area:

Visit www.UHCCommunityPlan.com or call the Customer Service Department toll-free at

1-800-393-0993, 8 a.m. to 8 p.m. local time, 7 days a week. TTY users should call 711.

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare

Advantage organization with a Medicare contract. Enrollment in the plan depends on the plans contract

renewal with Medicare.

Providers are prohibited from discriminating against any member, with regard to quality of service or accessibility

of services, on the basis of race, ethnicity, national origin, religion, sex, age, mental or physical disability or

medical condition, sexual orientation, claims experience, medical history, evidence of insurability, disability,

genetic information, or source of payment.

This information is available for free in other languages. Please call Customer Service toll-free at the number

listed above.

This document may be available in an alternate format such as Braille, larger print or audio. Please call

Customer Service at the toll-free phone number listed above.

Esta informacin est disponible sin costo en otros idiomas. Llame a nuestro Servicio al Cliente al nmero

gratuito indicado arriba.

YOUR PLAN PROVIDER DIRECTORYThis directory provides a list of your plans network providers.

This directory is for the plan listed on the cover. It is not a complete list of network providers

available to you. You can search for an in-network provider online, which is updated weekly and

available 24 hours a day, 7 days a week.

This directory is current as of September 1, 2015. Some network providers may have been added or

removed from our network after this directory was printed. We do not guarantee that each

provider is still accepting new members.

There are approximately 5746 primary care providers, 6817 specialists and 110 hospitals in your

network.

Y0066_150609_155801_FINAL186 Approved

Introduction

Introduction

ADDITIONAL BENEFITS CONTACT LISTYour Additional BenefitsYour plan may cover additional benefits that are not covered by Original Medicare. This may

include benefits such as vision, dental, hearing, and fitness. You may have to use specific

providers for some of these additional benefits.

Services from these providers will not be covered if your plan does not include additional benefits.

Before you make an appointment, check your Evidence of Coverage or call the toll-free number on

the cover of this directory to see if your plan includes these additional benefits.

Dental Services

UnitedHealthcare Dental

Toll-Free 1-800-393-0993, TTY 711

8 a.m. to 8 p.m. local time, 7 days a week

www.UHCCommunityPlan.com

Members whose plan includes additional dental benefits should refer to the Dental section of this directory to choose a dental provider.

Health Products Benefit Catalog

FirstLine Medical

Toll-Free 1-800-933-2914, TTY 711

7 a.m. to 7 p.m. Central Standard Time, Monday - Friday; 7 a.m. to 4 p.m. Central Standard Time, Saturday

www.HealthProductsBenefit.com

For more information about your catalog benefit contact FirstLine Medical at the toll-free

number above.

Please see Chapter 4 of your Evidence of Coverage for details about plan benefits,

limitations and exclusions. If your plan does not include additional benefits and you

visit one of these providers, your services will NOT be covered.

Section 1

INTRODUCTIONThis directory provides a list of the plans network providers. To get detailed information about

your health care coverage, please see your Evidence of Coverage.

What is a primary care provider?A primary care provider (PCP) is the doctor who may see you on a regular basis as your main

doctor.

Introduction

Your PCP can help you:

Make smart lifestyle choices to help improve and maintain your health

Get preventive care and health screenings

Better understand your medical conditions

Coordinate any specialist care to help avoid duplicate and expensive tests. Your plan may

require your PCP to coordinate any specialist care you receive

Manage your prescriptions and identify possible harmful interactions

How to choose a primary care provider (PCP)You will have to choose one of our in-network providers to be your primary care provider (PCP).

PCPs are listed in the Primary Care Provider section of this directory. The term PCP will be used

throughout this directory.

If you choose a PCP who is not taking new patients, we may assign you to a different PCP. If this

happens, you can switch to another PCP who is accepting new patients.

Your PCP plays an important role in your health care and we want you to be comfortable with the

provider you choose. If you want to switch providers, call Customer Service toll-free at

1-800-393-0993, 8 a.m. to 8 p.m. local time, 7 days a week. TTY users should call 711.

The "network providers" listed in this directory have agreed to provide you with your health care

coverage. You can see an in-network specialist without getting a referral. If you have been going to

one network provider, you are not required to continue going to that same provider. Check your

Evidence of Coverage to make sure your plan includes additional benefits or that you've signed up

for optional supplemental riders before making appointments for dental, vision or hearing

services.

If I need emergency or urgent careA medical emergency is when you, or any other ordinary person with an average knowledge of

health and medicine, believe that you have symptoms that require immediate medical care to

prevent death, loss of a limb, or loss of function of a limb. The medical symptoms may be an

illness, injury, severe pain, or a medical condition that is quickly getting worse.

If you have a medical emergency, get help as quickly as possible. Call 911 or go to the nearest

emergency room or hospital. Emergency care can always be obtained in or out of the service area

from the nearest available provider. Emergency services are also covered whether a provider is in

our network or not. You or someone else should call and tell us about your emergency care,

usually within 48 hours.

"Urgently needed care" is a non-emergency, unforeseen medical illness, injury, or condition, that

requires immediate medical care. If you need urgent care when in the service area, you must use

plan providers for urgent care. When out of the service area, urgent care may be obtained from the

first available provider whether the provider is in our network or not. In addition, when out of the

Introduction

service area, you can obtain dialysis treatment from any qualified dialysis provider. If you obtain

routine care from out-of-network providers neither Medicare nor your Plan will be responsible for

the costs.

If you get a billThere may be times when you get a bill from a provider for the full cost of medical care you have

received. In many cases, you should send this bill to us instead of paying it. We will look at the bill

and decide whether the services should be covered. If we decide they should be covered, we will

pay the provider directly. Please see your Evidence of Coverage for more information.

If youre on Medicare and MedicaidIf youre a Qualified Medicare Beneficiary (QMB), your doctor may not bill you for deductibles, co-

pays or co-insurance for Medicare-covered services, except for Part D prescription drug co-pays.

Please show your member ID card and your state-issued Medicaid member ID card when you see

the doctor or use other plan services. This will help ensure youre billed for the correct amount.

Accessing your mental health benefitsTo access your mental health benefits, call the toll-free mental health number on your member ID

card. When you call, a representative will check your eligibility and get basic information about

you and your situation. Depending on the help you need, a clinician may talk with you and

recommend a provider and treatment plan. If you prefer, your PCP may call and arrange a referral

for you. Your personal information will be kept strictly confidential.

Organ transplant servicesYour plan has a nationwide network of facilities that perform organ transplants (including the

heart, lung, liver, intestine, kidney, bone marrow and/or pancreas). Solid organ transplants must

be performed at a facility that is currently Medicare-approved for your specific type of transplant.

The complete list of your plans facilities that are approved by Medicare may change throughout

the year. For information on network facilities for transplant services, please call Customer

Service toll-free at 1-800-393-0993, TTY 711.

What is the service area for your plan?Your service area is listed below.

UnitedHealthcare Dual Complete LP1 (HMO SNP)

Wisconsin - Brown, Calumet, Green Lake, Kewaunee, Manitowoc, Marinette, Milwaukee, Oconto, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Washington, Waukesha, Waupaca, Waushara, and Winnebago counties

How do you find network providers in your area?Network providers in your area are listed in the following sections of this directory. To find a

provider using this directory, turn to the Table of Contents on the next page and see where each

section begins. Go to the section of the type of provider you are looking for. Once you are in that

Introduction

section, locate the city you live in. Under each city you will find a list of providers in alphabetical

order.

You may have more providers to choose from if the service area shown above is larger than the

service area shown on the front of this directory. You can also search online at

www.UHCCommunityPlan.com, which is updated weekly and available 24 hours a day, 7 days a

week.

If you have questions about your plan or require assistance in selecting a PCP, please call our

Customer Service Department toll-free at 1-800-393-0993, TTY 711. Or visit

www.UHCCommunityPlan.com.


National Contracted Facility/Vendors................................................................................................................................ 3

Primary Care Providers............................................................................................................................................................ 13

Specialists......................................................................................................................................................................................195

Skilled Nursing Facilities................................................................................................................................................... 1073

Hospitals......................................................................................................................................................................................1079

Urgent Care/Surgicenters................................................................................................................................................ 1083

Ancillary....................................................................................................................................................................................... 1089

Dental............................................................................................................................................................................................ 1255

Index...............................................................................................................................................................................................1377

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Table of Contents

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National Contracted Facility/Vendors The following national vendors are available to provideservices to UnitedHealthcare customers throughout the United States regardless of where you receivethe services.

Provider(s) Phone Number WebSite

Cardiac Diagnostic - Cardiac Monitoring Services

LifeWatch 1-877-774-9846 www.lifewatch.com

Cardiac Diagnostic - Cardiac Monitoring Services & Home INR Monitor/test strips

CardioNet 1-888-312-2328 www.cardionet.com

Convenience Care Clinic

MinuteClinic 1-866-389-ASAP (2727) www.minuteclinic.com

RediClinic 1-866-607-7334 www.rediclinic.com/riteaid

Take Care Health Systems 1-866-825-3227 http://www.walgreens.com/topic/pharmacy/healthcare-clinic/contact-us.jsp

Target Clinics 1-877-798-2743 www.target.com

The Little Clinic 1-877-852-2677 http://www.thelittleclinic.com/Pages/Home.aspx

Dialysis

DaVita Dialysis 1-866-475-7757 ext. 253706 www.davita.com

Dialysis Clinic, Inc See website www.dciinc.org

Fresenius Medical Care 1-866-434-2597 www.fmcna.com

DME - AED - wearable defibrillator

ZOLL Lifecore 1-800-543-3267 www.zoll.com

DME - Bone Growth Stimulator

Bioventus 1-800-396-4325 www.bioventusglobal.com

EBI 1-800-526-2579 www.biomet.com

Orthofix 1-800-535-4492 www.orthofix.com

DME - Commodity, oxygen, respiratory

Lincare - may be knownlocally by a differentname; refer to website

See website www.lincare.com

Rotech Healthcare - maybe known locally by adifferent name; refer towebsite

See website www.rotech.com

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DME - Commodity, oxygen, respiratory, negative pressure wound care, manualwheelchairs

Apria Healthcare 1-800-277-4288 www.apria.com

DME - CPM/continuous passive motion, Thermocomp, TENS

Kinex Medical Company 1-800-845-6364 www.kinexmedical.com

Otto Bock Healthcare 1-800-328-4058 www.ottobockus.com

DME - CPM/continuous passive motion; bracing

DJO 1-800 321-9549 www.djortho.com

DME - Diabetic glucometer and supplies

Arriva Medical 1-800-580-1871 www.arrivamedical.com

DME - Diabetic insulin pump and pump supplies

Animas Corporation 1-877-937-7867 www.animascorp.com

MiniMed Distribution 1-877-576-6113 www.minimed.com

Roche Insulin DeliverySystems

1-800-280-7801 www.disetronic-usa.com

DME - Incontinence, diapers, soft goods and wound care supplies

Medline Industries 1-800-633-5463 www.medline.com

DME - Mail order disposable medical supplies including Medicare-covered diabeticsupplies (blood glucose monitors, test strips and lancets)

Byram Healthcare 1-877-902-9726 www.byramhealthcare.com

Edgepark MedicalSupplies

1-888-394-5375 www.edgepark.com

Liberty Medical Supply 1-800-695-2500 www.libertymedical.com

McKesson Patient CareSolutions

1-855-404-6727 www.mckesson.com/providers/home-care/mckesson-patient-care-solutions

OptumRx 1-888-739-5820 www.optumrx.com

DME - Medical supplies for residents of nursing homes

Centrad Healthcare, LLC 1-800-478-5070 www.centradhealthcare.com

DME - Mobility products - custom/complex power wheelchairs and seating systems

Wheelchair Professionals 1-800-729-0871 www.wheelchairprofessionals.com

DME - Negative pressure wound pump and wound care surfaces/beds

GenadyneBiotechnologies

1-800-208-2025 www.genadyne.com

KCI USA 1-888-275-4524 www.kci1.com

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DME - Orthotics

Dynasplint Systems 1-800-638-6771 www.dynasplint.com

DME - Orthotics and Prosthetics

Hanger Orthotics &Prosthetics

1-877-754-6542 www.linkia.com

DME - Respiratory high frequency chest compression oscillation system (vest)

Advanced Respiratory 1-800-426-4224 www.thevest.com

Electromed 1-800-462-1045 http://www.smartvest.com/

RespirTech 1-800-793-1261 www.respirtech.com

DME - Speech generating device

Dynavox Systems 1-866-396-2869 www.dynavoxtech.com

DME - TENS units

Electrostim MedicalServices, Inc

1-800-588-8383 http://www.wecontrolpain.com

Zynex Medical 1-800-495-6670 www.zynexmed.cohttp://www.zynexmed.com/

DME - TENS units and NMES products

EMPI 1-800-325-5663 www.empi.com

DME - Wound care supplies for residents of nursing homes

Gordian Medical, Inc 1-800-568-5514 www.amtwoundcare.com

DME - Wound care surfaces

Hill Rom 1-800-445-3730 www.hill-rom.com

Home Health

Bayada Nurses 1-800-305-3000 / 1-888-422-9232

www.bayada.com

Heartland HealthcareServices

1-800-736-4427 / 1-419-252-5500

www.hcr-manorcare.com orwww.heartlandhomehealth.com

Innovative Senior Care See website www.brookdaleliving.com/Innovative-senior-care.aspx

Maxim Health CareServices

1-800-899-9525 www.maximhomecare.com

PSA Healthcare 1-770-441-1580 www.psahealthcare.com

Home Infusion

Basic Home Infusion 1-888-822-7428 www.basichomeinfusion.com

Biologics 1-800-856-1984 www.biologicsinc.com

5


BioScrip Infusion Services 1-866-788-7710 www.bioscrip.com

Lincare Infusion Services See website www.lincare.com

Option Care (FormerlyWalgreens InfusionServices)

1-855-275-9647 www.optioncare.com

Home Sleep Testing

LifeWatch 1-877-774-9846 www.lifewatch.com

NovaSom 1-877-753-3776 www.novasom.com

Sleep Central (a divisionof Rotech Healthcare)

1-866-688-2981 www.sleepcentral.com/home.cfm

Virtuox 1-877-337-7111 www.virtuox.net

Watermark Medical 1-877-710-6999 http://www.watermarkmedical.com/

Hospice - Home and inpatient

AseraCare Hospice See website www.aseracare.com

Heartland HealthcareServices

1-800-736-4427 / 1-419-252-5500

www.hcr-manorcare.com orwww.heartlandhomehealth.com

Optum Palliative andHospice Care

1-877-273-5534 www.optumhospice.com

Laboratory - Anatomic pathology - including dermatopathology

Bako Integrated PhysicianSolutions

1-877-376-7284 www.bakocts.com

Laboratory - Anatomic pathology - including dermatopathology, gastroenterology,genitourinary, hematology and gynecological pathology

AmeriPath 1-800-354-3449 www.ameripath.com

Laboratory - BRCA for breast & ovarian cancer; COLARIS for colon & endometrial cancer;MELARIS for melanoma & pancreatic cancer; Theraguide 5-FU

Myriad GeneticLaboratories

1-800-469-7423 www.myriad.com

Laboratory - Cardiovascular and specialty testing

Health DiagnosticLaboratory

1-877-443-522 (1-877-4HDLABS)

www.hdllabinc.com

Laboratory - Chemotherapy sensitivity

DiaTech Oncology 1-866-556-5356 http://correctchemo.com/

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Laboratory - Clinical, pathology and genetic testing

BioReferenceLaboratories

1-800-229-5227 www.bioreference.com

Laboratory Corporation ofAmerica

1-888-522-2677 (1-888-LABCORP)

www.labcorp.com

Theranos 1-855-843-7200 www.theranos.com

Laboratory - Dialysis testing

Nationwide LaboratoryServices

1-888-377-3522 www.nationwidelab.com

Laboratory - Drug testing, medication monitoring

Dominion Diagnostics 1-800-511-8427 / 1-800-711-6974

www.dominiondiagnostics.com

Laboratory - Genetic testing

GeneDx 1-301-519-2100 www.genedx.com

Laboratory - Genetic testing (OncotypeDx)

Genomic Health 1-888-662-6897 (1-888-ONCOTYPE)

www.genomichealth.com

Laboratory - Molecular Diagnostics

Clarient 1-888-443-3311 www.clarient.com

Vericyte 1-888-9AFIRMA www.veracyte.com

Laboratory - Nerve Pathology (ENFD)

TherapathNeuropathology

1-800-681-4338 www.therapath.com

Laboratory - Oncometrix, hematopathology, gastrointestinal pathology,dermatopathology, gynecologic pathology

Poplar Healthcare 1-888-244-7284 www.poplarhealthcare.com

Laboratory - Predictive genetic testing for breast cancer patients (MammaPrint)

Agendia 1-888-321-2732 www.agendia.com

Laboratory - Predictive genetic testing for cardiac abnormalities

CardioDx 1-866-941-4996 www.cardiodx.com

Laboratory - Prenatal testing

PerkinElmer Laboratories 1-888-683-5227 www.ntdlabs.com

Laboratory - Specialty genetic testing

Integrated Genetics 1-800-357-5744 www.integratedgenetics.com

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Laboratory - Specialty infectious disease diagnostic testing, molecular biology,immunology and serology

Medical DiagnosticLaboratories

1-877-269-0090 www.mdlab.com

Laboratory - Specialty laboratory

Ambry Genetics 1-866-262-7943 www.ambrygen.com

Atherotech 1-866-VAP-TEST www.atherotech.com

Counsyl 1-888-COUNSYL (1-888-268-6795)

www.counsyl.com

Laboratory - Specialty oncology genetic testing

Integrated Oncology 1-800-447-5816 www.integratedoncology.com

Laboratory - Therapeutic medication monitoring, drug testing

Millennium Health 1-877-451-3534 www.milleniumlaboratories.com

Laboratory - Uropathology specializing in prostate cancer, bladder cancer and stonedisease

OPKO Lab (f/k/a Our Lab) 1-800-883-7999 www.ourlab.net

Other Specialty Services - Urgent care services

Concentra HealthServices

See website www.concentra.com

Other Specialty Services - Womens health - high risk OB / prenatal care

Alere Women's andChildren's Health

1-800-950-3963 www.alere.com

Specialty Pharmacy

BioScrip 1-866-788-7710 www.bioscrip.com

OptumRx 1-888-739-5820 www.optumrx.com

Specialty Pharmacy - Carticel only

US Bioservices 1-800-801-1140 www.usbioservices.com

Specialty Pharmacy - Makena and other limited distribution specialty drugs

Caremark 1-877-287-1234 www.caremark.com

Specialty Pharmacy - Prolastin and Elelyso

Dohmen Life Sciences 1-866-336-1336 www.dohmen.com

Specialty Pharmacy - Xolair only

Walgreens SpecialtyPharmacy

1-888-282-5166 www.walgreenshealth.com

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Specialty Pharmacy and Home Infusion - Enzyme Deficiency, Immune Globulins (IVIG),Pulmonary Hypertension

Accredo Health Group 1-866-296-4513 www.accredo.com

Transportation - Fixed-Wing Air Ambulance

AirCARE1 International 1-877-760-7760 www.airambulanceone.com

Medway Air Ambulance 1-800-233-0655 www.medwayairambulance.com

Vaccine Program - Influenza (Trivalent, High Dose,Intradermal), Pneumonia, Zostavax,Tdap, Meningococcal, Hepatitis B, TDAP (Tetanus, Diphtheria & Pertussis), Shingles(Zostavax), Menigitis and Hepatitis B (age 18 and up). Worksite Clinics and Retaillocations.

Albertsons (d/b/aAlbertsons Sav-on,Albertsons Osco)

1-855-798-7267 www.albertsons.com

New Albertsons (d/b/aAcme Sav-on, Jewel-Osco,Star Markets, Shaws Osco,Safeway)

1-855-798-7267 www.acmemarkets.com

United Supermarkets(d/b/a UnitedSupermarket, AlbertsonsMarket, Amigos, MarketStreet)

1-855-798-7267 www.unitedsupermarkets.com

Vaccine Program - Influenza and Pneumococcal. TDAP (Tetanus, Diphtheria & Pertussis),Shingles (Zostavax), Menigitis and Hepatitis B (age 18 and up) Worksite Clinics and Retaillocations

CVS Pharmacy (d/b/a CVSPharmacy, Longs Drug,CarePlus Pharmacy)

1-888-358-7468 www.cvs.com

Kmart Pharmacy 1-800-349-0764 https://pharmacy.kmart.com/shc/RxPageView.do?page=fluprevention

Meijer Pharmacy 1-877-363-4537 http://www.meijer.com/pharmacy

Rite Aid Pharmacy 1-800-RITEAID / 1-800-748-3243

www.riteaid.com

Safeway, Inc. d/b/aSafeway, Carrs, Pak'NSave, Pavilions, Randalls,Thom Thumb

1-855 798 7267 www.safeway.com/shopstores/pharmacy

ShopKo Pharmacy 1-800-791-7333 http://pharmacy.shopko.com/flushots.php

9


Target Pharmacy 1-877-798-2743 www.target.com

Walgreens Immunizationd/b/a Walgreens, DuaneReade, Jim Meyers, KerrDrug, Mays Drug,Parkway Drug, Super DDrug, The RyanPharmacy, USA Drug

1-800-925-4733 https://www.walgreens.com/pharmacy/immunization/immunization_index.jsp

DME - DURABLE MEDICAL EQUIPMENT is certain medical equipment that is ordered by yourdoctor for use at home. DME includes but is not limited to: wheelchairs, crutches, hospital bed, IVinfusion pump, oxygen equipment, nebulizer, and walker.HOME HEALTH/HOME INFUSION CARE can either be a licensed facility or medical personnel thatcan provide health care services in the home. Services include but are not limited to nursing visits forinfusion services or wound care.LABORATORY means diagnostic testing including routine blood and urine analysis, anatomicpathology, surgical pathology, and specialty or esoteric services.SPECIALTY PHARMACY PROVIDER provides specific drug products directly to customers orphysicians.WOMEN'S HEALTH is limited to home uterine monitoring services.NOTE: We only cover blood glucose monitors and test strips from the following brands: OneTouchUltra 2, OneTouch Verio, OneTouch UltraMini, ACCU_CHEK Aviva, ACCU_CHECK Compact,ACCU_CHEK SmartView. Other brands are not covered by our plan. If you use a brand of supplies thatis not covered by our plan, you should speak with your doctor to get a new prescription for a coveredbrand.

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12


Wisconsin

Brown

Family Practice

*Asma, Stephen M, MD3, MProvider #000100020451715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 433-0105940 S Saint Augustine StPulaski, WI 54162(920) 496-4700Asma, Stephen M, MD3, MProvider #000100084831686 Eisenhower RdDe Pere, WI 54115(920) 433-01051821 S Webster AveGreen Bay, WI 54301(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 433-01053860 Monroe RdDe Pere, WI 54115(920) 433-0105Bantamoi, Edward J, MD3, MProvider #000100101761686 Eisenhower RdDe Pere, WI 54115(920) 496-4700

1715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444Bedi, Sabeeha S, MD3, FProvider #000100032823263 Eaton RdGreen Bay, WI 54311(920) 433-6700Language(s): Hindi

704 S Webster Ave Ste 200Green Bay, WI 54301(920) 433-3456744 S Webster AveGreen Bay, WI 54301(920) 445-7210*Beno-chambers, Sara J, NP, FProvider #000100042181881 Chicago StDe Pere, WI 54115(920) 403-8000

2890 Lineville RdGreen Bay, WI 54313(920) 662-21004070 Equestrian LnGreen Bay, WI 54229(920) 866-6100629 Solvang WayDenmark, WI 54208(920) 863-2600*Beno-chambers, Sarah J, NP, FProvider #000100042182845 Greenbrier Rd Ste 140Green Bay, WI 54311(920) 288-8100*Boehm, Brandon E, MD3, MProvider #000100170143263 Eaton RdGreen Bay, WI 54311(920) 445-7222Bornemann, Suzette M, NP, FProvider #000100167871686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001821 S Webster AveAllouez, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700

13

Wisconsin - Brown

*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting existing patients only. 3 Board Certified.Please call the providers office to confirm the providers enrollment availability and participation in the

Medicaid program.

Primary Care Providers

Prim

ary Care Providers

835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700*Boyd, Thomas C, MD3, MProvider #000100022703263 Eaton RdGreen Bay, WI 54311(920) 433-3456Carels, Gail S, MD3, FProvider #000100089881686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444

*Chaturvedi, Manisha, MD3, FProvider #000100151951881 Chicago StDe Pere, WI 54115(920) 403-8000*Colassacco, Lawrence E, MD3,MProvider #000100034411881 Chicago StDe Pere, WI 54115(920) 403-8000*Connelly, Mary A, MD3, FProvider #000100032893263 Eaton RdGreen Bay, WI 54311(920) 433-6700*Connelly, Mary A, MD3, FProvider #000102666771580 Commanche AveGreen Bay, WI 54313(920) 435-8326725 S Webster Ave Ste Su215Green Bay, WI 54301(920) 433-7995*Degen, Shane J, MD3, MProvider #000100105291630 Commanche AveGreen Bay, WI 54313(920) 430-47002714 Riverview DrGreen Bay, WI 54313(920) 430-4760331 W Green Bay StPulaski, WI 54162(920) 822-1100555 Quality CtWrightstown, WI 54180(920) 532-6320595 County Road RDenmark, WI 54208(920) 863-2005

*Ditchen, Izabela J, MD, FProvider #000100024081630 Commanche AveGreen Bay, WI 54313(920) 430-47002714 Riverview DrGreen Bay, WI 54313(920) 430-4760*Ditchen, Izabela J, MD3, FProvider #00010010654744 S Webster AveGreen Bay, WI 54301(920) 445-7210*Dobson, Joseph R, MD3, MProvider #00010003425211 N Broadway Ste 103Green Bay, WI 54303(920) 437-4366*Durant, Tammy M, MD3, FProvider #000100070421630 Commanche AveGreen Bay, WI 54313(920) 430-47002714 Riverview DrGreen Bay, WI 54313(920) 430-4760Dzwonkowski, Malena F, MD, FProvider #000400043343860 Monroe RdDe Pere, WI 54115(920) 496-4700Dzwonkowski, Malena, MD, FProvider #000400043342502 S Ashland AveGreen Bay, WI 54304(920) 496-4700*Ebben, James R, MD3, MProvider #000100015061630 Commanche AveGreen Bay, WI 54313(920) 430-4700725 S Webster Ave Ste 215Green Bay, WI 54301(920) 433-5456

14

Wisconsin - Brown

*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting existing patients only. 3 Board Certified.Please call the providers office to confirm the providers enrollment availability and participation in theMedicaid program.


*Fagre, Timothy A, MD3, MProvider #000100032031565 Allouez AveGreen Bay, WI 54311(920) 468-2400*Faust, David J, DO3, MProvider #000100001882845 Greenbrier Rd Ste 220Green Bay, WI 54311(920) 288-8230*Fedderly, Bradley J, MD3, MProvider #000100159832845 Greenbrier RdGreen Bay, WI 54311(920) 288-8100Fergus, Christina P, MD3, FProvider #000100084921686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444

Fergus, Christina P, MD3, FProvider #000100563911721 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-4700Franklin, Katherine T, MD3, FProvider #000100096321686 Eisenhower RdDe Pere, WI 54115(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700*Frea, Anne M, MD3, FProvider #000100100861686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-4700

2502 S Ashland AveGreen Bay, WI 54304(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700Frea, Anne M, MD, FProvider #00010010087102 N Washington StGreen Bay, WI 54301(920) 496-4700*Fresen, Vicki F, NP, FProvider #000100160472845 Greenbrier Rd Ste 8900Green Bay, WI 54311(920) 288-84002890 Lineville RdGreen Bay, WI 54313(920) 662-2100*Fuglestad, Loren C, MD3, MProvider #000100027581630 Commanche AveGreen Bay, WI 54313(920) 430-4700*Fuller, Stephen C, MD3, MProvider #00010011325744 S Webster AveGreen Bay, WI 54301(920) 433-3500

15

Wisconsin - Brown


Medicaid program.


Prim

ary Care Providers

Gadsby, Alessandra M, MD3, FProvider #000100084491686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444Gallagher, Tracy L, MD3, FProvider #000100085081686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-4700

3021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444*Gast, James W, MD3, MProvider #000100021441630 Commanche AveGreen Bay, WI 54313(920) 430-47001800 Lawrence DrDe Pere, WI 54115(920) 983-3220744 S Webster AveGreen Bay, WI 54301(920) 433-3500Gbadebo, Bolanle O, MD3, MProvider #000100085773860 Monroe RdDe Pere, WI 54115(920) 496-4700*Giriyappa, Pradeep, MD, MProvider #00040003904550 N Military Ave Ste 13Green Bay, WI 54303(920) 884-1989*Goolsby, Philip L, MD3, MProvider #000100160491565 Allouez AveGreen Bay, WI 54311(920) 468-24002890 Lineville RdGreen Bay, WI 54313(920) 662-2100

4070 Equestrian LnGreen Bay, WI 54229(920) 866-6100980 S Saint Augustine StPulaski, WI 54162(920) 822-7700*Gould, Frederick H, MD3, MProvider #00010016666102 N Washington StGreen Bay, WI 54301(920) 496-47001686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001726 Shawano AveGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700

16

Wisconsin - Brown



940 S Saint Augustine StPulaski, WI 54162(920) 496-4700*Gray, John D, MD3, MProvider #000100024502845 Greenbrier Rd Ste 210Green Bay, WI 54311(920) 288-8100*Gray, John D, MD3, MProvider #000100164381881 Chicago StDe Pere, WI 54115*Guo, Danqing M, MD3, MProvider #000100090222401 Holmgren WayGreen Bay, WI 54304(920) 497-0003*Guo, Danqing M, MD3, MProvider #000100121452845 Greenbrier Rd Ste 330Green Bay, WI 54311(920) 288-8377*Hafner, Rance J, MD3, MProvider #00010011296744 S Webster AveGreen Bay, WI 54301(920) 433-3500*Halsey, Steven A, MD3, MProvider #000100025853263 Eaton RdGreen Bay, WI 54311(920) 433-3456555 Redbird Cir Ste 200De Pere, WI 54115(920) 338-6870*Harkness, Barbara A, MD3, FProvider #00010010866555 Quality CtWrightstown, WI 54180(920) 532-6320595 County Road RDenmark, WI 54208(920) 863-2005

704 S Webster Ave Ste 200Green Bay, WI 54301(920) 433-3456725 S Webster Ave Ste 215Green Bay, WI 54301(920) 433-3456744 S Webster AveGreen Bay, WI 54301(920) 433-3500*Hartig, Donald E JR, MD3, MProvider #000400022712714 Riverview DrGreen Bay, WI 54313(920) 430-4760704 S Webster Ave Ste 200Green Bay, WI 54301(920) 433-3456744 S Webster AveGreen Bay, WI 54301(920) 433-3456*Hodulik, Michael J, MD3, MProvider #000100165271630 Commanche AveGreen Bay, WI 54313(920) 430-47001800 Lawrence DrDe Pere, WI 54115(920) 983-3220*Hoffman, Michael H, MD3, MProvider #000100082653263 Eaton RdGreen Bay, WI 54311(920) 433-3456*Jenson, Mark K, MD3, MProvider #00010003285124 Siegler St Unit 2Green Bay, WI 54303(920) 494-9661*Jerzak, James T, MD3, MProvider #000100032991630 Commanche Ave Ste 101Green Bay, WI 54313(920) 430-4700

*Jossart, Kari A, NP, FProvider #00010016779102 N Washington StGreen Bay, WI 54301(920) 496-47001686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001726 Shawano AveGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700

17

Wisconsin - Brown


Medicaid program.


Prim

ary Care Providers

Kadipi Reddy, Venkata R, MD,MProvider #00010010850102 N Washington StGreen Bay, WI 54301(920) 496-47001686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700*Kasper, Alyssa A, MD, FProvider #000100167762714 Riverview DrGreen Bay, WI 54313(920) 430-4760

*Kasper, Alyssa A, MD, FProvider #000102934801630 Commanche AveGreen Bay, WI 54313(920) 430-4700Kennard, Jay K, MD, MProvider #00010005278525 Airport DrOneida, WI 54155(920) 869-2711*Kieffer, Lesley J, DO3, FProvider #000102830221800 Lawrence DrDe Pere, WI 54115(920) 983-3220Koster, Daniel G, MD, MProvider #00010003886704 S Webster Ave Ste 1cGreen Bay, WI 54301(920) 433-3486*Kroll, Mark R, MD3, MProvider #000100160554070 Equestrian LnGreen Bay, WI 54229(920) 866-6100*Kurowski, Kurt, MD3, MProvider #00010007486595 County Road RDenmark, WI 54208(920) 863-2005*Lasecki, Cynthia B, MD3, FProvider #000100033051800 Lawrence DrDe Pere, WI 54115(920) 983-3220*Leiva, Jose M, MD3, MProvider #000100062341630 Commanche AveGreen Bay, WI 54313(920) 430-4700Language(s): Spanish

1800 Lawrence DrDe Pere, WI 54115(920) 983-3220

704 S Webster Ave Ste 100Green Bay, WI 54301(920) 433-3456*Leiva, Jose M, MD3, MProvider #00010010659744 S Webster AveGreen Bay, WI 54301(920) 445-7210Language(s): Spanish

Lemke, Blake B, DO3, FProvider #000100065781686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700Lemke, Blake B, DO3, FProvider #000100084881727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444

18

Wisconsin - Brown



*Lemkuil, Daniel C, MD3, MProvider #000100033061630 Commanche Ave Ste 101Green Bay, WI 54313(920) 430-4700*Leong, Gary, MD3, MProvider #000100027891630 Commanche AveGreen Bay, WI 54313(920) 430-47001800 Lawrence DrDe Pere, WI 54115(920) 983-3220Lippert, J'aimee A, DO3, FProvider #000100093571686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444

*Lorenz, Tricia A, DO3, FProvider #000100166991881 Chicago StDe Pere, WI 54115(920) 403-8000*Luthar, Anshu, MD3, FProvider #000100060871630 Commanche AveGreen Bay, WI 54313(920) 430-4700704 S Webster Ave Ste 100Green Bay, WI 54301(920) 433-3456Lyday, Tamara L, DO3, FProvider #000100085121686 Eisenhower RdDe Pere, WI 54115(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700

Lyday, Tamara L, MD, FProvider #00010008512102 N Washington StGreen Bay, WI 54301(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-4700*Magnin, Julie A, MD3, FProvider #000100145792253 W Mason St Ste 200Green Bay, WI 54303(920) 327-7300*McHenry, Michael G, MD3, MProvider #000100027373263 Eaton RdGreen Bay, WI 54311(920) 433-6700331 W Green Bay StPulaski, WI 54162(920) 822-1100555 Redbird Cir Ste 200De Pere, WI 54115(920) 338-6870704 S Webster Ave Ste 200Green Bay, WI 54301(920) 433-3456*Mead, Robert C, MD3, MProvider #000100033101630 Commanche Ave Ste 101Green Bay, WI 54313(920) 430-4700744 S Webster AveGreen Bay, WI 54301(920) 433-3500*Metzler, Jeremy D, MD3, MProvider #000100097301686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-4700

19

Wisconsin - Brown


Medicaid program.


Prim

ary Care Providers

1727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444*Meyer, Michael J, MD3, MProvider #000100024671800 Lawrence DrDe Pere, WI 54115(920) 983-3220744 S Webster AveGreen Bay, WI 54301(920) 433-3500*Miller, Thomas P, MD3, MProvider #00010003287124 Siegler St Unit 2Green Bay, WI 54303(920) 494-9661*Millermaier, Janet M, MD3, FProvider #000100105851800 Lawrence Dr Ste 3De Pere, WI 54115(920) 983-3220Language(s): French

*Milson, Bertram I, MD3, MProvider #00010016009124 Siegler St Unit 2Green Bay, WI 54303(920) 494-9661Language(s): Spanish*Mitura-lewandowski, Anna K,MD3, FProvider #000100093782845 Greenbrier Rd Ste 320Green Bay, WI 54311(920) 288-8100Language(s): Polish, Russian*Munagala, Shailaja, MD3, FProvider #000100132551881 Chicago StDe Pere, WI 54115(920) 403-8000*Murphy, Rebecca L, PA1, FProvider #000100044612845 Greenbrier Rd Ste 330Green Bay, WI 54311(920) 288-8208*Novotny, Steven J, DO3, MProvider #00010003316555 Redbird Cir Ste 200De Pere, WI 54115(920) 338-6870704 S Webster Ave Ste 200Green Bay, WI 54301(920) 433-3456*Novotny, Steven J, DO3, MProvider #00010010650744 S Webster AveGreen Bay, WI 54301(920) 445-7210Perry, Stephen R, DO3, MProvider #000100084671686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-4700

1727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444*Phillips, Maureen A, MD3, FProvider #000100021141630 Commanche AveGreen Bay, WI 54313(920) 430-4700*Quella, Stacy L, MD, FProvider #000100162181630 Commanche AveGreen Bay, WI 54313(920) 430-4700*Quidzinski, Erich J, MD3, MProvider #000100160651881 Chicago StDe Pere, WI 54115(920) 403-80002253 W Mason St Ste 200Green Bay, WI 54303(920) 327-7300*Reynders, William M, MD3, MProvider #000100033211630 Commanche Ave Ste 101Green Bay, WI 54313(920) 430-4700

20

Wisconsin - Brown



Reynolds, Todd P, MD3, MProvider #000101576981686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700*Roth, Karla J, MD3, FProvider #000100017103860 Monroe RdDe Pere, WI 54115(920) 496-4700*Russell, Elizabeth J, MD3, FProvider #000100058211630 Commanche AveGreen Bay, WI 54313(920) 430-4700

*Schinschke, Scott R, DO3, MProvider #00010285838102 N Washington StGreen Bay, WI 54301(920) 496-47001686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001726 Shawano AveGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveAllouez, WI 54301(920) 496-47002502 S Ashland AveAshwaubenon, WI 54304(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700*Schoenherr, Matthew E, MD, MProvider #00010016087555 Quality CtWrightstown, WI 54180(920) 532-6320

704 S Webster Ave Ste 200Green Bay, WI 54301(920) 433-3456Scott, Paul A, DO3, MProvider #000100065531686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444Singh, Sabina W, MD3, FProvider #000100033253263 Eaton RdGreen Bay, WI 54311(920) 433-6700*Sipple, Christopher J, MD3, MProvider #000100033261630 Commanche AveGreen Bay, WI 54313(920) 430-4700555 Redbird Cir Ste 200De Pere, WI 54115(920) 338-6870

21

Wisconsin - Brown


Medicaid program.


Prim

ary Care Providers

*Smith, Sarah J, MD3, FProvider #000100116361686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700*Southards, Randall R, PA1, MProvider #000100041202845 Greenbrier Rd Ste 320Green Bay, WI 54311(920) 288-4060Language(s): Spanish

Spika, David T, MD3, MProvider #000100065801686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-4700

1727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444*Spika, Karla J, MD3, FProvider #000100065821686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700

835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444Steffel-heling, Rhonda, MD3, FProvider #000100065881686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444*Stevens, Robert J, MD3, MProvider #000100160732890 Lineville RdSuamico, WI 54313(920) 662-2100980 S Saint Augustine StPulaski, WI 54162(920) 822-7700

22

Wisconsin - Brown



*Steward, Kathleen G, NP, FProvider #000100041102253 W Mason St Ste 200Green Bay, WI 54303(920) 327-73002890 Lineville RdGreen Bay, WI 54313(920) 662-21004070 Equestrian LnGreen Bay, WI 54229(920) 866-6100629 Solvang WayDenmark, WI 54208(920) 863-2600*Stillman, Bridget E, NP, FProvider #000100051092845 Greenbrier Rd Ste 8900Green Bay, WI 54311(920) 288-4560*Vaishnav, Dhwani A, MD3, FProvider #000100160762253 W Mason St Ste 200Green Bay, WI 54303(920) 327-73002890 Lineville RdGreen Bay, WI 54313(920) 662-2100*Vandenlangenberg, Rachael E,DO3, FProvider #000100152143263 Eaton RdGreen Bay, WI 54311(920) 433-6700*Veldboom, Brenda M, NP, FProvider #000100063641415 Lawrence Dr Ste 1De Pere, WI 54115(920) 339-43282440 W Mason St Ste 3Green Bay, WI 54303(920) 499-5917

*Verstoppen, Gerald R, MD, MProvider #00010017062525 Airport DrOneida, WI 54155(920) 869-2711Language(s): Dutch

Villwock, Mark K, MD3, MProvider #000100084621686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(714) 496-47703860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444*Warpinski, Luke T, MD3, MProvider #000100160344070 Equestrian LnGreen Bay, WI 54229Warren, John T, MD3, MProvider #000100119531686 Eisenhower RdDe Pere, WI 54115(920) 496-4700

1715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444*Watson, Christopher, MD3, MProvider #00010015238331 W Green Bay StPulaski, WI 54162(920) 822-1100704 S Webster Ave Ste 200Green Bay, WI 54301(920) 433-3456*Watson, Joann A, MD3, FProvider #00010015239704 S Webster Ave Ste 100Green Bay, WI 54301(920) 433-3456*Weiland, Jennifer A, MD3, FProvider #00010016745102 N Washington StGreen Bay, WI 54301(920) 496-47001686 Eisenhower RdDe Pere, WI 54115(920) 496-4700

23

Wisconsin - Brown


Medicaid program.


Prim

ary Care Providers

1715 Dousman StGreen Bay, WI 54303(920) 496-47001726 Shawano AveGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700*Wurth, Jason T, MD3, MProvider #000100035481630 Commanche Ave Ste 101Green Bay, WI 54313(920) 430-4700*Zaremski, Kenneth A, DO3, MProvider #000100167062253 W Mason St Ste 200Green Bay, WI 54303(920) 327-7300

General Practice

*Milson, Bertram I, MD, MProvider #00010016009124 Siegler St Unit 2Green Bay, WI 54303(920) 494-9661Language(s): Spanish*Murphy Morrow, Julie A, FProvider #00010011472430 Main StGreen Bay, WI 54301(920) 431-0345

Geriatric Medicine

*Sherman, Tracy L, MD3, FProvider #000100097691715 Dousman StGreen Bay, WI 54303(920) 272-15701727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-4700Sherman, Tracy L, MD, FProvider #000100097703860 Monroe RdDe Pere, WI 54115(920) 272-1570940 S Saint Augustine StPulaski, WI 54162(920) 496-4700*Walbrun, Fred H, MD3, MProvider #000000000201229 S Jackson StGreen Bay, WI 54301(920) 434-75702714 Riverview DrGreen Bay, WI 54313(920) 434-7570

Walbrun, Fred H, MD3, MProvider #000400033561686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman St 4th FlGreen Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 433-0111940 S Saint Augustine StPulaski, WI 54162(920) 822-5444

Internal Medicine

Abdel-halim, Olan M, MD3, FProvider #000400037141821 S Webster AveGreen Bay, WI 54301(920) 496-4700*Ai, Quan C, MD, FProvider #000400105351726 Shawano AveGreen Bay, WI 54303(920) 498-4200*Andres-palines, Jesusa S, MD3,FProvider #000400021921881 Chicago StDe Pere, WI 54115(920) 403-8000*Ansa Otu, William Y, MD3, MProvider #000400101542845 Greenbrier Rd Ste 320Green Bay, WI 54311(920) 288-8000

24

Wisconsin - Brown



*Berko, Yaw D, MD3, MProvider #000401804861726 Shawano AveGreen Bay, WI 54303(920) 496-4770*Bhatia, Ashwani, MD3, MProvider #000400038092845 Greenbrier Rd Ste 120Green Bay, WI 54311(920) 288-8000Language(s): Hindi*Biernat, Bozena J, MD3, FProvider #000400022591630 Commanche AveGreen Bay, WI 54313(920) 430-4700555 Redbird Cir Ste 300De Pere, WI 54115(920) 338-6870Bollom, Steven J, MD3, MProvider #000400053062793 Lineville RdHoward, WI 54313(920) 496-4700*Bongiorno, Edward J, DO3, MProvider #000400022601630 Commanche Ave Ste 101Green Bay, WI 54313(920) 430-45851800 Lawrence DrDe Pere, WI 54115(920) 983-3220744 S Webster AveGreen Bay, WI 54301(920) 433-3500*Chavez, Loritz M, MD, FProvider #000400105022253 W Mason StGreen Bay, WI 54303(985) 544-2514

*Chiguma, Learnmore, MD, FProvider #00040010019102 N Washington StGreen Bay, WI 54301(920) 496-47001686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001726 Shawano AveGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 433-0111940 S Saint Augustine StPulaski, WI 54162(920) 496-4700*Dangayach, Priti, MD, FProvider #000400101872845 Greenbrier RdGreen Bay, WI 54311(920) 288-8000

*Diaz, Alfredo, MD3, MProvider #000400022032845 Greenbrier Rd Ste 230Green Bay, WI 54311(920) 288-8000Dorcy, Brian C, MD, MProvider #000400105862845 Greenbrier RdGreen Bay, WI 54311(920) 288-8000Dzwonkowski, Malena F, MD3, FProvider #000400043343860 Monroe RdDe Pere, WI 54115(920) 496-4700Dzwonkowski, Malena, MD3, FProvider #000400043342502 S Ashland AveGreen Bay, WI 54304(920) 496-4700Fenster, Bruce P, MD3, MProvider #000400053091686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700

25

Wisconsin - Brown


Medicaid program.


Prim

ary Care Providers

940 S Saint Augustine StPulaski, WI 54162(920) 822-5444*Flood, Michael, MD3, MProvider #00040005207525 Airport DrOneida, WI 54155(414) 869-2711*Fuller, Stephen C, MD, MProvider #00010011325744 S Webster AveGreen Bay, WI 54301(920) 433-3500*Giriyappa, Pradeep, MD3, MProvider #00040003904550 N Military Ave Ste 13Green Bay, WI 54303(920) 884-1989*Gladysz, Margaret, MD3, FProvider #000401691752845 Greenbrier Rd 1st FlBellevue, WI 54311(920) 288-8480Green, Jeremy R, MD3, MProvider #000400032661686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700

835 S Van Buren StGreen Bay, WI 54301(920) 433-0111940 S Saint Augustine StPulaski, WI 54162(920) 822-5444*Hanes, David C, MD3, MProvider #000400042832845 Greenbrier Rd Ste 120Green Bay, WI 54311(877) 576-3544*Hartig, Donald E JR, MD3, MProvider #000400022712714 Riverview DrGreen Bay, WI 54313(920) 430-4760704 S Webster Ave Ste 200Green Bay, WI 54301(920) 433-3456744 S Webster AveGreen Bay, WI 54301(920) 433-3456*Hassan, Wael S, MD3, MProvider #000400098932845 Greenbrier Rd Ste 120Green Bay, WI 54311(920) 288-4060*Heezen, Nicholas J, DO3, FProvider #000400083332253 W Mason StGreen Bay, WI 54303(920) 327-7300Hoppe, Jason W, MD3, MProvider #000400010671821 S Webster AveGreen Bay, WI 54301(920) 496-4700*Kleiman, Molly M, MD3, FProvider #000402030831630 Commanche Ave Ste 101Green Bay, WI 54313(920) 430-4585

*Lafond, Kathryn A, MD3, FProvider #00040010061555 Redbird Cir Ste 300De Pere, WI 54115(920) 338-6870*Laliberte, Brian P, MD3, MProvider #000400020112845 Greenbrier Rd Ste 210Green Bay, WI 54311(920) 288-8000Landrum, Michael L, MD, MProvider #00040162388445 S Adams StGreen Bay, WI 54301(920) 437-7400*Leonard, Thomas J, MD3, MProvider #000400037573237 Voyager DrGreen Bay, WI 54311(920) 468-8288*Magno, Arnel D, MD, MProvider #000400101912253 W Mason StGreen Bay, WI 54303(985) 544-2514*Meves, Roderick L, MD3, MProvider #00040006363555 Redbird Cir Ste 300De Pere, WI 54115(920) 338-6870704 S Webster Ave Ste 200Green Bay, WI 54301(920) 433-3456*Mihailescu, Gabriel, MD3, MProvider #000400022182845 Greenbrier Rd Ste 130Green Bay, WI 54311(920) 288-8000Language(s): Romanian

26

Wisconsin - Brown



*Minca, Violeta, MD3, FProvider #000400029532845 Greenbrier Rd 1st FlGreen Bay, WI 54311(920) 288-4060Language(s): Romanian

2890 Lineville RdGreen Bay, WI 54313(920) 662-2100*Minca, Violeta, MD3, FProvider #000400100452253 W Mason St Ste 200Green Bay, WI 54303(920) 327-7300Language(s): Romanian*Morkevicius, Matas, MD3, MProvider #000400070522845 Greenbrier Rd 1st FlGreen Bay, WI 54311(920) 288-8000*Neu, Steven E, MD3, MProvider #000400032082020 Riverside Dr Ste 200Green Bay, WI 54301(920) 433-9920*Nitke, Jason N, DO3, MProvider #000400023661881 Chicago StDe Pere, WI 54115(920) 403-80002845 Greenbrier Rd 1st FlGreen Bay, WI 54311(920) 288-8100*Nitke, Leah A, DO3, FProvider #000400025822845 Greenbrier Rd Ste 130Green Bay, WI 54311(920) 288-8100Pritchard, Paul M, MD3, MProvider #000400043401686 Eisenhower RdDe Pere, WI 54115(920) 496-4700

1715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 433-0111940 S Saint Augustine StPulaski, WI 54162(920) 822-5444Rank, John J, MD3, MProvider #000400029891686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700

835 S Van Buren StGreen Bay, WI 54301(920) 433-0111940 S Saint Augustine StPulaski, WI 54162(920) 822-5444Richards, David G, MD3, MProvider #000400029881686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444Ripp, Daniel J, MD3, MProvider #000400043411686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-4700

27

Wisconsin - Brown


Medicaid program.


Prim

ary Care Providers

1821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 433-0111940 S Saint Augustine StPulaski, WI 54162(920) 822-5444*Rosteing, Kevin P, MD3, MProvider #000400063641500 Heritage Rd Ste ADe Pere, WI 54115(920) 347-1990*Saladi, Narasimha R, MD3, MProvider #000400098982845 Greenbrier RdGreen Bay, WI 54311(920) 288-8000*Salem, Yasser S, MD3, MProvider #000400104352845 Greenbrier Rd Ste 120Green Bay, WI 54311(687) 681-1644Sandmire, Kevin W, MD3, MProvider #000400043421686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-4700

1821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 433-0111940 S Saint Augustine StPulaski, WI 54162(920) 822-5444Schmitz, Paul J, MD3, MProvider #000400032691715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700*Sheikh, Jehanzeb A, DO3, MProvider #00040008034744 S Webster AveGreen Bay, WI 54301(920) 433-3784Shrake, John F, MD3, MProvider #000400043431821 S Webster AveGreen Bay, WI 54301(920) 496-4700

835 S Van Buren StGreen Bay, WI 54301(920) 496-4700*Sood, Lonika F, MD3, FProvider #000400092252845 Greenbrier Rd Ste 230Green Bay, WI 54311(800) 326-2250Strungs, Gunar R, MD3, MProvider #000400041832502 S Ashland AveGreen Bay, WI 54304(920) 496-4700Strungs, Gunars R, MD3, MProvider #000400041831686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444

28

Wisconsin - Brown



*Sullivan, Theresa E, MD, FProvider #000400101942845 Greenbrier RdGreen Bay, WI 54311(920) 288-4060*Sze, David B, MD3, MProvider #000400100522253 W Mason St Ste 200Green Bay, WI 54303(920) 327-7300*Tahir, Asif N, MD3, MProvider #000400101182845 Greenbrier RdGreen Bay, WI 54311(920) 288-4060Vir, Ravinder, MD3, MProvider #00040005814525 Airport DrOneida, WI 54155(920) 869-2711Language(s): Hindi, Spanish*Walbrun, Fred H, MD3, MProvider #000000000201229 S Jackson StGreen Bay, WI 54301(920) 434-75702714 Riverview DrGreen Bay, WI 54313(920) 434-7570Walbrun, Fred H, MD3, MProvider #000400033561686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman St 4th FlGreen Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-4700

835 S Van Buren StGreen Bay, WI 54301(920) 433-0111940 S Saint Augustine StPulaski, WI 54162(920) 822-5444Wijerathna, Herath Nirmala M,MD, FProvider #000401553821686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveAllouez, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700*Wilson, Jessica A, MD3, FProvider #000400073112845 Greenbrier RdGreen Bay, WI 54311(920) 288-8000

*Wood, Georgine E, NP2, FProvider #000100163241686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700*Wood, Georgine, NP2, FProvider #00010016324102 N Washington StGreen Bay, WI 54301(920) 496-47001326 Cornell RdGreen Bay, WI 54313(920) 272-10051580 Mid Valley DrDe Pere, WI 54115(920) 272-10051726 Shawano AveGreen Bay, WI 54303(920) 496-47001950 Enterprise DrDe Pere, WI 54115(920) 272-1005

29

Wisconsin - Brown


Medicaid program.


Prim

ary Care Providers

200 S BroadwayGreen Bay, WI 54303(920) 272-10052300 Riverside DrGreen Bay, WI 54301(920) 272-10052502 S Ashland AveGreen Bay, WI 54304(920) 496-47002614 N Sugar Bush RdNew Franken, WI 54229(920) 272-10053050 Walker DrGreen Bay, WI 54311(920) 272-10053360 Spirit WayGreen Bay, WI 54304(920) 272-1005606 S Fisk StGreen Bay, WI 54303(920) 272-1005660 Corporate WayPulaski, WI 54162(920) 272-1005835 S Van Buren StGreen Bay, WI 54301(920) 496-4700*Woodbridge, Brian S, MD3, MProvider #000400039302845 Greenbrier Rd Ste 210Green Bay, WI 54311(920) 288-8000

Nurse Practitioner

*Ambrosius, Anita M, NP1, FProvider #00010015971124 Siegler StGreen Bay, WI 54303(920) 494-9661

*Beno-chambers, Sara J, NP, FProvider #000100042181881 Chicago StDe Pere, WI 54115(920) 403-80002890 Lineville RdGreen Bay, WI 54313(920) 662-21004070 Equestrian LnGreen Bay, WI 54229(920) 866-6100629 Solvang WayDenmark, WI 54208(920) 863-2600*Beno-chambers, Sarah J, NP, FProvider #000100042182845 Greenbrier Rd Ste 140Green Bay, WI 54311(920) 288-8100*Brzezinski, Megan C, NP, FProvider #000100152572318 Lineville RdGreen Bay, WI 54313(920) 434-31272430 E Mason StGreen Bay, WI 54302(920) 406-9863*Cabral-guevara, Rachael A, NP,FProvider #00010015411301 Bay Park SqGreen Bay, WI 54304(920) 592-9475519 S Monroe AveGreen Bay, WI 54301(920) 435-6601*Carl, Nancy M, NP, FProvider #000100057772845 Greenbrier Rd 4 Fl 4 FlGreen Bay, WI 54311(920) 288-8000

*Duelge, Stephenie E, NP, FProvider #000100161911415 Lawrence Dr Ste 1De Pere, WI 54115(920) 339-43282440 W Mason St Ste 3Green Bay, WI 54303(920) 499-5917*Fresen, Vicki F, NP, FProvider #000100160472845 Greenbrier Rd Ste 8900Green Bay, WI 54311(920) 288-84002890 Lineville RdGreen Bay, WI 54313(920) 662-2100*Guns, Kayla R, NP, FProvider #000100162392845 Greenbrier Rd 1st FlGreen Bay, WI 54311(920) 288-81002890 Lineville RdGreen Bay, WI 54313(920) 662-2100629 Solvang WayDenmark, WI 54208(920) 863-2600*Jossart, Kari A, NP, FProvider #00010016779102 N Washington StGreen Bay, WI 54301(920) 496-47001686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001726 Shawano AveGreen Bay, WI 54303(920) 496-4700

30

Wisconsin - Brown



1727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700*Kindig-oguzlu, Sandi L, NP, FProvider #000100165212318 Lineville RdGreen Bay, WI 54313(920) 434-31272430 E Mason StGreen Bay, WI 54302(920) 406-9865301 Bay Park SqGreen Bay, WI 54304(920) 592-9475*Klein, Laura C, NP, FProvider #000100164652430 E Mason StGreen Bay, WI 54302(920) 406-9863555 Quality CtWrightstown, WI 54180(920) 338-6870

704 S Webster Ave Ste 200Green Bay, WI 54301(920) 433-3456*Luedeman, Stacy, NP, FProvider #000100154921028 N Ashland AveGreen Bay, WI 54303(920) 272-1005*McComb, Brooke E, NP, FProvider #000100154061630 Commanche AveGreen Bay, WI 54313(920) 430-4700*Mehlberg, Molly E, NP, FProvider #000100160602845 Greenbrier Rd Ste 330Green Bay, WI 54311(920) 288-8400Merry, Elizabeth L, NP, FProvider #000100168961415 Lawrence Dr Ste 1De Pere, WI 54115(920) 339-43282440 W Mason St Ste 3Green Bay, WI 54303(920) 499-5917*Meyer, Shelli A, NP, FProvider #000100135071630 Commanche AveGreen Bay, WI 54313(920) 430-4700331 W Green Bay StPulaski, WI 54162(920) 822-1100Milson, Diane M, NP, FProvider #000100147121686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-4700

1727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveAshwaubenon, WI 54304(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700*Muth, Mary A, NP, FProvider #000100060691415 Lawrence Dr Ste 1De Pere, WI 54115(920) 339-43282440 W Mason St Ste 3Green Bay, WI 54303(920) 499-5917*Passint, Amanda M, NP, MProvider #000100162681415 Lawrence Dr Ste 1De Pere, WI 54115(920) 339-43282440 W Mason St Ste 3Green Bay, WI 54303(920) 499-5917

31

Wisconsin - Brown


Medicaid program.


Prim

ary Care Providers

*Richter, Esther L, NP, FProvider #00010016840301 Bay Park SqGreen Bay, WI 54304(920) 592-9475*Sanchez, Karen A, NP, FProvider #00010008923622 Bodart StGreen Bay, WI 54301(920) 437-9773Language(s): Spanish*Steward, Kathleen G, NP, FProvider #000100041102253 W Mason St Ste 200Green Bay, WI 54303(920) 327-73002890 Lineville RdGreen Bay, WI 54313(920) 662-21004070 Equestrian LnGreen Bay, WI 54229(920) 866-6100629 Solvang WayDenmark, WI 54208(920) 863-2600*Sullivan, Lauren T, NP, FProvider #000100168991415 Lawrence Dr Ste 1De Pere, WI 54115(920) 339-43282440 W Mason St Ste 3Green Bay, WI 54303(920) 499-5917*Van Lannen, Tamara J, NP, FProvider #000100162801415 Lawrence Dr Ste 1De Pere, WI 54115(920) 339-43282440 W Mason St Ste 3Green Bay, WI 54303(920) 499-5917

*Veldboom, Brenda M, NP, FProvider #000100063641415 Lawrence Dr Ste 1De Pere, WI 54115(920) 339-43282440 W Mason St Ste 3Green Bay, WI 54303(920) 499-5917Welter, Nicole M, NP, FProvider #00010014582835 S Van Buren StGreen Bay, WI 54301(920) 496-4700*Wood, Georgine E, NP2, FProvider #000100163241686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700

*Wood, Georgine, NP2, FProvider #00010016324102 N Washington StGreen Bay, WI 54301(920) 496-47001326 Cornell RdGreen Bay, WI 54313(920) 272-10051580 Mid Valley DrDe Pere, WI 54115(920) 272-10051726 Shawano AveGreen Bay, WI 54303(920) 496-47001950 Enterprise DrDe Pere, WI 54115(920) 272-1005200 S BroadwayGreen Bay, WI 54303(920) 272-10052300 Riverside DrGreen Bay, WI 54301(920) 272-10052502 S Ashland AveGreen Bay, WI 54304(920) 496-47002614 N Sugar Bush RdNew Franken, WI 54229(920) 272-10053050 Walker DrGreen Bay, WI 54311(920) 272-10053360 Spirit WayGreen Bay, WI 54304(920) 272-1005606 S Fisk StGreen Bay, WI 54303(920) 272-1005660 Corporate WayPulaski, WI 54162(920) 272-1005

32

Wisconsin - Brown



835 S Van Buren StGreen Bay, WI 54301(920) 496-4700Zebel, Amy E, NP, FProvider #000100170202430 E Mason StGreen Bay, WI 54302(920) 406-9865

Nurse Practitioner - AdvancedRegistered

*Anderson, Kristin G, NP, FProvider #00010016752102 N Washington StGreen Bay, WI 54301(920) 496-47001686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001726 Shawano AveGreen Bay, WI 54303(920) 486-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700

835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700Schleicher, Susan L, NP, FProvider #00010016934102 N Washington StGreen Bay, WI 54301(920) 496-47001686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001726 Shawano AveGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700

940 S Saint Augustine StPulaski, WI 54162(920) 496-4700Zebel, Amy E, NP, FProvider #000100170202430 E Mason StGreen Bay, WI 54302(920) 406-9865

Nurse Practitioner - FamilyPractice

*Ambrosius, Anita M, NP1, FProvider #00010015971124 Siegler StGreen Bay, WI 54303(920) 494-9661*Cleereman, Lindsay D, NP1, FProvider #000100101981715 Dousman StGreen Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-4700

Physician Assistant

*Ansfield, Stephanie A, PA, FProvider #000100153851800 Lawrence DrDe Pere, WI 54115(920) 983-3220301 Bay Park SqGreen Bay, WI 54304(920) 592-9475331 W Green Bay StPulaski, WI 54162(920) 822-1100*Clement, Jac A, PA1, MProvider #000100050602845 Greenbrier Rd Ste 210Green Bay, WI 54311(920) 288-4060

33

Wisconsin - Brown


Medicaid program.


Prim

ary Care Providers

*Eberhardy, Stephanie A, PA, FProvider #00010010832525 Airport DrOneida, WI 54155(920) 869-2711*Grimm, Nicholas P, PA, MProvider #000100061091565 Allouez AveGreen Bay, WI 54311(920) 468-28001881 Chicago StDe Pere, WI 54115(920) 403-80002253 W Mason St Ste 200Green Bay, WI 54303(920) 327-73002845 Greenbrier Rd 1st FlGreen Bay, WI 54311(920) 288-84002890 Lineville RdGreen Bay, WI 54313(920) 662-21004070 Equestrian LnGreen Bay, WI 54229(920) 866-6100629 Solvang WayDenmark, WI 54208(920) 863-2600980 S Saint Augustine StPulaski, WI 54162(920) 822-7700*Haberman, Diane J, PA, FProvider #000100165811415 Lawrence Dr Ste 1De Pere, WI 54115(920) 339-43282440 W Mason St Ste 3Green Bay, WI 54303(920) 499-5917

*Kalk, Grace L, PA, FProvider #000100058201686 Eisenhower RdDe Pere, WI 54115(920) 496-47001715 Dousman StGreen Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700Kalk, Grace L, PA, FProvider #000100084891727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 822-5444*Lee, Suzette S, PA, FProvider #000400098972845 Greenbrier RdGreen Bay, WI 54311(920) 288-8100*Lemke, Erika L, PA, FProvider #000100117621686 Eisenhower RdDe Pere, WI 54115(920) 496-4700

1715 Dousman StGreen Bay, WI 54303(920) 496-47001727 Shawano Ave Ste 201Green Bay, WI 54303(920) 496-47001821 S Webster AveGreen Bay, WI 54301(920) 496-47002502 S Ashland AveGreen Bay, WI 54304(920) 496-47002793 Lineville RdGreen Bay, WI 54313(920) 496-47003021 Voyager DrGreen Bay, WI 54311(920) 496-47003860 Monroe RdDe Pere, WI 54115(920) 496-4700835 S Van Buren StGreen Bay, WI 54301(920) 496-4700940 S Saint Augustine StPulaski, WI 54162(920) 496-4700*Lemke, Erika L, PA, FProvider #000100117631580 Mid Valley DrDe Pere, WI 54115(920) 272-1005*Murphy, Rebecca L, PA1, FProvider #000100044612845 Greenbrier Rd Ste 330Green Bay, WI 54311(920) 288-8208*Smith, Adrienne K, PA, FProvider #000100126152253 W Mason StGreen Bay, WI 54303(920) 327-7300

34

Wisconsin - Brown



*Southards, Randall R, PA1, MProvider #000100041202845 Greenbrier Rd Ste 320Green Bay, WI 54311(920) 288-4060Language(s): Spanish

Calumet

Family Practice

*Bautista-santos, Maria EdithaM, MD3, FProvider #00010008377453 E Brooklyn StChilton, WI 53014(920) 849-2900*Beiersdorf, Rieck W, MD3, MProvider #000100009872020 Madison StNew Holstein, WI 53061(920) 898-4262*Best, Catherine M, MD3, FProvider #000100013332020 Madison StNew Holstein, WI 53061(920) 898-4262*Block, Joshua R, MD, MProvider #00010016086W5282 Amy AveAppleton, WI 54915(920) 358-1900*Crawford, William C III, MD, MProvider #000100040142020 Madison StNew Holstein, WI 53061(920) 898-4262Language(s): German*Gavin, Andrea M, MD3, FProvider #000100011072020 Madison StNew Holstein, WI 53061(920) 898-4262

*Hetzner, Michael H, DO3, MProvider #00010010261614 Memorial DrChilton, WI 53014(920) 849-2386*Jessen, Kevin A, MD3, MProvider #000100078292020 Madison StNew Holstein, WI 53061(920) 898-4262*Koo, Edward, DO3, MProvider #00010010821614 Memorial DrChilton, WI 53014(920) 849-2386*Lynds, Jeffrey C, MD3, MProvider #000100012762020 Madison StNew Holstein, WI 53061(920) 898-4262*Moard, Douglas P, MD3, MProvider #00010003268308 W Main StHilbert, WI 54129(920) 853-3444W5282 Amy AveAppleton, WI 54915(920) 358-1900*Murthy, Dharmesh, MD3, MProvider #000100160612020 Madison StNew Holstein, WI 53061(920) 898-4262*Northup, Cynthia P, MD3, FProvider #000100017012020 Madison StNew Holstein, WI 53061(920) 898-4262*Novacheck, Steven J, MD3, MProvider #00010015307614 Memorial DrChilton, WI 53014(920) 849-2386

*Peschke, Scott R, MD3, MProvider #000100012782020 Madison StNew Holstein, WI 53061(920) 898-4262Language(s): Spanish

Pleviak, Denis J, MD3, MProvider #000100002742020 Madison StNew Holstein, WI 53061(920) 898-4262*Poullette, George T, MD3, MProvider #000100011812020 Madison StNew Holstein, WI 53061(920) 898-4262*Redmond-durow, Aoife B, MD,FProvider #00010006409708 W Ryan StBrillion, WI 54110(920) 727-4200*Rejman, Michelle L, MD3, FProvider #000100028942020 Madison StNew Holstein, WI 53061(920) 898-4262*Remington, Robert J, MD3, MProvider #000100041252020 Madison StNew Holstein, WI 53061(920) 898-4262*Reszczynski, Mary A, NP, FProvider #00010165105708 W Ryan StBrillion, WI 54110(920) 727-4200*Scerpella, James J, MD3, MProvider #00010011421614 Memorial DrChilton, WI 53014(920) 849-2386Language(s): Spanish

35

Wisconsin - Calumet


Medicaid program.


Prim

ary Care Providers

*Sharma, Deepti, MD, FProvider #00010016595308 W Main StHilbert, WI 54129(920) 853-3444Language(s): Hindi

W5282 Amy AveAppleton, WI 54915(920) 358-1900*Sharon, Mark W, MD3, MProvider #000100011962020 Madison StNew Holstein, WI 53061(920) 898-4262*Shvygin, Sergey, MD3, MProvider #00010011502618 Memorial DrChilton, WI 53014(920) 849-3800Language(s): Russian*Sipple, Christopher J, MD3, MProvider #00010003326964 W Ryan St Ste BBrillion, WI 54110(920) 756-2055*Stauffer-vrzal, Kari M, MD3, FProvider #000100062912020 Madison StNew Holstein, WI 53061(920) 898-4262*Theiler, Randy T, MD3, MProvider #00010000392451 E Brooklyn St Ste 3Chilton, WI 53014(920) 849-9375*Tipler, Gene A, MD3, MProvider #00010009177618 Memorial Dr Ste RChilton, WI 53014(920) 849-3800

*Veldboom, Brenda M, NP, FProvider #000100063632020 Madison StNew Holstein, WI 53061(920) 898-4262*Veldboom, Brenda M, NP, FProvider #00010006364810 S Irish Rd Ste 3Chilton, WI 53014(920) 849-7620*Wenberg, Robert D, MD3, MProvider #000100014372020 Madison StNew Holstein, WI 53061(920) 898-4262

General Practice

*Hetzner, Michael H, DO, MProvider #00010010261614 Memorial DrChilton, WI 53014(920) 849-2386

Internal Medicine

*Lee, Francis J, DO3, MProvider #00040010010964 W Ryan St Ste EBrillion, WI 54110(920) 756-2055

Nurse Practitioner

*Brzezinski, Megan C, NP, FProvider #00010015257964 W Ryan St Ste BBrillion, WI 54110(920) 756-2055*Klein, Laura C, NP, FProvider #00010016465964 W Ryan StBrillion, WI 54110(920) 756-2055

*Schabach, Lisa K, NP, FProvider #00010010643618 Memorial DrChilton, WI 53014(920) 849-2386*Schabach, Lisa K, NP, FProvider #00010015672614 Memorial DrChilton, WI 53014(920) 849-2386*Veldboom, Brenda M, NP, FProvider #000100063632020 Madison StNew Holstein, WI 53061(920) 898-4262*Veldboom, Brenda M, NP, FProvider #00010006364810 S Irish Rd Ste 3Chilton, WI 53014(920) 849-7620

Nurse Practitioner - AdvancedRegistered

*Schabach, Lisa K, NP, FProvider #00010010643618 Memorial DrChilton, WI 53014(920) 849-2386*Schabach, Lisa K, NP, FProvider #00010015672614 Memorial DrChilton, WI 53014(920) 849-2386

Green Lake

Family Practice

*Arboleda, Reginaldo V, MD, MProvider #00010003745225 Memorial Dr Ste 1500Berlin, WI 54923(920) 361-5535

36

Wisconsin - Green Lake



*Batley, Craig M, DO3, MProvider #00010003503225 Memorial Dr Ste 1200Berlin, WI 54923(920) 361-5770W832 State Road 91 Ste 3Berlin, WI 54923(920) 361-6400*Bradshaw, Todd M, MD3, MProvider #00010013773225 Memorial Dr Ste 1200Berlin, WI 54923(920) 361-5535670 South St Ste AGreen Lake, WI 54941(920) 294-0100*Budde, David S, MD3, MProvider #00010003504225 Memorial Dr Ste 1200Berlin, WI 54923(920) 361-5770W832 Hwy 91 Ste 3Berlin, WI 54923(920) 361-6400W832 State Road 91 Ste 3Berlin, WI 54923(920) 361-6400Ekstrom, Shawn C, MD3, FProvider #00010003501225 Memorial DrBerlin, WI 54923(920) 361-5770*Fisher, Cynthia M, DO3, FProvider #00010012346225 Memorial Dr Ste 1200Berlin, WI 54923(920) 361-5535*Hazlewood, Ross A, DO3, MProvider #0001000349822 E Water StMarkesan, WI 53946(920) 361-5770

225 Memorial Dr Ste 1300Berlin, WI 54923(920) 361-1313340 Enterprise DrMarkesan, WI 53946(920) 398-2321502 W Water StPrinceton, WI 54968(920) 295-6432*Kasuboski, Paula M, NP, FProvider #00010007908225 Memorial Dr Ste 1400Berlin, WI 54923(920) 361-5340*Kohlenberg, Jared M, MD3, MProvider

Documents

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