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FortCare Provider Network Directory WHAT IS FortCare? FortCare is a Preferred Provider Organization (PPO). Since 1989, FortCare has helped employers improve their bottom line with cost-effective healthcare services for employees and their families. Just as important, Fort HealthCare has delivered consistent, quality care through a network of providers with the medical professionals of Fort HealthCare at its’ core. Self-insured or fully-insured employers in and around Jefferson County wishing to reduce their healthcare costs and improve their bottom line should consider contracting for reduced fee-for-service medical care with FortCare. Our comprehensive network of primary care, specialty care and tertiary care medical providers can deliver your insured exceptional care whenever it is needed. The Best in Provider Discounts FortCare members annually see bottom-line health care savings in excess of 20 percent, and the employer and their employees realize every dollar of these savings. These are real dollars available to employers to enhance profitability. FortCare does not keep any savings as administrative or service fees. FortCare members receive:

• Discounts with Fort HealthCare Business Health, the occupational medicine program of Fort HealthCare.

• Discounts for treatment with gambling, alcohol, drug, depression and anger management through Fort HealthCare Behavioral Health Center.

• Fifty percent discount on health-related classes offered by the Fort HealthCare Community Health & Wellness department.

Other Benefits to FortCare Members The FortCare network is the most extensive provider network in Jefferson County, Cambridge and Whitewater. The network is easy to access and easy to use.

• The FortCare network can be paired with another network to serve employees who live outside the Jefferson County area.

• No referral is needed to directly access more than 70 area providers, facilities and services. • Employees and dependents can access more than 200 specialty providers via an easy referral process.

Self-insured, Fully Insured or a Combination: The Network is Easy to Implement FortCare can help establish total, cost-effective TPA services. Employers can maintain existing broker/agent relationships.

To learn how the FortCare provider network might help control your group health plan costs, please contact us at: (920) 568-5406 or via email at: FortCare@forthc.com.

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In-Network PPO Providers

PRIMARY CARE (FAMILY MEDICINE / INTERNAL MEDICINE / PEDIATRICS) FORT HEALTHCARE CAMBRIDGE 39-0286215 704 Katie Court, Cambridge: 1-888-761-0036 or (608) 423-1100

Stephanie Nottestad, MD (Family Medicine) Joshua Tueting, APNP (Family Medicine)

FORT HEALTHCARE INTERNAL MEDICINE & PEDIATRICS 39-0286215 500 McMillen, Fort Atkinson: (920) 563-5571 1461 W. Main Street, Whitewater: (262) 473-5888

Internal Medicine Laura Koenig, MD (Internal Medicine) Geoffrey Smith, DO (Family Medicine) Thomas Tackman, MD (Internal Medicine) Donald Williams, MD (Internal Medicine & Pediatrics) Amber Heuss, APNP (Internal Medicine) Katie Lewellin, APNP (Internal Medicine)

Pediatrics Julia Dewey, MD (Pediatrics) Katherine Lemon, MD (Pediatrics) Prerna Sinha, MD(Pediatrics) Donald Williams, MD (Pediatrics & Internal Medicine) Heidi Jennrich, APNP (Pediatrics)

FORT HEALTHCARE INTEGRATED FAMILY CARE 39-0286215 1520 Madison Avenue, Fort Atkinson: (920) 563-5500

Aaron Beck, MD (Family Medicine) Ed Fischer, MD (Family Medicine) Sara Barnes, DO (Family Medicine) Mary Beck Metzger, APNP (Family Medicine) Laurel Runte, APNP (Pediatrics)

FORT HEALTHCARE JEFFERSON 39-0286215 840 W. Racine Street, Jefferson: (920) 674-6000

Linda Welniak, MD (Family Medicine) Noreen Lyons, APNP (Family Medicine)

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FORT HEALTHCARE JOHNSON CREEK 39-0286215 400 Doctors Court, Johnson Creek: (920) 699-4000

David Misorski, MD (Family Medicine)

FORT HEALTHCARE LAKE MILLS 39-0286215 200 E. Tyranena Park Road, Lake Mills: (920) 648-8393

Wahab Kazi, MD (Family Medicine) Jennifer Philbin, NP (Family Medicine) James Wishau, MD (Internal Medicine)

FORT HEALTHCARE WHITEWATER 39-0286215 1461 W. Main Street, Whitewater: (262) 473-5888

Laura Koenig, MD (Internal Medicine) Thomas Tackman, MD (Internal Medicine)

FORT ATKINSON MEDICAL CENTER (Dean/St. Mary’s Regional Clinics) 39-1628491 740 Reena Avenue, Fort Atkinson: (920) 563-0888

Barry Cash, MD (Family Medicine) Alison Gomez, MD (Family Medicine) Michael Kruk, MD (Family Medicine) Stephen Riggs, MD (Family Medicine) Alyssa Tess, PA-C (Family Medicine)

UW HEALTH 39-1824445 601 Handeyside Lane, Fort Atkinson: (920) 563-5544

Scott Brantmeier, DO (Family Medicine) Jeffrey McGuire, MD (Family Medicine) Shauna Meyer, MD (Family Medicine) Rachel Quinn, MD (Family Medicine) Jolie Nottelson, APNP (Family Medicine)

WHITEWATER FAMILY PRACTICE CLINIC (Dean/St Mary’s Regional Clinics) 39-1628491 1305 W. Main Street, Whitewater: (262) 473-4548

Nathaniel Besch, DO (Family Medicine) Kenneth Kidd, MD (Family Medicine) Roberta Wedl, MD (Family Medicine) Laura Carney, APNP (Family Medicine)

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ACUPUNCTURE RIVER OF HEALTH ACUPUNCTURE CLINIC & WELLNESS CENTER, LLC 110 W. Linden Drive, Suite D, Jefferson: (920) 674-6707

Carolyn Custer - Service coverage applies to acupuncture only ANESTHESIA FORT HEALTHCARE SURGERY 39-028615 Fort Memorial Hospital, 611 Sherman Avenue East, Fort Atkinson: (920) 568-5000 BARIATRICS 39-0286215 Fort HealthCare Specialty Clinic, 611 Sherman Avenue East, Fort Atkinson: (920) 568-5242

Marc Erickson, MD BEHAVIORAL HEALTH 39-028615 FORT HEALTHCARE BEHAVIORAL HEALTH CENTER Psychiatry Stanley Fudala, MD 500 McMillen Street, Fort Atkinson, WI: 920-563-9542 Nicolette Weisensel, MD Fort HealthCare Specialty Clinic (Enter via Ambulatory Surgery on McMillen Street) 611 Sherman Avenue E, Fort Atkinson, WI: 920-563-9542 Psychology Stephen Seaman, PhD 1520 Madison Avenue, Fort Atkinson, WI: 920-563-9542 Behavioral Health

Michele Norris, LCSW 500 McMillen Street, Fort Atkinson, WI: 920-563-9542

BUSINESS HEALTH (OCCUPATIONAL MEDICINE) 39-0286215 520 Handeyside Lane, Suite 3, Fort Atkinson: (920) 568-5018

James Martin, MD CHIROPRACTIC ALLIED HEALTH OF WISCONSIN, S.C 39-1794159 113 Sherman Avenue, Fort Atkinson: (920) 563-2281

Bradley Kees, DC

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ANDERSON CHIROPRACTIC CLINIC 39-1287480 120 E. Oak Street, Lake Mills: (920) 648-2711

Gregory Anderson, DC

CENTRAL JEFFERSON CHIROPRATIC 39-1513702 202 N. Main Street, Jefferson: (920) 674-5025

Alan Lewis, DC Andrew Uhl, DC

CROSSROADS CHIROPRACTIC 27-3541574 545 Village Walk Lane, Suite C Johnson Creek: (920) 699-5300

Kimberly Turner, DC FIRST CHOICE HEALTH & WELLNESS 39-1348069 1000 Madison Avenue, Fort Atkinson: (920) 563-9295

Douglas Schildt, DC LUEDTKE-STORM-MACKEY CHIROPRACTIC CLINIC 39-1154715 825 Lexington Blvd, Fort Atkinson: (920) 563-4970 1173 W. Main Street, Whitewater: (262) 753-0017

Stephen Dewitt, DC Jeffery King, DC Todd Tesch, DC

VEALE CHIROPRACTIC OFFICE 39-1495672 543 S. Putnam Street, Whitewater: (262) 473-7274

Brian Veale, DC VOLK CHIROPRACTIC 39-1918065 220 E. Racine Street, Jefferson: (920) 674-6108

David Volk, DC

WHITEWATER CHIROPRACTIC, LLC 39-1960804 108 S. Fremont Street, Whitewater: (262) 472-0209

Peggy Linneman, DC

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DERMATOLOGY FORT HEALTHCARE DERMATOLOGY 39-0286215 611 Sherman Avenue E, Fort Atkinson: (920) 568-5470

Robert Glinert, MD EAR NOSE AND THROAT (OTOLARYNGOLOGY) FORT HEALTHCARE EAR, NOSE & THROAT SPECIALISTS 39-0286215 512 Wilcox Street, Fort Atkinson: (920) 563-6667 1461 W. Main Street, Whitewater: (920) 563-6667 (Audiology services only)

Michael Anderson, MD William Hofmann, MD David Rowe, MD Lori Fish, Au.D, Audiologist

EMERGENCY SERVICES FORT ATKINSON EMERGENCY PHYSICIANS, S.C. 39-2015178 Fort Memorial Hospital 611 Sherman Avenue E, Fort Atkinson: (920) 568-5330 EYE CARE DAVIS DUEHR DEAN 39-1628491 240 Reena Avenue, Fort Atkinson: (920) 563-8468 128 N. Tratt Street, Whitewater: (262) 473-4514

Colleen Hebert, OD Carmen Kneiert, OD Jeffery Kneiert, OD Alyce Hofmann, OD John Vukich, MD

GENERAL SURGERY FORT HEALTHCARE SURGICAL ASSOCIATES 39-0286215 212 Milwaukee Avenue West, Fort Atkinson: (920) 563-7900

Marc Erickson, MD Bill Kontny, MD Jonathan McLaughlin, MD

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GASTRO-INTESTINAL (GI) CLINIC Fort HealthCare Specialty Clinic, 611 Sherman Avenue East, Fort Atkinson: (920) 568-5334 39-0286215

James Wishau, MD HOME HEALTH See Extended Network Providers Marquardt Home and Community Based Services, Inc. HOSPITAL FORT MEMORIAL HOSPITAL 39-0286215 611 Sherman Avenue E, Fort Atkinson: (920) 568-5000 HOSPITALISTS (Treating patients admitted to Fort Memorial Hospital) FORT MEMORIAL HOSPITAL 39-0286215 611 Sherman Avenue E, Fort Atkinson: (920) 568-5000 MEMORY CARE FORT HEALTHCARE MEMORY CENTER 39-0286215 611 Sherman Avenue E, Fort Atkinson: (920) 568-5334

David Byrne, PhD James Freiburger, PhD Geoffrey Smith, DO

NEPHROLOGY NEPHROLOGY ASSOCIATES OF WAUKESHA/PURITY DIALYSIS CENTER 39-1660960 611 Sherman Avenue East, Fort Atkinson: (920) 563-8665 39-1717839 1111 Delafield Street, Suite 212, Waukesha: (262) 524-1024

Mark Carey, MD Ryan Holzmacher, MD Loganathan Elangovan, MD

OB/GYN FORT HEALTHCARE CENTER FOR WOMEN’S HEALTH 39-0286215 650 McMillen Street, Fort Atkinson: (920) 563-8900 400 Doctors Court, Johnson Creek: (920) 699-3600 1461 W. Main Street, Whitewater: (262) 473-8920

Nancy Aguirre, MD Christine Chuppa, MD

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Satwant Dhillon, MD Julie Mokhtar, DO Joyce Dedrick, APNP

ORTHOPEDICS FORT HEALTHCARE ORTHOPAEDIC ASSOCIATES 39-0286215 704 Katie Court, Cambridge: (608) 423-7480 1504 Madison Avenue, Fort Atkinson: (920) 563-7888 400 Doctors Court, Johnson Creek: (920) 699-5060 200 E. Tyranena Park Road, Lake Mills: (920) 648-8393 1461 W. Main Street, Whitewater: (262) 472-9334

James Bruno, MD Thomas Nordland, MD Paul Schuppner, DO Isidoro Zambrano, MD Eugene Ott, PA-C

PAIN MANAGEMENT ADVANCED PAIN MANAGEMENT 39-1918100 1604 Madison Avenue, Fort Atkinson: (920) 568-9700 3230 Deming Way, Madison: (888) 901-7246

Douglas Keehn, DO Leslie Liegel, PA-C

PHYSICAL MEDICINE AND REHABILITATION / PHYSIATRY PHYSICAL MEDICINE AND REHABILITATION SERVICES, S.C. 26-4643913 611 Sherman Avenue E, Fort Atkinson: (920) 568-5334

William Fowler, MD RADIOLOGY FORT MEMORIAL HOSPITAL 39-0286215 611 Sherman Avenue E, Fort Atkinson: (920) 568-5420 THERAPY & SPORT CENTER (PHYSICAL THERAPY / OCCUPATIONAL THERAPY / SPEECH THERAPY / ATHLETIC TRAINING) 39-0286215 1504 Madison Avenue, Fort Atkinson: (920) 563-9357 200 E. Tyranena Park Road, Lake Mills: (920) 648-8170 1461 W. Main Street, Whitewater: (262) 473-5599

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URGENT CARE FORT MEMORIAL HOSPITAL URGENT CARE 39-0286215 611 Sherman Avenue E, Fort Atkinson (920) 568-5333 FORT HEALTHCARE LAKE MILLS URGENT CARE 39-0286215 200 E. Tyranena Park Road, Lake Mills: (920) 648-3113

UROLOGY FORT HEALTHCARE UROLOGY ASSOCIATES 39-0286215 520 Handeyside Lane, Suite 2, Fort Atkinson: (920) 563-7744 400 Doctors Court, Johnson Creek: (920) 699-4747 1461 W. Main Street, Whitewater: (262) 472-6803

Craig Kozler, MD Christopher Manakas, MD

WOUND CARE & HYPERBARIC MEDICINE FORT HEALTHCARE WOUND & EDEMA CENTER 39-0286215 400 Doctors Court, Johnson Creek: (920) 699-4245

Robert Goldman, MD

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Extended PPO Providers – Referral may be required Referral, f required, must come from network provider listed previously.

Services covered are only those not otherwise provided by In-Network providers. Providers listed in this section offer discounts on services for FortCare PPO participants.

AMBULANCE SERVICE RYAN BROTHERS AMBULANCE SERVICE 03-0418844 Fort Atkinson 39-1127988 Madison 1210 Arndt Street, Fort Atkinson: (877) 257-9591 BEHAVIORAL HEALTH – All effective 1-1-2014 BETHEL COUNSELING AND CONSULTATION Richard Bronecki, LCSW, SAP, CEAP 162 W Main Street, Suite G Whitewater, WI 53190: 262-473-5005 Patricia Bromley, Ph.D. 162 W Main Street, Suite G Whitewater, WI 53190: 262-473-5005 CATHOLIC CHARITIES, INC. Dana Welter, MSEd, NCC, LCSW Henning VonBauer, MSSW, LCSW 734 Madison Avenue Fort Atkinson, WI: 920-563-9375 CORNERSTONE Rita Brafford, LCSW, SAC Stephanie Scheiber, MSW, LCSW 120 S. Main Street, Suite 102 Jefferson, WI: 262-789-1191 Sandy Adams, Ph.D., CSAC, ISC Laura Asby, PsyD. Paul Bartsch, LPC, SAC Carol Kinney, LPC Joanna Ledvina, LCSW, CSAC Melanie Morgan, LPC Aaron Munson, LPC Jane Schneider, Ph.D. Alan Sumwalt, MSW, LCSW, LMFT 400 Bayview Road, Suite C Mukwonago, WI: 262-789-1191 Rita Brafford, LCSW, SAC Ed Cohen, LCSW

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Jim Eisenman, Ph.D. Greg Foker, Ph.D., SAC Kim Hannan, LPC, NCC Terri Koschnick, MS, LMFT Julie Merten-Hester, MSW, APSW Dennis Neuenfeldt, LCSW, LMFT Lyn Rhodes, LCSW, LMFT Stephanie Scheiber, MSW, LCSW 888 Thackeray Trail, Suite 105 Oconomowoc, WI: 262-789-1191 CREDENCE THERAPY ASSOCIATES Kristi Balge, LPC Daniel Bishop, PsyD, LPC, CSAC

Millie Veto, LMST 3066 W Main St. #106 East Troy, WI 262-723-3424 1½ W Geneva Street Elkhorn, WI: 262-723-3424 Cheryl Brost, LPC Joy Clikeman, LMFT Victoria Loudon, LPC Henry Sebbing, LPC Melvin SooHoo, MD Kim Steen, LCSW Timothy Swanson, LPC Barbara Temple, LPC 1½ W Geneva Street Elkhorn, WI: 262-723-3424

FAMILY RESOURCES Karilin A. Bare

Rick Brewer David Byrne Carol A. Erdman Teresa G. Grimes Mindy E. Haseleu Deborah J. Klecker Roger Klein Michelle L. Leverence Amy C. Middleton Vicki L. Milbrath Leslie Ofner Ryan C. Parys Kerry J. Wolfe

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1315 West Main Street Watertown, WI 920-261-4100 331 North Main Street Lake Mills, WI 920-648-3896 LAURA ALWIN & ASSOCIATES – Counseling and Psychological Services Laura Alwin, PsyD 214 Milwaukee Avenue E Fort Atkinson, WI: 920-397-6006 OREGON MENTAL HEALTH SERVICES, LLC Jeremy Burtch, LPC 110 W Linden Drive Jefferson, WI: 920-674-5050 PASTORAL & FAMILY THERAPY SERVICES Don Norman, Ph.D., LPC, LMFT 162 W. Main Street, Suite G Whitewater, WI: 262-473-5005 POPKE PSYCHOLOGICAL SERVICES, S.CL Don Norman, Ph.D., LPC, LMFT 162 W. Main Street, Suite G Whitewater, WI: 262-674-6994 RESONATING CHANGE, INC.

Venessa Farn, LPC-SASD, CTS, NCC 613 Jefferson Street Lake Mills, WI: 920-988-3372

THRIVE PSYCHOLOGY, LLC Sheila Kozler, PsyD., MFT 1550 Madison Avenue, Suite 102-104 Fort Atkinson, WI: 920-723-0307 CYTOLOGY DANE COUNTY CYTOLOGY CENTER, LLC 39-1414219 2000 Engel Street, Monona: 608- 255-5135 DIALYSIS PURITY DIALYSIS CENTER 39-1414219 1111 Delafield Street, Suite 212, Waukesha: (262) 524-1024 HOME HEALTH

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Marquardt Home and Community Based Services, Inc. 39-1940920 1020 Hill Street, Watertown: (920) 206-4610 HOSPICE CARE RAINBOW HOSPICE CARE, INC. 39-1628298 1225 Remmel Drive, Johnson Creek: (920) 674-6255 HOSPITALS (By referral) ST. MARY’S HOSPITAL 39-0806393 700 S. Park Street, Madison: (608) 251-6100 AMERICAN FAMILY CHILDREN’S HOSPITAL (UW Health) (Providing organ transplant and specialized pediatric services.) 39-1835630 1675 Highland Avenue, Madison: (608) 890-8000 MERITER HOSPITAL (Adolescent inpatient behavioral and mental health services.) 39-0806367 202 S. Park Street, Madison: (608) 417-6000 ROGERS MEMORIAL HOSPITAL (Adult inpatient behavioral and mental health services.) 39-1139101 34700 Valley Road, Oconomowoc: (262) 646-4411 MEDICAL EQUIPMENT FORT MEDICAL EQUIPMENT COMPANY 39-2042387 306 Washington Street, Fort Atkinson: (920) 568-9860 NEONATOLOGY NEONATAL RESOURCES OF WISCONSIN 39-1745745 Providing services at St. Mary’s Hospital, Madison 700 S. Park Street, Madison: (608) 258-6831 Billing Address: PO Box 44370, Madison ONCOLOGY UW CANCER CENTER - JOHNSON CREEK 39-1824445 250 Doctors Court, Johnson Creek: (920) 699-3500

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Bethany Anderson, MD (Radiation Oncology) M. Eli Eastman, MD (Medical Oncology) Kyle Holen, MD (Medical Oncology) Peter Mahler, MD (Radiation Oncology) Tod Speer, MD (Radiation Oncology)

OPEN MRI MIDWEST OPEN MRI 39-1931813 2101 Zeier Road, Madison: (608) 663-6674 Toll Free: 1-877-410-6674 ORAL SURGERY ORAL & MAXILLOFACIAL SURGERY ASSOCIATES 39-1169958 475 Hartwig Blvd., Suite 100, Johnson Creek: (920) 699-3730

Joseph Best, DDS Michael Connor, DDS Kevin Connor, DDS Daniel D’Angelo, DDS Donald Holzhauer, DDS Timothy Novak, DDS Joseph Schmidt, DDS

PATHOLOGY ASSOCIATED PATHOLOGISTS, S.C. 39-1145163 1-800-883-6616 or (608) 831-3356 PHYSICAL REHABILITATION JOINTS IN MOTION MEDICAL, LLC 39-1982619 1343 E. Wisconsin Avenue #112, Pewaukee: (262) 547-4276 PLASTIC AND RECONSTRUCTIVE SURGERY MIDWEST PLASTIC & RECONSTRUCTIVE SURGERY 26-2452888 Fort HealthCare Specialty Clinic 611 Sherman Avenue East, Fort Atkinson (920) 568-5334

John Noon, MD PODIATRY ROCK RIVER FOOT AND ANKLE CLINIC, SC 39-1915691 303 Hake Street, Fort Atkinson: (920) 563-2136

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Greg Graglia, DPM Victor Soderstrom, DPM Brent Yaeggi, DPM

SLEEP MEDICINE SLEEP STUDY CENTER 39-1824445 (Interpret charge); 39-0286215 (Facility charge) Fort HealthCare Specialty Clinic 611 Sherman Avenue East, Fort Atkinson (920) 568-5334

Mary Klink, MD Mihai Teodorescu, MD

SPECIALISTS & CONSULTING PHYSICIANS DEAN CLINIC (Dean Health System) 39-1128616 1313 Fish Hatchery Road, Madison: (608) 252-8000 Note: Some physician and facility charges may be paid at out-of-network rate. DEAN SPECIALTY CLINIC 39-1128616 525 Handeyside Lane, Suite 2, Fort Atkinson: (920) 568-1986 Cardiology Kay Barrett, MD Peter Lee, MD, PhD Alan Singer, MD Note: The Cardiologists above see patients in the Fort HealthCare Specialty Clinic, 611 Sherman Avenue E, Fort Atkinson, (920) 568-5334.

Endocrinology Bharat Raman, MD Kathy Gamoke, PA-C Infectious Disease Ammar Nasrallah, MD Neurology

Thomas Berentsen, MD Steven H. Block, MD Mary Dominski, MD (Pediatric Neurology)

Neurosurgery Alan Lozier, MD

Todd Trier, MD Oncology Amit Sanyal, MD

Ophthalmology Catherine Lee, MD

740 Reena Avenue, Fort Atkinson: (920) 563-0888 John A. Vukich, MD

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1100 Madison Avenue, Fort Atkinson: (920) 563-8468 128 N. Tratt St., Whitewater: (242) 473-5414 144 W. Garland St., Jefferson: (920) 674-2217

Pulmonology Marcus Santana, MD Rheumatology Julie Hildebrand, MD Dirk Nuenninghoff, MD ST. MARY’S DEAN VENTURES 39-1628491 UW MEDICAL FOUNDATION SPECIALTY CLINIC 39-1824445 20 S. Park Street, Madison: (608) 287-2000 Fort HealthCare Specialty Clinic, 611 Sherman Avenue E, Fort Atkinson: (920) 568-5334 Allergy Marcus Cohen, MD Christopher Healy, MD Robert Kriz, MD Thomas Puchner, MD Michael Ritter, MD (Pediatric Allergist) Cardiology Charles Stone, MD Neurology Roland Brilla, MD Ivy Dreizin, MD Frederick Edelman, MD Elizabeth Lake, MD Christopher Luzzio, MD Evelyn Tunnell, MD Anne Weiss, DO Ronald Zerofsky, MD Neurosurgery Gregory Trost, MD Pulmonary Medicine Mark Regan, MD James Runo, MD Rheumatology Michael Walsh, DO Vascular Surgery Margaret Schwarze, MD UNIVERISTY OF WISCONSIN

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39-1805963 when billed by UW Medical Foundation

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Revised: March 2014