SearchWisconsinOral and Maxillofacial Surgery (Dentist)

Eddie Brotkowski, D.D.S., M.D

NPI 1003100470 · on the registry since 2011

Practice

Address
464 S Hickory St Ste A
Fond Du Lac, WI 54935
Phone
(920) 923-0111
Fax
(920) 923-0366
Organisation at this address
Oral Surgery Assoc Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin